اسئلة الباطنية 2015
1) All are true about inflammatory diarrhea except ?
A .Stool PH is low with alkalosis .
B .Stool usually watery .
C.Consider IBD, c.Difficile infection .
D .Stool volume less than 500 ml .
E .Continue during fasting, associated with anemia , urgency .
2) All are true about metformin except ?
Decreased insulin resistance , so it can be given in PCOS .
It teratogenic , so it can't be given in gestational diabetes .
Most serious side effects is lactic acidosis , so it can't be given in renal failure .
It inhibits gluconeogenesis in the liver .
No effect on pancreas .
3) Which of the following causes of Potts disease ?
Primary TB
Skeletal TB
TB meningitis
Miliary TB
GIT TB
4 ) Patient presents with COPD , Hepatomegaly, peripheral edema , finger clubbing . ECG : peaked P wave , most likely diagnosis ?
PE
Cor pulmonale
LVF
LAH
Sleep apnea
5) All of the following are true about Sarcoidosis except ?
More in black race .
May cause complete heart block .
Involve mostly left hilar lymph nodes .
Lupus pernio and Erythema nodosum are seen .
Hepatosplenomegaly is common .
6) The criteria for diagnosis chronic bronchitis is ?
A . Cough productive for 2 months of two successive years .
B . Cough productive for 2 months of three successive years .
C . Cough productive for 3 months of two successive years .
D . Cough productive for 3 months of three successive years .
7) Drug of choice to treat patient with HTN and bronchial asthma is ?
ACE_i
B blockers
CCB
Statin
8) All are true about Ankylosing spondylitis except ?
A . More common in male .
B . Aortitis and AV block are manifestation .
C . Unilateral uveitis with painful red eye , Photophobia .
D . Obstructive lung disease is manifestation .
E . Associated with HLA_B27 gen .
9) All of the following are characteristic of IDA except ?
Anisocytosis
Spherocytosis
Poikilocytosis
Hypochromia
Microcytosis
10) Most common cause of travelers diarrhea is ?
E coli
Cholera
Shigella
Brucella
Staphylococcus aureus
12) One of the following seen in esophageal perforation ?
Courvoisier sign
Grey sign
Cullen sign
Boerhaave syndrome
Achalasia
13) All are signs and symptoms of hypothyroidism except ?
Carpal tunnel syndrome
Hyponatremia
Pericardial effusion
Hypolipidemia
Normochromic Normocytic anemia
14) Most common cause of gynecomastia is ?
Liver failure
Estrogen secreting tumor
HCG secreting tumor
Idiopathic
Puberty
15) All are characteristic for MEN1 except ?
Hypercalcemia
Hypoglycemia
PUD
Pheochromocytoma
Glucagonoma
17) Most effective drug increasing HDL is ?
Statins
Fibrate
Bile acid resins
Niacin
Ezetimibe
18) Red man syndrome is a side effect of ?
Vancomycin
Amoxicillin
Metronidazole
Levothyroxine
Levofloxacine
19) Most common site of tuberculosis in Jordan is ?
Skeletal
Meningitis
Lymphatic
Pulmonary
Miliary
20) Most common antibiotics to cause anaphylaxis is ?
Aminoglycosides
B_lactam
Cephalosporin
Glycopeptide
Macrolides
21) An injury of optic chiasm by pituitary adenoma will cause ?
Monocular visual loss
Bitemporal hemianopia
Homonymous hemianopia
Inferior Homonymous quadratanopia
23) Which of the following muscles is supplied by Abducens nerve ?
Superior rectus
Medial rectus
Lateral rectus
Inferior rectus
Superior oblique
24) Most specific test for diagnosis Pheochromocytoma is ?
CT scan
Dexamethasone test
24 hour urine metanephrines
Plasma free metanephrines
25) The most appropriate drug to use in case of thyroid storm is ?
Methimazole
Dexamethasone
Propylthiouracil
Supportive care
Iodine
26) All of the following are true about DKA except ?
