INTERNAL MEDICINE EOR FINAL PAPER QUESTIONS
AND ANSWERS 2025/2026 ALL RATED A+
✔✔antihypertensives associated with edema - ✔✔CCBs
✔✔antihypertensive associated with lupus-like syndrome - ✔✔hydralazine
✔✔anterior infarct affects this artery - ✔✔LAD
✔✔anterolateral infarct most commonly affects this artery - ✔✔left circumflex
✔✔inferior infarct most commonly affects this artery - ✔✔right coronary
✔✔presents with chest pain, rise in cardiac biomarkers without ST-elevation -
✔✔NSTEMI
✔✔tx of NSTEMI - ✔✔MONABASH + heparin and urgent PCI (not emergent)
✔✔what is the definitive diagnostic test for myocarditis - ✔✔biopsy
✔✔pericarditis 2-5 days after an acute myocardial infarction - ✔✔Dressler's syndrome
✔✔tx of pericarditis - ✔✔NSAIDs (treat underlying cause)
✔✔medications that should be avoided in constrictive pericarditis - ✔✔BBs and CCBs
✔✔Treatment of Dressler Syndrome - ✔✔aspirin or colchicine
✔✔refers to a buildup of plaque in the iliac arteries resulting in claudication, impotence,
decreased femoral pulses - ✔✔leriche syndrome
✔✔treatment of PAD - ✔✔lifestyle modifications, BBs, ACEI, statins, cilostazol, asa,
clopidogrel, angioplasty
✔✔presents with weak/absent pulses, arterial bruits, loss of hair, shiny atrophic skin,
pallor with dependent rubor - ✔✔PAD
✔✔presents with progressive edema, itching, dull pain, ulcerations, atrophic skin,
ulcerations that are painless - ✔✔chronic venous insufficiency
✔✔Major criteria for rheumatic fever - ✔✔polyarthritis, carditis, subcutaneous nodules,
erythema marginatum, chorea
,✔✔minor criteria for rheumatic fever - ✔✔arthralgia, fever, elevated ESR/CRP,
prolonged PR interval
✔✔tx of rheumatic fever - ✔✔PCN G
✔✔most commonly affect heart valve by rheumatic fever - ✔✔mitral
✔✔aortic aneurysm >5.5 cm - ✔✔immediate repair
✔✔giant cell arteritis is associated with - ✔✔polymyalgia rheumatica
✔✔tx of DVT - ✔✔use heparin for prevention and acute management;
use warfarin for long-term prevention of DVT recurrence
✔✔linear tram track lung markings is associated with - ✔✔bronchiectasis
✔✔presents with cutaneous flushing, diarrhea, wheezing, and low blood pressure -
✔✔carcinoid syndrome
✔✔tumor arising from neuroendocrine cells leading to excess serotonin, histamine, and
bradykinin - ✔✔carcinoid tumor
✔✔pellagra - ✔✔niacin deficiency
✔✔Pellagra presents with what four key symptoms - ✔✔dementia, diarrhea, dermatitis,
death
✔✔multifocal atrial tachycardia is associated with what respiratory disease - ✔✔COPD
✔✔impaired function of the right ventricle due to pulmonary hypertension - ✔✔cor
pulmonale
✔✔most common cause of acute cor pulmonale - ✔✔massive pulmonary embolism
✔✔CXR shows honeycomb appearance, ground glass opacification with superimposed
reticular abnormalities, and bibasal subpleural distribution - ✔✔idiopathic pulmonary
fibrosis
✔✔asbestos exposure is known to cause - ✔✔mesothelioma
✔✔small rounded opacities through the lung, hilar lymph nodes calcified "eggshell
calcifications - ✔✔silicosis
, ✔✔apical lung carcinoma that presents with miosis, ptosis, and anhidrosis, pain in the
axilla/shoulder, upper limb motor and sensory deficits, hoarseness, unilateral edema of
the arm and facial swelling - ✔✔pancoast tumor.
✔✔patient presents with fever, malaise, lack of appetite, weight loss, dyspnea, cough,
chest pain, arthritis, anterior uveitis, erythema nodosum. CXR shows bilateral hilar
adenopathy. ACE levels highly elevated, non-caseating granulomas - ✔✔sarcoidosis
✔✔extensive, purple skin lesions on the nose, cheeks, chin, and/or ears is
pathognomonic for - ✔✔sarcoidosis (lupus pernio)
✔✔treatment of sarcoidosis - ✔✔steroids, methotrexate, hydroxychloroquine,
✔✔hepatitis E in pregnancy women is associated with - ✔✔high infant mortality
✔✔liver enzymes with AST:ALT ratio >2 is suggestive of what type of hepatitis -
✔✔alcohol hepatitis
✔✔Ranson's criteria is for - ✔✔prognosis of pancreatitis
✔✔a circumscribed collection of fluid rich in pancreatic enzymes, blood, and necrotic
tissue - ✔✔pancreatic pseudocyst
✔✔pancreatic calcification, steatorrhea, and diabetes mellitus is associated with -
✔✔chronic pancreatitis
✔✔patients with chronic pancreatitis should be on what kind of diet - ✔✔low fat
✔✔treatment of anal fissure if failed initial treatments - ✔✔botox injections
✔✔most common rectal cancer - ✔✔adenocarcinoma
✔✔patient presents with rectal pruritus, bleeding with defecation, and a sensation of
incomplete evacuation. Palpable mass on DRE - ✔✔rectal cancer
✔✔apple core lesion on barium enema is associated with - ✔✔colon cancer
✔✔colon cancer screening guidelines for average-risk patients - ✔✔45-75
✔✔tumor marker associated with colon cancer - ✔✔CEA
