اسئلة الباطنية 2017 (1)
1 ) A 34 years old female presents with vomiting preceded by an headache of acute Onest . On exam she was conscious , alert with photophobia but no neck stiffness . First brain CT scan is reported as normal . What is the most appropriate further management ?
A . CT brain with contrast .
B . Repeat CT brain in 24 hours .
C . CSF examination .
D . Cerebral angiography .
E . MRI brain .
2) Most common causing microorganism of spontaneous bacterial peritonitis ?
A . E coli .
B . Streptococcus pneumonia .
C . Listeria .
D . Staphylococcus aureus .
E . Pseudomonas aeruginosa .
3 ) The best treatment of Wernicke Korsakoff syndrome is ?
A . Thiamine .
B . Folate .
C . Cobaltammine .
D . Pyridoxine .
E . Iron .
4 ) Regarding secondary HTN , which is true ?
A . It account for 90% of the case's .
B . Addison disease is one of the causes .
C . It can be easily controlled .
D . When associated with Hypokalemia , hyperaldosteronism may be the cause .
E . All patient should be investigated for secondary causes at all ages .
5 ) A patient is seen in clinic complaining of abdominal pain . Routine blood tests show Na = 142 mmol /L , CL = 104 mmol/L , K = 4 mmol/L , HCO3 = 19 mmol/L , Ca = 2 mmol/L , PO4 = 1.5 mmol/L , BUN = 28 mg/dl , creatinine = 112 mmol/L , Glucose = 180 mg /dl . What is the expected anion gap in mmol/L and osmolarity in mosm/L H2o ?
A . 24 , 314 .
B . 23 , 312 .
C . 32 , 321 .
D . 25 , 315 .
E . 22 , 311 .
6 ) 50 years old male patient , with medical history of DM , free surgical history , social history of infertility , abdominal ultrasound showed cirrhotic liver changes , most likely diagnosis ?
A . HAV .
B . Budd Chiari syndrome .
C . Wilson disease .
D . Hemochromatosis .
E . Alpha one antitrypsin deficiency .
7 ) Each one of the following may raise ESR except ?
A . Female sex .
B . SLE .
C . Polycythemia .
D . Myeloma .
E . Increasing age .
8 ) Where is the most common site for primary cardiac tumors to occur in adult ?
A . Left atrium .
B . Left ventricle .
C . Left atrial appendage .
D . Right ventricle .
E . Right atrium .
9) All of the following can cause Hyperkalemia except ?
A . NSAIDs .
B . ACE inhibitors .
C . Spironolactone .
D . Furosemide diuretics .
E . Adrenal insufficiency .
10 ) All of the following are true about Long term oxygen therapy ( LTOT ) in COPD except ?
A . The goal is to maintaining SPo2 > 90% and PaO2 > 60 mmhg .
B . Main delivery devices include nasal cannula and venturi mask .
C . Does not affect life expectancy in COPD patient .
D . It is indicated in COPD who have PaO2 < 7.3 kpa .
E . To get the benefits of LTOT , patients should breath supplemental oxygen for at least 15 hours per day .
11 ) All are risk factors for esophageal cancer except ?
A . GERD .
B . Achalasia .
C . H pylori .
D . Smoking .
E . Alcohol .
12 ) All are causes of Pancytopenia except ?
A . Paroxysmal nocturnal hemoglobinuria .
B . Systemic lupus erythematosus .
C . Megaloblastic anemia .
D . Iron deficiency anemia .
E . Lymphoma .
13 ) In curative splenectomy , best time to give pneumococcal vaccine ?
A . First week before surgery .
B . 4 weeks before surgery .
C . Immediately after surgery .
D . 2 weeks after surgery .
E . At least one month after surgery .
14 ) A 25 years old woman complains of shortness of breath after 10 hours of travel by air . RR = 30 BPM , BP = 110/70 , HR = 100 BPM . PE is suspected . The optimal duration of warfarin therapy is ?
A . 6 weeks .
B . 3 months .
C . 6 months .
D . 1 year .
E . Life long .
15 ) Woman with family history of cancer is at risk of all of the following except ?
A . Endometrial cancer .
B . Ovarian cancer .
C . Colon cancer .
D . Gastric cancer .
E . Breast cancer .
16 ) Numbers of death's with TB in one year over , the number of population in the middle of the year is called ?
A . Mortality rate .
B . Crude death rate .
C . Specific death rate .
D . Specific death ratio .
E . Case mortality rate .
