FAMILY MEDICINE (FM-1) MULTIPLE CHOICE QUESTIONS / TYPE I Select the correct answers to the following questions!!! ...each question may have more than one correct answer. FM-1.1. (g) Multiple Choice Question Renal calcification is a possible complication of: A) medullary cystic kidney disease B) renal tuberculosis C) sarcoidosis D) sickle cell anemia E) secondary hyperparathyroidism FM-1.2. Multiple Choice Question CV, IM Which of the following statements concerning chromosomes are correct? A) their number is normally 46 B) mosaicism is the coexistence of cells with different number of chromosomes within the same organism C) they are always identical in cells of the same phenotype D) nondisjunction must be followed by translocation E) they can be used as tumor markers FM-1.3. Multiple Choice Question IM Drugs with a bacteriostatic effect in regular doses include: A) tetracyclines B) cephalosporins C) sulfamethoxazole and trimethoprim (Sumetrolim) D) erythromycin E) amoxycillin FM-1.4. (a Multiple Choice Question Factors causing a susceptibility to urinary tract infect include: A) urinary tract obstruction B) diabetes mellitus C) hyperkalemia D) prolonged tetracycline therapy E) pregnancy 2 Multiple Choice Questions / Type I • FAMILY MEDICINE (FM-1) FM-1.5. Multiple Choice Question ~&, IM Case Study: The medical history of a 45-year-old male reveals episodes of vertigo and loss of consciousness associated with sweating. Possible causes of his symptoms include: A) hyperventilation B) hyperglycemia C) Zollinger-Ellison syndrome D) pheochromocytoma E) paroxysmal tachycardia FM-1.6. Multiple Choice Question IM Possible causes of hematemesis include: A) salicylate administration B) an oral iron supplement overdose C) severe burn injury D) Menetrier's disease (giant hypertrophic gastritis) E) feeding via a nasogastric tube FM-1.7. Multiple Choice Question PSY/IM The use of which of the following should be avoided in patients receiving monoamino-oxidase inhibitor therapy: A) cheese B) imipramine (Melipramin) C) phentolamine (Regitin) D) pethidine (Dolargan) E) sulphonamides FM-1.8. Multiple Choice Question IM Which of the following conditions are usually associated with purpura? A) Henoch-Schonlein syndrome B) hepatic cirrhosis C) systemic lupus erythematosus D) Addison's disease E) Raynaud's phenomenon FM-1.9. Multiple Choice Question IM Bone density is markedly increased in: A) osteopetrosis B) Paget's disease of the bone C) following the intake of a large amount of fluoride D) hyperparathyroidism E) renal osteodystrophy • (FM-1) FAMILY MEDICINE • Multiple Choice Questions / Type I FM-1.10!. O Multiple Choice Question IM Which of the following conditions is associated with a male-type distribution of hair in females? A) myxedema B) true hermaphroditism C) Laurence-Moon-Biedl syndrome D) Stein-Leventhal.syndrome (polycystic ovary) E) Cushing's syndrome FM-1.11. Multiple Choice Question IM` In which of the following conditions can central cyanosis be detected? A) methemoglobinemia B) ventilation-perfusion mismatch C) pulmonary arteriovenous fistula D) heatstroke E) heavy physical exercise FM-1.12. Multiple Choice Question PSY Which of- the following statements about delirium tremens are correct? A) chlormethiazole (Heminevrin) is suitable for treatment B) acoustic hallucinations are common C) visual hallucinations are common D) elbcroshock therapy is indicated in severe cases E) the condition may be fatal FM-1.13. Multiple Choice Question IM In which of the following conditions can renal failure be fatal? A) hypernephroma B) systemic lupus erythematosus (SLE) C) Weil's disease D) renal' tuberculosis E) accelerated hypertension FM-1.14. Multiple Choice Question IM Penicillin administration is the appropriate therapy in which of the following complications of syphilis? A) meningitis B) aneurysm of the aorta C) interstitial keratitis- D) condylomaaatum S) the generalized paralysis of psychotic patients 4 Multiple Choice Questions / Type I • FAMILY MEDICINE (FM-1) FM-1.15. Multiple Choice Question ~V, IM Characteristics of mycoplasma-pneumonia include: A) pleural effusion as a common complication B) the presence of cold agglutinins C) associated renal failure D) a good response to tetracyclines E) patients immunized against mycoplasma are resistant FM-1.16. Multiple Choice Question Which of the following statements about post-traumatic epilepsy are correct? A) it usually follows head trauma within a month B) the CT reveals the causative abnormalities C) it requires surgical therapy in most cases D) it responds poorly to standard anticonvulsive therapy E) the EEG reveals its characteristic changes FM-1.17. Multiple Choice Question (VI IM Macroglossia is a possible feature of which of the following conditions? A) acromegaly