AND ANSWERS 2025/2026 ALL RATED A+
✔✔antihypertensives associated with edema - ✔✔CCBs
✔✔antihypertensive associated with lupus-like syndrome - ✔✔hydralazine
✔✔anterior infarct affects this artery - ✔✔LAD
✔✔anterolateral infarct most commonly affects this artery - ✔✔left circumflex
✔✔inferior infarct most commonly affects this artery - ✔✔right coronary
✔✔presents with chest pain, rise in cardiac biomarkers without ST-elevation -
✔✔NSTEMI
✔✔tx of NSTEMI - ✔✔MONABASH + heparin and urgent PCI (not emergent)
✔✔what is the definitive diagnostic test for myocarditis - ✔✔biopsy
✔✔pericarditis 2-5 days after an acute myocardial infarction - ✔✔Dressler's syndrome
✔✔tx of pericarditis - ✔✔NSAIDs (treat underlying cause)
✔✔medications that should be avoided in constrictive pericarditis - ✔✔BBs and CCBs
✔✔Treatment of Dressler Syndrome - ✔✔aspirin or colchicine
✔✔refers to a buildup of plaque in the iliac arteries resulting in claudication, impotence,
decreased femoral pulses - ✔✔leriche syndrome
✔✔treatment of PAD - ✔✔lifestyle modifications, BBs, ACEI, statins, cilostazol, asa,
clopidogrel, angioplasty
✔✔presents with weak/absent pulses, arterial bruits, loss of hair, shiny atrophic skin,
pallor with dependent rubor - ✔✔PAD
✔✔presents with progressive edema, itching, dull pain, ulcerations, atrophic skin,
ulcerations that are painless - ✔✔chronic venous insufficiency
✔✔Major criteria for rheumatic fever - ✔✔polyarthritis, carditis, subcutaneous nodules,
erythema marginatum, chorea
,✔✔minor criteria for rheumatic fever - ✔✔arthralgia, fever, elevated ESR/CRP,
prolonged PR interval
✔✔tx of rheumatic fever - ✔✔PCN G
✔✔most commonly affect heart valve by rheumatic fever - ✔✔mitral
✔✔aortic aneurysm >5.5 cm - ✔✔immediate repair
✔✔giant cell arteritis is associated with - ✔✔polymyalgia rheumatica
✔✔tx of DVT - ✔✔use heparin for prevention and acute management;
use warfarin for long-term prevention of DVT recurrence
✔✔linear tram track lung markings is associated with - ✔✔bronchiectasis
✔✔presents with cutaneous flushing, diarrhea, wheezing, and low blood pressure -
✔✔carcinoid syndrome
✔✔tumor arising from neuroendocrine cells leading to excess serotonin, histamine, and
bradykinin - ✔✔carcinoid tumor
✔✔pellagra - ✔✔niacin deficiency
✔✔Pellagra presents with what four key symptoms - ✔✔dementia, diarrhea, dermatitis,
death
✔✔multifocal atrial tachycardia is associated with what respiratory disease - ✔✔COPD
✔✔impaired function of the right ventricle due to pulmonary hypertension - ✔✔cor
pulmonale
✔✔most common cause of acute cor pulmonale - ✔✔massive pulmonary embolism
✔✔CXR shows honeycomb appearance, ground glass opacification with superimposed
reticular abnormalities, and bibasal subpleural distribution - ✔✔idiopathic pulmonary
fibrosis
✔✔asbestos exposure is known to cause - ✔✔mesothelioma
✔✔small rounded opacities through the lung, hilar lymph nodes calcified "eggshell
calcifications - ✔✔silicosis
, ✔✔apical lung carcinoma that presents with miosis, ptosis, and anhidrosis, pain in the
axilla/shoulder, upper limb motor and sensory deficits, hoarseness, unilateral edema of
the arm and facial swelling - ✔✔pancoast tumor.
✔✔patient presents with fever, malaise, lack of appetite, weight loss, dyspnea, cough,
chest pain, arthritis, anterior uveitis, erythema nodosum. CXR shows bilateral hilar
adenopathy. ACE levels highly elevated, non-caseating granulomas - ✔✔sarcoidosis
✔✔extensive, purple skin lesions on the nose, cheeks, chin, and/or ears is
pathognomonic for - ✔✔sarcoidosis (lupus pernio)
✔✔treatment of sarcoidosis - ✔✔steroids, methotrexate, hydroxychloroquine,
✔✔hepatitis E in pregnancy women is associated with - ✔✔high infant mortality
✔✔liver enzymes with AST:ALT ratio >2 is suggestive of what type of hepatitis -
✔✔alcohol hepatitis
✔✔Ranson's criteria is for - ✔✔prognosis of pancreatitis
✔✔a circumscribed collection of fluid rich in pancreatic enzymes, blood, and necrotic
tissue - ✔✔pancreatic pseudocyst
✔✔pancreatic calcification, steatorrhea, and diabetes mellitus is associated with -
✔✔chronic pancreatitis
✔✔patients with chronic pancreatitis should be on what kind of diet - ✔✔low fat
✔✔treatment of anal fissure if failed initial treatments - ✔✔botox injections
✔✔most common rectal cancer - ✔✔adenocarcinoma
✔✔patient presents with rectal pruritus, bleeding with defecation, and a sensation of
incomplete evacuation. Palpable mass on DRE - ✔✔rectal cancer
✔✔apple core lesion on barium enema is associated with - ✔✔colon cancer
✔✔colon cancer screening guidelines for average-risk patients - ✔✔45-75
✔✔tumor marker associated with colon cancer - ✔✔CEA