17 ) Site of action of Spironolactone is ?
A . Proximal convoluted tubules .
B . Loop of henle ascending part .
C . Distal convoluted tubules .
D . Loop of henle descending part .
E . Juxtaglomerular apparatus .
18 ) Streptokinase therapy is recommended in acute pulmonary embolism when ?
A . Patient complains of shortness of breath .
B . Patient complains of chest pain .
C . Blood pressure is 70/30 .
D . Pulmonary angiogram is positive .
E . Blood tinged sputum .
19 ) All of the following are signs and symptoms of Acromegaly except ?
A . Galactorrhea .
B . Arthralgia .
C . Excessive sweating .
D . Sleep apnea .
E . Hypergonadism .
20 ) The best combined drugs for management of patient with HTN and history of MI is ?
A . Thiazide and Amlodipine .
B . Thiazide and virapamil .
C . Atenolol and Ramipril .
D . Valsartan and Ramipril .
E . Thiazide and Ramipril .
21 ) Causes of bilateral hilar lymphadenopathy are all of the following except ?
A . Sarcoidosis .
B . Amyloidosis .
C . Tuberculosis .
D . Lymphoma .
E . Extrinsic allergic alveolitis
22 ) All of the following are signs and symptoms of hyperparathyroidism primary type except ?
A . Confusion .
B . Anorexia .
C . Polyuria .
D . Hypotension .
E . Short QT interval .
23 ) All of the following are true about pneumocystis carinii pneumonia except ?
A . It is caused by yeast like fungus pneumocystis jiroveci .
B . It is seen in people with cancer , chemotherapy , HIV and drug abusers .
C . The risk of pneumocystis carinii pneumonia increases when CD4 T_cell level are less than 300 cells / ml .
D . X_Ray shows wide spread bilateral opacification with low grade fever , non productive cough , loss of weight and night sweats .
E . In HIV patient drug of choice is co _ trimoxazole .
24 ) Patient with atrial fibrillation , which one of the following factors would make a rate control strategy rather than rhythm control more suitable ?
A . CHF .
B . Age > 65 years .
C . First presentation .
D . Symptomatic .
E . Atrial fibrillation secondary to a corrected precipitant .
25 ) All of the following is considered correct in the management of variceal bleeding except ?
A . Patient should be resuscitated with IV fluid .
B . Monitoring of vital signs is a must .
C . Octreotide agonist should be added if variceal bleeding if suspected .
D . There is no need to add antibiotics for the treatment management GI bleeding caused by esophageal varices .
E . TIPS procedure is an option.
26 ) All of the following are true about Mycoplasma pneumonia except ?
A . Autoimmune hemolytic anemia IgM .
B . Ceftriaxone is the best treatment .
C . Most common primary atypical pneumonia .
D . Bilateral lung consolidation with minimal symptom .
E . Walking pneumonia and can cause epidemics .
27 ) All of the following are true matching except ?
A . Loud S2 in cor pulmonale and systemic HTN .
B . Sof S2 in pulmonary stenosis , aortic stenosis , and aortic regurgitation .
C. S3 is normal in youth , athletes , pregnants and common pathological causes are LVF and mitral regurgitation .
D . Fixed splitting of S1 is heard with ASD .
E . Loud S4 is sign of pathological state always like LVF , HTN , aortic stenosis .
28 ) All are true about immune thrombocytopenic purpura except ?
A . Peak age 2 _ 6 years old and in adult 20 _ 40 years old .
B . Minimal bruising and mucocutaneous bleed .
C . Splenomegaly and lymphadenopathy .
D . Bone marrow aspirate shows increased Megakaryocytes .
E . Non urgent treatment include corticosteroids , intravenous immunoglobulins , splenectomy , immunomodulators and no role of platelet transfusion .
29 ) All are causes of warm hemolytic anemia except ?
A . CLL .
B . Lung cancer .
C . SLE .
D . Alpha methyldopa , quinidine , ciprofloxacin .
E . Primaquine , sulfasalazine .
30 ) All of the following are true about extrinsic allergic alveolitis except ?
A . Caused by hypersensitivity to inhaled organic dusts .
B . Type 2 or type 4 hypersensitivity .
C . Pulmonary function test show restrictive loss of lung function .
D . CBC show significant eosinophilia .
E . Lymphocytic infiltration of alveoli and intra alveolar septa on lung biopsy .
31 ) Most common cause of upper GI bleeding is ?
A . Esophageal varices .
