I n t e r n a L medicine questions Bank

A 54- year- old male with Child's grade C hepatic encephalopathy presents with haemetemesis. Which ONE of the following is most appropriate immediate therapy?

1. 
   i.v desmopressin
   
2. 
   i.v isosorbide dinitrate
   
3. 
   i.v. omperazole
   
4. 
   i.v. propranolol e. i.v. somatostatin.
   

3. 
   All the following are risk factors for development of peptic ulcer disease Except.
   

1. 
   daily use of NSAID
   
2. 
   gastric infection with H.pylori c. sever emotional stress.
   

d. cigarette smoking
e. gastrin-secreting tumors.

3. 
   Which ONE of the following is LEAST associated with hemochromatosis.
   

a. cardiomyopathy b.hypogonadism c. Chorea.
d. diabetes mellitus
e. liver cirrhosis.

3. 
   A29- year-old man presents with symptoms of gastroesophageal reflux. Which ONE of the following is most useful in assessing the role of surgery.
   

1. 
   cardiac sphincter manometry.
   
2. 
   gastric emptying study.
   
3. 
   intragastric PH monotring off therapy . d. oesophgeal motility study.
   

e. oesophgeal PH monotring on therapy

3. 
   All the following are true about hepatitis A ,except.
   

a. has an incubation period of 2-4 weeks. b. it is transmitted during vaginal delivery.

3. 
   does not cause chronic hepatitis.
   
4. 
   may cause hepatosplenomegaly.
   
5. 
   a vaccine is avalible.
   

52.A peripheral blood film shows hypersegmented neutrophils. What is the most likely ONE cause for this ?

1. 
   Iron deficiency anemia
   
2. 
   myelofibrosis
   
3. 
   thalassemia major
   
4. 
   thallasemia minor
   
5. 
   megaloblastic anemia