I n t e r n a L medicine questions Bank

The most common cause of death in hypertensive patients is:

a-CVA
b-Renal failure
c-Congestive heart failure
d-Myocardial infarction #### e-Dissecting aortic aneurysm

14. 
    All the following are found in left sided heart failure Except.
    

a- bilateral basal creptations b- third heart sound
c- pulsus alternans d- raised JVP xxx
e- pulmonary oedema

14. 
    All the following may occur in cardiac tamponade Except.
    

1. 
   raised jugular venous pressure with sharp rise and y descent.
   
2. 
   Kussmaul's sign ( rise JVP/ increased neck vein distension during inspiration) c- pulsus paradoxus
   

d- visible apex beat. xxx e- reduced cardiac output

14. 
    ONE of the following B-Blockers is cardioselective and lipid soluble.
    

1. 
   atenalol
   
2. 
   propranolol
   c- metoprolol xxx d- bisoprolol
   

e- carvidalol

14. 
    In questioning the chest pain the best answer is:
    

a-Site of the chest pain
b-The character of the chest pain c- The prespitating condition
d-Releaving Factors e-All are true xxx

14. 
    Clubbing of the fingers occurs in all the following except :
    

a-Cyanotic congenital heart disease b- Bronchial carcinoma
c- intrathoracic suppuration d- hyperlipedaemia xxx
e- hepatic cirrmhosis

14. 
    Diastolic murmurs occurs in all the following except:
    

a-mitral stenosis.
b-aortic stenosis xxx c-tricuspid stenosis
d-aortic regurgitation
e-pulmonary regurgitation.

14. 
    Which of the following measures is least helpful in diagnosing a patient with suspected pulmonary embolism?
    

a-Coagulation profile #### b-Spiral CT of the chest
c-Echocardiogram (ECHO) d-Electrocardiogram (ECG( e-Arterial blood gases

14.