4th stage question_60

30/All of the following is correct about HAV except. 1-IGg diagnostic of active infection * 2-there is no chronic carriers patient in this type of infection 3_ infection is more common in areas of overcrowding & poor sanitation. 4_ HAV is highly infectious 5_ raised Alt & Alp

34 _ Which the Feature should be excluded in the clinical diagnosis of the irritable bowels syndrome : 1_ nocturnal symptoms. 2_Frequent consultation for non _ git problimd. 3_ Worsening of Symptoms by psychological illness. Abdominal pain assiciated with chane in form of stool. 4_Improvement with medication.

All of following are indication for dexa scan except : 1/glucocorticoid therapy for more than 3 months 2/ 30_years old female with femoral fracture due to accident trauma . 3/,Assesment of response of osteoporosis to treatment . 4/ Assesment of progression of osteopenia to osteoporosis . 5/ fragility fracture

According to atrial flutter all statements are true except : 1- Atrial flutter should always be suspected when there is a narrow-complex tachycardia of 150/min 2- Clinical features are Similar to atrial fibrillation 3- Catheter ablation offers a 90% chance of complete cure 4_only menimal pulse will pass through AV node to ventricle 5_ECG show irrigular QRS with abscent pa wave*

6_ One of the following is best investigation to dignosis dissecting aortic anyureum: A_Coronary angiography B_Ecg C_Echo D_Chest x ray E_CT of the chest

33_ The investigation of choice in colorectal cancer is A_ Colonoscopy B- CT colanogiography C- Anal ultrasound D- Serum carcinoemryonic antigen

All of following are true regarding nephritic sundrome except ; 1/hypertension 2/polyuria 3/hematuria 4/decline Gfr 5/fluid retention

Regarding aortic stenosis all following are true except ; 1/4th heart sound can be heard on mitral area 2/Sound is click 3/The apex beat is in the 6th intercostal space , anterior axillary line . 4/Harsh low_pitched systolic murmur can be heard on the righ 2nd intercostal space . 5/Deep S wave in V1 and large R wave in V6

Q40/ about hypoparathyroidism , which of followings false: A–The most common cause of hypoparathyroidism is damage to the gland during thyroid surgery B–Lab Findings : low PTH , low calcium , low phosphate. C–pateint may present late with Tetany D– carpopedal spasm presenting proplem E–🤷🏻 Answer: B

Q37/ H.pylori highest associated with? 1-gastric ulcer 2-duodenal ulcer 3-gastric cancer 4-Non dyspepsia

18- Regarding empyema, all are true except A- Usually unilateral B- Complicated by bronchopleural fistula C-Tuberculousis is the most common cause D- Systemic symptoms such as fever and sweating are present E- Chest X-ray findings are not distinguishable from pleural effusion Answer: C

One of the following is associated with right side heart failure? A orthopniea B elevated JVP C pulsus alternance D cause exertional dyspnea E ouccr with hypertention

56)65 years old man presented with dyspnea, fever and cough, on examination respiratory rate was 35 bpm and SaO2 85%, he diagnosed as a case of covid-19 All the following are used in the manegmet of this patient except : A - Oxygen supplementation B - Remedsivir C - Dexamethason D - enoxparin E - Adalimumab

41/ All are clinical presentaion of hypopituitarism Except : A-loss of lipido B-muscle weakness and increase fat mass C-normal plasma potassium D-increase skin pigmentation ✅ E-………..

55 - In chronic kidney disease, causes of generalized myopathy are all true except A- treatment with Recombinant erythropoietin B-hyperparathyroidism C-hyperkalemia D- Vitamin D deficiency E- Malnutrition

17/All of the following are true about ARDS except A most common cause is sepsis B bilateral opacity on x ray C onset about one month after known insult D echocardiograph to exclude HF E Maintain O2 supply

(15) all the following are true regarding acute type I respiratory failure, except: a. Narcotic drugs overdose are the most cause* b. Associated with respiratory alkalosis. c. confusion and Disturbed consciousness are common. d. All the patients require high flow oxygen therapy e. Mechanical ventilator is required for some patients.

All the following are correct for treatment fullminant ulcerative colitis except Iv fluid Iv steroid Iv antibiotic Subcutaneous heparin Azathioprine__ سوال 28

39/all following  features of chronic gastritis except 1_Autoimmune most common cause of chronic gastritis * 3_ 2_ chronic infection with H.pylory may be asymptomatic 4_Autoimmune chronic gastritis can cause gastric cancer 5_Autoimune mainly involve body of stomach with sparing antral part.

In fallot tetralogy all of the following is correct except 1.right ventricular hypertrophy 2.VSD 3.overriding aorta 4.pulmonary stenosis 5.ASD