Internal Diseases Final Exam 2023 7.

Clinical manifestations of atherosclerosis include:

Past Papers
1. intermittent claudication
2. Leriche's syndrome
ED 2020 - 2021 3. microvascular angina
4. post-thrombotic syndrome
1. Which of the following is the sign of ascites? 5. ischemic stroke

A. Murphy's punch sign A. 3, 4, 5

B. Goldflam's sign B. 1, 3, 5
C. Babinski's sign C. 1, 2, 5
D. positive fluid wave test D. 2, 3, 4
E. Kernig's sign E. 1, 2, 3

2. Protodiastolic murmur may occur in 8. The following parameters - pH 7,40 (normal) , pCO2 80
mmHg(high), HCO3- 31 mmol/L, (high) indicate:
1. Aortic regurgitation
2. mitral regurgitation A. Compensated metabolic acidosis
3. mitral stenosis B. Compensated respiratory alkalosis
4. aortic stenosis C. Decompensated respiratory acidosis
5. pulmonary regurgitation D. Decompensated metabolic alkalosis
E. Compensated respiratory acidosis
A. 1, 2, 5
B. 4, 5 9. Please indicate lab tests abnormalities which are typical for
C. 1, 5 chronic gastrointestinal bleeding.
D. 2, 4
E. 2, 3 1. macrocytic anemia
2. microcytic anemia
3. Which valve is auscultated in the second intercostal space 3. normocytic anemia
on the left parasternal side? 4. iron deficiency
5. vitamin B12 deficiency
A. mitral valve 6. folic acid deficiency
B. tricuspid valve
C. none of remaining answers is correct A. 2, 5
D. aortic valve B. 2, 4
E. pulmonary trunk valve C. 1, 5, 6
D. 1, 4
4. All of the below listed signs may be observed in a patient E. 3, 6
with acute appendicitis, except:
10. Dull percussion sound may be present during physical
A. positive Blumberg's sign examination in all of these situations, except:
B. tenderness located at the McBurney’s point
C. positive Jaworsky’s sign A. atelectasis
D. positive Rovsing's sign B. lung tissue cancer infiltration
E. positive Chelmonsky’s sign C. Emphysema
D. percussing over parenchymal organs
5. Please choose the correct pair: clinical symptom - possible E. pleural effusion
cause:
11. What sign should be diagnosed in a patient with hyperthy-
1. resistant hypertension - renal artery stenosis roidism in whom rare blinking is present?
2. sweating - hyperthyroidism
3. diffuse neck swelling - simple goiter A. Hecht's sign
B. Möbius sign
A. 3 C. Stellwag's sign
B. 1 D. Von Graefe's sign
C. 2 E. Kocher’s sign
D. Answers 2 and 3 are correct.
E. Answers 1, 2 and 3 are correct. 12. Sparse, coarse hair and eyebrows, periorbital puffiness,
dry and waxy skin, apathetic expression, macroglossia are
6. Ascites leads to the displacement of the apex beat (= apical possible symptoms of:
impulse):
A. Hyperthyroidism
A. to the right and upwards B. hypothyroidism
B. Upwards C. Addison's disease
C. to the left and upwards D. diabetes mellitus
D. to the left E. obesity
E. to the right

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13. Which of the following are characteristic for Cushing's 19. Blood pressure of 182/102 mmHg should be qualified as:
syndrome?
A. isolated systolic hypertension
1. hyperglycemia B. grade 1 hypertension
2. hypoglycemia C. grade 2 hypertension
3. hyperpigmentation of the gums D. grade 3 hypertension
4. "buffalo" hump E. high normal
5. muscle hypertrophy in the upper limbs
6. easy bruising 20. Cardiovascular phenomenon characterized by groups of
two heartbeats close together followed by a longer pause, and
A. 1, 4, 6 the second pulse is weaker than the first, which can be a sign
B. 2, 4, 6 of hypertrophic obstructive cardiomyopathy, is called:
C. 1, 4, 5
D. 2, 4, 5 A. pulsus alternans
E. 1, 3, 6 B. hyperkinetic pulse
C. bisferious pulse
14. The causes of tachycardia do not include: D. paradoxic pulse
E. pulsus bigeminus
A. physical exercise, stress
B. fever, septic shock 21. 50 years old male has been admitted to the ER due to a
C. pain, hyperthyroidism severe abdominal pain, localized in the epigastric region and
D. hypothyroidism, sleep in the left upper abdominal quadrant. Patient complains of
E. dehydration, stimulant drug use vomiting, which does not bring any relief. In physical exami-
nation there are: tenderness of the abdomen with increased
15. The main symptoms of a tension pneumothorax are: tension of the abdominal muscles, weak peristaltic and super-
ficial edema and bruising in the subcutaneous fatty tissue
1. respiratory failure around the umbilicus. Patient's family claims that he abuses
2. tracheal displacement alcohol and has cholelithiasis. The most likely preliminary
3. raised jugular vein pressure diagnosis is:
4. diminished vesicular sound and dull percussion sound
A. acute pancreatitis
A. 1, 3, 4 B. perforation of the small intestine
B. 1, 2, 4 C. perforation of the stomach
C. 1, 2, 3 D. renal colic
D. 1, 2, 3, 4 E. Hypersplenism
E. 1, 4
22. Please find a sign, which is atypical for right ventricular
16. Edema induced by liver cirrhosis is mainly caused by: heart failure

A. increased hydrostatic pressure in the hepatic vein A. pulmonary crepitations

B. excessive protein loss in the urine B. jugular vein distention
C. decreased permeability of the capillary walls C. hepatojugular reflux
D. decreased plasma oncotic pressure D. Ascites
E. impaired lymphatic drainage of the liver E. peripheral edema

17. Caput medusae is indicative of: 23. Clinical manifestations of atherosclerosis include:

A. gastrointestinal bleeding 1. pulmonary embolism

B. pneumothorax 2. intestinal ischemic syndrome
C. abnormal cranial structure 3. unstable angina pectoris
D. periumbilical collateral circulation between umbilical 4. stable angina pectoris
vein and superficial epigastric vein, e.g. in liver cirrho- 5. diabetes mellitus
sis
E. gastrointestinal obstruction A. 1, 2, 3
B. 2, 4, 5
18. Please indicate the false statements regarding the third C. 2, 3, 5
heart sound. D. 1, 3, 4
E. 2, 3, 4
1. The third heart sound is always louder and lasts a bit
shorter than the second heart sound. 24. Pruritus that appears or increases after warm bath is typi-
2. The third heart sound is simultaneous with the apical cal for:
impulse.
3. The third heart sound occurs at the beginning of diastole A. Polycythemia vera
after S2 and is lower in pitch than S1 or S2 as it is not of B. Chronic lymphatic leukemia
valvular origin C. Haemophilia
4. The third heart sound arises when the pressure in both D. Folic acid deficiency
ventricles is higher than the pressure in the atria E. Myelodysplastic Syndrome

