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Внутренние болезни

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08.04.2020. Тест. Прочее, Прочее
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Список вопросов теста

Вопрос 1

Patients with Systemic Sclerosis have elevated serum titers for which of the following pathogens?  

 

 

 

Варианты ответов
  • Parvovirus B19
  • Parvovirus and Norovirus
  • Norovirus
  • Neisseria gonorrheae
  • HS
Вопрос 2

A 35 year old lady complains dysphagia , Raynaud's

phenomenon, sclerodactyly. Investigations show

antinuclear antibody. The likely diagnosis is :

 

Варианты ответов
  • Rheumatoid arthritis
  • Mixed connective tissue disorder
  • Systemic sclerosis
  • Systemic lupus erythematosis
Вопрос 3

A 14 year old girl on exposure to cold has pallor of

extremities followed by pain and cyanosis. In later

stages of life she is most prone to develop:

 

Варианты ответов
  • SLE
  • Scleroderma
  • Rheumatoid Arthritis
  • Dermatomyositis
Вопрос 4

Which of the following is the most frequent presenting

symptoms in patients with giant cell arteritis

 

Варианты ответов
  • Headache
  • Jaw claudication
  • Polymyalgin Rheumatica
  • Blindness
Вопрос 5

An elderly female presents to the emergency

department with history of fever, headache and

double vision. Biopsy of temporal artery revealed

panarteritis . The most likely diagnosis is

 

Варианты ответов
  • Temporal Arteritis
  • Wegener's Granulomatosis
  • PolyarteritisNodosa
  • Nonspecific Arteritis
Вопрос 6

An 18 year old boy presents with digital gangrene in

3rd & 4th fingers for last 2 weeks. On examination

the BP is 170/ 110 mm of Hg and all peripheral pulses

were palpable. Blood & Urine examination were unre ¬

markable. Antinuclear antibody, Antibody to ds DNA

& DNA & ANCA were negative. Most likely diagnosis is:

 

Варианты ответов
  • Henoch -Schonlein purpura
  • Polyarteritis nodosa
  • Wegener’s granulomatosis
  • Disseminated tuberculosis
Вопрос 7

Bilateral upper limb pulse less disease is:

 

Варианты ответов
  • HSP
  • Polyarteritis Nodosa
  • Aortoarteritis
  • Giant Cell Arteritis
Вопрос 8

All of the following are true about Cushing's syndrome,

except:

 

Варианты ответов
  • Edema
  • Proximal muscle weakness
  • Increased adrenaline
  • Red striae
Вопрос 9

 Most common cause of Cushing's syndrome is:

 

Варианты ответов
  • Iatrogenic steroids
  • Ectopic ACT
  • Adrenal adenoma
  • Pituitary adenoma
Вопрос 10

A patient presents with hemoptysis and Cushingoid

features with a lack of dexamethasone suppression ,

the likely reason could be:

 

Варианты ответов
  • Adrenal adenoma
  • CA lung
  • Ectopic ACTH production
  • Adrenal hyperplasia
Вопрос 11

Which of the following is not seen in Vitamin D

deficiency:

 

Варианты ответов
  • Decreased serum calcium
  • Hypophosphatemia
  • Decreased phosphate in urine
  • Increased alkaline phosphate
Вопрос 12

In Addison’s disease, most diagnostic test is:

 

Варианты ответов
  • ACTH stimulation test
  • Serum creatinine/urea ratio
  • Serum Na+,K+, saline suppression
  • Serum Na+,K+,rennin
Вопрос 13

Increased Aldosterone leads to all except:

 

Варианты ответов
  • Metabolic acidosis
  • Hypokalemia
  • Hypernatremia
  • Hypertension
Вопрос 14

Hypertension with hypokalemia is seen in following

except:

 

Варианты ответов
  • Edema
  • Primary hyperaldosteronism
  • End stage renal disease
  • Liddle syndrome
  • Cushing syndrome
Вопрос 15

Which of the following is the most common cause of

Addison's disease in india?

 

Варианты ответов
  • Autoimmune adrenal insufficiency
  • HIV
  • Post-partum pituitary insufficiency
  • Tuberculosis
Вопрос 16

HLA B27 maximum association is with?

 

Варианты ответов
  • Juvenile rheumatoid arthritis
  • Osteoarthritis
  • Rheumatoid arthritis
  • Ankylosing spondylitis
Вопрос 17

What other disease or condition commonly accompanies ankylosing spondylitis?

 

Варианты ответов
  • Inflammation of the eye
  • Parkinson's disease
  • Migraine
  • Influenza
Вопрос 18

A 22-year-old man presented to the hospital with progressive shortness of breath, chest discomfort, sinus tachycardia, and emesis. The echocardiogram demonstrated global hypokinesis with a left ventricle ejection fraction of 15–20%. The patient was treated for acute systolic heart failure decompensation with diuresis and afterload reduction. Unexpectedly, an abdominal computed tomography showed a left adrenal mass and subsequent serum/urine metanephrine tests. What is the most likely diagnosis?

 

Варианты ответов
  • pheochromocytoma,
  • Addison disease
  • cushing syndrome
  • CCD
Вопрос 19

All the following drugs are used in pheochromocytoma

except:

 

Варианты ответов
  • Metyrosine
  • Atenolol
  • Prazosin
  • Nitroprusside
Вопрос 20

. The predominant symptom / sign of pheochromo -

cytoma is:

 

Варианты ответов
  • Episodic hypertension
  • Orthostatic hypotension
  • Weight loss
  • Sweating
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