Internal Medicine - Free Trial

1. A 55 year old woman complains of progressive difficulty of holding objects with her left hand. She also admitted to swallowing difficulties over the past 6 months. On examination the physician noted signs of lower motor neuron involvement. An initial diagnostic test in the work up of this patient should include:

A) Electromyography B) MRI Brain C) CT Scan D) Lumbar Puncture

2. Which of the following statements is true regarding Malaria?

A) Mefloquine is contraindicated in epilepsy and lactation B) Chloroquine is first-line for P. falciparum C) Artemisinin is contraindicated in pregnancy D) Primaquine is safe in G6PD deficiency

3. A 50 year old male with type 2 diabetes mellitus is found to have 24 hr urinary albumin of 250 mg. Which of the following drugs may be used to retard progression of renal disease?

A) Enalapril B) Metformin C) Glimepiride D) Aspirin

4. A patient taking 100 mg of atenolol daily is most likely to complain of:

A) Lassitude (fatigue) B) Palpitations C) Tachycardia D) Weight gain

5. Pseudomembranous colitis is usually caused by toxins of which organism?

A) Clostridium difficile B) C. perfringens C) E. coli D) Salmonella