Internal medicine WC-1 Year 4 Internal Medicine Notes

Internal medicine WC-1 Year 4 · Internal Medicine Collection: 4TH YEAR ALL NOTES / IMED / IMED 4.3 / MOGERE --- Internal Medicine Revision Paper 1. Which bacterial pathogen is the most common cause of community-acquired pneumonia in adults? A) Staphylococcus aureus B) Mycoplasma pneumoniae C), Streptococcus pneumoniae D) Chlamydophila pneumoniae of the following are risk factors for common A), Female gender B) Smoking history C) Occupational dust exposure D) History of childhood pneumonia 3. Approximately what percentage of adult cases of community involve both bacterial and viral pathogens? A) 10% B) 30% C) 50% D) 80% 4. All of the following are common symptoms of comm adults, EXCEPT: A) Fever B). Bradycardia C) Sputum production D) Signs of consolidation In adults with community-acquired pneumonia, which of the following is NOT heneed for ICU admission? among the minor criteria that would suggest t! A) Uremia B). Leukopenia C) Decreased respiratory rate D) Low PaO₂/fraction of inspired oxygen ratio 6. In examining the p\leura\l fluid the following characteristics imply an exudative effusion except: ) T A. Pleural/serum protein ratio greater than 0.5 B. Pleural pH of 7.40 C. Pleural/serum LDH ratio of greater than 0.6 D.‘WBC count of 6000 5 All imunity-acquired pucumuninlExCEl':r: y-acquired pneumonia unity-acquired pneumonia in o 7. Pleural effusion associated with pulmonary embolism can be: A. An exudate B:A transudate C. Bloody D. All of the above 8. Pleural&swn in rheumatoid - collagen vascular disease is all the above A. Often associated with onset anomt symptoms B.'Has a low pH and glucose C. Often bilateral D. Empyema can occur in this setting 9. Pleural effusions that occur secondarily to plcurodesns A.'Ascites B. Congestive heart failure C. Nephrotic syndrome D. Malignancy 10. Which of the followin A:Malignancy B. CHF C. Infection oY D. Nephrotic syndrome g a classic exudate that can present as transudate? ¢ of management in patient wnh CHF presents to the emergency with eral pleural al effusion: A. Chest tube B Diuretics C. Beta blockers D. Nitrates 12. A sample drained from a patient with pleural effusion taken to the ¢ “revealed dominance of lymphocy(es i A. Acute infection™ B. Cirrhosis CxTB D. Hemorrhagic pleural effusion Yology lab 13. Which of the following diseases is included in the umbrella lla term COPD? ) A. Emphysema B. Chronic bronchitis C. Lung cancer D./Aand B l4 People in what age group are most likely to say they have symptoms of COPD? .151024 B. 25t034 C.351039 D.'40 and older 15. Long-term exposure to )\huh of the following Lanugc,mfic\fluflmk for COPD? A. Airborne chemicals B. Pollutants C. Lung irritants D."All of the above 16. Which of the folloyirg%qjaifmwgr hgahh if you h;\v%SOPD? 2 A. Not smoking B. Exercising regularly C. Drinking alcohol D!/Aand B 17. Environmental risk factors for the development of asthma include: e 22 = — N = A. Socioeconomic status B. Allergen exposure ) C. Exposure to secondhand tobacco smoke at infancy D. All the above 18. What is a common symptom of asthma? A Wheezing B. Whistling C. Full breaths D. Snoring 19. What is the value that is measured by spirometry? A. Residual volume B. Total lung capacity C. Functional residual capacity D! Forced expiratory volume 20. What drug therapy should,bigvgilable to Mb@Awi\?fls (intermittent and persistent)? A. Low dose ICS B:!PRN SABA C.LABA D. Leukotriene Antagonist 2):Workers exposed to asbestos have a risk to develop which type of cancer? ‘A Mesothelioma ) B. Bladder cancer C. Bone cancer D. Bronchoalveolar carcinoma. 22.28 year-old man works in mining presents to the physician with dyspnea and /Tlllagkish sputum. Further investigation showed that he suffers from rheumatoid arthritis, which of the following is most proba bly diagnosis:. D A!Adult respiratory distress syndrome B. Hyaline membrane disease C. Goodpasture syndrome D. Caplan syndrome 23. Which one of the following is indirect injury to lung: A!Fat embolism B. Sepsis C. Pneumonia D. Trauma i i i arbon 24. Which of the following is an asym )l0lfl:\llc,x gg muln(mn of coal pigment/carbol particles without consequent cylluln{}"cnclinn? Al Coal worker's pneumoconiosis B. Silicosis C. Anthracosis D. Asbestosis 25. All are true about Sarcoidosis E LPT: ) ). o - caspatinon ACharacterized by caseating / necrotizing granulomas in affected organ tissue. 7 y B. Unknown cause C. Affecting all races D. Affecting both sexes equally 26. Workers who handle unprocessed cotton are at risk of Alp\Lc}()ping: A. Coccidiomycosis B. Byssinosis C. Ptl’lllS.SiS. {\ D. Sarcoidosis 27. All of the rollm\iuwe true about acute respiratory distress syndrome (ARDS) = A = except: ) A1t generally arises in persons with serious comorbidities B. It may be life threatening C. Itis a common complication of anaesthesia D. Some ARDS patients suffer permanent lung damage 28. A 40 year-old woman is seen in the office complaining of shortness of breath in climbing a flight of stairs, which h