Internal Medicine Flashcards

A frequent presentation of multiple myeloma is the combination of acute back pain and constipation.
Both are common symptoms in the population and are usually benign.
However, in myeloma, both vertebral collapse (back pain) and hypercalcaemia (constipation) are medical emergencies for which relatively simple manoeuvres are effective.
Other features of myeloma are generalised bone pain, thirst, confusion, anaemia, weight loss and general malaise.

Action: Check serum calcium (high), and both blood and urine
immunoglobulins for a paraprotein
(20% of myeloma shows a paraprotein in the urine only).
Arrange X-rays of the affected area looking for osteoporosis or classical lytic lesions.

A 40-year-old woman with moderate persistent asthma has been under good control for 3 months and is currently using her albuterol MDI for symptomatic control once weekly. She awakens at night twice monthly with asthma symptoms, but continues to exercise regularly without difficulties. Her other medications include fluticasone inhaled 88 μg/puff twice daily and salmeterol 50 μg twice daily. Her FEV₁ is currently at 83% of her personal best. Which action is most appropriate at the present time?

A

Add montelukast 10 mg once daily, as the current albuterol usage suggests poor asthma control.

B

Decrease the fluticasone to 44 μg/puff twice daily.

C

Discontinue the fluticasone.

D

Discontinue the salmeterol.

E

Do nothing, as the current albuterol usage suggests poor asthma control.

A 57-year-old man is evaluated with an esophagogastroduodenoscopy after an episode of hematemesis. The patient reports a history of to***co use and hypercholesterolemia, but is otherwise healthy. He has had lower back pain for the past month and has been intermittently using acetaminophen 1000 mg for relief. His endoscopy shows a 3-cm duodenal ulcer. Which of the following statements is correct regarding this finding?

A

The lesion should be biopsied as duodenal ulcers have an elevated risk of being due to carcinoma.

B

First-line therapy should be discontinuation of acetaminophen use.

C

The patient is not at risk for any associated cancers.

D

Poor socioeconomic status is a risk factor for development of this condition.

E

Antral gastritis is rarely found with this condition.

Time window for administration of thrombolytic therapy in STEMI
12 hours

The 3 most effective preventive interventions in decreasing the risk of developing CAD.
1- Smoking cessation
2- Treatment of hyperlipidemia
3- Treatment of HTN

4 causes of angina not related to coronary obstruction.
1-Aortic stenosis
2-Bp: systemic arterial HTN
3-Coronary vasospasm
4-Disease: HCM

In this page we will follow a specialized system. Some posts will offer links to download the most updated books in internal medicine. Other posts will offer a wide variety of media to allow easy understanding of specific topics. Also you can suggest any topic for open discussion.

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Internal Medicine Flashcards