اسئلة الباطنية 2017 (4)
1) All of the following are associated with bloody diarrhea except ?
A . Cholera
B . Campylobacter
C . Entero_invasive E_ coli
D . Entamoeba histolytica
E . Shigella
2) The effect of obesity on the risk of cardiovascular disease is known to be related to ?
A . Gender
B . Family history
C . Age
D . Body fat distribution
E . Cigarette smoking
3) A blood donor was notified by the blood bank that is positive for HBV infection , regarding this one is false ?
A . Markedly elevated HBV DNA with particularly normal liver enzymes indicate immunity state .
B. IgG anti HBC imply prior infection and immunity .
C . IgM anti HBC imply acute infection .
D . HBs Ag with normal liver enzymes and negative HBV DNA suggest healthy carrier .
E . HBs AB positive and HBs Ag negative indicate vaccination
4) Cimetidine is ?
A . A histamine analogue
B . An H1_receptor blocker
C . A selective H2_receptor blocker which inhibit gastric secretions .
D . A selective H1_receptor blocker which much less sedating properties .
E . Inhibitor of histamine from mast cells .
5) All of the following are criteria for diagnosis of DM except ?
A. Fasting blood glucose more than 126 mg/dl .
B . Random blood glucose more than 200 mg/dl .
C . HbA1c more than 6.5% .
D . Blood glucose 2 hours after glucose tolerance test more than 200 mg/dl .
E . Fasting blood glucose more than 7 mmol/L .
6) All of the following are features of severe asthma except ?
A . Tachycardia
B . Pulsus paradox
C . Silent chest
D . Low PEFR
E . Pulsus alternans
7) In Gouty arthritis which of the following is the most specific diagnostic finding ?
A . Family history of gout .
B . Sodium urate crystals in synovial fluid .
C . Promete response to Colchicine therapy .
D . Hyperurecemia .
E . First toe involvement .
8 ) Splenomegaly can occur in all of the following except ?
A . Chronic granulocytic leukemia
B . Chronic malaria
C . Amyloidosis
D . Celiac disease
E . Polycythemia rubra vera
9) Causes of gynecomastia all except ?
A . Liver cirrhosis
B . Bronchogenic carcinoma
C . Testicular atrophy
D . Digoxin therapy
E . Hyperparathyroidism
10) All of the following complications of COPD except ?
A . Cor pulmonale
B . Polycythemia
C . Respiratory failure
D . Left ventricular failure
E . Bronchogenic carcinoma
11) All are signs of chronic liver disease except ?
A . Parotid gland enlargement
B . Spider nevi
C . Gynecomastia
D . Palmar Erythema
E . Increase of body hair
12) All are true matching about toxicity except ?
A . Salicylates _ decreased respiratory rate .
B . Opiates _ small pupils .
C . Statins _ Rhabdomyolsis .
D . Salbutamol _ tachycardia .
E . Tricyclic antidepressants _ arrhythmia .
13) In myocardial infarction the following serum enzyme rises latest and remains elevated for the longest period ?
A . SGOT
B . LDH
C . ALP
D . CPK
E . Acid phosphatase
14) A 45 year old man is admitted with the provisional diagnosis of fluminant acute liver failure . One is true ?
A . Cerebral edema is unusual cause of death .
B . Late administration of Glutathione is unwarranted in paracetamol induced hepatic failure .
C . Renal failure rarely occurs in paracetamol induced hepatic encephalopathy .
D . High level of bilirubin is an index of poor prognosis .
E . High level ALT , AST is a marker of worsening liver failure .
15) All are true about Behcets disease except ?
A . Urogenital ulcer
B . Sparies the CNS
C . Arthritis
D . SVC obstruction
E . Colchicine is used in treatment
16) All of the following are features of Parkinsonism except ?
A . Rigidity
B . Tremor
C . Hypokinesia
D . Expressless face
E . Extensive sensory loss
17) 20 year old male , presented with headache , vomiting , neck rigidity , no fever , the most probable diagnosis ?