A. 1, 2, 3, 4
B. 3, 4
C. 2, 3, 4
D. 1, 2, 4
E. 2, 3

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25. Potential complications of viral hepatitis type B include: 30. All the following statements regarding blood pressure
measurements are true, except:
1. liver cirrhosis
2. hepatocellular carcinoma A. Blood pressure should be measured in both arms, and the
3. death difference should be less than 10 mmHg. A blood pressure
4. chronic viral hepatitis B differential that exceeds this threshold may be associated
5. ascites with atherosclerotic or inflammatory subclavian artery
disease, aortic coarctation, or aortic dissection.
A. 1, 2, 3 B. The ankle-brachial index (lower systolic pressure in the
B. 3, 4, 5 dorsalis pedis or posterior tibial artery divided by the
C. 1, 2, 3, 4 higher of the two brachial systolic artery pressures) is a
D. 2, 3, 4, 5 powerful predictor of long-term cardiovascular mortality.
E. 1, 2, 3, 4, 5 A normal resting ankle-brachial index is 1.0 to 1.4, while
values of 0.9 or lower indicate the presence of lower-
26. A patient with dyspnea is admitted to the Emergency extremity peripheral arterial disease.
Room. In the physical examination of the chest, the findings C. systolic leg pressures are usually as much as 20 mmHg
are: normal percussion note, normal tactile fremitus, severe higher than systolic arm pressures. Greater leg–arm pres-
wheezing . What would be your preliminary diagnosis? sure differences are seen in patients with chronic severe
aortic regurgitation as well as patients with extensive and
A. asthma attack calcified lower-extremity peripheral arterial disease.
B. More than one answer is correct. D. In general, systolic pressure increases and diastolic pres-
C. exacerbation of chronic obstructive pulmonary disease sure decreases when measured in more distal arteries.
D. pleural effusion E. All of the statements are true.
E. Bronchitis
31. A 22-year-old man suffered a head injury. The patient
27. Which of the following could be a possible cutaneous opens his eyes at a verbal command, locates the pain stimulus
symptom of diabetes mellitus? and makes incomprehensible sounds. What is the Glasgow
scale score of this patient?
1. acanthosis nigricans
2. necrobiosis lipoidica A. 14 points
3. eruptive xanthomata B. 10 points
C. 8 points
A. 1, 3 D. 6 points
B. 2 E. 12 points
C. 1
D. 3 32. What is a typical sign of gastrointestinal perforation in
E. 1, 2, 3 abdominal X-ray?

28. Please select the answer solely including features typical A. bowel widening
for inflammatory lymph nodes enlargement. B. lack of visible air in the gastrointestinal tract
C. visible gases under the diaphragm
A. lymph nodes connected to each other, tenderness on pal- D. fluid levels in the gastrointestinal tract
pation, size: larger than 2 cm in diameter E. no visible gases in the gastrointestinal tract
B. tenderness on palpation, soft consistency, mobility
C. hard consistency, immobility, tenderness on palpation 33. Which of the following is not the cause of hepatomegaly:
D. lymph nodes connected to each other, painless on palpati-
on, hard consistency A. Cancer
E. painless on palpation, hard consistency, mobility B. Congestion of the liver due to right ventricular failure
C. Acute and chronic hepatitis (viral, toxic)
29. Which of the organs located outside the chest may cause D. Diseases of the blood (leukemia, Hodgkin's lymphoma,
chest pain? polycythemia, anemia)
E. Late hepatic cirrhosis
1. Stomach
2. gall bladder 34. Which of the following characteristics can be attributed to
3. Pancreas the somatic pain?
4. Bladder
5. duodenum 1. pain is not strictly localized and increases at rest
2. pain is strictly localized and increases with movement
A. 3, 4, 5 3. pain is accompanied by muscular defense
B. none of the mentioned
C. 1, 2, 3, 5 A. 3
D. 1, 4, 5 B. Answers 2 and 3 are correct.
E. 1, 2, 3, 4, 5 C. 2
D. Answers 1 and 3 are correct.
E. 1

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35. Conditions which may cause extrahepatic jaundice inclu-
de:

1. cholangiocarcinoma
2. choledocholithiasis
3. toxic hepatitis
4. viral hepatitis

A. 1, 2, 3, 4
B. 1, 2
C. 2, 4
D. 2, 3
E. 1, 3

36. Extremely loud murmur, heard with the stethoscope not

touching the chest is classified according to the levine scale

A. 4
B. 6
C. 7
D. 8
E. 5

37. What are the characteristics of neoplastic lymphadenopa-

thy?

1. Tenderness
2. Fistulas
3. Location
4. Consistency
5. Mobility

A. 1, 2, 3
B. 3, 4, 5
C. 1, 2, 4
D. 2, 3, 5
E. 2, 3, 4

38. Which of the following murmurs are diastolic?

A. aortic stenosis murmur, mitral regurgitation murmur,

hypertrophic obstructive cardiomyopathy-related murmur
B. aortic stenosis murmur, mitral regurgitation murmur,
Austin–Flint murmur
C. aortic regurgitation murmur, mitral regurgitation murmur,
hypertrophic obstructive cardiomyopathy-related murmur
D. aortic stenosis murmur, mitral stenosis murmur, Graham–
Steell murmur
E. aortic regurgitation murmur, mitral stenosis murmur,
Austin–Flint murmur

39. What is the sequence of skin color changes in Raynaud

phenomenon?

