Quiz: End-module 🤾

Which is not a symptom of raised intracranial tension?

A a) altered consciousness. B b) Headache. C c) Non-projectile vomiting. D d) convulsions.

Monoplegia is due to lesion in:

A a) Brain stem B b) Thalamus. C c) Cerebral cortex. D d) Internal capsule

Which of the following immunoglobins shared in pathogenesis of anaphylaxis?

A a) IG A B b) IG G C c) IG E D d) IGM

Which of the following does not belong to the triad of symptomatic bronchial asthma?

A a) Chest pain B b) Dyspnea C c) Wheeze D d) Cough

Most common cause of Acute small bowel ischaemla is;

A a- Vasculitis and venous occlusion. B b- Thrombosis of underlying atheromatous disease C c- Non-occlusive ischaemia due to sudden blood loss D d- An embolus from the heart or aorta to the superior mesenteric artery

According to the International Criteria for Behçet's Disease (ICBD); Diagnosis can be confirmed by the following

A a) Ocular lesion alone B b) Oral ulcers associated with skin lesion with no other manifestations C c) Oro-genital ulcers and Ocular lesion D d) Specific serological tests

The most common cause of death in overlap syndrome is

A a) Pulmonary hypertension B b) Pleural effusion C c) Renal failure D d) Pericarditis

Patient came to the hospital complained of episodes of palpitation, but now he is fine. ECG can be helpful in the following except:

A a) identify the type of arrythmia responsible of the palpitation. B b) Identify arrhythmogenic congenital anomalies. C c) Identify arrhythmogenic structural changes. D d) Identify scars due to Pervious MI.

All of the following cause sinus tachycardia except

A a) Infection B b) Exercise C c) Beta blocker D d) Pulmonary embolism

All of the following cause epigastric pain except

A a) Inferior MI B b) Cholecystitis C c) Pancreatitis D d) Nephrolithiasis

Pancreatitis radiates to

A a- Back B b- Flanks C c- Groin D d- Rt. Shoulder

Paroxysmal Nocturnal Dyspnea (PND) is highly specific for:

A a- Bronchial asthma B b- Cardiac asthma C c- Type 1 resp. failure D d- Type 2 resp. failure

The 100% mask oxygen is contraindicated in

A a- COPD B b- Cardiac asthma C c- Bronchial asthma D d- All of the above

bronchial asthma is characterized by except:

A a- bronchospasm B b- occur in young patients C c- past history of atopy D d- relieved by nitrate

type 2 respiratory failure is due to defect in:

A a- perfusion B b- diffusion C c- Ventilation D d- both A and C

The following are common CVS manifestations of hyperthyroidism expect:

A a- AF B b- Tachyarrhythmia C c- Bradycardia D d- Cardiomyopathy

Lesions in Crohn's disease characterized by the following except:

A a- asymmetrical. B b- focal. C c- limited to mucosa and submucosa D d- can affect any part of GIT from mouth to anus.

Regarding ulcerative colitis which of the following is not true:

A a) affecting only the colon B b) may be distal colonic, more extensive or pancolitis. C c) Increased in smokers. D d) Retention enema with local steroid used in active proctitis.

Migratory pattern of arthritis may be present in the following except:

A a) Rheumatic fever B b) Rheumatoid arthritis C c) gonococcal induced arthritis D d) viral arthritis.

on diagnosis of patient with rheumatoid arthritis the followings are usually present except:

A a) Rheumatoid factor is positive B b) polyarticular at once. C c) anti CCP is positive D d) the distal interphalangeal joints are affected early.

Acute Inferior myocardial infarction Can be manifested by:-

A a) Abdominal Pain without a associated symptoms of chest pain, shortness of breath, pain radiation, aggravating Or alleviating factors. B b) Chest pain associated with diaphoresis, dyspnea, high grade fever, expectoration Of blood-tinged sputum. C c) Chest pain radiating to left shoulder, diaphoresis, and dysphagia to both : solid and liquid diets. D d) Chest pain associated with shortness of breath aggravating by lying down and alleviating by sitting and leaning forward

in drug induced aplastic anemia, there is:

A a) Low HB, RBCs, WBCs, platelets with decreased reticulocytes. B b) Low HB, RBCs, WBCs, platelets with increased reticulocytes. C c) Immature WBCS (blast) cells in peripheral blood and morphologically. abnormal platelets. D d) Bone marrow aspirate is fibrotic with few cells.

Abdominal pain caused by hemolytic Crisis must be differentiated from other causes of:

A a- Attacks of diffuse, recurrent, moderately severe abdominal pain, B b- Intermittent diffuse severe Abdominal pain C c- Acute Abdominal pain. D d- Localized severe Abdominal pain.

Initial management of Acute hemolytic transfusion reaction due to incompatible blood transfusion:

A a) Anticoagulants and antiplatelets. B b) eucocytes and platelets transfusion. C c) Plasma exchange and continuous hemodiafiltration. D d) Correction of acidosis and electrolyte disturbance.

about hypoglycaemia:

A a) the patient is usually dehydrated. B b) the vomiting is important symptom. C c) hunger pain, irritability, tachycardia, sweating are clinical criteria, D d) treated by insulin and oral hypoglycaemic.

About pathogenesis of DKA the following is correct:

A a) hyperinsulinemia is the main factor. B b) low insulin leads to hyperglycaemia polyuria electrolyte imbalance. lipolysis ketogenesis and metabolic acidosis. C c) glucose infusion correct the problem. D d) restricted for type1 mainly.

about criteria of DKA the following is correct:

A a) hvperglycaemia, ketonuria and hyperketonaemia. B b) the patient is sweaty. C c) metabolic alkalosis causes gastric irritation. D d) spontaneous recovery is the role.

management of hepatic encephalopathy include the following:

A a- electrolyte balance B b- rehydration. C c- remove risk factors and clean the bowel from protein end products. D d- liver transplantation from the start.

about pathogenesis of hepatic encephalopathy, the following is correct:

A a) liver cell failure and portosystemic shunt must be present. B b) Antibiotics prevent it. C c) Metabolic alkalosis is mandatory. D d) liver support halten the pathogenesis.

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