GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU

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GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU
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Test por Med Student , actualizado hace más de 1 año
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Creado por Med Student hace alrededor de 6 años
2045
21

Resumen del Recurso

Pregunta 1

Pregunta
The patient takes forced orthopnoic position in bed when having
Respuesta
  • Pulmonary abscesses
  • Acute pancreatitis
  • Left ventricle heart failure

Pregunta 2

Pregunta
The gait with small steps is typical for
Respuesta
  • Parkinsonismus
  • Hemiparesis
  • Rheumatoid arthritis

Pregunta 3

Pregunta
Claudicatio intermittens (intermittent limping) is met in
Respuesta
  • Ankylosing spondylitis
  • Damaged arterial blood circulation of the lower extremities
  • Tetany

Pregunta 4

Pregunta
Asthenic habitus (stature) is characterized by
Respuesta
  • Short height, well presented subcutaneous fat tissue
  • Tall height, reduced subcutaneous fat tissue
  • Middle height, well developed muscleskeletal system

Pregunta 5

Pregunta
The normal body mass index is
Respuesta
  • 15-18. 5 kg/m2
  • 30-35 kg/m2
  • 18.5-24.9 kg/m2

Pregunta 6

Pregunta
Redness of the face (rubeosis) is met in
Respuesta
  • Polycytemia
  • Diabetes mellitus
  • Chronic pyelonephritis

Pregunta 7

Pregunta
Icterus Jaundice) is met
Respuesta
  • Hepatitis
  • Chronic ulcerative colitis
  • Hemolysis

Pregunta 8

Pregunta
Rubin icterus is typical for
Respuesta
  • Megaloblastic anemia
  • Hemolytic anemia
  • Hepatitis

Pregunta 9

Pregunta
Central (warm) cyanosis is met in
Respuesta
  • Atherosclerosis of peripheral blood vessels of the lower extremities
  • Chronic pulmonary diseases e. g. Bronchial asthma, COPD etc.
  • Thrombosis of a peripheral blood vessel

Pregunta 10

Pregunta
Peripheral (cold) cyanosis is present in
Respuesta
  • COPD
  • Left ventricle heart failure
  • Vasculitis of peripheral arteries

Pregunta 11

Pregunta
Angioneurotic edema (Quincke's oedema) is met in
Respuesta
  • Renal diseases
  • Heart failure
  • Drug and food allergy

Pregunta 12

Pregunta
Xanthelasmata are
Respuesta
  • Deposed lipid fractions on the eyelids in arteriosclerotic patients
  • Purulent vesicles
  • Small, dot-like hemorrhagic skin lesions

Pregunta 13

Pregunta
Intensive pigmentation of the overt regions of the body as well as the physiologically hyper-pigmented regions is called)
Respuesta
  • Vitiligo
  • Melanodroma
  • Naevi pigmentnsi

Pregunta 14

Pregunta
Which statements referring to the temperature curves are correct
Respuesta
  • Febris septica (septic fever) is presented with high amplitudes of 3-4 C, increases significantly in the afternoon, followed by a sudden drop, accompanied by profuse sweating
  • Febris septica is presented with circade variations about 1 C for several days
  • Febris undulans (undulating fever) is presented with gradual increase up to 39-40 C for several days, followed by a gradual decrease for several days or weeks

Pregunta 15

Pregunta
Which is the correct definition of febris continua (continuous fever):
Respuesta
  • Febrile periods (days or weeks) with gradual increase of the temperature up to 40 C, followed by a gradual decrease and an a febrile period
  • Moderate to high fever with circade variations about 1 C, without reaching 37 C
  • Permanent febrile state, lasting several days with circade temperature variations less than 1 C

Pregunta 16

Pregunta
Rectal temperature is
Respuesta
  • 0.5-1.0 C higher than the axillar
  • Equal to the axillar
  • 0.5 C lower than the axillar

Pregunta 17

Pregunta
Subfebrile temperature is
Respuesta
  • 37-37.5 C
  • 37-38 C
  • 37.5 C

Pregunta 18

Pregunta
Febris undulans is typical for
Respuesta
  • Lobar pneumonia
  • Sepsis
  • Hodgkin's lymphoma

Pregunta 19

Pregunta
Septic fever is presented with
Respuesta
  • Circade temperature variations < 1 C
  • Consecutive febrile periods (clays or weeks). And afebrile periods lasting several days
  • Large circacle temperature variations of 4-5 C

Pregunta 20

Pregunta
The heart state in febrile state is
Respuesta
  • Unchanged
  • Increased by 8-10 beats per minute for every degree higher than 37 C
  • Increased by 2-3 beats per minute for every degree higher than 37 C

Pregunta 21

Pregunta
The lightest degree of disturbed consciousness is
Respuesta
  • Sopor
  • Obnubilation
  • Somnolence

Pregunta 22

Pregunta
Presented tendon, stun and mucose reflexes are found in
Respuesta
  • Coma
  • Sopor
  • Somnolence

