اسئلة الباطنية 2017 (2)
1) Hyperkalemia is characterized by all of the following except ?
A) Nausea and vomiting
B ) Peaked T wave
C) Wide QRS complex
D) Positive Chvostic sign
E) Cardiac arrest in diastole
2) Which of the following is not associated with Horner syndrome ?
A) Ptosis
B ) Exophthalmos
C) Enophthalmos
D) Anhydrosis
E) Miosis
3) Anti_mitochondrial antibody consider marker for ?
A) Primary sclerosing Cholangitis
B ) Acute pancreatitis
C) Primary biliary cirrhosis
D) Alcohol liver disease
E) Autoimmune hepatitis
4) Which of the following Goal of HbA1c in diabetic patients ?
A) Less 5%
B ) Less 6%
C) Less 7%
D) Less 8%
E) Less 10%
5) VWD is inherited as ?
A) Autosomal recessive
B ) X linked recessive
C) Autosomal dominant
D) Y linked disease
E) It is acquired disease
6) The following cardiovascular conditions can be diagnosed by chest X_Ray except ?
A) CHF / Pulmonary edema
B ) Pleural effusion
C) Large pericardial effusion
D) Acute MI
E) Calsific Constrictive pericarditis
7) The commonest type of intracranial tumor ?
A) Actrocytoma
B ) Meningeoma
C) Medulloblastoma
D) Neurofibroma
E) Brain metastasis
8 ) Patient being treated for DKA developed weakness and paresthesia . The most likely metabolic abnormality is ?
A) Acidosis
B ) Hypokalemia
C) Hypophosphatemia
D) Hypocalcemia
E) Hypoglycemia
9) Primary sclerosing Cholangitis is most associated with ?
A) Primary biliary cirrhosis
B ) Crohn disease
C) Hepatitis C infection
D) Ulcerative colitis
E) Celiac disease
10) H pylori ?
A) Is gram positive bacterium .
B ) Is associated with over crowding and lower economic classes .
C) Affect < 1% of the UK population .
D) Is rarely eradicated by a combination of PPI and antibiotics .
E) Is a common cause of food poisoning .
11) Known cause of Polyuria except ?
A) Hyponatremia
B ) Hypokalemia
C) Hyperglycemia
D) Hypercalcemia
E) Hyperaldosteronism
12) ECG
13) Most common cause of mitral valve stenosis ?
A) Rheumatic fever
B ) Syphilis
C) MI
D) Congenital stenosis
E) Pericarditis
14) Most common cause of upper GI bleeding ....
15) Drug of choice for MRSA ?
A) Oxacillin
B ) Ciprofloxacin
C) Vancomycin
D) Penicillin
E) Ampicillin
16) Which is not a complication of hepatic cirrhosis ?
A) Spontaneous bacterial peritonitis
B ) HCC
C) Thrombocytosis
D) Portal HTN
E) Portal vein thrombosis
17) Most common form of malignant thyroid cancer ?
A) Papillary
B ) Lymphoma
C) Medullary carcinoma
D) Follicular
E) Anaplastic carcinoma
18) The following are features of rheumatoid arthritis except ?
A) Symmetrical joint affect .
B ) Frequent involvement of PIP joint .
C) Morning stiffness of joint .
D) Juxta_articular osteoporosis .
E) Affect male's two times more than females
19) The following are complications of Nephritic syndrome except ?
A) Acute renal failure
B ) Accelerated HTN
C) Hypocalcemia
D) Pneumococcal infection
E) Venous thrombosis
20) The following sign are indicate massive pericardial effusion except ?
A) Low voltage ECG
B ) Increase jugular pulse on inspiration
C) Pulsus paradoxus
D) Harsh pericardial rub
E) ECG alternance
21) Recognized causes of Thrombocytosis include all of the following except ?
A) IDA
B ) Convective tissue disorder
C) Hypersplenism
D) Myeloproliferative disorders
E) Carcinomatosis
22) The following are features of rheumatic fever except ?
A) Restless , involuntary abnormal movements
B ) Subcutaneous nodules
C) Rashes over trunk and extremities
D) Short PR interval on ECG
E) Migratory arthritis
23) Causes of hemorrhagic pleural effusion are all except ?
A) Pulmonary infraction
B ) Mesothelioma
C) Bronchial adenoma
D) Tuberculosis
E) Malignant effusion
24) The acute leukemia most likely to lead to DIC ?
A) AML_M2
B ) AML_M3
C) AML_M4
D) AML_M5
E) ALL
25) A 42 years old man of Afro_Caribbean origin is diagnosed as having HTN .Secondary causes of HTN have been excluded . What is the most appropriate initial drug therapy ?
A) Losartan
B ) Bisoprolol
C) Doxazosin
D) Perindopril
E) Amlodipine
26) Eosinophilia can be caused by the following except ?
A) Parasitic infections
B ) Drugs
C) Allergic disease
D) Collagen vascular disease
E) Chronic bronchitis
27) The chief mode of transmission of Brucellosis is by ?
A) Direct animal contact
B ) Shaving brush bristles
C) Person to person
D) Water supply
E) Fecal contamination
28) A 45 years old male present with a long standing history of HTN . Investigations show a urea of 30 mg/dl , creatinine of 1.7 mg/dl . Which of the following would suggest a diagnosis of acute Glomerulonephritis ?
A) 24 hour urinary protein exceration of 0.8 gram .
B ) Dyslipidaemia .
C) RBC casts in urinary sediment .
D) Shrunken glomeruli on renal biopsy .
E) Unilaterally smaller kidney .
29) The following are recognized causes of hemoptysis except ?
A) Tuberculosis
B ) COPD
C) Bronchiectasis
D) Mitral stenosis
E) Goodpasture syndrome
30) High output heart failure occurs in all of the following except ?
A) Thyrotoxicosis
B ) Septic shock
C) Pagets disease
D) Beriberi
E) Aortic regurgitation
31) Edema due to hypoproteinemia results from all except ?
A) Liver cirrhosis
B ) Chronic pancreatitis
C) Acute Glomerulonephritis
D) Malnutrition
E) Nephrotic syndrome
32) All of the following risk factors for gastric cancer except ?
A) Blood group A
B ) Pernicious anemia
C) H pylori infection
D) Smoking
E) History of duodenal ulceration
33) All of the following are known causes for hypertriglyceridemia except ?
A) Alcohol
B ) DM
C) Steroids intake
D) Hyperthyroidism
E) Chronic renal disease
34) Which one of the following antibiotics may be safely continued at the same dose in chronic kidney disease ?
A) Tetracycline
B ) Ceftriaxone
C) Ciprofloxacin
D) Amikacin
E) Ceftazidime
35) All of the following are true about hepatitis c virus except ?
A) It is an RNA virus .
B ) Food is the usual mode of transmission .
C) Patient have rate of progressive to chronic liver disease .
D) It might cause HCC .
E) Antiviral agents are available for treatment .
36) All of the following are features of multiple myeloma except ?
A) Pathological fracture .
B ) Increase plasma abnormal cells in bone marrow .
C) Increase peak serum of monoclonal protein in electrophoresis .
D) Increase hemoglobin level .
E) Lytic bone lesion .
37) All of the following are important explanations for HTN refractory to medical therapy except ?
A) Poor drug compliance
B ) Inadequate drug therapy
C) Pheochromocytoma
D) Primary hyperaldosteronism
E) High potassium diet
38) Greatest risk factor for stroke ?
A) DM
B ) Family history of stroke
C) High blood pressure
D) Hyperlipidemia
E) Cigarettes smoking
39) A 72 years old man with a history of aortic stenosis is brought to the emergency department with red/black stool several times today . His blood pressure is 94/60 mmHg .and his pulse is 120 . What should you do first ?
