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Name :
Student No : ....
Final Exam
Internal Medicine
Second Semester 10-11
Answer Sheet
Answer
Question
Answer
Question
Answer
Question
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42
22
43
23
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45
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46
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48
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49
29
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30
10
51
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11
52
32
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33
13
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35
15
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36
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17
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38
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59
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60
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4) Gestational diabetes
a)
b)
c)
d)
e)
Nervousness
Tremors
Excessive sweating
Weight loss and increased appetite
Cold intolerance
7)
Steroid.
Catecholamine.
Thyroid hormones.
Insulin.
Adrenalin
9) Homeostasis means
a) Arrest of bleeding.
b) Keeping external environment stable.
c) Maintaining stable internal environment of the body.
17) The objectives of linking internal medicine to dentistry, all of the following is true Except
a) Dentists dont treat only healthy people
b) Dental treatments can affect the patient health
Roles and responsiblilitis for dental professionalism , all of the followig is true Except
Early detection of systemic diseases and recognition of oral manifestations of common diseases
Often first to identify a systemic health problem based on what they see in the patients mouth
Oral evaluation and diagnosis
Make approprite referral to physician when needed
Manage and treat all medical diseases encountred in dental practice
20) Type 1 diabetes mellitus, all of the followings are true Except
a)
b)
c)
d)
e)
Autoimmune disease
5 10 % of diabetes mellitus
Result from peripheral tissues resistance to insulin
Mainly disease of children and young adults
Treated with insulin
21) All of the followings are necessary precautions when treating T1DM patient Except
a) Brief morning appointments (Decrease stress)
b) Patient should not take normal insulin dosage and eat normal breakfast. Confirm this with patient.
c) Consult physician if procedure will affect the patients ability to eat. Physician may alter the
insulin therapy/diet for patient.
d) Minimize risk of infection: consider antibiotic coverage after surgery and treatment
in presence of suppuration.
e) Have a source of sugar available.
22) Which of the following is normal Body Mass Index ( BMI kg / meter square )
a)
b)
c)
d)
e)
20-25
25-30
30-35
35 -40
> 40
23) Warning symptoms and signs of heart attack include all of the followings Except
a)
b)
c)
d)
e)
Hemophiliacs
Dialysis patients
Individuals living in poor hygiene and sanitation areas
IV drug abusers
Health care personnel
The element most essential for the biosynthesis of thyroid hormones is:
a)
b)
c)
d)
e)
Sodium.
Phosphorus.
Calcium.
Iodine.
Magnesium
Adrenal cortex.
Adrenal medulla.
Pancreas.
Hypothalamus.
Posterior pituitary.
Insulin.
Glucagon.
Epinephrine.
Amylase.
Amylin
Cushing's syndrome.
Hypothyroidism.
Addison's disease.
Hyperthyroidism.
Sheehan's syndrome
34) Individuals whose diabetes is poorly controlled are vulnerable to several chronic complications, the
one least likely to develop as a consequence of diabetes is
a)
b)
c)
d)
e)
Neuropathy
Atherosclerosis
Retinopathy
Lymphadenopathy
Nephropathy
Hypopituitarism.
Hypoparathyroidism.
Hyperthyroidism.
Hypothyroidism.
Addison's disease.
36) Which of the following diseases is characterized by arrhythmias, tremors, diarrhea and weight loss:
a)
b)
c)
d)
e)
Cushing's syndrome.
Hypothyroidism.
Addison's disease.
Hyperthyroidism.
Sheehan's syndrome
38) Oral antidiabetic sulphonylureas can be effective for all the following Except
a)
b)
c)
d)
e)
Mild diabetes
Type 1 diabetes
Type 2 diabetes
Non-ketotic diabetes
In combination with metformin
e) Hypertension
43) A decrease in extracellular volume is expected to cause increased secretion of all Except
a)
b)
c)
d)
e)
vasopressin
renin
thyroxin
ACTH
Insulin
free T3
free T4
attached to thyroglobulin in the gland
attached to thyroid binding globulin (TBG)
attached to albumin
Hypotension
Small heart
Hyperkalaemia
Increased fatiguability of striated muscle
Hypoglycaemia
b)
c)
d)
e)
47) Which of the following diseases is characterized by arrhythmias, tremors, diarrhea and weight loss:
a)
b)
c)
d)
e)
Cushing's syndrome.
Hypothyroidism.
Addison's disease.
Hyperthyroidism.
