I n t e r n a L medicine questions Bank

Final exam 2007 6th year

1. Pulsus paradoxus pulse is felt in ONE of the following.

1. 
   aortic regurgitation
   
2. 
   aortic stenosis
   
3. 
   mitral stenosis
   
4. 
   VSD
   

5. 
   Cardiac tamponade
   

2 . A 30-year-old man admitted with right sided hemiplegia.Clinical examination reveals loss of a wave in JVP with irregular irregular pulse. He has ONE of the following cardiac rhythm abnormalities.
a- complete heart block b- atrial fibrillation

3. 
   atrial flutter
   
4. 
   sinus tachycardia e- sinus bradycardia
   
   
   

3. 
   Major criteria for Rheumatic fever include all the following Except.
   

1. 
   carditis
   
2. 
   Sydenham's chorea c- Polyarthralgia
   

d- Erythema marginatum e- Subcutaneous nodules

3. 
   ONE of the following drugs is LEAST used in treatment of acute sever asthma.
   

a- nebulized B2 agonist b- i.v hydrocortisone

3. 
   epinephrin (adrenaline)
   
4. 
   oxygen
   
5. 
   i.v . aminophylline
   
   
   

3. 
   Hypoxia (decreased PaO2) and decreased Pa CO2 is found in all the following Except.
   

1. 
   left ventricular failure
   
2. 
   massive pulmonary embolism c- acute sever asthma
   

d- acute exacerbation of COPD e- pneumonia

3. 
   All the following are true following splenectomy Except.
   

1. 
   thrombocytopenia
   
2. 
   pneumococcal vaccine should be given
   
3. 
   annual influenza vaccine should be given
   
4. 
   long term oral penicillin V 500 mg 12 hourly should be given e- Howell-Jolly bodies are characteristically seen on blood film.
   

3.