اسئلة الباطنية العامة لعام 2013/06
1) All of the following are causes of Hyperglycemia except ?
A .DM
B .Pheochromocytoma
C .Thyrotoxicosis
D . DI ````````
E . Glucagonoma
2) All of the following are causes of hypoglycemia except ?
A .Glucagonoma```````````````
B .Postprandial
C .Addison disease
D . Glibenclamide
E. Liver cirrhosis
3) All of the following are causes of Hyponatremia except ?
A . SIADH
B . Furosemide
C . DKA
D . DI``````````
E . Addison disease
4) About SIADH , all are true except ?
A . Euvolemic state
B . High urine specific gravity
C . High urine sodium
D . Hypernatremia`````````
E . Low serum osmolality
5) Most common cause of hypothyroidism worldwide ?
A . Hashimoto thyroiditis
B . Gravis disease
C . Iodine deficiency`````````
D . Subacute thyroiditis
E . Post_thyroidectomy
6) The best laboratory test for follow up patient with Hashimoto thyroiditis is ?
A . T3
B . T4
C . TSH
D . TRH
E . ESR```````
7) All are true about hyperthyroidism except ?
A .Increased appetite
B . Heart rate 50 BPM```````````
C . Hypomenorrhea
D . TSH is very low
E . Atrial fibrillation on ECG
8 ) All are causes of hypercalcemia except ?
A .Thyrotoxicosis
B .Multiple myeloma
C . Lung cancer
D . Furosemide`````````
E . Hyperparathyroidism
10) 55 years old male patient with with back pain , spine X_Ray shows fracture in body of lumbar vertebrae . Lab findings :
K 4.1 , Na 140 , Cl 101 , Ca 13 , Hb 8.5 , WBC 12.3 , platelets 150*10`9 , total protein 105 g/dl .
Which of the following is the most likely diagnosis ?
A .Sarcoidosis
B . Osteosarcoma
C . Multiple myeloma``````````
D . Age related changes
E . Paget disease of the bone
11) picture Erythema nodosum```````
12) The main pathophysiology of Myasthenia gravis is ?
A . Anti calcium channel bodies
B . Low level of acetylcholine
C . Hyposensitivity to acetylcholine
D . Acetylcholine receptor antibodies````````````
E . Neuromuscular degeneration changes
13) All are causes of Polyuria except ?
A . DM
B . DI
C . Renal failure
D . Hypercalcemia
E . SIADH``````````
14) All are true about resistant HTN except ?
A . It is diuretics related condition .````````````
B . Pheochromocytoma is underlying cause .
C . To put this diagnosis , patient must be on 3 drugs , one of them Thiazide .
D . To put this diagnosis , patient must be take the optimal dose for HTN drugs .
E . Diet problems is underlying cause .
15) All are causes of Thrombocytosis except ?
A . IDA
B . Polycythemia rubra vera
C . Hypersplenism````````
D . After Splenectomy
E . Collagen disorders
16) All of the following are causes of Hypokalemia except ?
A . Cushing syndrome``````````
B . Conn syndrome
C .Thiazide
D .Pyloric stenosis
E . Addison disease
17) All of the following are causes of Hyperkalemia except ?
A . Nelson syndrome
B . Rhabdomyolsis
C . Digoxin toxicity
D . Enalapril
E . Conn syndrome```````````
18) One of the following statements is wrong ?
A . Patient with Pheochromocytoma must be treated by B_Blockers .````````````
B . Pheochromocytoma is one of the causes of resistant HTN .
C . Most common cause of secondary HTN is renal disease .
D . Conn syndrome is primary hyperaldosteronism .
E . Most common cause of Thyrotoxicosis is Graves disease .
19) Amlodipine is ?
A . Aldosterone antagonist .
B . B blockers .
C . Muscle relaxants .
D .Dihydropyridine CCB .``````````
E . Non Dihydropyridine CCB .