B . Gastric ulcer .
C . Duodenal ulcer .
D . Erosive gastritis .
E . Mallory weiss syndrome .
32 ) Diabetes mellitus diagnostic criteria include 2 hour glucose tolerance test , fasting glucose , and HbA1c respectively ?
A . > 140 mg/dL , > 110 mg/dL , > 6% .
B . >= 200 mg /dL , > 110 mg/dL , > 6.5% .
C . >=200 mg/dL , > =126 mg/dL , >6% .
D . >=200mg/dL , >=126 mg/dL , >=6.5% .
E . >=180 mg/dL , >=125 mg/dL , >=6.5% .
33 ) ECG sign of hypothermia is ?
A . Tachycardia .
B . U wave .
C . Long QT interval .
D . Short PR interval .
E . Peaked T wave .
34 ) All are causes of finger clubbing except ?
A . Mesothelioma .
B . Crohn disease .
C . Graves disease .
D . COPD .
E . Idiopathic pulmonary fibrosis .
35 ) Which of the following make you suspect acute rather than chronic failure of kidneys ?
A . Anemia .
B . History of nephrotoxic drug .
C . Small kidneys size .
D . Renal osteodystrophy .
E . Peripheral neuropathy .
36 ) All are causes of prerenal azotemia except ?
A . HTN
B . GI bleeding
C . CHF
D . Sepsis
E . Liver cirrhosis
37 ) 25 years old known case of tuberculosis on treatment , drop of INR from 3 to 1.2 , which of the following drugs responsible for this ?
A . Rifampin
B . Isoniazid
C . Ethambutol
D . Pyrazinamide
E . Streptomycin
38 ) 25 years old tall man had suddenly rapid and shallow breathing . In left CXR found to have 2 cm pneumothorax . What is the best next step ?
A . Needle aspiration .
B . Chest tube .
C . Intubation .
D . O2 therapy and observation .
E . Thoracotomy .
39 ) Best time to take simvastatin is ?
A . At bed time .
B . Morning .
C . Before each meal .
D . In the evening .
E . After each meal.
40 ) Cyclosporine side effects include all of the following except ?
A . Gingival hyperplasia .
B . Alopecia .
C . Hyperglycemia .
D . Jaundice .
E . Tremor .
41 ) All are true about cystic fibrosis except ?
A . Cor pulmonale
B . Rectal prolapse
C . Abdominal aortic aneurysm
D . Metabolic Alkalosis
E . Gallstones
42 ) Activated charcoal is used in one of the following poisoning ?
A . Aminophylline .
B . Lead .
C . Iron .
D . Ethylene glycol .
E . Lithium .
43 ) Which of the following contains the highest calories contents ?
A . Butter .
B . Bread .
C . Meat .
D . Sugar .
E . Macaroni .
44 ) Iron deficiency anemia can cause all of the following except ?
A . Koilonychia .
B . Onycholysis .
C . Atrophic glossitis .
D . Stomatitis .
E . Pica .
45 ) Causes of Hyperkalemia all of the following except ?
A . Cyclosporine .
B . Atenolol .
C . Digoxin .
D . Triamterene .
E . Ethacrynic acid .
46 ) All are true about renal tubular acidosis except ?
A . Type 1 and type 4 affect distal convoluted tubules .
B . Type 2 affect proximal convoluted tubules .
C . Type 1 and type 2 associated with Hypokalemia , but type 4 associated with Hyperkalemia .
D . Nephrocalcinosis associated with type 1 , Fanconi syndrome associated with type 2 , Renal insufficiency associated with type 4 .
E . Type 4 RTA associated with hyperaldosteronism .
47 ) A patient has a potassium level of 7 mmol/L . Which of the following intervention is priority ?
A . Administer a laxative .
B . Administer a loop diuretics Furosemide .
C . Administer Spironolactone .
D . Prepare the patient for dialysis and place the patient on cardiac monitor .
E . Give patient insulin and glucose .
48 ) Incidence rate is defined as ?
A . Number of old case's in a population per unit of person _ time .
B . Number of new case's in a population per unit of person _ time .
C . Number of all case's in a population over a defined period of time .
D . Number of old and new case's in a population per unit of person _ time .
E . Number of new case's in a population per unit of person over a defined period of one year .
49 ) All of the following are Quantitative tests hypothesis except ?
A . Why ?
B . What ?
C . How much ?
D . How many ?
E . When ?
50 ) All of the following are criteria for major depression except ?
