LEK questions: Internal medicine — page 7
732 questions in Internal medicine. Open a question to see the answer options and a hint.
- In a 75-year-old woman in a check-up a serum sodium of 132 mmol/l has been found. The woman does not complain about any symptoms and does not take any drugs. Indicate… Question 38
- In which of the following types of glomerulonephritis the deposition of immunologic complexes in the glomeruli is found? Question 39
- Infliximab (anti-TNF alfa antibodies) is used for the treatment of inflammatory bowel diseases in the following cases, except for: Question 40
- Indicate the false statement concerning proton-pump inhibitors (PPIs): Question 41
- Indicate clinical situations in which chronic tubulointerstitial nephritis develops: Question 42
- Implantable cardiac pacemakers are marked with a three-letter code (XYZ), in which each letter means: Question 43
- Indicate clinical conditions presenting with ‘sterile pyuria’: Question 44
- Numerous interactions between vitamin K antagonists (VKA) and other medications or food must be considered in patients chronically treated with VKA. Which of the… Question 45
- A 30-year-old male complains of colic pain in the left lumbar region with macroscopic hematuria, chills and fever 40 Celsius. Indicate the most probable diagnosis: Question 46
- A patient presenting symptoms of acute heart failure class II according to Forrester hemodynamic classification was referred to the cardiac intensive care unit. What… Question 48
- In chronic kidney disease there is a propensity for: Question 49
- Which of the following test should be performed in order to qualify the patient to the nephrectomy due to hydronephrosis without recurrent infections but accompanied by… Question 50
- A 65-year-old male complains of knee joint pains, particularly on physical exercise. The pain subsides upon the rest. The anteroposterior radiograph of his knee joints… Question 51
- A 76-year-old female patient complaints of persistent diarrhea. For one year she has been taken lansoprazole at a dose of 30 mg daily due to persistent pyrosis… Question 52
- A 66-year-old male patient with an attack of atrial fibrillation has TSH 0.1 mlU/L (N 0.27 - 4.2) and FT4 1.98 ng/dL (N 0.7-1.7). The patient has been taking 100 µg of… Question 54
- The indications for the creation of transjugular intrahepatic portosystemic shunt (TIPS) in the course of liver cirrhosis do not include: Question 55
- In what situation should the electric cardioversion of atrial fibrillation be performed immediately in a patient with Wolff-Parkinson-White syndrome? Question 56
- Which of the following signs and symptoms, occurring with variable intensity, may suggest acute tubulo-interstitial nephritis? Question 57
- The factors defining a dynamic course of COPD include: Question 59
- A 40-year-old man with type 1 diabetes comes to the office because of more frequent incidents of hypoglycaemia. He decreased the dose of insulin. What might be the… Question 60
- Indicate the false statement concerning the treatment of bleeding from esophageal varices: Question 61
- Indicate the false statement concerning syndrome of inappropriate antidiuretic hormone secretion - SIADH: Question 64
- A 28-year-old man comes to the doctor complaining of an epigastric pain that radiates to his back. Serum amylase concentration is 10-fold higher than the normal limit… Question 65
- Which of the following is not included in diagnostic criteria for adult-onset Still’s disease? Question 66
- Chronic obstructive pulmonary disease can be diagnosed based on the symptoms and spirometry results. Which component of spirometry is used to diagnose chronic… Question 67
- Acquired hemophilia A can occur in: Question 68
- Eisenmenger’s syndrome diagnosed in a 28-year-old patient may be a complication of the following uncorrected congenital heart defects: Question 69
- Medications that may induce arterial hypertension do not include: Question 71
- A 42-year-old patient, suffering from type 1 diabetes mellitus since 7 years of age, notices the increase in his systolic blood pressure up to 150-160 mmHg by home… Question 72
- Indicate true statements on the pathogenesis and treatment of edemas in nephrotic syndrome: Question 73
- Indicate true statements on contrast nephropathy: Question 74
- Indicate the result of an arterial blood gas test which shows decompensated respiratory acidosis: Question 75
- What kind of damage to the kidneys can be observed in the course of multiple myeloma? Question 76
- The most common type of mesangial glomerulonephritis is: Question 77
- Metabolic acidosis in advanced chronic kidney disease is caused by: Question 78
- Which of the following is not considered as a complication of the long-term therapy with proton pump inhibitors? Question 79
- A 36-year-old patient with type 2 diabetes and recently diagnosed arterial hypertension complains about changes in the face appearance and an enlargement of the feet… Question 80
- Which of the following accelerates the progression of chronic kidney disease? Question 81
- Which of the following are characteristic of ECG in hypokalemia? Question 82
- The presence of which antibodies is not one of the immunological criteria of the diagnosis of systemic lupus erythematosus? Question 83
- The typical rheumatological signs of inflammatory bowel disease do not include: Question 84
- The classical side-effects of non-steroidal anti-inflammatory drugs include: Question 85
- Which of the following predispose towards the loud first heart sound? Question 86
- The post-bronchodilator test assesses possible reversibility of bronchoconstriction. It is performed after the administration of bronchodilators. Which of the following… Question 88
- An 80-year-old resident of the nursing home was brought to the Emergency Room because of the deterioration of contact and decreased strength of her right lower limb… Question 89
- The disorders associated with chronic kidney disease include all of the following except for: Question 92
- A 68-year-old patient came to the Infectious Diseases Outpatient Clinic with a diagnosis of chronic hepatitis C, and F3 fibrosis confirmed in elastographic examination… Question 93
- The contraindications to kidney biopsy include: Question 94
- Oral anticoagulant drugs are all of the following, except for: Question 96
- An 28-year-old woman was admitted to the hospital complaining of diffuse abdominal pain, nausea, vomiting accompanied by constipation, all of which occurred after… Question 97