I n t e r n a L medicine questions Bank

9 - The most significant cause of morbidity in the elderly?
a. Arthritis b. Dementia
c. Heart disease d. Stroke
e. Hearing impairment

10 - Which of the following is not an age-related change?
a. Impaired myocardial diastolic dysfunction
b. Increased gastric acid secretion
c. Decreased drug clearance
d. Increased nocturnal sodium and fluid excretion
e. Decreased baroreflex sensitivity


11 - Major manifestations of acute rheumatic fever include all of the following except?
a. Arthralgia b. Subcutaneous nodules
c. Carditis d. Chorea
e. Erythema marginatum

12 - Strongyloides spp. is transmitted to humans by?
a. Ingestion of infective eggs
b. Ingestion of cysts
c. Ingestion of animal tissue that contains the larva
d. Penetration of the skin by infective larva
e. Ingestion of adult form

13 - In renovascular hypertension the following statements are true except ?
a. Mechanism of hypertension is increased renin levels
b. Etiology is fibromoscular dysplasia or atherosclerosis
c. Onset < 30 years and > 55years without family history or recent onset
d. Increase in vanilmandilic acid (VMA)
e. Reccurent pulmonary oedema is a clue for diagnosis

14 - Diagnosis of acute symptomatic pulmonary embolism can be excluded when which of the following is normal?
a. Chest x-ray
b. Ventilation-perfusion lung scan
c. Bilateral leg venograms
d. PaO2 and A-a O2 gradient
e. CT scan of the pulmonary arteries


15 - the causative organsim in rheumatic fever is?
a. Echo virus
b. B Haemolytic Streptococcus group A
c. Streptococcus viridians
d. E coli
e. Staph aureus


16 - Which of the following are not consistent with primary(spontaneous) bacterial peritonitis?
a. Abdominal discomfort and fever
b. Ascitic fluid neutrophil count of> 250x106 cells/L
c. Ascitic fluid WBC count of >500x106 cells /L