اسئلة الباطنية 2016 (1)
1) ALL of the following are associated with SLE except :
A) Treatment include methotrexate
B ) Cardiovascular disease is the most common cause of death .
C) erosive arthritis
D) Libman sacks endocarditis
E) Malar butterfly rash
2) All of the following are causes hyperurecemia except :
A) Hypothyroidism
B) Lesh Nyhan syndrome
C) Thiazide diuretic
D) Hyperthyroidism
E) INH
3) Miosis associated with all of the following except :
A) Organophosphates poisoning
B) Morphine
C) Oculomotor nerve palsy
D) Horner syndrome
E) Cluster headache
4) All of the following are associated with diarrhea except :
A) Hyperparathyroidism
B) Celiac disease
C) Inflammatory bowel disease
D) Gastrinoma
E) Cryptosporidium
5) All are true about multiple sclerosis except :
A) Occur in elderly
B) Remission and relapse
C) Unilateral optic neuritis
D) Antibodies to oligodendrocyte glycoprotein
E) Lhermitts sign and uhthoffs sign are positive
6) Most common cause of early death postoperative MI :
A) Ventricular extrasystole
B) Myocardial rupture
C) Myocardial aneurysm
D) Ventricular arrhythmia
E) Cardiac tamponade
7) First line in management of ventricular fibrillation :
A) Adrenaline
B) Atropine
C) Amiodarone
D) DC shock
E) Lidocaine
8) All of the following feco_oral transmission except :
A) HEV
B) HDV
C) Poliomyelitis
D) Gardiasis
E) Cryptosporidium
9) All of the following causes Polyuria except :
A) DI
B) Renal failure
C) Insulin deficiency
D) SIADH
E) Hypercalcemia
10) All are side effects of digitalis toxicity except :
A) Nausea and vomiting
B) Yellow vision
C) Short PR interval
D) Gynecomastia
E) Anorexia
12) All of the following are indication for liver biopsy except :
A) Hepatic tumor
B) Wilson's disease
C) Prolonged PT
D) Fever unknown origin
E) Autoimmune hepatitis
13) Which of the following is CCB :
A) Furosemide
B) Diltiazem
C) Digoxin
D) Simvastatin
E) Ramiprile
13) Which of the following valvular heart disease increase risk of angina :
A) Aortic regurgitation
B) Mitral regurgitation
C) Aortic stenosis
D) Mitral stenosis
E) Pulmonary stenosis
14) All of the following are causes of chest pain except :
A) Dissecting aortic aneurysm
B) PE
C) Pericarditis
D) Cardiomyopathy
E) Tietzes syndrome
15) All of the following associated with aortic stenosis except :
A) Sudden death
B) Wide pulse pressure
C) Slow rising pulse
D) P mitrale and LAD on ECG
E) Syncope
16) All of the following are causes of huge Splenomegaly except :
A) CML
B) Kala_azar
C) Malaria
D) Sarcoidosis
E) Infectious mononucleosis
17) All of the following are causes of Extrasystole (PVCs) except :
A) Digoxin toxicity
B) MI
C) Lidocaine
D) Heart failure
E) HTN
18) All of the following are associated with Parkinsonism except :
A) Bradykinesia
B) Mask like face
C) Sensory defect
D) Shuffling gait
E) Lewy bodies
19) All are seen in DM type 1 except :
A) HLA DR3 and HLA DR4 association
B) Obesity
C) Ketoacidosis
D) Young age
E) Autoimmune B cell damage
20) Most common symptom of Bronchogenic carcinoma :
A) Chest pain
B) Cough
C) Hemoptysis
D) Dyspnea
E) Wheeze and cough
21) Rate of transmission of HBV by contaminated needles is :
A) 0.3%
B) 0.03 %
C) 0.003 %
D) 3%
E) 30%
22) Green house effect of increased temperature by increase production of :
A) CO2
B) O2
C) CO
D) N2o
E) NO
23) All of the following are complications of obesity except :
A) Hypothyroidism
B) DM type 2
C) Polycythemia
