DailyInternalMed 🩺 @DailyInternalM

DailyInternalMed 🩺 Joined September 2025

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DailyInternalMed 🩺 @DailyInternalM

5 days ago

Drug causing a persistent dry cough? A. Losartan B. Amlodipine C. Enalapril D. Atenolol

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DailyInternalMed 🩺 @DailyInternalM

5 days ago

Great 👍

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DailyInternalMed 🩺 @DailyInternalM

a week ago

Topic: Cardiology A 72-year-old man presents with syncope. ECG shows complete heart block. He is hypotensive, and atropine has not improved his condition. What is the next best step? A) IV amiodarone B) IV adenosine C) Transcutaneous pacing D) Oral beta-blocker

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DailyInternalMed 🩺 @DailyInternalM

a week ago

Topic: Endocrinology A 35-year-old woman presents with fatigue, weight loss, and postural hypotension. Labs show Na⁺ 128 mmol/L, K⁺ 5.8 mmol/L, and low morning cortisol. What is the best confirmatory test? A) Overnight dexamethasone suppression test B) ACTH stimulation test C) Water deprivation test D) Oral glucose tolerance test

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DailyInternalMed 🩺 @DailyInternalM

a week ago

Topic: Nephrology A 58-year-old man with CKD has persistent hyperkalemia despite dietary restriction. He is taking an ACE inhibitor. Which medication is most appropriate to help control chronic hyperkalemia while allowing continuation of RAAS blockade? A) Spironolactone B) Patiromer C) Trimethoprim D) Amiloride

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DailyInternalMed 🩺 @DailyInternalM

a week ago

A 65-year-old man presents with fever, confusion, and neck stiffness. CSF shows lymphocytic pleocytosis, normal glucose, and mildly elevated protein. What is the most likely diagnosis? A) Bacterial meningitis B) Viral meningitis C) Tuberculous meningitis D) Cryptococcal meningitis

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DailyInternalMed 🩺 @DailyInternalM

a week ago

IM MCQ – Cardiology A patient with atrial fibrillation is hemodynamically unstable with hypotension and altered consciousness. What is the immediate management? A) IV metoprolol B) IV amiodarone C) Synchronized electrical cardioversion D) Oral anticoagulation

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DailyInternalMed 🩺 @DailyInternalM

a week ago

IM MCQ – Nephrology A patient with SIADH has a serum sodium level of 118 mmol/L and develops seizures. What is the most appropriate initial treatment? A) Fluid restriction B) 0.9% saline C) 3% hypertonic saline D) Oral salt tablets

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DailyInternalMed 🩺 @DailyInternalM

a week ago

MCQ – Hematology A patient with suspected TTP presents with thrombocytopenia, microangiopathic hemolytic anemia, and schistocytes. What is the most appropriate next step? A) Await ADAMTS13 results before treatment B) Start urgent plasma exchange C) Transfuse platelets routinely D) Start oral iron therapy

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DailyInternalMed 🩺 @DailyInternalM

a week ago

IM MCQ – Pulmonology A patient with COPD exacerbation has a pH of 7.25 and PaCO₂ of 70 mmHg despite initial medical treatment. What is the next best step? A) High-flow oxygen alone B) Non-invasive ventilation (BiPAP) C) Immediate intubation in all cases D) IV sodium bicarbonate

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DailyInternalMed 🩺 @DailyInternalM

a week ago

IM MCQ – Gastroenterology A patient with cirrhosis presents with confusion, ascites, and asterixis. What is the first-line treatment for hepatic encephalopathy? A) Rifaximin alone B) Lactulose C) Metronidazole D) Protein restriction

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DailyInternalMed 🩺 @DailyInternalM

a week ago

@MedLearnHub Kaposi

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Dr CHIRAG 🩺 @Chiragrx07

a week ago

✨ TRIAD OF THE DAY ✨ A patient presents with:- • long-standing rheumatoid arthritis • splenomegaly • neutropenia What is the most likely diagnosis?

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient develops AKI, hemoptysis, and hematuria with RBC casts. Which antibody is classically associated with Goodpasture syndrome? A) Anti-CCP B) Anti-GBM antibody C) Anti-centromere D) Anti-mitochondrial antibody Answer: B) Anti-GBM antibody

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with giant cell arteritis develops transient visual loss. What is the immediate management? A) Wait for temporal artery biopsy B) Start high-dose glucocorticoids immediately C) Start NSAIDs only D) Reassure and arrange routine follow-up Answer: B) Start high-dose glucocorticoids immediately

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with heart failure has an EF of 25%. Which medication is proven to reduce mortality? A) Furosemide B) Sacubitril/valsartan C) Digoxin D) Amlodipine Answer: B) Sacubitril/valsartan

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with acute pancreatitis develops hypocalcemia. Which mechanism contributes to this finding? A) Increased intestinal calcium absorption B) Fat necrosis with calcium saponification C) Increased PTH secretion D) Reduced urinary phosphate excretion Answer: B) Fat necrosis with calcium saponification

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with hypercalcemia has an elevated PTH level. What is the most likely diagnosis? A) Malignancy-associated hypercalcemia B) Primary hyperparathyroidism C) Vitamin D intoxication D) Sarcoidosis Answer: B) Primary hyperparathyroidism

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with HIV has a CD4 count of 150 cells/µL. Which prophylaxis is indicated against Pneumocystis jirovecii pneumonia (PJP)? A) Azithromycin B) TMP-SMX C) Fluconazole D) Isoniazid Answer: B) TMP-SMX

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DailyInternalMed 🩺 @DailyInternalM

2 weeks ago

patient with hyperthyroidism has suppressed TSH and elevated free T4. Which antibody is most specific for Graves disease? A) Anti-TPO B) TSH-receptor antibody (TRAb) C) Anti-thyroglobulin D) Anti-dsDNA Answer: B) TSH-receptor antibody (TRAb)