LEK questions: Internal medicine — page 11
732 questions in Internal medicine. Open a question to see the answer options and a hint.
- Which of the following medications should not be used in monotherapy to start the treatment of recent deep venous thrombosis? Question 278
- Which of the following drugs is used to alleviate an acute gout attack? Question 279
- Which of the following diseases is the most common cause of bilateral pelvicalyceal dilation in an elderly male with lower urinary tract symptoms? Question 280
- A 62-year-old patient was admitted to the hospital complaining of retrosternal pain lasting for approx. 1 hour. ECG revealed negative T waves in leads II, III and aVF… Question 281
- A 29-year-old female patient came to the emergency department because of abdominal pain, high fever up to 40°C with chills and nausea. Laboratory test showed CRP 120… Question 283
- Which of the following is used in an acute attack of gout? Question 284
- A 38-year-old patient is admitted to the hospital because of headache, confusion, right hemiparesis and dysphasia lasting 24 hours. Additionally herpes is present… Question 285
- Asymptomatic bacteriuria is an indication for antibiotic therapy in: Question 286
- Which of the following is an indication for the temporal insulin therapy in a patient with type 2 diabetes mellitus treated with metformin and saxagliptin? Question 287
- In rheumatoid arthritis typically the following joints are not affected: Question 288
- Acute nephritis syndrome is not presented with: Question 289
- Which of the following medications is not recommended in the first-line empiric therapy of uncomplicated urinary tract infections in non-pregnant women? Question 290
- A 77-year-old patient treated for urolithiasis for many years complains of a generalized bone pain. Laboratory tests show: calcium concentration 12.3 mg/dL (N: 8.5-10.5… Question 292
- In a 65-year-old man who is treated with 4 drugs because of hypertension an acute gout attack has been observed for the first time in his life. Which of the drugs used… Question 293
- What are the indications for corticosteroid treatment in tuberculosis? Question 294
- The diagnosis of which type of purpura is suggested by the following coagulation test results: PT 8.5 s (N: 12-16 s), APTT 66.4 s (N: 28-30 s), fibrinogen 334 mg/dL (N… Question 295
- The symptoms of hypercalcemic syndrome do not include: Question 296
- Pancytopenia is defined based on: Question 297
- How should potassium be supplemented intravenously in a patient with ketoacidosis? Question 299
- Thrombophilia is most probable in a patient: Question 301
- The rescue team’s doctor or paramedic on arrival to the patient with left-side hemiparesis of sudden origin and the blood pressure of 180/110 mmHg, after examining the… Question 302
- Which of the following disturbances of calcium and phosphate homeostasis occur in chronic kidney disease? Question 303
- A 64-year-old woman with psoriasis complains of abdominal cramps, watery diarrhoea and weight loss in the last three months since the symptoms first occurred (about 6… Question 304
- Systolic „crescendo-decrescendo” murmurs, radiating to the carotid arteries and the clavicles are characteristic of: Question 305
- Which of the following is not typical of subacute thyroiditis of the deQuervain type? Question 308
- When should asymptomatic bacteriuria be treated? Question 309
- A spirometry result showing reduced vital capacity (VC) below the lower reference limit with normal or increased FEV₁/VCmax value suggests restriction. Which of the… Question 310
- Which test should be perform to confirm the diagnosis of rheumatoid arthritis? Question 311
- Autoimmune pancreatitis may present with the increased concentration of: Question 312
- A 52-year-old woman comes to the office because of strong contractions of the hands for the last two weeks. A month ago she had a thyroidectomy because of retrosternal… Question 314
- Diagnostic criteria for rheumatoid polymyalgia do not include: Question 317
- Which of the following are characteristic of hemolytic-uremic syndrome? Question 318
- What cardiologic complications may be expected in the course of hyperthyroidism? Question 319
- Which of the following parameters can be measured with spirometry? Question 320
- Indicate the false information on diabetic kidney disease: Question 321
- Detemir is a hypoglycemic agent that that is one of: Question 322
- Characteristic medical signs associated with cardiac tamponade include: Question 323
- A 27-year-old woman, nicely tanned, came to the doctor in February complaining of fatigue, nausea, lightheadedness and scotoma, especially upon standing up. She lost… Question 325
- Which of the following medications can cause hypercalcemia? Question 326
- Hemolytic anemia is suspected if: Question 327
- What is the most probable disease presented with fever, cutaneous purpura, purulent rhinorrhea, nasal ulcers, sinus pain, polyarthralgia/arthritis, cough, hemoptysis… Question 328
- Antinuclear antibodies specific for Scl-70 antigen are present in patients with: Question 330
- A 67-year-old woman with paroxysmal atrial fibrillation, hypertension and type 2 diabetes mellitus (CHA₂DS₂-VASc score of 4) in the prevention of ischaemic stroke… Question 331
- A densitometric examination of a 78-year-old woman showed T-score equal to -2,8 and her calcium concentration was 13.0 mg/mL (normal range 8.5-10.5). The patient should… Question 332
- Which of the following diseases most frequently accompanies primary sclerosing cholangitis (PSC)? Question 333
- Which of the following should be administered to a patient with eGFR 40 mL/min/1.73 m² prior to performing chest computed tomography with the use of contrast agents? Question 334
- Which statement describing Gilbert’s syndrome is true? Question 335
- Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Question 336
- Indicate the possible reason for the presence of a persistently low urine specific gravity during properly conducted dehydration tests: Question 337
- The SCORE Risk Chart, used in Poland for the assessment of a 10-year risk of cardiovascular death, includes the influence of: Question 338