INGLES Flashcards
1. Which of the following pathogens causes mucopurulent endocervicitis? • Neisseria gonorrhoeae • Herpes simplex virus • Human papilloma virus • Gardnerella vaginalis • Hemophilus influenzae
• Neisseria gonorrhoeae.
30-year-old housewife, sterilized two years ago, presents with vaginal discharge:
homogeneous and thin, pH: 6, potassium hydroxide test: fishy odor and presence of
“key cells”. What is the most likely diagnosis?
• Bacterial vaginosis
• HPV infection
• Vaginal candidiasis
• Lues
• Trichomoniasis
• Bacterial vaginosis
In most cases, the sinus and atrioventricular nodes are supplied by the artery: • Right coronary • Branches of the circumflex • Marginal • Left coronary • Interventricular
• Right coronary
Which of the following corresponds to one of the essential functions of Public Health?
• Promoting social responsibility for health
• Developing secondary prevention
• Development of social determinants of health.
• Promote the development of health infrastructure
• Promote health surveillance
• Promoting social responsibility for health
Male, 55 years old, 3 months ago he presented epigastralgia and abundant diarrhea.
History of untreated pituitary tumor. Laboratory: moderate hypercalcemia. Upper
endoscopy: multiple ulcers in the first portion of the duodenum. What is the most probable
diagnosis?
• Zollinger-Ellison Syndrome
• Chronic duodenitis
• Duodenal peptic ulcers
• Duodenal neoplasia
• Carcinoid syndrome
• Zollinger-Ellison Syndrome
. When a flaccid NB is received in a servo-control, is not breathing spontaneously, has a
HR: 80 X’ and is born bathed in clear amniotic fluid, what is the first action to be taken?
• Aspirate and ventilate at positive pressure
• Position, dry and stimulate
• Intubate via endotracheal tube and aspirate
• Ventilation and cardiac massage
• Aspirate and give free-flow oxygen
• Aspirate and ventilate at positive pressure
What is the most frequent route of entry of hazardous industrial agents or substances to which workers are exposed? • Inhalation • Cutaneous • Oral • Percutaneous • Immersion
• Inhalation
¿Cuál es la vía de entrada más frecuente de sustancias o agentes industriales peligrosos a los que están expuestos los trabajadores?
A 10-year-old male presents with occasional "wheezing" and dry cough once a week or with seasonal changes. He denies nocturnal symptoms. History: Asthmatic mother and brother. Examination: scarce expiratory wheezing, without nasal flaring or retractions. Spirometry: reversible obstructive pattern. Forced expiratory minute volume > 80% .What is the treatment of choice? • Inhaled B2 adrenergic • Inhaled corticosteroid • Oral methylxanthine • Oral leukotriene inhibitor • Inhaled antimuscarinic
• Inhaled B2 adrenergic
Which of the following statements defines a situation of high fertility and mortality rates to one of low rates; as well as the change from a pattern in which infectious-contagious diseases predominate to one in which the main causes of death are chronic degenerative diseases? • Epidemiological transition • Epidemiological curve • Endemic channel • Endemic pattern variation • Endemic curve
• Epidemiological transition
¿Cuál de las siguientes afirmaciones define una situación de altas tasas de fecundidad y mortalidad a una de bajas tasas? así como el cambio de un patrón en el que predominan las enfermedades infecciosas-contagiosas a otro en el que las principales causas de muerte son las enfermedades crónico degenerativas?
In the treatment of diabetic neuropathy, which of the following drugs acts as a selective
serotonin and norepinephrine reuptake inhibitor?
• Duloxetine
• Mexiletine
• Desipramine
• Gabapentin
• Pregabalin
• Duloxetine
- Most first trimester miscarriages are caused by chromosomal abnormalities. Which of
the following abnormalities is the most common?
• Autosomal trisomy
• Balanced translocation
• Monosomy 45X
• Triploidy
• Mosaicism
• Autosomal trisomy
A 42-year-old male underwent surgery for preoperative diagnosis of acute appendicitis. At surgery: cecal appendix with a 2 cm yellowish, hard, hard tumor located at the tip that involves the meso with the rest of the appendix apparently normal. What is the therapeutic approach to be followed? • Right hemicolectomy • Total colectomy • Cecostomy plus appendectomy • Appendectomy • Ileostomy
• Right hemicolectomy
Varón de 42 años intervenido para diagnóstico preoperatorio de apendicitis aguda. En el momento de la cirugía: apéndice cecal con tumor de 2 cm amarillento, duro, duro, localizado en la punta que envuelve el meso con el resto del apéndice aparentemente normal. ¿Cuál es el enfoque terapéutico a seguir?
