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GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU

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GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU

Question 14 of 48 Question 1 of 48

1

The patient takes forced orthopnoic position in bed when having

Select one of the following:

  • Acute pancreatitis

  • Pulmonary abscesses

  • Left ventricle heart failure

Explanation

Question 22 of 48 Question 2 of 48

1

The gait with small steps is typical for

Select one of the following:

  • Hemiparesis

  • Rheumatoid arthritis

  • Parkinsonismus

Explanation

Question 34 of 48 Question 3 of 48

1

Claudicatio intermittens (intermittent limping) is met in

Select one of the following:

  • Ankylosing spondylitis

  • Damaged arterial blood circulation of the lower extremities

  • Tetany

Explanation

Question 5 of 48 Question 4 of 48

1

Asthenic habitus (stature) is characterized by

Select one of the following:

  • Tall height, reduced subcutaneous fat tissue

  • Middle height, well developed muscleskeletal system

  • Short height, well presented subcutaneous fat tissue

Explanation

Question 40 of 48 Question 5 of 48

1

The normal body mass index is

Select one of the following:

  • 15-18. 5 kg/m2

  • 30-35 kg/m2

  • 18.5-24.9 kg/m2

Explanation

Question 23 of 48 Question 6 of 48

1

Redness of the face (rubeosis) is met in

Select one or more of the following:

  • Chronic pyelonephritis

  • Diabetes mellitus

  • Polycytemia

Explanation

Question 18 of 48 Question 7 of 48

1

Icterus Jaundice) is met

Select one or more of the following:

  • Hemolysis

  • Chronic ulcerative colitis

  • Hepatitis

Explanation

Question 1 of 48 Question 8 of 48

1

Rubin icterus is typical for

Select one of the following:

  • Hepatitis

  • Megaloblastic anemia

  • Hemolytic anemia

Explanation

Question 17 of 48 Question 9 of 48

1

Central (warm) cyanosis is met in

Select one of the following:

  • Atherosclerosis of peripheral blood vessels of the lower extremities

  • Chronic pulmonary diseases e. g. Bronchial asthma, COPD etc.

  • Thrombosis of a peripheral blood vessel

Explanation

Question 13 of 48 Question 10 of 48

1

Peripheral (cold) cyanosis is present in

Select one or more of the following:

  • Vasculitis of peripheral arteries

  • Left ventricle heart failure

  • COPD

Explanation

Question 10 of 48 Question 11 of 48

1

Angioneurotic edema (Quincke's oedema) is met in

Select one of the following:

  • Renal diseases

  • Heart failure

  • Drug and food allergy

Explanation

Question 39 of 48 Question 12 of 48

1

Xanthelasmata are

Select one of the following:

  • Purulent vesicles

  • Small, dot-like hemorrhagic skin lesions

  • Deposed lipid fractions on the eyelids in arteriosclerotic patients

Explanation

Question 25 of 48 Question 13 of 48

1

Intensive pigmentation of the overt regions of the body as well as the physiologically hyper-pigmented regions is called)

Select one of the following:

  • Naevi pigmentnsi

  • Melanodroma

  • Vitiligo

Explanation

Question 6 of 48 Question 14 of 48

1

Which statements referring to the temperature curves are correct

Select one or more of the following:

  • Febris undulans (undulating fever) is presented with gradual increase up to 39-40 C for several days, followed by a gradual decrease for several days or weeks

  • Febris septica is presented with circade variations about 1 C for several days

  • Febris septica (septic fever) is presented with high amplitudes of 3-4 C, increases significantly in the afternoon, followed by a sudden drop, accompanied by profuse sweating

Explanation

Question 26 of 48 Question 15 of 48

1

Which is the correct definition of febris continua (continuous fever):

Select one of the following:

  • Febrile periods (days or weeks) with gradual increase of the temperature up to 40 C, followed by a gradual decrease and an a febrile period

  • Moderate to high fever with circade variations about 1 C, without reaching 37 C

  • Permanent febrile state, lasting several days with circade temperature variations less than 1 C

Explanation

Question 33 of 48 Question 16 of 48

1

Rectal temperature is

Select one of the following:

  • 0.5-1.0 C higher than the axillar

  • 0.5 C lower than the axillar

  • Equal to the axillar

Explanation

Question 42 of 48 Question 17 of 48

1

Subfebrile temperature is

Select one of the following:

  • 37-37.5 C

  • 37.5 C

  • 37-38 C

Explanation

Question 45 of 48 Question 18 of 48

1

Febris undulans is typical for

Select one of the following:

  • Lobar pneumonia

  • Sepsis

  • Hodgkin's lymphoma

Explanation

Question 19 of 48 Question 19 of 48

1

Septic fever is presented with

Select one of the following:

  • Large circacle temperature variations of 4-5 C

  • Consecutive febrile periods (clays or weeks). And afebrile periods lasting several days

  • Circade temperature variations < 1 C

Explanation

Question 48 of 48 Question 20 of 48

1

The heart state in febrile state is

Select one of the following:

  • Increased by 2-3 beats per minute for every degree higher than 37 C

  • Unchanged

  • Increased by 8-10 beats per minute for every degree higher than 37 C

Explanation

Question 32 of 48 Question 21 of 48

1

The lightest degree of disturbed consciousness is

Select one of the following:

  • Obnubilation

  • Sopor

  • Somnolence

Explanation

Question 15 of 48 Question 22 of 48

1

Presented tendon, stun and mucose reflexes are found in

Select one or more of the following:

  • Sopor

  • Coma

  • Somnolence

Explanation

Question 46 of 48 Question 23 of 48

1

Delirium tremens with visual hallucinations for insects and small animals is typical for

Select one of the following:

