I n t e r n a L medicine questions Bank

A 35 female predispose with 3 weeks history of bilateral squeezing headache toward the end of the day, after work. 3-4 times weekly:

1. 
   Tension headache
   
2. 
   Caffeinse & nictonine withdrawl
   
3. 
   Migraine
   

CLINICAL FEATURES — The typical presentation of a TTH attack is that of a mild to moderate intensity, bilateral, nonthrobbing headache without other associated features. Descriptions of TTH pain are characteristically nondescript: "dull," "pressure," "head fullness", "head feels large," or, more descriptively, "like a tight cap", "band-like," or a "heavy weight on my head or shoulders."

37. 
    Blood film shows target cells, Howell Jolly boies, and sideroblasts:
    
    1. 
       Hyposplenism
       
    2. 
       Myelofibrosi
       

38. 
    WBCs 25,000, platelets 6,000
    

39. 
    26 year old female presented to ER with petechiae, everything else is normal:
    
    1. 
       ITP
       
    2. 
       Septic meningitis Ans: A?
       

40. 
    Most common thyroid cancer:
    
    1. 
       Papillary
       

41. 
    Increase life expectancy in COPD patients:
    
    1. 
       O2 therapy & smoking cessation
       

42. 
    Megaloblastic anemia, except:
    
    1. 
       Dietary defeciency is common.
       

43.