D) Obstructive sleep apnea
E) Hyperlipidemia
24) One of the following associated with Addison disease :
A) Hypokalemia
B) Hyponatremia
C) Hypoglycemia
D) HTN
E) Weight gain
25) Gold standard for diagnosis of erosive gastritis :
A) Gastric PH_metry
B) Gastric biopsy
C) Gastroesophageal endoscopy
D) History
E) Physical exam
26) Most common cause of septic arthritis :
A) Intra_Articular injection
B) Trauma
C) Staphylococcus aureus
D) Osteoarthritis
E) Cushing syndrome
27) All are causes of chorea except :
A) PRV
B) Rheumatic fever
C) Carbamezipine
D) Huntington disease
E) Wilson disease
28) All of the following are causes of hemoptysis except :
A) Mitral stenosis
B) TB
C) PE
D) Lung cancer
E) Bronchial asthma
29) All of the following are viral disease except :
A) Rabies
B) Poliomyelitis
C) Yellow fever
D) Lyme disease
E) Dengue fever
30) All are true about Brucellosis except :
A) Neutrophil Leucocytosis
B) Fever of unknown origin
C) Brucella melitensis is the most virulent
D) Weight loss
E) Hepatosplenomegaly
31) All are true about Nephritic syndrome except :
A) Oliguria
B) Diastolic HTN
C) Lipiduria
D) Uremia
E) Oedema
32) All are investigation for Thrombophilia except :
A) Anticardio lipin antibodies
B) Factor 5 leiden mutation
C) Protein S level
D) Cholesterol level
E) D_dimer
33) All are causes of ejection systolic murmur except :
A) pregnancy
B) Aortic stenosis
C) Pulmonary stenosis
D) HOCM
E) Mitral stenosis
34) The physical sign of chest exam , decreased chest expansion , increased percussion note ( Resonant ) , decreased breath sound in left side of the lung are mostly :
A) Left side pleural effusion
B) Left side pneumothorax
C) Left side lung fibrosis
D) Left side consolidation
E) Left side collapse
35) Ptosis , large pupils ,eye down and out are characteristic for palsy of :
A) 2 C.N
B) 3 C.N
C) 4 C.N
D) 5 C.N
E) 6 C.N
36) Chvostic sign is seen in one of the following :
A) Hypokalemia
B) Hyperkalemia
C) Hypocalcemia
D) Hypercalcemia
E) Hypermagnesemia
37) All are causes of finger clubbing except :
A) Empyema
B) Mesothelioma
C) Celiac disease
D) Myocarditis
E) Graves disease
38) All are causes of Postural tremor except :
A) Parkinsonism
B) Hyperthyroidism
C) Alcoholism
D) Anxiety
E) Pheochromocytoma
39) All are true ECG sign for Hyperkalemia except :
A) Tall tented T wave
B) Wide QRS
C) Long QT interval
D) Absent P wave
E) Sine wave
40) All are sign and symptoms of digoxin toxicity except :
A) Nausea and vomiting
B) Confusion
C) Decreased appetite
D) Hypokalemia
E) Edema
41) All are true about complication of MI except :
A) Ventricular tachycardia
B) Mitral stenosis
C) VSD
D) Dressler syndrome
E) Heart block
42) The best combination antibiotic for treatment of aspiration pneumonia is :
A) Cefuroxime and metronidazole
B) Amoxicillin and gentamycin
C) Vancomycin and ticaracillin
D) Tetracycline and vancomycin
E) Gentamycin and metronidazole
43 ) All are causes of insulin resistance , DM type 2 except :
A) Wilson's disease
B) Pregnancy
C) Cushing disease
D) Metabolic syndrome
E) Acromegaly
44) Short 4th and 5th metacarpals bone is characteristic for :
A) Primary Hyperparathyroidism
B) Secondary Hyperparathyroidism
C) Tertiary Hyperparathyroidism
D) Pseudohypoparathyroidism
E) Pseudopseudo_Hyperparathyroidism
45) All are causes of bloody diarrhea except :
A) Cambylobacter
B) Shigella
C) Crohn disease
D) E coli
E) IBS
46) All are true about ATN except :
