PLE Category: Internal Medicine

PLE-2439

A 40-year-old male complains of excruciating pain and swelling in his left big toe that developed suddenly. He is obese and is a heavy beer drinker. On physical examination, you note marked swelling, redness, and warmth of the left big toe. Which of the following treatments would you not recommend for acute attacks?

PLE-2437

You are assessing glycemic control in a diabetic patient who does self-monitoring of blood glucose. You note that the patient’s post-prandial glucose levels are elevated. Which of the following hypoglycemic agents target post-prandial glucose in particular?

PLE-2438

What is the most common sign of hyperthyroidism?

PLE-2434

Is a high level of adenosine deaminase (>40 IU/L) in pleural fluid virtually diagnostic of?

PLE-2435

A 35/F diagnosed with SLE comes in for a follow-up. Routine labs were done, revealing the following results: ABG: pH 7.35, pCO2 34, pO2 of 98; Na 132; K 3.2; Cl 108; and HCO3 12. What is the likely cause of the patient’s metabolic disorder?

PLE-2436

Should the presence of ECG changes in hyperkalemia be considered as an emergency, and thus, managed immediately? If so, which of the following ECG abnormalities is characteristic of hyperkalemia?

PLE-2432

A 45-year-old male presents with severe, prolonged substernal chest pain associated with diaphoresis and nausea. The ECG reveals ST segment elevation in the anterior leads. Among other medications, you initiate treatment with Metoprolol. What is the mechanism of action of this drug in the management of myocardial infarction-induced ischemia?

PLE-2433

You are performing the chest PE on a patient who came in for dyspnea. The left lung fields were dull on percussion, while vocal fremitus was increased. This is consistent with what condition?

PLE-2430

A 24-year-old woman comes to the physician because of constant, severe pain in her neck, shoulders, and back for 3 months. She has been unable to enjoy her usual activities because of the pain. Use of over-the-counter ibuprofen and aspirin has not relieved her symptoms. She has a history of irritable bowel syndrome. Examination shows multiple tender spots over the neck, shoulders, and lumbar spine. Range of motion of all joints is full. There is no evidence of synovitis. Fluorescent serum antinuclear antibody and rheumatoid factor assays are negative. What is the most likely diagnosis?