اسئلة الباطنية 2014 (2)
1) Most common cause of Hemoptysis :
A) Bronchiectasis
B) Pneumonia
C) Pulmonary embolism
D) Mitral stenosis
E) Bronchitis
2) All are causes of finger clubbing except :
A) Emphysema
B) Cystic fibrosis
C) Lung abscess
D) Ulcerative colitis
E) Infective endocarditis
3) All are causes of respiratory acidosis except :
A) Encephalitis
B) Myasthenia gravis exacerbation
C) Severe anemia
D) Bikwikian syndrome
E) Severe bronchial asthma
4) All are causes of Hyperkalemia except :
A) Conn syndrome
B) B blockers
C) Digoxin
D) Addison disease
E) Valsartane
5) All are true about bronchial asthma except :
A) Family history of eczema
B) Reversible airway obstruction
C) Decreased FEV1/FVC ratio less than 80%
D) Most children with bronchial asthma become worse in adolescent
E) Normal PaCO2 indicate severe bronchial asthma
6) All are causes of Hypokalemia except :
A) Laxatives
B) Massive blood transfusion
C) Furosemide
D) Insulin therapy
E) DKA
7) All drugs used for emergency treatment of bronchial asthma except :
A) Hydrocortisone IV
B) Mgso4 magnesium sulfate
C) Atropine sulfate
D) Motilokast
E) Aminophylline
8) All are causes of Hyponatremia except :
A) CHF
B) DI
C) Thiazide
D) Diarrhea
E) DKA
9) All are causes of pitting edema except :
A) Pregnancy
B) Liver cirrhosis
C) DVT
D) Filariasis
E) Amlodipine
10) All are true about digitalis toxicity except :
A) Hyperkalemia
B) Yellow vision
C) Jaundice
D) Anorexia
E) Premature ventricular contractions on ECG
11) All are true about warfarin except :
A) it decreases synthesis of clotting factors 2,7,9,10
B) It is used in atrial fibrillation
C) It causes skin necrosis
D) It is contraindicated in pregnancy
E) It is monitored by activating clotting time
12) All are true diagnostic criteria of DM except :
A) Random blood glucose > 200mg/dl + classic symptoms
B) Fasting blood glucose > 126 mg/dl
C) Two hour 75 g oGTT > 200 mg/dl
D) HbA1c > 7%
E) Random blood glucose > 200 mg/dl at least two separate reading
13) All of the following are absorbed in upper small bowel except :
A) Fat
B) Folic acid
C) Vitamin A
D) Bile salt
E) Proteins
14) All are true about duodenal ulcer except :
A) H pylori infection is the most common risk factor
B) Bleeding is the most common complication
C) Epigastric pain relived by eating or antacid
D) Dyspepsia and melana are the most common presentation
E) Biopsy is required to rule out malignancy
15) All are true about multiple sclerosis except :
A) Chronic inflammatory demyelinating disease
B) Relapsing remitting is the most common type
C) More common in males
D) Oligoclonal bands of IgG on CSF
E) First line for disease modifying therapy is interferon B
16) All are true about hemophilia A except :
A) X linked recessive disease
B) Prolonged PT
C) Hemarthrosis
D) DDAVP is used in mild cases
E) Brain hemorrhage is the most common cause of death
17) All are causes of Hypernatemia except :
A) Cushing syndrome
B) DI
C) Conn syndrome
D) Addison disease
E) Chronic diarrhea
18) All are true about COPD except :
A) Progressive airway obstruction
B) Smoking is the major risk factor
C) Alpha antitrypsin deficiency is risk factor
D) Pink puffer appearance indicate of chronic bronchitis
E) Respiratory acidosis on ABGs
19) The U wave on ECG is typically for :
A) Hypercalcemia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
E) Hyponatremia
20) All are true about Metoprolol except :
A) It is selective B1 blockers
B) It decreases heart rate and blood pressure
C) It is used for treatment coronary artery disease