A. red, pale, blue

B. blue, red, pale
C. pale, red
D. pale, red, blue
E. pale, blue, red

40. Patient with goiter can have:

1. hyperthyroidism
2. hypothyroidism
3. normal function of thyroid (euthyreosis)

A. Answers 1, 2 and 3 are correct.

B. Answers 1 and 3 are correct.
C. 3
D. 2
E. 1

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ED 2019 - 2020 7. Which of the following skin changes is not a primary lesi-
on:
1. Ascites caused by severe right ventricular heart failure is
often accompanied by: A. Nodule
B. Patch
1. Dyspnea C. Crust
2. Transudate in pleural cavities D. Papule
3. Oesophageal varices E. Vesicle
4. Splenomegaly
5. Portal gastropathy 8. A patient with dyspnea admitted to the ER. In the physical
exam of the right lung, the findings are tympanic, percussion
A. 1, 2, 3 note, absent tactile fremitus (vocal fremitus), absent breath
B. 3, 4, 5 sounds. What would be your preliminary diagnosis:
C. 2, 3, 4
D. 1, 2, 4 A. Pneumothorax
E. 2, 4 ,5 B. It is impossible to tell based on given data
C. Consolidation
2. Chose the correct answer regarding Austin-flint murmur: D. Bronchitis
E. Pleural effusion
A. It is caused by relative stenosis of the mitral valve
which occurs in aortic regurgitation 9. Which of the following symptoms is not consistent with
B. It is a regurgitant diastolic murmur which occurs in pul- right ventricular heart failure:
monary regurgitation
C. It is commonly heard in children and young adults without A. Basal pulmonary crepitations
any structural abnormality or recognizable heart disease B. Jugular vein distention
D. It is caused by relative regurgitation of pulmonary valve C. Hepatomegaly
owing to the dilation of pulmonary artery mitral stenosis D. Diminished pulmonary percussion sound
exists E. Peripheral oedema
E. It is the murmur of patent ductus arteriosus
10. The Mitral Valve is Asuculated:
3. Please indicate the true statement regarding Gilberts Syn-
drome: A. In the III intercostal space on the left side of the sternum
B. In the IV intercostal space on the right side of the sternum
A. It is an acquired hyperbilirubinemia C. In the V intercostal space on the left side in the midcla-
B. It is more frequent in women than in man vicular line
C. Often mild jaundice with flu-like symptoms D. In the II intercostal space on the left side of the sternum
D. Jaundice in Gilbert's syndrome is caused by obstruction of E. In the II intercostal space on the right side of sternum
biliary ducts
E. In most cases its requires hospitalization 11. Sterner Sign (Test) is Used to Distinguish:

4. Central cyanosis can be caused by: A. Cardiac edema

B. Inflammatory edema
A. Presence of pathological hemoglobin C. Lymphoedema
B. Reduced cardiac output D. Angioedema
C. OLCD exposure E. Positional edema
D. Raynaud's phenomenon
E. Presence of pathological pigment in the skin 12. What is Hirsutism?

5. Arterial blood gas analysis in a patient with visceral ische- A. It is exs loss of hair on women in locations typical for
mia revealed: male pattern of hair loss
B. It is exs amount of hair in any region of the body
pH = 7.07 C. Its exs hairiness on women in locations typical for male
PaCO2 = 33mmHg pattern of body hair
HCO3 = 12mmol/l D. It is a compulsive urge to pull out one’s own hair to noti-
BE = 15mEq/l ceable hair loss it is exs hairiness on men in locations typical
PaO2 = 93mmHg for female pattern of body hair.
SaO2 = 91%
13. Burning Pain with Erythema of Extremities, which is
What diagnosis can be made? more frequently present in feet than in hands, is characteristic
for:
A. Decompensated respiratory acidosis
B. Decompensated metabolic acidosis A. Myeloproliferative syndromes
C. Metabolic and respiratory acidosis B. All answers are correct
D. Partially compensated respiratory acidosis C. Acute lymphoblastic leukemia
E. Partially compensated metabolic acidosis D. Hemolytic anemia
E. Iron deficiency anemia
6. Raspberry (or strawberry) tongue may be present in:

A. Dry mouth syndrome, fungal infection, and scarlet fever

B. Scarlet fever
C. Dry mouth syndrome and scarlet fever
D. Dry mouth syndrome
E. Fungal infection

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14. The Amount of Air which can be Exhaled from Lungs at 20. Please Indicate the True Statements Regarding Body
the End of Normal Expiration is called: Temperature

A. VC 1. It is not affected by the time of the day.

B. FEV1 2. It is affected by physical activity.
C. TV 3. Temperature in oral cavity, while they chew gum may be
D. IRV underestimated.
E. ERV 4. Temperature in oral cavity, while they smoking may be
overestimated.
15. Choose Symptoms/S Atypical for Acute Abdomen: 5. Temperature measurement is not affected by the localized
at which the measurement is performer.
1. Nausea and vomiting
2. Acute diarrhoea A. 1, 2, 3, 4
3. Ileus B. 3, 4
4. Muscular defense C. 2, 4
5. Positive Blumberg sign D. 1, 2
6. Tachycardia E. 2, 3

A. 2,3,5 21. Choose the Correct Answer "It is a Deep and Laboured
B. 1,4,6 Breathing Pattern Often Associated with Severe Metabolic
C. 1,2,6 Acidosis, Particularly Diabetic Ketoacidosis but Also with
D. 3,4,6 Renal Failure“
E. Only 2
A. None of the answers are correct.
16. Patient Response with Eye Opening to Pain Only is Pre- B. Biotr's respiration.
senting Incomprehensible Sounds Only and his Best Motor C. Kussumal's breathing.
Response is Abnormal Flexion. His GCS Score is: D. Cheyne-Stokes breathing.
E. Trousseau respiration.
A. 5 points
B. 9 points 22. Which of the Following Features is Not Characteristic for
C. 3 points Sinus Rhythm?
D. 7 points
E. 1 points A. Negative P wave in lead aVR.
B. Positive P wave in lead V1.
17. Cullens Sign and Grey-Turners Sign are two Abnormali- C. Positive P wave in lead I.
ties which may be Observed in some Patients Presenting D. Positive P wave in lead aVF.
with: E. Positive P wave in lead II.

