MEDICINE: PRACTICE 16

MULTIPLE CHOICE QUESTIONS SERIES

INSTRUCTION: WRITE T (TRUE) OR F (FALSE) AGAINST THE OPTIONS IN EACH QUESTION.

1.        Concerning peptic ulcer disease:
   a.       The ulcer may be located in the lower oesophagus, stomach or jejunum
   b.      H. pylorieradication is a major goal of therapy
   c.       Proton pump inhibitors work by enhancing intestinal mucosa defence
   d.      Current treatment is based upon a proton pump inhibitor taken consecutively with 2 antibiotics
   e.      Haemorrhage is an indication for elective surgery
   2.       Conditions required for safe liver biopsy:
   a.       Massive ascites
   b.      Prothrombin time greater than 4 seconds prolonged
   c.       A cooperative patient
   d.      Normal liver function test
   e.      Exclusion of chronic obstructive pulmonary disease
   3.       In upper gastrointestinal haemorrhage:
   a.       Plasma urea can be elevated following an episode
   b.      Ruptured oesophageal varices is an infrequent cause in Nigeria
   c.       Ingestion of alcohol is an important precipitating factor
   d.      A normal haematocrit 30 minutes after an episode is an indication of insignificant blood loss
   e.      Haematochezia is a common symptom
   4.       The following statements are true regarding hepatic cirrhosis:
   a.       Portal hypertension is a recognized complication
   b.      May be caused by hepatitis A virus
   c.       Finger clubbing may occur
   d.      Death may be due to variceal haemorrhage
   e.      Plasma albumin levels of greater than 30 gram per litre is a poor prognostic sign
   5.       In hepatocellular carcinoma:
   a.       Prevention through control of hepatitis B is the mainstay of treatment in developing world
   b.      Soft nodular hepatomegaly is atypical
   c.       Treatment with fluorouracil is very effective
   d.      Consuming smoked fish and meat is a risk factor
   e.      Serum alpha-fetoprotein are significantly reduced
   6.       In hypertensive heart disease:
   a.       The second heart sound is muffled
   b.      Concentric left ventricular hypertrophy rarely occurs
   c.       The apex beat is characteristically retractile
   d.      On the ECG, the R-waves are usually tall in leads V1 and V2
   e.      Lisinopril is an effective drug for treatment
   7.       Infective endocarditis rarely occurs in:
   a.       Mitral stenosis
   b.      Congenital bicuspid aortic valve
   c.       Patent ductus arteriosus
   d.      Atrial septal defect secundum type
   e.      Prosthetic artificial cardiac valve
   8.       Pulsus paradosus may be present in:
   a.       Acute severe asthma
   b.      Constrictive pericarditis
   c.       Pericardial effusion
   d.      Severe hypertension
   e.      Ventricular septal defect
   9.       Compensatory mechanisms that operate in a failing heart include:
   a.       Tachycardia
   b.      Fluid retention  
   c.       Atrial natriuretic factor
   d.      Dilatation and hypertrophy
   e.      Vasoconstriction
   10.   The following are results of complicated lobar pneumonia:
   a.       Lung abscess
   b.      Septicaemia  
   c.       Bronchiectasis  
   d.      Respiratory failure
   e.      Pulmonary tuberculosis
   
   
   ANSWERS:
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