TOTW #17 - Internal Medicine and Therapeutics Start QuizPage 1 of 25 The following are examples of supraventricular arrhythmias except: Sinus tachycardia Atrial flutter Torsade de pointes Junctional tachycardia Page 2 of 25 Which of the following is not a feature of organophosphate poisoning? Diarrhoea Mydriasis Urination Bronchospasm Page 3 of 25 A cerebrospinal fluid sample was collected from a patient who presented with fever, headache, neck stiffness and photophobia. The sample was cloudy with a positive India ink preparation. Which was the most likely causative organism? Borrelia burgdorferi - Lyme meningitis Cryptococcus neoformans - Cryptococcal meningitis Mycobacterium tuberculosis - Tuberculous meningitis Neisseria meningitides- Bacterial meningitis Page 4 of 25 In a patient with hypocalcemia, twitching of the facial muscles elicited by tapping the facial nerve below and in front of the ear is known as: Trousseau sign Pemberton sign Curtain sign Chvostek sign Page 5 of 25 Pulsus paradoxus may be observed in the following conditions except: Aortic regurgitation Cardiac tamponade Massive pulmonary embolism Obstructive sleep apnea Page 6 of 25 Which of the following medications is commonly used as a first-line treatment for the management of type 2 diabetes mellitus? Metformin Insulin glargine Glipizide Acarbose Page 7 of 25 Which of the following drugs is a first-line therapy for the treatment of acute exacerbations of chronic obstructive pulmonary disease (COPD)? Albuterol Salmeterol Ipratropium Montelukast Page 8 of 25 What is the primary mechanism of action of statin medications in the management of hyperlipidemia? Inhibition of HMG-CoA reductase Activation of lipoprotein lipase Inhibition of pancreatic lipase Stimulation of cholesterol absorption Page 9 of 25 Which of the following antibiotics is commonly recommended as the first-line treatment for uncomplicated community-acquired pneumonia? Ceftriaxone Azithromycin Vancomycin Levofloxacin Page 10 of 25 Which class of medications is commonly prescribed for the long-term management of stable angina to reduce the frequency and severity of angina attacks? Beta-blockers Calcium channel blockers Angiotensin-converting enzyme (ACE) inhibitors Nitroglycerin Page 11 of 25 All of the following diseases are associated with gastric acid hypersecretion EXCEPT: Duodenal ulcers G-cell hyperplasia Zollinger Ellison Syndrome Pernicious Anaemia Page 12 of 25 All of the following are indications for urgent endoscopy for upper gastrointestinal bleeding except: Large volume initial bleed Orthostatic hypotension Resting hypotension Severe pain Page 13 of 25 Which modality is recommended for further workup of demyelinating disease? CT angiography CT Electroencephalogram MRI Page 14 of 25 A patient suffered from nephrogenic systemic fibrosis (NSF) after gadolinium administration for an MRI. Which of the following is the strongest risk factors for NSF? Advanced age Diabetes GFR < 30 Heart failure Page 15 of 25 All of the following are effective in treating pure tension-type headaches except? Acetaminophen Behavioral relaxation therapy Ibruprofen Triptans Page 16 of 25 Presentation with acute monoarthritis suggests the possibility of the following except: Crystal arthritis Trauma Bacterial infection Rheumatoid arthritis Page 17 of 25 Polyarthralgia is a common presenting complaint in the following except: Rubella Depression Hypothyroidism Diabetes insipidus Page 18 of 25 Shoulder pain is a recognised feature of: Myocardial ischemia Supraspinatus tendonitis Cervical spondylosis Pneumococal pneumonia Page 19 of 25 Causes of secondary osteoarthritis include the following except: Paget's disease Septic arthritis Wilson's disease Hemachromatosis Page 20 of 25 Criteria for diagnosis of rheumatoid arthritis include the following except: Morning stiffness >1 hour Arthritis in both hip joints Symmetrical polyarthritis Presence of rheumatoid nodules Page 21 of 25 What is the most common cause of death in acromegaly? Cardiovascular complications Obstructive sleep apnoea Hepatomegaly Entrapment neuropathy Page 22 of 25 The following are diagnostic features of rheumatoid arthritis except: Morning stiffness Asymmetric joint swelling Swelling of small joints RF positive test Page 23 of 25 The following are non invasive tests for H.pylori except: Urea breath test Stool antigen test Gastric mucosa biopsy Serology Page 24 of 25 Which of the following is not a chest x-ray finding in pulmonary edema? Kerley B lines Effusions Air fluid levels Prominent pulmonary vessels Page 25 of 25 1. What acid-base disorder is represented by the following set of values following ABGs: pH :7.32, pCO2: 28mmHg, HCO3: 14mEq Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis Multiple Authors | WebsiteTOTW #26 - MicrobiologyTOTW #25 - PsychiatryTOTW #24 - BiochemistryTOTW #23 - Haematology Previous Post NOTHING TO LOSE BUT THE CHAINS Next Post A 29-year-old man with jaundice
