Quiz: Internal medicine

secondary cause of hypertention is :

A Renal artery stenosis B pheochromocytoma C Glomerulonephritis D All of the above

Valvular heart disease are :

A Valve stenosis B Valve incompetence C Valve stenosis & incompetence D All of the above

Most common valve disease is :

A Tricuspid valve disease B Mitral valve disease C pulmonary valve disease D All of the above

Female pateint known to rheumatic heart disease , mitral regurge complaining from acute onset of fever and toxic manifestation , what is the most probable diagnosis ?

A Hypertention B Heart failure C Infective endocarditis D Ischemic heart disease

The following are true about HTN except :

A Classified into mild , moderate , severe B No apparent cause of essential type C Renal HTN is the most common cause of secondary type D BP more than 120/80 mmHg needs treatment

the following are secondary causes of HTN except :

A pheochromocytoma B Addison's disease C Renal artery stenosis D pregnancy

Curable HTN include the following except :

A pregnancy B Drug-induced C pheochromocytoma D Essential hypertention

The folowing are criteria of malignant hepertention :

A Marked elevation of BP B presence of papilledema C Target organ damage if untreated urgency D All of the above

The following are not criteria of primary hypertention except :

A no apparent cause B Occur in age 35/55 years C No family history D Renal disease is the most common cause

The folowing are criteria of secondary hypertention except :

A Has apparent cause B Its causes include (renal, pregnancy, drug, vascular, endocrinal ) C Has family history D Some of its causes are curable

The most common presentation of HTN is :

A Headache B Dizziness C asymptomatic in most cases D Epistaxis

The following are complications of HTN except :

A Angina and MI B Eczema C Renal failure D Keratopathy

The following investigations are done for HTN patients except :

A Chest X-ray B Blood glucose level C Autoimmune markers D Lipid profile

The following are anti-hypertensive drug except :

A Diuretics B Sympathomimetics C Narcotics D B & C

Thev most common cause of valvular heart diseases is :

A Rheumatic fever B Congenital C collagen disease D infective endocarditis

the commonest valve affected by Rheumatic fever is :

A Tricuspid B Mitral C Aortic D Pulmonary

The following are common findings of mitral stenosis except :

A Loud first heart sound B Opening snap C Mid-diastolic murmur D non of the above

The patient with mitral stenosis may complain of the following except :

A asymptomatic B Pulmonary congestion C Law cardiac output D Non of the above

About mitral valve, the following are correct :

A Normal valve 4/5 cm B Symptomatizing when <2 cm C Tight stenosis <1 cm D All of the above

Investigations of mitral stenosis include the following :

A Chest X-ray B ECG C Echocardiography D All of the above

Mitral valvuloplasty is indicated when

A Pure stenosis B No regurge C LA free of thrombosis D All of the above

Complications of valve replacement inclcude

A Hemolytic anemia B Infective endocarditis C Thromboembolism D All of the above

The common presentation of mitral prolapse is

A palpitation B Atypical chest pain C Transient ischemic attacks D All of the above

Murmur of mitral incompetence is

A Diastolic murmur B Ejection systolic C Late systolic D Pan systolic

ECG of MR may show

A AF B LV-hypertrophy C P-mitral D All of the above

The pulse of Aortic stenosis is

A Water hummer pulse B Flat pulse C pulse paradoxus D pulses alternans

All are causes of Aortic incompetence except

A Typhoid fever B Rheumatic fever C syphilis D Aortic aneurysm

In aortic stenosis, the following are correct except

A Early diastolic murmur B Ejection systolic murmur C May be valvular, subvalvular, supravalvular D Weak aortic component of 2nd heart sound

Peripheral signs of Aortic incompetence are caused by

A High systolic pressure B Low diastolic pressure C A & B D Non of the above

Auscultatory finding of Aortic incompetence are

A Loud heart sound B Ejection systolic murmur C Early diastolic murmur D All of the above

The following are causes of Aortic incompetence

A Rheumatic fever B Infective endocarditis C MI D All of the above

The following are causes of Aortic incompetence

A Rheumatic fever B Infective endocarditis C MI D All of the above

The prsentation of pulmonary and Tricuspid diseases is

A Left-sided heart failure B Right- sided heart failure C A & B D All of the above

P-mitral is caused by

A Right atrial hypertrophy B Right ventricular hypertrophy C Left atrial hypertrophy D Non of the above

The commonest cause of pulmonary htpertention is

A Rheumatic fever B Infective endocarditis C Marfan syndrome D Congenital

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