D) It is used for treatment second degree heart block
E) It is a cause of Hyperkalemia
21) All are true about heparin except :
A) Unfractionated heparin is monitored by PTT
B) LMWH inhibits factor Xa clotting factor
C) It is used in acute MI
D) Safe in pregnancy
E) Contraindicated in Thrombocytosis
22) All are class 1 antiarrhythmic agents except :
A) Quinidine
B) Lidocaine
C) Flecainide
D) Amiodarone
E) Procainamide
23) All hormones synthesized in pituitary gland except :
A) Prolactin
B) Luteinizing hormone
C) Adrenocorticotropic hormone
D) Gonadotropin realizing hormone
E) Growth hormone
24) All are used for treatment DKA except :
A) Normal saline
B) Insulin
C) Gliclazide
D) Potassium
E) Bicarbonate
25) Most common cause of hyperprolactinemia is :
A) Pregnancy
B) Prolactinoma
C) Hypothyroidism
D) Chronic renal failure
E) Medications
26) All are true about GERD except :
A) Low LES tone
B) Heartburn is the most common symptom
C) Chronic cough and wheezing
D) Diagnosed by 24 hour esophageal manometry
E) PPI are the most effective therapy
27) All are signs and symptoms of hypercalcemia except :
A) HTN
B) Prolonged QT interval
C) Constipation
D) Polyuria
E) Depression
28) Plummer Vinson syndrome include all , except :
A) Dysphagia
B) Folic acid deficiency anemia
C) Koilonychia
D) Esophageal webs
E) Cheilosis
29) All are true matching except :
A) Rheumatoid factor _Rheumatoid arthritis
B) Anti CCP antibodies _ SLE
C) Anti Histone antibodies _ Drug induced SLE
D) Anti Centromere antibodies _ scleroderma
E) P_ANCA antibodies _ ulcerative colitis
30) All are antitubercolosis drugs except :
A) Metronidazole
B) Refampicine
C) Pyrazinamide
D) Ethambutole
E) Streptomycine
31) All are causes of transudate pleural effusion except :
A) Liver cirrhosis
B) PE
C) Hypothyroidism
D) Mesothelioma
E) Constrictive pericarditis
32) Most common lung cancer in non smokers :
A) Adenocarcinoma
B) Large cell cancer
C) SCC
D) Small cell cancer
E) Mesothelioma
33) All are causes of sinus tachycardia except :
A) Hypovolemic shock
B) Polycythemia
C) MI
D) PE
E) Graves disease
34) All are major ( cardinal ) risk factors of IHD except :
A) DM
B) Hyperhomocysteinemia
C) Smoking
D) Family history
E) HTN
35) Most common cause of infectious Myocarditis :
A) Coxsaki B virus
B) Echovirus
C) Staphylococcus aureus
D) Clostridium diphtheriae
E) Clostridium perfringens
36) All are true about Enalapril except :
A) Inhibits Angiotensin converting enzyme
B) Decreases aldosterone synthesis
C) Is used in CHF
D) Is used in treatment preeclampsia
E) Is contraindicated in bilateral renal artery stenosis
37) All are Beta Receptors antagonists except :
A) Metoprolol
B) Atenolol
C) Albuterol
D) Carvedilol
E) Esmolol
38) The lipoprotein responsible for transport cholesterol from peripheral tissue to liver :
A) Very low density lipoprotein
B) Low density lipoprotein
C) Intermediate density lipoprotein
D) Cholomicron
E) High density lipoprotein
39) All are true about type 1 DM except :
A) It is autoimmune
B) Accounts for 5_10% of all DM
C) Associated with Myasthenia gravis
D) Associated with polycystic ovarian syndrome
E) Glutamic acid decarboxylase antibodies are positive
40) All are signs and symptoms of hypoglycemia except :
A) Tremor
B) Seizures
C) Sweating
D) Bradycardia
E) Whipple triad
41) All are causes of nephrogenic DI except :
A) Lithium
B) Hypokalemia
C) Hydrocephalus
D) Hypercalcemia
E) Chronic renal disease
42) Homogeneous diffuse uptake of radioisotope thyroid scan is characteristic for :
