I n t e r n a L medicine questions Bank

Airway secreations .

In-hospital mortality.

The need for invasive mechanical ventilation . e.The length of hospital stay.

11. 
    One of the following treatment for patients with advanced COPD may improve their survival
    
    1. 
       Exercise and rehabilitation.
       
    2. 
       Nocturnal O2 therapy .
       
    3. 
       Long term O2 therapy (more than 15Hrs) .
       
    4. 
       Prophylactic nebulized antibiotics .
       
    5. 
       Nebulized steroids (budesonide).
       

11. 
    All of the followings are risk factors for pulmonary tuberculosis except : a-Close contacts to TB patient
    

2. 
   Immigration from an endemic area c-Exposure to under treated cases
   

-Young adults
-Residence of high incidence location .

11. 
    Regarding pleural effusion caused by TB
    

a- Fluid analysis Predominated by lymphocytes
b-Fluid positive for AFB stain in less than one third of patients . c-Negative culture for AFB can’t exclude the disease.
d-Pleural biopsy increases the yield for AFB culture.
e-Usually it is difficult to treat ,and need treatment for 9-12 months .

11. 
    All of the followings are associated with Worse prognosis in sarcoidosis except :
    

1. 
   Incidious onset
   
2. 
   Multiple extrathoracic lesion. c- Blacks..
   

4. 
   Erythema nodosum.
   
5. 
   Lupus pernio.
   

11. 
    All of the followings are true combination between a risk factors and pathgens causing pneumonia except :
    

a-Alcoholism and klebsella pneumonia a- old age and mycoplasma pneumonia b Cigarette smokers and H .infleunza
c-Mechanical ventilation and pseudomonal pneumonia.
d-Abnormal level of consciousness and anaerobic bacteria

11.