Hypovolemia
Kassmaul breathing
Coma
Hyperglycemia
Low anion gap metabolic acidosis
27) All are causes of Hypocalcemia except ?
Acute pancreatitis
Hypermagnesemia
Pseudo_hypoparathyroidism
Hyperphosphatemia
Chronic renal failure
28) First step in diagnosis Acromegaly is one of the following test in serum ?
IGF_1
IGF_2
G.H
G.H.R.H
Somatostatin
29) Most common manifestation of Brucellosis ?
Bradycardia
Abdominal pain
Fever
Dry cough
Skin rash
30) Most common cause of Cor pulmonale is ?
Pulmonary embolism
Obstructive sleep apnea
COPD
Bronchial asthma
Tuberculosis
31) All of the following are symptoms of bronchial asthma except ?
Dry cough
Chest tightness
Wheezing
Stridor
Shortness of breath
32) All are true about Sarcoidosis except ?
A . Restrictive lung disease .
B . Hypocalcemia .
C . Non caseating Granuloma on biopsy .
D . Hepatosplenomegaly .
E . Painless skin sores on face which called lupus pernio .
33) All of the following are signs of pulmonary hypertension except ?
A . Right ventricular hypertrophy .
B . Prominent A wave on JVP .
C . Loud S1
D . Hepatosplenomegaly and Ascites .
E . Systolic pulmonary pressure > 30 mmHg and mean pulmonary pressure > 20 mmHg .
34) LMWH works on ?
Factor 2
Factor 7
Factor 8
Factor 10
Factor 12
35) All are causes of lower limbs edema except ?
Cellulitis
Ruptured Baker cyst
Lymphedema
Left heart failure
DVT
36) Which of the following is contraindicated in case of variant prenzmetal angina ?
ACE_i
ARBs
B blockers
CCB
GTN
37) Most common cause of secondary HTN is ?
Chronic kidney disease
Cushing syndrome
Hyperthyroidism
Obstructive sleep apnea
Conn syndrome
38) Most common cause of infective endocarditis ?
Streptococcus group A
Streptococcus group B
Streptococcus viridans Staphylococcus viridans
Staphylococcus group A
39) Most common way to diagnose aortic stenosis is ?
CT angiography
MRA
Transesophageal echocardiography
Aortoangiography
40) All of the following are side effects of Thiazide diuretic except ?
Hypokalemia
Hypocalcemia
Hypomagnesemia
Hyponatremia
Hyperglycemia
41) Drug of choice to treat Raynauds phenomenon ?
ACE_i
B blockers
CCB
Loop diuretics
ARBs
42) All of the following are parts of atrial fibrillation management except ?
Class 1A Quinidine
Class 1B lidocaine
Class 1C propafenone
Class 3 Amiodarone
DC shock
43) All of the following must be treated with DC shock except ?
Unstable atrial fibrillation
Pulsless ventricular tachycardia
Ventricular fibrillation
Unstable fibrillation
PVC
44) Carotid thrills , arterial pulsation in retinal artery ( Becker sign ) , head nodding , water hummer pulse , bisfirenes pulse , pistol shot pulse are seen ?
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Pulmonary stenosis
45) Most common valve disease causing pulmonary HTN ?
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Mitral valve prolapse
46) All are risk factors for developing infective endocarditis except ?
AIDS
VSD
HOCM
ASD
Prosthetic valve
47) Most sensitive test to diagnose SLE is ?
RF
ESR
Ds_DNA
ANA
Anti_smith
48) Which of the following can be used for diagnosis of Wegener Granulomatosis ?
C_ANCA antibodies
P_ANCA antibodies
Anti_RNP
ANA antibodies
Anti histone antibodies
49) Most common SLE manifestation is ?
Skin
Joints
Neurology
Renal
Blood
50) All are true about reactive arthritis Reiters syndrome except ?
Keratoconjunctivitis sicca and uveitis .
Balanitis and oral ulcer .
HLA_B27 is positive and RF is positive .
GIT infections are the only cause .
