I n t e r n a L medicine questions Bank

8- True regarding sarcoidosis :
increase absorbtion of calcium from intestine ( Vitamin D effect due to hydroxylase activity of epitheloid activity of granuloma

4th year Final exam 2017

1. 
   Most common cause of death in Jordan --->
   

heart attacks RTA STROKE

2. 
   Complete heart block
   

- anti ssa

3. 
   Treatment for eradication of h pylori
   

• 
  omeprazole, clarythromycin, amoxicillin
  

4. 
   Cause of galactorrhea,
   

primary hypothyroidism

5. 
   Furesamide
   

• 
  loop diuretic
  

6. 
   *Av node aw conduction abnromality following MI
   

• 
  right Coronary artery
  

7. 
   Deforaxamine
   

• 
  iron overdose
  

8. 
   Retinal vasculitis
   

• 
  behcet*
  

9. 
   A cause of clubbing
   

-abscess

10. 
    Most uti bacteria
    

• 
  e. Coli
  

11. 
    Metformin
    

• 
  lactic acidosis
  

12. 
    Urti with hematuria
    

• 
  iga nephropathy
  

13. 
    Elevated Bleeding time and PTT
    

• 
  von disease
  

14. 
    Cause of HTN
    

- coarctation of the aorta

15. 
    Adults AS
    

• 
  bicuspid aortic valve
  

16. 
    X-ray negative finding with positive MRI
    

• 
  none of the above
  

17. 
    Diabetes except
    

• 
  first neurological manifestation is muscle weakness
  

18. 
    UTI with knee joint inflammation-
    

A,B,D

19. 
    Not a bronchogenic asociated paraneoplastic syndrome
    

• 
  hypoglycemia
  

20. 
    Not an inherted thrombophilia
    

- anti-phospholipid

21. 
    Not hepatitis C mode of transmission
    

• 
  feco oral
  

22. 
    *All cause hyperuricemia except ?
    

• 
  large doses of aspirin
  

23. 
    *Hodgkin 1a? Which is wrong;
    

involves 2 nodes

24. 
    Celiac disease
    

• 
  anti-tissuw transglutaminase antibody
  

25. 
    Not related to hypertension treatment aw hek eshi
    

• 
  statin
  

26. 
    Periphral neuropathy ..
    

vit b12

27. 
    Positive direct coomb test .
    

.AIHA

28. 
    early finding in hepatitis b ...
    

HBsAG

29. 
    electrophoresis...
    

Thalasemia

30. 
    X-linked..
    

G6PD

31. 
    All cause hyperurecimea exept ...
    

Hige dose aspirine

32. 
    Finger clubbing ..
    

Lung abscess

33. 
    Gallbladder contraction ..
    

CCK

34. 
    non lymphoid organ..
    

.liver

35. 
    M.C cause of urinary infection.
    

.E-coli

36. 
    M.C cause of CAP ...
    

s.pneumonia

37. 
    Frusamide..
    

loop of henle

38. 
    Retinal vasculitis..
    

behcet

39. 
    Celiac ...
    

Anti-endomysium

40. 
    M.C cause of death in jordan ..
    

Heart attac

41. 
    M.C cancer in jordan .
    

.colorectal
42) Rt sternal" النص ذاكر مش"
... aortic regurg
43) M.C cause of End stage renal failure.
.DM
44) HLA-B27... AS

45. 
    inclusion body myositis "all true except" ..
    

Femal > male

45. 
    DIP involvment ..
    

.a+c+d "psoriatic/osteo ". /

45. 
    Q"diarrhea"
    

..نسيته salmonela/shigella/uroplasma..."a+b+d"

45. 
    Warfarin..
    

INR

45. 
    heparin antidote ..
    

