I n t e r n a L medicine questions Bank

b. Pleural effusion
c. Pneumonia
d. Pulmonary embolism
e. Lung abscess

99. A 52year old man presents to accident and emergency after collapsing at home. He appears pale on appearance with cold extremities. Blood pressure is 97/73 mmHg, heart rate 110 bpm, temperature 36.9°C and an ECG shows normal findings. Blood culture and urine culture are negative for any findings. He reports returning from 10 days holiday break abroad, but forgot to take his medication for Crohn's disease with him. The most likely one diagnosis is?

a. Addisonian crisis
b. Sepsis
c. Myocardial infarction
d. Abdominal aneurysm rupture
e. Nelson's syndrome

Final MCQ 6th year 2019

Head of department : Dr. Rami Dwairi

Dr. Rami questions :

1. 
   Celiac disease is followed up by : Anti TTG antibody
   
2. 
   One of the following not a part of child PUGH classification : Platelet count
   
3. 
   Diagnosis of Hepatitis E : Anti Hepatitis E titers
   
4. 
   Wrong about crohn: rose thorn ulcer caseating granuloma
   
5. 
   Most common route of transmission for hep B worldwide : vertical
   
6. 
   Treated hep c follow up by : viral load
   
7. 
   All true except :
   

some thing about treatment of IBD and mentions TPMT enzyme related to methotrexate لل االنزيم هذا azthioprine

8. 
   wrong about Mx of irritable bowel: barium follow through for all pt
   
9. 
   hemochromatosis wrong about it : congestive ?
   

Dr. Basil questions:

1. 
   hypokalemia didn’t give : Sine wave
   
2. 
   Dyspnea, syncope and chest pain in 70 yo patient and has early diastolic murmur
   

:
aortic stenosis aortic dissection mitral valve prolapse
spontaneous pneumothorax

3. 
   B blocker effect of heart all except : increases cardiac contractility
   
4. 
   Factors play role in incrasing oxygen demand in angina pectoris patient except: ventricular size
   

5. 
   Emegent drug in ACS except : digoxin
   
6. 
   ECG with ST elevation in lead 2, 3,avf : right Ventricular infarction
   
7. 
   Eye manifestation in infective endocarditis : Roth spot
   
8. 
   cardiac tamponade : increase in JVP
   
9. 
   Raised JVP in SLE patient : constrective pericarditis