17. Pericardial Disease.

***) The most common feature of pericarditis involvement on physical examination is:

1. Cardiac tamponade

2. Ewart's sign

3. Friction rub

4. Venous distension

5. Paradoxical pulse

Answer: C* Friction rub

***) The following about acute pericarditis are true, except:

1. May be secondary to myocardial infarction

2. Radiation is a recognized cause

3. Anticoagulant may be given safely

4. The pain is relieved by leaning forward

5. Prednisolone may be needed

Answer: C* Anticoagulant may be given safely

***) The following are causes of acute pericarditis, except:

1. Rheumatoid arthritis

2. Coxsakie B virus

3. Myocardial infarction

4. Systemic lupus erythematosus

5. Hyperthyroidism

Answer: E* Hyperthyroidism

***) The following about pericardial effusion are true, except:

1. Pericardial friction rub may be present

2. Causes pulsus paradoxus

3. May occur in uremic patients

4. Causes wide pulse pressure

5. Jugular venous pressure is raised

Answer: D* Causes wide pulse pressure

***) In the management of traumatic pericardial effusion all are true except:

1. Pericardiocentesis

2. Subxiphoid pericardiotomy (pericardial window)

3. Thoracotomy with pericardiectomy

4. Instillation of tetracycline in pericardial space

5. Treatment of the underlying cause

Answer: D* Instillation of tetracycline in pericardial space

***) In acute cardiac tamponade all of the following are true, except:

1. It may occur after injuries or cardiac surgery

2. It produces a shock-like state

3. The cardiac dullness is enlarged

4. Jugular venous pressure is lowered with collapse of neck veins

5. Immediate relief by aspiration or exploration must be done

Answer: D* Jugular venous pressure is lowered with collapse of neck veins

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• Respirology oxf.

1. Common Respiratory Presentations.

1. Clubbing.

***) All of the following are the causes of clubbing of fingers, except:

1. Subacute bacterial endocarditis

2. Pulmonary abscess

3. Emphysema

4. Hepatic cirrhosis

5. Ulcerative colitis

Answer: C* Emphysema

***) All of the following are the causes of clubbing of fingers, except:

1. Bronchiectasis

2. Crohn's disease

3. Pulmonary embolism

4. Infective endocarditis

5. Fibrosing alveolitis

Answer: C* Pulmonary embolism

***) All of the following are the causes of clubbing of fingers, except:

1. Bronchogenic carcinoma

2. Rheumatoid arthritis

3. Tetralogy of Fallot

4. Lung fibrosis

5. Mesothelioma

Answer: B* Rheumatoid arthritis

***) Finger clubbing is a recognized feature of all the following, except:

1. Bronchiectasis

2. Aortic aneurysm

3. COPD

4. Infective endocarditis

5. Crohn's disease

Answer: C* COPD

2. Hemoptysis.

***) Hemoptysis is commonly associated with all of the following, except:

1. Bronchiectasis

2. Bronchial carcinoma

3. Uncomplicated bronchial asthma

4. Mitral stenosis

5. Pulmonary infarction

Answer: C* Uncomplicated bronchial asthma

***) All of the following can cause hemoptysis, except:

1. Pneumonia

2. Mitral prolapse

3. Tuberculosis

4. Lung trauma

5. Goodpasture's syndrome

Answer: B* Mitral prolapse

***) Hemoptysis may be seen in all of the following, except: