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

2002

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

Question 1 of 48

1

The patient takes forced orthopnoic position in bed when having

Select one of the following:

Pulmonary abscesses
Acute pancreatitis
Left ventricle heart failure

Explanation

Question 2 of 48

1

The gait with small steps is typical for

Select one of the following:

Parkinsonismus
Hemiparesis
Rheumatoid arthritis

Explanation

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 4 of 48

1

Asthenic habitus (stature) is characterized by

Select one of the following:

Short height, well presented subcutaneous fat tissue
Tall height, reduced subcutaneous fat tissue
Middle height, well developed muscleskeletal system

Explanation

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 6 of 48

1

Redness of the face (rubeosis) is met in

Select one or more of the following:

Polycytemia
Diabetes mellitus
Chronic pyelonephritis

Explanation

Question 7 of 48

1

Icterus Jaundice) is met

Select one or more of the following:

Hepatitis
Chronic ulcerative colitis
Hemolysis

Explanation

Question 8 of 48

1

Rubin icterus is typical for

Select one of the following:

Megaloblastic anemia
Hemolytic anemia
Hepatitis

Explanation

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 10 of 48

1

Peripheral (cold) cyanosis is present in

Select one or more of the following:

COPD
Left ventricle heart failure
Vasculitis of peripheral arteries

Explanation

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 12 of 48

1

Xanthelasmata are

Select one of the following:

Deposed lipid fractions on the eyelids in arteriosclerotic patients
Purulent vesicles
Small, dot-like hemorrhagic skin lesions

Explanation

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:

Vitiligo
Melanodroma
Naevi pigmentnsi

Explanation

Question 14 of 48

1

Which statements referring to the temperature curves are correct

Select one or more of the following:

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

Explanation

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 16 of 48

1

Rectal temperature is

Select one of the following:

0.5-1.0 C higher than the axillar
Equal to the axillar
0.5 C lower than the axillar

Explanation

Question 17 of 48

1

Subfebrile temperature is

Select one of the following:

37-37.5 C
37-38 C
37.5 C

Explanation

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

1

Septic fever is presented with

Select one of the following:

Circade temperature variations < 1 C
Consecutive febrile periods (clays or weeks). And afebrile periods lasting several days
Large circacle temperature variations of 4-5 C

Explanation

Question 20 of 48

1

The heart state in febrile state is

Select one of the following:

Unchanged
Increased by 8-10 beats per minute for every degree higher than 37 C
Increased by 2-3 beats per minute for every degree higher than 37 C

Explanation

Question 21 of 48

1

The lightest degree of disturbed consciousness is

Select one of the following:

Sopor
Obnubilation
Somnolence

Explanation

Question 22 of 48

1

Presented tendon, stun and mucose reflexes are found in

Select one or more of the following:

Coma
Sopor
Somnolence

Explanation

Question 23 of 48

1

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

Select one of the following:

Hepatic failure
Barbiturate intoxication
Alcoholism

Explanation

Question 24 of 48

1

Tower-shaped skull is found in

Select one of the following:

Acromegaly
Hyperglucocorticisrn
Congenital hemolytic anemia (Minkowski-Chauffard's disease)

Explanation

Question 25 of 48

1

Caput quadratum (square-shaped head) is met in

Select one of the following:

Rickets
Gigantism
Hypocorticism

Explanation

Question 26 of 48

1

Facies Iunata is typical for

Select one of the following:

Hyperthyroidism
Hyperparathyroidism
Hyperglucocolticism

Explanation

Question 27 of 48

1

Facies hectica is met in

Select one of the following:

Diffuse peritonitis
Lung tuberculosis
Neurosis

Explanation

Question 28 of 48

1

Long eyelashes are met in

Select one or more of the following:

Lung tuberculosis
Iron deficiency anemia
Thyrotoxicosis

Explanation

Question 29 of 48

1

Loss of eyelashes is met in

Select one of the following:

Bronchiectasiae
Hypopituitarism
Lung tuberculosis

Explanation

Question 30 of 48

1

Hyperpigmentation of the eyelids is met in

Select one of the following:

Graves' disease
Hypothyroidism
Hypoparathyroidism

Explanation

Question 31 of 48

1

Exophthalmus is met in

Select one or more of the following:

Hypothyroidism
Graves' disease
Retroorbital tumors

Explanation

Question 32 of 48

1

Xerophthalmy is met in

Select one of the following:

Sjogren's syndrome
Hyperglucocorticism
Graves’ disease

Explanation

Question 33 of 48

1

Dilatation of pupils is called

Select one of the following:

Myosis
Ptosis
Mydriasis

Explanation

Question 34 of 48

1

Microstomia and microglossia are typical for

Select one of the following:

Thyrotoxicosis
Progressive systemic sclerosis
Hypothyroidism

Explanation

Question 35 of 48

1

Which diseases are presented with macroglossia

Select one or more of the following:

Acromegaly
Sclerodermia
Hypothyroidism

Explanation

Question 36 of 48

1

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

Select one of the following:

Anaemia perniciosa (megaloblastic anaemia)
Hemolytic anaemia
Duodenal ulcer

Explanation

Question 37 of 48

1

Xerostomy is met in

Select one or more of the following:

Parkinsonismus
Diabetes mellitus
Sjogren's syndrome

Explanation

Question 38 of 48

1

Ulceronecrotic lesions of oral mucosa are met in

Select one or more of the following:

Megaloblastic anaemia
Agranulocytosis
Leukemia

Explanation

Question 39 of 48

1

Enlarged parotid glands are found in

Select one or more of the following:

Leukemia
Sjogren's syndrome
Iron deficiency anaemia

Explanation

Question 40 of 48

1

Epistaxis (bleeding from the nose) is observed in

Select one or more of the following:

Arterial hypertension
Hypoparathyroidism
Hemorrhagic diathesis

Explanation

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 42 of 48

1

“Jumping carotid arteries”are met in

Select one or more of the following:

Aortic regurgitation
Mitral regurgitation
Graves disease

Explanation

Question 43 of 48

1

Voice changes are found in (>l)

Select one or more of the following:

Hyperglucocorticism
Severe hypothyroidism
Acromegaly

Explanation

Question 44 of 48

1

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

Select one of the following:

Submandibular
Supraclavicular
Along the anterior and posterior margins of sternocleidomastoid muscle

Explanation

Question 45 of 48

1

Lymphadenomegaly is tender in

Select one of the following:

Metastases in the lymph nodes
Hodgkin's disease
Rapid enlargement of the lymph nodes due Lo inflammatory diseases

Explanation

Question 46 of 48

1

Lymph nodes are very hard, painless, forming conglomerates in

Select one of the following:

Metastases from solid tumors
Inflammatory processes
Tuberculosis

Explanation

Question 47 of 48

1

The final etiologic diagnosis of lymphadenomegaly is made by

Select one of the following:

Physical examination of the lymph nodes
Biopsy and histological analysis
Lymphography

Explanation

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 a stomach cancer, so called Wirchof gland
Metastases from other neoplasmata
Inflammatory diseases of the head and neck

Explanation