I n t e r n a L medicine questions Bank

Dr. Noha questions :

1. 
   eye complaint and abnormal color perception in HIV pt due to : Cmv retinitis
   
2. 
   Chloramphenicol for prevent : typhoid relapse
   
3. 
   Pt come with presentation of Addison Dx by : ACTH stimulation test
   
4. 
   Pregnant with lower UTi : Ampicillin
   
5. 
   Brucella resistant to flouroquinolone due to : DNA gyrase
   
6. 
   Pt with HIV on Rx and prophylactic Ab CD4 was 25 If raised to 250 , what to do
   

: Stop anti- HIV medication

7. 
   Drug not given in pregnancy : Doxycyclin
   
8. 
   Dysuria, frequency , urine analysis shows WBCs , leukocyte esterase on stain (not culture) no organism was found , diagnosis :
   

TB , lower UTI

9. 
   Cause of death in malta fever : infective endocarditis
   
10. 
    kaposi Sarcoma : HHSV8
    

Dr. Samah questions :

1. 
   80 year old patient in hospital develops pneumonia 3 days after hospitalization , what is the treatment : anti psuodomanous beta lactam +anti pseudo quinolone + vancomycin
   
2. 
   Patient with mass in chest x ray and hyponatermia : SIADH with small cell
   
3. 
   ASA causes metabolic acidosis RS alkalosis ???
   
4. 
   pt on high dose inhaled steroid and long acting beta agonist for 6 months : step down for low dose inhaled steroid and keep long acting beta agonist
   
5. 
   TB drug that cause problem in vision : ethambutol
   
6. 
   MDR TB is resistant to :
   

both isoniazid plus rifampicin irrespective to other drugs

7. 
   lung fibrosis biopsy :
   

subpleural fibrosis + cystic lesion

8. 
   flial chest is :
   

2 or more rib fracture in 2 or more places

Dr. Jeries questions :

1. 
   Question indicating Churg-strauss (Eosinophilia and asthma in history) : P-anca
   
2. 
   one of the following is not seen in RA :
   

Bouchard nodules

3. 
   Gottren Rash :
   

dermatomyositis

4. 
   case scenario and you are asked to how many SLE criteria are present : 5
   
5. 
   Recurrent abortion , sle , long ptt low platlets :anti phospholipid
   
6. 
   All are seen in RA except : boucherds
   
7. 
   One of the following involves the DIP :Psoriasis
   
8. 
   we use RF for follow up except :
   
9. 
   antibody not in dermatomyositis : anti RNP
   
10. 
    All cause erythema nodosa except :
    

TB - OCP - beta hemolytic strep – leukemia , RA

11. 
    Pt with gout ,, what is the goal uric acid level :
    

<8 <7 <6 <5 <4