Unlock hundreds more features
Save your Quiz to the Dashboard
View and Export Results
Use AI to Create Quizzes and Analyse Results

OR
Sign inSign in with Facebook
Sign inSign in with Google
Quizzes > Health & Medicine

Internal Medicine Sub-Internship Quiz

Free Practice Quiz & Exam Preparation

Difficulty: Moderate
Questions: 15
Study OutcomesAdditional Reading
3D voxel art depicting Internal Medicine Sub-Internship course

Boost your readiness for the Internal Medicine Sub-Internship with this engaging practice quiz, designed specifically for advanced clinical applications and case-based scenarios. This quiz covers key themes such as diagnostic reasoning, patient management, and integrating core medicine knowledge, making it an ideal tool for students sharpen their skills before embarking on clinical rotations.

Which of the following physical exam findings is most indicative of left-sided heart failure?
Peripheral edema
Hepatomegaly
Bilateral crackles
Jugular venous distension
Bilateral crackles on lung auscultation indicate fluid accumulation in the alveoli often seen in left-sided heart failure. The other findings are more characteristic of right-sided heart failure.
What is the initial imaging modality for evaluating a suspected pneumonia?
Chest X-ray
Lung ultrasound
CT scan of the chest
MRI of the chest
A chest X-ray is a quick and accessible tool used to identify lung infiltrates consistent with pneumonia. Although CT scans and ultrasounds can provide additional detail, they are not the first-line imaging study in this context.
Which physical exam finding is most characteristic of aortic stenosis?
Early diastolic murmur
Harsh crescendo-decrescendo systolic murmur
Mid-systolic click
Diastolic rumble
A harsh crescendo-decrescendo systolic murmur, often radiating to the carotids, is the classic finding in aortic stenosis. The other options are typically associated with different valvular disorders.
In the management of type 2 diabetes mellitus, which class of medication is considered first-line therapy?
Metformin
Insulin
Thiazolidinediones
Sulfonylureas
Metformin is the first-line medication for type 2 diabetes due to its effectiveness in improving insulin sensitivity and its proven safety profile. Other classes are generally reserved as add-on therapy when metformin alone does not achieve adequate glycemic control.
Which electrolyte disturbance is most commonly associated with diabetic ketoacidosis at presentation?
Hyperkalemia
Hypomagnesemia
Hyponatremia
Hypercalcemia
Despite a total body deficit, serum hyperkalemia is commonly observed in diabetic ketoacidosis due to the shift of potassium out of cells in response to acidosis. Other electrolyte disturbances may occur but are not as characteristic during the initial presentation.
In a patient with systolic heart failure (EF = 35%), which medication class is essential for reducing mortality?
Calcium Channel Blockers
Loop Diuretics
Nitrates
ACE Inhibitors
ACE inhibitors are a cornerstone in the management of systolic heart failure as they reduce afterload and prevent adverse cardiac remodeling, thereby improving long-term survival. Loop diuretics relieve symptoms but do not confer a mortality benefit.
A 55-year-old female with chronic obstructive pulmonary disease presents with severe dyspnea and chest discomfort. Her ECG shows T-wave inversions in V2-V4. What is the next best step in management?
Perform immediate coronary angiography
Obtain serum troponin levels
Initiate bronchodilator therapy immediately
Administer high-dose corticosteroids
Given the ECG changes suggestive of myocardial ischemia, it is important to assess serum troponin levels to evaluate for a non-ST elevation myocardial infarction. Focusing solely on COPD management may delay necessary cardiac evaluation.
Which of the following is a crucial aspect of antibiotic management in patients with suspected septic shock?
Early administration of broad-spectrum antibiotics
Monotherapy with narrow-spectrum antibiotics
Delaying antibiotics until culture results are available
Avoiding the use of vasopressors
In septic shock, early administration of broad-spectrum antibiotics is critical to target the likely pathogens and improve patient outcomes. Delaying treatment or using narrow-spectrum antibiotics initially can lead to worsening infection and higher mortality.
A 60-year-old diabetic patient presents with foot ulceration and signs of osteomyelitis. Which pathogen is most commonly implicated in diabetic foot infections?
Pseudomonas aeruginosa
Streptococcus pneumoniae
Staphylococcus aureus
Escherichia coli
Staphylococcus aureus is the most frequently encountered pathogen in diabetic foot infections and osteomyelitis. Although other organisms may be present, S. aureus remains the primary cause in most cases.
Which clinical prediction rule is commonly used in the evaluation of a patient with suspected pulmonary embolism?
Wells score
Glasgow Coma Scale
TIMI score
CHA2DS2-VASc score
The Wells score is a validated tool that helps stratify the probability of pulmonary embolism based on clinical findings. The other scoring systems are intended for different clinical scenarios, such as stroke risk or myocardial infarction.
Which laboratory marker is most useful in diagnosing an acute myocardial infarction?
Creatinine phosphokinase (CPK) levels
C-reactive protein
Erythrocyte sedimentation rate
Troponin I levels
Troponin I is highly specific and sensitive for myocardial injury, making it the gold standard biomarker in diagnosing acute myocardial infarction. While CPK may be elevated, it lacks the specificity offered by troponin assays.
A patient with chronic kidney disease is being evaluated pre-operatively. Which of the following is most important to assess in order to avoid perioperative complications?
Visual acuity
Dietary habits
Skin integrity
Electrolyte balance
Electrolyte imbalances can precipitate significant complications during and after surgery in patients with chronic kidney disease. Correcting these imbalances is critical to reducing the risk of arrhythmias and other perioperative issues.
For a patient with heart failure with preserved ejection fraction (HFpEF), which management strategy is most appropriate?
Aggressive diuresis with high dose loop diuretics
Routine use of beta-blockers
Use of ACE inhibitors to reduce mortality
Control of hypertension
Management of HFpEF primarily focuses on controlling hypertension and other comorbid conditions since evidence for mortality benefit with ACE inhibitors or beta-blockers is not well established in this population. Overaggressive diuresis may lead to further complications, emphasizing the importance of blood pressure management.
In the acute setting of suspected stroke, which imaging modality is preferred to differentiate between ischemic and hemorrhagic stroke?
Non-contrast CT scan of the head
CT angiography
MRI of the brain
Ultrasound of the carotid arteries
A non-contrast CT scan of the head is the preferred initial imaging modality in acute stroke because it is fast and effective at distinguishing hemorrhagic from ischemic strokes. Although MRI provides detailed imaging, its accessibility and time constraints make CT the first choice in emergencies.
A patient hospitalized with acute decompensated heart failure develops a rising serum creatinine after initiation of ACE inhibitors. Which of the following best explains this laboratory finding?
Acute tubular necrosis
Intrinsic glomerulonephritis
Pre-renal azotemia from dehydration
Reduction in glomerular filtration due to efferent arteriole dilation
ACE inhibitors dilate the efferent arteriole, which can decrease glomerular filtration pressure and lead to a mild rise in serum creatinine. This is an expected pharmacologic effect rather than a sign of direct renal injury, as suggested by the other options.
0
{"name":"Which of the following physical exam findings is most indicative of left-sided heart failure?", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Which of the following physical exam findings is most indicative of left-sided heart failure?, What is the initial imaging modality for evaluating a suspected pneumonia?, Which physical exam finding is most characteristic of aortic stenosis?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

