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WorksheetsIM Interns Second Quiz
Total questions: 25
Worksheet time: 18mins
F.P. 54/M came in the ER due to a one week history of difficulty of breathing associated with intermittent fever Tmax 38.9oC, non productive cough, anosmia and ageusia. He is a known hypertensive and diabetic. On PE, he was conscious, coherent in cardio respiratory distress. BP 100/70 HR 121 RR 32 T 38.6 90% O2 saturation at room air. Chest radiograph revealed bilateral pneumonia with peripheral involvement and ABG showed uncompensated respiratory alkalosis with inadequate oxygenation. PF ratio was 232. RT-PCR for SARS-CoV 2 result is not yet available. Your impression?
CAP MR COVID Suspect Severe
CAP MR COVID Suspect Critical
CAP MR COVID Probabe Severe
CAP MR COVID Probable Critical
RT-PCR for SARS CoV 2 of patient F.P. revealed positive result. He is now classified as:
COVID Probable Severe
COVID Probable Critical
COVID Confirmed Severe
COVID Confirmed Critical
Your management will include:
Dexamethasone 6mg/IV OD for 10 days
Methylprednisolone 80mg/IV OD for 10 days
Hydrocortisone 100mg/IV q 12 for 10 days
Hydrocortisone 200mg/IV q 12 for 10 days
Eventually, you decided to administer the antiviral remdesivir to patient F.P. Its dosing is:
100mg intravenous infusion on the first day then 200mg intravenous infusion once a day for five to ten days
100mg intravenous infusion on the first day then 200mg intravenous infusion once a day for ten to fifteen days
200mg intravenous infusion on the first day then 100mg intravenous infusion once a day for five to ten days
200mg intravenous infusion on the first day then 100mg intravenous infusion once a day for ten to fifteen days
Type 1 DM is insulin _____________ while Type 2 DM is insulin _____________.
resistance, deficiency
resistance, intolerance
deficiency, resistance
deficiency, intolerance
Crieteria for the diagnosis of diabetes mellitus, except:
Symptoms of diabetes plus RBS of >200 mg/dL
Fasting plasma glucose of >126mg/dL
HbA1c >7.5%
2h OGTT >200mg/dL
Glucose is the key regulator of insulin secretion by the pancreatic beta cells. At what level does glucose stimulate insulin synthesis?
70mg/dL
80mg/dL
90mg/dL
100mg/dL
Long acting insulin, except:
Degludec
Detemir
Glargine
Glulisine
Diabetic ketoacidosis is characterized by the following, except:
serum glucose >250mg/dL
serum bicarbonate <15mmol/L
positive serum ketones
normal anion gap
Most common clinical manifestation of gonorrhea in male patients?
acute balanitis
acute prostatitis
acute urethritis
acute epididymitis
First line regimen in the treatment of uncomplicated gonococcal infection of the cervix, urethra, pharynx or rectum.
Ceftriaxone 250mg IM + Azithromycin 500mg PO single dose
Ceftriaxone 250mg IM + Azithromycin 1g PO single dose
Ceftriaxone 500mg IM + Azithromycin 500mg PO single dose
Ceftriaxone 500mg IM + Azithromycin 1g PO single dose
J.G. 34/M, known case of HIV went to the laboratory for series of tests. His CD4+ T cell count is 183/uL. As his attending physician, you will start him on:
Co-trimoxazole 160/800mg/tab one tablet 3x a week
Clarithromycin 500mg/tab one tablet every 12 hours
Vaganciclovir 900mg/tab one tablet every 12 hours
Metronidazole 500mg/tab one tablet every eight hours
After 3 months, patient J.G's CD4+ T cell count is now 33/uL. You will start him now on:
Co-trimoxazole 160/800mg/tab one tablet 3x a week
Clarithromycin 500mg/tab one tablet every 12 hours
Vaganciclovir 1200mg/tab one tablet every 12 hours
Metronidazole 500mg/tab one tablet every eight hours
A.P. 22/F is a known asthmatic came in and complains of shortness of breath occurring 3-4 times a week. She also wakes up at night due to excessive coughing and occasional difficulty of breathing but only used her salbutamol MDI once on the past week. She still does her usual activities ike walking, doing household chores and going to the grocery. Her level of asthma symptom control is:
well controlled
partly controlled
partly uncontrolled
fully uncontrolled
Your plan of management for patient A.P. is to:
maintain on as needed SABA only
Start on low dose inhaled corticosteroid
Start on low dose ICS-LABA
Start on medium dose ICS-LABA
Expiratory flow variation consistent with asthma?
FEV1 of >12%
FEV1 of >8%
FEV1 of >8% and > 200mL from baseline
FEV1 of >12% and > 200mL from baseline
M.A. 65/M has previously been treated for PTB, completed, in 1998. He came in to your clinic and based on your history, physical examination and diagnostics, he has a new episode of PTB. He is now classified as:
New case
Relapse
Treatment after failure
Treatment after lost to follow up
This anti TB medication inhibits mycolic acid synthesis
Pyrazinamide
Rifampicin
Ethambutol
Isoniazid
The usual dose of your previous answer in mg/kg is:
5
10
15
25
Multidrug-resistant TB (MDR-TB):
resistant to at least both isoniazid and rifampicin
resistant to isoniazid, rifampicin, levofloxacin, kanamycin
resistant to both pyrazinamide and ethambutol only
none of the above
C.L., 45/M, came in due coffee ground vomitus. He denies having black tarry stools nor loss of consciousness. He has no history of liver disease and denies failure nor anginal symptoms/equivalence. Vital signs were: BP 80/50 HR 121 RR 25 T 36.7 98% oxygen saturation at room air. Labs revealed: Hgb 68 BUN 19. His Glasgow-Blatchford score is:
9
10
11
12
Your plan for patient C.L will include:
Send home
Do upper GI endoscopy within 24 hours
Do lower GI endoscopy within 72 hours
Observe for recurrence
Procedure of choice in most patients admitted with LGIB:
Colonoscopy after an oral lavage
Colonoscopy after upper GI endoscopy
Whole abdominal CT scan with triple and triphasic contrast
CT angiography
Recommended for colorectal cancer screening beginning at age 50 in average-risk adults:
FIT test
FOBT
Colonoscopy
ERCP
Not a proton pump inhibitor:
Omeprazole
Rabeprazole
Metronidazole
Pantoprazole
