I n t e r n a L medicine questions Bank

64- All the following are poor prognostic signs in scleroderma except.
a- old age of onset.
b- limited skin involvement. c- high ESR

4. 
   renal involvement
   
5. 
   pulmonary hypertension
   

65. 
    Pathergy test is positive in one of the following diseases.
    a- Behcet's syndrome
    

2. 
   Kawasaki disease
   
3. 
   erythema multiforme d- osteoarthritis
   

e- rheumatoid arthritis

65. 
    All the following are most likely causes of pyrexia of unknown origin Except. a- occult bacterial infection
    

2. 
   lymphoma
   
3. 
   factitious fever
   
4. 
   viral infection e- SLE
   

65. 
    A 50-year old woman has pain in her fingers on exposure to cold, arthralgia, and difficulty in swallowing solid food.
    

The most useful One test to make a definitive diagnosis is a- rheumatoid factor
b- anti-nuclear antibody c- ECG
d- Blood urea and serum creatinin e- anti-mitochondrial antibody

65. 
    A 20-yea-old male is complaining of arthritis and eye irritation. He has a history of burring on urination. On examination, he has Right knee effusion and dermatitis of the glans penis.Which of the following is ONE most correct statement about this patient?
    

a- Nisseria gonorrhoeae is likely to be cultured from the glans penis b- B- the patient is likely to have positive rheumatoid factor
c- An infectious process of the GI tract may precipitate this disease d- The anti-nuclear antibody is very likely (highly) to be positive e- There is strong association with HLA-B8 antigen.

65. 
    A pleural effusion analysis results: ratio of concentration of total protein in pleural fluid to serum of 0. 38 , latate dehydrogenase LDH level of 125 IU, and ratio of LDH in pleural fluid to serum of 0. 45.