A) Give antibiotics
B ) Give aspirin
C) Start IV fluids
D) Send to endoscopy
E) Send to home
40) In acute pulmonary embolism , the most frequent ECG findings is ?
A) S1Q3T3 pattern
B ) P pulmonale
C) Sinus tachycardia
D) Right axis deviation
E) RV1
41) Gouty arthritis is characterized by the following except ?
A) Involvement of the metatarsophalangeal joint of the big toe .
B ) Almost always associated with high serum uric acid during the acute attack .
C) Inflamed joint is exquisitely tender .
D) Overlying skin is red and hot .
E) Systemic features as fever , malaise and anorexia are often associated .
42) An epidemic is defined as ....
43) 45 years old male patient presented with fever , chest pain and productive cough . CXR shows cavity lesion in the right middle lobe of the lung , the most probable cause is ?
A) Streptococcus
B ) Klebsiella
C) Haemophilus influenza
D) Mycoplasma
E) Chlamydia
44) All of the following are absolute indications to stop blood transfusion except ?
A) Angioneurotic edema
B ) Febrile reaction
C) Anaphylactic shock
D) Red urine
E) Hypotension
45) All of the following can be given to patient with COPD safely except ?
A) CCB .
B ) Histamine 2 receptors blockers .
C) NSAIDs .
D) Beta 2 receptors blockers .
E) Muscarinic 3(M3) anticholinergic receptors blockers .
46) Which of the following is true concerning sickle cell trait ?
A) It is a cause of Megaloblastic anemia .
B ) It protects against malaria .
C) It occurs mainly in females .
D) It is a cause of frequent sickle cells in the peripheral blood .
E) It is associated with hemoglobin H .
47) All of the following seen in Tumor lysis syndrome except ?
A) Hypokalemia
B ) Hypocalcemia
C) Hyperurecemia
D) Hyperphosphatemia
E) High urine uric acid
48) In patient with Sarcoidosis , if patient has lung infiltrate only . This stage is ?
A) Stage 0
B ) Stage 1
C) Stage 2
D) Stage 3
E) Stage 4
49) The virus most often associated with colds in adults is ?
A) Rhinovirus
B ) Coxsackie virus
C) ECHO virus
D) RSV
E) Parainfluenza virus
50) All of the following associated with IBD except ?
A) Anterior uveitis
B ) Erythema nodosum
C) Dermatitis herpetiformis
D) Peripheral arthritis
E) Osteoporosis
51) Huge Splenomegaly is typical clinical presentation of ?
A) Acute myeloid leukemia
B ) Acute lymphatic leukemia
C) Chronic myeloid leukemia
D) Typhoid fever
E) Brucellosis
52) Antinuclear antibodies can be detected in the following except ?
A) Juvenile rheumatoid arthritis
B ) Mononucleolus
C) Elderly
D) Idiopathic pulmonary HTN
E) All of the above
53) All of the following are true about PUD except ?
A) Gastric ulcers have higher rate than duodenal ulcers of being malignant .
B ) H pylori is the most common cause .
C) Bleeding usually occurs in young people .
D) Endoscopy provides the most sensitive test for examining the upper GI tract .
E) Milk Alkali syndrome can result from the use of calcium carbonate as a treatment of PUD .
54) All of the following are well known causes of liver cirrhosis except ?
A) Alcohol
B ) Viral hepatitis C
C) Viral hepatitis E
D) Wilson's disease
E) Alpha 1 antitrypsin deficiency
55) Pernicious anemia is characterized by the following except ?
A) Macrocytic anemia
B ) Pyramidal lesion
C) Splenomegaly
D) Deep sensory loss
E) Cerebellar ataxia
56) Bronchial asthma patient might present with the following ?
A) Recurrent episodes of wheezing .
B ) Troublesome cough at night .
C) Cough or wheeze after exercise .