Kerato_derma blenorrhagica
51) Most specific antibodies in SLE ?
Anti ss _ A
Anti ss _ B
Anti _ RNP
Anti Ds_DNA
ANA
52) Which of the following large vessel pathology ?
A . HSP
B . Takayasu arteritis
C . Wegener Granulomatosis
D . Churg Strauss syndrome
E . Kawasaki disease
53) Most specific test for diffuse systemic sclerosis is ?
SCL_70
Anti_centromere antibodies
ANA
Anti RNP
Anti histone antibodies
54) All are true about Behcets disease except ?
A . Most common manifestation is painful oral apththous ulcer .
B . Erythema toxicoum
C . DVT and PE
D . HLA_B51 gen is positive
E . Mostly seen in Turkish people age 20_30 years old .
55) Philadelphia chromosome is mostly seen in which of the following ?
A . Acute myeloblastic leukemia .
B . Acute lymphoblastic leukemia .
C . Chronic myeloblastic leukemia .
D . Hodgkin lymphoma
E . Non Hodgkin lymphoma
56) Carbamezipine can be used in all of these cases except ?
Partial seizure simple
Generalised tonic clonic seizure
Myoclonic or absence seizure
Trigeminal neuralgia
Complex partial seizure
57) An injury to the optic tract will cause ?
A .Monocular visual loss
B .Bitemporal Hemianopia
C .Homonymous hemianopia
D .Inferior Homonymous quadratanopia
E.Superior Homonymous quadratanopia
58) Which of the following can be used to differentiate between Myasthenia gravis and Lambert Eaton Myasthenic syndrome ?
X_Ray
CT scan
MRI
ECG
EMG
59) First line drug to be used in management a patient with migraine headache is ?
Ergotamine
Sumatriptan
Propranolol
Verapamil
Lithium
60) Most common cause of epilepsy is ?
Stress
Congenital
Trauma
Idiopathic
Hypoxia
61) The treatment of choice of Juvenile Myoclonic epilepsy ( Janz syndrome ) is ?
Carbamezipine
Sodium Valproate
Phenytoin
Corticosteroids
Clonazepam
62) All are true about migraine headache except ?
A . More common in teenage men .
B . Stress , exercise , cheese , chocolate , menarche are triggering factors .
C . Associated with aura .
D . Unilateral associated with vomiting and Photophobia .
E . Maximum last for 3 days .
63) The treatment of choice for infantile spasms ( west syndrome ) ( Hypsarrhythmia on ECG ) is ?
Carbamezipine
Sodium Valproate
Phenytoin
Corticosteroids
Clonazepam
64) Best way to differentiate between cerebral infraction and hemorrhage is ?
CT scan
X Ray
MRI
Angiogram
MRA
65) All are true about Parkinson disease except ?
A . Degeneration of extrapyramidial pathway .
B . Decreased dopamine level in brain .
C . Triad Akinesia , tremor resting , rigidity .
D . Mean age of onest 60 years old .
E . Pathology is found in substantia gelatinosa .
66) Most common cause of meningitis in epidemic area is ?
Neisseria meningitis
Streptococcus pneumonia
Tuberculosis
Hib
Staphylococcus aureus
67) Drug of choice for prevention of close contacts with patient with meningococcal meningitis is ?
Corticosteroids
Ceftriaxone
Rifampicine
Benzylpenicillin
Vancomycin
68) All of the following are true about Brown Sequard syndrome except ?
A . Upper motor neuron weakness on the same side as the lesion .
B . Loss of position and vibration ipsilateral to the lesion .
C . Touch in intact .
D . Loss of pain and temperature ipsilateral to the lesion .
69) Uhthoff phenomenon is seen in ?
Parkinson disease
Meningitis
Multiple sclerosis
Guillain barre syndrome
Duchenne muscular dystrophy
70) Which of the following disease are associated with both degeneration in upper motor neuron and lower motor neuron ?
Parkinson disease
Multiple sclerosis
Alzheimer's disease
Amyotrophic lateral sclerosis
Duchenne muscular dystrophy
A .Stool PH is low with alkalosis .