Diabetes mellitus
e) Ketoacidosis
52) A 45 old female develops anaphylaxis following administration of amoxicillin. Which one of the
following drugs would be the most appropriate first line therapy?
a)
b)
c)
d)
e)
Adrenaline
Chlorphenaramine
Diazepam
Hydrocortisone
Salbutamol
53) Which one of the following is the least likely indication for antibiotic prophlaxis to prevent infective
endocarditis
a)
b)
c)
d)
e)
54) Which one of the following is least likely to be associated with immunosuppression
a)
b)
c)
d)
e)
Acromegaly
Agammaglobulinemia
Anemia
Diabetes mellitus
Leukemia
55) Bone pain, renal calcinosis, and giant cell jaw lesions are most likely to be seen in which one of the
following disorders?
a)
b)
c)
d)
e)
Acromegaly
Fibrous dysplasia
Hyperparathyroidism
Hyperthyroidism
Pagets disease
56) A 45 year old female presents with a 6 months history of recurrent meal time swelling in her right
submandibular region. Clinical examination does not reveal any dental abnormality. What is the most
likely cause of her symptoms?
a)
b)
c)
d)
e)
f)
Lymphadenitis
Sialolithiasis
Sialadenitis
Sialometaplasia
Goiter
Xerostomia
57) Which one of the following conditions is the least likely to be associated with an inceased risk of oral
cancer
a)
b)
c)
d)
e)
Erythroplakia
Leukoplakia
Leukoedema
Plummer Vinson syndrome
Actinic cheilosis
Vasculitis with triad of oral and genital ulcers and uveitis or iritis
Aphthous like ulcers, covered in pale pseudomembrane
Painless ulcers on lips, gingiva, buccal mucosa, tongue and palate
Genital ulcers similar in appearance
Heal in days to weeks with scarring
59) Indications for hospitalization in acute viral hepatitis include all of the followings Except
a)
b)
c)
d)
e)
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60) The goals of treating hypertension ,all of the following is true Except
a)
b)
c)
d)
e)
Question (2)
What are the criteria used for Diagnosis of Acute Rheumatic Fever?
Question (3)
Mention one systemic disease related to the following oral manifestation:
1
Hyperpigmentation Hyperbilirubinaemia .
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Periodontitisdiabetes.
Question (4)
Discuss the classification of anemia and give an example for each.
Question (5)
Discuss the main functions of the liver and mention some liver abnormalities related to dental practice.
Question(6)
Explain the importance of rheumatology in dental practice.
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A)
B)
C)
D)
E)
F)
G)
H)
diabetes insipidus
tuberculosis
renal carcinoma
carcinoma of the stomach
coeliac disease
diabetes mellitus
pancreatic carcinoma
thyrotoxicosis
(1) A 26-year-old woman complains of weight loss associated with diarrhoea and palpitations. Her pulse is
irregular.
(2) A 30-year-old man complains of fever, weight loss, night sweats and persistent cough.
(3) A 55-year-old woman presents with abdominal pain, weight loss and fatty stools. She also complains of
extremely uncomfortable itchy blisters on her knees and elbows.
(4) A 10-year-old boy presents with a history of weight loss and excessive thirst.
Question (II)
A)
B)
C)
D)
E)
F)
G)
H)
hypoparathroidism
hyperparathyroidism
hyperprolactinaemia
Cushings disease
hyperthyroidism
diabetes mellitus
acromegaly
phaeochromocytoma
(1) A 21-year-old woman presents with amenorrhoea, vaginal dryness and galactorrhoea. On examination she
has a bitemporal hemianopia.
(2) A 26-year-old woman complains of weight gain, menstrual irregularity and hirsuitism. Examination reveals
proximal muscle weakness and BP of 150/100 mmHg.
(3) A 28-year-old woman presents with chest tightness and anxiety attacks. She is hypertensive and her ECG
shows left ventricular hypertrophy.
(4) A 40-year-old woman is worried about her changing appearance and deepening voice. On examination she
has coarse oily skin, enlarged tongue and proximal muscle weakness. She also mentions paraesthesia in
both hands of recent onset.
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Question (III)
A)
B)
C)
D)
E)
F)
G)
H)
thiamine
vitamin D
folic acid
vitamin C
vitamin A
pyridoxine
vitamin K
vitamin B12
(1) A 55 year old with alcohol problems presents with nystagmus, ophthalmoplegia and ataxia.
(2) A 35-year-old patient recently diagnosed with coeliac disease complains of prolonged bleeding after a
small cut. The prothrombin time is increased.
(3) A 30-year-old woman with poor diet complains of bleeding gums.
(4) A 12-year-old boy presents with night-blindness.
Question (IV)
A)
B)
C)
D)
E)
F)
G)
H)
I)
Cushings syndrome
coarctation of the aorta
pregnancy
polycystic kidneys
malignant hypertension
hyperparathyroidism
renal artery stenosis
portal hypertension
phaeochromocytoma
(1) An anxious 26-year-old woman presents with episodes of chest pain and palpitations precipitated by
stress and smoking. Her 24-hour urine shows elevated catecholamines.
(2) A 45-year-old woman presents with weight gain, muscle weakness and hirsutism. On examination she is
hypertensive and has pedal edema.
(3) A 40-year-old man is brought to A&E with severe headache. On examination he has papilledema and
fundal haemorrhages. His BP is 220/145 mmHg.
(4) Hypertension in a 75 year old who is a heavy smoker with widespread peripheral.
Good Luck
Dr. Suhail Kishawi
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