A. Acute appendicitis 23. Nail Clubbing May Occur in

B. Acute pancreatitis
C. Acute cholecystitis A. Cystic fibrosis.
D. Acute diverticulitits B. All listed.
E. Acute pyelonephritis C. Lung cancer.
D. Congenital cyanotic heart disease.
18. Indicate the Correct Statement/S Describing Biot’s Respi- E. Crohn's disease.
ration:
24. Which Pathological Findings Can be Revealed in Physi-
A. It's an abnormal pattern of breathing characterized cal Exam of a Patient with COPD?
completely irregular breathing
B. All answers are correct A. Crepitation's heard over basal lobes of lungs.
C. Is a deep and laboured breathing pattern often associated B. All are correct.
with severe metabolic acidosis, particularly diabetic ketoaci- C. Bronchial sound in lung auscultation.
dosis but also with renal failure D. Wheezing sound in lung auscultation.
D. Is an abnormal pattern of breathing characterized by pro- E. Decreased alveolar sound over upper lobes of lungs.
gressively deeper and sometimes faster breathing, followed
by gradual decrease that results in temporary stop in brea- 25. Which BP Category Should the Patient be Classified to
thing and then the pattern repeats When the BP was 155/111mmHg?
E. It is a form of hyperventilation – it reduces the CO in the
blood due to increased rate or depth of respiration A. Grade 3 HTN.
B. Isolated systolic HTN.
19. Common Causes of Pleural Transudate C. Grade 1 HTN.
D. Grade 2 HTN.
1. Bacterial infections E. Normal blood pressure.
2. Heart failure
3. TB 26. Presence of Jugular Vein Distention Without Concomitant
4. Lung cancer Abdomino-Jugular Test (Hepato-Ugular Reflex) Indicates
5. Liver cirrhosis
A. Pulmonary HTN.
A. 1, 5 B. Tricuspid stenosis.
B. 2, 3 C. Superior vena cava syndrome.
C. 2, 5 D. Right ventricular failure.
D. 3, 4 E. Constrictive pericarditis.
E. 1, 2

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27. Which Diagnostic Test Can be Used to Differentiate 34. The asymmetry of blood pressure between the upper
Between Asthma and COPD? limbs may suggest:

A. Blood gas analysis. A. All mentioned disease entities

B. Chest x-ray. B. Only stenosis of the subclavian artery
C. Pulse oximetry. C. Only aortic dissection
D. CT of the chest. D. Aortic dissection or/and stenosis of the subclavian
E. Spirometry. artery
E. Only aortic stenosis
28. While examining the autopsychic orientation, the patient
should be asked about: 35. Stemmer’s sign (test) is used to distinguish:

A. Address, name and surname A. Cardiac edema

B. Address B. Lymphedema
C. Date, address, name and surname C. Positional edema
D. Name and surname D. Angioedema
E. Date E. Inflammatory edema

29. Horner’s syndrome 36. Please find the false statement regarding pulsus para-
doxus (paradoxical pulse):
A. Two of these answers are correct
B. Might be the symptom of lung cancer A. A mild inspiratory decline (<10mmHg) in systolic blood
C. It is characterized by unilateral exophthalmos pressure occurs in healthy individuals
D. It is characterized by unilateral ptosis and mydriasis (pupil B. Pulsus paradoxus may be accompanied by the Kuss-
dilation) maul’s sign (a rise in jugular venous pressure on expirati-
E. Might be a symptom of colon cancer on)
C. Pulsus paradoxus may be present in several conditions
30. Which of the following heart sounds cannot be encounte- including cardiac tamponade, constrictive pericarditis and
red in patients with atrial fibrillation? COPD
D. Pulsus paradoxus is not related to pulse rate or heart rate
A. Systolic mitral click (it may be present in patients both with tachycardia and bra-
B. Third heart sound dycardia)
C. First heart sound E. Pulsus paradoxus is an inspiratory decline (>10mmHg) in
D. Second heart sound systolic blood pressure
E. Fourth heart sound
37. An obese 60-year-old female with positive history of
31. Which of the following does not result in an irregular gallstones is admitted to ER due to acute abdominal pain in
heart rate? right hypochondriac region. Which of the following imaging
methods should be used first?
A. 1st degree AV block
B. Ventricular premature contractions A. Upper Gastrointestinal Tract Endoscopy
C. Atrial fibrillation B. Abdominal Ultrasound
D. Atrial premature contractions C. Abdominal X-Ray
E. 2nd degree AV block D. Endoscopic Retrograde Cholangiopancreatography
E. Abdominal Computed Tomography
32. In a 45-year-old patient with abdominal pain and a history
of appendicitis 5 years ago, an abdominal X-ray revealed
distended bowel and fluid levels. What is the most probable
diagnosis?

A. Mechanical bowel obstruction

B. Bowel perforation
C. Lower GI bleeding
D. Penetrating duodenal ulcer
E. Bowel perforation

33. 1) In a patient presenting with hypothyroidism, there is a

tendency for low BP, 2) because bradycardia is a typical
symptom for hypothyroidism

A. Both statements are correct and there is a logical con-

nection between them
B. First statement is correct and second is incorrect
C. Both are incorrect
D. First is incorrect and second is correct
E. Both statements are correct but there is no logical connec-
tion between them

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Extra Questions
8. Identify the False Sentence Concerning the Second Heart
1. The Eye Symptoms in Graves' Disease do not Include: Tone:

A. Graefe symptom, Moebius symptom, Goldflam symptom A. The second heartbeat arises at the beginning of the ventri-
B. Gray-Turner symptom, Cullen symptom, Homans cular diastole.
symptom B. Physiological second tone may be doubled during inspira-
C. Kocher symptom, Stellwag symptom, Abadi symptom tion.
D. Austin-Flint symptom, Moebius symptom, Homans sym- C. The second heartbeat is caused by the closure of the valves
ptom in the aorta and pulmonary artery.
E. Cullen's symptom, Graefe's symptom, Murphy's symptom D. The second tone is shorter and slightly louder than the
first.
2. Which of the Following Murmurs Occur During the Systo- E. The second tone is best heard at the tip of the heart.
le Phase?
9. Select the Answer that Contains the Correct Statements
1. aortic regurgitation murmur about Kussmaul's Symptom:
2. Austin-Flint murmur
3. murmur due to mitral valve prolapse 1. The essence of the symptom is deep and fast breathing,
4. murmur of mitral stenosis otherwise known as the chased dog's breath.
5. murmur of tricuspid regurgitation 2. It is a pathological jugular vein overflow when inhaled.
3. It is a pathological jugular vein overflow on the exhalation.
A. 3, 5 4. It is a pathological overflow of the carotid arteries on the
B. 2, 3, 5 exhalation.
C. 2, 4 5. May be present in constrictive pericarditis.
D. 1, 4 6. It usually occurs in acidosis such as ketoacidosis.
E. 1, 2, 5 7. It usually occurs in metabolic alkalosis and is an expressi-
on of respiratory compensation in response to disturbances in
3. On Physical Examination, Evidence of Arc Suppression, the acid-base balance.
Reduced Vocal Tremor, and No or No Bubble Noise Indica-
tes: A. 3, 5
B. 2, 5
A. pneumonia C. 1, 7
B. pleural fluid D. 4, 5, 6
C. pulmonary embolism E. 1, 6
D. pneumothorax
E. more than one of the above answers is correct 10. A Shift of the Apical Beat to the Left is NOT Observed in
the Following Pathologies:
4. “Lunate Face" is a Typical Symptom of:
A. Funnel-shaped chest
A. hypothyroidism B. Left ventricular hypertrophy
B. Addison's disease C. Left lung atelectasis
C. Hashimoto's disease D. Right ventricular enlargement
D. Cushing's syndrome E. Right-sided pneumothorax
E. hyperthyroidism
11. Indicate the Symptoms Characteristic of Cirrhosis of the
5. Which of the Following Symptoms will Bother You the Liver:
Most if You Have Acute Pancreatitis?
1. Enlargement of the testicles, not because of atrophy.
A. Vomiting 2. Smoothing the tongue.
B. Haemorrhage in the lumbar region 3. Pallor, not because of jaundice.
C. Epigastric palpation 4. Ascites.
D. Lack of peristalsis 5. Carotenaemia.
E. Yellowing of the skin 6. Petechiae.
7. Palmar erythema.
6. Vascular Murmur in the Interscapular Region Indicates as 8. Jellyfish head.
the Cause of Secondary Arterial Hypertension:
A. All symptoms are characteristic.
A. Aortic coarctation B. 2, 3, 5, 7, 8.
B. Renovascular hypertension C. Only 4 and 8.
C. Pheochromocytoma D. Only 6 and 7.
D. Cushing's syndrome E. 2, 4, 6, 7, 8.
E. Conn's syndrome
12. In What Clinical Situations Can You Expect Hepatic
7. Mark the Correct Answer for Skin Lesions of the Café-au- Suppression to End?
Lait Blotch Type:
A. Hepatitis.
A. They can occur in healthy people, but their number B. Inflammation of the pancreas.
cannot exceed then 10 and size <0.5 cm. C. Pyelonephritis.
B. They are a characteristic symptom of von Recklinghausen D. Diverticulitis of the large intestine.
disease. E. Gastric ulcer perforation.
C. They typically occur in hemolytic jaundice.
D. All of the above answers are correct.
E. They may appear in healthy people after excessive con-
sumption of certain foods.

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13. Which of the following is the correct statement regarding 20. Increased LDH, indirect bilirubin, decreased haptoglobin
the examination of the obturator symptom? and hemoglobinuria may indicate:

A. The subject lies on his back, the examiner gently presses A. extrahepatic cholestasis
the area of the right iliac fossa with his fingertips, instructing B. iron deficiency anemia
the subject to lower the raised limb to a horizontal position. C. anemia of chronic disease
B. The subject is lying on his back with the right lower D. vitamin B12 deficiency anemia
limb bent at the hip and knee joint. The examiner per- E. hemolytic anemia
forms a gentle internal rotation in the hip joint.
C. The examined person is sitting. The examiner's fist hits the 21. An Austin-Flint murmur may occur in:
back of the other, open hand, placed in the area of the spine-
costal angle. A. aortic regurgitation
D. None of the above answers are correct. B. mitral regurgitation
E. The examiner presses the right knee of the subject lying on C. pulmonary regurgitation
his back with his hand, and then orders to raise the straight D. asthma
limb in the knee joint. E. aortic stenosis

14. Bilateral jugular excess filling may occur in the following 22. In a patient with chronic gastrointestinal bleeding, the
clinical conditions, except: following can be stated:

A. tricuspid valve regurgitation A. Microcytic anemia

B. resilient pneumothorax B. Macrocytic anemia
C. left ventricular failure C. Hypotension
D. cardiac tamponades D. Bradycardia
E. pulmonary embolism E. Microcytic anemia and low blood pressure

15. Double heart rate occurs in: 23. Crackles over the pulmonary fields are NOT a typical
sign of:
A. the persistent Botall duct
B. obstructive hypertrophic cardiomyopathy is A. Exacerbation of left ventricular heart failure in patients
C. atrial fibrillation with rapid ventricular activity with
D. heart failure B. Prolonged recumbency in a chronic disease, in a bedridden
E. cardiac tamponade patient
C. Pneumonia
16. The signs of pneumothorax do not include: D. Pulmonary oedema
E. Bronchial asthma
A. increased vocal tremor
B. the tympanic protrusion, 24. Paradoxical split II heart tone may occur:
C. displacement of the mediastinum in the opposite side
D. a bronchial murmur 1. While inhaling
E. reduced vocal tremor 2. While exhaling
3. If there is a block of the right bundle branch
17. True cyanosis does not occur in: 4. In the case of a left bundle branch block
5. In the case of pulmonary valve stenosis
A. polycythemia vera 6. In the case of aortic stenosis
B. chronic obstructive pulmonary disease
C. Congenital leakage heart disease A. 1, 4, 6
D. Methemoglobinemia B. 1, 3, 5
E. severe anemia C. 2, 4, 6
D. 2, 3, 6
18. Jugular vein overflow with negative hepatocervical sym- E. 2, 4, 5
ptom indicates:
25. If the gallbladder is enlarged, it can be felt by physical
A. tricuspid stenosis examination in:
B. superior vena cava syndrome
C. right ventricular failure and here not positive A. Right hypochondrium at the site of the VIII and IX
D. left ventricular failure ribs cartilage insertion
E. pulmonary hypertension B. Right hypochondrium and maybe one of the lower two
more precise
19. Please choose the answer that best describes the pain that C. Enlarged gallbladder on physical examination is not pal-
is characteristic of kidney stones. pable
D. Right hypochondrium at the site of the cartilage insertion
A. Colic pain, typically located in the lumbar region, often of the 6th and 7th ribs
radiating to the groin, testicle or labia. E. Right hypochondrium at the site of the 7th and 8th rib
B. Sharp, stabbing pain localized in the lumbar region, often cartilage insertion
radiating to the navel and down to the pubic symphysis.
C. Burning pain in the lumbar region that occurs when urina-
ting.
D. Pain in the area of the symphysis pubis, continuous, per-
sistent, increasing at the end of micturition.
E. Pain in the urethra when urinating.

