I n t e r n a L medicine questions Bank

A 60-year-old man has an inferior myocardial infarction; his heart rate is 45 /min. The artery most likely to be involved in this process is:

a- right coronary artery b- left main artery
c- left anterior descending artery d- circumflex artery
e- left mammary artery

96. 
    A patient with stable angina on asprine, nitrate and B-Blocker, developed 3 episodes of sever and long –lasting chest pain each day over the past 3 days.
    

His ECG and cardiac enzymes are normal.
One of the following is the best treatment
a- admit the patient and start I.V digoxine b- admit the patient and start I.V heparine

3. 
   admit the patient and start I.V prophylactic streptokinase
   
4. 
   admit the patient and for observation without changing his medications e- Discharge the patient with increasing the dose of B-blocker and nitrate
   

96. 
    ONE of the following drugs reduces myocardial remodeling after acute myocardial infarction.
    

a- ACE inhibitors b- digoxine

3. 
   verapamil
   
4. 
   furosemide (lasix) e- hydralazine.
   

96. 
    Autoimmune thyroditis can be confirmed by ONE of the following.
    a- thyroid peroxidase antibody
    

b- anti-nuclear antibody c- thyroid uptake resin
d- fine needle thyroid aspiration e- estimation of TSH

96. 
    A70 hypertensive woman patient with mild left hemiparesis and finding of peristant atrial fibrillation. Optimal treatment with anti-hypertensive drugs would be ONE of the following
    

1. 
   close observation
   
2. 
   permenant pace maker c- asprin
   

4.