Protamine sulfate

45. 
    Body mass index 27..
    

overweight

45. 
    Q about sle criteria ..
    

I think 4

4th year Final exam 2016

1. 
   Common organism cause Community acquired pneumonia ? >>>>
   

strep.pnemonia

2. 
   Common organism cause pneumonia. In alcoholic. Pt >>>
   

klebsiella

3. 
   About Ulcerative colitis exept ??
   

Deep fissure ulcer

4. 
   About crohn disease exept? ?
   

. Ceaseation granuloma

5. 
   Inheritance bleeding ??
   

Vwf

6. 
   Systolic murmur ??
   

Between s1 and s2


7--Temporal pain wt to do nxt?>>>>>
high dose steroid


8-patechia with no other complain------
ITP


9--how much criteria of SLE is present in this pt?
SLE criteria 4


10--asthma, eosinophilia wts the diagnosis>
chug strauss


11-gottorn rash>
dermatomyositis


12--inclusion body myositis
most common in men


13--LT upper Q pain radiat to sholder, diagnosis? ? 14--most common sign in eye in RA??
15-1st manifistation of AS??
A+b+C

16. 
    best for diagnosis skeletat involvemey in AS>
    

MRI??

16. 
    one is wrong about psoriatic arthritis -----
    

chronic posterior uveitis

16. 
    DM , Correct :
    

Fasting blood glucose < 126

16. 
    Heparin therapy , wrong ?
    

Skin necrosis

16. 
    Most common transmission mode in Hep B ?
    

Vertical or needle stick ???

16. 
    Not used in hep B diagnosis?
    

HbCAg

16. 
    Not used for H.Pylori eradication success ?
    

Serology

16. 
    Most common cause of death in hypertensive pts ?
    

CVA , MI

16. 
    achilles enthesitis seen in :
    

reactive arthritis ?

24. 
    Triad of portal vein thrombosis + pancytopenia + hemolysis ?
    

PNH

24. 
    CASE : low platelet count , WBC count 30000 , 50% blast ?
    

AML , M3 type

24. 
    B12 def anemia ? Wrong ?
    

Commonly caused due to Diet deficiency

24. 
    radiofemoral delay where ?
    

Coartication of aorta

24. 
    h.pylori mode of transmession ?
    

Feco oral

24. 
    one ofe these is not a cause of malabsorption?
    

Contact dermatitis

24. 
    cause of hypothyroidism ?
    

Auto imune or iodine def.

24. 
    systolic murmer ?
    

between s1-s2

24. 
    which of these is not a primary cause of nephrotic syndrome ?
    

Amylodosis

24. 
    high blood urea is due all of these exept ?
    

Law urea intake

24. 
    all of these make hyperparathyroidism except ?
    

pancreatitis

35-a patient come with pain in left upper quadrent for with a history of infectious mononucliosis what is the diagnosis ?

Splenic rapture

36. 
    Akhilis tendinitis where we find it ?
    

Reactive artheritis

36. 
    Most common hormone secreted by adenoma
    

(prolactin)

36. 
    Most common adenoma
    

(prolactinoma)

36. 
    All are present on ecg for hyperaklemia except
    

(prominent p wave )

36. 
    All are present in behcet'sdisease except
    

(behcet's disease ( headache ". pulmonary thrombosis DVT..erythema nodosum
...chronic post uveitis )

36. 
    Patient presents with confusion ;high creatinin and urea ,fever
    

(HUS" TTP)

36. 
    One of the following are found in renal tubular necrosis
    

(hyperphosphatemia)

36. 
    On of the following is true regarding to nephrotic syndrome
    

(increase HDL". decrease LDl ..derease lipoprotein glomerular basemt membrane
injury )

36. 
    Signs of CHF include all of the following except :
    

1. 
   Jugular venous distention
   
2. 
   S3
   
3. 
   Inspiratory rales
   
4. 
   Displaced and sustained apical impulses
   
5. 
   S4
   

45In pericarditis the chracterstic EKG changes ;

