WorksheetsInternal Medicine II - SE1
Total questions: 25
Worksheet time: 13mins
Which of the following is a case of presumptive PTB?
22 y/o male with 2 days history of fever
54 y/o female diabetic complaining of difficulty in breathing for 2 weeks
21 y/o male with CXR finding of left upper lobe cavitary infiltrate
40 y/o male with weight loss
The most likely etiology of an acute lung abscess developing in a young, previously healthy patient, especially in conjunction with influenza.
Staphylococcus aureus
Streptococcus pneumonia
Mycobacterium tuberculosis
Klebsiella pneumonia
How often should monitoring of RPR or VRDL titers be for patients with secondary neurosyphilis?
At 6 and 12 months
At 6, 12, and 24 months
Every 6 months until asymptomatic
Every 6 months until normal
M.T. a 36 year old, male came for consult due to 2 days history of cough productive of yellowish phlegm with undocumented fever. Upon physical examination he has stable vital signs. With noted crackles in the Left lower lung field. What is the most likely pathogen?
Staphylococcus aureus
Pseudomonas aeruginosa
Streptococcus pneumoniae
Gram Neg bacilli
Which of the following statement is true regarding the pretreatment screening test in PTB?
All patient should be screened for DM and HgbAIc must be requested
Serum uric acid is routinely requested prior to starting anti-TB med
Baseline serum ALT and Creatinine should be measured before starting anti-TB medications
Patient should be referred to ophthalmologist for baseline eye function
Duration of treatment of low risk uncomplicated pneumonia.
3 days only
3-5 days
5-7 days
10-14 days
Which of the following is the risk factor for Pseudomonas aeruginosa infection?
Bronchiectasis
Diabetes Mellitus
Hematologic malignancy
Cerebrovascular disease
Which of the following is an indirect method that can be used to confirm leptospirosis, but main caveat includes being time-consuming (requires acute and convalescent sera) and hazardous because it detects live antigens of the leptospire?. Single choice.
Lepto-PCR
Leptospirosis-MAT
LeptoDipstick
LAATS
SARS-COV-2 virus is able to enter into the human cell via which receptor?
ACE1 receptor
CXCR4 co-receptor
ACE2 receptor
CD4 receptor + CCR5 co-receptor
Which of the following statements is correct about exercise-induced asthma?
The mechanism is linked to hypoventilation, which results to increased osmolality in airway lining fluid and triggers mast cell mediator release
It is worst during hot, humid condition
Typically begins after exercise has ended and resolves spontaneously within about 30 minutes
It is best prevented by SABA treatment
Once diagnosis of Asthma is confirmed, lung function is a most useful indicator of future risk and should be recorded at diagnosis, ________ at the time of diagnosis and periodically thereafter.
2 - 4 weeks
1 - 2 months
2-4 months
3-6 months
A 22 year old male known asthmatic since childhood consulted your clinic for check up. Patient has poor compliance to maintenance medication( ICS+LABA) . He reported that he has daytime symptoms and limitations of activities and night time awakening 2-3x a week. This was relieved by intake of short acting B 2 agonist. What is the status of his Asthma?
Controlled asthma
Partly controlled
Uncontrolled
Exacerbation
Lipopolysaccharide, which is found in the cell wall of gram-negative bacteria and is involved in the initiation of inflammation in septic patients, is considered under which category?
Pattern Recognition Receptors
Pathogen-associated Molecular Patterns
Damage-associated Molecular Patterns
Pathogen Recognition Receptors
ETM, 40/M, came into ER because of a 4-day history of fever, with associated abdominal pain and vomiting. She also has no bowel movement for 3 days and oliguria. On PE, patient is awake, coherent, follows commands. Speaks in phrases. BP = 80/50, HR = 128, RR = 26, Temp = 38C, O2sat = 89% on room air. (+) Icteric sclerae. (+) Board-like rigidity of the abdomen, with hypoactive bowel sounds. Baseline CBC showed thrombocytopenia of 60. What is the qSOFA of the patient?
