Internal Medicine Question Bank

Sample

1. case of depressed man after death of his son, he can`t sleep at all for 2 days, which drug will for short term :

Acute insomnia after an acute stressor (his son's death) is best managed with a short-term hypnotic. Lorazepam, a short/intermediate-acting benzodiazepine, provides rapid relief of severe insomnia for brief use. Imipramine is a tricyclic antidepressant that takes weeks to act and is not for acute, short-term sleep relief.

Sample

2. What do we use in TB prophelaxis

Isoniazid is the standard agent for tuberculosis prophylaxis (treatment of latent TB infection), typically given for 6-9 months. Ethambutol and rifampicin are components of active TB treatment regimens, not first-line single-agent prophylaxis.

Sample

3. A boy who was bitten by his brother .. and received tetanus shot 6 month ago and his laceration was 1 cm and you cleaned his wound next you will:

Human bites are heavily contaminated and high-risk for infection, but the key tetanus issue here is timing: for a tetanus-prone wound, a booster is given if the last dose was more than 5 years ago. Although 6 months seems recent, the keyed answer reflects giving tetanus prophylaxis as the next step. [REVIEW: keyed answer may be incorrect — with a booster only 6 months ago the patient is adequately protected against tetanus; for a contaminated human bite the more appropriate next step is prophylactic antibiotics such as amoxicillin-clavulanate (option a), and bite wounds are generally not sutured.]

Sample

4. Patient with retrosternal chest pain, barium swallow show corkscrew appearance:

A corkscrew or rosary-bead appearance on barium swallow with intermittent retrosternal chest pain is classic for diffuse esophageal spasm, caused by uncoordinated, simultaneous high-amplitude contractions. Achalasia instead shows a bird-beak tapering with a dilated esophagus.

Sample

5. in aspirin overdose :

In salicylate (aspirin) overdose, toxicity is dose-related; ingestions below roughly 150 mg/kg generally do not cause significant toxicity. Aspirin does not cause an early hepatic enzyme peak (that pattern fits paracetamol), and peripheral neuropathy is not an early feature, making option c the correct exception/threshold statement.

Sample

6. 40 y/o with mild epigastric pain and nausea for 6 months..endoscopy>loss of rugeal folds, biopsy> infiltration of B lymphocytes..treated with abx..cause:

Chronic epigastric symptoms with loss of rugal folds and B-lymphocyte infiltration on biopsy that responds to antibiotics describes gastric MALT lymphoma, which is driven by Helicobacter pylori. Eradication of H. pylori often induces remission of low-grade MALT lymphoma.

Sample

7. mitral stenosis :

Mitral stenosis classically produces a low-pitched, rumbling mid-diastolic murmur best heard at the apex with the bell. Among the given choices the diastolic timing is the key feature; the murmur is low-pitched, not high-pitched. [REVIEW: keyed answer may be incorrect — the murmur of mitral stenosis is a low-pitched diastolic rumble, so option c (diastolic, low pitch) is the more accurate descriptor than option a (diastolic, high pitch).]

Sample

8. All are 1ry prevention of anemia except:

Primary prevention aims to stop disease before it occurs (e.g., dietary iron education, iron-fortified foods, limiting cow's milk in infancy). Genetic screening for hereditary anemia detects existing/predisposing disease and is secondary prevention, so it is the exception.

Sample

9. pt on anti Tb medication with hear loss what is the cause:

Among anti-TB drugs, streptomycin (an aminoglycoside) is the classic cause of ototoxicity and sensorineural hearing loss. Pyrazinamide causes hepatotoxicity and hyperuricemia, not hearing loss.

Sample

10. human bite to the hand .. greatest risk of infection in which position :

Human bites over the clenched fist (clenched position, e.g., a fight bite over the metacarpophalangeal joints) carry the greatest infection risk because flexor tendon sheaths and joint spaces are penetrated and seal off bacteria when the hand is later extended. [REVIEW: keyed answer may be incorrect — the highest-risk presentation of a hand human bite is the clenched-fist injury (option b), not the dependent position.]