B .Stool usually watery .
C.Consider IBD, c.Difficile infection .
D .Stool volume less than 500 ml .
E .Continue during fasting, associated with anemia , urgency .
2) All are true about metformin except ?
Decreased insulin resistance , so it can be given in PCOS .
It teratogenic , so it can't be given in gestational diabetes .
Most serious side effects is lactic acidosis , so it can't be given in renal failure .
It inhibits gluconeogenesis in the liver .
No effect on pancreas .
3) Which of the following causes of Potts disease ?
Primary TB
Skeletal TB
TB meningitis
Miliary TB
GIT TB
4 ) Patient presents with COPD , Hepatomegaly, peripheral edema , finger clubbing . ECG : peaked P wave , most likely diagnosis ?
PE
Cor pulmonale
LVF
LAH
Sleep apnea
5) All of the following are true about Sarcoidosis except ?
More in black race .
May cause complete heart block .
Involve mostly left hilar lymph nodes .
Lupus pernio and Erythema nodosum are seen .
Hepatosplenomegaly is common .
6) The criteria for diagnosis chronic bronchitis is ?
A . Cough productive for 2 months of two successive years .
B . Cough productive for 2 months of three successive years .
C . Cough productive for 3 months of two successive years .
D . Cough productive for 3 months of three successive years .
7) Drug of choice to treat patient with HTN and bronchial asthma is ?
ACE_i
B blockers
CCB
Statin
8) All are true about Ankylosing spondylitis except ?
A . More common in male .
B . Aortitis and AV block are manifestation .
C . Unilateral uveitis with painful red eye , Photophobia .
D . Obstructive lung disease is manifestation .
E . Associated with HLA_B27 gen .
9) All of the following are characteristic of IDA except ?
Anisocytosis
Spherocytosis
Poikilocytosis
Hypochromia
Microcytosis
10) Most common cause of travelers diarrhea is ?
E coli
Cholera
Shigella
Brucella
Staphylococcus aureus
12) One of the following seen in esophageal perforation ?
Courvoisier sign
Grey sign
Cullen sign
Boerhaave syndrome
Achalasia
13) All are signs and symptoms of hypothyroidism except ?
Carpal tunnel syndrome
Hyponatremia
Pericardial effusion
Hypolipidemia
Normochromic Normocytic anemia
14) Most common cause of gynecomastia is ?
Liver failure
Estrogen secreting tumor
HCG secreting tumor
Idiopathic
Puberty
15) All are characteristic for MEN1 except ?
Hypercalcemia
Hypoglycemia
PUD
Pheochromocytoma
Glucagonoma
17) Most effective drug increasing HDL is ?
Statins
Fibrate
Bile acid resins
Niacin
Ezetimibe
18) Red man syndrome is a side effect of ?
Vancomycin
Amoxicillin
Metronidazole
Levothyroxine
Levofloxacine
19) Most common site of tuberculosis in Jordan is ?
Skeletal
Meningitis
Lymphatic
Pulmonary
Miliary
20) Most common antibiotics to cause anaphylaxis is ?
Aminoglycosides
B_lactam
Cephalosporin
Glycopeptide
Macrolides
21) An injury of optic chiasm by pituitary adenoma will cause ?
Monocular visual loss
Bitemporal hemianopia
Homonymous hemianopia
Inferior Homonymous quadratanopia
23) Which of the following muscles is supplied by Abducens nerve ?
Superior rectus
Medial rectus
Lateral rectus
Inferior rectus
Superior oblique
24) Most specific test for diagnosis Pheochromocytoma is ?
CT scan
Dexamethasone test
24 hour urine metanephrines
Plasma free metanephrines
25) The most appropriate drug to use in case of thyroid storm is ?
Methimazole
Dexamethasone
Propylthiouracil
Supportive care
Iodine
26) All of the following are true about DKA except ?
Hypovolemia
Kassmaul breathing
Coma
Hyperglycemia
Low anion gap metabolic acidosis
27) All are causes of Hypocalcemia except ?
