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

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GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 6 years ago
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Resource summary

Question 1

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

Question 2

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

Question 3

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

Question 4

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

Question 5

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

Question 6

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

Question 7

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Icterus Jaundice) is met
Answer
  • Hepatitis
  • Chronic ulcerative colitis
  • Hemolysis

Question 8

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Rubin icterus is typical for
Answer
  • Megaloblastic anemia
  • Hemolytic anemia
  • Hepatitis

Question 9

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

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

Question
Which statements referring to the temperature curves are correct
Answer
  • 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

Question 15

Question
Which is the correct definition of febris continua (continuous fever):
Answer
  • 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

Question 16

Question
Rectal temperature is
Answer
  • 0.5-1.0 C higher than the axillar
  • Equal to the axillar
  • 0.5 C lower than the axillar

Question 17

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Subfebrile temperature is
Answer
  • 37-37.5 C
  • 37-38 C
  • 37.5 C

Question 18

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

Question 19

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Septic fever is presented with
Answer
  • 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

Question 20

Question
The heart state in febrile state is
Answer
  • 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

Question 21

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The lightest degree of disturbed consciousness is
Answer
  • Sopor
  • Obnubilation
  • Somnolence

Question 22

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

Question 23

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

Question 24

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

Question 25

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

Question 26

Question
Facies Iunata is typical for
Answer
  • Hyperthyroidism
  • Hyperparathyroidism
  • Hyperglucocolticism

Question 27

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Facies hectica is met in
Answer
  • Diffuse peritonitis
  • Lung tuberculosis
  • Neurosis

Question 28

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

Question 29

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Loss of eyelashes is met in
Answer
  • Bronchiectasiae
  • Hypopituitarism
  • Lung tuberculosis

Question 30

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

Question 31

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Exophthalmus is met in
Answer
  • Hypothyroidism
  • Graves' disease
  • Retroorbital tumors

Question 32

Question
Xerophthalmy is met in
Answer
  • Sjogren's syndrome
  • Hyperglucocorticism
  • Graves’ disease

Question 33

Question
Dilatation of pupils is called
Answer
  • Myosis
  • Ptosis
  • Mydriasis

Question 34

Question
Microstomia and microglossia are typical for
Answer
  • Thyrotoxicosis
  • Progressive systemic sclerosis
  • Hypothyroidism

Question 35

Question
Which diseases are presented with macroglossia
Answer
  • Acromegaly
  • Sclerodermia
  • Hypothyroidism

Question 36

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

Question 37

Question
Xerostomy is met in
Answer
  • Parkinsonismus
  • Diabetes mellitus
  • Sjogren's syndrome

Question 38

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

Question 39

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

Question 40

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

Question 41

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

Question 42

Question
“Jumping carotid arteries”are met in
Answer
  • Aortic regurgitation
  • Mitral regurgitation
  • Graves disease

Question 43

Question
Voice changes are found in (>l)
Answer
  • Hyperglucocorticism
  • Severe hypothyroidism
  • Acromegaly

Question 44

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

Question 45

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

Question 46

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

Question 47

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

Question 48

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