20) 50 years old male patient is presented with fasting blood sugar 139 mg/dl , which of the following is most appropriate next step ?
A . GAD study .
B . Postprandial glucose tolerance test .
C . Start treatment right now as DM .
D . Another reading of fasting blood sugar .```````````
E . Diet therapy .
21) All are true about DKA except ?
A . PH of the serum < 7.35
B . Hyponatremia
C . Ketones bodies in serum
D . Normal anion gap````````````
E . Complicated by brain edema
22) The major deference between primary and secondary adrenal insufficiency is ?
A . Na and k in serum
B . Blood pressure
C . Weight status
D . Glucose in serum
E . Skin pigmentation`````````````
23) Criteria of disease activity for rheumatoid arthritis include all of the following except ?
A . Rheumatoid factor`````````
B . ESR
C . CRP
D . Thrombocytosis
E . Anti_CCP
24) All of the following about TB are true except ?
A . This disease is preventable and treatable .
B . This disease is systemic
C . This disease mainly affect the Lower lobes of the lung```````````
D . BCG vaccine is live attenuated vaccine for TB
E . Most patients TB infections are due to secondary infection
25) Obesity associated with all of the following except ?
A . Psychological disorders
B . GIT disturbances
C . Colorectal cancer
D . Osteoporosis`````````
E . Osteoarthritis
26) All are causes of Leucocytosis except ?
A . Dermatomyositis
B . Polymyositis
C . Fibromyalgia``````````
D . Septic arthritis
E . Polyarteritis nodosa
27) All are causes of microcytosis except ?
A . Pernicious anemia``````````
B . Sideroblastic anemia
C . B thalassemia
D . Lead toxicity
E . Anemia of chronic disease
28) 22 years old patient with celiac disease , admitted with chief complain of diarrhea for 2 weeks , the most likely cause is ?
A . GIT infection
B . IBS
C . IBD
D . Carcinoid syndrome
E . No adherent to gluten free diet````````````
29) 25 years old male patient present with multiple psychological problems , which of the following disturbances is the most likely to see in this patient ?
A . Bloody diarrhea
B . GIT ulcers
C . Occult blood in stool
D . Alternating diarrhea and constipation``````````
E . IDA
30) Most common cause of upper GI bleeding is ?
A . Mallory Weiss syndrome
B . PUD``````````
C . Varicose veins of esophagus
D . Esophagitis
E . Gastric angiodysplasia
31) Best tool for diagnosis of infective endocarditis ?
A . ECG
B . CT angiography
C . Mediastinoscopy
D . MRI
E . Two dimensional echo`````````````
32) All are causes of chronic liver disease except ?
A . Hepatitis B
B . Hemochromatosis
C . Alpha one antitrypsin deficiency
D . Hepatitis A``````````
E . Cystic fibrosis
33) All are complications of cystic fibrosis except ?
A . Pancreatic insufficiency
B . Hypoglycemia``````````
C . Recurrent lung disease
D . Recurrent sinusitis
E . Anal prolapse
34) All are causes of Bradycardia except ?
A . Metoprolol
B . Digoxin
C . Thyroxine``````````
D . Athletic person
E . Neostagmine
35) Risk of transmission of HIV to medical person's from needle stick is ?
A . 0.3%`````````
B . 0.03%
C . 3%
D . 30%
E . 10%
36) About HIV , all are true except ?
A . AIDS is the last stage of HIV infection .
B . HIV infection is not preventable by vaccination .
C . Heterosexual type of transmission is the most common .```````````
D . It is transmitted by blood transfusion .
E . It is endemic in Africa and some countries of Asia .
37) Paracetamol antidote is ?
A . Protamine sulfate
B . N_acetylcysteine````````````
C . Flumazenil
D . Bicarbonate
E . Vitamin K
39) About pulmonary embolism , all are true except ?
A . Past history of DVT support the diagnosis .
