Lernkartei Internal diseases (Seite 4 von 5)

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Sprache	Deutsch
Kategorie	Medizin
Stufe	Universität
Erstellt / Aktualisiert	25.06.2022 / 27.06.2022
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23. normally valve Mitral valve closes before valve Tricuspid valve

correct sentence

false sentence

24. S3 is a normal finding :

yes

no

26. When lying down you have dyspnea when standing up it disappears presbiopya/ myopia means?

A. orthopnea (A sensation of shortness of breath that occurs upon lying down and is relieved by sitting up. Left ventricular failure is a common cause)

B. platypnea (A symptom of shortness of breath that worsens when standing or sitting and improves when lying supine)

27.normal systolic BP should not exceed:

A. <139 mmHg

a

28. When you have two different values , which would you choose

A. the higher value

a

30. Liver should not exceed

12 cm in MCL

a

32. Vesicular sound originates in...

A. alveoli

B. alveoli and small airways

C. it does not originated in alveoli or small airways, is not generated in alveoli-vesicles

D. lobar and segmental airways

33. Garland's triangle

area is relative resonance on percussion on the same side as pleural effusion

a

34. WHR (waist to hip ratio) >1 in men indicates

Cardiovesicular disease and infertility

a

35. Demaseau line is

A. parabolic

B. Horizontal

C. vertical

36. In near sightedness

A. patient sees better far

B. patient sees better close

38. Lid lag sign (von Graefe’s sign)

A. sclera rami between upper eyelid and upper border of iris

a

1. What is the scale for assesment of ischemia of lower limbs?

Anckle brachial index

a

3. what is the level of Hb1Ac in diabetes?

a) 13%

b) 9%

c) 6,5%

4. Multisegmented ischemia of lower limbs has block in 2 or more areas (1) and causes necrosis of lower limb (2)

1 correct, 2 false

2 correct, 1 false

both correct

both false

5. Murmur of artial septal defect best heard over:

a)pulmonic area

a

6. causes of soft S1

a)mitral regurgitation

b)veticular septal defect

c)decrease contractility

d) all of above

7. Causes of paradoxal S2

a)LBBB

b)aortic valve stenosis

c)arterial hyper tension

d) hypertrophic cardiomyopathy

e)extrasystol originate from right ventricle

8. Posterior ribs 1 and stomach air bubble 2 appears on the left side on xray

1 correct, 2 false

1 false, 2 correct

both correct

both false

9. auscultation of abdomen is not very reliable and should be omitted

true

false

11. auscultation of renal arteries, where to perform?

2-3 cm at lateral edge of rectus muscle

a

12. murphy's sign is highly specific 1, has low negative predictive value 2 and is sensitivity 3

1 and 2 correct

1 and 2 false

1 correct, 2 false

1 false, 2 correct

13. stage III of Fontaine's scale is characterised by

a) moderete... i.e. <150m

b) severe.... i.e. >150m

c)pain at rest

14. Which one of these does not cause weight loss?

a)depression

b) diabetes

c) hyperthyroidism

d) all cause weight loss

15. ...... and the best way to asses the size of mass in the abdomen is to compare it with a known shape eg. pea size, egg size, baby head size

true

false

Xanthelasma are:

usually multiple yellow placoid sessions in the periocular skin

the lower lid is less frequently involved

they could be a sign of higher risk for heart disease

it is possible to get xanthelasma with normal cholesterol

all

Zubrod perdormance scale (ECOG PS)

A scale from 0 to 5 used to describe a patient's functional ability. Patients who are fully active are given a score of 0, those unable to complete any self-care are given a score of 4, and deceased individuals are given a score of 5.

the ability of cancer patient to carry out the activities of daily living

the ability of a COPD patient to carry out the activities of daily living

the ability of diabetic patient to carry out the activities of daily living

the ability of a in-patient to carry out the activities of daily living

67-year old women is admitted to the hospital with dyspnea. On physical exam you noticed crackles. Wich one of the following might be the best explanation of crackles?

pneumothorax, asthma, pneumonia

pneumonia, bronchiectasis, pleural effusion

pneumonia, right ventricular failure, tuberculosis

left ventricular failure, pneumonia, pulmonary fibrosis

4 fs in acute cholecystitis stands for:

(1) female

(2) fatty

(3) fever

(4) forty

(5) fertile

true are 1+2+3+5

true are 1+3+4+5

true are 1+2+3+5

true are 2+3+4+5

Reversed (paradoxical) split of S2 is met in

left bundle branch block

hypertrophic cardiomyopathy

severe arterial hypertension

all answers are right

78-year old woman presents with syncope episode. Which of the following on physical exam that would suggest aortic stenosis?

diastolic decrescendo murmur at right upper sternal border

systolic crescendo-decrescendo murmur at right upper sternal border

high-pitched, blowing, holosystolic murmur at the apex

mid-diastoli murmur at right upper sternal border radiating down

overweight defined by body mass index (BMI) is quantified as

BMI of 25-30

BMI of 20-24,9

BMI of 30,1-34,9

Innocent heart mumur is:

primarily due to structural defect

usually less than 2/6 in intensity

usually systolic

can be produced by hyper dynamic circulation

In US and many other developed countries cancer incidence rate in men is highest for peostate (1) and cancer death rate is highest for lung cancer

both true

1 true, 2 false

1 false, 2 true

both false

41-year old women is brought to the emergency with eougastric abdominal pain radiating to the back. What data from the histroy or physical ecam would suggest acute pancreatis as the most likely diagnosis?

history of bloody vomiting, dysphagia

nausea, vomiting, heavy alcohol use

constipation, heartburn

severe flank pain which radiates to groin restlessness

59-year old man is found unconscious on the floor. There is no pulse detected at the radial atery. What is the most appropriate next step in management?

perform complete physical examination

palpate the pulse at the carotid artery

obtain additional information from the bystanders

immediately start CPR (cardio-pulmonary-resuscitation)

22-years old woman is admitted to the hospital because of 3 dayss of high-grade fever, shaking chills, precordial chest pain that is made worse by inspiration. On physical examination the neck vains are normal, and there id a scrath friction rub heard best at the lower left sternal border. C-reactive protein concentration is rise. Chest radiograph and ECG are normal. Which of the following is the most likely diagnosis?

pericarditis

myocardial infarction

myocarditis

pulmonary embolism

37-year old women presents with shortness of breath. Which one of the physical findings would strongly suggest that she has asthma exacerbation.

decreased breath sounds, stridor, normal or hyperresonanse on percussion

wheezes, prolonged expiratory phase, normal or hyperresonanse on percussion

crackles, prolonged expiratory phase, dullness on percussion

wheezes, prolonged inspiratory phase, dullness on percussion

66-year old man with 40-pack-year history of smoking present with dyspnea, cough and sputum production. What findings would strongly suggest repsiratory failure?

decreased breath sounds, increased expiratory phase

cyanosis, accessory muscle use

wheezes, increased AP diameter of chest

rhonchi, hyperresonance, decreased breath sounds, tachypnoe

CURB 65 grade 3 is burdened with low risk (2-3%) of death from pneumonia at 30 days (1) but the patient is still recommended to be hospilized (2)

both are true

1 true, 2 false

1 false, 2 true

both false

Internal diseases

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