ENDO - INTERNAL TEST 2020 | Take the Quiz

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ENDO - Internal Medicine Test 2020

Test your knowledge and skills in internal medicine with this comprehensive and engaging quiz featuring 50 carefully crafted questions. Each question covers various topics that are essential for medical professionals and students alike.

Challenge yourself and improve your understanding of:

Cardiovascular health
Respiratory conditions
Gastrointestinal disorders
Signs, symptoms, and diagnoses

50 Questions12 MinutesCreated by AssessingHeart542

Characteristic for the angina pectoris is pain which:

Has retrosternal location

Has sharp, knifelike quality

Has short duration (a few minutes)

Has duration more than 20-30 minutes

Aggravates with exertion, stress, cold, emotion

Which of the following statements about breath sounds is/ are true:

In vesicular breath sounds inspiration lasts longer than expiration

In bronchovesicular breath sound the duration of inspiration and expiration are about equal

Bronchovesicular breath sounds are often heard in the 1st and 2nd intercostal spaces

Vesicular breath sounds are heard over most of both lungs

Bronchial breath sounds can be heard over fluid-filled or solid lung tissue

Dyspepsia is a term which refers to:**

Early satiety after meals

Spasmodic movements of the abdomen preceding vomiting

Lack of appetite

Black stools

Symptoms most often caused by gastric cancer

A 45-year-old obese patient refers to the emergency room with abrupt pain in the right epigastrium. The pain appeared after a fatty meal, radiates to the right scapular area and is accompanied by nausea and vomiting. Clinical examination reveals positive Murphy’s sign. The cause of the patient’s state is probably:

Which clinical findings are typical for chronic heart failure?*

Dyspnea, hepatomegaly, asymmetrical edema of lower extremities, hydrothorax

Dyspnea, splenomegaly, asymmetrical edema of lower extremities, hydrothorax

Dyspnea, hepatomegaly, symmetrical edema of lower extremities, pneumothorax

Dyspnea, hepatomegaly, symmetrical edema of lower extremities, hydrothorax

Dyspnea, splenomegaly, symmetrical edema of lower extremities, hydrothorax

Mitral regurgitation manifests as:

Choose the INCORRECT answer about third heart sound (S3):

It is always pathological

It can be found in younger adults

It is also called “the gallop of the heart”

It can be found in congestive heart failure

It is very often related to low ejection fraction

What are the most common findings over the lungs in physical examination in patients with COPD exacerbation?

Crackles and increased breathing sounds

Wheezes & decreased breathing sounds

Rhonchi and increased breathing sounds

Dull tympanic note and wheezes

Increased tactile remits and crackles

Which of the following signs are associated with peritonitis?

Murphy’s sign

Rebound tenderness

Goldflam’s sign

Involuntary rigidity

A 54-year-old male, obese patient reported to ER with acute abdominal pain. Pain is located in epigastric area, radiating to back. Patient drank 4 beers day before. In physical examination you find tenderness in epigastric area without any other specific abnormalities. Which diagnosis is most probable:

Cheyne-Stokes reparation:

Is observed in ketoacidosis

Is physiological in younger adults

Is usually associated with brain damage

Isn’t observed in acute heart failure

Can be treated with oxygen in high concentration

Brachial pulse can be found:

Laterally to the biceps tendon at the antecubital crease

Medially to the biceps tendon at the antecubital crease

Laterally on the flexor surface of the wrist

Medially on the flexor surface of the wrist

Below the inguinal ligament

Pain in the left lower quadrant of the abdomen is most characteristic for:

High-pitched, entirely or predominant inspiratory breath sound that indicates an obstruction of the larynx of trachea is called:

Mark the point of auscultation for aortic valve:

Second left intercostal space next to the sternum

Second right intercostal space next to the sternum

5th intercostal space in left midclavicular line

Third left intercostal space next to the sternum

Second left intercostal space next to the scapula

Which answer does NOT describe visceral pain?

Usually slow in onset

Dull, poorly localized

May be caused by biliary ducts construction or stretching of solid organ’s capsule

Typically aggravated by movement of coughing

When severe may be associated with pallor, nausea, vomiting and sweating

During palpation of the left lower quadrant, patient experiences the pain in right lower quadrant of abdomen. Name the sign described above.

Murmur of aortic stenosis:

Is located in 2nd interspace

Radiates often to the neck, down to the left sternal border or even the apex

Intensity of the murmur indicates the degree of severity

Is soft, often loud, with a thrill

Is a kind of mid-diastrolic murmur, diamond shaped — crescendo-decrescendo

Irregular breathing with intermittent periods of increased & decreased rates & depth of breathing, alternating with periods of absence of breathing caused e.g. By drugs, brain damage or congestive heart failure, can be defined as:

25-year-old woman is feeling acute, sharp pain in chest, aggravating during inspiration. In physical examination there are following findings: Decreased tactile fremitus on the left side, tympanic percussion notes on the left side, absent vesicular sound on the left side, absent additional breath sounds. The most probable diagnosis is:

Which sign has the wrong explanation?

Murphy’s sign — is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the midclavicular line

Rovsing’s sign — palpation of the left lower quadrant of a person’s abdomen increases the pain felt in the right lower quadrant

Kocher’s sign — in fixation on a fast downwards movement there occurs a convulsive retraction of the eyelid

Courvoisier’s sign — presence of a palpable enlarged gallbladder which is non-tender and accompanied with painless jaundice

Mobius sign — inability to maintain convergence of the eyes

S1 heart sound:**

Is audible over atrioventricular valves

Is caused by opening of the mitral valve

Is the loudest over 2nd left intercostal space

Is audible during late diastole

Radiates towards axilla

Hydrothorax, choose the WRONG answer:

Vesicular sound is decreased

You can treat it by putting the needle into the second intercostal space

Tactile fremitus is decreased

State of the patient can be acute

Percussion note is dull

We can grade murmurs using the 6-point scale. In this scale: “Very loud. May be heart when the stethoscope is partly of the chest, with a thrill” is:

Which one is the characteristic of Kussmaul pattern of breathing?

Absence of breathing

Irregular breathing with long periods of apnoea

Irregular breathing with intermittent periods of increased and decreased rates and

Depths of breaths alternating with periods of apnea

Fast and deep

Prolonged expiration

Which one is characteristic for Bell’s palsy? **

When you place your hand just above the patient’s right knee and ask the patient to raise that thigh against your hand you can examine:

Clubbing of the nails is most commonly associated with:

Lack of iron in body

Lack of vitamin B12 in the body

Chronic lack of oxygen in tissues

Presence of psoriasis limited to nails

Subacute bacterial endocarditis

Which situations cause a murmur heard both in systole and diastole:

Pericardial friction rub

Patent ductus arteriosus

Aortic stenosis

Mark the diseases that could give a skin color change: **

Anemia

COPD (Chronic Obstructive Pulmonary Disease) with advanced hypoxia

Addison disease

Peptic ulcer disease

Mark correct sequence of abdominal examination:

Auscultation — palpation — percussion — inspection

Inspection — palpation — percussion — auscultation

Inspection — auscultation — palpation — percussion

Palpation — percussion — inspection — auscultation

Inspection — percussion — palpating — auscultation

Signs of respiratory distress. Choose the correct answer:

Peripheral cyanosis — blueish fingers

Accessory muscle use

Diaphragmatic paradox — the diaphragm moves opposite of the normal direction of

Inspiration; suspect flail segment in trauma Prolonged expiration

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ENDO - INTERNAL TEST 2020

ENDO - Internal Medicine Test 2020

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