A . Epilepsy
B . SAH
C . Bacterial meningitis
D . Viral meningitis
E . Encephalitis
18) An IV drug user develops fever for 1 month . Passive extension of the HIP joint causes pain and reflex muscle spasm . Most likely diagnosis ?
A . Iliopsoas abscess
B . Perianal abscess
C . DVT
D . Compartment syndrome
E . False aneurysm
19) All of the following predispose to venous thrombosis except ?
A . Congestive heart failure
B . Behcets disease
C . IDA
D . PNH
E . Malignancy
20) A 45 years old man , weight 70 kg , Height 1.6 m , BMI 27.3 , he is ?
A . Under weight
B . Normal weight
C . Over weight
D . Obesity grade 1
E . Obesity grade 2
21) All of the following are causes of hypoglycemia except ?
A . Insulinoma
B . Hepatic failure
C . Addison disease
D . Chronic pancreatitis
E . Postprandial
22) In adult cerebral embolism is commonly caused by ?
A . Heart disease
B . Air embolism
C . Neoplastic thrombi
D . Septic pulmonary disease
E . Fat embolism due to fracture
23) 30 years old male with ulcerative colitis , all may be associated except ?
A . Sclerosing Cholangitis
B . Venous thromboembolism
C . Pyoderma gangrenosum
D . Iritis
E . Myositis
24) All of the following may cause Bradycardia except ?
A . Salbutamol
B . Atenolol
C . Jaundice
D . Raised ICP
E . Myxedema
25) Contraindications to the use of Streptokinase therapy include all except ?
A . Pregnancy
B . Infective endocarditis
C . Eye surgery
D . Cor pulmonale
E . Bleeding peptic ulcer
26) In acute renal tubular necrosis all are true except ?
A. Proteinuria may be present .
B . BUN is usually increased .
C . Creatinine is usually decreased .
D . The urine is usually hyperosmotic .
E . With proper treatment , recovery is expected in most cases .
27) The following are true about Pericarditis except ?
A. Secondary to MI
B . Radiation is a recognized cause .
C . Anticoagulant may be given safely .
D . Pain is relieved by leaning forward .
E . Prednisalone may be needed .
28) Which of the following changes suggest inferior wall MI ?
A . Elevated ST segment V1_V4 .
B . Elevated ST segment V5_V6 .
C . Elevated ST segment 1 , AVL .
D . Elevated ST segment 2 , 3 , AVF .
E . Elevated ST segment V1_V6 .
29) Causes of pruritus include all of the following except ?
A . Scabies
B . DM
C . Acromegaly
D . Chronic renal failure
E . Obstructive jaundice
30) A 40 year old woman presents with an ovarian cyst . You want to screen her for breast cancer before suggestion any hormonal treatment . What will you advise ?
A . Chest radiograph
B . Mammography
C . Biopsy of breast
D . Blood levels of progesterone
E . Tumor markers
31) The denominator of maternal mortality rate is ?
A . Number of live births .
B . Number of married females .
C . Number of maternal death's .
D . Wide year population .
E . Number of females aged 15_50 year .
32) You are asked to urgently evaluate a 65 year old female on the floor with acute onest of palpitations . Shortness of breath , blood pressure was 80/60 mmHg , pulse rate 140_150 Bpm and irregular . ECG _ Atrial fibrillation , the most appropriate management ?
A . IV Amiodarone
B . IV digoxin
C . DC Cardioversion
D . IV beta blockers
E . IV flecainide
33) Which of the following urinary finding is most characteristic of Acute Glomerulonephritis ?
A . Proteinuria
B . Hyaline casts
C . Erythrocyte casts
D . Granular casts
E . Micro Hematuria
34) The following are characteristic of Hemolytic type of jaundice except ?
A . Increased serum unconjugated bilirubin .
