I n t e r n a L medicine questions Bank

All the following are true about renal osteodystrophy Except.

1. 
   reduced conversion of 25 (OH)2 D3 to 1-25-(OH) 2 D3
   
2. 
   increased parathyroid hormone c.increased intestinal calcium absoprption d. decreased osteoclastic activity
   

e. increased reabsorption of calcium from bone.

56. 
    All the following may be found in polycythemia rubra vera Except.
    

1. 
   elevated WBC
   
2. 
   elevated platelets
   
3. 
   splenomegaly
   
4. 
   elevated serum uric acid e. high erythropoietin level
   

56. 
    Coomb's test is positive in ONE of the following.
    a. warm autoimmune hemolytic anemia
    

b. hereditary spherocytosis
c. G6PD deficiency
d.paroxysmal nocturnal hemoglobinuria
e. malaria

56. 
    All the following are true about thalassemia major Except
    a. Hb electrophoresis shows mainly increase in Hb A2
    

2. 
   failure to thrive with short stature
   
3. 
   sever anemia
   
4. 
   hepatosplenomegaly
   
5. 
   treatment is by blood transfusion with iron chelating agent ( desferrioxamine)
   

56. 
    All the following are true about rheumatoid arthritis except.
    a- it is chronic disease, but curable.
    

b- it is commonly associated with positive rheumatoid factor c- antimalarial treatment is one of the lines of management.
d- the patients with the disease are liable to infection e- this disease may affect the patients functionally.

56. 
    All the following are true about uric acid metabolism except.
    a- 2/3 of body uric acid pool is dietary in origin
    

b- 2/3 is from endogenous purine metabolism c- 2/3 of uric acid is excreted by the kidney
d- serum uric acid is increased in polycythemia rubra vera e- serum uric acid is increased in eclampsia of pregnancy.