I n t e r n a L medicine questions Bank

All the following are criteria to define sever attack of ulcerative colitis Except.
a- stool frequency > 10 per day with out blood

2. 
   fever > 37.5 C
   
3. 
   tachycardia >90/min
   
4. 
   anemia hemoglobin < 10 gram/dl e- albumin < 30 g/L
   

3. 
   All the following are true about gout except:
   

a- Is caused by deposition of monosodium urate monohydrate crystals in the joints. b- It is an asy,mmetric arthritis.

3. 
   Can be caused by thaiazide diuretics.
   
4. 
   It is commoner in females than males 4:1.
   
5. 
   Attack of gout can be triggered by dehydration.
   

3. 
   A 32-year-old alcoholic with shock due to bleeding oesphageal varices. After resuscitation.Which ONE of the following is the treatment of choice.
   

a- intravenous octreotide. b- intravenous glypressin

3. 
   oesophagial variceal endoscopy ligation
   
4. 
   Transjugulartranshepatic portocaval shunt (TIPS) e- oesophagial variceal sclerotherapy
   

3. 
   A 65-year-old man with liver cirrhosis presented with ascitis,abdominal pain, tenderness and peripheral edema. A diagnostic tap revealed a neutrophil count of 400
   

/mm 3(normal < 250).
Which ONE of the following would be of the most immediate benefit ? a- Fluid restriction and no added salt diet.

2. 
   Intravenous antibiotics.
   
3. 
   Oral spironolactone.
   
4. 
   Therapeutic paracentesis
   
5. 
   Trans-jugular intrahepatic porto-systemic shunt.
   

3.