Internal Medicine 10 MCQs - 2

Welcome to your Internal Medicine 10 MCQs - 2

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1. Recognized features of extrapyramidal tract disease include

Intention tremor

Clasp knife rigidity

Choreoathetosis

Delayed relaxation of the tendon reflexes.

2. Typical clinical features of acute circulatory failure due to anaphylactic shock include

Elevated JVP

Confusion

Warm dry skin

Polyuria

3. Useful serum tumor markers associated with the following disease include

Alpha fetoprotein in primary hepatocellular carcinoma

Human chorionic gonadotrophin in testicular seminoma

Carcinoembryonic antigen in bronchial adenoma

Placental alkaline phosphatase in cervical carcinoma

4. In the treatment of cardiac failure associated with acute pulmonary edema

Controlled oxygen therapy should be restricted to 28 % oxygen in patients who smoke

Nitrates should be avoided if the systolic blood pressure is less than 140 mmHg

Furosemide therapy given intravenously reduces preload and afterload

ACE inhibitors decrease the afterload but increase the preload

5. Expected findings in a patient with significant mitral stenosis include

A displaced apex beat

A quiet first sound and absence of an opening snap

A soft early diastolic murmur

Left parasternal heave suggesting pulmonary hypertension

6. In the emergency treatment of accelerated hypertension

The aim is to lower the systolic blood pressure to normal within 60 minutes

Vasodilator therapy to reduces the afterload should be used.

Intravenous sodium nitroprusside is usually necessary to control the severe hypertension

Parenteral therapy is preferable to oral therapy

7. Typical chest findings in a large right pleural effusion include

Normal chest expansion

Absent breath sounds

Pleural friction rub

Dull percussion notes

8. One of the following is not associated with hemoptysis

Chronic obstructive pulmonary disease

Tuberculosis

Bronchiectasis

Goodpasture’s syndrome

9. The following statements about tuberculin testing are true

False positives are common in sarcoidosis and acute exanthemata

The skin reaction is best assessed 3 days after inoculation

Grade 3 and grade 4 reactions are characterized by four discrete papules

Tuberculin positive children are immune to tuberculosis

10. The management of chronic persistent asthma

Inhaled beta 2 agonist use more than once per day is and indication for inhaled steroid therapy

Cromoglycate therapy is often useful as an alternative to inhaled steroids in adults.

Leukotriene antagonists are valuable substitutes for inhaled steroids

Anticholinergic agents should be avoided.

Internal Medicine 10 MCQs – 2

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