LEK questions: Internal medicine — page 14
732 questions in Internal medicine. Open a question to see the answer options and a hint.
- In a patient presenting with Charcot’s triad, imaging studies revealed choledocholithiasis with bile duct dilation. Indicate antibiotic of choice: Question 492
- In a male with heart failure and left ventricular ejection fraction of 35%, the use of angiotensin-converting enzyme (ACE) inhibitors is indicated. Once introduced of… Question 493
- A 58-year-old female, during diagnostics for abnormal blood glucose levels, reported noticing a substantial increase in her shoe size. Upon further questioning she… Question 494
- A 64-year-old male presented at the Emergency Department due to a stabbing chest pain, accompanied by fever up to 38 degrees Celsius and a dry cough. The ECG revealed… Question 495
- Weight loss, poor heat tolerance, psychomotor agitation, diarrhoea and heart palpitations are typical symptoms of: Question 496
- A 40-year-old male complains of colic-type pain located in his right lumbar region radiating to the right inguinal region, accompanied with microhematuria… Question 497
- A 62-year-old male presented at the Emergency Department due to jaundice, which appeared few days after an episode of diarrhoea. Laboratory tests revealed decreased… Question 499
- A 75-year-old female with atrial fibrillation treated with apixaban, underwent percutaneous coronary intervention with stent implantation of the left anterior… Question 500
- The severity of obstruction in COPD patients is graded according to the GOLD score, which is based on the following parameter: Question 501
- A 25-year-old female presented to her General Practitioner due to a fever up to 39 degrees Celsius and persistent cough. On physical examination the patient was alert… Question 502
- In a 45-year-old male with no history of chronic disease treatment, who underwent an arthroscopy complicated with a week-long hospital stay, lower leg deep vein… Question 503
- In a 82-year-old female with history of rheumatoid arthritis diagnosed at the age of 20 years, severe peripheral pitting oedema appeared. Due to proteinuria found in a… Question 504
- Which of the following statements are true? Question 5 (part 2)
- Which of the following drugs is not a first-line treatment of hypertension? Question 6 (part 2)
- Which diuretic should be used first in the treatment of hypertension in a patient with GFR <30 ml/min/1,73 m2: Question 7 (part 2)
- Which of the drugs used in the treatment of hypertension might cause a severe attack of gout: Question 8 (part 2)
- Which of the drugs used in the treatment of hypertension might cause dry cough: Question 9 (part 2)
- Which of the drugs used in the treatment of hypertension might cause ankle oedema: Question 10 (part 2)
- Which of the drugs used in the treatment of hypertension might cause bradycardia: Question 11 (part 2)
- Which of the drugs used in the treatment of hypertension might cause hyperkalaemia: Question 12 (part 2)
- Which of the drugs used in the treatment of hypertension might cause hypokalaemia: Question 13 (part 2)
- Which drug combination should not be used in the treatment of hypertension: Question 14 (part 2)
- The use of which drug might pose the highest risk of causing erectile dysfunctions in males: Question 15 (part 2)
- A male patient presents to an outpatient clinic with a headache and a blood pressure of 210/110 mm Hg. The patient uses perindopril, indapamide and amlodipine… Question 16 (part 2)
- The blood pressure of a 54-year-old patient could not be lowered to the desired level although three drugs i.e. perindopril, indapamide and amlodipine had been used… Question 18 (part 2)
- An unconscious patient has a blood pressure of 240/120 mm Hg. Which of the following drugs should be used first in order to reduce the patient’s blood pressure? Question 19 (part 2)
- An 80-year-old female, who has neither eaten nor drunk for the previous 48h due to general malaise, is transferred to A&E. Her blood pressure is 80/50 mm Hg, while… Question 20 (part 2)
- A 41-year-old male patient has been brought to A&E due to fainting. He has been suffering from diabetes type I for 25 years and is treated with insulin. The patient… Question 21 (part 2)
- A 79-year-old male presents to the doctor with general malaise. His blood tests reveal haemoglobin 10 g/dl. MCV, MCH and MCHC are below normal limits. The numbers of… Question 22 (part 2)
- Diabetes screening tests in a symptomless 68-year-old male involving a venous (plasma) blood glucose test reveal fasting glucose at the level of 152 mg/dl. Which course… Question 23 (part 2)
- A 74-year-old male presents to the doctor complaining of bloody urine. Urinalysis reveals increased erythrocytes in urine. Which of the following examinations should… Question 24 (part 2)
- Serum creatinine levels depend primarily on the excretory activity of the kidneys and on: Question 25 (part 2)
- In primary hyperthyroidism the following abnormalities are observed: Question 26 (part 2)
- In primary hypothyroidism the following abnormalities are observed: Question 27 (part 2)
- In acute pancreatitis the following abnormalities are typically observed in blood tests: Question 28 (part 2)
- A 25-year old female presented to the doctor complaining of painful urination that started a few hours before. Which of the parameters of her urinalysis indicates… Question 29 (part 2)
- A 72-year-old male with a recently diagnosed lung cancer has a serum sodium concentration of 119 mmol/l. The male is neither oedematous, nor dehydrated. A repeated… Question 30 (part 2)
- A TSH concentration of 16 mIU/l and a decreased FT4 concentration were observed in a 76-year-old male. As a result, treatment with levothyroxine was initiated. Which of… Question 31 (part 2)
- Which of the following is not the first-line treatment of uncomplicated cystitis? Question 32 (part 2)
- A 24-year-old male patient suffering from diabetes type I and treated with insulin (4 injections per day) suddenly loses consciousness. The patient breathes normally… Question 33 (part 2)
- The reason for bronchial sounds occurring above the lungs is: Question 34 (part 2)
- Which is the threshold above which sleep apnoea is diagnosed: Question 35 (part 2)
- Which is/are the symptom/symptoms of CO2 retention in acute on chronic type 2 respiratory failure? Question 36 (part 2)
- Which statements are true about obstructive pulmonary diseases in elderly patients? Question 37 (part 2)
- In asthma a regular anti-inflammatory therapy, preferably involving the use of inhaled corticosteroids, should be initiated in a patient who: Question 38 (part 2)
- In antibiotic treatment of uncomplicated community-acquired pneumonia, the following drugs should be used: Question 39 (part 2)
- Which statement is true about the treatment of asthma in pregnancy and breastfeeding? Question 40 (part 2)
- Which of the following statements about Henoch–Schönlein purpura is false? Question 41 (part 2)
- Blue sclerae are a symptom of: Question 44 (part 2)
- A patient developed symptoms of hypoglycaemia. Low blood glucose levels were observed in a test performed while the symptoms were present. The symptoms resolved once… Question 45 (part 2)