Medicine Internal MCQs 2026

Internal medicine case 40: a ward admission presenting with shortness of breath requires the clinician to

1. Adelay all investigations until next outpatient visit✓
2. Bdischarge without vital sign monitoring✓
3. Cprescribe antibiotics without clinical indication✓
4. Dmeasure oxygen saturation and assess for respiratory failure✓

Internal medicine case 33: a outpatient clinic presenting with shortness of breath requires the clinician to

1. Ameasure oxygen saturation and assess for respiratory failure✓
2. Bdelay all investigations until next outpatient visit✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Internal medicine case 29: a emergency department presenting with chest pain evaluation requires the clinician to

1. Adelay all investigations until next outpatient visit✓
2. Bobtain ECG and cardiac enzymes before disposition✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Internal medicine case 27: a outpatient clinic presenting with altered consciousness requires the clinician to

1. Acheck glucose, airway patency and neurological status urgently✓
2. Bdelay all investigations until next outpatient visit✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Internal medicine case 3: a outpatient clinic presenting with chest pain evaluation requires the clinician to

1. Aobtain ECG and cardiac enzymes before disposition✓
2. Bdelay all investigations until next outpatient visit✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Rheumatoid arthritis in medicine refers to

1. Ainability of heart to pump adequate blood for body needs✓
2. Bchronic autoimmune inflammatory arthritis✓
3. Cmucosal break in stomach or duodenum✓
4. Dproteinuria with edema and hypoalbuminemia✓

Thyrotoxicosis in medicine refers to

1. Adisorder of glucose metabolism with hyperglycemia✓
2. Bexcess thyroid hormone causing hypermetabolic state✓
3. Cchronic obstructive pulmonary disease with airflow limitation✓
4. Dinflammation of liver from various causes✓

Anemia in medicine refers to

1. Asustained elevation of blood pressure above 140/90 mmHg✓
2. Binability of heart to pump adequate blood for body needs✓
3. Creduced hemoglobin or red cell mass✓
4. Dmucosal break in stomach or duodenum✓

Nephrotic syndrome in medicine refers to

1. Achronic autoimmune inflammatory arthritis✓
2. Bproteinuria with edema and hypoalbuminemia✓
3. Cdisorder of glucose metabolism with hyperglycemia✓
4. Dchronic obstructive pulmonary disease with airflow limitation✓

Hepatitis in medicine refers to

1. Aexcess thyroid hormone causing hypermetabolic state✓
2. Binflammation of liver from various causes✓
3. Csustained elevation of blood pressure above 140/90 mmHg✓
4. Dinability of heart to pump adequate blood for body needs✓

Peptic ulcer in medicine refers to

1. Amucosal break in stomach or duodenum✓
2. Breduced hemoglobin or red cell mass✓
3. Cchronic autoimmune inflammatory arthritis✓
4. Ddisorder of glucose metabolism with hyperglycemia✓

COPD in medicine refers to

1. Aproteinuria with edema and hypoalbuminemia✓
2. Bchronic obstructive pulmonary disease with airflow limitation✓
3. Cexcess thyroid hormone causing hypermetabolic state✓
4. Dsustained elevation of blood pressure above 140/90 mmHg✓

Heart failure in medicine refers to

1. Ainflammation of liver from various causes✓
2. Binability of heart to pump adequate blood for body needs✓
3. Creduced hemoglobin or red cell mass✓
4. Dchronic autoimmune inflammatory arthritis✓

Diabetes mellitus in medicine refers to

1. Adisorder of glucose metabolism with hyperglycemia✓
2. Bmucosal break in stomach or duodenum✓
3. Cproteinuria with edema and hypoalbuminemia✓
4. Dexcess thyroid hormone causing hypermetabolic state✓

Hypertension in medicine refers to

1. Achronic obstructive pulmonary disease with airflow limitation✓
2. Binflammation of liver from various causes✓
3. Creduced hemoglobin or red cell mass✓
4. Dsustained elevation of blood pressure above 140/90 mmHg✓

Internal medicine case 17: a emergency department presenting with altered consciousness requires the clinician to

1. Adelay all investigations until next outpatient visit✓
2. Bdischarge without vital sign monitoring✓
3. Cprescribe antibiotics without clinical indication✓
4. Dcheck glucose, airway patency and neurological status urgently✓

Internal medicine case 19: a ward admission presenting with chest pain evaluation requires the clinician to

1. Adelay all investigations until next outpatient visit✓
2. Bobtain ECG and cardiac enzymes before disposition✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Internal medicine case 23: a emergency department presenting with shortness of breath requires the clinician to

1. Ameasure oxygen saturation and assess for respiratory failure✓
2. Bdelay all investigations until next outpatient visit✓
3. Cdischarge without vital sign monitoring✓
4. Dprescribe antibiotics without clinical indication✓

Internal medicine case 52: a ward admission presenting with altered consciousness requires the clinician to

1. Adelay all investigations until next outpatient visit✓
2. Bdischarge without vital sign monitoring✓
3. Cprescribe antibiotics without clinical indication✓
4. Dcheck glucose, airway patency and neurological status urgently✓