A) Urine osmolarity > 500 mosm / L
B) Urine Na > 40 mmol / L
C) Urine urea / plasma urea < 3:1
D) Urine creatinine / plasma creatinine < 20:1
E) Fractional Na excretion > 2%
47) All are causes of normocytic anemia except :
A) Chronic blood loss
B) Pregnancy
C) Hypothyroidism
D) Alcoholism
E) Aplastic anemia
48) All are true about IDA except :
A) Low serum iron
B) Low TIBC
C) Low serum ferritin
D) Low hemosedrine
E) High Transferrin
49) All are causes of prolonged PT except :
A) DIC
B) Liver disease
C) Warfarin
D) VWD
E) Factor 10 deficiency
50) All are true matching about antibiotics and side effect , except :
A) Doxycycline _ photosensitivity
B) Vancomycin _ Red man syndrome
C) Clindamycin _constipation
D) Chloramphenicol _ Aplastic anemia
E) Metronidazole _-Disulfiram reaction
51) All are sign and symptoms of autonomic neuropathy except :
A) Urine retention
B) Nocturnal diarrhea
C) erectile dysfunction
D) HTN
E) Horner syndrome
52) All of the following are causes of polyneuropathy except :
A) Guillain barre syndrome
B) DM
C) Lyme disease
D) Charcot Marie tooth syndrome
E) Carpal tunnel syndrome
53) All are true about spondyloarthropathy except :
A) Asymmetrical oligo or monoarthritis
B) HLA B27 association
C) Extra articular manifestation
D) Rheumatoid factor positive
E) Affect spine and sacroiliac joints
54) All of the following are causes of Nodular shadowing on chest X_Ray except :
A) Lung hamartoma
B) Hydatid cyst
C) Sarcoidosis
D) Caplan syndrome
E) Atelectasis
55) All are indication for D/C cardioversion except :
A) Ventricular tachycardia
B) Ventricular fibrillation
C) Atrial fibrillation
D) Asystole
E) SVT
56) All are true about life threatening attack bronchial asthma except :
A) FEV1 < 50% of predicted
B) Cyanosis
C) Hypotension and bradycardia
D) Normal or high PaCO2
E) PH < 7.30
57) The first step of management of patient with DKA is :
A) Insulin
B) K replacement
C) Fluid replacement normal saline
D) Fluid replacement ringer lactate
E) Bicarbonate
58) The first step in management of patient with Hyperkalemia with tall tented T wave :
A) Calcium Resonium
B) Dialysis
C) Calcium gluconate
D) Insulin and glucose
E) Nebulized Salbutamol
59) All are cardiovascular complication of acromegaly except :
A) HTN
B) HOCM
C) High output heart failure
D) Right ventricular hypertrophy
E) Coronary artery disease
60) All are true about mild acute attack of bronchial asthma except :
A) Audible wheeze
B) Hyperinflated chest
C) Hyperresonant percussion
D) Respiratory acidosis
E) Cough
61) All are causes of type one respiratory failure except :
A) Pneumonia
B) Pulmonary edema
C) Obstructive sleep apnea
D) Fibrosing alveolitis
E) Emphysema
62) All are causes of diffuse goitre except :
A) Graves disease
B) Hashimoto thyroiditis
C) Plummer disease
D) De Quervain thyroiditis
E) Subacute thyroiditis
63) All of the following are causes of constipation except :
A) Hyperkalemia
B) Hypercalcemia
C) Hypothyroidism
D) Iron supplement
E) Systemic sclerosis
64) All are therapeutic indication for colonoscopy except :
A) FAP
B) Hyperplastic polyps
C) Angiodysplasia
D) volvulus
E) Colonic pseudo_obstruction
65) The best screening test for hereditary Hemochromatosis :
A) Serum iron
B) Serum ferritin
C) Serum Transferrin
D) Serum Transferrin saturation
E) Serum TIBC
A) Treatment include methotrexate
B ) Cardiovascular disease is the most common cause of death .