A:T wave invertion*
B; ST segent depression C Atrial fibrillation
D;ST segment elevation covex upwards
E; ST segment elevation with cocave downwards

46. 
    the causative organim in rheumatic fever is
    

1. 
   staph aurus
   
2. 
   B Haemolytic Streptococcus group A* C streptococcus viridians
   

D; E coli E; virus

46. 
    Patients with aortic stenosis frequently develop:
    

1. 
   Exertional dyspnea and angina *
   
2. 
   Wide pulse pressure
   
3. 
   Systemic embloization
   
4. 
   Atrial fibrillation
   
5. 
   Right ventricular hypertrophy
   

46. 
    Radiofemoral delay present in one of the following condition;
    

1. 
   in Angina pectoris
   
2. 
   Coarctation of the aorta* c-Renal artery stenosis
   

d-Heart failure e-COPD

46. 
    In hyperthyroidism Atrial fibrillation is best treated with :
    

1. 
   Quinidine
   
2. 
   Digitalis
   
3. 
   Digitalis and quinidine
   
4. 
   Pronesty
   
5. 
   Antithyroid drugs*
   

46. 
    Ulcerative colitis all true except
    

(deep ulcer fissure )

46. 
    Chrohn's disease all true except
    

(caseating granuloma)

46. 
    Most common thyroid cancer
    

(papillary )

46. 
    Howell jolly body
    

(hyposplenism )

46. 
    Most common bleeding disorder
    

(von willenrand disease )

46. 
    Most common cause of thromboembolism
    

(protein c deficiency)

46. 
    Most common cause of endemic goiter
    

(iodine deficiency )

46. 
    antibiotic for whipple disease......
    

ceftriaxone

58-. DKA all except..

No change in anion gap
58-.ECG in hypercalemia 60-.SS In ...
SLE +sjougren "not sure"

61-. Howell jolly body. Target cell ...

Hyposplinism

62-.SE Of rifamicine ...

Hersutism

63-. Most common bleeding disorder...

vWF

64-.Most common eye finding in RA ??---

sjogren or sicca syndrome???-episcleritis

65-. All about heparin true except??

cause shin necrosis

66--.commonest ca in thyroid..

papillary

67-.Case Cushing Diagnostic test ??—

24h urine free cortisol
68-. Case .. k7.3 what give ...
Ca gluconate

69-. Community acquired pneumonia . ..

strepto

70-..pneumonia in alcoholic ..??-----

klebsiella

71 HLAB27 ...

SPA

72- SE Of statine

( HmgCoa reductase)??

73-. DM ..

insulin not use firstly for type 2DM

74-. Commonest pituitary Tumar .. prolactinoma / commonest hurmone .. prolactine

75-. Definitions ...

erosion superficial layer

76-.1st manifestations in blood transfusion rejection ...

nausea and vomiting

78. 
    Side effect of statin include followings except
    

pulmonary fibrosis

78. 
    In hyperthyroidism Atrial fibrillation is best treated with :
    

. Quinidine
. Digitalis
. Digitalis and quinidine
. Pronesty
. Antithyroid drugs xxx

78. 
    the causative organim in rheumatic fever is ?
    

1. 
   staph aurus
   
2. 
   B Haemolytic Streptococcus group A xxxx C streptococcus viridians
   

D; E coli E; virus

78. 
    In renovascular hypertension the following statements are true except :
    

1. 
   Mechanism of hypertension is increased renin levels
   
2. 
   Etiology is fibromoscular dysplasia or atherosclerosis
   
3. 
   Onset < 30 years without family history or recent onset >55 years
   
4. 
   Treatment is usually by ACE-inhibitors if bilateral xxxx
   
5. 
   Reccurent pulmonary oedema is a clue for diagnosis
   

78. 
    -Which of these is not found in sarcoidosis ??
    

Finger clubbing

78. 
    Most common cause of upper GI bleeding>)
    

E.esophageal varices

84--not of managment of varicies>

ppI