Rembe - Chapter 2 (MS) Flashcards
Medicine
Which of the following is characteristic of Cushing’s syndrome?
Slender body type
Hypotension
Osteoarthritis
Acne
Acne
The most serious manifestation of rheumatic fever is
Renal incompetence
Hypertension
Liver malfunction
Heart disease
Heart disease
All of the following actions occur in primary hyperparathyroidism EXCEPT
a. Serum calcium increases
b. Hyperphosphatemia (increased blood serum levels of phosphates)
c. Increased calcium excretion via the kidneys
d. Calcium and phosphorus are reabsorbed from bone
b. Hyperphosphatemia (increased blood serum levels of phosphates)
Which of the following statements apply to cystic fibrosis EXCEPT
Renal disorders
Ocular complications
Peripheral neuritis
Acidosis
Acidosis
All of the following statements apply to cystic fibrosis EXCEPT
a. It is a disorder more common to children than adults
b. These patients have increased excretion of salt in the sweat
c. The disease primarily affects the pancreas
d. It results from repeated attacks of acute pancreatitis
d. It results from repeated attacks of acute pancreatitis
Injury or destruction to the posterior lobe of the pituitary gland results in
Cushing’s syndrome
Frohlich’s syndrome
Acromegaly
Diabetes insipidus
Diabetes insipidus
The dominating problem of acute renal failure is
Oliguria or anuria
Anasarca
Hemoglobinuria
Myohemoglobinuria
Oliguria or anuria
The range of normal systolic blood pressure in adults is
90-100
90-110
80-120
90-140
90-140
Depressed function (hypopituitarism) of the anterior lobe of the pituitary gland (due to tumors, inflammation, vascular thrombosis, hemorrhage, etc.) occurring during childhood leads to or results in
Gigantism
Dwarfism and gonadal hypoplasia
Cushing’s syndrome
Acromegaly
Dwarfism and gonadal hypoplasia
The P-wave of an EKG corresponds to which of the following?
Mitral depolarization
Atrial depolarization
Mitral repolarization
Atrial repolarization
Atrial repolarization
The T-wave of an EKG is generated by
Ventricular repolarization
Ventricular depolarization
Atrial depolarization
Atrial repolarization
Ventricular repolarization
A symptom of hypokalemia is
No muscle weakness
Alertness
Cardiac irregularities
No abdominal distention
Cardiac irregularities
Adams-stokes syndrome is associated with the onset of
Atrial flutter
Sinus arrhythmia
Thyrotoxic heart disease
Serious degree of heart block
Serious degree of heart block
Which of the following conditions may produce circulatory collapse?
Anoxia
Coronary thrombosis
Pulmonary embolism
All of the above
All of the above
Which of the following conditions heralds the onset of scleroderma or lupus erythematosus?
Thromboangiitis obliterans
Raynaud’s syndrome
Erythromelalgia
Acrocyanosis
Raynaud’s syndrome
The most susceptible time for injury to the fetal cardiovascular system in producing congenital defects to this system is between
a. Conception and the twenty-first day
b. Twenty-first and fortieth days
c. Fortieth and sixtieth days
d. Third and sixth months
b. Twenty-first and fortieth days
Frequency of polyarteritis nodosa occurs with patients who have history of
Ischemic and infectious manifestation
No allergic manifestation
No cardiac Manifestation
No circulatory manifestation
Ischemic and infectious manifestation
A disease characterized by dilatation of bronchi and bronchioles is
Emphysema
Bronchiectasis
Spondylitis
Endocarditis
Bronchiectasis
A disease in which the air spaces distal to the terminal bronchioles are dilated beyond their normal size is
Emphysema
Bronchiectasis
Spondylitis
Endocarditis
Emphysema
Complications of diabetes mellitus that is not properly treated include
Acidosis and coma
Arteriosclerosis
Peripheral neuritis
All of the above
All of the above
Thromboangiitis obliterans occurs in or involves
Arteries only
Veins only
Both arteries and veins
Neither arteries nor veins
Both arteries and veins
Intermittent claudication in the lower extremities
Buerger’s disease
Raynaud’s disease
Still’s disease
Pott’s disease
Buerger’s disease
Raynaud’s syndrome involves
Small arteries
Veins
Both arteries and veins
Neither arteries nor veins
Small arteries
Acute bacterial endocarditis may develop from
Pneumococci
Gonococci
Streptococci
All of the above
All of the above
The action of digitalis on a patient with a chronic congestive heart failure
a. Increases the strength of the contraction
b. Increases heart rate
c. Decreases strength of the contraction
d. Does not affect heart rate
a. Increases the strength of the contraction
Peritonitis is often associated with
Crohn’s disease
Myocardial infarction
The postoperative state
All of the above
Crohn’s disease
Clinical features characterized by rheumatoid arthritis in its later stages include
a. Muscular hypertrophy
b. Contractures of soft tissues
c. Radial deviation of fingers
d. Enlargement of heberden’s nodes
b. Contractures of soft tissues
Which of the following conditions would present a blood picture of erythrocytosis?