C) erosive arthritis
D) Libman sacks endocarditis
E) Malar butterfly rash
2) All of the following are causes hyperurecemia except :
A) Hypothyroidism
B) Lesh Nyhan syndrome
C) Thiazide diuretic
D) Hyperthyroidism
E) INH
3) Miosis associated with all of the following except :
A) Organophosphates poisoning
B) Morphine
C) Oculomotor nerve palsy
D) Horner syndrome
E) Cluster headache
4) All of the following are associated with diarrhea except :
A) Hyperparathyroidism
B) Celiac disease
C) Inflammatory bowel disease
D) Gastrinoma
E) Cryptosporidium
5) All are true about multiple sclerosis except :
A) Occur in elderly
B) Remission and relapse
C) Unilateral optic neuritis
D) Antibodies to oligodendrocyte glycoprotein
E) Lhermitts sign and uhthoffs sign are positive
6) Most common cause of early death postoperative MI :
A) Ventricular extrasystole
B) Myocardial rupture
C) Myocardial aneurysm
D) Ventricular arrhythmia
E) Cardiac tamponade
7) First line in management of ventricular fibrillation :
A) Adrenaline
B) Atropine
C) Amiodarone
D) DC shock
E) Lidocaine
8) All of the following feco_oral transmission except :
A) HEV
B) HDV
C) Poliomyelitis
D) Gardiasis
E) Cryptosporidium
9) All of the following causes Polyuria except :
A) DI
B) Renal failure
C) Insulin deficiency
D) SIADH
E) Hypercalcemia
10) All are side effects of digitalis toxicity except :
A) Nausea and vomiting
B) Yellow vision
C) Short PR interval
D) Gynecomastia
E) Anorexia
12) All of the following are indication for liver biopsy except :
A) Hepatic tumor
B) Wilson's disease
C) Prolonged PT
D) Fever unknown origin
E) Autoimmune hepatitis
13) Which of the following is CCB :
A) Furosemide
B) Diltiazem
C) Digoxin
D) Simvastatin
E) Ramiprile
13) Which of the following valvular heart disease increase risk of angina :
A) Aortic regurgitation
B) Mitral regurgitation
C) Aortic stenosis
D) Mitral stenosis
E) Pulmonary stenosis
14) All of the following are causes of chest pain except :
A) Dissecting aortic aneurysm
B) PE
C) Pericarditis
D) Cardiomyopathy
E) Tietzes syndrome
15) All of the following associated with aortic stenosis except :
A) Sudden death
B) Wide pulse pressure
C) Slow rising pulse
D) P mitrale and LAD on ECG
E) Syncope
16) All of the following are causes of huge Splenomegaly except :
A) CML
B) Kala_azar
C) Malaria
D) Sarcoidosis
E) Infectious mononucleosis
17) All of the following are causes of Extrasystole (PVCs) except :
A) Digoxin toxicity
B) MI
C) Lidocaine
D) Heart failure
E) HTN
18) All of the following are associated with Parkinsonism except :
A) Bradykinesia
B) Mask like face
C) Sensory defect
D) Shuffling gait
E) Lewy bodies
19) All are seen in DM type 1 except :
A) HLA DR3 and HLA DR4 association
B) Obesity
C) Ketoacidosis
D) Young age
E) Autoimmune B cell damage
20) Most common symptom of Bronchogenic carcinoma :
A) Chest pain
B) Cough
C) Hemoptysis
D) Dyspnea
E) Wheeze and cough
21) Rate of transmission of HBV by contaminated needles is :
A) 0.3%
B) 0.03 %
C) 0.003 %
D) 3%
E) 30%
22) Green house effect of increased temperature by increase production of :
A) CO2
B) O2
C) CO
D) N2o
E) NO
23) All of the following are complications of obesity except :
A) Hypothyroidism
B) DM type 2
C) Polycythemia
D) Obstructive sleep apnea
E) Hyperlipidemia
24) One of the following associated with Addison disease :
