I n t e r n a L medicine questions Bank

67. Which of the following statement about chronic bronchitis is false?

1. 
   Its defined as presence of chronic productive cough for 3 mon. during each of 2 consecutive years
   
2. 
   It usually occur after 35 years of age
   
3. 
   It associated with periodic exacerbation
   
4. 
   Its associated with a reduction in total lung capacity and residual volume
   
5. 
   It is commonly complicated by central cyanosis
   

68. All the following are causes of monoarthritis except one :

1. 
   Gout
   
2. 
   Trauma
   
3. 
   Septic arthritis
   
4. 
   Pseudogout
   
5. 
   RA
   
   
   
   

69. The least likely condition to be associated with risk of malignancy is :

1. 
   Gastric ulcer
   
2. 
   DU
   
3. 
   Ulcerative colitis
   
4. 
   H. pylori infection
   
5. 
   Colonic polyps with dysplasia
   

70. Philadelphia chromosome is characteristically positive in one of the following:

1. 
   AML
   
2. 
   CML
   
3. 
   CLL
   
4. 
   Hodgkin’s lymphoma
   
5. 
   Non-Hodgkin’s lymphoma
   

71. Which of the following is the most common extra articular manifestation of ankylosing spondylitis:

1. 
   Anterior uveitis
   
2. 
   Aortic insufficiency
   
3. 
   Inflammatory bowel disease
   
4. 
   Pulmonary fibrosis
   
5. 
   Third degree heart block
   

72. As regards treatment of pulmonary TB, which statement is correct:

1. 
   Corticosteroid are prescribed to all patient
   
2. 
   An impo factor is patient compliance with therapy
   
3. 
   Drug treatment is maintained for 2 months in uncomplicated cases
   
4. 
   Pyridoxine is given with isoniazid to limit liver dysfunction
   
5. 
   Ethambutol is used routinely in children
   

73. A 31 Y/O man with ulcerative colitis ( isolated proctitis ) present with a worsening of his symptoms , he is passing around four loose stool a day which do not contain blood . he has also experienced some urgency and tenesmus but is otherwise systemically well. What is the most appropriate management ?

1. 
   Rectal 5ASA
   
2. 
   Oral corticosteroid
   
3. 
   Rectal corticosteroid
   
4. 
   Observe with review in 7 days time
   
5. 
   Oral loperaamide
   
   

74. A 42 Y/O dentist is reviewed in the medical clinic complaining of persistent lethargy . routine blood show abnormal live function test so hepatitis screen is sent, the result are shown, Anti-HAV IgG negative , HBsAg negative , Anti-HBs positive , Anti-HBc negative , Anti-HCV positive . what do these results most likely demonstrate?

1. 
   Hep. B infection
   
2. 
   Hep. C infection
   
3. 
   Previous vaccination to hepatitis B and C
   
4.