I n t e r n a L medicine questions Bank

Correct statement about the natural history of multiple sclerosis:

a. Invariably progressive with relapses and remission
Answer: A

69. 
    Correc about hepatits B:
    

1. 
   HbsAg is positive during the prodrome
   
2. 
   HbsAg is positive during the acute and chornic phase
   
3. 
   HbsAg is more likely to be positive in carrier in western countries than eastern countries
   
4. 
   HbsAg is invariably present if the patient is jaundices during the acute infection
   

70. 
    Correct about H. pylori:
    

1. 
   Gram positive
   
2. 
   Antral gastritis is the second most common complication
   
3. 
   Infection is life long unless treated
   
4. 
   Causes 80% of DU
   
5. 
   Increase bicarbonate production
   

71. 
    Wrong about autoimmune hepaitis:
    

a. Not associated with hepatosplenomegaly or spider naevi

72. 
    About cirrhosis:
    

1. 
   TIPS increases the incidence of hepatic encephalopathy
   
2. 
   Protein should be restricted to 40mg/kg/d unless encephalopathy develops
   

73. 
    Wrong statement:
    

1. 
   IVA of renal arteries is less likely to cause renal shutdown than IVU
   
2. 
   IVU is renal arteries is more likely to cause systemic atheroembolism?
   
   
   

74. 
    Wrong about the use of US to diagnose kidney problems:
    

1. 
   Cheap, available quickly.
   
2. 
   Diasadvantage is that it is highly operator dependent
   
3. 
   Use of Doppler velocimetry can significantly enhance the information that we can get from it like restitivy index.
   
4. 
   In cKD, the kidneys appear small with loss of corticomedullary differentiation
   

e. ???

75.