PLE Category: Internal Medicine

PLE-2315

What is the only pharmacologic therapy demonstrated to unequivocally decrease mortality rates in patients with COPD?

PLE-2316

Which of the following is a clinical manifestation of secondary syphilis?

PLE-2317

A 56-year-old male with no known comorbidities presented with gradual abdominal enlargement. On physical examination, the abdomen was tense with a positive fluid wave and shifting dullness. The rest of the examination was essentially unremarkable. A diagnostic paracentesis was done, which showed a serum ascites albumin gradient (SAAG) of > 1.1 g/dL. Which of the following clinical conditions are compatible with such findings?

PLE-2318

To be considered a candidate for thrombolytic therapy, how many hours should the onset of symptoms to time of drug administration be less than or equal to?

PLE-2319

What is the most common manifestation of diffuse CNS lupus?

PLE-2312

A 60-year-old male sought consultation due to muscle weakness. His blood pressure was elevated at 180/110, and an abdominal bruit was noted. Blood tests revealed hypokalemia. An arterial duplex scan was done, which showed decreased blood flow through the right renal artery. What are the expected plasma renin activity (PRA) and aldosterone levels for this case?

PLE-2313

What area in the central nervous system does a locked-in state of preserved consciousness with quadriplegia and cranial nerve signs suggest complete infarction of?

PLE-2314

A 56-year-old female developed dysphagia to both solids and liquids from the onset. Which of the following disorders would be most compatible with this case?

PLE-2309

A 40-year-old female presented with progressive weight gain and marked swelling of her lower extremities. She has no known comorbidities. PE is normal, except for the presence of a grade 2 bipedal edema. CBC, BUN, electrolytes, and creatinine were all normal. Her urinalysis showed a 4+ albumin, oval fat bodies, and free fat droplets. Her 24-hour urine albumin excretion was elevated at 8.6 grams. Which of the following findings would also be expected in this patient?