I n t e r n a L medicine questions Bank

8. the type of endocarditis most commonly found in patient who are intravenous drug abuser ?

1. 
   Staph aureus infection of tricuspid valve
   
2. 
   Staph aureus infection of mitral valve
   
3. 
   Haemolytic streptococcal infection of tricuspid valve
   
4. 
   Haemolytic streptococcal infection of mitral valve
   
5. 
   Pseudomonas aeruinosa infection of the pulmonic valve
   

9. The difference between latent TB and TB disease is that ?

1. 
   People with latent TB infection are not infectious whereas people with TB disease are sometimes infectious
   
2. 
   Only TB disease can be detected by a tuberculin skin test , latent TB can not
   
3. 
   People with latent TB sometimes have acid fast bacilli smear positive
   
4. 
   Latent TB is curable but TB disease is not
   
5. 
   No need for treatment of latent TB infection as it is inactive disease
   

10. pruritus is a clinical manifestation to only one of the following disease ?

1. 
   Polycythemia vera
   
2. 
   Iron deficiency anemia
   
3. 
   Folic acid deficiency anemia
   
4. 
   AML
   
5. 
   CML
   11. which of the following ECG changes is an indications for thrombolysis in a patient presenting with chest pain ?
   

1. 
   New onset Left bbb
   
2. 
   Q wave in any leads
   
3. 
   2 mm st depression in all chest leads
   
4. 
   New onset right bbb
   
5. 
   T wave inversion in chest leads
   

12. A50 year old women obese is found to have DM . diet alone can not achieve adequate glycemic control . which of the following drug would be the ttt of choice ?

1. 
   Gliclazide
   
2. 
   Metformin
   
3. 
   Glibenclamide
   
4. 
   Insulin
   
5. 
   Rosiglitazone
   

13. A30 year woman complains of hands joint pain , recurrent mouth ulcer , shortness of breath , anemia . blood tests reveal raised ESR and normal CRP. What is most likely diagnosis ?

1. 
   SLE
   
2. 
   Systemic sclerosis
   
3. 
   Sjorgens syndrome
   
4. 
   Discoid lupus
   
5. 
   Bechets disease