I n t e r n a L medicine questions Bank

All of the following “B” symptom of non-Hodgkin lymphoma except :

1. 
   drenching sweat
   
2. 
   Fever
   
3. 
   Weight loss
   
4. 
   itching
   

ITP not affect

1. 
   Pt /Ptt
   
2. 
   Platelets count
   
3. 
   Bleeding time
   

All are aquired causes of platelet disorders exept?

1. 
   Bernard soulier syndrome (Autosomal ressisive )
   
2. 
   ITP
   
3. 
   TTP
   
4. 
   Trombocytosis
   
5. 
   Uremic thrombocytopenia
   

anemia of chronic disease all false except?

1. 
   Low serum ferritin
   
2. 
   Macrocytic
   
3. 
   High total iron binding capacity
   
4. 
   High Fe saturation
   
5. 
   has high hepcidin
   

35 year old male complaining from fatigue. He denied hx of melena, trauma ... cbc shows decrease in Hb, MCV, .. normal RDW ; next step :

1. 
   Occult stool test
   
2. 
   Iron measurment
   
3. 
   Hb electrophoresis
   
4. 
   Lead level
   

Wrong about DIC :

1. 
   thrombocytosis
   
2. 
   Decrease fibrinogen
   
3. 
   Burn can cause it
   

7. 
   Pt have serum ca 14.3 and serum creatinine is 2.3 and on X-Ray have compression Fracture of vertebrae what is next step :
   

Answer: Serum immune electrophoresis

8. 
   Drug act on thrombin ?
   

Answer: Argatroban (direct thrombin inhibitor)

9. 
   1st choice treatment for ITP ?
   

Answer: IVIG

10. 
    All true except ?
    

Answer: Fe deficiency has low RDW

DR. Nuha – ENDO + INFECTUS :

1. 
   first test to diagnose Cushing?
   
   1. 
      Synacthen test
      
   2. 
      Salaiva
      
   3. 
      High dose dexamethasone ?
      
   4. 
      CT brain
      
2. 
   patient with weight gain what is the most appropriate test ?
   
   1. 
      TSH
      
   2. 
      T3
      
   3. 
      T4
      

3. 
   diabetic patient type 1 had kussmaul breathing , what most likely happen to him
   

?
Answer: DKA

4. 
   patient present with perioral numbness & carpopedal spasm what most likely diagnosis ?
   

Answer: Hypocalcemia

5. 
   diabetic patient type 1 missed a meal what will happen to him ?
   

Answer: DM type 1 patient take insulin so missed a meal will cause hypoglycemia

6. 
   patient present with nausea ,vomiting & Bradycardia + continuous fever for 4 weeks what most likely causative organism ?
   

answer: Salmonella typhi

7. 
   HIV patient with dry cough bilateral hilar lymphadenopathy + fever ?
   

Answer: Pneumocystis jiroveci

8. 
   what is the disease that cause malta fever ?
   

Answer: Brucellosis

9. 
   patient present with eccentric target sign ( ring sign) on MRI , what is the most likely diagnosis?
   

Answer: Toxoplasmosis

• 
  DR. Cardio :
  

1. 
   All increase HOCM except ?
   
   1. 
      Valsalva
      
   2. 
      Standing
      
   3. 
      Squatting
      
   4. 
      Exercise
      
   5. 
      Nitrate
      
2.