8.8.2013(history)

Question 0

Difference in aura between vasovagal and cardiac syncope

Answer 0

Aura is brief(less than 3s) in cardiac syncope

In vasovagal syncope it lasts for 2.5min

Question 1

Dimensions of a symptom

Answer 1

Time
Quantity
Location
Aggravating factors
Relieving factors
Quality
Setting
Associated symptoms
Inconstant dimensions(color,quality,consistency)

Question 2

Green pus?

Answer 2

Not diagnostic of pseudomonas

Any infection which elicits lot of WBCs with verdoperoxidase is green in color

Question 3

Sternbach pain thermometer uses _________ to grade pain

Answer 3

Sphygmomanometer

Question 4

Sense of impending doom

Answer 4

Associated only with MI

Question 5

High grade fever is indicated by

Answer 5

Chills and night sweats

Question 6

Duration of shaking chills

Answer 6

30min

Question 7

Drugs causing itching

Answer 7

Cholestasis
 Phenothiazines
 Erythromycin
 Estrogen
 Progesterone
 Testosterone 
Narcotics
Aspirin

Question 8

Itching that awakens pts at night

Answer 8

Scabies

Dermatitis herpetiformis

Question 9

Aquagenic pruritis

Answer 9

Polycythemia Vera
Hodgkin
Mastocytosis
Ageing

Question 10

Endocrine causes of itching

Answer 10

Diabetes
Thyroid dysfunction
Carcinoid

Question 11

Haematological conditions associated with itching

Answer 11

Polycythemia Vera

Hemochromatosis

Question 12

No cause for hemoptysis is found in ________% of pts

Answer 12

20

Recurrence is low in these pts

Question 13

Sites of cough receptors

Answer 13

Ear
Oesophagus
Tracheobronchial tree
Pericardium

Question 14

Associated symptoms with cough

Answer 14

Arrythmia
Post nasal drip
Sinusitis
Acid reflux

Question 15

Vasculitis associated with cough

Answer 15

Temporal arteritis

Question 16

Most common causes of cough in non smokers with normal chest X ray and not taking ACE inhibitors

Answer 16

GERD
postnasal drip
Asthma

Question 17

Nonprogressive Intermittent dysphagia for solids

Answer 17

Schatzki ring

Question 18

Short duration progressive dysphagia

Answer 18

Cancer

Question 19

Long duration progressive dysphagia

Answer 19

Peptic strictures

Question 20

Intermittent minimally progressive dysphagia with odynophagia

Answer 20

Esophageal spasm

Question 21

Slowly progressive dysphagia over a period of years for both solids and liquids

Answer 21

Achalasia

Question 22

Abdominal disorders and site of manifestation

Answer 22

Lower abdominal disorders may manifest with upper and mid abdominal complaints
The converse is not true

Question 23

Pain of distal ureter is referred to

Answer 23

Testicles

Question 24

Colicky pain in pancreatitis

Answer 24

Small bowel illeus | Gall stone pancreatitis

Question 25

Quality of cholecystitis pain

Answer 25

Steady,non colicky

Question 26

Periodicity of abdominal pain

Answer 26

Allergic Eosinophilic gastritis- days Lead colic- days to weeks Porphyria- weeks Familial Mediterranean fever- weeks to months

Question 27

Periodicity of Billiary colic

Answer 27

Circadian periodicity Mostly at night Recur at same time

Question 28

Association of biliary colic to meals

Answer 28

No association

Question 29

Abdominal pain relieved by vomiting

Answer 29

Pyloric or proximal small bowel lesion

Question 30

Characteristics of visceral pain

Answer 30

Restless | Autonomic phenomena

Question 31

Epigastric pain in gastric Ca

Answer 31

First attack after 50yrs | Weight loss not clearly related to significant vomiting

Question 32

Epigastric pain of peptic ulcer

Answer 32

Nocturnal | Relieved by food or antacids

Question 33

Abdominal pain associated with syncope

Answer 33

Pancreatitis Ruptured Ectopic pregnancy Ruptured aortic aneurysm Perforated peptic ulcer

Question 34

Pain preceding vomiting,the site of disease is

Answer 34

Below the ligament of treitz

Question 35

Viral gastroenteritis,order of appearance of pain and vomiting

Answer 35

Vomiting followed by pain

Question 36

Radiation of gallbladder pain

Answer 36

RUQ---->LUQ----->RUQ

Question 37

Weight loss without anorexia

Answer 37

``` Hyperthyroidism Diabetes Pheochromocytoma Collagen vascular disease Malabsorption Post encephalitic parkinson ```

Question 38

Timing in loss of appetite

Answer 38

Loss of appetite at the beginning of illness | As in later stages zinc deficiency due to malnutrition may alter appetite

Question 39

Criteria for coffee ground vomitus

Answer 39

- dark brown - texture - shiny

Question 40

Characteristics of upper GI bleed

Answer 40

Black Sticky Glistening

Question 41

Amount of blood required to produce Malena

Answer 41

50-80ml

Question 42

Pencil stools

Answer 42

Diverticular disease | Proctitis

Question 43

Impotence with loss of smell

Answer 43

Kallman syndrome | Zinc deficiency

Question 44

Psychogenic impotence will have

Answer 44

Morning erections

Question 45

Impotence due to sensory neuropathy

Answer 45

Increased latency to erection | Nocturnal erections are normal

Question 46

Antihypertensives with least effect on sexual function

Answer 46

ACE inhibitors

Question 47

Irregular menstrual bleeding

Answer 47

Metrorhagia

Question 48

Drugs causing tinnitus with hearing loss

Answer 48

Salicylates | Aminoglycosides

Question 49

Drugs causing tinnitus without hearing loss

Answer 49

``` Carbamazepine Tetracycline Antipsychotics MAO inhibitors Tricyclics Li Antihistaminics Beta blockers Local anesthetics Steroids ```

Question 50

Metabolic conditions associated with tinnitus

Answer 50

Hyperlipidemia Thyroid dysfunction Vitamin or zinc deficiency