Congenital cardiac disease
Acute pulmonary fibrosis
Chronic renal disease
Chronic hepatic disease
Congenital cardiac disease
Clinical features of anemia may include
Tachycardia
Paresthesias
Anorexia
All of the above
All of the above
In considering the etiology of rheumatoid arthritis
a. It has an abrupt and sudden onset
b. It affects males more frequently than females
c. The average age of onset is before 40
d. It mainly affects the smaller more peripheral joints
d. It mainly affects the smaller more peripheral joints
Clinically, necrosis of which of the following is referred to as myocardial infarction?
Myocardium
Right ventricle
Left atrium
Right atrium
Myocardium
Buerger-Allen exercises are
a. Specific for certain postural deformities
b. Specific for obliterative vascular disease
c. Given to constrict the blood supply to the lower extremities
d. Specific for mobilization of lumbar fascial contractures
b. Specific for obliterative vascular disease
A clinical feature of Graves’ disease is
Atrophied thyroid gland
Exophthalmos
Myxedema
A tachycardia that disappears during sleep
Exophthalmos
Which of the following conditions are associated with hypothyroidism in children?
Cushing’s syndrome
Addisons’s disease
Cretinism
Exophthalmos
Cretinism
Hemophilia is characterized by
a. A deficiency of blood platelets
b. Certain defects of the capillary endothelium
c. Being a hereditary disease transmitted by the male
d. A greatly increased coagulation time
d. A greatly increased coagulation time
Hypercalciuria may develop in
Paraplegia
Paget’s disease
Inactivity following severe injuries
All of the above
All of the above
Lymphadenoma (Hodgkin’s disease) is characterized by
a. An abrupt clinical onset
b. A progressive infiltration of the bone marrow by lymphocytes
c. Narrowing of lymphoid tissues
d. A progressive painless enlargement of lymphoid tissue
d. A progressive painless enlargement of lymphoid tissue
Myocardial ischemic attacks can subside if a balance is secured between oxygen and
Demand
Supply
Supply and demand
CO2
Supply and demand
Dressler’s syndrome with pleuropericardial pain is
Pre-myocardial infarct
Mid-myocardial infarct
Post-myocardial infarct
Myocardial infarct
Post-myocardial infarct
What is the most common form of arrhythmia?
Ventricular tachycardia
Ventricular fibrillation
Ventricular premature beats
Ventricular ectopic beats
Ventricular premature beats
In comparing herpes zoster and chickenpox (varicella)
The average incubation period is similar
The viruses for these two diseases are related
Cross-immunization is produced
Antibiotics are of value for herpes but not varicella
From Answer Key: the viruses are related
Which of the following conditions Is caused by pneumococcal infections?