D) Cough , wheeze or chest tightness after exposure to airborne allergens .
E) All of the above .
57) Finger clubbing is not a usual feature of ?
A) Mesothelioma
B ) Bronchiectasis
C) Atrial myxoma
D) Fibrosing alveolitis
E) Pulmonary tuberculosis
58) You are considering prescribing an antibiotic to A 28 years old man who tells you he has long QT syndrome . Which antibiotic is it most important to avoid ?
A) Doxycycline
B ) Trimethoprim
C) Erythromycin
D) Rifampin
E) CO_amoxiclav
59) That is the site of action of Furosemide ?
A) Proximal convoluted tubules
B ) Tip of loop of henle
C) Thick ascending limb of loop of henle
D) Distal convoluted tubules
E) Collecting duct
60) Paget disease ?
A) Common in young patient
B ) Primarily a disease of osteoblast
C) Bone pain is common
D) First line of treatment is calcium
E) Urine alkaline phosphatase is elevated
61) Patient known to have DM , starts to act confused and look ill and sweaty . Most appropriate action would be ?
A) Give patient an insulin injection .
B ) Encourage patient to drink plenty of water .
C) Provide sweetened orange juice to patient .
D) Start normal saline infusion .
E) Reassure the patient and advice the patient to get some rest .
62) The definition of metabolic syndrome includes all of the following features except ?
A) Central obesity
B ) HTN
C) Hyperglycemia
D) Renal failure
E) Hypertriglyceridemia
63) All of the following strongly associated with obesity except ?
A) Insulin resistance
B ) HTN
C) Hypoventilation syndrome
D) Osteoporosis
E) Arteriosclerosis
64) A 35 years old female present with a DVT in the third trimester of pregnancy . Whilst in the emergency department , she develops a left hemiparesis . What underlying cardiac abnormality is most likely to be responsible ?
A) ASD premium
B ) ASD secondum
C) VSD
D) Patent foramen ovale
E) Patent ductus arteriosus
A) Nausea and vomiting
B ) Peaked T wave
C) Wide QRS complex
D) Positive Chvostic sign
E) Cardiac arrest in diastole
2) Which of the following is not associated with Horner syndrome ?
A) Ptosis
B ) Exophthalmos
C) Enophthalmos
D) Anhydrosis
E) Miosis
3) Anti_mitochondrial antibody consider marker for ?
A) Primary sclerosing Cholangitis
B ) Acute pancreatitis
C) Primary biliary cirrhosis
D) Alcohol liver disease
E) Autoimmune hepatitis
4) Which of the following Goal of HbA1c in diabetic patients ?
A) Less 5%
B ) Less 6%
C) Less 7%
D) Less 8%
E) Less 10%
5) VWD is inherited as ?
A) Autosomal recessive
B ) X linked recessive
C) Autosomal dominant
D) Y linked disease
E) It is acquired disease
6) The following cardiovascular conditions can be diagnosed by chest X_Ray except ?
A) CHF / Pulmonary edema
B ) Pleural effusion
C) Large pericardial effusion
D) Acute MI
E) Calsific Constrictive pericarditis
7) The commonest type of intracranial tumor ?
A) Actrocytoma
B ) Meningeoma
C) Medulloblastoma
D) Neurofibroma
E) Brain metastasis
8 ) Patient being treated for DKA developed weakness and paresthesia . The most likely metabolic abnormality is ?
A) Acidosis
B ) Hypokalemia
C) Hypophosphatemia
D) Hypocalcemia
E) Hypoglycemia
9) Primary sclerosing Cholangitis is most associated with ?
A) Primary biliary cirrhosis
B ) Crohn disease
C) Hepatitis C infection
D) Ulcerative colitis
E) Celiac disease
10) H pylori ?
A) Is gram positive bacterium .
B ) Is associated with over crowding and lower economic classes .
C) Affect < 1% of the UK population .
