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2.
3.
4.
5.
6.
7.
8.
Laryngeal stenosis
B.
C.
D.
Tracheo-oesophageal fistula
E.
Persistent hypocapnia
B.
C.
Recurrent haemoptysis
D.
Lobar emphysema
E.
Recurrent pneumonia
Pulmonary infarction
B.
Bronchiectasis
C.
Pulmonary tuberculosis
D.
Acute asthma
E.
Aortic stenosis
Fibrosing alveolitis
B.
Emphysema
C.
D.
Ankylosing spondylitis
E.
The following are indications for the mandatory use of steroids in sarcoidosis (B, D)
A.
B.
Ocular involvement
C.
Erythema nodosum
D.
Cerebral involvement
E.
Arthralgia
Histoplasmosis
B.
Asbestosis
C.
Chickenpox
D.
Carcoidosis
E.
Silicosis
Hyperinflation
B.
A honeycomb pattern
C.
Pleural plaques
D.
Bilateral involvement
E.
Hilar lymphadenopathy
B.
Dental caries
C.
Rigors
D.
Splenomegaly
E.
Lung abscesses
9.
10.
11.
12.
13.
14.
15.
16.
17.
B.
Residual volume
C.
D.
Lung compliance
E.
Hypokalemic acidosis
B.
Hypernatremia
C.
Peripheral neuropathy
D.
Hypocalcemia
E.
Trisomy-13 (A, B, E)
A.
B.
C.
D.
E.
Central cyanosis in infancy is an expected finding in the following congenital heart diseases (B, D)
A.
B.
C.
D.
Fallots tetralogy
E.
B.
C.
D.
E.
B.
The second heart sound is usually palpable as a tapping apex beat in mitral stenosis
C.
D.
The apex beat can be laterally displaced in the presence of an early diastolic murmur
E.
A left parasternal heave can be associated with a palpable pulmonary component of the second heart sound
Angina pectoris
B.
Miocardial infarction
C.
Syncope
D.
Stroke
E.
Hypertension
Tiredness
B.
Nocturia
C.
D.
Hyperpnoea
E.
Noctural cough
Which of the following statements concerning artificial heart valves are true (A, C, E)?
A.
B.
Embolic problems are more likely to be associated with aortic than with mitral valves
C.
D.
E.
18.
19.
20.
21.
22.
23.
24.
25.
26.
B.
Relaping polychondritis
C.
Hypertension
D.
Takayasys disease
E.
Ankylosing spondilitis
Prominence of the main pulmonary arteries on chest X-ray may be seen in (A, B, D, E)
A.
B.
C.
Fallots tetralogy
D.
E.
B.
The X descent results from downward displacement of the AV valves during ventricular systole
C.
D.
E.
The physiological third sound may be heard synchronous with the X descent
B.
Over the last 10 years has been produced or associated with penicillin resistant streptococci
C.
May cause erythema marginatum which may remain pruritic for several days
D.
May cause nodules which appear over tendons and bony prominences
E.
May present as Sydenhams Chorea which can have a latent period of up to six months after the streptococcal infection
B.
C.
D.
E.
B.
C.
D.
E.
Aortic stenosis
B.
C.
Tricuspid regurgitation
D.
Non-toxic goiter
E.
The delta wave in Wolf-Parkinson-White syndrome is due to myocardial activation via an additional conduction pathway
B.
C.
D.
E.
Atrial tachycardias usually arise from a re-entry mechanism when the electrocardiogram is otherwise normal
B.
C.
D.
E.
27.
28.
29.
30.
31.
32.
33.
34.
35.
Chagas disease
B.
Kawasaki disease
C.
Elevation of HDL-cholesterol
D.
Pseudoxanthoma elasticum
E.
Kartageners syndrome
B.
C.
D.
E.
B.
C.
D.
E.
Cardio-selective beta blockers are more effective then non-selective beta blockers especially in variant angina
Muscle atrophy
B.
Brittle nails
C.
D.
E.
Atherosclerosis
B.
Takayasus arteritis
C.
Fibromuscular dysplasia
D.
E.
Temporal arteritis
B.
C.
D.
E.
Liver
B.
Stomach
C.
Duodenum
D.
Small intestine
E.
Pain
B.
Vomiting
C.
Diarrhea
D.
Weight loss
E.
Peritonitis
B.
C.
D.
E.
36.
37.
38.
39.
40.
41.
42.
43.
44.
B.
Urgent surgical correction is more commonly needed in type I than type III
C.
Associated aortic valve incompetence commonly develops at some time during this condition
D.
Characteristically the pain produced radiates anteriorly and up to the left shoulder
E.
During repair it is essential to identify the re-entry site of the dissection before surgery can be attempted
B.
C.
D.
E.
B.
C.
Produces radiological evidence of free gas in the peritoneum in over 90 % of the patients
D.
E.
Ileo-ilial intussception
B.
Basal pneumonia
C.
Henoch-Schoenlein purpura
D.
E.
Testicular torsion
The following factors are known to be significantly associated with gastric ulcer disease (A, B, E)
A.
Duodeno-gastric reflux
B.
Tobacco consumption
C.
Gastric hypersecretion
D.
Pernicious anemia
E.
B.
C.
D.
E.
B.
Athrophic gastritis
C.
D.
Duodenal ulceration
E.
B.
C.
D.
E.
B.
C.
D.
E.
45.
46.
47.
48.
49.
50.
B.
C.
D.
E.
In the initial management of acute bleeding oesophageal varices associated with hepatic cirrhosis (A, C, D)
A.
B.
C.
D.
E.
B.
C.
D.
Rarely strangulate
E.
Bile (B)
A.
B.
Is secreted into the gastrointestinal tract following the stimulus of food ingestion
C.
D.
E.
Contains cholecystokinin
In severe jaundice diagnostic evidence of an extrahepatic obstruction of the biliary tract may be gained by (B, C, D, E)
A.
Intravenous cholangiography
B.
A barium meal
C.
Ultrasonography
D.
E.
B.
C.
D.
E.
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