ICM Class 2 MCQ

A patient is drowsy, passive and incapable of work. Sleeps for the most part of a day. Suffers from hypothyroidism for many years. This level of consciousness suggests:

Somnolence

A patient suffers from severe depression. He is motionless, responds slowly to a repeated question, often incoherently. Doesn't ask for food nor water. This level of consciousness suggests:

Stupor

A patient is in condition of a permanent deep sleep. Doesn't respond to questions. Doesn't ask to eat or drink. Response to strong external irritants is short. Tendon, pupillary, corneal reflexes are retained. This level of consciousness suggests:

Sopor

A patient is unconscious, neither reacting to irritants, not asking for eat or drink. Negative pupillary and corneal reflexes, no tendon reflex. This level of consciousness suggests:

Coma

A patient is excited, doesn't take his disease seriously. Hyperactive, often aggressive. He often has disorders of sleep. This level of consciousness suggests:

Euphoria

A patient is hyperactive, often has negative attitude to the surrounding (also to the personnel) and may threaten them. Does not understand time nor place. Has different kinds (visual, auditory) of hallucinations. This level of consciousness suggests:

Delirium

A patient lies on a bed with his trunk arched forward while the head and lower limbs are bent backward (opisthotonus). This body position is a clue for:

Meningitis

A patient with right upper quadrant abdominal pain drags his knees up to the chest and chin. Often lies on his right side and has difficulties securing a position. This body position is a clue for:

Biliary colic

A patient has strong pains in the heart region, face is covered with cold sweat, and he is pale and passive. The pain travels to the upper left side of the body. This complaint is a clue for:

Acute coronary syndrome

A patient is half-sitting, the trunk is bent backwards, legs pulled down. Enlarged abdomen, skin cyanosis and edemas on legs are observed. This body position is a clue for:

Left ventricular (heart) failure

A patient has severe shortness of breath (mostly complicated and prolonged exhalation), sits on a bed, and leans on his arms ("tripod position"). This body position is a clue for:

Attack of bronchial asthma

A patient has severe piercing right side pain during every inhalation. He lies on the sore side pressing his hand to the sore place to reduce pain. This body position is a clue for:

Pleurisy

A patient has acute and very severe right lumbar pain. He is very uneasy, tosses and turns in a bed. This body position is a clue for:

Renal colic

A patient has abdominal pain, lies on his back with the right leg pulled to the abdomen. This body position is a clue for:

Acute appendicitis

The following skin discoloration is found in neurofibromatosis type I:

Multiple "coffee with milk" spots

What is an ataxic gait?

A patient is unstable; staggering, unconfident gait

What is typical for ataxic gait?

Lack of coordination and sense of position

What pathology is ataxic gait related to?

Cerebellospinal pathology

What is a spastic gait?

A patient walks with stiff legs, like on crutches

What pathology is spastic gait related to?

Cerebral palsy

A patient walks with small, shuffling steps, on bent legs. What kind of gait is it?

Festinating

What pathology is festinating gait related to?

Parkinsonism

Which disease leads to obesity?

Diabetes mellitus

Which disease leads to wasting syndrome?

Anorexia neurosa

Which disease leads to Cushing's syndrome?

Hyperfunction of the suprarenal cortex

Which disease leads to obesity?

Hypothyroidism

What face is it? Pale, greyish color; the nose is sharp, the eyes are sunken, the temples are hollow, the ears cold and retracted, the skin of the forehead covered with some sweat drops, the lips are open; cold and motionless look with an expression of suffering.

Facies Hippocratica

What face is it? Enlarged cheekbones, enlarged nose and supraciliary arches, widened interdental spaces; sparse and bent teeth, macroglossia, enlarged fingers

Facies acromegalica

What face is it? Round, scarlet face, adipose cheeks, thick chin, females often have hirsutism.

Moon face

What face is it? Pale, severely puffy face, especially around the eyelids and in the mornings.

Kidney edema

What face is it? Scarlet-bluish cheeks, clearly observable cyanosis of the lips, apex nasi, ears. Yellowness of sclera could be observed.

Mitral face

A female patient has swollen feet, ankles and shins. Edemas are relatively dense, after pushing a pit remains. Skin in the swollen region is cyanotic and cold. Edemas are more expressed in the evenings than in the mornings. What edema does she have?

Cardiac

A female patient has edemas on the face, more expressed on the superior eyelids, not great diffuse edemas on legs and arms. Edemas are relatively soft, and the pit quickly disappears. Face is pale. Edemas are more marked in the mornings. What edema does she have?

Renal

A female patient has a red, swollen and sharply bordered zone on the left shin. Body temperature is 38.6oC. She has fever, pain in leg. The disease has started suddenly, without visible cause. What kind of edema does she have?

Inflammatory

The thyroid gland is palpable but not visible in the normal position:

Grade 1

The thyroid gland is palpable when the neck is in normal position and swelling is clearly visible:

Grade 2

In the abdominal malignancy case, the following lymphatic nodes are enlarged first:

Virchow's gland

The following is not skin a hemorrhage:

Ephelides

Erythema is a:

Skin redness

Vesicula is:

A small, clear fluid-filled blister