internal medicine

General observation is an important part of physical examination when a patient enters the clinic , it includes :

• appropriately dressed according to the weather

• checking temperature

• recording pulse

• hairstyle

which one of the following is the sign of iron deficiency anemia

• clubbing

• koilonychia

• palmar erythema

• splinter hemorrhage

Which is the best posture for Cervical Lymph node examination needs: 

• Inclined posture at 45 angle

• Lying posture

• Sitting posture

• Standing posture 

The chest examination of a 20 year old boy consist of presence of wheeze on auscultation . it is the cardinal sign of :

• Asthma

• pleural effusion

• pneumonia

• tuberculosis

 A young male presented in opd with fever ,for 3 days fluctuating from 101 to 103 He is checking temperature twice daily and said it doesn’t become normal. The type of fever is :

• Continuous

• Intermittent 

• relapsing

• remittent

Identify the grade of clubbing

• grade 1

• grade 2

• grade 3

• grade 4

Look at the patient and choose the system that should be examined in this patient ?

• examination of abdomen

• examination of chest

• examination of chest

• examination of cranial nerves

A 25 year old female presented in opd with abdominal pain and diarrhea for a week . She has no fever or vomiting. Her B P is 90/60 and pulse is 100 b/ min

What is the test you would advise to support your diagnosis? 

• CBC 

• Electrolytes 

• Stool DR

• Ultrasound abdomen 

Look at the picture of given examination and choose the cause of this condition

• angina

• heart failure

• infective endocarditis

• rheumatic fever

The most common cause of lymphadenopathy is

• autoimmune disease

• Drugs

• Infections

• malignancy