I n t e r n a L medicine questions Bank

Not a cause of acute pancreatitis:

1. 
   Measles
   
2. 
   Hypothermia
   
3. 
   Azathioprine
   
4. 
   Corticosteroids
   

Answer: A (mumps not measles causes acute pancreatitis)

82. 
    During normal inspiration:
    

1. 
   RA pressure increases
   
2. 
   SBP increases
   
3. 
   Splitting of S2 is increased
   

83. 
    In pericarditis, one is false:
    

1. 
   T inversion occurs after the J point returns to isoelectric line
   
2. 
   Elevated troponins imply worse px
   

84. 
    All the following increase survival in MI except:
    

1. 
   Heparin
   
2. 
   Antiplatelets
   
3. 
   Beta blockers
   
4. 
   Iv nitroglycerine
   

85. 
    Pulmonary edema management except:
    

1. 
   Oxygen
   
2. 
   Morphine
   
3. 
   Iv aminophylline
   
4. 
   Diuretics working on the proximal tubule
   

86. 
    In primary TB:
    

1. 
   Patients remains infectious after 2 months of therapy
   
2. 
   Bilateral hilar lymphadenopathy
   
3. 
   Caseating lesions in lymph nodes always present
   

Answer: C (this is the definition of Gohn’s complex???)

87. 
    In Addison’s disease one is true:
    

a. Nausea and vomiting are early symptoms
.

Final Exam 2012 4th year

1. 
   In ASD the second heart sound is best described by the following:
   

a- Splitted and fixed during respiration b-Splited and moves with respiration
c-Paradoxical splitting
d-ecrease in the intensity of the second heart sound e-Increase in the intensity of the heart sound

2. 
   Sytlolic murmur one of the following is true:
   

a-Murmur occures between S1 and S2 b-Murmur occures after S2
c- Murmur occures before S1
d-Murmur occures between S! and S2 and after S2
e-In aortic stenosis the murmur is not transmitted to the carotid artery

3. 
   Diastolic Murmur are all true except:
   

a-Occures after the S2
b-It is divided into an early mid and late diastolic murmur c-In aortic stenosis the murmur is mid diastolic

4. 
   In aortic regurgitation the murmur is called early diastolic blow
   
5. 
   In atrial fibrillation and mitralstenosis the accentuation of presystolic murmur is not maintained
   

4. 
   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

5. 
   In hyperthyroidism Atrial fibrillation is best treated with :
   

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

6. 
   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
   

7.