Pregunta 23

Pregunta
Delirium tremens with visual hallucinations for insects and small animals is typical for
Respuesta
  • Hepatic failure
  • Barbiturate intoxication
  • Alcoholism

Pregunta 24

Pregunta
Tower-shaped skull is found in
Respuesta
  • Acromegaly
  • Hyperglucocorticisrn
  • Congenital hemolytic anemia (Minkowski-Chauffard's disease)

Pregunta 25

Pregunta
Caput quadratum (square-shaped head) is met in
Respuesta
  • Rickets
  • Gigantism
  • Hypocorticism

Pregunta 26

Pregunta
Facies Iunata is typical for
Respuesta
  • Hyperthyroidism
  • Hyperparathyroidism
  • Hyperglucocolticism

Pregunta 27

Pregunta
Facies hectica is met in
Respuesta
  • Diffuse peritonitis
  • Lung tuberculosis
  • Neurosis

Pregunta 28

Pregunta
Long eyelashes are met in
Respuesta
  • Lung tuberculosis
  • Iron deficiency anemia
  • Thyrotoxicosis

Pregunta 29

Pregunta
Loss of eyelashes is met in
Respuesta
  • Bronchiectasiae
  • Hypopituitarism
  • Lung tuberculosis

Pregunta 30

Pregunta
Hyperpigmentation of the eyelids is met in
Respuesta
  • Graves' disease
  • Hypothyroidism
  • Hypoparathyroidism

Pregunta 31

Pregunta
Exophthalmus is met in
Respuesta
  • Hypothyroidism
  • Graves' disease
  • Retroorbital tumors

Pregunta 32

Pregunta
Xerophthalmy is met in
Respuesta
  • Sjogren's syndrome
  • Hyperglucocorticism
  • Graves’ disease

Pregunta 33

Pregunta
Dilatation of pupils is called
Respuesta
  • Myosis
  • Ptosis
  • Mydriasis

Pregunta 34

Pregunta
Microstomia and microglossia are typical for
Respuesta
  • Thyrotoxicosis
  • Progressive systemic sclerosis
  • Hypothyroidism

Pregunta 35

Pregunta
Which diseases are presented with macroglossia
Respuesta
  • Acromegaly
  • Sclerodermia
  • Hypothyroidism

Pregunta 36

Pregunta
Polished tongue (Hunter's glossitis)- red, painful tongue with atropapillae is met in
Respuesta
  • Anaemia perniciosa (megaloblastic anaemia)
  • Hemolytic anaemia
  • Duodenal ulcer

Pregunta 37

Pregunta
Xerostomy is met in
Respuesta
  • Parkinsonismus
  • Diabetes mellitus
  • Sjogren's syndrome

Pregunta 38

Pregunta
Ulceronecrotic lesions of oral mucosa are met in
Respuesta
  • Megaloblastic anaemia
  • Agranulocytosis
  • Leukemia

Pregunta 39

Pregunta
Enlarged parotid glands are found in
Respuesta
  • Leukemia
  • Sjogren's syndrome
  • Iron deficiency anaemia

Pregunta 40

Pregunta
Epistaxis (bleeding from the nose) is observed in
Respuesta
  • Arterial hypertension
  • Hypoparathyroidism
  • Hemorrhagic diathesis

Pregunta 41

Pregunta
Enlarged jugular veins are met in
Respuesta
  • Congestive right ventricle heart failure
  • Compression by a retrosternal goiter
  • Laryngeal oedema

Pregunta 42

Pregunta
“Jumping carotid arteries”are met in
Respuesta
  • Aortic regurgitation
  • Mitral regurgitation
  • Graves disease

Pregunta 43

Pregunta
Voice changes are found in (>l)
Respuesta
  • Hyperglucocorticism
  • Severe hypothyroidism
  • Acromegaly

Pregunta 44

Pregunta
Which group of cervical lymph nodes is affected first in Hodgkin's disease
Respuesta
  • Submandibular
  • Supraclavicular
  • Along the anterior and posterior margins of sternocleidomastoid muscle

Pregunta 45

Pregunta
Lymphadenomegaly is tender in
Respuesta
  • Metastases in the lymph nodes
  • Hodgkin's disease
  • Rapid enlargement of the lymph nodes due Lo inflammatory diseases

Pregunta 46

Pregunta
Lymph nodes are very hard, painless, forming conglomerates in
Respuesta
  • Metastases from solid tumors
  • Inflammatory processes
  • Tuberculosis

Pregunta 47

Pregunta
The final etiologic diagnosis of lymphadenomegaly is made by
Respuesta
  • Physical examination of the lymph nodes
  • Biopsy and histological analysis
  • Lymphography

Pregunta 48

Pregunta
Enlarged lymph nodes in the left supraclavicular region are met in
Respuesta
  • Metastases from a stomach cancer, so called Wirchof gland
  • Metastases from other neoplasmata
  • Inflammatory diseases of the head and neck
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