What is the compression/breathing ratio in neonatal cardiopulmonary resuscitation? 3 / 1 3 / 2 6 / 1 6 / 2 4 / 2
3 / 1
Which of the following findings is compatible with nephrotic syndrome?
• Edema, hypoalbuminemia and proteinuria greater than 3 grams in 24/hs urine.
• Arterial hypertension, hematuria and hematic casts in urine.
Bipalpebral edema, hypoalbuminemia, and hyaline casts in urine.
• Foamy urine, hypertension and granular casts in urine
• Dyslipidemia, proteinuria of 1.5 grams in 12-hour urine and albuminemia.
• Edema, hypoalbuminemia and proteinuria greater than 3 grams in 24/hs urine.
A 26-year-old woman presented 24 hours ago with abdominal pain in the epigastrium radiating to the right iliac fossa after 3 hours, accompanied by nausea without vomiting. Examination: BP: 100/60 mmHg. Pulse: 100X'. T°: 38.5°C. Painful abdomen in right iliac fossa Mc Burney (+). Normal hemogram. According to Alvarado's scale, what is the best course of action? • Multislice helical tomography • Observation and control hemogram • Analgesics and ambulatory control • Appendectomy • Exploratory laparotomy
• Multislice helical tomography
Mujer de 26 años que acudió hace 24 horas por dolor abdominal en el epigastrio
irradia a la fosa ilíaca derecha después de 3 horas, acompañado de náuseas sin vómitos.
Examen: PA: 100/60 mmHg. Pulso: 100X ‘. T °: 38,5 ° C. Abdomen doloroso en la derecha
fosa ilíaca Mc Burney (+). Hemograma normal. Según la escala de Alvarado, ¿cuál es el
mejor curso de acción?
What is the name given to the table, graph, formula or other system used to specify all
possible values of a discrete random variable along with their probabilities?
• Probability distribution
• Cumulative distribution
• Binomial parameters
• System distribution
• Continuous distribution
• Probability distribution
¿Cuál es el nombre que se le da a la tabla, gráfico, fórmula u otro sistema utilizado para especificar todos
posibles valores de una variable aleatoria discreta junto con sus probabilidades?
Through what mechanism does citizen oversight contribute to improving dialogue, understanding and respect between representatives of the population, the State and civil society? • Citizen Health Surveillance Committees • Community participation • Social empowerment Municipal Council • Prefecture
• Citizen Health Surveillance Committees
¿A través de qué mecanismo contribuye la supervisión ciudadana a mejorar el diálogo,
entendimiento y respeto entre los representantes de la población, el Estado y la sociedad civil
¿sociedad?
• Comités de Vigilancia de la Salud Ciudadana
• Participación comunitaria
• Empoderamiento social
Consejo Municipal
• Prefectura
In which line of the anal canal is chronic anal fissure most frequently located? • Back half • Previous average • Left side • Right side • Toothed
• Back half
Which of the following populations are considered at high risk for tuberculosis infection and should receive preventive treatment?
• HIV (+) contacts with PPD larger than 5mm
• Chronic smokers with pulmonary fibrosis
• Oral drug users
• Recent tuberculin converters larger than 5 mm
• Health personnel with PPD reaction greater than 5 mm
• HIV (+) contacts with PPD larger than 5mm
What is the scoring system used in the initial assessment of critical patient severity, which assesses acute physiology and chronic health? • APACHE II • Glasgow • SAPS II • MPM • Ranson
• APACHE II
What is the instrument used to define whether a given number of casescorresponds to an epidemic? • Endemic channel • Epidemic line • Epidemiological curve • Epidemic ratio • Relationship cases time
• Endemic channel
A 65-year-old woman presents with genital dystopia and urine leakage on Valsalva maneuver
. Examination: Bp point at +3, according to the classification of pelvic organs.
What type of genital dystopia does she present?
• Rectocele
• Cystocele
• Hysterocele
• Urethrocele
• Enterocele
• Rectocele
50-year-old male presents with foamy urine. History: DM-2 10 years ago. HT 2 years
ago without treatment. Examination: BP: 160/90 mmHg. Slight pallor, edema +/+++ in
lower limbs. Laboratory: proteinuria ++. What is the most recommended
antihypertensive drug?
• Enalapril
• Methyldopa
• Carvedilol
• Nicardipine
• Verapamil
• Enalapril
- What is the central alteration in the pathophysiology of hypertensive disorders
of pregnancy?
• Reduction of uteroplacental perfusion
• Genetic, immunological or inflammatory disorder
• Maternal vascular disease
• Failure of zygote nesting
• Excessive gestational trophoblasts
• Reduction of uteroplacental perfusion
What information should the physician provide to the mother in the presence of
vaginal fold protrusion as a skin patch in a newborn?
• It is normal
• Requires surgery
• It is an adenoma
• It is a malformation
• It is a cyst
• It is normal
What is the initial treatment of umbilical granuloma? • Cauterization with silver nitrate • Surgical removal • Topical antibiotic • Daily healing with antiseptics • Observation and reevaluation
• Cauterization with silver nitrate
What is the first-line treatment in primary generalized tonic-clonic seizures? • Valproic acid • Phenytoin • Carbamazepine • Phenobarbital • Primidone
• Valproic acid
What is the most commonly used procedure for airway resuscitation in a
hospitalized patient with severe respiratory distress?
• Endotracheal intubation
• Cricothyroidotomy
• Cricothyroid puncture
• Tracheostomy
• Oxygen with Venturi mask
• Endotracheal intubation
Hyaline membrane disease is characterized by the fact that it occurs more
frequently in the ……newborn and its main cause is…
• premature/surfactant deficiency.
• term/surfactant deficiency.
• premature/meconium aspiration.
• term/ meconium aspiration.
• GEG/hypoglycemia.
• premature/surfactant deficiency.
38-year-old woman, large multiparous. Consultation for sensation of a lump in the vagina.
Examination: evidence of prolapse of the anterior and posterior walls of the vagina, with
the most distal portion of the prolapse being less than 1 cm distal to the plane of the
hymen. According to the classification of pelvic organs POP-Q. In what stage is the
prolapse?
• II
• 0
• IV
• III
• I
• II
What are the diagnostic criteria for osteoporosis according to WHO in women over 65
years of age?
• Bone densitometry less than -2.5 SD at any location
• Pathological hip fractures
• Anterior wedging of the vertebrae
• Pathologic fractures of the wrist and hip
• Bone densitometry less than -1.5 SD at the femoral neck.
• Bone densitometry less than -2.5 SD at any location
13-year-old adolescent girl with a BMI of 15, hospitalized for dehydration and malnutrition. The mother reports that her daughter frequently makes herself vomit. What is the medio internal? • Hypochloremic alkalosis • Metabolic acidosis • Hyperchloremic alkalosis • Hyperkalemic acidosis • Hypochloremic acidosis
• Hypochloremic alkalosis
. A 38-year-old woman is admitted to the emergency room for a traffic accident. Examination: right lower limb in adduction, flexed and in internal rotation. What is the most likely diagnosis? • Posterior hip dislocation • Femoral head fracture • Acetabular fracture • Anterior hip dislocation • Ischiopubic ramus fracture
• Posterior hip dislocation
5. Increased haptoglobin, lactate dehydrogenase, indirect bilirubin and reticulocytes indicate anemia due to ... • hemolysis. • chronic renal failure. • primary spinal cord disorder. • nutritional deficiency. • chronic liver disease.
• hemolysis
A 25-year-old woman presents with arthralgias and foamy urine. Examination: butterfly
wing erythema, peripheral edema (++). Laboratory: ANA: (+), complement C3:
decreased. He starts treatment with oral corticosteroid at high doses. What effect does
he expect to find?
• Decreased T lymphocyte production.
• Increased release of interleukin I.
• Decreased gluconeogenesis
• Increased permeability of capillaries
• Decreased mobilization of fatty acids
• Decreased T lymphocyte production.
What is the most frequent causative microorganism in malignant otitis externa? • Pseudomona aeruginosa • Streptococcus pneumoniae • Haemophylus influenzae • Staphylococcus aureus • Moraxella catarrhalis
Pseudomona aeruginosa
What injury does ultrasound detect in patients with blunt abdominal trauma? • Hepatic • Retroperitoneal duodenal • Ureteral • Pancreatic • Rena
• Hepatic
. Immediate pregnant woman with a diagnosis of fetal macrosomia. During the revision of
the vaginal canal there is evidence of: tearing involving mucosa, vaginal submucosa,
perineal body and anal sphincter. What is the degree of vaginal tearing?