B) Marfan's syndrome C) Hurler's syndrome D) achondroplasia E) amyloidosis FM-1.18. Multiple Choice Question A paradoxically split second heart sound is a feature of., A) severe pulmonary stenosis B) a ventricular septal defect C) severe aortic stenosis D) a patent ductus arteriosus E) complete right bundle branch block FM-1.19. Multiple Choice Question ®' IM Bilateral parotid gland enlargement is a symptom of A) Mikulicz's syndrome B) infectious mononucleosis C) mumps D) brucellosis E) sarcoidosis • (FM-1) FAMILY MEDICINE • Multiple Choice Questions / Type 1 5 FM-1.20. Multiple Choice Question ~V' IM Which of the following statements about Conn's syndrome are correct? A) a high aldosterone level in the serum is a characteristic finding B) the plasma renin activity is elevated C) the associated hypertension is malignant in 10% of cases D) hyperkalemia is a common complication E) operative therapy is usually recommended FM-1.21. Multiple Choice Question IV, IM Recognized causes of nodular hepatomegaly include: A) postnecrotic cirrhosis B) primary biliary cirrhosis C) syphilis of the liver D) Weil's disease (Leptospira icterohemorrhagica) E) carcinomatous metastases of the liver FM-1.22. Multiple Choice Question CV, IM Which of the following symptoms are associated with Turner's syndrome? A) infantilism B) congenital abnormalities of the external genitalia C) an atrial septal defect D) retinitis pigmentosa E) a short stature FM-1.23. Multiple Choice Question IM , Symptoms characteristic of an acute exacerbation of ulcerative colitis include: A) the development of anemia B) the occurrence of vertigo following sulfasalazine therapy C) macroscopically detected blood in the feces D) the development of generalized eruptions E) an increased erythrocyte sedimentation rate FM-1.24. Multiple Choice Question PED The early manifestations of congenital syphilis include: A) oral eczema B) interstitial keratitis C) occipital lymphadenopathy D) Clutton-knee (Clutton's joint) E) chorioretinitis 6 Multiple Choice Questions / Type I • FAMILY MEDICINE (FM-1) FM-1.25. Multiple Choice Question ~V' IM/PED Which of the following statements about congenital hypertrophic pyloric stenosis are correct? A) it is more frequent in females B) there is an increased likelihood for any offspring to be similarly afflicted C) any vomit almost never contains bile D) the pyloric ring is rarely palpable E) the majority of patients require surgical therapy FM-1.26. Multiple Choice Question IM/PED Which of the following statements about renal disease are correct? A) a 3000 ml/24 h urine volume is a normal fmding B) the severity of proteinuria correlates with the severity of the responsible renal disease C) granular casts are observed exclusively in renal disease D) orthostatic proteinuria, if chronic, is abnormal E) Tamm-Horsfall protein is a normal constituent of the urine FM-1.27. Multiple Choice Question IM/PED Which of the following conditions is associated with true hematuria? A) urinary tract tuberculosis B) acute pyelonephritis C) acute cystitis D) malignant hypertension E) renal infarction FM-1.28. Multiple Choice Question IM/PED Which of the following statements about medullary cystic kidney disease are correct? A) the prognosis is usually poor B) it is usually manifested during childhood C) the diagnosis is based on the associated radiological findings D) renal calculi may be present E) renal function is frequently impaired FM-1.29. Multiple Choice Question CZF~ IM/PED In the carcinoid syndrome: A) mitral stenosis is a possible complication B) it may be diagnosed by measuring the vanillylmandelic acid (VMA) concentration in the urine • (FM-1) FAMILY MEDICINE • Multiple Choice Questions / Type 1 7 C) the application of methysergide (Deseril) is a possible thera- peutic intervention D) any associated alcohol intake can induce a facial blushing E) chronic dyspnea is a recognized complication FM-1.30. Multiple Choice Question Primary optic nerve atrophy is a recognized complication of: A) glaucoma B) disseminated sclerosis C) Paget's disease of the skull D) neurosyphilis E) ethambutol (Sural) therapy FM-1.31. Multiple Choice Question Recognized causes of motor neuropathy include: A) diabetes mellitus B) porphyria C) Guillain-Barre syndrome D) Friedrich's ataxia E) diphtheria FM-1.32. Multiple Choice Question ~&, IM/PED Possible causes of hypercholesterolemia include: A) primary biliary cirrhosis B) the nephrotic syndrome C) hyperthyroidism D) hepatocellular jaundice E) Gaucher's disease FM-1.33. Multiple Choice Question IM Which of the following statements about Chafrcot's joint are correct? A) it is caused by syringomyelia B) it is caused by diabetes mellitus C) it is more frequent in females than in males D) one of its complications is kyphosis