I n t e r n a L medicine questions Bank

Wrong regarding crohn disease management?

Answer: the key enzyme in biological agent is TPMT
Explanation: The key enzyme involved in AZA and 6MP metabolism is thiopurine methyl transferase (TPMT)

13. 
    All about bleeding correct except?
    

Answer: All patient with cirrhosis will develop variceal bleeding
Explanation: Approximately 90% of patients with cirrhosis will develop gastroesophageal varices, over 10 years, but only one third of these will bleed from them

DR. Samah – RS :

1. 
   Not side effect of B2 agonist :
   
   1. 
      Tachycardia
      
   2. 
      Arrythmias
      
   3. 
      Tremor
      
   4. 
      Hyperkalemia
      
   5. 
      hypokalemia
      
2. 
   most common clinic presentation of PE ?
   
   1. 
      acute onset dyspnea
      
   2. 
      chest pain
      
   3. 
      cough
      
   4. 
      syncope
      
   5. 
      hemoptysis
      

3-67 years old male patient complain from chest pain, productive cough and fever, on examination the patient confused and RR=33, BP=100, on laboratory investigation blood urea = 9 mmol/L (not mg/dl as in slides so to convert mmol/l to mg/dl = mmol/l X 18), calculate CURP-65 score?

1. 
   2
   
2. 
   3
   
3. 
   4
   
4. 
   5
   
5. 
   6
   
   

1. 
   medical student while taking the internal medicine exam suffered from tachypnea and anxiety, in the emergency laboratory investigation Ph=7.52, co2=22
   

, HCO3=24, which of the fooling is correct ?

1. 
   Acute Metabolic alkalosis
   
2. 
   Chronic Respiratory alkalosis
   
3. 
   chronic Metabolic alkalosis
   
4. 
   Acute Respiratory alkalosis
   

5.