B . Heparin is used for treatment
C . Chest X_Ray usually normal without significant changes
D . It is a block in one or more of the pulmonary veins ``````
E . Classical ECG finding is S1Q3T3
40) Most important risk factors for stroke development is ?
A .High blood pressure``````````
B . Low blood pressure
C . Aneurysm rupture
D . Trauma
E . Vasculitis
41) All are causes of increased CVP except ?
A . Fluid overload
B . Right sided heart failure
C . Pulmonary HTN
D . Anaphylactic shock````````
E . Pulmonary stenosis
42) All are used in treatment of Anaphylactic shock except ?
A . Adrenaline
B . IV fluid
C . 100 % oxygen
D . Hydrocortisone
E . Propranolol`````````````
43) The major deference between vitamin B12 and folate deficiency anemia is ?
A . MCV value
B . HCT value
C . Blood film findings
D . Foot Paresthesia ``````
E . MCHC value
44) All are true about Mycoplasma pneumonia except ?
A . Patient is looking well .
B . Associated with Hemolytic anemia .
C . Common in younger age group .
D . Good response for Macrolides antibiotics .
E . Associated with septic shock ````````
45) Highly severe pneumonia depends on all of the following criteria except ?
A . BUN > 7 mmol/l
B . Confusion
C . Age 20_30 years old``````````
D . R.R > 30/min
E . Systolic blood pressure < 90 mmHg
46) All of the following are true about Nephrotic syndrome except ?
A . HTN```````
B . Proteinuria > 3.5 gram/day
C . Edema
D . Hypercholesterolemia
E . Hypoalbuminemia
47) The most important finding in Glomerulonephritis is ?
A . WBCs casts in urine
B . Hyaline casts in urine
C . RBCs casts in urine``````````
D . Proteinuria
E . Bacteriuria
48) Best drug that is used for prophylaxis and treatment of diabetic nephropathy is ?
A . ARBs```````````
B . B blockers
C . CCB
D . Furosemide
E . Nitrofurantoin
49) Best way of the following to prevent diabetic retinopathy is ?
A . Optimal dose of insulin
B . Optimal dose of metformin
C . Annual visit to physician
D . ACE_i administration
E . Good control of sugar```````````
50) The most early and best laboratory finding for diagnosis of diabetic nephropathy is ?
A . Urine analysis positive for Bacteria
B . Kidney biopsy
C . RBCs casts in urine
D . 24 hour protein /creatinine ratio in the urine
E . Kidney ultrasound`````````
51) All of the following are causes of increasing Triglycerides in serum except ?
A . Nephrotic syndrome
B . Ibuprofen`````````
C . DM
D . Alcohol
E . Lipoprotein lipase deficiency
52) All of the following represents targets for systemic HTN except ?
A . Retinopathy
B . Nephropathy
C . Heart failure
D . Subdural hemorrhage````````
E . Peripheral vascular disease
53) All of the following are causes of exudative pleural effusion except ?
A . PE
B . Hypoalbuminemia``````````
C . Lymphoma
D . Mesothelioma
E . SLE
54) All of the following are true about COPD , except ?
A . FEV1< 80% of predicted
B . Complicated by right heart failure
C . High F:O2 is needed`````````````
D . Stop of smoking is beneficial in stop progression of the disease
E . In ABG PaO2 is low , PaCO2 is high .
55) All of the following are increases risk of DVT except ?
A . Malignancy
B . Estrogen therapy
C . Old age``````````
D . Protein C excess
E . Protein S deficiency
56) In Hyperventilation syndrome , one is true ?
A . Increasing PH of the serum```````````
B . Caused by severe attack of bronchial asthma
C . Characterized by hypercapnia
D . Caused by poliomyelitis
E . No relation to acute respiratory distress syndrome
57) 65 years old male patient , present to emergency room with chief complain of right sided weakness and speech inability ,
one physical examination, right side weakness 1/5 , speech exam , patient obey command but can't speak any words , this type of dysphasias is most likely ?
