Internal Medicine MCQs

Welcome to your Internal Medicine MCQs

1. 
Which of the following is not part of the Glasgow Coma Scale ?

2. 
Which of the following ECG changes is a classic sign of hyperkalemia ?

3. 
Which of the following is characteristic of infective endocarditis ?

4. 
A 72-year-old woman has new-onset atrial flutter and is hemodynamically stable. The best IV drug to control her heart rate is ?

5. 
Which of the following features most reliably distinguishes asthma from COPD?

6. 
Which of the following does NOT cause fever of unknown origin (FUO) ?

7. 
In patients with atrial fibrillation, the most important reason for anticoagulation is prevention of ?

8. 
A patient presents with fever, malaise, and a rash. Lab examination reveals a negative Monospot test and atypical lymphocytes. Which is the most likely diagnosis ?

9. 
What is the main mechanism for fasting hyperglycemia in type 2 diabetes ?

10. 
A 40-year-old woman presents with chronic diarrhea and a serum anti-tissue transglutaminase antibody. Diagnosis is ?

11. 
Which of the following antihypertensive agents is contraindicated in pregnancy ?

12. 
In a patient with acute MI, the earliest ECG change is ?

13. 
The earliest sign of papilledema due to raised intracranial pressure is ?

14. 
The classic symptom triad of diabetic ketoacidosis (DKA) includes ?

15. 
The first-line treatment for hypertension in a diabetic patient with proteinuria is ?

16. 
Which electrolyte imbalance is most commonly associated with digoxin toxicity?

17. 
In a hospitalized patient with a new fever and Systemic Inflammatory Response Syndrome (SIRS) criteria, which of the following tests is most commonly ordered first?

18. 
Which of the following is NOT a feature of nephrotic syndrome ?

19. 
Which of the following antibiotics is most appropriate for treating a life-threatening Methicillin-Resistant Staphylococcus aureus infection ?

20. 
Which of the following is the most common cause of persistent fever with chills in a patient from India ?

21. 
A 6-year-old boy presents with periorbital edema and frothy urine. The most likely diagnosis is ?

22. 
Which of the following is required to confirm the diagnosis of diabetes mellitus?

23. 
Which of the following is the most common cause of community-acquired pneumonia in adults?

24. 
Which investigation is most useful for confirming deep vein thrombosis ?

25. 
The best screening test for colorectal cancer is ?

26. 
Which of the following is true regarding initial therapy for type 2 diabetes mellitus(except renal failure patients) ?

27. 
The primary defect in cystic fibrosis involves ?

28. 
A patient with chronic renal failure has a hemoglobin of 8 g/dL. The most appropriate treatment is ?

29. 
Which test is best for evaluating unexplained fever in the hospital setting ?

30. 
All of the following are classic symptoms of myocardial infarction EXCEPT ?

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