Professional Documents
Culture Documents
6th Year Final MCQ Internal Medicine 2009 PDF
6th Year Final MCQ Internal Medicine 2009 PDF
2009
Internal Medicine
Multiple Choice Questions
MCQ
Dear colleagues, this is an attempt to write down final exam MCQs, it is not that professional,
but it may be useful for someone.. we advise you not to memorize the questions but to try to
imagine how they will be... Do your best, never give up hope, trust Allah
Your colleagues
Class of 2003
e-Copy @ www.icareunit.com
Digoxin.
17. All can cause decreased DLCO, except?
Heart failure.
18. All can be considered as controlled asthma, EXCEPT?
Night symptoms
19. Pleural effusion, given LDH levels indicate (transudate pleural effusion), all can cause this,
EXCEPT?
TB.
20. Asymptomatic healthy patient, on a pre-employment routine medical checkup, found to
have bilateral hilar lymphadenopathy on chest x-ray, what is the BEST management?
Reassurance.
21. One isnt included in the paraneoplastic syndrome in lung cancer?
Horner syndrome.
22. One is a specific sign for congestive heart failure?
a. Palpaple liver. * (not sure)
b. pulmonary edema.
c. ankle edema.
23. One cant be presented in the ECG in Hyperkalmia?
Prolonged Q-T. (not sure)
24. One cant be presented in the ECG in 3rd degree heart block?
Absent P wave. (not sure)
25. A case of COPD, and ABG findings, what is the acid-base disorder?
Acute on chronic respiratory acidosis.
26. A case of hypoxia, and hypercapnia. What is the mechanism?
a. Hypoventilation. * (not sure)
b. V-Q mismatch.
c. Cardiac shunt.
27. All can cause hyperprotenimia, EXCEPT?
Renal failure. (not sure)
28. The LEAST to cause microangiopathic hemolytic anemia?
HSP.
29. ONE cant use cryoprecipitate in?
a. Warfarin overdose. *
b. DIC.
c. VWF disease.
30. A case of aplastic anemia?????
31. A case of cold agglutinin???????
32. A case of irritable bowel syndrome, what to use?
Lactose and prokynetic. (not sure).
33. A case of upper GI bleeding, with very low BP, what is the best initial management?
Volume resuscitation.
34. Which can be considered as a POSITIVE PPD test?
A high risk person (history of close contact with a TB patient), with more than 10 mm
reaction.
35. Which is the LEAST joint aspiration FINDING to indicate Septic arthritis?
a. Hyper viscosity of the fluid. *
b. WBC more than 70 000.
c. positive culture, positive gram stain.
36. Which is the endocrine disease that causes LOW RENIN and hypertension?
Conns disease.
- case ... there were few normal granulocytes the answer was acquired aplastic anemia
- multiple myeloma associated with primary amyloidosis.
- case of cough, fever and bilateral basal infiltrates according to my memorey associated
with cold agglutitnins (i think the question meant mycoplasma pneumonia)
- ceftriaxone and steroids in case of suspected meningitis.
- cryoprecipitate is not given in case of increased warfarin INR.
- case of suspected hemophilia we dont ask for antiphosopholipids.
- case of ITP ( on routine check up platelets were 110 wt to do?: (steroids? or
?reassurance)
- involvement of right middle cerebral artery is associated with motor aphasia.
- septic arthritis not associated with is hyperviscosity of the synovium
- giant cell arteritis is not associated with recurrent headache
- hematology case ... the answer was CML.
- Conn's disease is associated with decreased rennin.
- not paraneoplastic syndrome in lung cancer is horner syndrome.
- do not add benefit to diagnose pneumonia is sputum culture.
- not poor diagnostic factor in pneumonia is HR of 114.
- not controlled asthma is 2nights per month or week?
- specific for congestive heart failure s3?
- case of suspected PE in postpartum woman to diagnose by ct angio.
- case of 70 pco2 and 60 o2 in copd patient wt is wrong in management is giving high flow
O2.
- true about sarcoidosis is giving restrictive PFT.
- eosinophilic granumoma do not give bronchiectasis
- case of transudative pleural effusion wt is wrong of the differential was TB.
- diagnosis of TB is by closed lung biopsy???
2003
e-Copy @ www.icareunit.com