LEK questions: Internal medicine — page 10

732 questions in Internal medicine. Open a question to see the answer options and a hint.

  1. The first-choice drug used in treatment of acute liver failure related to paracetamol (acetaminophen) overdose is: Question 218
  2. A 54-year-old women with diabetes mellitus t. 2 came to the emergency room because of a head injury, without any other symptoms. The urinalysis revealed proteinuria… Question 219
  3. Which of the following disorders are causes of secondary arterial hypertension: Question 220
  4. The loudest murmur related to mitral insufficiency is located: Question 222
  5. The treatment of choice in anaphylactic shock includes: Question 224
  6. Which of the following are useful in the treatment of hemodynamically stable tachycardia with narrow QRS complexes? Question 225
  7. A 52-year-old, obese male patient was admitted to the hospital with the symptoms of acute pancreatitis. According to the patient, he does not drink alcohol regularly… Question 226
  8. A 51-year-old patient suffers from recurrent exudates in the left knee, treated by the orthopedic surgeon with repeated joint fluid evacuation and the intra-articular… Question 227
  9. A 82-year-old man was brought to the ER by his son because of the swollen and painful left leg. The patient was diagnosed with pulmonary cancer 2 months ago. Which is… Question 229
  10. Which of the following drugs are used in the treatment of overt hepatic encephalopathy? Question 231
  11. A 19-year-old man comes to the office because of yellowish whites of his eyes. Serum bilirubin concentration was 2.9 mg/dL (50 µmol/L). Following tests were normal… Question 232
  12. Patient with the following set of viral markers: HBsAg plus, HBeAg plus, anti-HBc IgM minus, anti-HCV minus should be regarded as: Question 233
  13. Which of the following is characteristic of the inflammatory low back pain occurring in the axial spondyloarthropathy? Question 234
  14. In a 30-year old woman with spontaneous abortions, recurrent pain in her joints, feverishness, symptoms of nephrotic syndrome occurred. Urine sediment exam shows… Question 235
  15. A 57-year-old patients came to the emergency room due to strong pain in the lumbar region lasting for two days and radiating to the right groin, with nausea, vomiting… Question 236
  16. A 18-year-old patient without a medical history was self-referred to a family doctor due to progressive weakness, pitting edema of both lower limbs appearing in the… Question 237
  17. The diagnosis of osteoarthritis is based on clinical signs and symptoms. In the case of a non-characteristic clinical picture the imaging examinations are recommended… Question 239
  18. A 25-year-old female came to the doctor because of elevated temperature of 38.7°C, weakness, palpitations and a painful enlargement of the thyroid. The pain radiated to… Question 241
  19. The CHA₂DS₂-VASc scale is related to assessment of: Question 242
  20. The SCORE chart for assessing a 10-year risk for fatal cardiovascular disease consists of the following risk factors: Question 244
  21. A 78-year-old patient was admitted to the hospital for the treatment of community-acquired pneumonia. Which is the most appropriate medication in this case? Question 245
  22. A 72-year-old man has been taken to the emergency unit because of a severe retrosternal pain lasting for 40 minutes. Anterior ST elevation myocardial infarction is… Question 246
  23. The first-line medications in primary arterial hypertension do not include: Question 247
  24. The expansion of extracellular fluid volume is an inevitable consequence of diminished salt and water excretion in renal failure. Indicate the false consequence of… Question 248
  25. Charcot’s triad is a set of signs typical of: Question 249
  26. An 82-year-old patient was transported to the emergency department because of general condition deterioration, decreased blood pressure, delirium. She has been a… Question 250
  27. A patient receiving lithium for psychiatric indications reported to a GP. Medical history revealed no other chronic disorders. The patient complained of fatigue… Question 252
  28. In order to evaluate kidney damage in a patient with type 2 diabetes mellitus one should assess: Question 253
  29. Indicate the true information on Alport’s syndrome of sex-linked inheritance: Question 254
  30. Indicate factors predisposing for contrast nephropathy: Question 255
  31. A 29-year-old female patient has had a fever of 38˚C for the last two weeks despite NSAIDs treatment, complains of a neck pain radiating into the ear. On additional… Question 256
  32. Which blood test should be performed first in a person with tetany attacks? Question 257
  33. Which of the following concerning automatic blood pressure monitoring (ABPM) is false? Question 258
  34. Indicate unfavorable prognostic factors of acute glomerulonephritis: Question 259
  35. The GRACE risk score facilitates decision making in the management of patients with: Question 260
  36. Which of the following conditions predisposes towards recurrent acute pancreatitis? Question 261
  37. Which of the following are used in the first-line treatment of acute uncomplicated cystitis: Question 263
  38. A 25-year-old woman comes to her doctor because of palpitations occurring for 6 weeks. TSH concentration is below the normal range and FT4 concentration is over the… Question 264
  39. Spondyloarthritis may occur in the course of: Question 265
  40. A 54-year-old woman treated with atorvastatin (40 mg daily) for hyperlipidemia for several years came for a control examination. She takes ramipril 10 mg because of… Question 266
  41. Which of the following is not characteristic of chronic obstructive pulmonary disease (COPD)? Question 267
  42. Red rash occurring after an exposure to sunlight and complete heart block in children of mothers suffering from systemic lupus erythematosus are related to the… Question 268
  43. An increase in the mean corpuscular volume (MCV) may be caused by: Question 269
  44. Which of the following is not characteristic of chronic renal failure: Question 270
  45. A 34-year-old patient complains of nausea and pressure-like sensation behind the sternum, especially after solid meals. The symptoms occur intermittently for 3 years… Question 271
  46. Indicate the medication which should not be used in the first-line treatment of hypertension: Question 273
  47. A 45-year-old female with type 2 diabetes visited her family doctor to obtain prescriptions to continue her anti-hypertensive therapy. Occasionally performed urinalysis… Question 274
  48. The typical symptoms of systemic scleroderma do not include: Question 275
  49. A first-degree atrioventricular block could be recognized on ECG on the basis of: Question 276
  50. Indicate the site of auscultation of the aortic valve: Question 277

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