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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 por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student quase 6 anos atrás
2002
21
0

Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

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

Questão 7

Questão
Icterus Jaundice) is met
Responda
  • Hepatitis
  • Chronic ulcerative colitis
  • Hemolysis

Questão 8

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

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

Questão
Which statements referring to the temperature curves are correct
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  • 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

Questão 15

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

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

Questão
Septic fever is presented with
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  • 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

Questão 20

Questão
The heart state in febrile state is
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  • 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

Questão 21

Questão
The lightest degree of disturbed consciousness is
Responda
  • Sopor
  • Obnubilation
  • Somnolence

Questão 22

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

Questão 23

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

Questão 24

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

Questão 25

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

Questão 26

Questão
Facies Iunata is typical for
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  • Hyperthyroidism
  • Hyperparathyroidism
  • Hyperglucocolticism

Questão 27

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

Questão 28

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

Questão 29

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

Questão 30

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

Questão 31

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

Questão 32

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

Questão 33

Questão
Dilatation of pupils is called
Responda
  • Myosis
  • Ptosis
  • Mydriasis

Questão 34

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

Questão 35

Questão
Which diseases are presented with macroglossia
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  • Acromegaly
  • Sclerodermia
  • Hypothyroidism

Questão 36

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

Questão 37

Questão
Xerostomy is met in
Responda
  • Parkinsonismus
  • Diabetes mellitus
  • Sjogren's syndrome

Questão 38

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

Questão 39

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

Questão 40

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

Questão 41

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

Questão 42

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

Questão 43

Questão
Voice changes are found in (>l)
Responda
  • Hyperglucocorticism
  • Severe hypothyroidism
  • Acromegaly

Questão 44

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

Questão 45

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

Questão 46

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

Questão 47

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

Questão 48

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

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