Final MCQ Internal Medicine 2021

What is Parulis:

Sialonhoea is associated with alt of the following except:

Which of the following is not an example of psychiatric illness associated with profound weight loss:

Which of the following is not a variety of osmotic diarrhoea?

What is the water content of adult stool (approximately):

Which statement is false regarding H. pylori?

Add peptic disease is rarely found in:

Mallory-Weiss syndrome is commonly seen accompanying:

Choose the wrong answer. Late dumping syndrome may be manifested by:

Upper GI bleeding, angioid streaks in retina and yellowish

skin papules indicate:

What drugs are not helpfulI in gastroparesis:

Jejunal divert:icula may be associated with:

The most common and most specific radiological feature in

barium meal follow-through in a patient of malabsorption

is:

U intestinal biopsy is not possible, the diagnosis ofWhipple's

disease can be made by:

Pseudomembranous colitis is best treated by:

Commonest cause of anaemia after peptic ulcer surgery is:

Crohn's disease may be complicated by all except:

Peritonitis may be complicated by all except:

What is the commonest extraintestinal complication of ulcerative colitis:

Pneumaturia is an established feature of:

Type 3 diabetes mellitus is related to:

Which of the following is false regarding prerequisites of oral

glucose tolerance test?

Which of the following is not a recognised feature of myxoedema?

Commonest site of insulinoma is in the pancreatic:

Epiphyseal dysgenesis is seen in:

Commonest cause of thy:rotoxicosis is:

Erythropoietin is secreted from:

Which of the following variants does not produce fasting hypoglycemia?

What is the commonest enzymatic defect for development of congenital

adrenal hyperplasia:

Empty sella syndrome may be due to all except:

Myxoedema is characterised by all except:

Thyroid aaopachy is found in:

Hypocakaemia is produced by all except:

Tetany is characterised by all of the following signs except:

Which of the following is false :regardingmedullarycarcinoma

of thyroid?

Commonest cause of phaeochromocytoma is:

Calcification of basal ganglia is seen in:

Phaeochromocytoma may be associated with following

anomalies ex.cept:

Erythropoietin is secreted from:

Vanillylmandelic acid (VMA) excretion is increased in urine

in:

Regarding diaphragmatic palsy, which is false?

Hypeibaric oxygen therapy is indicated in all exapt:

All are features of hypercapnia except:

Upper border of liver dullness is elevated in all except:

Brassy cough is seen in:

Which of the following is used to treat cystic fibrosis?

Which of the following is not a neurological paraneoplastic

syndrome of bronchogenic carcinoma?

Investigationofhighestdiagnostic efficacyinacute pulmonary

tluomboembolism is:

Which of the following is false regarding primary pulmonary

hypertension?

The most reliable symptom of acute pulmonary thromboembolism

is:

A patient is under observation having polyneuritic syndrome with considerable loss of weight, fever, rise in BP (39 year old patient). Blood test: considerable inflammatory changes. What examination is the most expedient to make the diagnosis?

 A 39-year-old male patient complains of moderate pain and weakness in the

shoulder, back and pelvic girdle muscles, that has been progressing for the

last 3 weeks; great difficulty in getting out of bed, going up and down the

stairs, shaving. Dermatomyositis has been suspected. Blood test results: Hb-

114 g/l, WBC- 10,8*10 9 /l, eosinophils - 9%, ESR -22 mm/h, C-reactive

protein - (++). The alteration in the following laboratory value wil be of

decisive diagnostic significance:

A 36-year-old female patient complains of intense pain in the knee joints

and neck. In the morning she experiences pain in the interscapular region

and leg joints; pain subsides after warm-up gymnastics. The patient is

overnourished, there is a clicking sound in the knees when squatting, the

knees are somewhat disfigured, painful on palpation. Blood test results:

ESR- 18 mm/h, WBC- 8,0 * 10 9 /l. Radiography reveals subchondral sclerosis

in the left knee. What is the basis of this pathology?

A 60 year old woman complains of osteoarthrosis of knee-joint. For 14 days she had been receiving an in-patient medical treatment. She was

discharged from the hospital in satisfactory condition with complaints of

minor pain after prolonged static work. Local hyperemia and exudative

effects in the area of joints are absent. What further tactics is the most

expedient?

A 53-year-old male has been admitted to a hospital for an attack of renal

colic which has repeatedly occurred throughout the year. Objectively: in the

region of auricles and the right elbow some nodules can be seen that are

covered with thin shiny skin. Ps- 88/min, AP- 170/100 mm Hg. There is

bilateral costovertebral angle tenderness (positive Pasternatsky's symptom).

The patient has been scheduled for examination. What laboratory value

would be most helpful for making a diagnosis?

A 40-year-old patient complains of constant moderate pain in the lumbar spine and significantly reduced mobility. The patient has been suffering from this condition for the last 7 years since pain appeared first in the sacrum area. X-ray: ankylosis of sacroiliac articulation, significant narrowing of intervertebral joint fissures of lumbar vertebrae and calcification of spinal ligaments. What pathology is most likely to cause such X-ray image? 

A 30 y.o. female with rheumatoid arthritis of five years duration complains

of pain in the frist three fingers of her right hand over past 6 weeks. The pain

seems especially severe at night often awakening her from sleep.The most

likelly cause is?

2 weeks after recovering from angina a 29-year-old patient noticed face edemata, weakness,  decreased work performance. There was gradual progress of dyspnea, edemata of the lower  extremities, lumbar spine. Objectively: pale skin, weakening of the heart sounds, anasarca. AP- 160/100 mm Hg. In urine: the relative density - 1021, protein - 5 g/l, erythrocytes - 20-30 in the field of vision, hyaline cylinders - 4-6 in the field of vision. What is the most likely diagnosis?  

A 41-year-old male patient was delivered to a hospital unconscious. During

the previous 7 days he had been taking large doses of biseptolum for a cold.

The night before, he began complaining of dyspnea, especially when lying

down, swollen legs, 2-day urinary retention. In the morning he had seizures

and lost consciousness. Objctively: noisy breathing at the rate of 30/min,

edematous legs and lumbar region, Ps- 50/min. Plasma creatinine is 0,586

mmol/l, plasma potassium - 7,2 mmol/l. What treatment is necessary for this

patient?

A patient (44 year old) with urolithiasis had an attack of renal colic. What is the mechanism of the attack development?