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1st credit test Internal credit 1

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Internal medicine – 1st credit test
Questions
1. Chest pain in ischemic heart disease is usually not:
- Gnowing or burning
- Pressure
- Itching
2. Tachypnea (rapid breathing) is not:
- Difficult breathing
- Symptom of left heart failure
- Symptom of pneumonia
- Symptom of anaemic syndrome
- Symptom of anxiety
3. Colicky pain is:
- Symptom of hepatitis
- Symptom of gastroesophageal reflux disease
- Symptom of tracheitis
- Symptom of obstruction of bowels, ureters, bile and pancreatic ducts
4. Unilateral enophtlamus is:
- Sign of hypothyreosis
- Sign of hyperthyreoidism – Basedow disease
- Sign of unilateral cervical sympathicus injury
- Sign of hypertension
5. Cyanosis is:
- Sign of anemic syndrome
- Sign of high level of deoxyHb (more than 40 g/dL deoxyHb)
- Sign of pyelonephritis
- Whitish color of skin
6. Murmur in aortic regurgitation (insufficiency) is:
- Systolic – 2nd intercostal space in right parasternal line
- Systolic – 2nd intercostal space in left parasternal line
- Diastolic – 2nd intercostal space in right parasternal line
- Diastolic – 2nd intercostal space in left parasternal line (maximum in the 3rd
intercostal space at left sternal border)
- Systolic – 5th intercostal space in left medioclavicular line
- Diastolic – 5th intercostal space in left medioclavicular line
7. Murmur in mitral stenosis:
- Systolic – 2nd intercostal space in right parasternal line
- Systolic – 2nd intercostal space in left parasternal line
- Diastolic – 2nd intercostal space in right parasternal line
- Diastolic – 2nd intercostal space in left parasternal line
- Systolic – 5th intercostal space in left medioclavicular line
- Diastolic – 5th intercostal space in left medioclavicular line
8. Tachycardia is:
- Heart rate > 85 bpm
- HR < 100 bpm
- HR > 100 bpm
- HR < 85 bpm
9. ST segment is under physiological conditions:
- 0,12-0,2 s
- 0,12-0,2 mm
- Isoelectrical (no elevation or depression)
- Depressed
10. P wave is:
- ECG picture of ventricular repolarization
- High, peaked in hyperkalemia (high potassium level) and flattened in
hypokalemia (low potassium level)
- ECG picture of atrial depolarization
- Sometimes negative in ECG leads above myocardial infarction
11. Angina (stenocardia) shows:
- Pressure/burning in chest
12. Somnolence:
- Pathological sleepiness
13. What is a coma?
- Serious/heavy unconsciousness
14. What is palpitation of heart?
- Conscious awareness of own heart
15. Central cyanosis occurs when?
- When there is decreased saturation of oxygen (deoxygenated Hb) due to
pulmonary disease
16. What is subfebrility?
- It is temperature of never more than 38°C
17. What is anisocoria?
- Unequal size of pupils
18. How many leads are in a normal ECG?
- 12 leads
19. How long does the QRS complex last?
- 0,1 s (< 0,12 s)
20. P wave occurs due to:
- Depolarization of atrial myocardium
21. Which AV block is the most severe?
- 1. Degree
- 2. Degree Mobitx I
- 2. Degree Mobitx II
- 3. Degree (complete AV block)
22. ST elevations:
- Accompany myocardial infarction
- Accompany pericarditis
- It is not possible to find ST depression in contralateral leads in pericarditis
- All choices are correct
23. PR (PQ) interval:
- Lasts from 0,12-0,2 msec ( 0,12-0,2 s)
- Is prolonged in 1st degree AV block
-
A and B
Neither A or B
24. P wave is never present:
- In atrial fibrillation
- In atrial flutter
- In 3. Degree AV block
- A and B
- A, b and c
25. Aortic valve stenosis murmur:
- Is systolic
- Is diastolic
- Propagates to carotid arteries
- A and C
26. Left axis deviation:
- Is considered normal in patients suffering from pulmonary emphysema
27. In 2 to 1 AV block (2. Degree):
- Every other P wave is conducted to the ventricles
28. In ECG, the M pattern in V1 is typical:
- Right bundle branch block
29. The following ECG feature is typical for atrial fibrillation:
- Absent P wave with irregular heart rhythm
30. The ECG of acute anterior myocardial infarction:
- ST elevation in lead V1-V6 and aVL with reciprocal ST depression in aVF
and II, III
-
31. Holter ECG monitoring is useful for:
- Examination of morphology and mechanic function of the heart
32. Spider angiomas on the chest and “caput medusa” are typical for?
-
Liver cirrhosis
33. Steatorrhea is:
- Presence of fat in the stools
34. Melenic stools are characterized by:
- Presence of digested blood in the stools
35. Duration of PQ interval?
- 0,12-0,2 s
36. Duration of QRS complex?
- 0,08 s (0,1 s or < 0,12 s)
37. Cyanosis is not present in?
- Anemia
38. T-wave:
- Does not represent ventricular depolarization (it represents repolarization of
the ventricles)
39. Exopthalamos is a symptom of?
- Hyperthyroidism
40. What is peripheral cyanosis?
- Bluish color on the periphery
41. T-wave represents:
- Repolarization of chambers
42. QRS complex represents:
- Depolarization of chambers
43. P wave occurs due to:
- Depolarization of atrial myocardium
44. Which of the following is NOT correct about varicose veins?
- Associated with claudication
45. The collateral portacaval anastomoses: Esophageal varices, gastric varices,
anorectal varices, and is casued by which of the following conditions?
