I n t e r n a L medicine questions Bank

Which is not a side effect of statins:

1. 
   Pulmonary fibrosis
   
2. 
   Headache Ans: A
   

The following drugs and their side effects are correct, except:

1. 
   Thiazide diuretics: thrombocytosis
   
2. 
   Enalapril: Dry cough
   

66. 
    Patient with bronchial asthma, eosinohphilia, and mononeuritis multiplex:
    
    1. 
       Churg strauss
       

67. 
    Women with multiple tender areas, all investigations are normal:
    
    1. 
       Fibromyalgia
       

68. 
    Wrong about ECG findings in hyperkalemia:
    
    1. 
       Pronounced P wave
       

69. 
    About ECF findings in pericarditis, except:
    
    1. 
       ST segment convex upwards
       
    2. 
       ST segment concave downwards
       
    3. 
       Inverted T wave
       

ECG: initially diffuse elevated ST segments ± depressed PR segment, the elevation in the ST segment is concave upwards -+ 2-5 days later ST isoelectric with T wave flattening and inversion

Stage 1, seen in the first hours to days, is characterized by diffuse ST elevation (typically concave up) with reciprocal ST depression in leads aVR and V1 (figure 1). There is also an atrial current of injury, reflected by elevation of the PR segment in lead aVR and depression of the PR segment in other limb leads and in the left

chest leads, primarily V5 and V6. Thus, the PR and ST segments typically change in opposite directions. PR segment deviation, which is highly specific though less sensitive, is frequently overlooked.

Saddle-shaped ST segment

70.