📕Medicine || 2nd batch👨‍⚕🧑‍⚕

21-Which one of the following conditions is more likely to cause type II respiratory failure rather than type I? A) Pulmonary fibrosis B) Pneumothorax C) Acute respiratory distress syndrome D) Pulmonary embolus E) Severe kyphoscoliosis✅ 22-Which of the following classes of drug may precipitate an acute attack of asthma? A) Beta-adrenoceptor agonists B) Non-steroidal anti-inflammatory drugs ✅ C) Calcium channel blocking drugs D) Histamine H1 receptor antagonists E) Leukotriene receptor antagonists 23-Which of the following is not a recognised risk factor for essential hypertension? A) Hyperlipidaemia ✅ B) Obesity C) High salt intake D) Intrauterine growth retardation E) Alcohol excess 24-The following are all recognised causes of mitral regurgitation except one. Which is the exception? A) Papillary muscle rupture B) Dilated cardiomyopathy C) Acute rheumatic fever D) Subacute bacterial endocarditis E) Congenitally bicuspid mitral valve ✅ 25-The least risk factors for Hepatic encephalopathy: A. GIT bleeding B. Constipation C. Hypokalemia D. Hypoglycemia ✅ E. Urinary track infection 26-Indication of liver transplantation: A.bilirubin>100mg/dl B.fulminant hepatic failure C.hepatic encephalopathy resistant to treatment D.all of the above ✅ 27-What is the most common extra manifestation of inflammatory bowel disease? A-joint manifestation.✅ B- Eye manifestation. C-skin manifestation. D-liver. 28-Which one of the following factors does not predispose to gastro oesophageal reflux disease (GORD)? A) Pregnancy B) High intake of coffee C) Weight loss ✅ D) Delayed gastric emptying E) Hiatus hernia 29-Which one of the following physical consequences of malabsorption is incorrectly matched with the corresponding vitamin or mineral deficiency? A) Acrodermatitis enteropathica Zinc B) Purpura and bruising Vitamin K C) Koilonychia Iron D) Peripheral neuropathy Vitamin C✅ E) Night blindness Vitamin A 30-year-old male presents with a10-month history of recurrent 'gnawing' epigastric pain.The pain does not radiate and can be absent for up to a month at a time but,when present, seem stobe relieved by eating.He has also experienced occasional vomiting.With which of the following diagnoses would his symptoms fit best? A)Chronic peptic ulcer✅ B)Biliary colic C)Chronic pancreatitis D)Mesenteric ischaemia E)Crohn's disease 31-A 50-year-old patient is referred to the respiratory clinic with shortness of breath. On examination He has finger clubbing, central cyanosis and fine end-inspiratory crepitations at both lung bases. Which of the following types of pathology would be most consistent with all these examination findings? A) Chronic obstructive pulmonary disease (COPD) B) Extrathoracic restrictive lung disease C) Fibrotic lung disease ✅ D) Left ventricular failure E) Cystic fibrosis 32-year-old known asthmatic is admitted with acute severe breathlessness and tightness in his Chest. On examination, polyphonic wheeze is heard throughout both lung fields, but is quieter on the right. There is some response to initial medical therapy, but After 15 minutes of standard treatment he remains tachypnoeic and distressed. Which of the following investigations is most urgent? A) Chest X-ray   ✅ B) Urea and electrolytes C) ECG  D) Doppler ultrasound of leg veins  E) Direct laryngoscopy