• III
• II
• I
• IV
• 0
• III
A 30-year-old married woman consults for mucopurulent genital discharge, pain in the
hypogastrium and iliac fossa, no menstrual delay. Examination: pulse 98 X’,
mucopurulent vaginal discharge, intense pain on palpation of the uterus and mobilization
of the uterine cervix, no palpable tumors and normal cul-de-sac. What is the most likely
diagnosis?
• Pelvic inflammatory disease
• Trichomoniasis vaginalis
• Herpetic vaginitis
• Bacterial vaginosis
• Candidiasis vulvovaginitis
• Pelvic inflammatory disease
What is the cardiovascular complication in a child with obesity? • Hypertension • Hypotension • Arrhythmias • Heart failure • Ventricular hypertrophy
• Hypertension
What is the most frequent site of distant metastasis of papillary thyroid carcinoma? • Lung • Heart • Esophagus • Diaphragm • Trachea
• Lung
What is an absolute indication for tonsillectomy in the child? Sleep apnea Recurrent tonsillitis Severe halitosis Probable malignant neoplasm Peritonsillar phlegmon
Sleep apnea
What is the most important criterion for the diagnosis of pelvic abscess? • Palpable painful adnexal tumor • History of acute pelvic disease • Fever • Pain on palpation of the cul-de-sac • Leukocytosis with left shift
• Palpable painful adnexal tumor
- Immediate evaluation of the newborn shows an excavated abdomen and severe
respiratory distress with cyanosis. CXR: circular radiolucent images in the left
hemithorax. What is the diagnostic suspicion?
• Diaphragmatic hernia
• Hydrothorax
• Pneumothorax
• Annular pancreas
• Serous pleuritis
• Diaphragmatic hernia
A 27-year-old woman, G2P1001, with a 31-week gestational age, attended routine
prenatal care. Her pregnancy has been uncomplicated, with a history of subserosal
fibroids diagnosed in previous ultrasounds and only one active fetus. Examination:
uterine height of 38 cm. What is the most probable complication associated with the
presence of fibroids?
• Preterm delivery
• Placenta previa
• Polyhydramnios
• Gestational hypertension
• Premature rupture of membranes
• Preterm delivery
39-year-old primigravida at 41 weeks gestation by first trimester ultrasound. She comes
to the emergency room because of her gestational age, denies pain and contractions.
Fetal movements were present, a non-stress test was performed, which showed and an ultrasound with normal ILA, deciding on cervical ripening with misoprostol.
What is the WHO recommended dose in micrograms intravaginally?
• 25 every 6 hours
• 25 every 2 hours
• 50 every 2 hours
• 50 every 6 hours
• 25 every 4 hours
• 25 every 6 hours
What is the pathogenesis in cardiogenic pulmonary edema? • Increased hydrostatic pressure • Alteration of the vascular endothelium • Increased oncotic pressure • Alteration of surfactant substance • Alveolar collapse
• Increased hydrostatic pressure
A 28-year-old woman presented four days ago with bilateral lumbar pain, increased temperature, dysuria, pollakiuria and vomiting. Examination: PPL (+). What is the most likely diagnosis? • Acute pyelonephritis • Acute cystitis • Acute urethritis • Mechanical low back pain • Acute salpingitis
• Acute pyelonephritis
A. 45 year old diabetic patient on irregular treatment, 4 days ago she presented with
abdominal pain in the right upper quadrant, sensation of thermal elevation and yellowish
coloration of the skin and mucous membranes. Examination: jaundice of skin and
mucous membranes. BP: 90/60mmHg. Pulse: 110 X’. T°: 39°C. Painful abdomen on palpation in the right upper quadrant, Blumberg(-) Murphy(+) sign. Ultrasound:
cholelithiasis and choledocholithiasis. What is the therapeutic approach to follow?
• Endoscopic cholangiopancreaticotrophic endoscopy
• Open cholecystectomy
• Exploration of biliary tract
• Open cholecystostomy
• Biliodigestive bypass
B. 55-year-old woman with a diagnosis of varicose veins, reporting erythema, heat and pain in the affected veins, which can be palpated as an indurated cord. How many weeks is anticoagulation advisable? • Six • Four • Three • Two • A
A•
Endoscopic cholangiopancreaticotrophic endoscopy
B
• Appendicular plastron
. An 18 year-old woman presented four days ago with colicky pain in the epigastric region
that after eight hours was located in the right iliac fossa, as well as nausea, vomiting and
hyporexia. Examination: T: 38°C; P: 90 X’; BP: 120/70mmHg; FR: 20 X’. Abdomen: RHA
present, in the right iliac fossa there is an 8x5cm tumor of hard consistency with defined
borders, not painful. What is your diagnostic impression?
