LEK questions: Internal medicine — page 8
732 questions in Internal medicine. Open a question to see the answer options and a hint.
- The main laboratory features of the anemia of chronic diseases are: Question 98
- Which pathogen is the most common cause of community-acquired urinary tract infections? Question 99
- Which of the following tests is used to diagnose COPD? Question 100
- Typical signs and symptoms of rheumatoid arthritis do not include: Question 101
- A 82-year-old woman has been cured with amlodipine 5 mg daily and ramipril 5 mg per day. She feels well and she has no comorbidities. If the blood pressure in repeated… Question 102
- A 50-year-old man comes to the ER because of vomiting for the last 24 hours. The first and immediate step should be the intravenous transfusion of: Question 103
- A 75-year-old patient comes to the cardiology outpatient clinic because of the aggravation of the right ventricular failure. He has an ischemic cardiomyopathy and had a… Question 105
- Which of the following rheumatic diseases is accompanied by skin changes? Question 106
- In the morning a 52-year-old patient comes to the emergency room because of weakness. He suffered from diarrhea and vomiting the last night just like his wife a few… Question 107
- An 81-year-old patient was admitted to the hospital because of dyspnoea and swelling of the legs. His blood pressure is 120/70 mm Hg, serum creatinine level is in a… Question 108
- Indicate the false statement about resistant arterial hypertension: Question 109
- Physical examination of a patient with glomerular filtration rate 25 mL/min/1.73 m² and potassium level 6.2 mmol/L showed: heart rate 68/min, blood pressure 145/80… Question 110
- A 51-year-old man with bronchial asthma presents at GP because of recurrent episodes of food impaction, pyrosis, and chest pain increased after meals, and not… Question 111
- Which of the following is the least probable cause of the unilateral dilation of the renal pelvis and calyces: Question 112
- Which of the following is the most common localization of bacterial infections in patients with decompensated liver cirrhosis? Question 115
- How should a sudden attack of dyspnea be managed in a 25-year-old woman in 28th week of gestation, who was diagnosed with asthma at the age of 5-6, who has had no… Question 116
- During physical examination, the auscultation revealed a diastolic murmur, best audible on the left parasternal line, radiating to Erb’s point and exaggerating while… Question 118
- The determination of creatinine clearance with the MDRD formula requires: Question 119
- According to ISCD the assessment of bone mineral density is indicated in the following cases, except for: Question 122
- Indicate the most frequent etiology of the purulent meningitis in adults: Question 123
- A 76-year-old smoker with arterial hypertension and type 2 diabetes came to the Emergency Department because of exercise intolerance, severe dyspnea and lower limb… Question 124
- Indicate the true statement concerning non-alcoholic steatohepatitis (NASH): Question 126
- A 84-year-old patient was referred to a hospital emergency department by a medical emergency team because of the sudden deterioration of his general condition… Question 127
- Which of the following abnormalities in laboratory tests should be expected in a patient with clinical symptoms of hyperthyroidism? Question 128
- A 68-year-old patient for several weeks has complained of abdominal cramps, watery diarrhoea with the bowel movements 4-8 daily and bloating. Since then she has lost 4… Question 129
- Which of the following is not an indication for liver biopsy? Question 130
- Indicate the criteria for the diagnosis of chronic hepatitis type C: Question 131
- Peripheral cyanosis is not a consequence of: Question 132
- A 72-year-old woman in the 4th stage of chronic kidney disease and with severe back pain was admitted to the department of nephrology with the suspicion of monoclonal… Question 133
- Which of the following is not characteristic of typical angina? Question 135
- A 70-year-old patient called his family doctor because of the increasing exercise-induced dyspnea and repeated fainting. He has arterial hypertension and prostatic… Question 136
- The classical set of skin and mucosal signs of reactive arthritis following sexual exposure includes: Question 137
- The chronic cough is defined as: Question 138
- A 22-year-old male came to the hospital because of recurrent hyperthermia and articular pain in knees and wrists. The maculopapular rash was noted on the skin of the… Question 139
- The main mechanism of tricuspid regurgitation is: Question 140
- Indicate the proper management of the patient with type 2 diabetes mellitus treated with gliclazide retard, who presents with sweat, fatigue and trembling hands and his… Question 141
- The diagnostic criteria of rheumatic polymyalgia do not include: Question 142
- Which of the following is preferred in the treatment of severe (grade III) arterial hypertension in chronic kidney disease in patients with marked proteinuria and… Question 144
- An 82-year-old patient was taken to the Emergency Department because of disturbances of consciousness that had been intensifying for the last 24 hours. The laboratory… Question 145
- An identification of numerous neutrophils and sodium urate crystals in synovial fluid suggests the diagnosis of: Question 146
- Antibodies taking part in the primary pathogenesis of membranous nephropathy are antibodies: Question 148
- A 30-year-old male patient came to the ER because of fever 38 °C, pharyngitis, skin rash and generalized lymph node enlargement with lymphopenia. Numerous high risk… Question 149
- Which of the following are not classified as chronic arthritis: Question 150
- A 60-year-old female patient, a current smoker, taking medication for type 2 diabetes and stage 2 hypertension, with a history of weight loss of 5 kg within the… Question 151
- Which of the following concerning malignant hypertension is false? Question 152
- A 72-year-old woman comes to the office because of a pain in both knees lasting for more than one year. The pain increases when she is active, but subsides with rest… Question 153
- Splenectomy resulting from a traumatic spleen rupture in a healthy adult: Question 154
- Indicate the false statement concerning right bundle branch block (RBBB): Question 155
- A 56-year-old man comes to the office because of weakness, weight loss, frequent urination, dry mouth, and excessive thirst. The plasma glucose is 264 mg/dl. Indicate… Question 157
- The laboratory tests ordered at the ER show a high NT-proBNP concentration in a patient with dyspnea. Which of the following is the least probable cause of dyspnea, in… Question 158