I n t e r n a L medicine questions Bank

Patient diagnosed with crohn's disease complaining of multiple perianal fistulas and the treatment that given is infliximab which is :

Anti TNF monoclonal antibodies

5. 
   Patient with liver cirrhosis come with tense ascitis and bilateral lower limb edema and diffuse abdominal pain , ascetic fluid analysis was : 750 wbcs with 90% polymorophonuclear cells and 3 g/dl albumin , what is treatment and negative gram stain
   

? Ceftriaxone IV (spontenous bacterial peritonitis

6. 
   40 years old patient complaining of intermittent dysphagia ( ذكروني نسيته)
   

7. 
   Patient with liver cirrhosis complaining of esophageal varicies and the banding therapy is given , what drug we should put patient on : Propranolol
   

8. 
   not risk factor of poor prognosis gi bleeding :
   

onset of bleeding during hospitlization ????!!! (not sure )

9. 
   20 year old female diagnosed as Irritable bowel syndrome with pain predominance , what is treatment not used for her :
   

Narcotic analgesia ( the other choices:tricyclic antidepressant , high fiber diet , antispasmotic )

10. 
    At liver cirrhosis the level of which substance with low level :
    

urea ( impairment of urea cycle which occur at liver )

11. 
    true regarding hepatitis D :
    

infection with that virus should be associated with hepatitis B patient ( there was other true choice??? that Hep. D and Hep. B coinfection lead to increase chronicity ? )

12.