B . Bilirubin does not appear in the urine .
C . Abnormal liver function test .
D . Increased urinary urobilinogen .
E . Anemia .
35) All of the following is true about heart failure except ?
A . Right heart failure causes pulmonary edema .
B . Hyponatremia can occur .
C . Patient should avoid high salt foods .
D . ACE_i can be used in treatment .
E . Severe anemia can cause heart failure .
36) Which of the following drugs work's by calcium antagonism?
A . Amiodarone
B . Enalapril
C . Thiazide
D . Amlodipine
E . Methyldopa
37) The typical features of hepatic cirrhosis include all of the following except ?
A . Huge large liver
B . Splenomegaly
C . Peripheral blood macrocytosis
D . Parotid gland enlargement
E . Ascites
38) Signs of aortic regurgitation include all of the following except ?
A . Wide pulse pressure
B . Early diastolic blowing murmur
C . Pulsus paradox
D . Left ventricular failure
E . Pistol shot femoral pulses
39) Blood stained discharge from one orifice of the nipple is a characteristic of ?
A . Early menarche
B . Lactation
C . Pregnancy
D . Intraductal papilloma
E . Fibroadenoma
40) Signs of lower motor neuron disease include all of the following except ?
A . Fasciculation
B . Hypotonia
C . Hyporeflexia
D . Clonus
E . Muscle wasting
41) Which of the following patient with acute gastrointestinal bleeding does not need urgent upper endoscopy ?
A) A 20 years old presenting with hematemesis and systolic blood pressure 85 mmhg .
B ) A 31 years old male presenting with melana and lethargy .
C) A 86 year old man presenting with coffee ground . Vomiting and melana , with blood pressure 120/80 mmhg .
D) A 37 year old man presenting with melana in whom NG tube shows fresh blood .
E) A 42 years old woman who developed melana 3 days after her admission for pneumonia and heart failure .
42) A 62 old woman was recently diagnosed with an adenocarcinoma of the sigmoid colon . You are concerned about the possibility of metastasis . Which of the following is most suggestive of metastatic disease ?
A . Multiple hepatic hypoechoic lesions on abdominal ultrasound .
B . Elevation of CEA .
C . Abdominal pain .
D . Severe constipation .
E . Abundant blood per rectum .
43) All of the following about multiple myeloma are true except ?
A . It is a disease of elderly .
B . Bachache is a common symptom .
C . Renal failure can occur .
D . The ESR is usually slightly elevated .
E . Bence Jones protein is present in urine .
44) The following pairs of infestation and skin rash types are correct except ?
A . Erythema marginatum _ rheumatic fever .
B . Erythema nodosum _ primary tuberculosis .
C . Ulcerating lesions _ syphilis .
D . Hemorrhagic rash _ Ebola virus .
E . Vescular rash _ mumps virus .
45) All of the following can cause systolic murmur except ?
A . Aortic regurgitation
B . Aortic stenosis
C . Pulmonary stenosis
D . Atrial septal defect
E . Mitral regurgitation
46) Which of the following increases Digitalis toxicity ?
A . Aspirin
B . Hyperglycemia
C . Hypokalemia
D . Hypermagnesemia
E . Hyponatremia
47) Which of the following drugs can cause deafness and renal impairment ?
A . Aminoglycosides
B . Penicillin
C . Tetracycline
D . Quinolones
E . Paracetamol
48) Signs of mitral stenosis include all of the following except ?
A . Loud first heart sound .
B . Opening snap .
C . Pre_systolic murmur .
D . Wide pulse pressure.
E . Rumbling mid diastolic murmur
49) Hepatic encephalopathy precipitated by all of the following except ?
A . High protein diet
B . Infection
C . Sedation
D . Lactulose
E . Diuretics
50) All these factors may precipitate encephalopathy in liable cirrhotic patient except ?
A . Pneumonia
B . Obstructive jaundice
C . Acute hepatitis A
D . Constipation
E . HTN
51) All are complications of peptic ulcer disease except ?