Lobar pneumonia
Meningitis
Otitis media
All of the above
All of the above
The closure of the mitral valve occurs when
a. Left atrial pressure equals left ventricular pressure
b. Left atrial pressure exceeds aortic pressure
c. Left atrial pressure exceeds left ventricle pressure
d. Left ventricular pressure exceeds left atrial pressure
d. Left ventricular pressure exceeds left atrial pressure
Herpes simplex may occur with
Q fever
Psittacosis
Lobar pneumonia
Influenza
Lobar pneumonia
Symptoms of thromboangiitis obliterans include
Ischemia
Intermittent claudication
Cold extremities
All of the above
All of the above
One of the early symptoms of mitral stenosis is
a. Angina
b. Arthopnea
c. Palpitations dyspnea with exertion
c. Palpitations dyspnea with exertion
All of the following statements apply to staphylococci EXCEPT
a. Most strains are nonpathogenic
b. Most infections occur in the skin
c. It easily becomes resistant to penicillin
d. It does not invade the blood stream
d. It does not invade the blood stream
The numbers of pairs of chromosomes in every normal cell, except in mature ova and spermatozoa, is
23
24
28
46
23
A disease in which the lesion may be indistinguishable from pulmonary tuberculosis is
Pneumoconiosis
Metastatic adenocarcinoma
Cryptococcosis
Coccidiodomycosis
Coccidiodomycosis
A disease of children with clinical and pathological features of rheumatoid arthritis is
Spondylitis ankylopoietica
Rheumatic fever
Polyarteritis nodosa
Stills’s disease
Stills’s disease
All of the following are signs and symptoms of a post-operative thrombophlebitis of the leg EXCEPT
Aching of extremity
Oral temperature of 103°F
Positive Homan’s sign
Pain of superficial vein
Oral temperature of 103°F
Acromegaly is caused by a tumor of
Adrenal cortex
Adrenal medulla
Posterior lobe of pituitary gland
Anterior lobe of pituitary gland
Anterior lobe of pituitary gland
The most important factor in contributing to or determining blood pressure at any given moment is
Blood volume
Blood viscosity
Arteriolar tone
Competence of the aortic valve
Arteriolar tone
The chief physiological defect of the diabetes insipidus syndrome is lack of
a. Insulin from the pancreatic islets of Langerhans
b. The oxytocic factor of the posterior pituitary
c. The antidiuretic factor of the posterior pituitary
d. The thyrotropic hormone of the anterior pituitary
c. The antidiuretic factor of the posterior pituitary
The most common lesion caused by hydrochloric acid is
Gastritis
Duodenal ulcer
Peptic ulcer
Gastric ulcer
Peptic ulcer
A postoperative complication called the dumping syndrome may occur following
a. Surgery for duodenal ulcer
b. Partial or total gastrectomy
c. Repair of sliding hiatal hernia
d. Surgery for Meckel’s diverticulum
b. Partial or total gastrectomy
The etiology of diabetes mellitus is
Deficiency of glucagon
Deficiency of thyroxin
Deficiency of adrenocortical hormones
Deficiency in insulin
Deficiency of insulin
The sprue syndrome is characterized by all of the following conditions EXCEPT
Osteomalacia
Steatorrhea
Macrocytic anemia
Impaired absorption from intestinal tract
Osteomalacia
The basic problem of Cushing’s syndrome is
Hypopituitarism
Hyperpituitarism
Hyperaldosteronism
Adrenal cortical hyperfunction
Adrenal cortical hyperfunction
Which of the following infections may produce an associated acute myocarditis?
Influenza
Coccidioidomycosis
Trichinosis
All of the above
All of the above
Cardiac tamponade is a clinical feature of
Diphtheritic heart disease
Pulmonary congestion
Cor pulmonale
Pericarditis with effusion
Pericarditis with effusion
Acromegaly is
Insidious in onset
A disease of adult life
An endocrine disorder
All of the above
All of the above
All of the following are initial treatments for thrombophlebitis EXCEPT
Lower extremity elevated
Warm, moist compresses
Leg exercises
Anticoagulant therapy
Leg exercises
In comparing the clinical features of cerebral artery thrombosis with cerebral embolism, the former
a. Presents an abrupt onset with rapidly developing symptoms
b. Usually includes a sudden loss of consciousness
c. Includes more generalized disturbance of cerebral function
d. Has the most common site of occlusion in the internal carotid artery
d. Has the most common site of occlusion in the internal carotid artery
Symptoms of cystitis are
Diminished urination
Dysuria
Oliguria
Anuria
Dysuria
The amount of air inhaled or exhaled with each breath is known as
Total lung capacity
Tidal volume
Vital capacity
Inspiratory capacity
Tidal volume
Which of the following conditions presents an abrupt onset?
Cerebral embolism
Intracerebral pressure
Cerebral artery thrombosis
Cerebral atherosclerosis
Cerebral embolism
In differentiating the endocrine disorders of gigantism and acromegaly, which of the following statements apply?
a. Both disorders are caused by tumors of the anterior lobe of the pituitary gland
b. Acromegaly is caused by a tumor of the adrenal cortex
c. Acromegaly is a disease of infancy
d. Hypofunctioning tumors of the pituitary gland
a. Both disorders are caused by tumors of the anterior lobe of the pituitary gland
Which of the following statements applies to primary hypertension?
a. Not a hereditary disease
b. More common among people who exist on high sodium diets
c. More common among whites than blacks
d. More common with slender body types
d. More common with slender body types
Possible problems that may present themselves in paraplegia are
Renal calculi
Nephrocalcinosis
Renal insufficiency
All of the above
All of the above