10.2010 internal

Which of the following favors a diagnosis of acute bacterial epididymitis?

Which of the following statements about hereditary angioedema is true?

Which of the following is not in the diagnostic criteria for the presence of diabetes mellitus?

What is the most common side effect of oral ribavirin when used with pegylated interferon for the treatment of hepatitis C?

A 56-year-old man presents to your office with complaints of “chronic” diarrhea. He states that he has had loose stools for the last 2 days. He denies blood in the stool, fever, and has no weight loss and no recent travel . Appropriate management at this time includes:

Which of the following is the treatment of choice for pyoderma gangrenosum?

All the following are vitamin K–dependent coagulation factors EXCEPT:

A 52-year-old female presents with a community-acquired pneumonia complicated by pleural effusion. A thoracentesis is performed, with the following results: Appearance Viscous, cloudy pH 7.11 Protein 5.S g/dLL DH 285IU/L Glucose 66 mg/dL WBC 3800/mm³ RBC 24,000/mm³ PMNs 93% Gram stain Many PMNs; no organism seenBacterial cultures are sent, but the results are not currently available.Which characteristic of the pleural fluid is most suggestive that the patient will require tube thoracostomy?

The presence of polymorphonuclear cells in stool samples most likely supports the diagnosis of a:

Which of the following statements about myasthenia gravis is true?

A 36-year-old African American woman with systemic lupus erythematosus presents with the acute onset of lethargy and jaundice. On initial evaluation, she is tachycardic and hypotensive, appears pale, is dyspneic, and is somewhat difficult to arouse. Physical examination reveals splenomegaly. Her initial hemoglobin is 6 g/dL, white blood cell count is 6300/μL, and platelets are 294,000/μL. Her total bilirubin is 4 g/dL, reticulocyte count is 18%, and haptoglobin is not detectable. Renal function is normal, as is urinalysis. What would you expect on her peripheral blood smear?

A 23-year-old male is climbing Mount Kilimanjaro. He has no medical problems and takes no medications. Shortly after beginning the climb, he develops severe shortness of breath. Physical examination shows diffuse bilateral inspiratory crackles. Which of the following is the most likely etiology?

Acromegaly is associated with which of the following factors?

Type I diabetes mellitus is associated with:

A healthy 62-year-old woman returns to your clinic after undergoing routine colonoscopy. Findings included two 1.3-cm sessile (flat-based), villous adenomas in her ascending colon that were removed during the procedure. What is the next step in management?

Which of the following conditions would be expected to increase the residual volume of the lung?

Which of the following conditions is a contraindication to influenza vaccination?

A 23-year-old woman is diagnosed with a lower extremity deep venous thrombosis. Which of the following medical conditions represents a contraindication to therapy with low-molecular-weight heparin (LMWH)?

Which of the following is true regarding hypovolemic shock?

A construction worker presents with pain over the lateral elbow. He reports that he has been using a hammer more often, and this seems to aggravate his discomfort. The most likely diagnosis is:

Which of the following statements about lead-time bias occurrence is true?

A 23-year-old hospital worker is evaluated for a known contact with a patient with active tuberculosis. One year ago his intermediate-strength PPD had 3 mm of induration; now it has 13 mm of induration at 48 h. He has no significant past medical history and is on no medications. Subsequent management should include:

Which of the following has been shown in multiple cohort studies to reduce the risk of colon cancer?

The triad of portal vein thrombosis, hemolysis, and pancytopenia suggests which of the following diagnoses?

A 72-year-old female with severe osteoporosis presents for evaluation of shortness of breath. She is a lifetime nonsmoker and has had no exposures. On physical examination you note marked kyphoscoliosis. All the following pulmonary abnormalities are expected except

Which of the following statements about Charcot-Marie-Tooth syndrome is true?

Which of the following symptoms is most suggestive of an esophageal mass?

Angioneurotic edema is associated with the use of:

The most effective drug for the treatment of traveler’s diarrhea is:

Which of the following should prompt investigation for hereditary nonpolyposis colon cancer screening in a 32-year-old man?

Goodpasture’s syndrome is associated with:

Guillain-Barré syndrome is most closely associated with:

A 56-year-old patient inquires about screening for colon cancer. He has no risk factors for colon cancer, other than age. Which of the following statements is true regarding which screening test you recommend for this patient?

Which of the following forms of hepatitis does NOT have a chronic state?

Which of the following best describes migraine headaches?

A 73-year-old man is admitted to the hospital with 3 weeks of malaise and fevers. His past medical history is notable only for hypertension controlled with a thiazide diuretic. He smokes one pack of cigarettes per day and works as an attorney. His physical examination is notable only for a new systolic heart murmur heard best in the mitral region. His laboratory examination is notable for mild anemia, an elevated white blood cell count, and occasional red blood cells on clean catch urine. Blood cultures grow Streptococcus bovis and echocardiogram shows a

A 54-year-old woman presents to your office with complaints of frequent sweating episodes, palpitations, nervousness, and sensitivity to heat with increased appetite and weight loss. The most likely diagnosis is:

A 30-year-old woman from Minneapolis presents to your office complaining of paresthesias, weakness, lack of coordination, and difficulty with gait. Her symptoms are worse after a hot shower. Examination of the cerebral spinal fluid shows oligoclonal bands of immunoglobulin G (IgG). The most likely diagnosis is

A 32-year-old man presents with jaundice and malaise .He is found to have acute hepatitis B with positive hepatitis B virus (HBV) DNA and E antigen. Which of the following antiviral agents are approved as part of a therapeutic regimen for mono-infection with hepatitis B?

Which of the following is not indicated in the emergent treatment of thyroid storm?

Which of the following medications is the most appropriate to use in the emergent treatment of anaphylaxis?

A 72-year-old woman is admitted to the intensive care unit with respiratory failure. She has fever, obtundation, and bilateral parenchymal consolidation on chest imaging. Which of the following is true regarding the diagnosis of Legionella pneumonia?

Which of the following statements about hyperglycemic hyperosmolar nonketotic coma is true?

Which of the following statements about rheumatic fever (RF) is correct?

In the inpatient setting, extended-spectrum β-lactamase (ESBL)-producing gram-negative infections are most likely to occur after frequent use of which of the following classes of antibiotics?

Crohn’s disease is associated with which of the following:

The use of proton pump inhibitors (PPIs) can result in

A 30-year-old female is seen in the clinic before undergoing an esophageal dilation for a stricture. Her past medical history is notable for mitral valve prolapse with mild regurgitation. She takes no medications and is allergic to penicillin. Her physician should recommend which of the following?

Dermatomyositis is associated with which of the following?

The drug of choice for the treatment of trigeminal neuralgia is