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Rosh Review- Internal Medicine Questions Solved with 100% Correct Verified Answers $12.49   Add to cart

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Rosh Review- Internal Medicine Questions Solved with 100% Correct Verified Answers

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Rosh Review- Internal Medicine Questions Solved with 100% Correct Verified Answers

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  • October 26, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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KenAli
Rosh Review- Internal Medicine
Questions Solved with 100% Correct
Verified Answers
What size of lung nodules should be biopsied right away?
Patients with a smoking history and a large nodule (> 8 mm in diameter)

-Nodules less than 8 mm in size can be followed with serial CT studies to ensure the
lesion is not growing
What are the diagnostic steps for Acromegaly?
Start with serum IGF-1 (best):
-Normal = r/o acromegaly
-High = confirm dx

-Equivocal serum level: further testing using an oral glucose suppression test
is required.
What is the outpt treatment for community acquired PNA?
No comorbidies: amoxicillin or doxy or macrolide

Comorbidies (chronic heart, lung, liver, or renal disease, ETOH, actice CA, DM)
= Augmentin PLUS azithro or doxy
What is the definition of metabolic syndrome?
3 of the following:

-Waist circumference > 102 cm/40 inches male, >88 cm/35 inches female

-Fasting plasma glucose > 100 mg/dL -BP > 130/85


-Trig > 150
-HDL < 40 male, 50 female
What foods are high in vitamin K, hence should be avoided in pts taking Warfarin?

, -Kale
-Broccoli
-Brussel sprouts
-Lettuce
-Liver
-Spinach
-Parsley
What is the best imaging modality used to assess acute azotemia?
Renal US
What is the common pt hx for the following Pneumoconiosis:
-Asbestosis
-Berylliosis
-Silicosis
Asbestosis: shipping, roofing, plumbing
Berylliosis: aerospace, fluorescent bulbs
Silicosis: foundries, sandblasting, mines

How does the timeline of sx differ for parkinsons disease dementia vs dementia
with lewy body

Parkinson's disease dementia usually will preceed with motor sx of parkinsons
earlier on followed by dementia sx years later

Dementia with lewy body: cognitive impairment often develops before or at the
same time as parkinsonisms
What factors have shown decrease in mortality in pts with COPD?
-Smoking cessation
-Long term Supplemental Oxygen therapy
What are examples of paraneoplastic syndromes seen with lung CA?
-SCLC: SIADH (low Na); ACTH and ADH secreting
-Large Cell: gynecomastia
-SCC: Hypercalemia (PTH secreting), pancoast syndrome

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