[Part 10] Internal Medicine High-Quality MCQ Questions [Quiz]

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[Part 10] Internal Medicine MCQ

170 new, high-quality questions for the Saudi Medical Licensing Exam [SMLE]

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Which one of the following conditions is most associated with pulsus alternans?

Hypertrophic obstructive cardiomyopathy
Mixed aortic valve disease
Severe left ventricular failure
Cardiac tamponade

Which of the following is associated with eating undercooked or raw meat?

Schistosomiasis
Trichinellosis
Giardiasis
Hookworm Disease

What is the characteristic ECG finding of pericarditis?

QT interval prolongation
Low-voltage, diffuse ST-segment elevation
Saw tooth pattern
Normal ECG

Which of the following is the most common cause of osteomyelitis in children and adults?

Staphylococcus epidermidis
Escherichia coli
Pseudomonas aeroginosa
Staphylococcus aureus

Following a total gastrectomy, which of the following digestive enzymes will be produced in inadequate amounts?

Trypsin
Amylase
Pepsin
Lipase.

Which of the following is associated with persistent vomiting?

Hyperchloremic metabolic acidosis
Hypochloremic metabolic alkalosis
Hyperchloremic metabolic alkalosis
 Hypochloremic metabolic acidosis

A 35-year-old woman comes to the doctor with dry eyes and mouth. She also complained of difficulty in swallowing solid food. Examinations shows bilateral parotid enlargement.
 Which of the following is the most likely diagnosis?

Sjögren’s syndrome
Fibromyalgia
Scleroderma
Dermatomyositis

Which of the following is contraindicated in patient with hypertrophic obstructive cardiomyopathy?

Atenolol
Digoxin
Aspirin
Acetaminophen

A 48-year-old man presents to the physician with episodic productive cough of yellow sputum for the last two years. He denied any fever or chest pain. Examination shows digital clubbing. Which of the following is the most likely diagnosis?

Bronchiectasis
Asthma
Tuberculosis
Sarcoidosis

A 25-year-old male comes to the doctor with diarrhea. He just returned from a trip to South Africa, where he developed foul-smelling stools, abdominal cramps and bloating. His temperature is 37 C , blood pressure is 102/68 mm Hg, and pulse is 90/min. Physical examination is unremarkable. Which of the following is the most likely diagnosis?

Giardiasis
Amebiasis
Salmonella
Cryptosporidiosis

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