Acute pancreatitis
Hypermagnesemia
Pseudo_hypoparathyroidism
Hyperphosphatemia
Chronic renal failure
28) First step in diagnosis Acromegaly is one of the following test in serum ?
IGF_1
IGF_2
G.H
G.H.R.H
Somatostatin
29) Most common manifestation of Brucellosis ?
Bradycardia
Abdominal pain
Fever
Dry cough
Skin rash
30) Most common cause of Cor pulmonale is ?
Pulmonary embolism
Obstructive sleep apnea
COPD
Bronchial asthma
Tuberculosis
31) All of the following are symptoms of bronchial asthma except ?
Dry cough
Chest tightness
Wheezing
Stridor
Shortness of breath
32) All are true about Sarcoidosis except ?
A . Restrictive lung disease .
B . Hypocalcemia .
C . Non caseating Granuloma on biopsy .
D . Hepatosplenomegaly .
E . Painless skin sores on face which called lupus pernio .
33) All of the following are signs of pulmonary hypertension except ?
A . Right ventricular hypertrophy .
B . Prominent A wave on JVP .
C . Loud S1
D . Hepatosplenomegaly and Ascites .
E . Systolic pulmonary pressure > 30 mmHg and mean pulmonary pressure > 20 mmHg .
34) LMWH works on ?
Factor 2
Factor 7
Factor 8
Factor 10
Factor 12
35) All are causes of lower limbs edema except ?
Cellulitis
Ruptured Baker cyst
Lymphedema
Left heart failure
DVT
36) Which of the following is contraindicated in case of variant prenzmetal angina ?
ACE_i
ARBs
B blockers
CCB
GTN
37) Most common cause of secondary HTN is ?
Chronic kidney disease
Cushing syndrome
Hyperthyroidism
Obstructive sleep apnea
Conn syndrome
38) Most common cause of infective endocarditis ?
Streptococcus group A
Streptococcus group B
Streptococcus viridans Staphylococcus viridans
Staphylococcus group A
39) Most common way to diagnose aortic stenosis is ?
CT angiography
MRA
Transesophageal echocardiography
Aortoangiography
40) All of the following are side effects of Thiazide diuretic except ?
Hypokalemia
Hypocalcemia
Hypomagnesemia
Hyponatremia
Hyperglycemia
41) Drug of choice to treat Raynauds phenomenon ?
ACE_i
B blockers
CCB
Loop diuretics
ARBs
42) All of the following are parts of atrial fibrillation management except ?
Class 1A Quinidine
Class 1B lidocaine
Class 1C propafenone
Class 3 Amiodarone
DC shock
43) All of the following must be treated with DC shock except ?
Unstable atrial fibrillation
Pulsless ventricular tachycardia
Ventricular fibrillation
Unstable fibrillation
PVC
44) Carotid thrills , arterial pulsation in retinal artery ( Becker sign ) , head nodding , water hummer pulse , bisfirenes pulse , pistol shot pulse are seen ?
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Pulmonary stenosis
45) Most common valve disease causing pulmonary HTN ?
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Mitral valve prolapse
46) All are risk factors for developing infective endocarditis except ?
AIDS
VSD
HOCM
ASD
Prosthetic valve
47) Most sensitive test to diagnose SLE is ?
RF
ESR
Ds_DNA
ANA
Anti_smith
48) Which of the following can be used for diagnosis of Wegener Granulomatosis ?
C_ANCA antibodies
P_ANCA antibodies
Anti_RNP
ANA antibodies
Anti histone antibodies
49) Most common SLE manifestation is ?
Skin
Joints
Neurology
Renal
Blood
50) All are true about reactive arthritis Reiters syndrome except ?
Keratoconjunctivitis sicca and uveitis .
Balanitis and oral ulcer .
HLA_B27 is positive and RF is positive .
GIT infections are the only cause .
Kerato_derma blenorrhagica
51) Most specific antibodies in SLE ?
