LEK questions: Internal medicine
732 questions in Internal medicine. Open a question to see the answer options and a hint.
- Which of the following should be given to a patient with hyperkalemia at the level of 7 mmol/l, if the ECG shows toxic influence of potassium on the heart muscle? Question 8
- The most common cause of septic shock in Poland are: Question 10
- Which of the following is not recommended in the management of a patient with irregular narrow QRS-complex tachyarrhythmia (without symptoms of heart failure): Question 11
- Temporary cardiac pacing should be considered in the case of: Question 20
- A 35-year-old man was admitted to the Emergency Unit because of black stools occurring for a few hours. He is also suffering from haemophilia. The primary treatment… Question 27
- The quickest acting agent used in the treatment of acute hypertension is: Question 51
- A hypercalcaemic crisis may occur in the course of: Question 59
- The most common cause of acute liver injury is: Question 60
- The QT interval in the following ECG (speed 25 mm/s) should be classified as: Question 62
- The most common clinical sign of pulmonary embolism is: Question 64
- The first disorder caused by an overdosage of sodium bicarbonate is: Question 67
- A woman came to the ER department because of abdominal pain, frequent (8 daily) painful defecation of bloody stool, high fever, tachycardia and anemia. The physical… Question 69
- Unconscious patients suspected of meningitis should be: Question 74
- A patient diagnosed with STEMI myocardial infarction, with severe chest pain, no symptoms of cardiovascular failure, no dyspnea and hypoxemia does not require: Question 78
- A classic triad of symptoms in pulmonary embolism, occurring in 25% of patients, includes: Question 85
- Which of the following should be considered in the case of recurrent arrhythmia with a high heart rate, when electrical cardioversion and amiodarone are ineffective? Question 95
- The possible causes of acidosis do not include: Question 96
- Which of the following should be suspected if ECG shows the elongation of the PR interval >0.2 s, flat P waves, tall peaked T waves and QRS complexes widened above… Question 97
- Levine’s sign is: Question 99
- In the case of hypoglycemia, intramuscular administration of 1 mg of glucagon will increase glucose levels by about: Question 101
- What cardiac rhythm can be noted in the ECG below (speed 25 mm/s)? Question 102
- Which of the following is not used in the treatment of thyroid storm? Question 103
- Which of the following should not be considered in the treatment of a patient with hypercalcemia? Question 105
- A patient with diabetes mellitus was transferred to the ED. On physical examination the characteristic acetone smell was noted. Which of the following was also highly… Question 107
- Which of the following lowers the pressure in the portal venous system in patients bleeding from esophageal varices? Question 108
- The treatment of hyperosmolar nonketotic hyperglycemic state includes: Question 110
- A patient with diarrhoea symptoms lasting several days was admitted to the hospital. Arterial blood gas test showed pH = 7.2, PaCO₂ = 28 mmHg. Which acid-base imbalance… Question 114
- Spurious hyponatremia occurs secondary to: Question 116
- Indicate the true statements on giant-cell arteritis: Question 117
- Cardioversion with the energy of 70-120 J is performed in the case of: Question 124
- Which of the following sets of signs and symptoms does not allow to diagnose the systemic inflammatory response syndrome (SIRS)? Question 129
- The pain in severe acute pancreatitis should not be treated with: Question 131
- Which of the following is not used in patients with severe respiratory failure caused by status asthmaticus? Question 134
- The following lab results: glucose 651 mg/dl, Na⁺ 120 mmol/l, K⁺ 3.22 mmol/l, plasma osmolality 325 mOsm/l in a patient who is disoriented in time and place, dehydrated… Question 136
- Which of the following tests should be preferred in the case of a low probability of pulmonary embolism to verify the diagnosis? Question 142
- A 70-year-old patient was admitted to the ER with the electrocardiogram shown below. The pulse was palpable on the carotid artery, and the paramedics reported that the… Question 145
- The criteria for the diagnosis of ARDS do not include: Question 147
- Which of the following medications is not used in order to lower the potassium concentration in the blood? Question 157
- Which of the following should be administered to a patient suspected of pulmonary embolism before the confirmation of the diagnosis? Question 165
- A 40-year-old male patient has been admitted to the ER department because of severe pain located in the right hypochondrium, accompanied by high fever, chills, and… Question 167
- Which of the following is the indication for cardioversion? Question 172
- A 68-year-old female with breast cancer and metastases to the vertebral column and ribs diagnosed 3 years earlier came to the emergency department. The main cause of… Question 177
- The recommended management of the patient with regular narrow QRS complex tachycardia does not involve: Question 178
- The man was admitted to the Emergency Unit due to syncope without loss of consciousness. The patient complains of pain in the chest and weakness. The patient is… Question 181
- Urgent electrical cardioversion is performed in the following conditions, except for: Question 182
- Information on the use of which of the following medications does not explain hyperkalemia observed in a patient: Question 184
- Maneuvers that increase the tone of the vagal nerve (e.g. Valsalva maneuver) are frequently effective in the emergency treatment of: Question 185
- Wells’ scoring system used to estimate the risk of pulmonary embolism does not include: Question 188
- The possible causes of hypokalemia do not include: Question 189
- CURB-65 score facilitates making decision on the proper management of a patient with: Question 191