• Appendicular plastron
• Blind cancer
• Ascending colon cancer
• Ovarian cyst to twisted pedicle
• Right tuboovarian abscess
• Appendicular plastron
Which of the following is most frequently associated with polycystic ovary syndrome in obese patients? • Infertility • Type I diabetes • Hypoglycemia • Hypocholesterolemia • Hypermenorrhea
• Infertility
The district of San Juan de Lurigancho has a population of 1'000,000 inhabitants and in 2017 there were 800 cases of dengue fever, of which 80 patients died. What is the case fatality rate? • 10 deaths per 100 dengue cases • 80 deaths per 100,000 inhabitants • 800 deaths per 100,000 inhabitants • 100 deaths per 100 dengue cases • 8 deaths per 1,000 inhabitants
• 10 deaths per 100 dengue cases
Newborn presenting with bilious vomiting and progressive abdominal distension. What is the probable diagnosis? • Intestinal atresia • Pyloric hypertrophy • Midgut volvulus • Meconium ileus • Necrotizing colitis
• Intestinal atresia
What portion of the pancreas is within the C-shaped concavity of the duodenum? • Head • Collar • Unciform process • Body • Cola
• Head
The pathophysiological triad of bronchial asthma is characterized by:
• Bronchospasm-mucus edema-bronchial hypersecretion
• Bronchoconstriction-mucus bleeding-bronchorrhea
• Bronchospasm-mucus phlogosis-scarce bronchial secretion
• Bronchoconstriction - mucosa with epithelial desquamation - bronchoconstriction -
bronchorrhea
• Bronchospasm - mucosal edema - mucopurulent secretion
• Bronchospasm-mucus edema-bronchial hypersecretion
43-year-old woman, history of normal delivery, has a new partner. BP 140/90mmHg,
Catamenial regimen: 4-7/ 28 -32 days. Heavy bleeding during the first days, with
moderate anemia, occasional smoker and BMI 30 and hypercholesterolemia. PAP and
transvaginal ultrasound normal. Which of the following alternatives is the most
appropriate to avoid pregnancy?
• IUD plus levonorgestrel
• T for Copper
• Combined oral contraceptives
• Condom
• Depot contraceptives
• IUD plus levonorgestrel
A 35 year-old man comes to the emergency room for presenting hypertensive crisis with
blood pressure values above 200/100 mmHg, a situation that has been repeated on
several occasions. He had a history of abdominal pain, for which an abdominal CT scan was requested and a tumor was found on the left kidney. What test is requested to clarify
the diagnosis?
• Urinary methanephrines
• Plasma cortisol
• Serum renin
• Erythropoietin
• Aldosterone
• Urinary methanephrines
What is the first step in the planning process in measuring the overall health status of the
community?
• Measuring or assessing the burden of disease
• Determination of the causes of disease
• Measuring the effectiveness of interventions
• The implementation of the actions
• Monitoring or supervision of activities
• Measuring or assessing the burden of disease
A 20-year-old woman, shy since childhood, presents serious interpersonal problems;
lately she feels attracted to a classmate, but as she considers herself awkward and
unattractive, she is embarrassed and prefers not to answer him every time he speaks to
her.
What personality disorder does he/she present?
• Evitativa
• Paranoid
• Schizoid
• Antisocial
• Dependent
• Evitativa
25-year-old female, chronic alcoholic, reports a 3-week menstrual delay. Pregnancy test (+). In addition to maxillary hypoplasia, what other effect on the product can occur due to alcohol consumption during pregnancy? • Mental retardation • Gastroschisis • Phocomelia • Deafness • Glaucoma
• Mental retardation
Infant 5 months old, presented since 3 days ago: rhinorrhea, sneezing and fever. Today
he was brought in for respiratory distress. Examination: T: 38.5°C, HR: 160X’, FR: 70X’,
SatO2: 85%, irritability, perioral cyanosis, subcostal, intercostal and supraclavicular
retraction; sub crepitant and inspiratory and expiratory wheezing. What is the diagnosis?
• Bronchiolitis
• Pneumonia
• Common cold
• Acute laryngitis
• Asthmatic crisis
• Bronchiolitis
What is the most frequent cause of testicular torsion in children? • Undescended testicle • Testicular tumor • Attachment to the scrotal wall • Epididymitis • Epididymal cyst
• Undescended testicle
2-year-old boy with cellulitis of the right leg. He evolves with general malaise, lethargy,
T: 39.5ºC, RR: 48X’, HR: 196X’, BP: 50/35 mmHg, cold extremities and slow capillary
filling. Examination: Leukocytes: 28,000 x mm3, rods: 12%. He has received fluids
followed by dopamine at appropriate doses without favorable clinical response. What is
the next therapeutic measure?