A . Decreased mood .
B . Decreased pleasure .
C . Hypersomnia .
D . Hallucinations .
E . Suicidal ideation .
A . CT brain with contrast .
B . Repeat CT brain in 24 hours .
C . CSF examination .
D . Cerebral angiography .
E . MRI brain .
2) Most common causing microorganism of spontaneous bacterial peritonitis ?
A . E coli .
B . Streptococcus pneumonia .
C . Listeria .
D . Staphylococcus aureus .
E . Pseudomonas aeruginosa .
3 ) The best treatment of Wernicke Korsakoff syndrome is ?
A . Thiamine .
B . Folate .
C . Cobaltammine .
D . Pyridoxine .
E . Iron .
4 ) Regarding secondary HTN , which is true ?
A . It account for 90% of the case's .
B . Addison disease is one of the causes .
C . It can be easily controlled .
D . When associated with Hypokalemia , hyperaldosteronism may be the cause .
E . All patient should be investigated for secondary causes at all ages .
5 ) A patient is seen in clinic complaining of abdominal pain . Routine blood tests show Na = 142 mmol /L , CL = 104 mmol/L , K = 4 mmol/L , HCO3 = 19 mmol/L , Ca = 2 mmol/L , PO4 = 1.5 mmol/L , BUN = 28 mg/dl , creatinine = 112 mmol/L , Glucose = 180 mg /dl . What is the expected anion gap in mmol/L and osmolarity in mosm/L H2o ?
A . 24 , 314 .
B . 23 , 312 .
C . 32 , 321 .
D . 25 , 315 .
E . 22 , 311 .
6 ) 50 years old male patient , with medical history of DM , free surgical history , social history of infertility , abdominal ultrasound showed cirrhotic liver changes , most likely diagnosis ?
A . HAV .
B . Budd Chiari syndrome .
C . Wilson disease .
D . Hemochromatosis .
E . Alpha one antitrypsin deficiency .
7 ) Each one of the following may raise ESR except ?
A . Female sex .
B . SLE .
C . Polycythemia .
D . Myeloma .
E . Increasing age .
8 ) Where is the most common site for primary cardiac tumors to occur in adult ?
A . Left atrium .
B . Left ventricle .
C . Left atrial appendage .
D . Right ventricle .
E . Right atrium .
9) All of the following can cause Hyperkalemia except ?
A . NSAIDs .
B . ACE inhibitors .
C . Spironolactone .
D . Furosemide diuretics .
E . Adrenal insufficiency .
10 ) All of the following are true about Long term oxygen therapy ( LTOT ) in COPD except ?
A . The goal is to maintaining SPo2 > 90% and PaO2 > 60 mmhg .
B . Main delivery devices include nasal cannula and venturi mask .
C . Does not affect life expectancy in COPD patient .
D . It is indicated in COPD who have PaO2 < 7.3 kpa .
E . To get the benefits of LTOT , patients should breath supplemental oxygen for at least 15 hours per day .
11 ) All are risk factors for esophageal cancer except ?
A . GERD .
B . Achalasia .
C . H pylori .
D . Smoking .
E . Alcohol .
12 ) All are causes of Pancytopenia except ?
A . Paroxysmal nocturnal hemoglobinuria .
B . Systemic lupus erythematosus .
C . Megaloblastic anemia .
D . Iron deficiency anemia .
E . Lymphoma .
13 ) In curative splenectomy , best time to give pneumococcal vaccine ?
A . First week before surgery .
B . 4 weeks before surgery .
C . Immediately after surgery .
D . 2 weeks after surgery .
E . At least one month after surgery .
14 ) A 25 years old woman complains of shortness of breath after 10 hours of travel by air . RR = 30 BPM , BP = 110/70 , HR = 100 BPM . PE is suspected . The optimal duration of warfarin therapy is ?
A . 6 weeks .
B . 3 months .
C . 6 months .
D . 1 year .
E . Life long .
15 ) Woman with family history of cancer is at risk of all of the following except ?
A . Endometrial cancer .
B . Ovarian cancer .
C . Colon cancer .
D . Gastric cancer .
E . Breast cancer .
16 ) Numbers of death's with TB in one year over , the number of population in the middle of the year is called ?
A . Mortality rate .
B . Crude death rate .
C . Specific death rate .
D . Specific death ratio .
E . Case mortality rate .
17 ) Site of action of Spironolactone is ?
A . Proximal convoluted tubules .
B . Loop of henle ascending part .
