I n t e r n a L medicine questions Bank

Gentamycin is the drug of choice

Treat for at least 5 days

30% of patients are Asymptomatic at presentation and during follow up

16. 
    In regard to hepatitis C and pregnancy, all of the following is true except:
    
    1. 
       The rate of transmission from mother to baby during delivery is around 6%.
       
    2. 
       Transmission is higher in vaginal delivery comparing to cesserian.
       
    3. 
       Higher rate of transmission is seen if the mother is co-infected with HIV
       
    4. 
       Severe hepatitis is rare in infected infants Breast-feeding is safe
       

16. 
    All of the following medications are being used in chronic hepatitis B except:
    
    1. 
       Lamivudine
       
    2. 
       Ribavirin
       
    3. 
       Pegylated interferon
       
    4. 
       Adefovir Dipivoxil
       
    5. 
       Entecavir
       

16. 
    All of the following micro organisms can cause infectious diarrhea with positive fecal leucocytes except:
    
    1. 
       Shigella
       
    2. 
       Yersinia
       
    3. 
       Giardia
       
    4. 
       Campylobacter
       
    5. 
       Salmonella
       

16. 
    All of the following are protective from colo-rectal cancer except:
    
    1. 
       Aspirin
       
    2. 
       Folic Acid
       
    3. 
       Fiber Diet
       
    4. 
       Calcium
       
    5. 
       Moderate use of Alcohol
       

23. 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
   

24 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.
b- Intravenous antibiotics. c- Oral spironolactone.

4. 
   Therapeutic paracentesis
   
5. 
   Trans-jugular intrahepatic porto-systemic shunt.
   

5
25. All the following are recognized complications of Hepatitis C infection Except. a- diffuse proliferative glomerilone0phritis.
b- hepatocellular carcinoma c- liver cirrhosis
d- chronic hepatitis C infection e- cryoglobulinemia
26 ONE of the following tests is most suitable in screening patients for celiac disease. a- Anti-casein antibodies
b- Anti-endomyseal antibodies c- Anti-gliadin antibodies

4. 
   ESR
   
5. 
   Aplha feto protein.
   

57. 
    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
   
5. 
   i.v. somatostatin.
   

57. 
    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.

78. All the following antibiotics may be used in treatment of H.pylori Except. a- amoxicillin

2. 
   tetracycline
   
3. 
   metronodazo;e d- clarithramycin Strepotomycin -f
   

38.