A . GIT bleeding
B . Perforation
C . Gastric outlet obstruction
D . Penetration
E . Protein losing enteropathy
52) Recognized features of Brucellosis , all of the following are true except ?
A . Splenomegaly
B . Sweating
C . Fever
D . Arthritis
E . Neutrophil Leucocytosis
53) In patient with acute severe asthma , all of the following helpful in assessing severity of attack except ?
A . Pulse rate
B . Use of accessory muscles
C . Legs edema
D . Ability to complete a sentence
E . PEFR
54) Causes of secondary HTN include all except ?
A . Addison disease
B . Conn syndrome
C . Pheochromocytoma
D . Coarctation of aorta
E . Acromegaly
55) A 25 year old female present with epistaxis , Ecchymosis , fever . No past history of surgery or hospitalization . Platelet count 15*10 9 , old record show that platelet count was 200*10 9 . You suspect the diagnosis is DIC , all of the following will help you in the diagnosis of DIC except ?
A . Serum fibrinogen level
B . PT
C . Spleen ultrasound
D . Blood film
E . D_Dimer
56) In Hyperkalemia with ECG changes , the first line of treatment is ?
A . Albuterol
B . Glucose and insulin
C . Calcium resonium
D . Sodium bicarbonate
E . Calcium gluconate
57) All of the following cause prolongation of PT except ?
A . Antiphospholipid syndrome
B . Vitamin K deficiency
C . Warfarin therapy
D . Factor 7 deficiency
E . Liver disease
58) All of the following joints may be involved in rheumatoid arthritis except ?
A . Proximal interphalangeal joints
B . Knee joints
C . Distal interphalangeal joints
D . Wrist joints
E . Ankle joints
59) All of the following are causes of sinus tachycardia except ?
A . Fever
B . Hypothyroidism
C . Pregnancy
D . Anemia
E. Cardiac failure
60) A 19 year old male student with SCA . Presented with severe anemia ( Hb 4.5 g/dl ) . Bone marrow exam was immediately performed and result . Scanty erythroid precursors with giant prothromboblasts , but was otherwise unremarkable . What is the likely cause of his low hemoglobin ?
A .Acute leukemia
B .Parvo_virus infection
C .Hypersplenism
D .Iron overload
E .Drug induced Aplastic anemia
61) The first line in treatment of ventricular fibrillation is ?
A . Atropine
B . Digoxin
C . DC shock
D . Calcium gluconate
E . Epinephrine
62) Tetany may occur in all of the following except ?
A . Hyperventilation syndrome
B . Metabolic alkalosis
C . Hypocalcemia
D . Hypomagnesemia
E . Hyperkalemia
63) Causes of hypercalcemia include all except ?
A . Multiple myeloma
B . Sarcoidosis
C . Milk alkali syndrome
D . Medullary thyroid cancer
E . SCC of lung
64) All of the following are true about Brucellosis except ?
A . Is a recognized cause of Splenomegaly .
B . May present with backache .
C . Infective endocarditis is a sequel .
D . Man to man transmission is common .
E . Rifampicine can be used in treatment .
65) HbA1c used for monitoring of DM . It will be done regularly every ?
A . 3 months
B . 6 months
C . 9 months
D . Monthly
E . 12 months
66) The following are true about multiple sclerosis except ?
A . Causes Paresthesia
B . Diplopia is a feature .
C . It's remitting and relapsing disease .
D . Causes urinary symptoms .
E . More common in elderly .
67) Total number of live births over total number of population multipled by 1000 is called ?
A .Crude birth rate
B .Neonatal birth rate
C .Fetal birth rate
D .Crude death rate
E .Infant birth rate
68) Number of neonatal death's over total number of live births multipled by 1000 is called ?