Anti ss _ A
Anti ss _ B
Anti _ RNP
Anti Ds_DNA
ANA
52) Which of the following large vessel pathology ?
A . HSP
B . Takayasu arteritis
C . Wegener Granulomatosis
D . Churg Strauss syndrome
E . Kawasaki disease
53) Most specific test for diffuse systemic sclerosis is ?
SCL_70
Anti_centromere antibodies
ANA
Anti RNP
Anti histone antibodies
54) All are true about Behcets disease except ?
A . Most common manifestation is painful oral apththous ulcer .
B . Erythema toxicoum
C . DVT and PE
D . HLA_B51 gen is positive
E . Mostly seen in Turkish people age 20_30 years old .
55) Philadelphia chromosome is mostly seen in which of the following ?
A . Acute myeloblastic leukemia .
B . Acute lymphoblastic leukemia .
C . Chronic myeloblastic leukemia .
D . Hodgkin lymphoma
E . Non Hodgkin lymphoma
56) Carbamezipine can be used in all of these cases except ?
Partial seizure simple
Generalised tonic clonic seizure
Myoclonic or absence seizure
Trigeminal neuralgia
Complex partial seizure
57) An injury to the optic tract will cause ?
A .Monocular visual loss
B .Bitemporal Hemianopia
C .Homonymous hemianopia
D .Inferior Homonymous quadratanopia
E.Superior Homonymous quadratanopia
58) Which of the following can be used to differentiate between Myasthenia gravis and Lambert Eaton Myasthenic syndrome ?
X_Ray
CT scan
MRI
ECG
EMG
59) First line drug to be used in management a patient with migraine headache is ?
Ergotamine
Sumatriptan
Propranolol
Verapamil
Lithium
60) Most common cause of epilepsy is ?
Stress
Congenital
Trauma
Idiopathic
Hypoxia
61) The treatment of choice of Juvenile Myoclonic epilepsy ( Janz syndrome ) is ?
Carbamezipine
Sodium Valproate
Phenytoin
Corticosteroids
Clonazepam
62) All are true about migraine headache except ?
A . More common in teenage men .
B . Stress , exercise , cheese , chocolate , menarche are triggering factors .
C . Associated with aura .
D . Unilateral associated with vomiting and Photophobia .
E . Maximum last for 3 days .
63) The treatment of choice for infantile spasms ( west syndrome ) ( Hypsarrhythmia on ECG ) is ?
Carbamezipine
Sodium Valproate
Phenytoin
Corticosteroids
Clonazepam
64) Best way to differentiate between cerebral infraction and hemorrhage is ?
CT scan
X Ray
MRI
Angiogram
MRA
65) All are true about Parkinson disease except ?
A . Degeneration of extrapyramidial pathway .
B . Decreased dopamine level in brain .
C . Triad Akinesia , tremor resting , rigidity .
D . Mean age of onest 60 years old .
E . Pathology is found in substantia gelatinosa .
66) Most common cause of meningitis in epidemic area is ?
Neisseria meningitis
Streptococcus pneumonia
Tuberculosis
Hib
Staphylococcus aureus
67) Drug of choice for prevention of close contacts with patient with meningococcal meningitis is ?
Corticosteroids
Ceftriaxone
Rifampicine
Benzylpenicillin
Vancomycin
68) All of the following are true about Brown Sequard syndrome except ?
A . Upper motor neuron weakness on the same side as the lesion .
B . Loss of position and vibration ipsilateral to the lesion .
C . Touch in intact .
D . Loss of pain and temperature ipsilateral to the lesion .
69) Uhthoff phenomenon is seen in ?
Parkinson disease
Meningitis
Multiple sclerosis
Guillain barre syndrome
Duchenne muscular dystrophy
70) Which of the following disease are associated with both degeneration in upper motor neuron and lower motor neuron ?
Parkinson disease
Multiple sclerosis
Alzheimer's disease
Amyotrophic lateral sclerosis
Duchenne muscular dystrophy
Comments
Post a Comment