Quiz
GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU
Questions in this quiz (48)
1The patient takes forced orthopnoic position in bed when having
- APulmonary abscesses
- BAcute pancreatitis
- CLeft ventricle heart failure
2The gait with small steps is typical for
- AParkinsonismus
- BHemiparesis
- CRheumatoid arthritis
3Claudicatio intermittens (intermittent limping) is met in
- AAnkylosing spondylitis
- BDamaged arterial blood circulation of the lower extremities
- CTetany
4Asthenic habitus (stature) is characterized by
- AShort height, well presented subcutaneous fat tissue
- BTall height, reduced subcutaneous fat tissue
- CMiddle height, well developed muscleskeletal system
5The normal body mass index is
- A15-18. 5 kg/m2
- B30-35 kg/m2
- C18.5-24.9 kg/m2
6Redness of the face (rubeosis) is met in
- APolycytemia
- BDiabetes mellitus
- CChronic pyelonephritis
7Icterus Jaundice) is met
- AHepatitis
- BChronic ulcerative colitis
- CHemolysis
8Rubin icterus is typical for
- AMegaloblastic anemia
- BHemolytic anemia
- CHepatitis
9Central (warm) cyanosis is met in
- AAtherosclerosis of peripheral blood vessels of the lower extremities
- BChronic pulmonary diseases e. g. Bronchial asthma, COPD etc.
- CThrombosis of a peripheral blood vessel
10Peripheral (cold) cyanosis is present in
- ACOPD
- BLeft ventricle heart failure
- CVasculitis of peripheral arteries
11Angioneurotic edema (Quincke's oedema) is met in
- ARenal diseases
- BHeart failure
- CDrug and food allergy
12Xanthelasmata are
- ADeposed lipid fractions on the eyelids in arteriosclerotic patients
- BPurulent vesicles
- CSmall, dot-like hemorrhagic skin lesions
13Intensive pigmentation of the overt regions of the body as well as the physiologically hyper-pigmented regions is called)
- AVitiligo
- BMelanodroma
- CNaevi pigmentnsi
14Which statements referring to the temperature curves are correct
- AFebris 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
- BFebris septica is presented with circade variations about 1 C for several days
- CFebris 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
15Which is the correct definition of febris continua (continuous fever):
- AFebrile periods (days or weeks) with gradual increase of the temperature up to 40 C, followed by a gradual decrease and an a febrile period
- BModerate to high fever with circade variations about 1 C, without reaching 37 C
- CPermanent febrile state, lasting several days with circade temperature variations less than 1 C
16Rectal temperature is
- A0.5-1.0 C higher than the axillar
- BEqual to the axillar
- C0.5 C lower than the axillar
17Subfebrile temperature is
- A37-37.5 C
- B37-38 C
- C37.5 C
18Febris undulans is typical for
- ALobar pneumonia
- BSepsis
- CHodgkin's lymphoma
19Septic fever is presented with
- ACircade temperature variations < 1 C
- BConsecutive febrile periods (clays or weeks). And afebrile periods lasting several days
- CLarge circacle temperature variations of 4-5 C
20The heart state in febrile state is
- AUnchanged
- BIncreased by 8-10 beats per minute for every degree higher than 37 C
- CIncreased by 2-3 beats per minute for every degree higher than 37 C
21The lightest degree of disturbed consciousness is
- ASopor
- BObnubilation
- CSomnolence
22Presented tendon, stun and mucose reflexes are found in
- AComa
- BSopor
- CSomnolence
23Delirium tremens with visual hallucinations for insects and small animals is typical for
- AHepatic failure
- BBarbiturate intoxication
- CAlcoholism
24Tower-shaped skull is found in
- AAcromegaly
- BHyperglucocorticisrn
- CCongenital hemolytic anemia (Minkowski-Chauffard's disease)
25Caput quadratum (square-shaped head) is met in
- ARickets
- BGigantism
- CHypocorticism
26Facies Iunata is typical for
- AHyperthyroidism
- BHyperparathyroidism
- CHyperglucocolticism
27Facies hectica is met in
- ADiffuse peritonitis
- BLung tuberculosis
- CNeurosis
28Long eyelashes are met in
- ALung tuberculosis
- BIron deficiency anemia
- CThyrotoxicosis
29Loss of eyelashes is met in
- ABronchiectasiae
- BHypopituitarism
- CLung tuberculosis
30Hyperpigmentation of the eyelids is met in
- AGraves' disease
- BHypothyroidism
- CHypoparathyroidism
31Exophthalmus is met in
- AHypothyroidism
- BGraves' disease
- CRetroorbital tumors
32Xerophthalmy is met in
- ASjogren's syndrome
- BHyperglucocorticism
- CGraves’ disease
33Dilatation of pupils is called
- AMyosis
- BPtosis
- CMydriasis
34Microstomia and microglossia are typical for
- AThyrotoxicosis
- BProgressive systemic sclerosis
- CHypothyroidism
35Which diseases are presented with macroglossia
- AAcromegaly
- BSclerodermia
- CHypothyroidism
36Polished tongue (Hunter's glossitis)- red, painful tongue with atropapillae is met in
- AAnaemia perniciosa (megaloblastic anaemia)
- BHemolytic anaemia
- CDuodenal ulcer
37Xerostomy is met in
- AParkinsonismus
- BDiabetes mellitus
- CSjogren's syndrome
38Ulceronecrotic lesions of oral mucosa are met in
- AMegaloblastic anaemia
- BAgranulocytosis
- CLeukemia
39Enlarged parotid glands are found in
- ALeukemia
- BSjogren's syndrome
- CIron deficiency anaemia
40Epistaxis (bleeding from the nose) is observed in
- AArterial hypertension
- BHypoparathyroidism
- CHemorrhagic diathesis
41Enlarged jugular veins are met in
- ACongestive right ventricle heart failure
- BCompression by a retrosternal goiter
- CLaryngeal oedema
42“Jumping carotid arteries”are met in
- AAortic regurgitation
- BMitral regurgitation
- CGraves disease
43Voice changes are found in (>l)
- AHyperglucocorticism
- BSevere hypothyroidism
- CAcromegaly
44Which group of cervical lymph nodes is affected first in Hodgkin's disease
- ASubmandibular
- BSupraclavicular
- CAlong the anterior and posterior margins of sternocleidomastoid muscle
45Lymphadenomegaly is tender in
- AMetastases in the lymph nodes
- BHodgkin's disease
- CRapid enlargement of the lymph nodes due Lo inflammatory diseases
46Lymph nodes are very hard, painless, forming conglomerates in
- AMetastases from solid tumors
- BInflammatory processes
- CTuberculosis
47The final etiologic diagnosis of lymphadenomegaly is made by
- APhysical examination of the lymph nodes
- BBiopsy and histological analysis
- CLymphography
48Enlarged lymph nodes in the left supraclavicular region are met in
- AMetastases from a stomach cancer, so called Wirchof gland
- BMetastases from other neoplasmata
- CInflammatory diseases of the head and neck
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- GENERAL EXAMINATION OF PATIENTS-Internal Medicine 3rd Year- PMU
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