FREE Internal Medicine Board Review Trivia Questions and Answers

Question 1

Differential cell count, total protein, pH, glucose, amylase, triglycerides, microbiology, and cytology. Effusions must meet a minimum of one requirement (Light's requirement).
1) Pleural/serum protein: >0.5
2) > 0.6 LDH (pleural/serum)
3) LDH above three times the average serum LDH

Accepted Answer

If exudative effusion is suspected, what should be performed on fluid?

Answer

The provided text explicitly lists the various components of fluid analysis—such as differential cell count, total protein, pH, glucose, amylase, triglycerides, microbiology, and cytology—that are performed to characterize an effusion. It also includes Light's criteria, which are used to differentiate between transudative and exudative effusions. Therefore, the question asking what should be performed on fluid if an exudative effusion is suspected directly aligns with the given information.

Question 2

1) RVH
2) VSF
3) Overriding Aorta
4) Pulmonary Artery Stenosis

Accepted Answer

What are the 4 features of tetrology of fallot?

Answer

The four features listed—Right Ventricular Hypertrophy (RVH), Ventricular Septal Defect (VSF), Overriding Aorta, and Pulmonary Artery Stenosis—are the classic anatomical defects that collectively define Tetralogy of Fallot. This is a well-known congenital heart condition characterized by these specific structural abnormalities. The question directly asks for the condition described by these four features.

Question 3

1) Cardiac enzymes to rule out MI
2) Echocardiogram to estimate EF
3) Chest x-ray to look for cardiomegaly, and pulmonary edema and rule out COPD
4) EKG
5) CBC (anemia)

Accepted Answer

Tests to order for patient with suspected CHF

Answer

The listed tests—cardiac enzymes, echocardiogram, chest x-ray, EKG, and CBC—are all standard and essential diagnostic evaluations for a patient presenting with suspected Congestive Heart Failure (CHF). These tests help to rule out acute myocardial infarction, assess cardiac function (ejection fraction), identify cardiomegaly or pulmonary edema, detect arrhythmias, and check for contributing factors like anemia, all crucial for diagnosing and managing CHF.

Question 4

When symptoms persist despite receiving the best care possible from b-blockers, ACEI, diuretics, and aldosterone antagonists in patients with EF 40%, digoxin should be given.

Accepted Answer

When should digoxin be used in CHF patients

Answer

The provided text directly states the indication for digoxin use in CHF patients: 'When symptoms persist despite receiving the best care possible from b-blockers, ACEI, diuretics, and aldosterone antagonists in patients with EF 40%, digoxin should be given.' This clearly outlines that digoxin is reserved for symptomatic patients with reduced ejection fraction who remain symptomatic despite optimal guideline-directed medical therapy.

Question 5

1) Both IV antibiotics and IV hydration
2) Monitor blood pressure and urine output; once symptoms have subsided for 48 hours, perform an ERCP to determine the cause
3) The most significant consequence is a liver abscess.

Accepted Answer

What is the treatment for cholangitis?

Answer

The provided information details the standard management for acute cholangitis, which involves immediate broad-spectrum intravenous antibiotics and fluid resuscitation to stabilize the patient. Subsequently, an ERCP (Endoscopic Retrograde Cholangiopancreatography) is performed to relieve biliary obstruction once the patient's condition has improved. The text also correctly identifies a liver abscess as a significant potential consequence of cholangitis.

Internal Medicine Exam Practice Test

Internal Medicine Exam Practice Test

FREE Internal Medicine Board Review Trivia Questions and Answers