Внутренние болезни
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


