I n t e r n a L medicine questions Bank

e. Presence of right ventricular heave

30 - In which of the following conditions would one not expect aTrans-Tubular Potassium Gradient greater than 4?
a. Primary hypoaldosteronism b. Acute vomiting
c. Renin-secreting tumour d. Unilateral renal artery stenosis
e. Gordon syndrome


31 - A55 year-old woman with asthma is on systemic steroids for one year. She develops a recent right-sided pleural effusion. She feels unwell and tires easily. Aspiration reveals a turbid fluid, a high lymphocyte count, high LDH, low glucose, and a pH of 7.4. The most compatible diagnosis is?
a. Pulmonary embolism
b. Empyema
c. Tuberculosis
d. Subphrenic abscess
e. Pancreatitis
32 - In Sytlolic murmurs one of the following is true?
a. Murmur occures between S1 and S2
b. Murmur occures after S2
c. Murmur occures before S1
d. Aortic stenosis is a diastolic murmur
e. Murmur of mitral stenosis is a systolic murmur


33 - Which of following is a feature of Cushing's syndrome?
a. Fibrous dysplasia
b. Vertebral collapse
c. Calcium pyrophosphate arthropathy
d. Osteomalacia
e. Osteoarthritis


34 - In the treatment of Type I Diabetes, which of the following is true?
a. Sulfonylureas are useful as an adjunctive therapy to insulin
b. Most patients are adequately controlled with one type of insulin (non-mixed) only
c. Once diagnosed with Type I, patients must immediately be assessed for retinopathy
d. During periods of illness or infection, patients may require additional insulin
e. The most common initial presentation is visual disturbance


35 - The following drugs need dose adjustment in renal failure except?
Select one:
a. Carbamazepine b. Erythromycin
c. Digoxin d. Acyclovir
e. Vancomycin


36 - A70 year-old woman presents with acute knee arthritis.Radiographs show meniscal calcification (chondrocalcinosis).Analysis of the synovial fluid reveals weakly positive birefringent rhomboid-shaped crystals. The crystals are most likely?
a. Monosodium urate
b. Calcium hydroxyapatite
c. Cholesterol