D) Is rarely eradicated by a combination of PPI and antibiotics .
E) Is a common cause of food poisoning .
11) Known cause of Polyuria except ?
A) Hyponatremia
B ) Hypokalemia
C) Hyperglycemia
D) Hypercalcemia
E) Hyperaldosteronism
12) ECG
13) Most common cause of mitral valve stenosis ?
A) Rheumatic fever
B ) Syphilis
C) MI
D) Congenital stenosis
E) Pericarditis
14) Most common cause of upper GI bleeding ....
15) Drug of choice for MRSA ?
A) Oxacillin
B ) Ciprofloxacin
C) Vancomycin
D) Penicillin
E) Ampicillin
16) Which is not a complication of hepatic cirrhosis ?
A) Spontaneous bacterial peritonitis
B ) HCC
C) Thrombocytosis
D) Portal HTN
E) Portal vein thrombosis
17) Most common form of malignant thyroid cancer ?
A) Papillary
B ) Lymphoma
C) Medullary carcinoma
D) Follicular
E) Anaplastic carcinoma
18) The following are features of rheumatoid arthritis except ?
A) Symmetrical joint affect .
B ) Frequent involvement of PIP joint .
C) Morning stiffness of joint .
D) Juxta_articular osteoporosis .
E) Affect male's two times more than females
19) The following are complications of Nephritic syndrome except ?
A) Acute renal failure
B ) Accelerated HTN
C) Hypocalcemia
D) Pneumococcal infection
E) Venous thrombosis
20) The following sign are indicate massive pericardial effusion except ?
A) Low voltage ECG
B ) Increase jugular pulse on inspiration
C) Pulsus paradoxus
D) Harsh pericardial rub
E) ECG alternance
21) Recognized causes of Thrombocytosis include all of the following except ?
A) IDA
B ) Convective tissue disorder
C) Hypersplenism
D) Myeloproliferative disorders
E) Carcinomatosis
22) The following are features of rheumatic fever except ?
A) Restless , involuntary abnormal movements
B ) Subcutaneous nodules
C) Rashes over trunk and extremities
D) Short PR interval on ECG
E) Migratory arthritis
23) Causes of hemorrhagic pleural effusion are all except ?
A) Pulmonary infraction
B ) Mesothelioma
C) Bronchial adenoma
D) Tuberculosis
E) Malignant effusion
24) The acute leukemia most likely to lead to DIC ?
A) AML_M2
B ) AML_M3
C) AML_M4
D) AML_M5
E) ALL
25) A 42 years old man of Afro_Caribbean origin is diagnosed as having HTN .Secondary causes of HTN have been excluded . What is the most appropriate initial drug therapy ?
A) Losartan
B ) Bisoprolol
C) Doxazosin
D) Perindopril
E) Amlodipine
26) Eosinophilia can be caused by the following except ?
A) Parasitic infections
B ) Drugs
C) Allergic disease
D) Collagen vascular disease
E) Chronic bronchitis
27) The chief mode of transmission of Brucellosis is by ?
A) Direct animal contact
B ) Shaving brush bristles
C) Person to person
D) Water supply
E) Fecal contamination
28) A 45 years old male present with a long standing history of HTN . Investigations show a urea of 30 mg/dl , creatinine of 1.7 mg/dl . Which of the following would suggest a diagnosis of acute Glomerulonephritis ?
A) 24 hour urinary protein exceration of 0.8 gram .
B ) Dyslipidaemia .
C) RBC casts in urinary sediment .
D) Shrunken glomeruli on renal biopsy .
E) Unilaterally smaller kidney .
29) The following are recognized causes of hemoptysis except ?
A) Tuberculosis
B ) COPD
C) Bronchiectasis
D) Mitral stenosis
E) Goodpasture syndrome
30) High output heart failure occurs in all of the following except ?
