Internal Medicine MCQs MBBS MCQs Q&A Internal Medicine 10 MCQs – 2 notesmedicine.com 2 years ago Share this post on Welcome to your Internal Medicine 10 MCQs - 2 Name Email 1. Recognized features of extrapyramidal tract disease includeIntention tremorClasp knife rigidityChoreoathetosisDelayed relaxation of the tendon reflexes. 2. Typical clinical features of acute circulatory failure due to anaphylactic shock includeElevated JVPConfusionWarm dry skinPolyuria 3. Useful serum tumor markers associated with the following disease includeAlpha fetoprotein in primary hepatocellular carcinomaHuman chorionic gonadotrophin in testicular seminomaCarcinoembryonic antigen in bronchial adenomaPlacental alkaline phosphatase in cervical carcinoma 4. In the treatment of cardiac failure associated with acute pulmonary edemaControlled oxygen therapy should be restricted to 28 % oxygen in patients who smokeNitrates should be avoided if the systolic blood pressure is less than 140 mmHgFurosemide therapy given intravenously reduces preload and afterloadACE inhibitors decrease the afterload but increase the preload 5. Expected findings in a patient with significant mitral stenosis includeA displaced apex beatA quiet first sound and absence of an opening snapA soft early diastolic murmurLeft parasternal heave suggesting pulmonary hypertension 6. In the emergency treatment of accelerated hypertensionThe aim is to lower the systolic blood pressure to normal within 60 minutesVasodilator therapy to reduces the afterload should be used.Intravenous sodium nitroprusside is usually necessary to control the severe hypertensionParenteral therapy is preferable to oral therapy 7. Typical chest findings in a large right pleural effusion includeNormal chest expansionAbsent breath soundsPleural friction rubDull percussion notes 8. One of the following is not associated with hemoptysisChronic obstructive pulmonary diseaseTuberculosisBronchiectasisGoodpasture’s syndrome 9. The following statements about tuberculin testing are trueFalse positives are common in sarcoidosis and acute exanthemataThe skin reaction is best assessed 3 days after inoculationGrade 3 and grade 4 reactions are characterized by four discrete papulesTuberculin positive children are immune to tuberculosis 10. The management of chronic persistent asthmaInhaled beta 2 agonist use more than once per day is and indication for inhaled steroid therapyCromoglycate therapy is often useful as an alternative to inhaled steroids in adults.Leukotriene antagonists are valuable substitutes for inhaled steroidsAnticholinergic agents should be avoided. Time is Up!