  • Alcoholism

  • Barbiturate intoxication

  • Hepatic failure

Explanation

Question 4 of 48 Question 24 of 48

1

Tower-shaped skull is found in

Select one of the following:

  • Hyperglucocorticisrn

  • Acromegaly

  • Congenital hemolytic anemia (Minkowski-Chauffard's disease)

Explanation

Question 2 of 48 Question 25 of 48

1

Caput quadratum (square-shaped head) is met in

Select one of the following:

  • Rickets

  • Gigantism

  • Hypocorticism

Explanation

Question 35 of 48 Question 26 of 48

1

Facies Iunata is typical for

Select one of the following:

  • Hyperthyroidism

  • Hyperglucocolticism

  • Hyperparathyroidism

Explanation

Question 37 of 48 Question 27 of 48

1

Facies hectica is met in

Select one of the following:

  • Neurosis

  • Lung tuberculosis

  • Diffuse peritonitis

Explanation

Question 43 of 48 Question 28 of 48

1

Long eyelashes are met in

Select one or more of the following:

  • Iron deficiency anemia

  • Thyrotoxicosis

  • Lung tuberculosis

Explanation

Question 12 of 48 Question 29 of 48

1

Loss of eyelashes is met in

Select one of the following:

  • Bronchiectasiae

  • Lung tuberculosis

  • Hypopituitarism

Explanation

Question 8 of 48 Question 30 of 48

1

Hyperpigmentation of the eyelids is met in

Select one of the following:

  • Hypothyroidism

  • Hypoparathyroidism

  • Graves' disease

Explanation

Question 27 of 48 Question 31 of 48

1

Exophthalmus is met in

Select one or more of the following:

  • Hypothyroidism

  • Retroorbital tumors

  • Graves' disease

Explanation

Question 41 of 48 Question 32 of 48

1

Xerophthalmy is met in

Select one of the following:

  • Sjogren's syndrome

  • Graves’ disease

  • Hyperglucocorticism

Explanation

Question 29 of 48 Question 33 of 48

1

Dilatation of pupils is called

Select one of the following:

  • Mydriasis

  • Myosis

  • Ptosis

Explanation

Question 9 of 48 Question 34 of 48

1

Microstomia and microglossia are typical for

Select one of the following:

  • Thyrotoxicosis

  • Progressive systemic sclerosis

  • Hypothyroidism

Explanation

Question 24 of 48 Question 35 of 48

1

Which diseases are presented with macroglossia

Select one or more of the following:

  • Hypothyroidism

  • Sclerodermia

  • Acromegaly

Explanation

Question 44 of 48 Question 36 of 48

1

Polished tongue (Hunter's glossitis)- red, painful tongue with atropapillae is met in

Select one of the following:

  • Duodenal ulcer

  • Anaemia perniciosa (megaloblastic anaemia)

  • Hemolytic anaemia

Explanation

Question 38 of 48 Question 37 of 48

1

Xerostomy is met in

Select one or more of the following:

  • Parkinsonismus

  • Diabetes mellitus

  • Sjogren's syndrome

Explanation

Question 31 of 48 Question 38 of 48

1

Ulceronecrotic lesions of oral mucosa are met in

Select one or more of the following:

  • Leukemia

  • Megaloblastic anaemia

  • Agranulocytosis

Explanation

Question 3 of 48 Question 39 of 48

1

Enlarged parotid glands are found in

Select one or more of the following:

  • Sjogren's syndrome

  • Iron deficiency anaemia

  • Leukemia

Explanation

Question 11 of 48 Question 40 of 48

1

Epistaxis (bleeding from the nose) is observed in

Select one or more of the following:

  • Hypoparathyroidism

  • Hemorrhagic diathesis

  • Arterial hypertension

Explanation

Question 21 of 48 Question 41 of 48

1

Enlarged jugular veins are met in

Select one or more of the following:

  • Congestive right ventricle heart failure

  • Compression by a retrosternal goiter

  • Laryngeal oedema

Explanation

Question 30 of 48 Question 42 of 48

1

“Jumping carotid arteries”are met in

Select one or more of the following:

  • Graves disease

  • Aortic regurgitation

  • Mitral regurgitation

Explanation

Question 47 of 48 Question 43 of 48

1

Voice changes are found in (>l)

Select one or more of the following:

  • Hyperglucocorticism

  • Acromegaly

  • Severe hypothyroidism

Explanation

Question 20 of 48 Question 44 of 48

1

Which group of cervical lymph nodes is affected first in Hodgkin's disease

Select one of the following:

  • Supraclavicular

  • Submandibular

  • Along the anterior and posterior margins of sternocleidomastoid muscle

Explanation

Question 7 of 48 Question 45 of 48

1

Lymphadenomegaly is tender in

Select one of the following:

  • Hodgkin's disease

  • Rapid enlargement of the lymph nodes due Lo inflammatory diseases

  • Metastases in the lymph nodes

Explanation

Question 28 of 48 Question 46 of 48

1

Lymph nodes are very hard, painless, forming conglomerates in

Select one of the following:

  • Tuberculosis

  • Inflammatory processes

  • Metastases from solid tumors

Explanation

Question 36 of 48 Question 47 of 48

1

The final etiologic diagnosis of lymphadenomegaly is made by

Select one of the following:

  • Lymphography

  • Physical examination of the lymph nodes

  • Biopsy and histological analysis

Explanation

Question 16 of 48 Question 48 of 48

1

Enlarged lymph nodes in the left supraclavicular region are met in

Select one or more of the following:

  • Metastases from other neoplasmata

  • Metastases from a stomach cancer, so called Wirchof gland

  • Inflammatory diseases of the head and neck

Explanation

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