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26. Choose the false statement for a pericardial friction mur-
mur:

A. It is a non-permanent symptom, it appears and disappears.

B. Typical for this murmur is the occurrence of a contraction
of the heart.
C. It is produced by rubbing against each other in the pericar-
dium covered with fibrin.
D. All the statements given are false.
E. Occurs in a confined space, usually best heard at the left
edge of the sternum, at level III of the intercostal space

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Internal Diseases June Exam 2020 9. The main signs and symptoms of asthma are:

1. The main symptoms of allergic rhinitis are: A. Rattling noises on both sides
B. Hisses and whirs on both sides
A. Nasal congestion C. Prolonged exhalation
B. Sneezing D. Correct answer a and c
C. All of the above E. Correct answer b and c
D. Impairment/loss of sense of smell
E. Leakage of watery secretion 10. Polyuria is:

2. The cause of swelling of the lower limbs are - indicate the A. Excretion> 1000 ml of urine per day
correct answers: B. Excretion> 2500ml of urine per day
C. Excretion> 2000 ml of urine per day is definitely a new
A. Traumatic damage to lymphatic vessels thing
B. Heart failure D. > 3000 ml of urine per day
C. All answers are correct E. Excretion>1500 ml of urine per day
D. Venous valve insufficiency
E. Inflammation of the superficial veins of the lower extremi- 11. Murmurs of mitral valve prolapse
ties
A. Intra-systolic click
3. Drain it: B. Intra-systolic murmur
C. Late systolic murmur
A. Excretion of <400 ml of urine per day D. It is a telesystolic noise and becomes loud in the Valsalv
B. Excretion <100 ml of urine per day attempt
C. Excretion <300 ml of urine per day E. Best heard at Erba lying down
D. Excretion <500 ml of urine per day F. It is best heard around the apex hit
E. Excretion <200 ml of urine per day G. B, D and E are correct

4. The main signs of anemia are: 12. In a patient with full jugular veins, tachycardia 110/min,
limb edema, pulse with one wave per contraction, one at the
A. Weakness and easy fatigue beginning of diastolic. This is the dicrotic heart rate that
B. All of the above occurs in heavy heart failure, cardiac tamponade and in
C. Impairment of concentration and attention. shock.
D. Dyspnoea
E. Headache and dizziness A. Nobody's heart rate
B. Bipart and NS
5. Orthopnoea: C. Dycrotic heart rate and NS
D. Double heart rate and tamponade
A. Appears in the supine position E. Dycrotic heart rate and tamponade
B. Relieves in sitting or standing position F. More than 1 answer is correct
C. Worsens when sitting or standing
D. Correct answer a and b 13. Which of the following is generalized edema?
E. Correct answer a and c
A. Pregnancy
6. The main symptoms of anaphylaxis are: B. Inflammatory
C. Lymphatic
A. All of the above D. Positional
B. Nausea, vomiting, diarrhea, abdominal pain E. Angioedema
C. Urticaria or angioedema
D. Reduction in blood pressure 14. Erythromelalgia and itchy skin after bathing
E. Coughing, wheezing, shortness of breath
A. Polycythemia vera
7. Platypnea dyspnea: B. Secondary polycythemia
C. Secondary polycythemia in the course of lung cancer
A. Appears in the supine position D. Essential thrombocytopenia
B. Relieves in sitting or standing position E. More than one answer
C. Worsens when sitting or standing
D. Correct answer a and b 15. What could be the cause of tarry stools?
E. Correct answer a and c
A. Eating certain vegetables
8. The main symptoms of bronchial asthma are: B. Fe orally
C. Fe intravenously
A. Inspiratory dyspnea D. Bleeding into PP
B. Expiratory dyspnea
C. Paroxysmal cough 16. Limits of liver suppression in mid-clavicular line percus-
D. Fever sion
E. Correct answer b and c
A. 8-12 cm
B. 4-8 cm
C. 7-14 cm
D. 4-12 cm
E. Variable depending on the inspiratory and expiratory phase

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17. Symptom of Jaworski:
25. Fluid in the left lung - what you hear:
A. We press the right inguinal fossa and it hurts when
lowering the raised lower one right limb A. Crackling at the base of the left lung
B. Press the left bottom B. Weaker tapping on the left
C. We press the right groin and the pain when lifting the limb C. Increased vocal tremor
up D. A + B
E. B + C
18. Positive symptom of Homans:
26. Orthopnea:
A. Plaque blemish
B. Vascular disease A. Feeling of shortness of breath in lying down, which
C. Plasma diathesis disappears after changing into a sitting position
D. Thrombophilias B. Shortness of breath when lying on the side
E. Nothing good C. Feeling of breathlessness when sitting, which disappears
after lying down
19. Generalized lymphadenopathy occurs in:
27. Pericardial friction:
A. Kile
B. HIV A. Symptom that lasts all the time
C. Mononucleosis B. Transient symptom
D. In angina C. It is more audible on the exhale and in a position with the
E. B and C chest tilted forward
D. Permanent symptom in the acute phase of pericarditis
20. In a patient with pneumothorax: E. C is correct

A. Tympanic convexity, no vocal tremors, increased respira- 28. Gastrointestinal perforation and X-ray image:
tory murmurs
B. Muffled convexity, increased vocal tremor, no respiratory A. Air spaces beneath the diaphragm domes
sounds B. Fluid level
C. Tympanic convexity, no vocal tremors, no respiratory C. Distention of the intestines
murmurs D. A + B
D. Muffled convexity, no vocal tremors, no respiratory E. A + B + C
sounds
E. Tympanic convexity, increased vocal tremor, no respirato- 29. You will observe a physical examination in a patient with
ry murmurs pneumonia

21. Inability to maintain convergent strabismus is a symptom A. Fine bubble rales

of: B. Increased auscultatory murmur
C. Increased percussion noise in the lung field above the
A. Coher pleural fluid
B. Stelwaga D. Weakened vocal tremors at the site of inflammation
C. Graffe E. All correct
D. Graves
E. Moebius 30. There was a question about what we suspect in a man
who quits smoking has high systolic and diastolic blood
22. Where do we measure capillary refill time” pressure of 155/60 mmHg

A. Earlobes A. It's normal to quit smoking to go home

B. Nail plate B. The pressure difference is due to aortic aneurysm And this
C. Fingertips murmur, which was described as diastolic, is due to aortic
D. Tongue regurgitation
E. More than two correct C. The pressure difference may also be due to aortic re-
gurgitation
23. Skin symptoms that do not occur in acute pancreatitis:
31. Which of these diseases may be the cause of symmetrical
A. Cullen, Bloody streaks around the navel swelling of the lower limbs?
B. Gray Turner, Haemorrhages in the lumbar region
C. Jaundice 1. R. unilateral heart failure
D. Janeway 2. Unilateral heart failure
E. Loeffler Reddening of the skin of the face 3. Dissection of abdominal aortic aneurysm
4. Nephrotic syndrome
24. In a patient with fluid in the pleural cavity: 5. Cirrhosis of the liver
6. Graves’ disease
A. A bronchial murmur at the base of the lungs
B. Muffled knock A. All of the above
C. Increased tremor B. 2, 3, 6
D. A + B C. 1, 3, 4
E. B + C D. 1, 4, 5, 6
E. None of the above