C . Distal convoluted tubules .
D . Loop of henle descending part .
E . Juxtaglomerular apparatus .
18 ) Streptokinase therapy is recommended in acute pulmonary embolism when ?
A . Patient complains of shortness of breath .
B . Patient complains of chest pain .
C . Blood pressure is 70/30 .
D . Pulmonary angiogram is positive .
E . Blood tinged sputum .
19 ) All of the following are signs and symptoms of Acromegaly except ?
A . Galactorrhea .
B . Arthralgia .
C . Excessive sweating .
D . Sleep apnea .
E . Hypergonadism .
20 ) The best combined drugs for management of patient with HTN and history of MI is ?
A . Thiazide and Amlodipine .
B . Thiazide and virapamil .
C . Atenolol and Ramipril .
D . Valsartan and Ramipril .
E . Thiazide and Ramipril .
21 ) Causes of bilateral hilar lymphadenopathy are all of the following except ?
A . Sarcoidosis .
B . Amyloidosis .
C . Tuberculosis .
D . Lymphoma .
E . Extrinsic allergic alveolitis
22 ) All of the following are signs and symptoms of hyperparathyroidism primary type except ?
A . Confusion .
B . Anorexia .
C . Polyuria .
D . Hypotension .
E . Short QT interval .
23 ) All of the following are true about pneumocystis carinii pneumonia except ?
A . It is caused by yeast like fungus pneumocystis jiroveci .
B . It is seen in people with cancer , chemotherapy , HIV and drug abusers .
C . The risk of pneumocystis carinii pneumonia increases when CD4 T_cell level are less than 300 cells / ml .
D . X_Ray shows wide spread bilateral opacification with low grade fever , non productive cough , loss of weight and night sweats .
E . In HIV patient drug of choice is co _ trimoxazole .
24 ) Patient with atrial fibrillation , which one of the following factors would make a rate control strategy rather than rhythm control more suitable ?
A . CHF .
B . Age > 65 years .
C . First presentation .
D . Symptomatic .
E . Atrial fibrillation secondary to a corrected precipitant .
25 ) All of the following is considered correct in the management of variceal bleeding except ?
A . Patient should be resuscitated with IV fluid .
B . Monitoring of vital signs is a must .
C . Octreotide agonist should be added if variceal bleeding if suspected .
D . There is no need to add antibiotics for the treatment management GI bleeding caused by esophageal varices .
E . TIPS procedure is an option.
26 ) All of the following are true about Mycoplasma pneumonia except ?
A . Autoimmune hemolytic anemia IgM .
B . Ceftriaxone is the best treatment .
C . Most common primary atypical pneumonia .
D . Bilateral lung consolidation with minimal symptom .
E . Walking pneumonia and can cause epidemics .
27 ) All of the following are true matching except ?
A . Loud S2 in cor pulmonale and systemic HTN .
B . Sof S2 in pulmonary stenosis , aortic stenosis , and aortic regurgitation .
C. S3 is normal in youth , athletes , pregnants and common pathological causes are LVF and mitral regurgitation .
D . Fixed splitting of S1 is heard with ASD .
E . Loud S4 is sign of pathological state always like LVF , HTN , aortic stenosis .
28 ) All are true about immune thrombocytopenic purpura except ?
A . Peak age 2 _ 6 years old and in adult 20 _ 40 years old .
B . Minimal bruising and mucocutaneous bleed .
C . Splenomegaly and lymphadenopathy .
D . Bone marrow aspirate shows increased Megakaryocytes .
E . Non urgent treatment include corticosteroids , intravenous immunoglobulins , splenectomy , immunomodulators and no role of platelet transfusion .
29 ) All are causes of warm hemolytic anemia except ?
A . CLL .
B . Lung cancer .
C . SLE .
D . Alpha methyldopa , quinidine , ciprofloxacin .
E . Primaquine , sulfasalazine .
30 ) All of the following are true about extrinsic allergic alveolitis except ?
A . Caused by hypersensitivity to inhaled organic dusts .
B . Type 2 or type 4 hypersensitivity .
C . Pulmonary function test show restrictive loss of lung function .
D . CBC show significant eosinophilia .
E . Lymphocytic infiltration of alveoli and intra alveolar septa on lung biopsy .
31 ) Most common cause of upper GI bleeding is ?
A . Esophageal varices .
B . Gastric ulcer .
C . Duodenal ulcer .
D . Erosive gastritis .
E . Mallory weiss syndrome .