A . Receptive aphasia
B . Conduction aphasia
C . Expressive aphasia````````````
D . Nominal aphasia
E . Dysarthria
58) All are components of Horner syndrome except ?
A . Proptosis````````
B . Myosis
C . Anhidrosis
D . Enophthalmos
E . Ptosis
59) All of the following are decrease potassium in Hyperkalemic patient except ?
A . Insulin and glucose
B . Ventolin nebulizer
C . Furosemide
D . Calcium gluconate````````
E . Kayexalate resin
60) All of the following are causes of huge massive Splenomegaly except ?
A . Hemolytic anemia`````````
B . Myelofibrosis
C . Malaria
D . Leishmaniasis
E . Tropical Splenomegaly
61) All of the following are risk factors for hepatic encephalopathy except ?
A . GIT bleeding
B . Benzodiazepine
C . Rifampicine
D . Diuretics
E . Neomycin`````````
62) All are true about acute renal failure except ?
A . Pre_renal causes are the most common causes
B . ATN is the most common renal cause
C . It is rarely caused by enlarged prostate
D . Small kidneys and increased echogenicity on ultrasound```````````
E . Usually no history of Co_morbidity
63) Long term steroid therapy can cause all of the following except ?
A . Hypernatremia
B . Hyperkalemia````````````
C . GIT ulcers
D . Suprarenal gland failure
E . Osteoporosis
64) About DKA , all are true except ?
A . Hyponatremia
B . Leucocytosis
C . Serum PH decreased
D . PaCO2 decreased
E . Normal anion gap````````````
65) In severe bronchial asthma , all of the following are true except ?
A . Cyanosis
B . Confusion
C . Hyperresonant chest
D . Exhaustion
E . Bradycardia`````````````
66) The target HbA1c in diabetic patient is ?
A . < 6%
B . < 7%``````````
C . < 8%
D . < 9%
E . < 5%
67) All are causes of Hypokalemia except ?
A . Spironolactone````````````
B . Furosemide
C . Thiazide
D . Conn syndrome
E . Cushing syndrome
A .DM
B .Pheochromocytoma
C .Thyrotoxicosis
D . DI ````````
E . Glucagonoma
2) All of the following are causes of hypoglycemia except ?
A .Glucagonoma```````````````
B .Postprandial
C .Addison disease
D . Glibenclamide
E. Liver cirrhosis
3) All of the following are causes of Hyponatremia except ?
A . SIADH
B . Furosemide
C . DKA
D . DI``````````
E . Addison disease
4) About SIADH , all are true except ?
A . Euvolemic state
B . High urine specific gravity
C . High urine sodium
D . Hypernatremia`````````
E . Low serum osmolality
5) Most common cause of hypothyroidism worldwide ?
A . Hashimoto thyroiditis
B . Gravis disease
C . Iodine deficiency`````````
D . Subacute thyroiditis
E . Post_thyroidectomy
6) The best laboratory test for follow up patient with Hashimoto thyroiditis is ?
A . T3
B . T4
C . TSH
D . TRH
E . ESR```````
7) All are true about hyperthyroidism except ?
A .Increased appetite
B . Heart rate 50 BPM```````````
C . Hypomenorrhea
D . TSH is very low
E . Atrial fibrillation on ECG
8 ) All are causes of hypercalcemia except ?
A .Thyrotoxicosis
B .Multiple myeloma
C . Lung cancer
D . Furosemide`````````
E . Hyperparathyroidism
10) 55 years old male patient with with back pain , spine X_Ray shows fracture in body of lumbar vertebrae . Lab findings :
K 4.1 , Na 140 , Cl 101 , Ca 13 , Hb 8.5 , WBC 12.3 , platelets 150*10`9 , total protein 105 g/dl .
Which of the following is the most likely diagnosis ?
A .Sarcoidosis
B . Osteosarcoma
C . Multiple myeloma``````````
D . Age related changes
E . Paget disease of the bone
11) picture Erythema nodosum```````
12) The main pathophysiology of Myasthenia gravis is ?
