Internal Medicine Exam Questions & Answers -

Chest x-ray findings in CHF include all of the following, EXCEPT:
 Cardiomegaly
 Interstitial edema
 Pleural effusion
 Lobar consolidation
A 65-year-old retired steel worker who has never had any sexual dysfunction experiences difficulty in obtaining and
maintaining an erection shortly after he starts taking a medication prescribed by his primary care physician. What
medication is most likely to cause such a side effect?
 Propanolol
 Amoxicillin
 Lorazepam
 Bupropion
 Thyroid hormones
With vitamin B12 deficiency, which of the following accumulates in the blood?
 Cysteine
 Methymalonic acid
 Methionine
 Succinic acid
 Propionic acid
Treatment of angina pectoris includes all of the following, EXCEPT:
 Calcium channel blockers
 Nitrates
 Beta Blockers
 Theophyllines
Omeprazole has been added to the H2 antagonists as a therapeutic approach to the management of acute gastric and
duodenal ulcers. It acts by:
 Blocking breakdown of mucosal-damaging metabolites of NSAIDs
 Providing direct cytoprotective effect
 Buffering gastric acids
 Inhibiting parietal cell hydrogen-potassium-ATPase
 Inhibiting gastrin release and parietal cell acid production
A 73-year-old man with a history of hypertension complains of a 10-minute episode of left-sided weakness and slurred
speech. On further questioning, he relates three brief episodes in the last month of sudden impairment of vision
affecting the right eye. His examination now is normal. Which of the following would be the most appropriate next
diagnostic test?
 Creatinine phosphokinase (CPK)
 Holter monitor
 Visual evoked response
 Carotid artery Doppler ultrasound
 Conventional cerebral angiography
Conditions that can mimic angina pectoris include all of the following, EXCEPT:
 Esophageal spasm
 Cholecystitis
 Cervical or thoracic spine disease
 Diverticulosis
Which of the following is used in the prophylactic treatment of migraines?
 Amitriptyline
 Propanolol
 Verapamil
 Valproic acid
 All of the above
The most common manifestation of muscle weakness with myasthenia gravis is:
 Diaphragmatic weakness
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,  Wrist-drop
 Foot-drop
 Ocular muscle weakness
 Dysphagia
Which statement is true regarding HDL cholesterol?
 Removes cholesterol from peripheral tissues and transports to the liver
 Aerobic exercise increases HDL
 Low HDL is a risk factor for coronary artery disease
 All of the above
Which of the following organisms is recognized as a major cause of peptic ulcer disease (PUD)?
 Campylobacter jejuni
 Helicobacter pylori
 Clostirdium dificile
 Pseudomonas aeruginosa
 Enterotosigenic echechia coli
Sebhorrhea and sebhorrheic dermatitis occurs in the following areas, EXCEPT:
 Nasolabial region
 Scalp
 Mid to upper back
 Presternal region
All of the following statements are true regarding herpes zoster, EXCEPT:
 Is a reactivation of varicella virus
 Causes vesicles
 Can cause post herpetic neuralgia
 The lesions are usually distributed along the entire trunk
An acute increase in intracranial pressure is characterized by which of the following clinical findings?
 Respiratory irregularities
 Decreased blood pressure
 Tachycardia
 Papilledema
 Compression of the fifth cranial nerve
Inverted T waves are caused by all of the following, EXCEPT:
 Myocardial ischemia
 Subendocardial infection
 High calcium intake
Work up for the newly diagnosed patient with hypertension should include:
 CBC
 Renal function test
 Electrolytes
 EKG
 All of the above
Which of the following is TRUE about hepatitis B?
 It is the most common form of acute viral hepatitis
 Even without treatment, it seldom progresses to chronic disease
 It is a vaccine-preventable liver disease
 Its prevalence is related to the quality of the water supply
 Food-borne hepatitis B is a common mode of transmission
A 55-year-old woman with breast cancer is waiting for the results of her bone scan. She promises God that she will
stop smoking and attend Mass every Sunday if the scan does not show signs of metastases. According to Elisabeth
Kubler-Ross, who extensively studied the psychological processes of dying patients, which behavior is typical of the
stage of:
 Anger
 Denial
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