INTERNAL MEDCINE EXAM NEW UPDATED QUESTIONS AND ANSWERS TESTED AND VERIFIED SOLUTIONS WITH GUARANTEED SUCCESS

INTERNAL MEDCINE EXAM NEW UPDATED QUESTIONS AND ANSWERS TESTED AND VERIFIED SOLUTIONS WITH GUARANTEED SUCCESS
1. The treatment of choice for anemia of chronic renal disease:
a. Ferrous sulfate
b. Folic acid
c. Erythropoetin
d. blood transfusion
Answer: C P.
1658
2. A patient was brought to the ER in a comatose state. Serum electrolytes
drawn on admission showed the following: Na+ 133 meq/L, K + 8.0 meq?l,
Cl 98 meq/L, HCO3 13 meq?L. ECG showed absent P waves, widend QRS
and peaked T waves. Which would b the mot appropriate initial step:
a. Repeat electrolyte measurement and observe
b. Attempt cardioversion
c. Administer intravenous calcium gluconate
d. Administer sodium polystyrene sulfonate
(Kayexelate) Answer: C P. 262
3. Low serum complement level would be seen in patients with hematuria,
proteinuria and hypertension resulting from all of the following,
EXCEPT:
a. Mixed essential cryoglobulinemia
b. Hepatitis C associated membranoproliferative glomerulonephritis
c. Diffuse proliferative lupus nephritis
d. Henoch-Schonlein purpura
Answer: D P. 1680
4. A 37 y.o. man is admitted with confusion. PE showed a BP of 140/70 with no
orthostatic changes, normal jugular venous pressure and no edma. Serum
chemistries are notable for Na+ 120 meq/L, K + 4.2 meq/L, HCO3 24 meq/L
and a uric acid of 2 mg/L. The most likely diagnosis is:
a. Hepatic cirrhosis
b. SIADH
c. Addison’s disease
d. Severe vomiting and diarrhes
Answer: B p. 256
5. TRUE statement/s about acute poststreptococcal glomerulonephritis (PSGN)
EXCEPT:
a. The latent period appears to be longer when PSGN is associated with
cutaneous rather than pharyngeal infection
b. Serologic tests for a streptococcal infection may be negative if
antimicrobial therapy is begun early
c. PSGN leads to permanent and progressive renal insufficiency
more often in adults than in children
d. Long-term antistreptococcal prophylaxis is indicated
after documented cases of PSGN.
Answer: D p. 1680-1681

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