Internal Medicine Examination

canNOT aggravate syptoms of urination in Prostatic Adenoma ----------> alpha-blokers
not found in Nephrotic Sd ----------> Hyper Amylasemia
ClindaMycin ----------> PseudoMembranous colitis ----------> bloody diarrhea + fever 40' C
Trt of Chlamidya Trachomatis ----------> Erythromycin
duration of action of ordinary insulin ----------> 6 hours
in Septic Shock ----------> no important peripheral vasoplegia
Proteinuria ----------> can NOT be determined by Urine Analysis
Spironolactone (diuretic) ----------> Gynecomastia
age > 70 y
addiction
pregnancy ----------> False (+) VDRL
disseminated Lupus
connectivitis
Colchicine ----------> No Pericarditis
streptococcal angina ----------> sudden onset
Bullous impetigo ----------> Staphylococcic lesion
adrenal failure ----------> HyperCalcemia
acromegaly ----------> No HyperCalcemia
Vertical heart
hilar overcharge ----------> Radiologic signs of emphysema
low diaphragm
increase of retrocardiac clear space
PheoChromocytoma ----------> Paroxysmal event , orthostatic HypoTN
complement deficiency ----------> recurrent neisserial infections
protein calory malnutrition ----------> disseminated herpes simplex
physical exercise ----------> can NOT decrease cholesterol level
most sensitive for bony metastasis Dg ----------> technetium bone scan
large volume of alchohol is needed for ----------> achieving desired effect
inadequately treated A beta-hemolytic streptococcal infections ----------> Rheumatic fever , Rheumatic heart disease
low socioechonomic status ----------> increase the incidence of RF , RHdisease
low back pain + urinary retention ----------> acid phosphatase
early finding in Primary Biliary Cirrhosis ----------> Pruritis
TB ----------> Pulmonary ----------> Hematological spread ----------> GenitoUrinary TB
HypoThyroidism ----------> impotance
Trichinosis ----------> Parasitologic stool test ----------> eggs parasite
Heterogenous pic on XRay in superior segment of the inferior lobe ----------> TB
Nephritis ----------> leg edema
Motor Paralysis within 24 h ----------> Clostridium botulium toxin
incubation period of measles ----------> 10 days
M.G. ----------> no genetic predisposition
Trt of etiology ----------> Thymectomy on a yourng patient
best screening test for Hemophilia ----------> Partial Thromboplastin Time P T T
Plasmodium vivax ----------> Paludism ----------> may cause relapses
Migratory ThromboPlebitis -------> Neoplasm
HypoThyroidism -------> impaired memory , loss of hair
NO Systemic HypoTN
Mitral stenosis -------> RVF but not LVF
Trt of Goitre with Eltroxine -------> decrease the size of the gland
Trt of HyperThyroidism -------> Propanolol
acute epglotitis -------> Hemophilus influenza
initial management ot Tetanus -------> ventilation , Ig , ATB , Sedation (Benzodiazepines).
ethanol withdrawal Sd -------> delirium tremens -------> 3 - 5 days
MI -------> frequent ventricular ectopy -------> Lidocaine
Toxoplasmosis -------> muscle pain , irregular low fever
schizophrenia -------> symptoms at least for 6 months.
B Thalassemia -------> High transfusion -------> desferroxamine
Trt of Infectious Mononucleosus -------> Bed Rest
2 h after MI BP:85/52 P:40 -------> IV Atropine sulfate 0.6 mg
PO2 148 mm Hg and PCO2 106 mm Hg -------> intubation and ventilation
6 biopsies and brush cytology -------> no malignancy -------> Benign Gastric Ulcer
most useful -------> FEV1
Bronchiectasis -------> Amyloidosis
Typhoid Fever -------> self limited in 4 - 6 weeks
Trt of Brucellosis -------> Tetracycline and Streptomycin
serum TG = 1500 -------> Na + = 115 mEq/l
Sub-Acute infective EndoCarditis -------> @ hemolytic Streptococcus
O2 Therapy is NOT useful in -------> Cyanide poisoning
renal cancer -------> fever of long duration
first sigh of diabetic retinal blindness appears after -------> 5 years of the evolution
treatment is NOT by early Laser
I V slowly adrenaline -------> anaphylactic shock
coeliac disease -------> glutene intolerance
early complication of MI -------> arrythmias -------> death
digestive cancer metastasis -------> Liver
necrotic pulmonary tuberculosis lesion -------> Caseous
PheoChromocytoma -------> cold sweating
metastasis is responsible for -------> death
Pulmonary manifestations of Rheumatoid arthritis -------> effusion ,nodular lung, fibrosis
it can not give -------> Pulmonary Hg
Giant cell arteritis -------> PolyMyalgia Rheumatics
No convulsions
Leukocytosis is not a constant finding in -------> acute Lymphoid Leukemia
No bone marow failure in -------> HyperSplenism