A . Anti calcium channel bodies
B . Low level of acetylcholine
C . Hyposensitivity to acetylcholine
D . Acetylcholine receptor antibodies````````````
E . Neuromuscular degeneration changes
13) All are causes of Polyuria except ?
A . DM
B . DI
C . Renal failure
D . Hypercalcemia
E . SIADH``````````
14) All are true about resistant HTN except ?
A . It is diuretics related condition .````````````
B . Pheochromocytoma is underlying cause .
C . To put this diagnosis , patient must be on 3 drugs , one of them Thiazide .
D . To put this diagnosis , patient must be take the optimal dose for HTN drugs .
E . Diet problems is underlying cause .
15) All are causes of Thrombocytosis except ?
A . IDA
B . Polycythemia rubra vera
C . Hypersplenism````````
D . After Splenectomy
E . Collagen disorders
16) All of the following are causes of Hypokalemia except ?
A . Cushing syndrome``````````
B . Conn syndrome
C .Thiazide
D .Pyloric stenosis
E . Addison disease
17) All of the following are causes of Hyperkalemia except ?
A . Nelson syndrome
B . Rhabdomyolsis
C . Digoxin toxicity
D . Enalapril
E . Conn syndrome```````````
18) One of the following statements is wrong ?
A . Patient with Pheochromocytoma must be treated by B_Blockers .````````````
B . Pheochromocytoma is one of the causes of resistant HTN .
C . Most common cause of secondary HTN is renal disease .
D . Conn syndrome is primary hyperaldosteronism .
E . Most common cause of Thyrotoxicosis is Graves disease .
19) Amlodipine is ?
A . Aldosterone antagonist .
B . B blockers .
C . Muscle relaxants .
D .Dihydropyridine CCB .``````````
E . Non Dihydropyridine CCB .
20) 50 years old male patient is presented with fasting blood sugar 139 mg/dl , which of the following is most appropriate next step ?
A . GAD study .
B . Postprandial glucose tolerance test .
C . Start treatment right now as DM .
D . Another reading of fasting blood sugar .```````````
E . Diet therapy .
21) All are true about DKA except ?
A . PH of the serum < 7.35
B . Hyponatremia
C . Ketones bodies in serum
D . Normal anion gap````````````
E . Complicated by brain edema
22) The major deference between primary and secondary adrenal insufficiency is ?
A . Na and k in serum
B . Blood pressure
C . Weight status
D . Glucose in serum
E . Skin pigmentation`````````````
23) Criteria of disease activity for rheumatoid arthritis include all of the following except ?
A . Rheumatoid factor`````````
B . ESR
C . CRP
D . Thrombocytosis
E . Anti_CCP
24) All of the following about TB are true except ?
A . This disease is preventable and treatable .
B . This disease is systemic
C . This disease mainly affect the Lower lobes of the lung```````````
D . BCG vaccine is live attenuated vaccine for TB
E . Most patients TB infections are due to secondary infection
25) Obesity associated with all of the following except ?
A . Psychological disorders
B . GIT disturbances
C . Colorectal cancer
D . Osteoporosis`````````
E . Osteoarthritis
26) All are causes of Leucocytosis except ?
A . Dermatomyositis
B . Polymyositis
C . Fibromyalgia``````````
D . Septic arthritis
E . Polyarteritis nodosa
27) All are causes of microcytosis except ?
A . Pernicious anemia``````````
B . Sideroblastic anemia
C . B thalassemia
D . Lead toxicity
E . Anemia of chronic disease
28) 22 years old patient with celiac disease , admitted with chief complain of diarrhea for 2 weeks , the most likely cause is ?
A . GIT infection
B . IBS
C . IBD
D . Carcinoid syndrome
E . No adherent to gluten free diet````````````
29) 25 years old male patient present with multiple psychological problems , which of the following disturbances is the most likely to see in this patient ?
