IM Interns Second Quiz

F.P. 54/M came in the ER due to a one week history of difficulty of breathing associated with intermittent fever Tmax 38.9^oC, non productive cough, anosmia and ageusia. He is a known hypertensive and diabetic. On PE, he was conscious, coherent in cardio respiratory distress. BP 100/70 HR 121 RR 32 T 38.6 90% O2 saturation at room air. Chest radiograph revealed bilateral pneumonia with peripheral involvement and ABG showed uncompensated respiratory alkalosis with inadequate oxygenation. PF ratio was 232. RT-PCR for SARS-CoV 2 result is not yet available. Your impression?

• CAP MR COVID Suspect Severe

• CAP MR COVID Suspect Critical

• CAP MR COVID Probabe Severe

• CAP MR COVID Probable Critical

RT-PCR for SARS CoV 2 of patient F.P. revealed positive result. He is now classified as:

• COVID Probable Severe

• COVID Probable Critical

• COVID Confirmed Severe

• COVID Confirmed Critical

Your management will include:

• Dexamethasone 6mg/IV OD for 10 days

• Methylprednisolone 80mg/IV OD for 10 days

• Hydrocortisone 100mg/IV q 12 for 10 days

• Hydrocortisone 200mg/IV q 12 for 10 days

Eventually, you decided to administer the antiviral remdesivir to patient F.P. Its dosing is:

• 100mg intravenous infusion on the first day then 200mg intravenous infusion once a day for five to ten days

• 100mg intravenous infusion on the first day then 200mg intravenous infusion once a day for ten to fifteen days

• 200mg intravenous infusion on the first day then 100mg intravenous infusion once a day for five to ten days

• 200mg intravenous infusion on the first day then 100mg intravenous infusion once a day for ten to fifteen days

Type 1 DM is insulin _____________ while Type 2 DM is insulin _____________.

• resistance, deficiency

• resistance, intolerance

• deficiency, resistance

• deficiency, intolerance

Crieteria for the diagnosis of diabetes mellitus, except:

• Symptoms of diabetes plus RBS of >200 mg/dL

• Fasting plasma glucose of >126mg/dL

• HbA1c >7.5%

• 2h OGTT >200mg/dL

Glucose is the key regulator of insulin secretion by the pancreatic beta cells. At what level does glucose stimulate insulin synthesis?

• 70mg/dL

• 80mg/dL

• 90mg/dL

• 100mg/dL

Long acting insulin, except:

• Degludec

• Detemir

• Glargine

• Glulisine

Diabetic ketoacidosis is characterized by the following, except:

• serum glucose >250mg/dL

• serum bicarbonate <15mmol/L

• positive serum ketones

• normal anion gap

Most common clinical manifestation of gonorrhea in male patients?

• acute balanitis

• acute prostatitis

• acute urethritis

• acute epididymitis