PLE Category: Internal Medicine

PLE-2311

Which of the following statements concerning Pheochromocytoma is false?

PLE-2304

A patient presents with anemia and an enlarged spleen upon palpation. Peripheral smear reveals RBC’s with a lack of central pallor. Family history is also significant for the condition. If a splenectomy is performed on this patient, which of the following may be prevented?

PLE-2305

What is the drug of choice in a patient with Addison’s disease presenting with acute adrenal crisis?

PLE-2306

An elderly female patient, who recently suffered from left-sided hemiparesis, is able to comprehend speech but is unable to repeat words and has difficulty using words and sentences. Which area of the cortex is most likely affected?

PLE-2307

A 72-year-old patient presents at the ER with complaints of dyspnea and chest discomfort. P.E. findings include decreased dullness on percussion and decreased breath sounds and vocal fremitus. She has a history of chronic hypertension. Chest x-ray reveals cardiomegaly and blunting of the costophrenic angle. Which of the following findings is most consistent with the patient’s most likely diagnosis upon thoracentesis?

PLE-2308

A 54-year-old anxious and diaphoretic male patient presents at the ER, complaining of severe substernal chest pain that is unrelieved by rest. Physical examination reveals bradycardia, and ECG shows ST segment elevation of II, III, aVF. BP is 130/90, HR is 52, and RR is 23. Which of the following is most consistent with the patient’s scenario?

PLE-2299

If the condition is allowed to progress, what type of renal failure will this patient most likely develop, considering that he was found to be very dehydrated and hypotensive due to heat exhaustion and severe dehydration?

PLE-2300

Which of the following oral hypoglycemic medications are contraindicated for a 50-year-old female patient known to have diabetes and hypertension for 10 years, who recently complained of episodes of exertional dyspnea, bipedal edema, nocturnal cough, and 2-pillow orthopnea?

PLE-2301

A 65-year-old male with a 20-pack-year smoking history presents with increasing dyspnea, weight loss, and occasional intermittent coughing. His primary physician requested a chest x-ray, which revealed a hilar mass on the right hemithorax causing collapse of the right upper lung lobe. What is the most likely finding on physical examination in this patient?