LEK questions: Internal medicine — page 9

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

  1. In a 25-year-old female patient a laboratory test performed during the hospitalization showed TSH concentration 0.1 mIU/L. Indicate the correct interpretation of this… Question 159
  2. A urinalysis in a 45-year-old man revealed proteinuria, erythrocyturia and red blood cell casts. The most probable cause is: Question 160
  3. Which of the following is an urgent indication for the initiation of chronic renal replacement therapy - dialysis? Question 161
  4. During the treatment with acenocoumarol/warfarin a dose of the drug should be adjusted based on: Question 162
  5. Typical signs of gout do not include: Question 163
  6. Indicate the true statement concerning clinical symptoms in patients with heart defects: Question 164
  7. ”Easy dosage, causing neither hypoglycemia (when used in monotherapy) nor weight gain; there are proofs of reducing the cardiovascular and death risks, as well as… Question 165
  8. A 53-year-old female patient was admitted to the hospital because of headache worsening for the last few days, fever (38.8 Celsius), nausea. On examination: lethargy… Question 166
  9. Which of the following is not a risk factor for chronic pancreatitis? Question 167
  10. Bone marrow aplasia is characterized by: Question 168
  11. Indicate the true statement on the treatment of first episode of mild pseudomembranous colitis: Question 169
  12. Please indicate the results of arterial blood gases measurement corresponding to the exacerbation of chronic hypercapnic respiratory failure: Question 170
  13. Which of the following concerning autosomal dominant polycystic kidney disease (ADPKD) is true? Question 171
  14. A 28-year-old man complains about bloating after intake of dairy products for the last 5 years. Which of the following is the most appropriate diagnostic and… Question 172
  15. A 47-year-old woman comes to the office because of weight gain of 10 kg during the last 6 weeks. She is hungry all the time. Sometimes she does not remember what… Question 173
  16. The choice of the drugs in COPD patients depends on: Question 174
  17. In the acute phase of pulmonary embolism the following can be used except for: Question 175
  18. The first episode of reactive arthritis should be treated with: Question 176
  19. A 46-year-old woman comes to the office because of painful joints in her both hands and wrists. She complains of the morning stiffness of these joints which lasts… Question 177
  20. Which of the following is not one of the signs of osteomalacia caused by vitamin D insufficiency? Question 178
  21. Which of the following medications does not increase the risk of type 2 diabetes? Question 179
  22. Indicate the false statement concerning autoimmune pancreatitis: Question 180
  23. A 72-year-old patient complains of palpitations for the last 3 days, chest pain and dyspnea. He has never been treated cardiologically. HR 150/min, RR 100/60 mmHg, SaO₂… Question 183
  24. A 24-year-old man has been transported to the ER because of a coma. The physical examination shows low blood pressure and tachycardia and the results of lab tests are… Question 185
  25. A 68-year-old patient came by the doctor office because of cough lasting for 2 months. He smokes one pack of cigarettes daily for 50 years. The physical examination… Question 186
  26. Inferior wall ST segment elevation myocardial infarction (STEMI) in a 48-year-old male can be recognized in the case of a typical chest pain and persistent ST-segment… Question 188
  27. A 44-year-old woman comes to the doctor because of the stiffness of her hands occurring in mornings for several months. The stiffness usually subsides after more than… Question 189
  28. A simultaneous increase in prothrombin time (PT) and in activated partial thromboplastin time (APTT) is characteristic of: Question 190
  29. The cause of isolated arterial hypertension is not: Question 191
  30. What is the most frequent adjustment of insulin dose needed in a type 1 diabetes patient as chronic kidney disease progresses to end-stage kidney disease? Question 192
  31. A 40-year-old patient with newly diagnosed arterial hypertension, treated for two months with amlodipine and indapamid, came for a control visit. Her blood pressure is… Question 193
  32. Which of the following features does not belong to Zollinger-Ellison syndrome? Question 194
  33. Indicate the false statement concerning the use of loop diuretics in patients with arterial hypertension and chronic kidney disease: Question 195
  34. The clinical symptoms of chronic (end-stage) renal failure indicating the necessity to start renal replacement therapy (dialysis) do not include: Question 196
  35. Which of the following characterizes pulsus bisferiens? Question 197
  36. The diagnosis of iron deficiency anemia in an otherwise asymptomatic 75-year-old male should suggest the need to exclude: Question 198
  37. In all patients with chronic coronary syndrome, irrelatively of a cardiovascular risk, comorbidities and the presence of symptoms of ischemia, in order to improve… Question 199
  38. A 44-year-old women with lupus nephritis diagnosed 20 years earlier comes to the emergency room because of a head injury, without any other symptoms. She is treated… Question 200
  39. A 45-year-old professionally active woman was diagnosed with arterial hypertension. The blood pressure measured at home was 160/100 mmHg. The pharmacological therapy… Question 202
  40. A 72-year-old man comes to emergency unit because of diarrhoea and vomiting. The blood pressure is 90/50 mm Hg. The patient takes ramipril and indapamide because of… Question 204
  41. Which of the following does not contribute to the symptoms of sarcoidosis? Question 205
  42. The indications for the treatment of Helicobacter pylori infection according to Maastricht IV recommendations include: Question 206
  43. Which of the following tests is used to confirm the diagnosis of acute pancreatitis? Question 209
  44. The method of choice in the imaging of osteoarthritis is: Question 210
  45. The treatment of acute hyperkalemia includes the administration of: Question 211
  46. Which of the following diseases have genetic background and are caused by a single gene mutation? Question 212
  47. Indicate the true statement: Question 214
  48. In a 20-year-old female patient typical symptoms of rheumatoid arthritis were found. The symptoms started 6 months ago. Which laboratory tests should be performed to… Question 215
  49. A 20-year-old male complains of pain and morning rigidity in the backbone that diminish after exercises. Laboratory tests show ESR = 44 mm/h, CRP = 23 mg/L, rheumatoid… Question 216
  50. In a 49-year old patient after multiple organ trauma, acute renal failure occurred. Indicate which of the following parameters show the 2nd stage of acute renal failure: Question 217

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