A) Hypokalemia
B) Hyponatremia
C) Hypoglycemia
D) HTN
E) Weight gain
25) Gold standard for diagnosis of erosive gastritis :
A) Gastric PH_metry
B) Gastric biopsy
C) Gastroesophageal endoscopy
D) History
E) Physical exam
26) Most common cause of septic arthritis :
A) Intra_Articular injection
B) Trauma
C) Staphylococcus aureus
D) Osteoarthritis
E) Cushing syndrome
27) All are causes of chorea except :
A) PRV
B) Rheumatic fever
C) Carbamezipine
D) Huntington disease
E) Wilson disease
28) All of the following are causes of hemoptysis except :
A) Mitral stenosis
B) TB
C) PE
D) Lung cancer
E) Bronchial asthma
29) All of the following are viral disease except :
A) Rabies
B) Poliomyelitis
C) Yellow fever
D) Lyme disease
E) Dengue fever
30) All are true about Brucellosis except :
A) Neutrophil Leucocytosis
B) Fever of unknown origin
C) Brucella melitensis is the most virulent
D) Weight loss
E) Hepatosplenomegaly
31) All are true about Nephritic syndrome except :
A) Oliguria
B) Diastolic HTN
C) Lipiduria
D) Uremia
E) Oedema
32) All are investigation for Thrombophilia except :
A) Anticardio lipin antibodies
B) Factor 5 leiden mutation
C) Protein S level
D) Cholesterol level
E) D_dimer
33) All are causes of ejection systolic murmur except :
A) pregnancy
B) Aortic stenosis
C) Pulmonary stenosis
D) HOCM
E) Mitral stenosis
34) The physical sign of chest exam , decreased chest expansion , increased percussion note ( Resonant ) , decreased breath sound in left side of the lung are mostly :
A) Left side pleural effusion
B) Left side pneumothorax
C) Left side lung fibrosis
D) Left side consolidation
E) Left side collapse
35) Ptosis , large pupils ,eye down and out are characteristic for palsy of :
A) 2 C.N
B) 3 C.N
C) 4 C.N
D) 5 C.N
E) 6 C.N
36) Chvostic sign is seen in one of the following :
A) Hypokalemia
B) Hyperkalemia
C) Hypocalcemia
D) Hypercalcemia
E) Hypermagnesemia
37) All are causes of finger clubbing except :
A) Empyema
B) Mesothelioma
C) Celiac disease
D) Myocarditis
E) Graves disease
38) All are causes of Postural tremor except :
A) Parkinsonism
B) Hyperthyroidism
C) Alcoholism
D) Anxiety
E) Pheochromocytoma
39) All are true ECG sign for Hyperkalemia except :
A) Tall tented T wave
B) Wide QRS
C) Long QT interval
D) Absent P wave
E) Sine wave
40) All are sign and symptoms of digoxin toxicity except :
A) Nausea and vomiting
B) Confusion
C) Decreased appetite
D) Hypokalemia
E) Edema
41) All are true about complication of MI except :
A) Ventricular tachycardia
B) Mitral stenosis
C) VSD
D) Dressler syndrome
E) Heart block
42) The best combination antibiotic for treatment of aspiration pneumonia is :
A) Cefuroxime and metronidazole
B) Amoxicillin and gentamycin
C) Vancomycin and ticaracillin
D) Tetracycline and vancomycin
E) Gentamycin and metronidazole
43 ) All are causes of insulin resistance , DM type 2 except :
A) Wilson's disease
B) Pregnancy
C) Cushing disease
D) Metabolic syndrome
E) Acromegaly
44) Short 4th and 5th metacarpals bone is characteristic for :
A) Primary Hyperparathyroidism
B) Secondary Hyperparathyroidism
C) Tertiary Hyperparathyroidism
D) Pseudohypoparathyroidism
E) Pseudopseudo_Hyperparathyroidism
45) All are causes of bloody diarrhea except :
A) Cambylobacter
B) Shigella
C) Crohn disease
D) E coli
E) IBS
46) All are true about ATN except :
A) Urine osmolarity > 500 mosm / L
