Internal Medicine Exams Dr. Lama El Banna Al Azhar University Gaza Palestine

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Al Azhar University-Gaza
Faculty of Dr. H .Abdulshafi Of Dentistry
Name:………………………… Date: 3 November, 2013
Time: 30 Minutes
Student No: ………………...
Mid Term Exam
Internal Medicine (I) 3rd
Year
Answer Sheet
Question Answer
1 C
2 A
3 C
4 E
5 D
6 D
7 D
8 E
9 C
10 C
11 D
12 B
13 D
14 D
15 D
16 D
17 C
18 E
19 D
20 D

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Select the best answer (Only ONE Answer)
1) In history and physical examination:
a) 40% of diagnoses can be made based on history alone
b) 50% of diagnoses can be made based on history and physical exam
c) Expensive tests confirm what is found during the history and physical examination.
d) Physical examination should include only the diseased organ
2) All of the followings are indication for infective endocaditisprophylaxis Except :
a) Pt undergoing endotracheal intubation
b) Prosthetic cardiac valve
c) Previous infective endocarditis
d) Cardiac transplants withvalvulopathy
e) Congenital Heart Disease
3) Rheumatic fever , all of the followings are true Except :
a) Rare below three years age
b) Common age between 5 – 18 years
c) Common in developed countries
d) Common in developing countries
e) Overcrowding and poor hygiene and sanitation
4) Right sided heart failure is associated with the following Except:
a) pulmonary stenosis
b) COPD
c) Peripheral Edema
d) Jugular Venous Distension
e) Arterial hypertension
5) All of the following are Major criteria of acute rheumatic fever Except :
a) Migratory polyarthritis.
b) Carditis.
c) Subcutaneous nodules
d) Erythema nodosum.
e) Sydenham chorea.
6) The use of a chemical messenger to transfer information from cell to cell
within a single tissue is referred to as:
a) Direct
b) Hormonal

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c) Endocrine
d) Paracrine
7) A cell's hormonal sensitivities are determined bythe:
a) Chemical nature of the hormone.
b) Quantity of circulating hormone.
c) Shape of the hormone molecules.
d) Presence of absence of appropriate receptors.
8) Which body system coordinates activities of body parts by releasing
hormones into the blood?
a) Nervous system
b) Digestive system
c) Respiratory system
d) Circulatory system
e) Endocrine system
9) Which of the following is true of endocrine glands?
a) Endocrine glands are located very close to their target organs to be more effective.
b) Each endocrine gland only produces one hormone.
c) Some endocrine glands have additional non-endocrine functions.
d) Each endocrine gland is independent and not affected by another endocrine gland.
10) Which of the following is NOT an endocrine gland?
a) Pancreas
b) Adrenal glands
c) Salivary glands
d) Thyroid gland
e) Pituitary gland
11) Which of the following is NOT correct about hormones?
a) Hormones may be used at a distance from where the hormone is made.
b) Hormones have a slower effect than that mediated by the nervous system.
c) Hormones bind to receptor sites at a target cell.
d) Hormones are directed to the target organ and avoid contact with non-target cells.
12) Which of the following glands has both an endocrine and an exocrine function?
a) Mammary gland
b) Pancreas
c) Pituitary
d) Adrenal gland
e) Thyroid gland
13) The two hormones released bythe neurohypophysis are:
a) GH and gonadotropin.
b) Estrogen and progesterone.
c) GH and prolactin.
d) ADH and oxytocin.
14) Which of the following statements is FALSE?

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a) The posterior pituitary stores hormones that are produced in the hypothalamus
b) A combination of static and dynamic tests are required to diagnose pituitary failure
c) Pituitary failure can cause secondary hypothyroidism
d) Pituitary failure can cause secondary hypoparathyroidism
15) Which of the following endocrine glands does NOT produce its own hormones but stores
hormones produced by the hypothalamus?
a) Thyroid
b) Adrenal cortex
c) Adrenal medulla
d) Posterior pituitary
e) Anterior pituitary
16) The part of the brain controlling the anterior pituitary gland secretions is:
a) Medulla.
b) Thalamus.
c) Cerebral cortex.
d) Hypothalamus.
e) Cerebellum.
17) The hypothalamic-releasing hormones directly control the:
a) Adrenal cortex.
b) Thyroid.
c) Anterior pituitary.
d) Posterior pituitary.
e) Pancreas.
18) Which of the following symptoms is NOT characteristic of diabetes mellitus?
a) Cells unable to take up glucose
b) Increased breakdown of fats and protein
c) Frequent urination
d) Sugar in the urine
e) Bronzing of the skin
19) Which hormone will decrease blood glucose levels?
a) Thyroxin
b) Aldosterone
c) Cortisol
d) Insulin
e) Glucagon
20) In type 2 diabetes mellitus, insulin levels are frequentlynormal, yet the target cells are less
sensitive to the effects of insulin. This suggests that the target cells:
a) Are impermeable to insulin.
b) Cannot convert insulin to an active form.
c) Have adequate internal supplies of glucose.
d) May lack enough insulin receptors

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GoodLuck
Dr.SuhailKishawi