A .Postneonatal mortality rate
B .Crude death rate
C .Neonatal mortality rate
D .Fetal mortality rate
E .Antenatal mortality rate
A . Cholera
B . Campylobacter
C . Entero_invasive E_ coli
D . Entamoeba histolytica
E . Shigella
2) The effect of obesity on the risk of cardiovascular disease is known to be related to ?
A . Gender
B . Family history
C . Age
D . Body fat distribution
E . Cigarette smoking
3) A blood donor was notified by the blood bank that is positive for HBV infection , regarding this one is false ?
A . Markedly elevated HBV DNA with particularly normal liver enzymes indicate immunity state .
B. IgG anti HBC imply prior infection and immunity .
C . IgM anti HBC imply acute infection .
D . HBs Ag with normal liver enzymes and negative HBV DNA suggest healthy carrier .
E . HBs AB positive and HBs Ag negative indicate vaccination
4) Cimetidine is ?
A . A histamine analogue
B . An H1_receptor blocker
C . A selective H2_receptor blocker which inhibit gastric secretions .
D . A selective H1_receptor blocker which much less sedating properties .
E . Inhibitor of histamine from mast cells .
5) All of the following are criteria for diagnosis of DM except ?
A. Fasting blood glucose more than 126 mg/dl .
B . Random blood glucose more than 200 mg/dl .
C . HbA1c more than 6.5% .
D . Blood glucose 2 hours after glucose tolerance test more than 200 mg/dl .
E . Fasting blood glucose more than 7 mmol/L .
6) All of the following are features of severe asthma except ?
A . Tachycardia
B . Pulsus paradox
C . Silent chest
D . Low PEFR
E . Pulsus alternans
7) In Gouty arthritis which of the following is the most specific diagnostic finding ?
A . Family history of gout .
B . Sodium urate crystals in synovial fluid .
C . Promete response to Colchicine therapy .
D . Hyperurecemia .
E . First toe involvement .
8 ) Splenomegaly can occur in all of the following except ?
A . Chronic granulocytic leukemia
B . Chronic malaria
C . Amyloidosis
D . Celiac disease
E . Polycythemia rubra vera
9) Causes of gynecomastia all except ?
A . Liver cirrhosis
B . Bronchogenic carcinoma
C . Testicular atrophy
D . Digoxin therapy
E . Hyperparathyroidism
10) All of the following complications of COPD except ?
A . Cor pulmonale
B . Polycythemia
C . Respiratory failure
D . Left ventricular failure
E . Bronchogenic carcinoma
11) All are signs of chronic liver disease except ?
A . Parotid gland enlargement
B . Spider nevi
C . Gynecomastia
D . Palmar Erythema
E . Increase of body hair
12) All are true matching about toxicity except ?
A . Salicylates _ decreased respiratory rate .
B . Opiates _ small pupils .
C . Statins _ Rhabdomyolsis .
D . Salbutamol _ tachycardia .
E . Tricyclic antidepressants _ arrhythmia .
13) In myocardial infarction the following serum enzyme rises latest and remains elevated for the longest period ?
A . SGOT
B . LDH
C . ALP
D . CPK
E . Acid phosphatase
14) A 45 year old man is admitted with the provisional diagnosis of fluminant acute liver failure . One is true ?
A . Cerebral edema is unusual cause of death .
B . Late administration of Glutathione is unwarranted in paracetamol induced hepatic failure .
C . Renal failure rarely occurs in paracetamol induced hepatic encephalopathy .
D . High level of bilirubin is an index of poor prognosis .
E . High level ALT , AST is a marker of worsening liver failure .
15) All are true about Behcets disease except ?
A . Urogenital ulcer
B . Sparies the CNS
C . Arthritis
D . SVC obstruction
E . Colchicine is used in treatment
16) All of the following are features of Parkinsonism except ?
A . Rigidity
B . Tremor
C . Hypokinesia
D . Expressless face
E . Extensive sensory loss
17) 20 year old male , presented with headache , vomiting , neck rigidity , no fever , the most probable diagnosis ?
