I n t e r n a L medicine questions Bank

Bone marrow culture

C reactive protein

81. Which of the following statement is incorrect :

1. 
   Cough can be the only presenting complaint in patient with asthma
   
2. 
   Asthma control should be assessed at every clinic visit
   
3. 
   Dx of asthma should be considered in patient who present recurrently with wheezing following upper respiratory tract infection
   
4. 
   Salbutamol tablets should not be prescribed to asthmatics
   
5. 
   Patient with stable asthma do not need follow up
   

82. Typical feature of the nephrotic syndrome include one of the following:

1. 
   Bilateral renal angle pain
   
2. 
   Generalized edema and periorbital edema
   
3. 
   Hypoalbuminaemia and proteinuria & gt ;2g/day
   
4. 
   Hypertension and polyuria
   
5. 
   Elevated serum creatinine
   

83. A 38 year old man known to be infected with HIV presents with a week of fever and tachypnea.

Chest x-ray reveals bilateral alveolar infiltrates , Bronchoalveolar lavage is positive for methenamine
silver staining material . Which of the following statements is correct concerning the current clinical situation ?

1. 
   Transbronchial biopsy should be carried out to confirm the diagnosis
   
2. 
   Glucocorticoids are contraindicated , given the risk of other opportunistic infections
   
3. 
   Pentamidine therapy by the aerosolized route would be appropriate if the patient had a known allergy to sulfa drugs
   
4. 
   TMP/SMZ and pentamidine should be administered in combination
   
5. 
   TMP/SMZ alone should be administered
   

84. A 65 year old man with liver cirrhosis of unknown cause is reviewed in clinic. Which one of the following factors is most likely to indicate a poor prognosis?

1. 
   Alanine transaminase > 500 ufl
   
2. 
   Caput medusae
   
3. 
   Ascites
   
4. 
   Gynecomastia
   
5. 
   Splenomegaly
   

85. What is the leading cause of death in patients with chronic kidney disease?

1.