A) Graves disease
B) Multinodular goiter
C) Toxic adenoma
D) Hashimoto thyroiditis
E) Papillary thyroid cancer
43) All are causes of hypercalcemia except :
A) Hypervitaminosis D
B) Hypervitaminosis A
C) Sarcoidosis
D) Lithium
E) Acute pancreatitis
44) The definitive diagnosis of Achalasia by :
A) Chest X_Ray
B) Barium study
C) Esophagoscopy
D) Manometry
E) 24 hours PH metry
45) All are true about Brocas aphasia except :
A) Non fluent
B) Repetition is poor
C) Naming is good
D) Comprehension is good
E) Lesion in posterior inferior frontal lobe
46) All are true matching except :
A) IDA _ Normal MCV
B) Folate deficiency _ megaloblastic anaemia
C) Cyanocobalamine deficiency _ peripheral neuropathy
D) Vitamin K deficiency _ prolonged INR
E) Vitamin A deficiency _ Xerophthalmia
47) All are true about bacterial septic meningitis except :
A) Protein is very high
B) WBC is very high
C) Glucose is very high
D) It has poor prognosis than viral
E) Most common cause in adults is Streptococcus pneumonia
48) All are true about aortic stenosis except :
A) Severe aortic stenosis if aortic valve area < 1cm
B) Most common presentation is exertional angina
C) Pulsus parvus et tardus
D) Pulsus bisferiens
E) Systolic ejection murmur
49) All are true about Chlorthalidone except :
A) It works on distal convoluted tubule
B) It is the drug of choice for HTN in patient age more than 55 years old
C) It causes Hyponatremia and Hypokalemia
D) It causes metabolic acidosis
E) It is contraindicated in gestational HTN
50) All are true about DKA except :
A) Usually occurs in the type one DM
B) Risk factors are infections, missed insulin doses
C) Kussmaul breathing
D) Most cause of death is Hypokalemia
E) High anion gap metabolic acidosis
51) All are true about criteria of metabolic syndrome except :
A) Waist circumference in men > 102 cm , in women > 88 cm
B) HDL< 40 mg/dl in men and < 50 mg/dl in women
C) Triglycerides > 100 mg/dl
D) Blood pressure > 130/85 mmhg
E) Fasting glucose level > 100 mg/dl
52) All are signs and symptoms of Acromegaly except :
A) Arthritis
B) HTN
C) Carpal tunnel syndrome
D) Hypoglycemia
E) Visual field defects
53) All are true about criteria of SIADH except :
A) Plasma osmolality less than 285 mosm / kg
B) Plasma Na > 140 meq/l
C) Urine Na > 40 meq/l
D) Absence of edema
E) Absence of renal failure
54) All are signs and symptoms of Thyrotoxicosis except :
A) Tremor
B) HTN
C) Amenorrhea
D) Weight gain
E) Diarrhea
55) All are true about Cushing syndrome except :
A) Avascular necrosis of head of the femur
B) Osteoporosis
C) Acanthosis nigricans
D) Hirsutism
E) Metabolic acidosis
56) All are causes of hypocalcemia except :
A) Pseudohypoparathyroidism
B) Furosemide
C) Nephrotic syndrome
D) Osteoporosis
E) Medullary thyroid cancer
57) All are used for H pylori infection eradication except :
A) Ceftriaxone
B) Amoxicillin
C) Clarithromycin
D) Tetracycline
E) Metronidazole
58) All are causes of acute inflammatory diarrhea except :
A) Yersinia
B) Shigella
C) Salmonella
D) Amebiasis
E) Gardiasis
59) All are true about diagnostic criteria of SLE except :
A) Alopecia
B) Malar rash
C) Arthritis
D) ANA antibodies
E) Hemolytic anemia
60) All are true about HIV except :
A) HIV is RNA Retrovirus
B) Acute infection is mononucleosis like illness
C) Latent stage is characterized by long duration
D) AIDS is HIV and CD4 count < 300 cells /m3
E) PCP is the most common cause of lung infection in AIDS patients
61) All are decreases overall mortality in CAD except :
A) Aspirin
B) Metoprolol
