pg. 1 2025 Internal Medicine EOR Exam Test Bank 2 With 120 Exam Prep Questions and Correct Answers/ EOR Internal Med Test 2025 Prep Questions Bank 1 With Answers (Brand New!)
A 26-year-old man presents to the clinic four hours after receiving benzathine penicillin G for primary syphilis. He states he has sweating after resolution of a brief fever two hours after his injection. Physical examination reveals diaphoresis, a significantly more pronounced chancre, tender lymphadenopathy, and mild tachycardia. His vital signs are as follows: temperature of 100.2°F, heart rate of 108 beats per minute, blood pressure 104/60 mm Hg, and respiratory rate of 24 breaths per minute. Which of the following is the best treatment option?ACeftriaxone BDiphenhydramine CDobutamine DIbuprofen D ibuprofen A previously healthy 30-year-old woman presents to your office with complaints of dysuria, flank pain, chills, and vomiting. Urine dipstick results are positive for nitrites and leukocyte esterase. Which of the following is the most appropriate therapy?ACiprofloxacin BFosfomycin CNitrofurantoin DPenicillin A ciprofloxacin A 76-year-old man presents for an examination. After a discussion with his physician, they decide to order a prostate-specific antigen to screen for prostate cancer. The prostate-specific antigen is 4.0. Which of the following, if elicited on history, would increase the concern for prostate cancer?AAfrican-American race BExposure to nickel 1 / 4
pg. 2 CHistory of benign prostatic hyperplasia DHistory of smoking A african american race An 80-year-old woman with a 36-pack-year history of smoking tobacco presents with a chief complaint of increasing dyspnea on exertion over the past six months.Physical exam reveals clubbed digits and bilateral lower lung crackles. Computed tomography shows honeycombing of the lung parenchyma. What is the most likely diagnosis?ABronchiectasis BChronic obstructive pulmonary disease CIdiopathic pulmonary fibrosis DSarcoidosis C idiopathic pulmonary fibrosis Sildenafil is prescribed for an otherwise healthy 54-year-old man who is diagnosed with erectile dysfunction. Which of the following is a potential adverse effect of this medication?AConstipation BCyanopsia CProstate-specific antigen elevation DUrinary retention B cyanopsia A 55-year-old woman with a history of HIV presents to the clinic complaining of a productive cough and dyspnea for two weeks. Her oxygen saturation is 92%, temperature is 101.5°F, pulse is 95/minute, respirations are 17/minute, and blood pressure is 130/85. She has a 10-year history of rheumatoid arthritis and is currently being treated with infliximab. Chest X-ray shows diffuse, bilateral, interstitial infiltrates. The diagnosis is confirmed by examination of respiratory secretions. Which of the following is the most appropriate therapy?AAzithromycin BLevofloxacin CPrednisone DTrimethoprim-sulfamethoxazole
D TMP SMX 2 / 4
pg. 3 A 65-year-old woman presents to the urgent care clinic with a two-day history of decreased vision, headache, and severe eye pain. She denies any trauma and says her symptoms are worse in the evening. She has no significant past medical history and takes no medications. Ophthalmic examination shows a dilated right pupil, a red eye, corneal cloudiness, narrowing of the anterior chamber angle, and increased intraocular pressure. Which of the following is the most likely diagnosis?AAcute uveitis BAngle-closure glaucoma CCorneal abrasion DOpen-angle glaucoma B angle closure glaucoma A 20-year-old woman with a history of cystic fibrosis presents for evaluation of a two year history of multiple episodes of what she describes as "bronchitis". She complains of chronic cough productive of foul-smelling sputum. Auscultation reveals crackles at the lung bases. Chest X-ray is notable for airway dilatation and thickening. Which of the following is the most likely diagnosis?AAsthma BBronchiectasis CChronic bronchitis DEmphysema B bronchiectasis A 40-year-old man presents to the clinic with burning abdominal pain that extends from his navel to his chest for the past couple of days. Loss of appetite is his only other complaint. Physical exam is normal. He smokes one pack of cigarettes per day and drinks two to three beers daily. An ulceration in the gastric lining is seen on upper endoscopy. What is the most likely diagnosis?A Barrett esophagus B Gastric cancer C Peptic ulcer disease D Ulcerative colitis C peptic ulcer disease A 45-year-old hypertensive man presents with a persistent, dry cough. He is currently taking clonidine 0.1 mg three times daily, amlodipine 10 mg daily, lisinopril 40 mg daily, and aspirin 81 mg daily. Which of his medications is most 3 / 4
pg. 4 likely contributing to his symptoms?AAmlodipine BAspirin CClonidine DLisinopril D lisinopril A 44-year-old woman with a history of chronic pancreatitis secondary to alcohol use presents to the clinic for routine care. She reports her symptoms are well- controlled. She was last seen a year ago. Which of the following tests is indicated for this patient?AAbdominal ultrasound BFasting glucose level CMagnetic resonance cholangiopancreatography DSerum amylase and lipase B fasting glucose level what is the triad for WPW short PR wide QRS delta wave Which of the following best represents an appropriate lipid screening protocol for an adult man with no other cardiovascular risk factors?ALipid profile beginning at age 20 BLipid profile beginning at age 30 CLipid profile beginning at age 35 DLipid profile beginning at age 40 C lipid profile beginning at age 35 Which of the following physical exam findings is most indicative of angina pectoris?ALeft-sided chest pain associated with a dermatomal vesicular rash BReproducible chest pain on chest wall palpation CSubsternal chest pain associated with a new third heart sound DSubsternal chest pain associated with decreased heart sounds and jugular venous distention
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