A) Thyrotoxicosis
B ) Septic shock
C) Pagets disease
D) Beriberi
E) Aortic regurgitation
31) Edema due to hypoproteinemia results from all except ?
A) Liver cirrhosis
B ) Chronic pancreatitis
C) Acute Glomerulonephritis
D) Malnutrition
E) Nephrotic syndrome
32) All of the following risk factors for gastric cancer except ?
A) Blood group A
B ) Pernicious anemia
C) H pylori infection
D) Smoking
E) History of duodenal ulceration
33) All of the following are known causes for hypertriglyceridemia except ?
A) Alcohol
B ) DM
C) Steroids intake
D) Hyperthyroidism
E) Chronic renal disease
34) Which one of the following antibiotics may be safely continued at the same dose in chronic kidney disease ?
A) Tetracycline
B ) Ceftriaxone
C) Ciprofloxacin
D) Amikacin
E) Ceftazidime
35) All of the following are true about hepatitis c virus except ?
A) It is an RNA virus .
B ) Food is the usual mode of transmission .
C) Patient have rate of progressive to chronic liver disease .
D) It might cause HCC .
E) Antiviral agents are available for treatment .
36) All of the following are features of multiple myeloma except ?
A) Pathological fracture .
B ) Increase plasma abnormal cells in bone marrow .
C) Increase peak serum of monoclonal protein in electrophoresis .
D) Increase hemoglobin level .
E) Lytic bone lesion .
37) All of the following are important explanations for HTN refractory to medical therapy except ?
A) Poor drug compliance
B ) Inadequate drug therapy
C) Pheochromocytoma
D) Primary hyperaldosteronism
E) High potassium diet
38) Greatest risk factor for stroke ?
A) DM
B ) Family history of stroke
C) High blood pressure
D) Hyperlipidemia
E) Cigarettes smoking
39) A 72 years old man with a history of aortic stenosis is brought to the emergency department with red/black stool several times today . His blood pressure is 94/60 mmHg .and his pulse is 120 . What should you do first ?
A) Give antibiotics
B ) Give aspirin
C) Start IV fluids
D) Send to endoscopy
E) Send to home
40) In acute pulmonary embolism , the most frequent ECG findings is ?
A) S1Q3T3 pattern
B ) P pulmonale
C) Sinus tachycardia
D) Right axis deviation
E) RV1
41) Gouty arthritis is characterized by the following except ?
A) Involvement of the metatarsophalangeal joint of the big toe .
B ) Almost always associated with high serum uric acid during the acute attack .
C) Inflamed joint is exquisitely tender .
D) Overlying skin is red and hot .
E) Systemic features as fever , malaise and anorexia are often associated .
42) An epidemic is defined as ....
43) 45 years old male patient presented with fever , chest pain and productive cough . CXR shows cavity lesion in the right middle lobe of the lung , the most probable cause is ?
A) Streptococcus
B ) Klebsiella
C) Haemophilus influenza
D) Mycoplasma
E) Chlamydia
44) All of the following are absolute indications to stop blood transfusion except ?
A) Angioneurotic edema
B ) Febrile reaction
C) Anaphylactic shock
D) Red urine
E) Hypotension
45) All of the following can be given to patient with COPD safely except ?
A) CCB .
B ) Histamine 2 receptors blockers .
C) NSAIDs .
D) Beta 2 receptors blockers .
E) Muscarinic 3(M3) anticholinergic receptors blockers .
46) Which of the following is true concerning sickle cell trait ?
A) It is a cause of Megaloblastic anemia .
B ) It protects against malaria .
C) It occurs mainly in females .
D) It is a cause of frequent sickle cells in the peripheral blood .
E) It is associated with hemoglobin H .
47) All of the following seen in Tumor lysis syndrome except ?
A) Hypokalemia
B ) Hypocalcemia
C) Hyperurecemia
D) Hyperphosphatemia
E) High urine uric acid
48) In patient with Sarcoidosis , if patient has lung infiltrate only . This stage is ?