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32. In patients with dyspnoea, the gasometry test result is as 39. Cheyne-Stokes breath may appear in:
follows:
A. Ketoacidosis
A. Normal result B. Respiratory alkalosis
B. Compensated metabolic alkalosis C. Chronic obstructive pulmonary disease
C. Compensated respiratory acidosis D. Advanced chronic heart failure
D. Uncompensated metabolic alkalosis E. Uremia
E. Uncompensated respiratory alkalosis
40. Choose one of the situations below that does not lead to
33. In a 20-year-old woman with hypertension, headache, an increase in troponin levels
muscle weakness and serum potassium level is 2.5 mmol/l.
Possible diagnosis is: A. Heart injury
B. Sepsis
A. Primary hyperaldosteronism C. Long-term supraventricular tachycardia
B. Secondary hyperaldosteronism D. Unstable angina
C. Primary hypoaldosteronism E. Atrial Flutter radio frequency ablation
D. Secondary hypoaldosteronism
E. Hypopituitarism 41. Select the mechanisms leading to hydro peritoneal cirrho-
sis of the liver
34. In the case of left pneumothorax, clinical examination can
identify which of the following abnormalities? 1. HTN Portal
2. Hyperalbuminemia
A. Reduced percussion sound and reduced vocal murmur on 3. Hypergammaglobulinemia
the left side of the chest 4. Hypoalbuminemia
B. Increased percussion noise and increased vocal murmur in 5. Excessive fluid production by the peritoneum
the left side of the chest
C. Decreased percussion sound and increased vocal murmur A. All
in the left side of the chest B. 1, 2, 3
D. Increased percussion noise and no vocal murmur to the C. 1, 4
left side of the chest D. 1, 3, 4
E. Diminished percussion sound and diminished vocal mur- E. 1, 3, 4, 5
mur on the right side of the chest
42. Arterial blood gases in a patient with visceral ischemia
35. The number of platelets sufficient for normal haemostasis showed: pH = 7.07, PaCO2 = 33mmHG;
is: HCO3 = 12mmol / L, BE = -15mEq / L, PaO2 = 93mmHg,
SaO2 = 91%. What diagnosis can be made?
A. 100,000/ul
B. 80,000/ul A. Decompensated respiratory acidosis
C. 50,000/ul B. Decompensated metabolic acidosis
D. 30,000/ul C. Metabolic and respiratory acidosis
E. 10 000/ul D. Partially Compensated Respiratory Acidosis
E. Partially compensated metabolic acidosis
36. Please choose the correct sentence regarding proteinuria
43. A patient with dyspnoea admitted to the Emergency De-
A. Alpha-globulin is the main protein excreted in the urine in partment. Physical examination of the right lung shows:
kidney disease tympanic convexity, percussion sound, no vocal tremors, no
B. Albuminuria up to 300 mg / 24h is possible in healthy respiratory sounds as your initial diagnosis would be
people
C. Distal tubular excretion of Tamm-Horsfall protein is one A. Pneumothorax
of the perirenal causes of proteinuria B. Cannot be told from the given data
D. Orthostatic proteinuria is proteinuria <1 g / L, which C. Consolidation
disappears when lying down D. Bronchitis
E. Under normal circumstances, 24-hour proteinuria will not E. Pleural effusion
exceed 50 mg
44. Burning pain with erythema of the extremities, more
37. Narrowing of the renal arteries can cause: common in the feet than in the hands, is characteristic of:

A. Hypotension A. Myeloproliferative syndromes

B. Hyperkalemia B. All answers are correct
C. Hypokalemia due to RAA activation C. Acute lymphoblastic leukemia
D. Hypertension D. Haemolytic anemia
E. Correct answers are C and D E. Iron deficiency anemia

38. Haemoptysis may appear in: 45. The patient's response to pain only by opening his eyes is
to make only incomprehensible sounds, and his best motor
A. Left-sided heart failure response is incorrect flexion. His GCS score is:
B. Pulmonary embolism
C. Tuberculosis of the lungs A. 5 points
D. B and C are correct B. 9 points
E. All answers are correct C. 3 points
D. 7 points
E. 1 point

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46. The Cullens sign and the gray sign are two abnormalities 54. Metabolic coma may result from:
that can be observed in some patients with:
A. Hypoglycemia
A. Acute appendicitis B. Hyperglycemia
B. Acute pancreatitis C. Hypothyroidism
C. Acute cholecystitis D. A + B
D. Acute diverticula E. A, B, C
E. Acute pyelonephritis
55. 1) Patients with Hypothyroidism Tend to have Low Blood
47. Identify the correct statement (s) for Biot breathing: Pressure, 2) Bradycardia is a Typical Symptom of Hypothy-
roidism
A. It is an abnormal breathing pattern characterized by
completely irregular breathing A. Both statements are correct and there is a logical con-
B. All answers are correct nection between them.
C. Is deep and arduous breathing often associated with severe B. The first sentence is correct and the second is incorrect.
metabolic acidosis, especially diabetic ketoacidosis, but also C. Both are incorrect.
with renal failure. D. The first is incorrect and the second is correct.
D. Is an abnormal breathing pattern progressively deeper and E. Both statements are correct but there is no logical connec-
sometimes faster breathing followed by a gradual diminution tion between them.
that temporarily stops breathing, then the pattern repeats
E. It is a form of hyperventilation - it lowers CO levels in the 56. Metabolic Coma May Result From:
blood due to the increased rate or depth of breathing
A. Hypoglycemia
48. Common causes of pleural effusion are: B. Hyperglycemia
C. Hypothyroidism
1. Bacterial infections D. A + B
2. Heart failure E. A, B, C
3. TB
4. Lung cancer 57. Which Factor is not Conducive to COPD
5. Cirrhosis of the liver
A. Smoking cigarettes
A. 1, 5 B. Alpha-1-Antitrypsin Deficiency
B. 2, 3 C. Atopy
C. 2, 5 D. They all cause COPD
D. 3, 4
E. 1, 2 58. Lateral Position in Chest X-Ray

