LEK questions: Internal medicine — page 8

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

  1. The main laboratory features of the anemia of chronic diseases are: Question 98
  2. Which pathogen is the most common cause of community-acquired urinary tract infections? Question 99
  3. Which of the following tests is used to diagnose COPD? Question 100
  4. Typical signs and symptoms of rheumatoid arthritis do not include: Question 101
  5. 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
  6. 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
  7. 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
  8. Which of the following rheumatic diseases is accompanied by skin changes? Question 106
  9. 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
  10. 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
  11. Indicate the false statement about resistant arterial hypertension: Question 109
  12. 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
  13. 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
  14. Which of the following is the least probable cause of the unilateral dilation of the renal pelvis and calyces: Question 112
  15. Which of the following is the most common localization of bacterial infections in patients with decompensated liver cirrhosis? Question 115
  16. 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
  17. 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
  18. The determination of creatinine clearance with the MDRD formula requires: Question 119
  19. According to ISCD the assessment of bone mineral density is indicated in the following cases, except for: Question 122
  20. Indicate the most frequent etiology of the purulent meningitis in adults: Question 123
  21. 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
  22. Indicate the true statement concerning non-alcoholic steatohepatitis (NASH): Question 126
  23. 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
  24. Which of the following abnormalities in laboratory tests should be expected in a patient with clinical symptoms of hyperthyroidism? Question 128
  25. 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
  26. Which of the following is not an indication for liver biopsy? Question 130
  27. Indicate the criteria for the diagnosis of chronic hepatitis type C: Question 131
  28. Peripheral cyanosis is not a consequence of: Question 132
  29. 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
  30. Which of the following is not characteristic of typical angina? Question 135
  31. 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
  32. The classical set of skin and mucosal signs of reactive arthritis following sexual exposure includes: Question 137
  33. The chronic cough is defined as: Question 138
  34. 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
  35. The main mechanism of tricuspid regurgitation is: Question 140
  36. 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
  37. The diagnostic criteria of rheumatic polymyalgia do not include: Question 142
  38. 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
  39. 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
  40. An identification of numerous neutrophils and sodium urate crystals in synovial fluid suggests the diagnosis of: Question 146
  41. Antibodies taking part in the primary pathogenesis of membranous nephropathy are antibodies: Question 148
  42. 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
  43. Which of the following are not classified as chronic arthritis: Question 150
  44. 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
  45. Which of the following concerning malignant hypertension is false? Question 152
  46. 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
  47. Splenectomy resulting from a traumatic spleen rupture in a healthy adult: Question 154
  48. Indicate the false statement concerning right bundle branch block (RBBB): Question 155
  49. 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
  50. 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

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