C) Virapamil
D) Ramiprile
E) Revascularization
62) All are signs and symptoms of left side heart failure except :
A) Cool extremities
B) Hepatomegaly
C) Cough
D) Pulsus Alternans
E) Pulmonary edema
63) All are true about aortic regurgitation except :
A) Water_hammer pulse
B) Wide pulse pressure
C) Early diastolic murmur
D) Hyperdynamic apex beat
E) Pulsus paradoxus
64) All are side effects of Furosemide except :
A) Hypovolemia
B) Hypokalemia
C) Hyperglycemia
D) Hypercalcemia
E) Hyperurecemia
65) All are true about digoxin except :
A) It is positive inotropic drug
B) It slows conduction through AV node
C) It is used for treatment of WPW syndrome
D) It is used for treatment CHF
E) It is contraindicated in second and third degree of heart block
66) All are true about Addison disease except :
A) Darkness of skin
B) Hypokalemia
C) Metabolic acidosis
D) Association with vitiligo
E) Hypotension
67) All are signs and symptoms of hypothyroidism except :
A) Intolerance to heat
B) Slow heart rate
C) Amenorrhea
D) Anemia
E) Constipation
68) All are true about diabetic nephropathy except :
A) It is a microvascular complication of DM
B) Most early sign is Microalbuminuria
C) Elevated HbA1c is risk factor
D) Tight glycemic and blood pressure control are protective factors
E) B blockers are drug of choice for treatment and prevention
69) All are true about target in treatment patient with DM except :
A) HbA1c < 7%
B) Fasting blood glucose < 126 mg/dl
C) Blood pressure < 140/85
D) Postprandial glucose < 180 mg/dl
E) LDL < 78 mg/dl
70) All are true about aspirin except :
A) It is irreversible Cox _1 inhibitor
B) It causes Thrombocytopenia
C) It is monitored by bleeding time
D) It causes impairment of renal perfusion
E) It is contraindicated in active PUD
A) Bronchiectasis
B) Pneumonia
C) Pulmonary embolism
D) Mitral stenosis
E) Bronchitis
2) All are causes of finger clubbing except :
A) Emphysema
B) Cystic fibrosis
C) Lung abscess
D) Ulcerative colitis
E) Infective endocarditis
3) All are causes of respiratory acidosis except :
A) Encephalitis
B) Myasthenia gravis exacerbation
C) Severe anemia
D) Bikwikian syndrome
E) Severe bronchial asthma
4) All are causes of Hyperkalemia except :
A) Conn syndrome
B) B blockers
C) Digoxin
D) Addison disease
E) Valsartane
5) All are true about bronchial asthma except :
A) Family history of eczema
B) Reversible airway obstruction
C) Decreased FEV1/FVC ratio less than 80%
D) Most children with bronchial asthma become worse in adolescent
E) Normal PaCO2 indicate severe bronchial asthma
6) All are causes of Hypokalemia except :
A) Laxatives
B) Massive blood transfusion
C) Furosemide
D) Insulin therapy
E) DKA
7) All drugs used for emergency treatment of bronchial asthma except :
A) Hydrocortisone IV
B) Mgso4 magnesium sulfate
C) Atropine sulfate
D) Motilokast
E) Aminophylline
8) All are causes of Hyponatremia except :
A) CHF
B) DI
C) Thiazide
D) Diarrhea
E) DKA
9) All are causes of pitting edema except :
A) Pregnancy
B) Liver cirrhosis
C) DVT
D) Filariasis
E) Amlodipine
10) All are true about digitalis toxicity except :
A) Hyperkalemia
B) Yellow vision
C) Jaundice
D) Anorexia
E) Premature ventricular contractions on ECG
11) All are true about warfarin except :
A) it decreases synthesis of clotting factors 2,7,9,10
B) It is used in atrial fibrillation
C) It causes skin necrosis
D) It is contraindicated in pregnancy
E) It is monitored by activating clotting time
12) All are true diagnostic criteria of DM except :
A) Random blood glucose > 200mg/dl + classic symptoms
