Medicine Internal MCQs 2026

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

1. A measure oxygen saturation and assess for respiratory failure ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

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

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D check glucose, airway patency and neurological status urgently ✓

Hypertension in medicine refers to

1. A chronic obstructive pulmonary disease with airflow limitation ✓
2. B inflammation of liver from various causes ✓
3. C reduced hemoglobin or red cell mass ✓
4. D sustained elevation of blood pressure above 140/90 mmHg ✓

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

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D check glucose, airway patency and neurological status urgently ✓

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

1. A delay all investigations until next outpatient visit ✓
2. B obtain ECG and cardiac enzymes before disposition ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

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

1. A obtain ECG and cardiac enzymes before disposition ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

Diabetes mellitus in medicine refers to

1. A disorder of glucose metabolism with hyperglycemia ✓
2. B mucosal break in stomach or duodenum ✓
3. C proteinuria with edema and hypoalbuminemia ✓
4. D excess thyroid hormone causing hypermetabolic state ✓

Heart failure in medicine refers to

1. A inflammation of liver from various causes ✓
2. B inability of heart to pump adequate blood for body needs ✓
3. C reduced hemoglobin or red cell mass ✓
4. D chronic autoimmune inflammatory arthritis ✓

COPD in medicine refers to

1. A proteinuria with edema and hypoalbuminemia ✓
2. B chronic obstructive pulmonary disease with airflow limitation ✓
3. C excess thyroid hormone causing hypermetabolic state ✓
4. D sustained elevation of blood pressure above 140/90 mmHg ✓

Peptic ulcer in medicine refers to

1. A mucosal break in stomach or duodenum ✓
2. B reduced hemoglobin or red cell mass ✓
3. C chronic autoimmune inflammatory arthritis ✓
4. D disorder of glucose metabolism with hyperglycemia ✓

Hepatitis in medicine refers to

1. A excess thyroid hormone causing hypermetabolic state ✓
2. B inflammation of liver from various causes ✓
3. C sustained elevation of blood pressure above 140/90 mmHg ✓
4. D inability of heart to pump adequate blood for body needs ✓

Nephrotic syndrome in medicine refers to

1. A chronic autoimmune inflammatory arthritis ✓
2. B proteinuria with edema and hypoalbuminemia ✓
3. C disorder of glucose metabolism with hyperglycemia ✓
4. D chronic obstructive pulmonary disease with airflow limitation ✓

Anemia in medicine refers to

1. A sustained elevation of blood pressure above 140/90 mmHg ✓
2. B inability of heart to pump adequate blood for body needs ✓
3. C reduced hemoglobin or red cell mass ✓
4. D mucosal break in stomach or duodenum ✓

Thyrotoxicosis in medicine refers to

1. A disorder of glucose metabolism with hyperglycemia ✓
2. B excess thyroid hormone causing hypermetabolic state ✓
3. C chronic obstructive pulmonary disease with airflow limitation ✓
4. D inflammation of liver from various causes ✓

Rheumatoid arthritis in medicine refers to

1. A inability of heart to pump adequate blood for body needs ✓
2. B chronic autoimmune inflammatory arthritis ✓
3. C mucosal break in stomach or duodenum ✓
4. D proteinuria with edema and hypoalbuminemia ✓

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

1. A check glucose, airway patency and neurological status urgently ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

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

1. A delay all investigations until next outpatient visit ✓
2. B obtain ECG and cardiac enzymes before disposition ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

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

1. A measure oxygen saturation and assess for respiratory failure ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

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

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D measure oxygen saturation and assess for respiratory failure ✓