CVS INTERNAL MED Year 4 Internal Medicine Notes OmpathStudy

CVS INTERNAL MED Year 4 · Internal Medicine Collection: 4TH YEAR ALL NOTES / IMED / internal medicine revision / papers -- Malaria. ) Leptospirosis ‘None of the above. ~ 26.In patients with dilated cardiomyopathy all are true except? - i 7 a) Arrhthymias are common hence need anti-myt}mics wpm of s management.; " b), Drug treatment is similar to that oE pafients w:th heart failute: ' Warfarin is contraindicated in this patients, =; d) Cardiac transplantation is the mainstay of treatrment for patients " . who donot get optimal treatrmient on medical ‘rherapy 27.All of the followmg are true about hypartrophlc cardwmyopathy except? 2 Itis familial e b) Itis associated with Frledrxch’s ataxta‘/ o e eI It is best treated with nitrates. ~ ; d) Echocardiography is a useful screening tool to make a diagnosis of ~ Hypertrophic cardiomyopathy. 28.The following are cguse's of specific heart muscle disease except? a) Amyloidosisb) Sarcoidosis— @ Emphysema.; d) Hemosiderosis — ' 29. All of the following drugs are used in the management of Myocardial infarction except? a) Aspirina” b) Beta blockers,— c) Statin..~ Diuretics. 30.All of the following are findings in an ECG in a patient with M yocardlal Infarction except? a) T wave inversionv” ST segment elevations Prolonged P-R interval. d) Deep wide Q waves.\n\nuh\”b(‘% of NIMO ‘S\rt L"”‘q ; W A 35 year old male is diagnosed to have Hypertension. What relevant hm:ory is impottant to get with regards to his diagnosis and what vestigations would be useful in the management of this patient. year old male patient known to have Diabetes and Hypertension is " brought in with complaints of heaviness &f chest, diaphoresis and an impending feeling of doom. What is the diagnosis? Give 5 possible differential diagnosis and important investigations one can do to make a definitive diagnosis. 5. List 6 likely causes of Acute Pericarditis and briefly descnbe Beck's triad and it’s utility. m}»dd‘? Low Gdice 0- ”'?‘} Bu\d Triod vmm\ Pod Gude.flsd &I Up-: @3 nul‘ V (Qc,ec‘ = &dfiwx £ 8(&4 I{/&D“L v./.?{u&%wfl, /-Pdhmnd& s le&w GMM Z:&.WW\n\nValvemnoaisy/ ks wvefi?nm‘-g.&b‘ 13.A possible diagnosis of acute myocardial infarction should be considered in the following situations except? i A) Sudden onset severe central chest pain udden oncet LVF, (B)Budden onset pleuritic chest pain. C) Sydden deatfh————— evere burning epigastric pain 14.A 50 year old man develops acute severe rxgh r .glgggain Probable causes include all the following except? A /t%:eumothorax 5T )Q:A‘ cAoleeyifid A cute myocardial infarction “{ cute Mesenteric adenms or R hevrvedie ferer Pleurisy (e, 15. The following are important risk factors for isghemic heart disease except? A) Obesity S — B) Smoking » igh salt intake fiigb glucose intake 16. Regarding heart failure all are true except? A) The prevalence increases with age \"~ s B) It accounts for about 5% of hospital admissions " C)About 30% of patients die within 3 mpnths of the onset of heart failure. Q'he majority of patients havé&asto ic heart failure Iulae Fd < mpoAant Cauny ia dulping werld 7 17. The following are known to result in chronic heart failure except? a. Ischaemic heart disease\” - tcow =T b, Aleohol abuse" g ion,flnfi\—n—r Jifl‘u’fiam(\ in deficiency— o 18. Highoutpux failure occurs in all except? a. Thyrotoxicosis &~ Ffis&( c“»« ] b. Septic shock +— ) Aortic regurgitation®{ right heart failure,all are true except? smndarympu]monary 20, The following non pharmacological methods have been shown to reduce the blood pressure in subjects with hypertension except? a. Weight reduction\,”” b. Increased fruit and vegetable intake‘/ Social drinking of alcohol is permissible d. Cessation of smoking 21. Hypertension is caused by all the following except? a. Renal artery stenosis b. Coarctation of the aorta ) porphyria éflml comraceplioxW Renin ecrebing Aumor e 22. Regarding hypertensive emergency,all are false except? a. The blood pressure must be reduced within 5 minutes to prevent hypertensive encephalopathy b. Intravenous labetalol is the drug of choice c. Sublingual nifedipine is indicated @ Aortic dissection is a complication~ 23, Hypertension increases the risk of developing the following all except? a. Renal failura ~ Asthma c. Congestive cardiac failured.~ d. Stroke” TF1 o= 24. The following are true except? L3 T a. Hypertension is defined as a sustained blood pressure above 40/90mmHg & /b.//l\ blood pressure of 138/85mmHg is defined as normalf™" ¢. A patient with a diastolic blood pressure above 100mmHg is considered to have stage 2 hypertension#™F & d. A patient with a systolic blood pressure of 150mmHg has stage 2 hypertension.\ne ’40 — I« 9. 0~ 25. The following are true except? "1 T+ 4 / 97 7? s — a. Hypertension is the most important cause of stroken" e o t lp b. The prevalence of hypertension is on the increasge=="" " ] @Contml of hypertension is achieved in only 50 percent of people worldwide y d. Hypertension is commoner in the elderly, — = 26. The following e