B) Fasting blood glucose > 126 mg/dl
C) Two hour 75 g oGTT > 200 mg/dl
D) HbA1c > 7%
E) Random blood glucose > 200 mg/dl at least two separate reading
13) All of the following are absorbed in upper small bowel except :
A) Fat
B) Folic acid
C) Vitamin A
D) Bile salt
E) Proteins
14) All are true about duodenal ulcer except :
A) H pylori infection is the most common risk factor
B) Bleeding is the most common complication
C) Epigastric pain relived by eating or antacid
D) Dyspepsia and melana are the most common presentation
E) Biopsy is required to rule out malignancy
15) All are true about multiple sclerosis except :
A) Chronic inflammatory demyelinating disease
B) Relapsing remitting is the most common type
C) More common in males
D) Oligoclonal bands of IgG on CSF
E) First line for disease modifying therapy is interferon B
16) All are true about hemophilia A except :
A) X linked recessive disease
B) Prolonged PT
C) Hemarthrosis
D) DDAVP is used in mild cases
E) Brain hemorrhage is the most common cause of death
17) All are causes of Hypernatemia except :
A) Cushing syndrome
B) DI
C) Conn syndrome
D) Addison disease
E) Chronic diarrhea
18) All are true about COPD except :
A) Progressive airway obstruction
B) Smoking is the major risk factor
C) Alpha antitrypsin deficiency is risk factor
D) Pink puffer appearance indicate of chronic bronchitis
E) Respiratory acidosis on ABGs
19) The U wave on ECG is typically for :
A) Hypercalcemia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
E) Hyponatremia
20) All are true about Metoprolol except :
A) It is selective B1 blockers
B) It decreases heart rate and blood pressure
C) It is used for treatment coronary artery disease
D) It is used for treatment second degree heart block
E) It is a cause of Hyperkalemia
21) All are true about heparin except :
A) Unfractionated heparin is monitored by PTT
B) LMWH inhibits factor Xa clotting factor
C) It is used in acute MI
D) Safe in pregnancy
E) Contraindicated in Thrombocytosis
22) All are class 1 antiarrhythmic agents except :
A) Quinidine
B) Lidocaine
C) Flecainide
D) Amiodarone
E) Procainamide
23) All hormones synthesized in pituitary gland except :
A) Prolactin
B) Luteinizing hormone
C) Adrenocorticotropic hormone
D) Gonadotropin realizing hormone
E) Growth hormone
24) All are used for treatment DKA except :
A) Normal saline
B) Insulin
C) Gliclazide
D) Potassium
E) Bicarbonate
25) Most common cause of hyperprolactinemia is :
A) Pregnancy
B) Prolactinoma
C) Hypothyroidism
D) Chronic renal failure
E) Medications
26) All are true about GERD except :
A) Low LES tone
B) Heartburn is the most common symptom
C) Chronic cough and wheezing
D) Diagnosed by 24 hour esophageal manometry
E) PPI are the most effective therapy
27) All are signs and symptoms of hypercalcemia except :
A) HTN
B) Prolonged QT interval
C) Constipation
D) Polyuria
E) Depression
28) Plummer Vinson syndrome include all , except :
A) Dysphagia
B) Folic acid deficiency anemia
C) Koilonychia
D) Esophageal webs
E) Cheilosis
29) All are true matching except :
A) Rheumatoid factor _Rheumatoid arthritis
B) Anti CCP antibodies _ SLE
C) Anti Histone antibodies _ Drug induced SLE
D) Anti Centromere antibodies _ scleroderma
E) P_ANCA antibodies _ ulcerative colitis
30) All are antitubercolosis drugs except :
A) Metronidazole
B) Refampicine
C) Pyrazinamide
D) Ethambutole
E) Streptomycine
31) All are causes of transudate pleural effusion except :
A) Liver cirrhosis
B) PE
C) Hypothyroidism
D) Mesothelioma
