I n t e r n a L medicine questions Bank

ONE of the following is most likely diagnosis for patient with thyroid function test showing elevated serum T4 and low radioactive iodine uptake.

1. 
   Grave's disease.
   
2. 
   Hashimoto's thyroiditis. c- subacute thyroiditis.
   

d- non-toxic goiter. e- pregnancy.

3. 
   A-25- year old man presents with urethritis, painful swollen left knee and conjunctivitis.
   

ONE of the following is most likely diagnosis. a- SLE
b- Gonococcal arthritis c- Gout

4. 
   Reiter's syndrome
   
5. 
   Ankylosising spondylitis
   

3. 
   One of the following is true about mangment of diabetes mellitus.
   a. the latest guide lines recommended HbA1C to be less than 7%.
   

2. 
   post prandial blood sugar up to 200 mg/dl is accepted.
   
3. 
   fasting blood sugar should be less than 100 mg/dl in all patients.
   
4. 
   LDL-cholesterol up to 120 mg/dl is acceptable in diabetics.
   
5. 
   blood pressure of 145/95 mm Hg is acceptable in diabetics.
   

3. 
   One of the following is true about complications of diabetes mellitus.
   a. HbA1C is the most studied marker for diabetes mellitus complications.
   

2. 
   fasting blood sugar dose not attribute to HbA1C level.
   
3. 
   Erectile dysfunction is solely (only) due to diabetic vasculopathy.
   
4. 
   hard exudates are more serious than soft exudates in diabetic retiopathy.
   
5. 
   serum creatinin is the early biochemical marker to change in diabetes nephropathy.
   

3. 
   All the following are true about calcium metabolism except.
   

1. 
   calcitonin inhibit bone resorption
   
2. 
   vit. D3. is hydroxylated in the liver to 25-hydroxycholecalciferol
   

c-. parathyroid hormone decrease phosphate execretion by the kidneys.
d. parathyroid hormone is increased renal tubular reabsorption of calcium.
e. vit. D deficiency is manifested as low parathyroid hormone level.

3.