A . Epilepsy
B . SAH
C . Bacterial meningitis
D . Viral meningitis
E . Encephalitis
18) An IV drug user develops fever for 1 month . Passive extension of the HIP joint causes pain and reflex muscle spasm . Most likely diagnosis ?
A . Iliopsoas abscess
B . Perianal abscess
C . DVT
D . Compartment syndrome
E . False aneurysm
19) All of the following predispose to venous thrombosis except ?
A . Congestive heart failure
B . Behcets disease
C . IDA
D . PNH
E . Malignancy
20) A 45 years old man , weight 70 kg , Height 1.6 m , BMI 27.3 , he is ?
A . Under weight
B . Normal weight
C . Over weight
D . Obesity grade 1
E . Obesity grade 2
21) All of the following are causes of hypoglycemia except ?
A . Insulinoma
B . Hepatic failure
C . Addison disease
D . Chronic pancreatitis
E . Postprandial
22) In adult cerebral embolism is commonly caused by ?
A . Heart disease
B . Air embolism
C . Neoplastic thrombi
D . Septic pulmonary disease
E . Fat embolism due to fracture
23) 30 years old male with ulcerative colitis , all may be associated except ?
A . Sclerosing Cholangitis
B . Venous thromboembolism
C . Pyoderma gangrenosum
D . Iritis
E . Myositis
24) All of the following may cause Bradycardia except ?
A . Salbutamol
B . Atenolol
C . Jaundice
D . Raised ICP
E . Myxedema
25) Contraindications to the use of Streptokinase therapy include all except ?
A . Pregnancy
B . Infective endocarditis
C . Eye surgery
D . Cor pulmonale
E . Bleeding peptic ulcer
26) In acute renal tubular necrosis all are true except ?
A. Proteinuria may be present .
B . BUN is usually increased .
C . Creatinine is usually decreased .
D . The urine is usually hyperosmotic .
E . With proper treatment , recovery is expected in most cases .
27) The following are true about Pericarditis except ?
A. Secondary to MI
B . Radiation is a recognized cause .
C . Anticoagulant may be given safely .
D . Pain is relieved by leaning forward .
E . Prednisalone may be needed .
28) Which of the following changes suggest inferior wall MI ?
A . Elevated ST segment V1_V4 .
B . Elevated ST segment V5_V6 .
C . Elevated ST segment 1 , AVL .
D . Elevated ST segment 2 , 3 , AVF .
E . Elevated ST segment V1_V6 .
29) Causes of pruritus include all of the following except ?
A . Scabies
B . DM
C . Acromegaly
D . Chronic renal failure
E . Obstructive jaundice
30) A 40 year old woman presents with an ovarian cyst . You want to screen her for breast cancer before suggestion any hormonal treatment . What will you advise ?
A . Chest radiograph
B . Mammography
C . Biopsy of breast
D . Blood levels of progesterone
E . Tumor markers
31) The denominator of maternal mortality rate is ?
A . Number of live births .
B . Number of married females .
C . Number of maternal death's .
D . Wide year population .
E . Number of females aged 15_50 year .
32) You are asked to urgently evaluate a 65 year old female on the floor with acute onest of palpitations . Shortness of breath , blood pressure was 80/60 mmHg , pulse rate 140_150 Bpm and irregular . ECG _ Atrial fibrillation , the most appropriate management ?
A . IV Amiodarone
B . IV digoxin
C . DC Cardioversion
D . IV beta blockers
E . IV flecainide
33) Which of the following urinary finding is most characteristic of Acute Glomerulonephritis ?
A . Proteinuria
B . Hyaline casts
C . Erythrocyte casts
D . Granular casts
E . Micro Hematuria
34) The following are characteristic of Hemolytic type of jaundice except ?
A . Increased serum unconjugated bilirubin .
B . Bilirubin does not appear in the urine .
C . Abnormal liver function test .