32 ) Diabetes mellitus diagnostic criteria include 2 hour glucose tolerance test , fasting glucose , and HbA1c respectively ?
A . > 140 mg/dL , > 110 mg/dL , > 6% .
B . >= 200 mg /dL , > 110 mg/dL , > 6.5% .
C . >=200 mg/dL , > =126 mg/dL , >6% .
D . >=200mg/dL , >=126 mg/dL , >=6.5% .
E . >=180 mg/dL , >=125 mg/dL , >=6.5% .
33 ) ECG sign of hypothermia is ?
A . Tachycardia .
B . U wave .
C . Long QT interval .
D . Short PR interval .
E . Peaked T wave .
34 ) All are causes of finger clubbing except ?
A . Mesothelioma .
B . Crohn disease .
C . Graves disease .
D . COPD .
E . Idiopathic pulmonary fibrosis .
35 ) Which of the following make you suspect acute rather than chronic failure of kidneys ?
A . Anemia .
B . History of nephrotoxic drug .
C . Small kidneys size .
D . Renal osteodystrophy .
E . Peripheral neuropathy .
36 ) All are causes of prerenal azotemia except ?
A . HTN
B . GI bleeding
C . CHF
D . Sepsis
E . Liver cirrhosis
37 ) 25 years old known case of tuberculosis on treatment , drop of INR from 3 to 1.2 , which of the following drugs responsible for this ?
A . Rifampin
B . Isoniazid
C . Ethambutol
D . Pyrazinamide
E . Streptomycin
38 ) 25 years old tall man had suddenly rapid and shallow breathing . In left CXR found to have 2 cm pneumothorax . What is the best next step ?
A . Needle aspiration .
B . Chest tube .
C . Intubation .
D . O2 therapy and observation .
E . Thoracotomy .
39 ) Best time to take simvastatin is ?
A . At bed time .
B . Morning .
C . Before each meal .
D . In the evening .
E . After each meal.
40 ) Cyclosporine side effects include all of the following except ?
A . Gingival hyperplasia .
B . Alopecia .
C . Hyperglycemia .
D . Jaundice .
E . Tremor .
41 ) All are true about cystic fibrosis except ?
A . Cor pulmonale
B . Rectal prolapse
C . Abdominal aortic aneurysm
D . Metabolic Alkalosis
E . Gallstones
42 ) Activated charcoal is used in one of the following poisoning ?
A . Aminophylline .
B . Lead .
C . Iron .
D . Ethylene glycol .
E . Lithium .
43 ) Which of the following contains the highest calories contents ?
A . Butter .
B . Bread .
C . Meat .
D . Sugar .
E . Macaroni .
44 ) Iron deficiency anemia can cause all of the following except ?
A . Koilonychia .
B . Onycholysis .
C . Atrophic glossitis .
D . Stomatitis .
E . Pica .
45 ) Causes of Hyperkalemia all of the following except ?
A . Cyclosporine .
B . Atenolol .
C . Digoxin .
D . Triamterene .
E . Ethacrynic acid .
46 ) All are true about renal tubular acidosis except ?
A . Type 1 and type 4 affect distal convoluted tubules .
B . Type 2 affect proximal convoluted tubules .
C . Type 1 and type 2 associated with Hypokalemia , but type 4 associated with Hyperkalemia .
D . Nephrocalcinosis associated with type 1 , Fanconi syndrome associated with type 2 , Renal insufficiency associated with type 4 .
E . Type 4 RTA associated with hyperaldosteronism .
47 ) A patient has a potassium level of 7 mmol/L . Which of the following intervention is priority ?
A . Administer a laxative .
B . Administer a loop diuretics Furosemide .
C . Administer Spironolactone .
D . Prepare the patient for dialysis and place the patient on cardiac monitor .
E . Give patient insulin and glucose .
48 ) Incidence rate is defined as ?
A . Number of old case's in a population per unit of person _ time .
B . Number of new case's in a population per unit of person _ time .
C . Number of all case's in a population over a defined period of time .
D . Number of old and new case's in a population per unit of person _ time .
E . Number of new case's in a population per unit of person over a defined period of one year .
49 ) All of the following are Quantitative tests hypothesis except ?
A . Why ?
B . What ?
C . How much ?
D . How many ?
E . When ?
50 ) All of the following are criteria for major depression except ?
A . Decreased mood .
B . Decreased pleasure .
C . Hypersomnia .
D . Hallucinations .
E . Suicidal ideation .
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