IM-Comprehensive Exam Feedback PDF 2023

IM-COMPREHENSIVE EXAM FEEDBACK Dr. Joy Cordero | July 7, 2023 1. Which of the following is a cardinal symptom of 12. Which of the ffg. conditions cause acute cor pulmonale? congestive heart failure? D. CO...

IM-COMPREHENSIVE EXAM FEEDBACK Dr. Joy Cordero | July 7, 2023 1. Which of the following is a cardinal symptom of 12. Which of the ffg. conditions cause acute cor pulmonale? congestive heart failure? D. COPD A. Dyspnea (Fatigue as well, but not in the choices) 13. Which of the ffg. statements is least likely true regarding 2. Which agent can trigger an acute attack of CHF in pericardial effusion? susceptible patients with prior history of CHF? E. No statement given :) A. Metformin B. Prednisone 14. A 48-year-old male admitted due to sudden blindness C. Gliclazide of the right eye 15 minutes before admission. What is D. Tramadol the most likely diagnosis? A. Central retinal artery occlusion of the right eye 3. Which of the ffg. conditions is the most common secondary cause of hypertension? 15. A 58-year-old male presents with slowly progressive B. Renal Disease memory impairment, followed by slowly progressive 4. In a 45-year-old male with HTN with unprovoked hemiparesis, headache and vomiting. PE revealed hypokalemia who presents with muscle weakness. papilledema. What is the most likely diagnosis? Which of the following is the most likely diagnosis? B. Brain tumor A. Aldosteronism 16. Increased ICP is not expected in? 5. Which of the following statements is least likely true C. Multiple sclerosis regarding white collar HTN? B. This is not associated with increased risk of 17. One does not expect a structural lesion in? target organ damage B. Metabolic diseases 6. Which of the ffg. is not a predictor of heart failure with 18. Seizures and convulsions are not expected in patients recovered ejection fraction? with? C. Myocardial Fibrosis D. Meningioma 7. Which of the following conditions causes high-output 19. A 43-year-old male with right hemiparesis is most likely heart failure? to have a stroke if? D. Anemia The onset is sudden 8. An intracoronary thrombus causes partial obstruction 20. Exacerbations of neurological symptoms is expected in leading to myocardial ischemia with evidence of which of the ffg. conditions? myocardial necrosis. Patient presents with chest pain at C. Demyelinating disease rest and minimal activity. ECG shows ST segment depression. What is the diagnosis? 21. A 20-year-old man shuffles into the office complaining E. STEMI ??? of uncontrollable shaking of the extremities. After proper evaluation, you are considering Parkinson’s 9. NO QUESTION disease. What is the chemical substance lacking in this 10. A 75-year-old male with HTN and DM complains of patient? lightheadedness, nausea, diaphoresis, SOB, occasional E. Dopamine cough, with BP of 160/100, PR 100, RR 20. At the ER, the patient is afebrile. Workups revealed HGB of 120, 22. A 30-year-old man comes to the office with drooping HCT 0.35, WBC 11.2, PLT 140, RBS 206, creatinine 2.0 and unable to move the lower face. Where is the lesion? mg, CK-MB 10 IU, Trop I 1.5. Xray revealed B. Cerebral cortex cardiomegaly and pulmonary congestion. ECG showed ST elevation along the anterior chest leads. What is the 23. In a patient with a tumor of the anterior pituitary that diagnosis? causes amenorrhea, what is the excess hormone C. STEMI produced? C. Prolactin 11. A 55-year-old male with HTN and DM complaining of irregular palpitations occurring for the past few months. 24. Which is not a common etiology of delirium? ECG showed Atrial Fibrillation in RVR. What would be B. Focal strokes of the left parietal lobe the best management? D. Rate control (with beta blockers) and 25. A 75-year-old female presents with bilateral headache antithrombotics more severe on the left, described as dull, boring pain *metoprolol succinate: less BP reduction than tartrate with superimposed episodic stabbing pain, worsens at GROUP 3: ANANDASARAVANAN, ESPIRITU, JAIN, MANARANG, PANGAN, SANTIAGO | Page 1 of 4 RECORDING  IM: Comprehensive Examination Feedback night time, especially when the AC is turned on. There 36. Which of the following is not a characteristic of Crohn’s is tenderness when resting her head on the pillow. disease? Patient is febrile and with muscle pain. Which of the B. Megacolon following is the gold standard for the diagnosis? B. Biopsy 37. Which is the most likely etiologic mechanism in a patient with leukemia who has recurrent bouts of pneumonia? 26. A 40-year-old female with a previous history of vehicular C. Neutropenia accident, two months ago, consults due to chronic, occipital headache and neck pain, radiating to the 38. Which of the following is an alkylating agent? shoulders, arms and hands accompanied by **** C. Gemcitabine sensation. On PE, there is sudden sensation of electric light shock that passes through the back of the neck and 39. What is the screening test recommended for women into the skull radiating into the arm and legs when the with genetic risk such as BRCA 1 or BRCA 2 carriers? patient is instructed to bend the head forward. The most C. Mammography likely diagnosis would be? C. Cervical Spondylosis 40. What is the most common cause of humoral hypercalcemia of malignancy? 27. A 25-year-old male with fever and petechiae along the B. Overproduction of parathyroid hormone related upper extremities. Which of the following blood peptide (PTHrP) components is most likely affected? B. Platelets 41. Which lesion obliterates the ascending aorta? C. Right upper lobe, anterior mediastinum 28. What is the most probable cause of a palpable, nontender, left supraclavicular lymph node in an elderly 42. Which is not a classification of a pulmonary or or a 70-year-old patient? parenchymal shadow? B. GI malignancy B. Meniscus sign 29. What is the most probable cause of a high reticulocyte 43. Which of the following signs help provide localization of index of 3%? an intrathoracic lesion? A. Blood Loss C. Silhouette sign 30. A 54-year-old female with seizure accompanied by loss 44. Which of the following does not cause a solitary air of position sense and ****. Hemoglobin of 75, MCV of space shadow? 110, MCH of 30, MCHC of 33%. Slightly low white count B. Pleural effusion and platelet count. Hypersegmented neutrophils. Reticulocyte count is 9%. Most probable cause is? 45. What is the predominant radiologic feature of primary D. Vitamin B12 deficiency TB in infants and children? E. Presence of lymphadenopathies in the 31. A 68-year-old male with dyspnea with high grade fever appropriate lymph drainage pathways of 5 days duration. Xray with right sided pleural effusion. What would be the most probable effusion for this 46. Which disease condition does not cause an air patient? bronchogram? B. Exudative E. Pulmonary emphysema 32. A 16-year-old male who took 30 tablets of Paracetamol 47. What does the presence of an air bronchogram due to emotional stress after breaking up with his indicate? girlfriend. The expected pathologic destruction would B. Lung parenchymal disease or alveolar process be? C. Centrilobular hepatic necrosis 48. What is the purpose of the air silhouette sign? B. To localize disease in the lungs and mediastinum 33. Which of the following risk factors confer the highest risk for developing alcoholic hepatitis? 49. Which lesions obliterate the right cardiac border? D. Hepatitis C infection C. Right middle lobe, anterior mediastinum 34. A 24-year-old male consults due to body malaise 50. Which lesions obliterate the right hemidiaphragm described as lack of energy. There is (-) Anti-Hbs, (+) B. Right lower lobe Anti-Core IgG, HbE Ag, (-) HbsAg C. Chronic hepatitis B with high infectivity 51. What is the ADA recommendation for the HbA1c target? D.