D . Increased urinary urobilinogen .
E . Anemia .
35) All of the following is true about heart failure except ?
A . Right heart failure causes pulmonary edema .
B . Hyponatremia can occur .
C . Patient should avoid high salt foods .
D . ACE_i can be used in treatment .
E . Severe anemia can cause heart failure .
36) Which of the following drugs work's by calcium antagonism?
A . Amiodarone
B . Enalapril
C . Thiazide
D . Amlodipine
E . Methyldopa
37) The typical features of hepatic cirrhosis include all of the following except ?
A . Huge large liver
B . Splenomegaly
C . Peripheral blood macrocytosis
D . Parotid gland enlargement
E . Ascites
38) Signs of aortic regurgitation include all of the following except ?
A . Wide pulse pressure
B . Early diastolic blowing murmur
C . Pulsus paradox
D . Left ventricular failure
E . Pistol shot femoral pulses
39) Blood stained discharge from one orifice of the nipple is a characteristic of ?
A . Early menarche
B . Lactation
C . Pregnancy
D . Intraductal papilloma
E . Fibroadenoma
40) Signs of lower motor neuron disease include all of the following except ?
A . Fasciculation
B . Hypotonia
C . Hyporeflexia
D . Clonus
E . Muscle wasting
41) Which of the following patient with acute gastrointestinal bleeding does not need urgent upper endoscopy ?
A) A 20 years old presenting with hematemesis and systolic blood pressure 85 mmhg .
B ) A 31 years old male presenting with melana and lethargy .
C) A 86 year old man presenting with coffee ground . Vomiting and melana , with blood pressure 120/80 mmhg .
D) A 37 year old man presenting with melana in whom NG tube shows fresh blood .
E) A 42 years old woman who developed melana 3 days after her admission for pneumonia and heart failure .
42) A 62 old woman was recently diagnosed with an adenocarcinoma of the sigmoid colon . You are concerned about the possibility of metastasis . Which of the following is most suggestive of metastatic disease ?
A . Multiple hepatic hypoechoic lesions on abdominal ultrasound .
B . Elevation of CEA .
C . Abdominal pain .
D . Severe constipation .
E . Abundant blood per rectum .
43) All of the following about multiple myeloma are true except ?
A . It is a disease of elderly .
B . Bachache is a common symptom .
C . Renal failure can occur .
D . The ESR is usually slightly elevated .
E . Bence Jones protein is present in urine .
44) The following pairs of infestation and skin rash types are correct except ?
A . Erythema marginatum _ rheumatic fever .
B . Erythema nodosum _ primary tuberculosis .
C . Ulcerating lesions _ syphilis .
D . Hemorrhagic rash _ Ebola virus .
E . Vescular rash _ mumps virus .
45) All of the following can cause systolic murmur except ?
A . Aortic regurgitation
B . Aortic stenosis
C . Pulmonary stenosis
D . Atrial septal defect
E . Mitral regurgitation
46) Which of the following increases Digitalis toxicity ?
A . Aspirin
B . Hyperglycemia
C . Hypokalemia
D . Hypermagnesemia
E . Hyponatremia
47) Which of the following drugs can cause deafness and renal impairment ?
A . Aminoglycosides
B . Penicillin
C . Tetracycline
D . Quinolones
E . Paracetamol
48) Signs of mitral stenosis include all of the following except ?
A . Loud first heart sound .
B . Opening snap .
C . Pre_systolic murmur .
D . Wide pulse pressure.
E . Rumbling mid diastolic murmur
49) Hepatic encephalopathy precipitated by all of the following except ?
A . High protein diet
B . Infection
C . Sedation
D . Lactulose
E . Diuretics
50) All these factors may precipitate encephalopathy in liable cirrhotic patient except ?
A . Pneumonia
B . Obstructive jaundice
C . Acute hepatitis A
D . Constipation
E . HTN
51) All are complications of peptic ulcer disease except ?
