I n t e r n a L medicine questions Bank

Case of 2nd degree heart block treament of choice : pacemaker ??!! 7- wrong regarding antidote :
Calcium gluconate for digoxin toxicity

8. 
   patient with early diastolic murmur at left sternal area with high volume pulse (water hammer pusle) :
   Aortic regurgitation
   

8. 
   One is presentation of hypertrophic cardiomyopathy :
   sudden death
   
9. 
   True regarding mitral stenosis :
   hemoptysis is due to pulmonary hypertension
   
10. 
    Shifted apex beat to anterior axillary line to 6 or 7th intercostal space indicative of :
    Left ventricular dilatation
    
11. 
    wrong regarding Pulmonary HTN :
    onset of HTN is above 60 mmHG
    13- drug improve mortality rate in HF :
    Enalapril
    

14-contraindication for enalapril :
bilateral renal artery stenosis

Rheumatology :

1. 
   known Patient of renal failure complaining of monoarthritis (swelling , pain , signs of inflammation ) with no previous history , after aspiration microscopic picture reveals intracellular neddle shape crystals , Treatment of choice :
   

intra-articular corticosteroid ( Voltaren is contraindicated in renal impairment )

2. 
   True regarding SLE :
   

azathioprine & other immunosupressive drugs decreasing need for long term corticosteroid

3. 
   Wrong regarding scleroderma :
   there is vegetation on the heart valves
   

4. 
   True regarding Rheumatic fever :
   need secondary prophylaxis of antibiotic to decrease possibility to recurrent rheumatic fever
   

5.