I n t e r n a L medicine questions Bank

A paitent with typical history and signs and symptoms of dermatomyositis. What would you do to confirm your diagnosis?

1. 
   Muscle biopsy
   
2. 
   EMG
   
3. 
   ENA
   
4. 
   ?
   
5. 
   A & B
   

65. 
    Wrong about hyperpartathyroidism:
    

1. 
   Most likely cause is parathyroid hyperplasia
   
2. 
   ?
   
3. 
   ?
   

66. 
    Wrong about hypoparathyroidism:
    

1. 
   Typically associated with metabolic alkalosis
   
2. 
   Typically associated with metabolic acidosis
   
3. 
   ?
   

67. 
    Correct about cluster hedache:
    

1. 
   Most common form of migraine
   
2. 
   Some are associated with horner’s syndrome
   
3. 
   More common in males than females
   
4. 
   Beta-blcoker are of benefits as prophylaxis
   
5. 
   Sumatriptan is not effective
   

Horner syndrome can be caused by any interruption in a set of nerve fibers that start in the part of the brain called the hypothalamus and travel to the face and eyes. Sympathetic nerve fiber injuries can result from: Injury to one of the main arteries to the brain (carotid artery) Injury to nerves at the base of the neck called the brachial plexus Migraine or cluster headaches Stroke, tumor, or other damage to a part of the brain called the brainstem Tumor in the top of the lung

Source: http://www.nlm.nih.gov/medlineplus/ency/article/000708.htm

68.