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Mcqs for internists

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MCQ ( 2016 – 2017 )

Medicine – Theoretical – Examination – MSQ
Mid year

1. Which of the following is not a conduction portion of respiratory tract?
A) Pharynx
B) Larynx
C) Tertiary bronchi
D) Respiratory bronchiole
E) Terminal bronchiole
Answer: D

2. All of the following are muscles of expiration, except:
A) Rectus abdominals
B) Internal abdominal oblique
C) External abdominal oblique
D) Internal intercostal
E) External intercostal
Answer: E

3. In all of the following conditions TLco increase, except:
A) Pulmonary hemorrhage
B) Polycythemia
C) Supine position
D) Anemia
E) Exercise
Answer: D

4. All are features of psychogenic hyperventilation, except:
A) Lightheadedness
B) Paresthesia
C) Central chest discomfort
D) Not getting a deep enough breath in
E) PCO2 increased, acidosis
Answer: E
5. Which of the following is not a feature of Horner syndrome:
A) Partial ptosis
B) Exophthalmos
C) Hyperhidrosis
D) Swelling of the lower eyelids
E) Decreased tear production in the affected eye
Answer: B
6. Home oxygen therapy is used in all, except:
A) COPD
B) Chronic asthma
C) Severe bronchogenic carcinoma
D) Neuromuscular disease
E)… Answer: D

Theoretical examination | 45

,7. Regarding type I respiratory failure, all are true except:
A) Asthma,
B) PO2 decreased
C) PCO2 increased
D) …..
Answer: C

8. Regarding acute exacerbation of COPD management, are all used except:
A) Oxygen
B) Beta 2 agonist and anticholinergic
C) Corticosteroids
D) Aminophylline
E) Antibiotics
Answer: D

9. Regarding bronchiectasis, all true except:
A) Clubbing
B) Crackles
C) Dry cough
D) Hemoptysis
E)…
Answer: C

10. Exercise ECG is used in all, except:
A) Confirm diagnosis of angina
B) Evaluate stable angina
C) to diagnose and assess prognosis of MI
D) Assess outcome of coronary revascularization
E) To diagnose and evaluate treatment of exercise induced arrhythmia
Answer: C

10. All are causes of acute pericarditis, except:
A) Mumps
B) Melanoma
C) Celiac disease
D) Systemic lupus erythromatosis
E) methyl-prednisolone
Answer: E

11. All are features of cardiac tamponade, except:
A) Hypotension
B) ECG showing low voltage
C) Tachycardia
D) JV distended with prominent Y-descent
E) Diastolic collapse of right sided chambers
Answer: D



Theoretical examination | 46

, 12. Which one is not a function of beta blockers...?
A. Increasing blood flow to coronary arteries
B…
C…

13. Which one is not a side effect of calcium channel blockers
A) Headache
B) Periorbital edema
C) Tachycardia
D) Adverse effect on glucose
E) Arrhythmia
Answer: B

14. Which one is not a cause of secondary hypertension?
A) Chronic kidney failure
B) Sleep apnea
C) hyperthyroidism
D) hypoparathyroidism
Answer: D

15. Which one is a feature of aortic stenosis?
A. Systolic crescendo-decresendo murmur at second right ICS, LPSB
B.
C. …
D. ….
Answer: A

16. Which one is true about mitral stenosis
50 % RHD
Sinus bradycardia occur in:
A) Fever
B) Exercise
C) Most normal people
D) …
Answer: C

17. Regarding ventricular tachycardia, which one is correct?
A) There is a p wave with each QRS
B) The pattern is regular
C) Heart rate is between 300-500
D) Atrial rate can be calculated
E) Must see 4 beats in a row to confirm
Answer: E

18. Which congenital heart anomaly requires immediate surgery?
A. Transposition of great arteries
B. …. Answer: A

Theoretical examination | 47
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