Welcome to your ECN 2019 - Internal Medecine
1. Of the following common causes of acute mitral regurgitation, one is incorrect, which
2. Osler’s endocarditis on mitral prolapse is responsible for the following complications except one which?
3. All the following signs are highly suggestive of cardiac tamponade except one which one?
4. Which of the following medications for use in congestive heart failure is strictly contraindicated?
5. Among the following propositions characterizing malignant arterial hypertension, one is incorrect which?
6. All of the following circumstances may increase the risk of digoxin toxicity, except which one?
7. The following conditions are the paraneoplastic syndromes likely to be observed during bronchial cancer except one, which one?
8. How is chronic bronchitis diagnosed?
9. The following conditions are all possible complications of bronchial dilations except one which?
10. Pre-capillary pulmonary arterial hypertension of chronic respiratory failure is associated with
11. Which of the following clinical signs does not belong to the clinical picture of diffuse interstitial pulmonary fibrosis?
12. In a 44-year-old man, a former tuberculosis patient, the occurrence of red blood hemoptysis should evoke all of the following conditions except one?
13. All of the following statements concerning gastroesophageal reflux are correct, except which one?
14. In young adults, the most common cause of clinical syndrome of pyloric stenosis is
15. What is the most precise criterion for assessing the importance of an upper algal digestive haemorrhage?
16. Epigastric pain without late postprandial irradiation, with a rhythmic cramp type during the day, evokes above all
17. Which of the following clinical and biological signs is in favor of diarrhea due to malabsorption?
18. Among the following signs, only one is not compatible with the diagnosis of isolated functional colonopathy
19. Which of the following is most often responsible for the acute pancreatitis?
20. Nephrotic syndrome always includes all the following except
21. Nephritic syndrome is characterized by all of the following except
22. Dissolving a uric acid stone requires
23. The following propositions relate to acute prostatitis, except which one?
24. The presence of pus in the urine invites to look for all of the following causes except one, which one?
25. Which of the following syndromes definitely contraindicates the prescription of biguanides in diabetes mellitus?
26. Type 4 hypertriglyceridemia may be complicated by
27. What is the most suggestive clinical sign of acromegaly?
28. Indicate among the following biochemical parameters the one that evokes the existence of a Conn’s adenoma in a hypertensive
29. All of the following statements regarding erysipelas are true except one, which one?
30. Yeasts of the candida genus can be responsible for all of the following except one, which?
31. Paget’s disease causes the following changes except one; which?
32. For an attack of acute gout in a patient with chronic renal failure, the treatment to be initiated from the outset is
33. For the diagnosis of a syphilitic chancre only one of the following examinations is useless, which one?
34. After correct treatment of typhoid fever, a subject remains a Salmonella carrier. What should you look for
35. A 45-year-old farmer has a minor hand wound. He has properly vaccinated against tetanus at the age of 19 with a booster at 20. What are you doing to prevent tetanus?
36. Which antibiotic is active on the germs responsible for gas gangrene?
37. The diagnosis of cerebral toxoplasmosis in an HIV-infected patient should be considered in the presence of the following conditions except one?
38. In the typical form of myeloma or Kahler’s disease, we observe in the blood
39. Which of the following hemopathies reminds you of the observation of splenomegaly during the clinical examination
40. In a 48-year-old patient, hepatic cirrhosis revealed by signs of portal hypertension was discovered. Biological examinations show a rate of platelets at 50,00/ml and D’dimers below 0.5 mcg/l. what is the probable origin of thrombocytopenia
