اسئلة الباطنية 2014 (1)

A 70 year old woman with a few months history of leg pain ,gum bleeding and petechiae on the arm after the application of a sphygmomanomerter.which of the following vitamin defficiencies dose pateint have ?
1- Vit A
2- Vit B
3- Vit C
4- Vit B 12
5- Vit E
Regarding detection of H-pylori infection,the least useful test is :
1- Tissue culture of gastric biopsy
2- Urea breath test
3- Histology of gastric biopsy
4- Rapid urease test of gastric biopsy
5- Stool antigen test
Which of the following antibiotic has been particularly assciated with hemolytic reactions in patient with G6PD ?
1- Amoxicillin
2- Clindamycin
3- Vancomycin
4- Cloxacillin
5- Trimethoprim/sulfamthoxazole

Which of the following antibiotics is absolutely contraindication in pregnant wowen:
1- Imipenem
2- Azithromycin
3- Ceftriaxone
4- Cloxacillin
5- Tetracycillin
All the following are true about influenza vaccine except:
1- It is given  annually
2- It is contraindicated in patient with Guillain Barre syndrome
3- It is composed of three strains of influenza virus
4- It is contraindication in immunocoprpmised patients
5- It is safe in pregnancy
Which of the following is ture concerning sickle cell trait:
1- It is a cause of anemia
2- It protects against malatia
3- It occurs mainly in female
4- It is a cause of frequent sikle cells in the peripheral blood
5- It is associated with hemoglobin H

Male was admitted with pneumonia caused by mycoplasma,all of the following are characteristics of this type of pneumonia except:
1- Insidious onset of the disease
2- Fever of 38 C
3- Sever leukocytosis
4- Good response to macrolides
5- Hemolytic anemia

All of the following are considered anti-pseudomanal antibiotics except:
1- Ceftazidime
2- Ciprofloxacin
3- Ceftriaxone
4- Gentamicin
5- Cefipime
The activities of school health are except:
1- Screening of school children to detect and disease are abnormality
2- Teaching students about health system
3- Providing treatment any student falls sick in the school
4- Health education
5- Immunization

One of the following is not a systemic complication of ulcerative colitis:
1- Erythema nodosum
2- Pyoderma gangrenosum
3- Arthritis
4- Malabsorption
5- Sclerosing cholangitis

Inflammatoy diarrhea is characterized :
1- Absence of leucocytes in the stool
2- Absence of fever
3- Presence of leucocytes in the stool
4- Absence of blood in the stool
5- ???

The route of transmission of this virus is fecal oral route:
1- Hepatitis  B virus
2- Hepatitis C virus
3- Hepatitis E virus
4-  Hepatitis D virus
5- Human immune deficiency virus

In the treatment of infective endocarditis ,all true except:
1- Persistent fever may indicate a nonbacterial like fungal cause
2- Cidal drugs rather than statics should be used
3- Always await the culture results before giving any teatment
4- Inrtvenous route is always perferred
5- Persistent fever may indicate a drug fever
The most common cause of upper gastrointestinal bleeding:
1- Esophageal varices
2- GERD
3- Peptic ulcer disease
4- NSAID induced erosive gastritis
5- Esophageal ulcer

One of the following is not a presentation of liver cirrhosis
1- Gynecomatia
2- Abdomianl collateral circulation
3- Asterixis
4- Cerebral edema and brain hernation
5- Ascites

The diagnosis of live cirrhosis is established by:
1- Abdominal U/S
2- Prothrombin time and serum albumin
3-  Liver biopsy
4- Testing for HbsAg ,HCV Ab, ANA, iron and urine cupper
5- Platelets count to todoucumenthypersplenism

In the coure of DKA ,which of the following is true about serum potasstum level:
1- It remain unaffected
2- It can appear normal but total body potassium may actually be low
3- It can appear normal but total body potassium may actually be high
4- It will naturally be corrected by insulin administration
5- None of the above
The most effective method for preventing diabetic retinopathy is :
1- Reducing triglyceride level
2- Controlling blood glucose levels
3- Smoking cessation
4- Use of an ACE inhibitor
5- Use of aspirin

Which of the following is most sensitive early sign for detecting diabetic nephropathy:
1- Serum creatinine
2- urinary albumin/creatinine ratio
3- Serum urea level
4- Ranal ultrasonography
5- Creatinine clearance


The following are clinical features os restrictive cardiomyopathy:
1- Presentation which mimics constrictive pericarditis
2- Primarily characterized by impaired diastolic function
3- Association with primary or secondary amyloidosis
4- Complication of conditions inducing marked peripheral blood eosinophilla
5- Gross cardiomwgaly on CXR

The risk of transmission of hepatitis B virus followingpercutaneous  needle stick injury is:
1- 0.3%
2- 3%
3- 30%
4- 60%
5- 90%
70 year old man presents for health assessment.whichBp reading would indicate the highest risk for a cerebrovascular accidents:
1- 110/90
2- 120/90
3- 130/70
4- 140/80
5- 155/70

All the  following about Hepatitis A infection true except:
1- Fecal – oral transmission
2- It is a common cause of chronic liver disease
3- Mortality increases with advancing age
4- Maximum infectivity of the disease is before the onset of jaundice
5- Hepatitis A vaccine is protective from the disease

In patient with macrocytic anemia,which one the following features B12 defieciency rather than folate deficiency :
1- Mild jaundice
2- Loss of weigh
3- Skin purpura
4- Lower limb neuropathy
5- Recurrent throat infection
Peripheral blood neurophilleucocytosis would be an expected finding in all of the following  except:
1- Connective tissue diseases
2- Corticosteroid therapt
3- Pregnancy
4- Whooping cough
5- Mesenteric infarction
Regarding santitation barriers all the following are true except:
1- Protection of water supply
2- Protection of food
3- Personal hygiene
4- Control of flies
5- Using of spring water better than tap water

All the following are true about Hepatitis B virus vaccine except:
1- It is given in three doses
2- Common schedule is: 0, 1 , 6 months
3- It is safe in immunocompromised  individuals
4- Booster dose is routinely given after 10 years from finishing the series(the three doses)
5- It is highly protective to hepatitis B virus

Which of the following features suggests adrenal insufficiency :
1- Hypoglycemia
2- Hypokalemia
3- Leukopenia
4- Anemia
5- Hypertension
55 year old asymptomatic obese female presents to your clinic for checkup and general advice,youadvice her all of the following condition are strongly assciated with obesity except one:
1- Insulin resistance
2- Hypertension
3- Osteoporosis
4- Arteriosclerosis
5- Hypoventilation