49. Nail knocking may occur in: A. Is the base item

B. The best picture of the pulmonary fields
A. Cystic fibrosis C. Shows oesophageal malformations and lung tumors
B. All listed D. Clearly visualizes the back of the chest and the non-
C. Lung cancer cardiac area
D. Congenital cyanosis of the heart E. All correct
E. Crohn's disease
59. Give the MRC Score Value of the Patient with Dyspnea at
50. What pathological changes can be revealed in a physical Rest
examination of a COPD patient?
A. 2
A. You hear crackling sounds over the lobes of the lungs B. 3
B. Everything is fine C. 4
C. The sound of the bronchi in auscultation of the lungs D. 5
D. Whistling noise when auscultated lungs E. Neither of the above
E. Reduced alveolar sound above the upper lobes of the lungs
60. In the course of Bronchial Asthma with Daytime Sym-
51. Which blood pressure category should a patient be classi- ptoms Occurring Less than Once a Week, Night Symptoms
fied into when their blood pressure was 155/111 mmHg? Less than Twice a Month, PEF Variability <20%, the Degree
because look at lower value of:
A. Class 3 HTN
B. Insulated shrink HTN A. Sporadic Asthma
C. Grade 1 HTN B. Mild Chronic Asthma
D. Class 2 HTN C. Moderate Chronic Asthma
E. Normal blood pressure D. Severe Chronic Asthma

53. Which of the following does not cause irregular heart 61. Physical Examination is not an Abnormality in COPD
rate?
A. Dust Chest
A. First degree AV block B. Barrel-shaped Chest
B. Premature ventricular contractions C. Cyanosis
C. Atrial fibrillation D. Wheezing
D. Premature atrial contractions include?
E. Second degree AV block

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62. IF Factor 70. Pulmonary embolism is associated with the presence of
an embolic material in:
A. Is an indicator of the prestige and impact of scientific
journals A. The lungs and their ramifications
B. IF for a given year reflects the average number of citations B. Bronchial tubes and their branches
of articles from a given journal in the preceding 5 years C. Pulmonary vein
C. Journals with higher IF values are seen as more prestigious D. All correct
D. A, C correct E. A + B
E. A, B, C correct
71. Polysomnography
63. Thoracocentesis is the Basic Method of Diagnosing Pleu-
ral Fluid, Therefore it is Performed in Every Patient with A. Test of airflow in the respiratory tract
Fluid in the Pleural Cavity. B. Body position
C. Limb movements
A. Both true sentences, connected by a logical relationship. D. A + C
B. Both sentences are true, no logical dependence. E. A, B, C
C. The first sentence is true, the second is false.
D. The first sentence is false, the second is true. 72. The factors causing OSA do not include:
E. Both statements are false.
A. Obesity and overweight
64. Gilbert’s Syndrome B. Neck circumference below 40 cm
C. Drinking alcohol before going to bed
A. Is hereditary hyperbilirubinemia D. Anatomical changes within the gdo
B. More often in women than in men. E. Acromegaly
C. Does not require treatment
D. Is asymptomatic 73. The Moebius symptom is:
E. All false.
A. Frequent blinking
65. Interpret blood gas results B. Rarely blinking
C. Inability to maintain convergent strabismus
pH = 7.55 D. The upper eyelids do not follow the finger leading down
PaCO2 = 24 E. The lower eyelids do not follow the finger leading up
HCO3 = 24
PaO2 = 88 74. Hypercoagulable diseases:
SaO2 = 95
A. Antiphospholipid syndrome
A. Respiratory and metabolic alkalosis B. Lung cancer
B. Uncontrolled respiratory alkalosis C. Systemic lupus erythematosus
C. Metabolic alkalosis D. Ulcerative colitis
D. Partially compensated respiratory alkalosis E. von Willebrand disease

66. Choose the correct one 75. What is the Tiffeneau Index?

A. Sensitivity depends on frequency in the population A. FEV / FEV1

B. The specificity depends on the frequency B. FEV1 / FEV
C. Sensitivity is the ratio of true positives to all patients C. FEV1 / PEF
D. Specificity is the ratio of true negative results to all D. PEF / FEV
healthy results E. None of the above
E. More than one answer is correct
76. Medical confidentiality applies to:
67. Glycol poisoning causes breathing:
A. Physical examination
A. Kussmaul B. Additional tests
B. Biot C. Intelligence
C. Paradoxical D. A, B, C
D. Cheyn Stokes E. All data collected during treatment

68. Triada Virchova - what belongs to it: 77. Raspberry Tongue is caused by:

A. Damage to the vessel A. Scarlet fever

B. Reduced flow B. Dry mouth
C. Advantage of fibrinolytic factors over prothrombotic ones C. Tinea pedis
D. A, B, C D. Bacterial infection
E. A, B E. All correct

69. The number of cases of a specific disease of older and 78. Platypnea occurs in:
newly registered over a time interval is:
A. Lung tumors
A. Morbidity B. Left ventricular failure
B. Morbidity C. Hepatopleural syndrome
C. The sensitivity of the diagnostic test D. Bronchial asthma
D. Specificity of the test E. All of the above
E. Neither of the above

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79. With Hemolytic Jaundice there is Bilirubin:

A. Conjugated
B. Unconjugated
C. Mixed
D. Conjugated and mixed
E. Unconjugated and mixed

80. Male Excessive Hair Loss in a Woman caused by excess

Androgens or Hypersensitivity to Androgens is:

A. Trichotillomania
B. Hypertrichosis
C. Androgenism
D. (…)
E. None of the above

81. Restrictive Diseases:

A. Asthma
B. Cystic fibrosis
C. Sarcoidosis
D. Bronchiectasis
E. Pulmonary fibrosis

82. The Patient received 2 points on the modified Geneva

scale, this means:

A. Low probability of PE
B. Indirect probability of ZP
C. Exclusion of the ZP
D. Low-Threat ZP
E. None of the above

83. The patient was diagnosed with PaCO2 = 52mmHG:

A. Hypercapnia
B. Hypocapnia
C. Hypoxia
D. Hypercalcemia
E. Neither of the above

84. In a Single-Blind Study:

A. Only researchers know which patients get paid and

which measure
B. Only researchers or only patients know
C. Nobody knows
D. Everyone knows
E. Lack of correct

85. 2 points on the Glasgow Coma Scale for Eye Movement:

A. Does not open

B. It opens in response to pain
C. Opens in response to a verbal stimulus

86. Extensive Follicular Emphysema in people 20-50 years

old is caused by:

A. Smoking cigarettes
B. Bronchial asthma
C. Exposure to asbestos
D. POCHP
E. No correct answer

87. What does the CURB65 scale not account for?

A. Urea concentration
B. Age
C. State of consciousness
D. Tachycardia
E. Tachypnoe

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