I n t e r n a L medicine questions Bank

Major manifestations of acute rheumatic fever include all of the following except :

1. 
   Arthralgia
   
2. 
   Subcutaneous nodules
   
3. 
   Cardites
   
4. 
   Chorea
   
5. 
   Erythema marginatum
   

11. 
    In pulmonary hypertension the following statements are true except :
    

1. 
   Primary pulmonary hypertension likely to begin with spasm of the muscle layer of pulmonary arteries .
   
2. 
   Secondary pulmonary hypertension most probably results from disease that impedes flow of blood through lungs or that causes periods of low oxygen in blood .
   
3. 
   In some people the bone marrow responds to hypoxemia by red blood cell production ( polycythemia)
   
4. 
   Signs and symptoms of right sided heart failure usually dominates the picture in core pulmonale
   
5. 
   Medical treatment of pulmonary hypertension is usually effective
   

11. 
    What is swan neck deformity in RA :
    

1. 
   Hyper flextion of proximal interphalangal (PIP) and hyper extension of distal interphalangal (DIP).
   
2. 
   Hyper extension of PIP and hyper flextion of DIP.
   
3. 
   Hyper extension of PIP and hyper extension of DIP. D)Sublaxation of Metacarpophalangal.
   

E)Non of the above.

11. 
    Which disorder is diagnosed by the presence of calcium pyrophosphate is synovial fluid:
    

1. 
   Chondro calcinosis.
   
2. 
   Gouty arthritis. C)Psoriatic arthritis. D)Psoriatic arthritis. E)O.A
   

11. 
    A patient present with B-Asthma mono neuritis multiplex-esoino phila.ANCA positive ; what is the most likely diagnosis :
    

1. 
   SLE.
   
2. 
   Wegner granulomatosis. C)Microscopic polyangiitis. D)Good pasture.
   

E)Currg-strass.

11.