LEK questions: Internal medicine — page 3

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

101. Fibromyalgia - a condition characterized by widespread pain in muscles and tendons - most frequently affects: Question 101
102. Alanine (ALT) and aspartate (AST) aminotransferase levels 15-fold above the reference range suggest: Question 102
103. Venous or arterial thrombosis, recurrent miscarriage, the presence of anti-cardiolipin antibodies allow to suspect: Question 103
104. Which of the following is the most probable diagnosis in the case of high fever, chills and malaise which accompany vivid red, well demarked erythema on the leg with… Question 107
105. Blood pressure is regarded as normal if the average value of measurements performed for several days as home blood pressure monitoring (HBPM) is under: Question 108
106. In the case of short-term type 2 diabetes mellitus the recommended HbA1c levels should be kept below: Question 109
107. After the removal of a tick the patient should be instructed to observe the place of the bite for possible appearance of erythema migrans for: Question 111
108. The most common cause of chronic cough is: Question 112
109. Prolonged QRS duration occurs in: Question 114
110. A patient on a constant acenocoumarol therapy came to the family doctor with the result of INR=5.8 without any sign of bleeding. Which of the following should be… Question 117
111. Indicate the true statement concerning the treatment of arterial hypertension: Question 120
112. Indicate the false statement: Question 121
113. The most common cause of non-toxic goitre is: Question 122
114. An 18-year-old patient with a sore throat and body temperature 37.4 ºC presents pus-like exudate tonsils, enlarged cervical lymph nodes, spleen enlargement, and a… Question 123
115. Which one of the following positive tests confirms the ongoing Helicobacter pylori infection? Question 129
116. Which of the following is a „disease without pulse” most frequently affecting young women under 20 years of age? Question 132
117. Which of the following is an etiological factor for infectious mononucleosis? Question 133
118. In the advanced stage of hemochromatosis, a genetically determined disease, the following occurs: Question 134
119. Indicate the false statement on the treatment of type 2 diabetes: Question 135
120. Anemia of chronic disease differs from iron deficiency anemia in: Question 136
121. Indicate the amount of glucose to be given and the scheme for blood sampling in a 60- year-old male while performing the oral glucose tolerance test: Question 139
122. The alarming signs and symptoms in the course of gastroesophageal reflux disease, which are an indication for prompt endoscopic diagnostics, include: Question 140
123. Which of the following should not be administered in the case of streptococcal angina: Question 141
124. Pharmacological treatment should be initiated immediately after the diagnosis of: Question 142
125. Indicate the false statement concerning the diagnostics of Lyme disease: Question 144
126. Fatigue, nycturia, distension in the right subcostal region, ascites, jugular vein distention are the signs of: Question 152
127. Pulmonary hemorrhage, which is an indication for hospitalization, can be diagnosed if a patient coughs up in short time more than: Question 156
128. Subclinical hyperthyroidism is characterized by: Question 157
129. Because of suspected hypothyroidism the physician ordered the measurement of TSH and fT4 levels. TSH was slightly elevated and fT4 was within limits. What diagnosis… Question 159
130. Which of the following is not a functional gastrointestinal disorder according to the Rome III classification? Question 161
131. „Recurrent abdominal pain occurring for at least 3 days a month in the last 3 months, subsiding after defecation, and preceded by a change in defecation pattern” is a… Question 162
132. Subclinical hypothyroidism is characterized by: Question 168
133. A patient with streptococcal angina symptoms, in accordance with the Centor score modified by McIssac, will receive 1 additional point for affiliation to the following… Question 169
134. Drug-induced hyperkalemia may be caused by one of the following, except: Question 170
135. In patients with type 2 diabetes mellitus the arterial blood pressure should be kept below: Question 172
136. Acute coronary syndrome is suspected from changes in at least two contiguous leads on a resting electrocardiogram. For lead I, the contiguous lead is: Question 174
137. A family doctor visiting a 75-year-old patient at her home, who was diagnosed with ischemic heart disease and type 2 diabetes, found that the patient is disorientated… Question 179
138. „Pulmonary interstitium, as well as alveoli are infiltrated by neutrophils, monocytes and lymphocytes. Proliferation occurs locally. Inflammatory lesions disappear and… Question 180
139. Which of the following Helicobacter pylori eradication protocols is preferred in Poland? Question 183
140. Which of the following medications should be prescribed for a patient with diabetes mellitus type 2 as a first choice drug? Question 185
141. Which of the following is the target value of LDL-cholesterol in a patient with a very high risk of cardiovascular death? Question 186
142. Indicate the false statement on oral glucose tolerance test (OGTT): Question 189
143. Indicate the true statement concerning the use of antibiotics in the case of a tick bite: Question 190
144. Which of the following should be recommended for a 55-year-old female patient if her DXA examination showed T-score = -1.5? Question 191
145. Indicate the false statement concerning the management of streptococcal pharyngitis: Question 192
146. Please indicate the false statement regarding typical anginal pain: Question 194
147. The initiation of treatment to manage arterial hypertension with a single hypotensive agent (monotherapy) is justified in the case of: Question 195
148. To manage mild forms of or compliment the treatment of gastro-oesophageal reflux disease (GERD), the family doctor may administer: Question 196
149. In type 2 diabetes, the first-line treatment in slim patients is: Question 198
150. The patients at high risk for venous thromboembolism who make long-lasting journeys (> 4 hours’ long) by plane, car, or bus, are recommended to take the following… Question 202

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