proteine restriction -------> slow the progression of renal failure
type 2 HyperLipidemia -------> autosomal dominant
dog bite with cellulitis -------> Penicillin
Staphytlococcal food poisoning -------> heat stable enterotoxin
3d day :maculopapular rash -------> Infetious Mononucleosis
adult polycyctic kidney disease -------> HTN -------> Echo
Upper GI bleeding , decrese fluid intake -------> increase BUN
highest way of droplet spreading -------> sneezing
BCG is contraindicated in -------> immunosuppressed people
most common anemic parasitose -------> Ankylostorma
after URI -------> abdominal symptoms + low blood presure -------> addison
ESR increased in -------> Brucellosis , staphylococcus septicemia
ESR decreased in -------> Thypoid fever
Pneumonia ----####---> no Plasmodia
no significance in polyuric patient -------> serum creatinine
best criteria for deciding Insulin -------> decrease of Cpeptide blood level
PRBCs -------> with NSS
Cor Pulmonale in Chronic bronchitis and Emphysema -------> Home low flow O2
HyperK+ -------> decrease in Pwave, peaking Twave, prolonged PR , widened QRS
worst pg sign in acute asthmatic attack -------> Cyanosis
Trichinosis -------> Diaphragm
in Cryptococcus neoformans meningitis ---###----> LP doesn't give purulent liquid
Ascitic fluid in Cirrhosis -------> specific gravity less than 1.016
Prolonged hyperventilation doesn't give ---###----> : HyperKalemia
-------> Paresthesia , Tetany , Low HCO3-,Palpitations
ankylosing spondilitis -------> Aortic incompetence,Amyloidosis,
family history with medullary carcinoma -------> VMA , calcitonine, Ca+, pentagastrin,
No need to -------> serum Gastin
to have melena -------> 50 cc
varicella predominats at -------> the trunck
2 doses of measles vaccinations -------> 12 - 15 months ; 4 - 6 years
in Heart Failure increased Estrogen -------> fluid retention
petechial Hg in the upper thorax (after 48 h) -------> Fat Embolism Sd
late complication of 131i trt -------> HypoThyroidism
No Myocarditis in -------> Toxoplasmosis
interstitial pneumonia with foamy intra-alveolar exudate -------> Pneumocystis carinii
adult fluid maintenance requirement -------> 30 ml/kg/day
absense of Thymus is not a characteristic of -------> Myastenia Gravis
no serologic markers of HBV infections -------> Hepatitis B vaccine
recurrent OroPharyngeal lesions -------> Herpes 1
recurrent abdominal pain -------> Hyper Para Thyroidism
Untakable B.P with rapid pulse -------> IsoGroup Fresh Blood
contracted blood volume in -------> PheoChromoCytoma
Hypovolemic Shock Improvement -------> > 30 cc/h
most frequent virus that cause meningitis -------> Enteroviruses
treatment of Hyperkalemia -------> resin cation exchange
the biological characteristic of the pleural effusion in Pancreatic pleurisy -------> elevation of Amylase
best way to diagnose a pulmonary solitary nodule -------> CT Scan
HypoCalcemia -------> Alkalosis and Myocardial Depression
quarantine is impractical in measles
Vibrio cholera -------> inhibits Na+ transport
Abdominal Aortic Aneurysm -------> Abdominal Ultrasound
Neoplastic pleural effusion -------> Hemorrhagic
Parasitologic stool test -------> Trichinosis
Gastro-Enteritis after eating a pork -------> CBC and muscle biopsy
Percutaneous Cyto-Puncture -------> the least diagnostic way for Dg of Pancreatic cancer
Gouts rarely affects -------> the shoulder
In A.I.D.S. Mycoplasma Pneumonia doesn't give a pulmonary infiltrates.
Colon cancer -------> no bone metastasis
Necrotising Enterocolitis -------> PneumoPeritoneum
most specific -------> CPK - MB
eggs eliminated by a sheep -------> Hydatic Cyst
Headache is the only sign of -------> Cryptococcus Meningitis
the first sign of Scleroderma -------> Raynaud's Sd.
Scleroderma -------> Oesophagal Dyskinesia.
early treatment of Raynaud's Sd cannot stop the evolution of the disease .
Diagnosis of Scleroderma -------> Skin Biopsy
Subtotal or total atrophy of intestinal villosity --------> Diabetes, immunoglobulin defficiencies, coeliac disease, Psoriasis, neomycin intake.
Herpetic lesion more than one month --------> A.I.D.S.
most common treatment type of lung abcess is --------> Medical trt (Penicillin or Clindamycine for 4 weeks).
Bleeding duodenal ulcer --------> Gastro-duodenal artery
long bone fractures ---------> fat embolism
post-op ------> Benign post op cholestasis.
traumatic hypovolemic shock ------------> increased blood viscosity
Unconsious man ----------> ABG's
Bacterial endocarditis --------> hematuria ,Normocytic anemia