A . GIT bleeding
B . Perforation
C . Gastric outlet obstruction
D . Penetration
E . Protein losing enteropathy
52) Recognized features of Brucellosis , all of the following are true except ?
A . Splenomegaly
B . Sweating
C . Fever
D . Arthritis
E . Neutrophil Leucocytosis
53) In patient with acute severe asthma , all of the following helpful in assessing severity of attack except ?
A . Pulse rate
B . Use of accessory muscles
C . Legs edema
D . Ability to complete a sentence
E . PEFR
54) Causes of secondary HTN include all except ?
A . Addison disease
B . Conn syndrome
C . Pheochromocytoma
D . Coarctation of aorta
E . Acromegaly
55) A 25 year old female present with epistaxis , Ecchymosis , fever . No past history of surgery or hospitalization . Platelet count 15*10 9 , old record show that platelet count was 200*10 9 . You suspect the diagnosis is DIC , all of the following will help you in the diagnosis of DIC except ?
A . Serum fibrinogen level
B . PT
C . Spleen ultrasound
D . Blood film
E . D_Dimer
56) In Hyperkalemia with ECG changes , the first line of treatment is ?
A . Albuterol
B . Glucose and insulin
C . Calcium resonium
D . Sodium bicarbonate
E . Calcium gluconate
57) All of the following cause prolongation of PT except ?
A . Antiphospholipid syndrome
B . Vitamin K deficiency
C . Warfarin therapy
D . Factor 7 deficiency
E . Liver disease
58) All of the following joints may be involved in rheumatoid arthritis except ?
A . Proximal interphalangeal joints
B . Knee joints
C . Distal interphalangeal joints
D . Wrist joints
E . Ankle joints
59) All of the following are causes of sinus tachycardia except ?
A . Fever
B . Hypothyroidism
C . Pregnancy
D . Anemia
E. Cardiac failure
60) A 19 year old male student with SCA . Presented with severe anemia ( Hb 4.5 g/dl ) . Bone marrow exam was immediately performed and result . Scanty erythroid precursors with giant prothromboblasts , but was otherwise unremarkable . What is the likely cause of his low hemoglobin ?
A .Acute leukemia
B .Parvo_virus infection
C .Hypersplenism
D .Iron overload
E .Drug induced Aplastic anemia
61) The first line in treatment of ventricular fibrillation is ?
A . Atropine
B . Digoxin
C . DC shock
D . Calcium gluconate
E . Epinephrine
62) Tetany may occur in all of the following except ?
A . Hyperventilation syndrome
B . Metabolic alkalosis
C . Hypocalcemia
D . Hypomagnesemia
E . Hyperkalemia
63) Causes of hypercalcemia include all except ?
A . Multiple myeloma
B . Sarcoidosis
C . Milk alkali syndrome
D . Medullary thyroid cancer
E . SCC of lung
64) All of the following are true about Brucellosis except ?
A . Is a recognized cause of Splenomegaly .
B . May present with backache .
C . Infective endocarditis is a sequel .
D . Man to man transmission is common .
E . Rifampicine can be used in treatment .
65) HbA1c used for monitoring of DM . It will be done regularly every ?
A . 3 months
B . 6 months
C . 9 months
D . Monthly
E . 12 months
66) The following are true about multiple sclerosis except ?
A . Causes Paresthesia
B . Diplopia is a feature .
C . It's remitting and relapsing disease .
D . Causes urinary symptoms .
E . More common in elderly .
67) Total number of live births over total number of population multipled by 1000 is called ?
A .Crude birth rate
B .Neonatal birth rate
C .Fetal birth rate
D .Crude death rate
E .Infant birth rate
68) Number of neonatal death's over total number of live births multipled by 1000 is called ?
A .Postneonatal mortality rate
B .Crude death rate
C .Neonatal mortality rate
D .Fetal mortality rate
E .Antenatal mortality rate
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