- Hepatic cirrhosis due to Wilson’s disease
46. Which of the following conditions represent vascular complications in liver
cirrhosis?
- Ascites
47. Regarding venous ulcer:
- Appears at background of lipodermatosclerosis
48. Inferior vena cava syndrome:
- Deep vein thrombosis is one of the etiological factors
49. Deep vein thrombosis of the lower extremity has:
- Usually unilateral edema of the affected calf, positive Homans sign
50. Optimal diagnostic procedure for ischemia of the limbs (especially legs):
- Angiography
51. Optimal diagnostic procedure for deep venous thrombosis:
- Ultrasound
52. Deep vein thrombosis of the lower extremity has NOT:
- Systolic murmur above the femoral artery of the affected calf
53. Dyspnea in lying position or on exertion in patient without fever is typical
for:
- Left heart failure
54. Signs and symptoms typical for pneumonia are NOT:
- Unresonant rales above the area of pneumonia
55. Correct meaning is:
- In pneumothorax is present resonant percussion and weakened or absent
breathing sounds above the affected lung
56. Correct meaning is:
- In fluidothorax is present dull percussion, weakened or absent breathing
sounds and bronchofonia
57. Correct meaning is:
- Gallop is typical finding in heart failure
58. Correct meaning is:
- Asthmatic patients have wheezing, resonant percussion and prolonged
expirium
59. Echocardiography is useful for:
- Examination of the morphology and mechanic function of the heart
60. Spirometry is useful for:
- Examination of function of the lungs
61. Claudication:
- Is limb pain occurring during walking
- Occurs in fields of lower limb
- Occurs also in rest
- A and b
62. Chronic venous insufficiency is accompanied by:
- Skin pigmentation of lower limbs
- Feeling of itching and restlessness of lower limbs
- A and B
- Neither A or B
63. Positive Homans sign:
- Is highly specific for deep venous thrombosis
- Is calf pain in dorsiflexion of foot
- Is calf pain in ventral flexion of foot
- A and C is correct
64. Chronic peripheral occlusive artery disease:
- Is accompanied by weakened peripheral pulsations
- Is accompanied by hairless skin on lower extremities
- Is accompanied by skin lesions/ulcers
- All choices are correct
65. Associated conditions in pneumonia and congestive heart failure:
- Are whistles and crackles
- Rales, crackles and crepitation
- Is stridor
- A and C
66. Sign of acute peritonitis is not:
- Absence of normal breathing abdominal movements
- Guarding of abdominal muscles
- Gnawing chest pain
- Absence of normal peristaltic sound
67. Murphy’s sign is:
- Positive in acute appendicitis
-
Positive in acute cholecystitis
Positive in acute pyelonephritis
Positive in acute salphingitis
68. Blumberg and Rovsing signs are:
- Positive in acute appendicitis
- Positive in acute cholecystitis
- Positive in acute pyelonephritis
- Positive in acute salphingitis
69. Colicky pain in the right upper quadrant after fatty food is typical for:
- Biliary colic
- Acute appendicitis
- Acute polynephritis
- Acute peritonitis
70. Abdominal ultrasound is not first examination method of choice for diagnosis
of:
- Cholecystolithiasis
- Bowel obstruction
- Nephtrolithiasis
- Metastasis liver disease
71. Pyuria (presence of leukocytes – pus - in urine) is typical for:
- Polynephritis
72. Leg edema, hypertension, eyelid edema are signs of:
- Portal hypertension
- Arterial hypertension
- Nephrotic syndrome and renal disease
- DM
73. Kussmaul’s breathing is sign of:
- Diabetic ketoacidosis
12) Polyuria and polydipsia are symptoms of:
a) Hypoglycemia
b) Hyperglycemia
c) Hypokalemia
d) Hyperkalemia
13) Cold sweating, tremor and … are symptoms of:
a) Hypoglycemia
b) Hyperglycemia
c) Hypokalemia
d) Hyperkalemia
14) Advantage of GI endoscopy examination is not:
a) Biopsy sampling
b) Invasiveness
c) Direct examination and visualization
d) Endoscopy therapy
15) Barium enema is not useful for diagnosis of:
a) Peptic ulcer disease
b) Colorectal cancer
c) Diverticular disease of colon
d) Chrohn's disease
4) Heartburn is a symptom of?
- Gastroesophageal reflux
5) Dyspnea is not a symptom of:
- Gastric ulcer
6) Cyanosis is not present in?
Anemia
1) Hemoptysis is:
a.
Expectoration of blood
b. Vomiting of fresh blood
c. Vomiting of digested blood
d.
Bleeding from nose
2) Angina pectoralis (stenocardia) is:
a. During heavy work
b.
Never radiated to neck
c. During swallowing food
3) Syncope is:
a.
Loss of consciousness
b.
Loss of consciousness for some seconds
c.
Patient in coma
4) Soporous patient:
a. Can speak
b.
Is in a coma
c.
React to pain
d.
Occurs after syncope
5) Orthopnea:
a.
Difficulties breathing during respiratory syndrome
b.
Patient with orthopnea goes to orthopedics
c.
Is severe abdominal pain
6) Mydriasis:
- Bilateral dilation of pupils
7) Lymph node enlargement occurs in:
- Hematological diseases
8) Aortic stenosis:
- Systole in 2nd intercostal space, right of sternum
7) mitral regurgitation occurs in systole or diastole? Where is mitral valve
located?
Systole, located between left atrium and left ventricle
8) Aortic stenosis heard in diastole or systole? Where is the aortic valve located?
Systole, located between left ventricle and aorta
10) exopthalamus is a symptom of
- hypothyreoidism (yes to hyperthyreoidism)
- hypertension
- constipation
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