I n t e r n a L medicine questions Bank

44 - Which of the following is true of Myasthenia Gravis?
a. In patients older than 60,A.Thymic hyperplasia is a common etiology
b. Often associated with thyroid disease
c. Antibodies that are produced against acetylcholinesterase
d. Associated with small cell lung carcinoma
e. Can lead to renal failure
45 - The following drugs have adverse effects on the developing fetus except?
a. Sodium valproate
b. Lisinopril
c. Losartan
d. Methyldopa
e. Warfarin


46 - Which of the following is associated with thyroid disease?
a. Neurofibromatosis
b. Vitiligo
c. Erythema nodosum
d. Pemphigus vulgaris
e. Icthyosis vulgaris

47 - After a crush injury the following features may be present except?
a. Hypovolaemic shock
b. Polyuria
c. Urine stick test for haemoglobin may be positive
d. Acute renal failure may occur if creatine kinase exceeds 50,000 IU/L
e. Urine microscopy showing casts
48 - Which of the followin is false in terms of falls in the elderly?
a. They are the most common cause of mortality due to injury
b. Environment plays a significant role
c. Fractures most commonly involve the humerus
d. Age-related sensory changes make the elderly more susceptible
e. Fear of falling contributes to self-protection immobility


49 - In acute pyelonephritis, which of the following is most commonly associated with bacteremic spread from a distant focus?
a. Escherichia coli
b. Proteus sp.
c. Staphylococcus aureus
d. Serratia sp.
e. Enterococcus sp.

50 - LAD in EKG ,all are true except?
a. In LAD the vector is between 0 and -30
b. Maximum deflexion of QRS inlead II isnegative
c. Maximum deflexion of QRS in AVF lead is negative
d. Maximum deflextion of lead III is negative