I n t e r n a L medicine questions Bank

One of the following isn't a characteristic for spondylo arthropathy:

A)Strong association with HLA-B27. B)Occasional Aortitis.
C)Assocoation with chronic inflammatory bowel disease. D)Tendency for posterior uveitis.
E)Enthesitis.

11. 
    The isn't a cause of secondary sjogren:
    

A)Reactive arthritis. B)SLE.

3. 
   Scleroderma.
   
4. 
   RA.
   
5. 
   Hypothyroctism.
   

11. 
    Differential diagnosis of sacroiliitis includes all of the following except for:
    
    1. 
       Psoriatic.
       
    2. 
       Behcet disease.
       
    3. 
       Aukylosing spondylitis. D)Reactive arthritis.
       

E)Chron disease.

11. 
    Boutonniere deformity is seen in:
    
    1. 
       RA.
       
    2. 
       Psoriatic arthritis. C)Reactive arthritis.
       

D)Ostco arthritis. E)Tenosynovitis of haud.

11. 
    All of the following are ANCA associated vascuilitis except for:
    

A)Microscopic poly angiitis. B)Churg-strauss vascuilitis. C)Kawasaki syndrome.

4. 
   Wegner gramulomatosis.
   
5. 
   All of the above.
   

Final Exam 2011 4th year

1. 
   Wrong about DM:
   
   1. 
      Goal of HbA1C should be less than 6.8%
      

2. 
   Wrong about peptic ulcer:
   
   1. 
      Associated with type A personality
      
   2. 
      Duodenal ulcer is associated with increased risk of malignancy???
      
   3. 
      Most common cause of upper GI bleeding
      

INTRODUCTION — Since the discovery of Helicobacter pylori in the 1980s, much has been learned about this gram- negative spiral bacteria and its associated disease states. In 1994, the NIH Consensus Conference recognized H. pylori as a cause of gastric and duodenal ulcers. Later that year, the International Agency for Research on Cancer (IARC) declared H. pylori to be a group I human carcinogen for gastric adenocarcinoma [1]. There is also evidence that H. pylori infection is a risk factor for gastric mucosa-associated lymphomas (MALT lymphomas). (See "Clinical presentation and diagnosis of primary gastrointestinal lymphomas".) Ans: - About 55% of UGIB is due to peptic ulcer disease.

Abstract The relation between peptic ulcer and stomach cancer has long been disputed, but there is accumulating evidence that gastric ulcer disease is positively associated and duodenal ulcerations negatively associated with the risk of developing stomach cancer. World J Surg. 2000 Mar;24(3):315-20. Risk of stomach cancer in patients with peptic ulcer disease. Hansson LE. Department of Surgery, Mora Hospital, S-792 85 Mora, Sweden.

3.