Study Outcomes

  1. Apply clinical reasoning to integrate core medicine knowledge into patient case analysis.
  2. Analyze complex clinical scenarios to develop appropriate management plans.
  3. Interpret diagnostic data to support evidence-based decision making in patient care.
  4. Demonstrate effective communication skills in interdisciplinary healthcare settings.

Internal Medicine Sub-Internship Additional Reading

Embarking on your Internal Medicine Sub-Internship? Here are some top-notch resources to guide you through:

  1. Primer to the Internal Medicine Subinternship This 59-page guide offers comprehensive insights into making the most of your subinternship, covering topics from advanced communication skills to practical day-to-day tasks.
  2. AAIM Internal Medicine Subinternship Curriculum 2.0 - Interactive Dive into this interactive, evidence-based toolkit designed to enhance your readiness for residency, complete with literature reviews and learning objectives.
  3. The Internal Medicine Subinternship: A Curriculum Needs Assessment Explore this study that identifies and prioritizes essential competencies for subinterns, providing a foundation for a structured curriculum.
  4. The Internal Medicine Subinternship - Now More Important than Ever This position paper discusses the evolving role of the subinternship in medical education and offers recommendations for enhancing the transition from medical school to residency.
  5. The New Internal Medicine Subinternship Curriculum Guide A report from the Alliance for Academic Internal Medicine, this guide provides updated learning objectives and curricular content to support your subinternship experience.
Make a Quiz (FREE) Copy & Edit This Quiz Create a Quiz with AI

Health & Medicine Quizzes

Powered by: Quiz Maker