Internal Medicine MCQs

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1. Which of the following is the most common cause of community-acquired pneumonia?



2. The hallmark clinical feature of myocardial infarction is:



3. Which electrolyte abnormality is commonly seen in Addison’s disease?



4. Which of the following is the most common cause of peptic ulcer disease?



5. Which valve is most commonly affected in rheumatic heart disease?



6. Which drug is considered first-line therapy in chronic stable angina?



7. The “butterfly rash” is characteristic of:



8. Which test is most specific for diagnosis of myocardial infarction?



9. Which is the most common cause of chronic liver disease worldwide?



10. The “classic triad” of diabetes mellitus includes:



11. Which antihypertensive drug is contraindicated in pregnancy?



12. The most common cause of acute pancreatitis is:



13. The most common arrhythmia seen in thyrotoxicosis is:



14. Which vitamin deficiency causes night blindness?



15. A “barrel-shaped chest” is commonly seen in:



16. Which of the following is a diagnostic feature of nephrotic syndrome?
17. The drug of choice for acute gout attack is:



18. Which of the following is NOT a risk factor for atherosclerosis?



19. Which condition is associated with “moon face” and “buffalo hump”?



20. Which electrolyte abnormality is most common in chronic kidney disease?



21. Which drug is first-line for heart failure with reduced ejection fraction?



22. The Bence-Jones proteins are associated with:



23. Which of the following is the most common cause of iron deficiency anemia?



24. Which lung condition presents with “pink frothy sputum”?



25. Which of the following is NOT a feature of nephritic syndrome?

27. Which condition is classically associated with Kayser-Fleischer rings?



28. Which drug is first-line in treatment of tuberculosis?



29. Which ECG change is classically seen in hyperkalemia?



30. Which is the most common cause of secondary hypertension?



31. Which of the following is a major risk factor for stroke?



32. The classical triad of meningitis is:



33. Which autoantibody is specific for rheumatoid arthritis?



34. Which thyroid disorder is associated with exophthalmos?



35. Which deficiency leads to megaloblastic anemia?



36. Which of the following is the most common cause of cirrhosis worldwide?



37. Which of the following is the gold standard for diagnosis of pulmonary embolism?



38. Which vitamin deficiency causes scurvy?



39. Which investigation confirms diagnosis of diabetes mellitus?



40. Which is the commonest cause of infective endocarditis?



41. Which of the following is the most common site for gout attacks?



42. Which of the following is an example of restrictive lung disease?



43. Which electrolyte imbalance is caused by thiazide diuretics?



44. The most common cause of subarachnoid hemorrhage is:



45. Which condition is associated with “bronze diabetes”?



46. Which infection is most common in HIV patients with CD4 < 200?



47. Which is the most common cause of upper GI bleeding?



48. Which drug is contraindicated in asthma patients?



49. Which of the following is a feature of Horner’s syndrome?



50. Which electrolyte abnormality is seen in SIADH?



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