E) Constrictive pericarditis
32) Most common lung cancer in non smokers :
A) Adenocarcinoma
B) Large cell cancer
C) SCC
D) Small cell cancer
E) Mesothelioma
33) All are causes of sinus tachycardia except :
A) Hypovolemic shock
B) Polycythemia
C) MI
D) PE
E) Graves disease
34) All are major ( cardinal ) risk factors of IHD except :
A) DM
B) Hyperhomocysteinemia
C) Smoking
D) Family history
E) HTN
35) Most common cause of infectious Myocarditis :
A) Coxsaki B virus
B) Echovirus
C) Staphylococcus aureus
D) Clostridium diphtheriae
E) Clostridium perfringens
36) All are true about Enalapril except :
A) Inhibits Angiotensin converting enzyme
B) Decreases aldosterone synthesis
C) Is used in CHF
D) Is used in treatment preeclampsia
E) Is contraindicated in bilateral renal artery stenosis
37) All are Beta Receptors antagonists except :
A) Metoprolol
B) Atenolol
C) Albuterol
D) Carvedilol
E) Esmolol
38) The lipoprotein responsible for transport cholesterol from peripheral tissue to liver :
A) Very low density lipoprotein
B) Low density lipoprotein
C) Intermediate density lipoprotein
D) Cholomicron
E) High density lipoprotein
39) All are true about type 1 DM except :
A) It is autoimmune
B) Accounts for 5_10% of all DM
C) Associated with Myasthenia gravis
D) Associated with polycystic ovarian syndrome
E) Glutamic acid decarboxylase antibodies are positive
40) All are signs and symptoms of hypoglycemia except :
A) Tremor
B) Seizures
C) Sweating
D) Bradycardia
E) Whipple triad
41) All are causes of nephrogenic DI except :
A) Lithium
B) Hypokalemia
C) Hydrocephalus
D) Hypercalcemia
E) Chronic renal disease
42) Homogeneous diffuse uptake of radioisotope thyroid scan is characteristic for :
A) Graves disease
B) Multinodular goiter
C) Toxic adenoma
D) Hashimoto thyroiditis
E) Papillary thyroid cancer
43) All are causes of hypercalcemia except :
A) Hypervitaminosis D
B) Hypervitaminosis A
C) Sarcoidosis
D) Lithium
E) Acute pancreatitis
44) The definitive diagnosis of Achalasia by :
A) Chest X_Ray
B) Barium study
C) Esophagoscopy
D) Manometry
E) 24 hours PH metry
45) All are true about Brocas aphasia except :
A) Non fluent
B) Repetition is poor
C) Naming is good
D) Comprehension is good
E) Lesion in posterior inferior frontal lobe
46) All are true matching except :
A) IDA _ Normal MCV
B) Folate deficiency _ megaloblastic anaemia
C) Cyanocobalamine deficiency _ peripheral neuropathy
D) Vitamin K deficiency _ prolonged INR
E) Vitamin A deficiency _ Xerophthalmia
47) All are true about bacterial septic meningitis except :
A) Protein is very high
B) WBC is very high
C) Glucose is very high
D) It has poor prognosis than viral
E) Most common cause in adults is Streptococcus pneumonia
48) All are true about aortic stenosis except :
A) Severe aortic stenosis if aortic valve area < 1cm
B) Most common presentation is exertional angina
C) Pulsus parvus et tardus
D) Pulsus bisferiens
E) Systolic ejection murmur
49) All are true about Chlorthalidone except :
A) It works on distal convoluted tubule
B) It is the drug of choice for HTN in patient age more than 55 years old
C) It causes Hyponatremia and Hypokalemia
D) It causes metabolic acidosis
E) It is contraindicated in gestational HTN
50) All are true about DKA except :
A) Usually occurs in the type one DM
B) Risk factors are infections, missed insulin doses
C) Kussmaul breathing
D) Most cause of death is Hypokalemia
E) High anion gap metabolic acidosis
51) All are true about criteria of metabolic syndrome except :
