PLE 2019 SAMPLEX – IM| 100 questions| with complete solutions

1. Secondary hypertension may be due to: I. Renal artery stenosis II. Cushing syndrome III. Pheochromocytoma A. I, II, III B. I & II C. I & III D. II & III A. I, II, III 2. Environmental toxins that may cause hepatitis is A. Alcohol B. Isoniazid C. Cytomegalovirus D. Vinyl chloride D. Vinyl chloride 3. Patients with treatment resistant depression are treated with which of the following? I. Electroconvulsive therapy II. Transcranial magnetic stimulation III. Vagus nerve stimulation A. II, III B. I, II C. I, III D. I, II, III D. I, II, III 4. n the examination of the abdomen, the order of procedure is A. Auscultation, palpation, inspection, percussion B. Percussion, palpation, inspection, auscultation C. Inspection, auscultation, palpation, percussion D. Inspection, palpation, auscultation, percussion C. Inspection, auscultation, palpation, percussion (Inspection, Auscultation, Percussion, Palpation) 5. Acute myeloid leukemia patients are prone to A. Hypernatremia and hyperkalemia B. Stroke due to thrombocytosis C. Bleeding due to lack of platelets D. Early satiety due to splenomegaly C. Bleeding due to lack of platelets D. Early satiety due to splenomegaly 6. The most useful tests uncover tumors not detected by other screening modalities are: I. CT scan II. Bone scan III. PET Scan A. II, III B. I, II, III C. I, III D.I, II B. I, II, III 7. A 62-year old diabetic was admitted because of fever with right flank pains and chills. She also experienced dysuria and loss of appetite. BP: 120/70PR: 22/min T: 38.5 no crackles, No S4, (+) right CVA tenderness. CBC: Hgb: 140 Hct: 0.40 WBC 20000/mL with neutrophilia. Urinalysis: Pus cells 40-50/hpf; bacteria: 4+. Urine gram stain showed gram negative rods. Serum creatinine: 0.8 mg/dL. In the ward, IV ciprofloxacin was administered. Three days later, she still was febrile and has persistent R flank pain. Urine C & S result was still unavailable. Which ancillary procedure is BEST to do this time? A. CT scan with contrast of the abdomen B. Repeat urine C & S C. Repeat serum creatinine D. Ultrasound of KUB D. Ultrasound of KUB 8. Opportunistic pathogen causing infectious diarrhea among AIDS patient are the following EXCEPT: A. Blastocystis hominis B. Giardia lamlia C. Cytomegalovirus D. Mycobacterium aerium A. Blastocystis hominis 9. Benzodiazepines are useful drugs because of the following properties: I. Sedative II. Skeletal muscle relaxant III. Antiepileptic A. I, II B. I, II, III C. I, III D. II, III B. I, II, III