• Adrenaline
• Milrinona
• Dobutamine
• Atropine
• Vasopressin
• Adrenaline
What is the drug of choice in the management of organophosphorus poisoning? • Atropine • Pilocarpine • Adrenaline • Acetylcholine • Meperidine
• Atropine
In the first week of refeeding the malnourished infant, what complication may occur? • Hypophosphatemia • Hyponatremia • Hypercalcemia • Hyperkalemia • Hypernatremia
• Hypophosphatemia
What is the mechanism of action of sulfonamides?
• Competitive inhibition of dihydropteroate synthase.
• Inhibition of DNA gyrase
• Transpeptidase Inhibition
• Binding to the 30S ribosomal subunit
• Hepatic CYP enzyme inhibition
• Competitive inhibition of dihydropteroate synthase
What is the type of shock presenting in a patient with decreased mean
arterial pressure, thready pulse, cold extremities and slow capillary refill?
• With low cardiac output
• With high vascular resistance
• With high cardiac output
• With low vascular resistance
• Mixed
• With low cardiac output
25-year-old woman, with two children of normal delivery, sexually active. She presents
with chronic pelvic pain. FUR two weeks ago. PAP negative, transvaginal ultrasound:
normal uterus and thickening of both tubes. Of the following alternatives, which is the
safest contraceptive method?
• Combined oral contraceptives
• Device with levonorgestrel
• Bilateral tubal blockage
• Natural methods
• Barrier methods
• Combined oral contraceptives
What is the pathophysiology of the induction of gastric disease produced by
NSAID consumption?
• Interruption of prostaglandin synthesis
• By inflammatory response
• Due to increased bicarbonate secretion
• By increased epithelial cell proliferation.
• By increased mucin secretion
• Interruption of prostaglandin synthesis
What is the most frequent complication of spinal anesthesia in patients who are not well hydrated? • Hypotension • Bradycardia • Headache • Paresthesia’s • Unconsciousness
• Hypotension
What sign differentiates severe from moderate dehydration in children? • Low intensity heart sounds • Slow capillary filling • Dry oral mucosa • Irritability • Polypnea
• Low intensity heart sounds
Regarding iron metabolism, which of the following statements is correct?
• Iron is transported in the plasma as ferritin
• Iron of animal origin is found as non-heme.
• Iron absorption occurs in the distal duodenum.
30% of functional iron is found in hemoglobin and myoglobin.
• Iron absorption is regulated by cryoglobulin.
• Iron is transported in the plasma as ferritin.
In a pregnant woman diagnosed with HIV on HAART, delivery by cesarean section will
be performed when…
• gestation is at term and without prenatal control.
• cervical dilatation is greater than 4 cm.
• premature rupture of membranes is greater than four hours.
• gestation is a fetal death.
• arrives in the second stage of labor and with prenatal control
• gestation is at term and without prenatal control.
A 25 year-old woman, refers since 3 weeks ago dry cough, chest pain in the posterior
aspect of the right hemithorax that increases with deep breathing. Examination: vocal
vibrations and vesicular murmur abolished at the base of the right hemithorax. Chest Xray: right pleural effusion. Negative sputum BK. ADA in pleural fluid increased. What
study is requested to confirm the diagnosis?
• Pleural biopsy
• AGA
• BK in gastric juice
• Pulmonary CT
• Chest MRI
• Pleural biopsy
A 48-year-old woman, with a family history of hypothyroidism, is admitted to the hospital
because of sepsis secondary to bronchopneumonia, remaining fasting for 7 days.
Considering the family history of hypothyroidism, a thyroid hormonal study was
performed; she was reported to be a euthyroid patient. What would be the hormonal
result NOT related to her diagnosis?
• Decreased TSH
• Normal TSH
• Normal T4
• T3 low
• rT3 high
• Decreased TSH
What is the most characteristic symptom of phlyctenule keratoconjunctivitis? • Ocular itching • Edema • Hyperemia • Watery discharge • Mucous secretion
• Ocular itching
What is the most frequent cause of embolisms of cardiac origin?
• Mitral disease with atrial fibrillation
• Acute myocardial infarction
• Dilated cardiomyopathy
• Subacute infective endocarditis
• Aortic insufficiency
• Mitral disease with atrial fibrillation
