MEDICINE PRACTICE 6

           INSTRUCTION: SELECT THE SINGLE BEST OPTION

  

1.        Immediate management of pericarditis resulting from myocardial infarction, will usuallY best require:
   a.       Opiate based analgesia
   b.      Non-steroidal anti-inflammatory drugs
   c.       Steroidal anti-inflammatory drugs
   d.      Aspirin therapy
   e.      Diflunisal
   2.       The following statements about Dressler’s syndrome are correct except:
   a.       It is a post myocardial infarction syndrome
   b.      It is a post pericardiotomy pericarditiss
   c.       Autoimmunity is a suggested cause  of the syndrome
   d.      It is typically treated with colchicine
   e.      Indomethacin is a first line drug for treating it.
   3.       Typical features of Dressler’s syndrome include the following except:
   a.       Persistent fever
   b.      Pericarditis
   c.       Prostration
   d.      Pleurisy
   e.      Pericardial effusion
   4.       The complication of using tissue plasminogen activator to treat myocardial infarction, is:
   a.       Intracerebral bleeding
   b.      Myocardial stunning
   c.       Rupture of papillary muscle
   d.      Atrioventricular block
   e.      Addisonian crisis
   5.       Which of the following is incorrect about dobutamine:
   a.       It is a β₁-adrenegic stimulant
   b.      It can be used for stress echocardiography
   c.       Asthma and ischaemic heart disease are not contraindications to its use.
   d.      The most dangerous side effect is increased risk of arrhythmias
   e.      If administered for more than 72 hours, tachyphylaxis may occur
   6.       The following are positively ionotropic in the heart except:
   a.       Digoxin
   b.      Nitroglycerin
   c.       Dobutamine
   d.      Milrinone
   e.      Levosimendan
   7.       The malar rash of systemic lupus erythematosus is usually characterized by the following except:
   a.       It is erythematous
   b.      It spares the nasolabial fold
   c.       It is photosensitive
   d.      It may be flat or raised
   e.      None of the above.
   8.       Drug induced systemic lupus erythematous is not a known adverse effect of:
   a.       Isoniazid
   b.      Hydralazine
   c.       Colchicine
   d.      Sulfasalazine
   e.      Methyldopa
   9.       The following diseases may present adrenal insufficiency except:
   a.       Histoplasmosis
   b.      Cryptococcosis
   c.       X-linked adrenoleukodystrophy
   d.      Familial glucocorticoid deficiency
   e.      Toxoplasmosis
   10.   Which of the following is incorrect about X-linked adrenoleukodystrophy:
   a.       There is accumulation of very long chain fatty acids in tissues throughout the body.
   b.      It is a disorder of peroxismal fatty acid beta oxidation
   c.   It is a common cause of pericarditis
   d.      Lorenzo’s oil is a recognized dietary therapy.
   e.      The white matter of the brain and Leydig cells of the testes may be affected
   
   
   
   
   
   
   
   
   ANSWERS:
   1. a
   2. e
   3. c
   4. a
   5. c
   6. b
   7. e
   8. c
   9. e
   10. c