LATEST INTERNAL MEDICINE FREQUENTLY ASK QUESTION WITH ANSWER 2015

LATEST INTERNAL MEDICINE FREQUENTLY ASK QUESTION WITH ANSWER 2015

 

Q.Hyperbaric oxygen is useful in the treatment of all, except ?
a.CO poisoning

b.Gas gangrene

c.Atelectasis

d.Cyanide poisoning

ANS-C

Q.The Goldblatt hypertension is seen in-
a.Renovascular disease

b.Drug induced

c.Adrenal medulla tumor

d.Children

ANS-A

Q.Mr. Robin 46 years old has BP of 158/102 he has-
a.Normal BP

b.Pre hypertensive

c.Stage I HT

d.Stage II HT

ANS -D

Q.35 year old man present in a clinic with history of chronic productive cough that is worse in moring and bought on by change in posture.sputum is copious and yellow.the most likely diagnosis ?

a.bronchial asthama

b.bronchogenic carcenoma

c.bronchiectasis

d.chronic bronchitis

ANS C

Q .25 year old girl is taking Anti-TB treatment.she present in eye outer with visual complaints.the most likely cause of her symptoms is side effect of which drug ?

a.Isoniazid

b.rifampicine

c.pyrazinamide

d.streptomycin

ANS -C

Q.A 35-year-old construction worker presents with complaints of nocturnal parasthesias of the thumb and the index and middle fingers. There is some atrophy of the thenar eminence. Tinel sign is positive. The most likely diagnosis is

a. Carpal tunnel syndrome

b. De Quervain’s tenosynovitis

c .Amyotrophic lateral sclerosis

d.Rheumatoid arthritis of the wrist joint

ANS- A

Q.
A 16-year-old girl presents with lower abdominal pain and fever. On physical examination, a tender adnexal mass is felt. Further questioning in private reveals the following: she has a new sexual partner; her periods are irregular; she has a vaginal discharge. The most likely diagnosis is

a.   Appendiceal abscess

b.    Tuboovarian abscess

c.   Ovarian cyst

d.   Ectopic pregnancy

ANS-B

Q.A 29-year-old man is brought to the emergency department in a comatose state a few hours after complaining of sudden onset of excruciating headache. Neurologic examination reveals dilated pupils poorly responsive to light. A CT scan of the head without contrast demonstrates hyperdensity within the suprasellar cistern, while MRI is unremarkable. Lumbar puncture shows hemorrhagic cerebrospinal fluid. Which of the following is the most likely diagnosis?
a.Amyloid angiopathy-related hemorrhage

b.Cavernous sinus thrombosis

c.Hemorrhagic infarction

d.Ruptured berry aneurysm

ANS -D

Q. A 34-year-old man presents with a swollen left knee of 2 days’ duration. He denies any known trauma to that region and has no prior history of any musculoskeletal complaints. He is in otherwise excellent health. He is homosexual and practices safe sex with a single partner. On physical examination, his knee is swollen, tender to palpation, and erythematous and has a limited range of motion. An arthrocentesis is performed. Which of the following is most suggestive of a septic arthritis in this patient?
a.A complete blood cell count with 14,300 white blood cells per mL

b.A joint fluid aspirate with a white blood cell count of 28,000 per mL

c.A joint fluid aspirate with a white blood cell count of 36,000 per mL

d.A joint fluid aspirate with a white blood cell count of 93,000 per mL

ANS -D

Q.    43. A 59-year-old man presents to the hospital complaining of cough. The patient describes a cough that has progressively worsened over the past 3 days, becoming more productive of yellowish sputum. He also reports one episode of shaking chills 2 days ago. His past medical history is remarkable for rheumatoid arthritis, for which he takes a nonsteroidal agent for pain control. On examination, his blood pressure is 140/90 mm Hg, and his pulse is 100/min. He has coarse breath sounds over his right base and a normal cardiac examination. Which of the following is the most appropriate diagnostic test for this patient?
a.High-resolution chest CT

b.Positron emission tomography (PET) scan of the lungs

c.MRI of the chest

d.X-ray films of the chest, posterior-anterior (PA) and lateral views

ANS -D

Q.A 40 yrs old lady underwent cholecystectomy for gall stones. 24 hrs after the surgery she became confused and developed tachycardia. On examination lungs were clear. Her arterial blood gas analysis showed pO2 = 50, pCO2= 28, pH=7.49. The most important next investigation to establish the cause of her deteriorating condition would be-
a.Chest roentgenogram

b.Blood culture

c.ECG

d.Lung scan

ANS-D