A) Stage 0
B ) Stage 1
C) Stage 2
D) Stage 3
E) Stage 4
49) The virus most often associated with colds in adults is ?
A) Rhinovirus
B ) Coxsackie virus
C) ECHO virus
D) RSV
E) Parainfluenza virus
50) All of the following associated with IBD except ?
A) Anterior uveitis
B ) Erythema nodosum
C) Dermatitis herpetiformis
D) Peripheral arthritis
E) Osteoporosis
51) Huge Splenomegaly is typical clinical presentation of ?
A) Acute myeloid leukemia
B ) Acute lymphatic leukemia
C) Chronic myeloid leukemia
D) Typhoid fever
E) Brucellosis
52) Antinuclear antibodies can be detected in the following except ?
A) Juvenile rheumatoid arthritis
B ) Mononucleolus
C) Elderly
D) Idiopathic pulmonary HTN
E) All of the above
53) All of the following are true about PUD except ?
A) Gastric ulcers have higher rate than duodenal ulcers of being malignant .
B ) H pylori is the most common cause .
C) Bleeding usually occurs in young people .
D) Endoscopy provides the most sensitive test for examining the upper GI tract .
E) Milk Alkali syndrome can result from the use of calcium carbonate as a treatment of PUD .
54) All of the following are well known causes of liver cirrhosis except ?
A) Alcohol
B ) Viral hepatitis C
C) Viral hepatitis E
D) Wilson's disease
E) Alpha 1 antitrypsin deficiency
55) Pernicious anemia is characterized by the following except ?
A) Macrocytic anemia
B ) Pyramidal lesion
C) Splenomegaly
D) Deep sensory loss
E) Cerebellar ataxia
56) Bronchial asthma patient might present with the following ?
A) Recurrent episodes of wheezing .
B ) Troublesome cough at night .
C) Cough or wheeze after exercise .
D) Cough , wheeze or chest tightness after exposure to airborne allergens .
E) All of the above .
57) Finger clubbing is not a usual feature of ?
A) Mesothelioma
B ) Bronchiectasis
C) Atrial myxoma
D) Fibrosing alveolitis
E) Pulmonary tuberculosis
58) You are considering prescribing an antibiotic to A 28 years old man who tells you he has long QT syndrome . Which antibiotic is it most important to avoid ?
A) Doxycycline
B ) Trimethoprim
C) Erythromycin
D) Rifampin
E) CO_amoxiclav
59) That is the site of action of Furosemide ?
A) Proximal convoluted tubules
B ) Tip of loop of henle
C) Thick ascending limb of loop of henle
D) Distal convoluted tubules
E) Collecting duct
60) Paget disease ?
A) Common in young patient
B ) Primarily a disease of osteoblast
C) Bone pain is common
D) First line of treatment is calcium
E) Urine alkaline phosphatase is elevated
61) Patient known to have DM , starts to act confused and look ill and sweaty . Most appropriate action would be ?
A) Give patient an insulin injection .
B ) Encourage patient to drink plenty of water .
C) Provide sweetened orange juice to patient .
D) Start normal saline infusion .
E) Reassure the patient and advice the patient to get some rest .
62) The definition of metabolic syndrome includes all of the following features except ?
A) Central obesity
B ) HTN
C) Hyperglycemia
D) Renal failure
E) Hypertriglyceridemia
63) All of the following strongly associated with obesity except ?
A) Insulin resistance
B ) HTN
C) Hypoventilation syndrome
D) Osteoporosis
E) Arteriosclerosis
64) A 35 years old female present with a DVT in the third trimester of pregnancy . Whilst in the emergency department , she develops a left hemiparesis . What underlying cardiac abnormality is most likely to be responsible ?
A) ASD premium
B ) ASD secondum
C) VSD
D) Patent foramen ovale
E) Patent ductus arteriosus
Comments
Post a Comment