B) Urine Na > 40 mmol / L
C) Urine urea / plasma urea < 3:1
D) Urine creatinine / plasma creatinine < 20:1
E) Fractional Na excretion > 2%
47) All are causes of normocytic anemia except :
A) Chronic blood loss
B) Pregnancy
C) Hypothyroidism
D) Alcoholism
E) Aplastic anemia
48) All are true about IDA except :
A) Low serum iron
B) Low TIBC
C) Low serum ferritin
D) Low hemosedrine
E) High Transferrin
49) All are causes of prolonged PT except :
A) DIC
B) Liver disease
C) Warfarin
D) VWD
E) Factor 10 deficiency
50) All are true matching about antibiotics and side effect , except :
A) Doxycycline _ photosensitivity
B) Vancomycin _ Red man syndrome
C) Clindamycin _constipation
D) Chloramphenicol _ Aplastic anemia
E) Metronidazole _-Disulfiram reaction
51) All are sign and symptoms of autonomic neuropathy except :
A) Urine retention
B) Nocturnal diarrhea
C) erectile dysfunction
D) HTN
E) Horner syndrome
52) All of the following are causes of polyneuropathy except :
A) Guillain barre syndrome
B) DM
C) Lyme disease
D) Charcot Marie tooth syndrome
E) Carpal tunnel syndrome
53) All are true about spondyloarthropathy except :
A) Asymmetrical oligo or monoarthritis
B) HLA B27 association
C) Extra articular manifestation
D) Rheumatoid factor positive
E) Affect spine and sacroiliac joints
54) All of the following are causes of Nodular shadowing on chest X_Ray except :
A) Lung hamartoma
B) Hydatid cyst
C) Sarcoidosis
D) Caplan syndrome
E) Atelectasis
55) All are indication for D/C cardioversion except :
A) Ventricular tachycardia
B) Ventricular fibrillation
C) Atrial fibrillation
D) Asystole
E) SVT
56) All are true about life threatening attack bronchial asthma except :
A) FEV1 < 50% of predicted
B) Cyanosis
C) Hypotension and bradycardia
D) Normal or high PaCO2
E) PH < 7.30
57) The first step of management of patient with DKA is :
A) Insulin
B) K replacement
C) Fluid replacement normal saline
D) Fluid replacement ringer lactate
E) Bicarbonate
58) The first step in management of patient with Hyperkalemia with tall tented T wave :
A) Calcium Resonium
B) Dialysis
C) Calcium gluconate
D) Insulin and glucose
E) Nebulized Salbutamol
59) All are cardiovascular complication of acromegaly except :
A) HTN
B) HOCM
C) High output heart failure
D) Right ventricular hypertrophy
E) Coronary artery disease
60) All are true about mild acute attack of bronchial asthma except :
A) Audible wheeze
B) Hyperinflated chest
C) Hyperresonant percussion
D) Respiratory acidosis
E) Cough
61) All are causes of type one respiratory failure except :
A) Pneumonia
B) Pulmonary edema
C) Obstructive sleep apnea
D) Fibrosing alveolitis
E) Emphysema
62) All are causes of diffuse goitre except :
A) Graves disease
B) Hashimoto thyroiditis
C) Plummer disease
D) De Quervain thyroiditis
E) Subacute thyroiditis
63) All of the following are causes of constipation except :
A) Hyperkalemia
B) Hypercalcemia
C) Hypothyroidism
D) Iron supplement
E) Systemic sclerosis
64) All are therapeutic indication for colonoscopy except :
A) FAP
B) Hyperplastic polyps
C) Angiodysplasia
D) volvulus
E) Colonic pseudo_obstruction
65) The best screening test for hereditary Hemochromatosis :
A) Serum iron
B) Serum ferritin
C) Serum Transferrin
D) Serum Transferrin saturation
E) Serum TIBC
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