A . Bloody diarrhea
B . GIT ulcers
C . Occult blood in stool
D . Alternating diarrhea and constipation``````````
E . IDA
30) Most common cause of upper GI bleeding is ?
A . Mallory Weiss syndrome
B . PUD``````````
C . Varicose veins of esophagus
D . Esophagitis
E . Gastric angiodysplasia
31) Best tool for diagnosis of infective endocarditis ?
A . ECG
B . CT angiography
C . Mediastinoscopy
D . MRI
E . Two dimensional echo`````````````
32) All are causes of chronic liver disease except ?
A . Hepatitis B
B . Hemochromatosis
C . Alpha one antitrypsin deficiency
D . Hepatitis A``````````
E . Cystic fibrosis
33) All are complications of cystic fibrosis except ?
A . Pancreatic insufficiency
B . Hypoglycemia``````````
C . Recurrent lung disease
D . Recurrent sinusitis
E . Anal prolapse
34) All are causes of Bradycardia except ?
A . Metoprolol
B . Digoxin
C . Thyroxine``````````
D . Athletic person
E . Neostagmine
35) Risk of transmission of HIV to medical person's from needle stick is ?
A . 0.3%`````````
B . 0.03%
C . 3%
D . 30%
E . 10%
36) About HIV , all are true except ?
A . AIDS is the last stage of HIV infection .
B . HIV infection is not preventable by vaccination .
C . Heterosexual type of transmission is the most common .```````````
D . It is transmitted by blood transfusion .
E . It is endemic in Africa and some countries of Asia .
37) Paracetamol antidote is ?
A . Protamine sulfate
B . N_acetylcysteine````````````
C . Flumazenil
D . Bicarbonate
E . Vitamin K
39) About pulmonary embolism , all are true except ?
A . Past history of DVT support the diagnosis .
B . Heparin is used for treatment
C . Chest X_Ray usually normal without significant changes
D . It is a block in one or more of the pulmonary veins ``````
E . Classical ECG finding is S1Q3T3
40) Most important risk factors for stroke development is ?
A .High blood pressure``````````
B . Low blood pressure
C . Aneurysm rupture
D . Trauma
E . Vasculitis
41) All are causes of increased CVP except ?
A . Fluid overload
B . Right sided heart failure
C . Pulmonary HTN
D . Anaphylactic shock````````
E . Pulmonary stenosis
42) All are used in treatment of Anaphylactic shock except ?
A . Adrenaline
B . IV fluid
C . 100 % oxygen
D . Hydrocortisone
E . Propranolol`````````````
43) The major deference between vitamin B12 and folate deficiency anemia is ?
A . MCV value
B . HCT value
C . Blood film findings
D . Foot Paresthesia ``````
E . MCHC value
44) All are true about Mycoplasma pneumonia except ?
A . Patient is looking well .
B . Associated with Hemolytic anemia .
C . Common in younger age group .
D . Good response for Macrolides antibiotics .
E . Associated with septic shock ````````
45) Highly severe pneumonia depends on all of the following criteria except ?
A . BUN > 7 mmol/l
B . Confusion
C . Age 20_30 years old``````````
D . R.R > 30/min
E . Systolic blood pressure < 90 mmHg
46) All of the following are true about Nephrotic syndrome except ?
A . HTN```````
B . Proteinuria > 3.5 gram/day
C . Edema
D . Hypercholesterolemia
E . Hypoalbuminemia
47) The most important finding in Glomerulonephritis is ?
A . WBCs casts in urine
B . Hyaline casts in urine
C . RBCs casts in urine``````````
D . Proteinuria
E . Bacteriuria
48) Best drug that is used for prophylaxis and treatment of diabetic nephropathy is ?
A . ARBs```````````
B . B blockers
C . CCB
D . Furosemide
E . Nitrofurantoin
49) Best way of the following to prevent diabetic retinopathy is ?
