I n t e r n a L medicine questions Bank

c. Acne rosacea
d. Seborrheic dermatitis
e. carcinoid syndrome


97 - Endocarditis in an I.V. drug user?
a. Is equally prevalent to that of the normal population
b. Is commonly located in the mitral valve
c. Is typically caused by S. pneumoniae
d. Is typically found on the tricuspid valve
e. Is typically found on the aortic valve, producing a systolic ejection murmur


98 - Which of the following pair of CNS lesions and corresponding visual field defects is incorrect?
a. Temporal lobe tumour – superior quadrantanopia
b. Frontal lobe tumour – altitudinal field defect
c. Pituitary tumour – bitemporalhemianopsia
d. Occipital lobe tumour – homonomoushemianopsia
e. Multiple Sclerosis – central scotoma


99 - Which of the following is true about congenital heart block in neonatal lupus erythematosus?
a. It is associated with maternal anti-Ku autoantibodies
b. It is transient
c. The majority of patients will require a pacemaker
d. There is no increased risk of connective tissue disease in adulthood
e. The risk of mortality is small

100 - Which of the following are indications for dialysis in acute renal injury?
a. Severe alkalosis unresponsive to medical therapy
b. Severe acidosis unresponsive to medical therapy
c. Severe hypokalemia unresponsive to medical therapy
d. Severe hypercalcemia unresponsive to medical therapy
e. Severe hypomagnesemia unresponsive t

4^th year 2020- watan

1. A 36 year old female has been unwell for several days with a viral illness . she then developed chest pain and shortness of breath . on examination she is hypotensive and tachycarid . there is bilateral crackles . an ecg reveals non specific st-t changes and bloods revealed raised inflammatory markers and a raised troponin I . echo reveals dilated and hypokinetic chambers . what is the most likely diagnosis ?

1. 
   Myocarditis
   
2. 
   Pericarditis
   
3. 
   Infective endocarditis
   
4. 
   STEMI
   
5. 
   Acute mitral regurgitation