A) Waist circumference in men > 102 cm , in women > 88 cm
B) HDL< 40 mg/dl in men and < 50 mg/dl in women
C) Triglycerides > 100 mg/dl
D) Blood pressure > 130/85 mmhg
E) Fasting glucose level > 100 mg/dl
52) All are signs and symptoms of Acromegaly except :
A) Arthritis
B) HTN
C) Carpal tunnel syndrome
D) Hypoglycemia
E) Visual field defects
53) All are true about criteria of SIADH except :
A) Plasma osmolality less than 285 mosm / kg
B) Plasma Na > 140 meq/l
C) Urine Na > 40 meq/l
D) Absence of edema
E) Absence of renal failure
54) All are signs and symptoms of Thyrotoxicosis except :
A) Tremor
B) HTN
C) Amenorrhea
D) Weight gain
E) Diarrhea
55) All are true about Cushing syndrome except :
A) Avascular necrosis of head of the femur
B) Osteoporosis
C) Acanthosis nigricans
D) Hirsutism
E) Metabolic acidosis
56) All are causes of hypocalcemia except :
A) Pseudohypoparathyroidism
B) Furosemide
C) Nephrotic syndrome
D) Osteoporosis
E) Medullary thyroid cancer
57) All are used for H pylori infection eradication except :
A) Ceftriaxone
B) Amoxicillin
C) Clarithromycin
D) Tetracycline
E) Metronidazole
58) All are causes of acute inflammatory diarrhea except :
A) Yersinia
B) Shigella
C) Salmonella
D) Amebiasis
E) Gardiasis
59) All are true about diagnostic criteria of SLE except :
A) Alopecia
B) Malar rash
C) Arthritis
D) ANA antibodies
E) Hemolytic anemia
60) All are true about HIV except :
A) HIV is RNA Retrovirus
B) Acute infection is mononucleosis like illness
C) Latent stage is characterized by long duration
D) AIDS is HIV and CD4 count < 300 cells /m3
E) PCP is the most common cause of lung infection in AIDS patients
61) All are decreases overall mortality in CAD except :
A) Aspirin
B) Metoprolol
C) Virapamil
D) Ramiprile
E) Revascularization
62) All are signs and symptoms of left side heart failure except :
A) Cool extremities
B) Hepatomegaly
C) Cough
D) Pulsus Alternans
E) Pulmonary edema
63) All are true about aortic regurgitation except :
A) Water_hammer pulse
B) Wide pulse pressure
C) Early diastolic murmur
D) Hyperdynamic apex beat
E) Pulsus paradoxus
64) All are side effects of Furosemide except :
A) Hypovolemia
B) Hypokalemia
C) Hyperglycemia
D) Hypercalcemia
E) Hyperurecemia
65) All are true about digoxin except :
A) It is positive inotropic drug
B) It slows conduction through AV node
C) It is used for treatment of WPW syndrome
D) It is used for treatment CHF
E) It is contraindicated in second and third degree of heart block
66) All are true about Addison disease except :
A) Darkness of skin
B) Hypokalemia
C) Metabolic acidosis
D) Association with vitiligo
E) Hypotension
67) All are signs and symptoms of hypothyroidism except :
A) Intolerance to heat
B) Slow heart rate
C) Amenorrhea
D) Anemia
E) Constipation
68) All are true about diabetic nephropathy except :
A) It is a microvascular complication of DM
B) Most early sign is Microalbuminuria
C) Elevated HbA1c is risk factor
D) Tight glycemic and blood pressure control are protective factors
E) B blockers are drug of choice for treatment and prevention
69) All are true about target in treatment patient with DM except :
A) HbA1c < 7%
B) Fasting blood glucose < 126 mg/dl
C) Blood pressure < 140/85
D) Postprandial glucose < 180 mg/dl
E) LDL < 78 mg/dl
70) All are true about aspirin except :
A) It is irreversible Cox _1 inhibitor
B) It causes Thrombocytopenia
C) It is monitored by bleeding time
D) It causes impairment of renal perfusion
E) It is contraindicated in active PUD
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