1
2
3
4
This stage of exudative pleural effusion is characterized by polymorphonuclear leukocytosis, normal glucose, and normal pH?
Exudative stage
Fibrinopurulent stage
Organization stage
Fibrosis
LR a 34 year-old smoker consulted your clinic due to 2 weeks history of productive cough with associated afternoon fever, anorexia and weight loss. No previous antibiotic intake reported. However, the patient claimed that 1 year ago, he was prescribed with anti-Tb medications because of an incidental finding of PTB on CXR. He took the medicine for 2 weeks and was lost to follow up. How would you classify this patient?
New Case
Retreatment
Relapse
Treatment after lost to follow
According to the Updated Sepsis-3 Definition (2018) and the Philippine Clinical Practice Guidelines on Sepsis and Septic Shock (2020), when is the best time to administer empiric antibiotics?
Within 6 hours after recognition of sepsis
Within 4 hours after recognition of sepsis
Within 3 hours after recognition of sepsis
Within 1 hour after recognition of sepsis
Which HIV enzyme is responsible for the incorporation of proviral DNA from viral RNA to the nucleus?
Integrase
Protease
RNA polymerase
Reverse transcriptase
85.SR, 41/M, a construction worker, came to ER because of fever for 4 days, with calf pain. On PE, conjunctival suffusion, crackles on both lung fields and meningismus were noted. Which of the following is the best disposition for the patient?
Send the patient home and prescribe with doxycycline
Admit the patient and watch out for hemoptysis and respiratory distress
Send the patient home, prescribe antibiotics and for OPD follow-up.
Observe the patient at the ER for 48 hours and observe
TCA, 46/F, was brought in to the ER because of vomiting, headache, fever and decreasing sensorium of 14-day duration. On PE, vital signs were 110/90, HR = 115, RR = 24, Temp = 38.6C. (+) Kernig’s and brudzinski signs, (+) nuchal rigidity. Plain cranial CT scan: (+) meningeal enhancement. S/P Lumbar tap, with opening pressure at 320. CSF analysis: WBC 600, predominantly polymorphonuclear cells, with hypoglycorrhachia, protein 170, and gram stain has negative yield. CALAS: (+). What is the most probable etiologic agent of the CNS infection?
Cryptococcus neoformans
Streptococcus pneumoniae
Herpesvirus
Mycobacterium tuberculosis
Massive hemoptysis is defined as hemoptysis of:
>50-100 cc in 12 hrs
>50-100 cc in 24 hrs
>200-600 cc in 12 hrs
>200-600 cc in 24 hrs
In children, the most common cause of FUO after infection is
Neoplasm
Granulomatous disease
Collagen vascular disease
Habitual hyperthermia
In which of the following patients will you suspect the presence of fever of unknown origin?
16 years old female with 3 days fever, with normal CBC, and urinalysis
34 years old engineer with fever of more than three weeks
21 years old student with fever, chills, and diaphoresis every three days
45 years old construction worker with fever of 38 deg Celsius
Which of the following statements regarding Acute Kidney Injury in septic patients is correct?
AKI increases the risk of in-hospital death ten time
AKI is documented in less than 50% of septic patients
AKI may occur in up to 25% of patients in the absence of overt hypotension
AKI manifests as uremia and rarely requires dialysis
32/M consulted due to history of wading in flood. On physical exam, you noted that there were no open wounds on both feet. How should the patient be advised?
Take Doxycycline 2 capsules 100 mg single dose within 24 to 72 hours from exposure
Take Doxycycline 2 capsules 100 mg OD for 3-5 days within 24 to 72 hours from exposure
Take Amoxicillin 2 capsules 500 mg single dose within 24 to 72 hours from exposure
Take Amoxicillin 2 capsules 100 mg OD for 3-5 days within 24 to 72 hours from exposure
