38 Questions
What is the likely diagnosis of a female patient who has lost 5 kg despite having a good appetite?
Iron deficiency anemia
What is the next appropriate step for a patient with iron deficiency anemia?
Upper endoscopy with duodenal biopsy
Which of the following makes Ulcerative colitis more likely than Crohn's disease?
Continuous lesion starting from the rectum
What is the most useful test in case of polymyositis?
Elevated creatinine kinase
What is the likely diagnosis of a female patient with recent left-sided weakness and a history of similar attacks?
Antiphospholipid syndrome
What is the most appropriate treatment for community-acquired pneumonia?
Institute empirical therapy in the ER
What is true about hemophilia A?
It prolongs activated Partial thromboplastin time
What is a recognized complication of liver cirrhosis?
SBP
What is the diagnosis of a patient with hyponatremia, hyperkalemia, elevated BUN, and normal BP?
SIADH
What is characteristic of HBV infection in children?
Higher rate of chronic infection compared to adults
Which of the following medications should not be given to a patient already on beta blockers?
Verapamil
What is characteristic of acute HEV infection in pregnant women?
Less symptomatic than in non-pregnant women
What is a characteristic of hepatorenal syndrome?
Proteinuria > 1+
How can we prove successful HBV vaccination?
Presence of HBsAb > 10 IU/mL
What is the most likely cause of acute kidney injury (AKI) in a hypertensive patient taking spironolactone?
Low BP due to spironolactone
What is the diagnosis of a patient with urine protein (+1), white blood cell count (WBC) casts, and normal sodium levels?
Acute interstitial nephritis
What mechanism does the body use to excrete excess potassium?
Increases potassium secretion through the DCT and collecting duct
What is a indication of the severity of aortic stenosis?
Thrill over the right second intercostal space
What is not a complication of obstructive sleep apnea (OSA)?
Masked hypertension is usually benign and good prognosis
What is the possible diagnosis for a patient with hypotension, tachycardia, and muffled heart sounds after being stabbed in the chest?
Cardiac tamponade
Which type of hypersensitivity reaction is associated with IgE-mediated allergies?
Type I HSR
What is the best time to take anti-hypertensive medication?
At bedtime
What is a characteristic of nocturnal hypertension?
Associated with chronic kidney disease
What is the name of the autoimmune disease characterized by hemolytic anemia?
Autoimmune hemolytic anemia
Which of the following is NOT a type of hypersensitivity reaction?
Type V HSR
What is the phenomenon associated with autoimmune hepatitis?
Raynaud's phenomenon
What is the name of the TB drug that is responsible for a decrease in the effectiveness of oral contraceptive pills?
Rifampin
What markers are used to confirm the diagnosis of autoimmune hepatitis?
ANA, SMA, and anti-LKM1
Which antibiotic is known to be associated with torsade de pointes?
Clarithromycin
What is the name of the laboratory test that shows evidence of lung cancer and proteinuria?
Albumin-to-creatinine ratio (ACR)
Which of the following is a symptom of systemic lupus erythematosus (SLE)?
All of the above
What is the name of the type of hypersensitivity reaction characterized by cell-mediated immunity?
Type IV HSR
What is the possible diagnosis for a patient who developed chest pain that increases with leaning forward after a myocardial infarction?
Dressler syndrome
What is the least associated with progression of CKD in a patient with SLE?
High protein diet
What would be expected to be seen on upper endoscopy in a patient with liver disease symptoms?
Esophageal varices and portal gastropathy
What investigation would be ordered for a patient with hypertension and suspected kidney disease?
Serum creatinine, urinalysis, etc.
What is the significance of a protein-to-creatinine ratio of 0.9 in a patient with kidney disease?
It indicates mild kidney damage
What is the expected HbA1c level for a diabetic patient with good glycemic control?
Between 6.1-7%
This quiz covers the four types of hypersensitivity reactions, including anaphylaxis, autoimmune disorders, and immune complex-mediated diseases. Test your knowledge of immunology and hypersensitivity reactions.
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