A . Optimal dose of insulin
B . Optimal dose of metformin
C . Annual visit to physician
D . ACE_i administration
E . Good control of sugar```````````
50) The most early and best laboratory finding for diagnosis of diabetic nephropathy is ?
A . Urine analysis positive for Bacteria
B . Kidney biopsy
C . RBCs casts in urine
D . 24 hour protein /creatinine ratio in the urine
E . Kidney ultrasound`````````
51) All of the following are causes of increasing Triglycerides in serum except ?
A . Nephrotic syndrome
B . Ibuprofen`````````
C . DM
D . Alcohol
E . Lipoprotein lipase deficiency
52) All of the following represents targets for systemic HTN except ?
A . Retinopathy
B . Nephropathy
C . Heart failure
D . Subdural hemorrhage````````
E . Peripheral vascular disease
53) All of the following are causes of exudative pleural effusion except ?
A . PE
B . Hypoalbuminemia``````````
C . Lymphoma
D . Mesothelioma
E . SLE
54) All of the following are true about COPD , except ?
A . FEV1< 80% of predicted
B . Complicated by right heart failure
C . High F:O2 is needed`````````````
D . Stop of smoking is beneficial in stop progression of the disease
E . In ABG PaO2 is low , PaCO2 is high .
55) All of the following are increases risk of DVT except ?
A . Malignancy
B . Estrogen therapy
C . Old age``````````
D . Protein C excess
E . Protein S deficiency
56) In Hyperventilation syndrome , one is true ?
A . Increasing PH of the serum```````````
B . Caused by severe attack of bronchial asthma
C . Characterized by hypercapnia
D . Caused by poliomyelitis
E . No relation to acute respiratory distress syndrome
57) 65 years old male patient , present to emergency room with chief complain of right sided weakness and speech inability ,
one physical examination, right side weakness 1/5 , speech exam , patient obey command but can't speak any words , this type of dysphasias is most likely ?
A . Receptive aphasia
B . Conduction aphasia
C . Expressive aphasia````````````
D . Nominal aphasia
E . Dysarthria
58) All are components of Horner syndrome except ?
A . Proptosis````````
B . Myosis
C . Anhidrosis
D . Enophthalmos
E . Ptosis
59) All of the following are decrease potassium in Hyperkalemic patient except ?
A . Insulin and glucose
B . Ventolin nebulizer
C . Furosemide
D . Calcium gluconate````````
E . Kayexalate resin
60) All of the following are causes of huge massive Splenomegaly except ?
A . Hemolytic anemia`````````
B . Myelofibrosis
C . Malaria
D . Leishmaniasis
E . Tropical Splenomegaly
61) All of the following are risk factors for hepatic encephalopathy except ?
A . GIT bleeding
B . Benzodiazepine
C . Rifampicine
D . Diuretics
E . Neomycin`````````
62) All are true about acute renal failure except ?
A . Pre_renal causes are the most common causes
B . ATN is the most common renal cause
C . It is rarely caused by enlarged prostate
D . Small kidneys and increased echogenicity on ultrasound```````````
E . Usually no history of Co_morbidity
63) Long term steroid therapy can cause all of the following except ?
A . Hypernatremia
B . Hyperkalemia````````````
C . GIT ulcers
D . Suprarenal gland failure
E . Osteoporosis
64) About DKA , all are true except ?
A . Hyponatremia
B . Leucocytosis
C . Serum PH decreased
D . PaCO2 decreased
E . Normal anion gap````````````
65) In severe bronchial asthma , all of the following are true except ?
A . Cyanosis
B . Confusion
C . Hyperresonant chest
D . Exhaustion
E . Bradycardia`````````````
66) The target HbA1c in diabetic patient is ?
A . < 6%
B . < 7%``````````
C . < 8%
D . < 9%
E . < 5%
67) All are causes of Hypokalemia except ?
A . Spironolactone````````````
B . Furosemide
C . Thiazide
D . Conn syndrome
E . Cushing syndrome
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