Cartes mémoires Internal diseases (Seite 3 von 5)

Cartes-fiches	197
Langue	Deutsch
Catégorie	Médecine
Niveau	Université
Crée / Actualisé	25.06.2022 / 27.06.2022
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32. Subject complaining for dysuria, increased frequency, pain during voiding and fever presents symptoms of:

a) renal colic

b) renal cancer

c) urinary tract infection

33. Nephrotic syndrome is characterized by:
1. proteinuria > 3.5 G/24 h
2. hipoproteinaemia and hipoalbuminaemia
3. hiperlipidaemia
4. edema

a) 1, 2, 3

b) 1, 2, 4

c) 1, 2, 3, 4

34. The percussable abdominal organs (in terms of examination of shape and size) in normal patient are:

a) liver

b) kidney

c) stomach

d) small intestine

e) spleen

35. Assessment for shifting dullness on percussion is not a reliable technique in detecting ascites (1) and the absence of shifting indicates the presence of fluid as a cause of abdominal distension (2).

a) first statement is true and the second statement is false

b) first statement is false and the second statement is true

c) both statements are true

d) both statements are false

36. There are some possible limitations of shifting dullness technique, except for:

a) small amounts of fluid

b) previous abdominal surgery

c) presence of hepatomegaly

d) all answers are true

37. Assessing of fluid wave (in ascites examination) is:

a) more reliable than shifting dullness technique

b) a confirmatory test of low reliability

c) requires abdominal puncture

38. Ascites is an abnormal accumulation of fluid in:

a) guts

b) peritoneal cavity

c) subcutaneous tissue of abdominal skin

d) a+b

39. Acute abdomen (also called surgical abdomen) is characterized by:

a) silent abdomen on auscultation

b) superficial muscle tightening on palpation (muscular defence)

c) rebound tenderness (Blumberg’s sing)

d) a+c

e) a+b+c

40. Jaundice is a yellow discoloration of the skin caused by:

a) liver diseases

b) decreased serum bilirubin concentration

c) kidney insufficiency

d) chronic, severe cigarette smoking

e) a+d

41. The presence of costo-vertebral angle tenderness on right side indicates:

a) hepatomegaly

b) splenomegaly

c) kidney infection

d) stomach ulcer

42. Chronic liver diseases can be accompanied by:

a) jaundice

b) breast development

c) spider angiomata

d) all of the above

43. Lower extremity edema are pathognomonic for liver diseases (1) and results from decrease of albumin serum concentration and low oncotic pressure (2).

a) first statement is true and the second statement is false

b) first statement is false and the second statement is true

c) both statements are true

d) both statements are false

44. Femoral lymph nodes are considered normal in size up to:

a. 0,2 cm

b. 1,0 cm

c. 2 cm

d. any enlargement of femoral lymph nods is considered pathological

45. Routine arteries examination includes palpation of arteries listed below, except for:

a) brachial artery

c) abdominal aorta

d) popliteal artery

e) b+c

46. Lower extremities venous insufficiency is characterized by:

a) dark blue skin discoloration

b) legs edema

d) gangrene of toes

e) a+b

47. Lower extremities arterial insufficiency is characterized by:

a) pain exacerbating on walking

b) pale skin

c) absence of pulse over posterior tibial artery

d) edema around malleoli

e) a+b+c

48. Posterior tibial artery is located:

a) behind medial malleolus

b) behind lateral malleolus

c) in popliteal fossa

d) in line with the lateral edge of extensor of toe

49. Cushing syndrome is characterized by the following signs and symptoms except:

a) hirsutism (excessive male pattern hair growth in women)

b) myosis (constriction of the pupil)

c) ecchymoses (a bruise)

d) hypertension

50. Acromegaly (because pituitary gland hyperactivity) is characterized by enlarged size of hands and foots (1) and always starts in adolescence or later (2)

a) first statement is true and the second statement is false

b) first statement is false and the second statement is true

c) both statements are true

d) both statements are wrong

When is cyanosis (deoxynated hemoglobin) more obvious to be detected:

A. Anemia

B.High Hemoglobin count

C.Low HB count

D. HB count does not have anything to do with HB

2. Calculations of BMI

body weight (kg) / (hight (m))²

a

4. S1 is compared to S2

A. high pitched

B. short

C.low pitched

D. long

E. C and D

5. S1 split fixed

A. Pulmonary hypertension

B. Pulmonary stenosis

C. atrial septal defect

D. ectopic beat from left heart side

6. Reversed split of S2

A. aortic stenosis

B. hypertrophic cardiomyopathy

C. LBBB

D. None oft he above

E. All oft he above

7. Buerger's disease;

A. smokers, only in males age < 35

B. pain at rest severe , pain ischemic , ulceration gangran , leg cold pale and cyanosis

C. peripheral location

D. affect vein

E. acute necrosis , erythrocyte sedimantation rate normal

8. Intermittent claudication (pain of vascular origin increased by exercise, reduced by rest) most common in

a) Excise induce lower extremity

b) Reproducible pain (burning , heaviness , fatigue , tirdness , cramping , tightness)

c) Cause by ischemia

d) Release pain at rest e) No occur when standing

h) Location discofort ( thigh , calf , foot , hip , bottucus )

9. Pseudoclaudication is

a) occur when standing

b) yes or no Excise induce lower extremity

c) relive when change body position

e) Location discofort ( thigh , calf , foot , hip , bottucus )

j) Discomfort ( tirdness , cramping , tightness , weakness , )

10. overexposed lungs appear whiter/darker on xrays?

A. Darker Areas

B. Lighter Areas

11. tail of pancreas located in epigastric area and right hypochondriac region quandrant (1) and it touches kidney (2)

A. both statements true

B. both statements false

C. First statement is correct, second statement is false

D. First statement is false, second statement is correct

12. kidney location

A. retroperitoneal and paravertebral

a

12. Late inspiratory crackles are characteristic for

A. Consolidation

B. Fibrosis

C. Congestive heart failure

D. Tuberculosis

E. All of the above

13. Enlarged Liver

A. Abscess

B. Heptisis

C. Cysts

D. Cancers

E. All of the above

14. Percussion on abdomen with dullness may be...

A.normal finding

B. always indicates disease

C. constipation

D. A + C

15. Signs of acute abdomen occur in

A. inflammation of peritoneum

B. constipation

C. abcense of bowel sound

D.blumberg’s sign

E. a,c,d

16. subaortic stenosis is made of what tissue and does it radiate to the carotids?

a) Grow of septial tissue below the aortic valve

b) do not radiate to carotid

c) crescendo-decrocendo (crescentic glomerulonephritis)

d) all of above

17. Aortic murmurs/sounds are best heard

when patient is leaning forward

a

19. Valsalva maneuver

A.decrease aortic murmur

B. decreases the preload to the right heart

20. acute abdomen all the following except

A. constipation

B. peritoneal inflammation C. appendicitis D. cholecystitis E. pancreatitis

F. ectopic pregnancy

G.repture aortic aneurysm

H.peptic ulcer of stomach

21. McBrurney's point may be measured:

A. 1/3 laterally in the distance between ASIS (Anterior superior iliac spine) and umbilicus

a

22. hypogastric region lies between lumbar regions (1), pubis bone is inferior border of hypogastric region (2)

1 false 2 correct

2 correct 1 false

both false

both correct

Internal diseases

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