I n t e r n a L medicine questions Bank

patient presented to the clinic 5 days post STEMI , he complained of pleuritic chest pain increased when lying down friction rub , ECG showed diffuse ST- elevation what is the DX?

1. 
   STEMI
   
2. 
   Dressler syndrome
   
3. 
   Myocarditis
   
4. 
   PE
   
5. 
   Pneumonia
   

most common cause of death in HTN?

Answer: MI

4. 
   Previous MI patient with increase cholesterol level what is next step ?
   

Answer: describe statin drug

5. 
   young female with left ankle and knee swelling and hx of sore throat ?
   

Answer: rheumatic fever

6. 
   female with ECG showed : narrow QRS complex with regular HR of 170bpm what is next step ?
   

Answer: IV adenosine

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  DR. jeries – ROMATOLOGY :
  

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  Most of the questions are same to past years questions
  

4th year Final exam 2018

GIT & Liver :

1. 
   69 year old patient with jaundice and mild fatigue only , Direct billirubin is elevated ( more than 80% ) with high Alkaline phosphatase and normal AST ALT, proper diagnostic tool for this patient :
   

CT Scan ( suggestion of malignancy )
(there was ERCP as other choice but not the correct answer Approved by dr. waleed)

2. 
   59 year old patient with upper abdominal and nausea with vomiting , least essential tool for dx :
   

CT scan ( Cardiac enzymes , ECG , Amylase , other ?? ).

3. 
   Patient complaining of jaundice and the urine analysis revealing positive bilirubin : ( obstructive jaundice cause ) so it is Dubin–Johnson syndrome
   

4.