1) Appendicectomy means _______ a) a) Removal of the appendix b) b) High blood pressure c) c) Inflammation of the appendix d) d) Inflammation of the joints 2) The abdomen was soft, with no distention, there was _______ on palpation of the left lower abdomen a) a) Clear b) b) Ongoing c) c) Sound d) d) Tenderness 3) Because of the severity of her presentation with neurological cardiovascular and gastrointestinal symptoms, the patient was_______ to the intensive care Unit (ICU) for further treatment  a) a) Oriented b) b) Admitted c) c) Discharged d) d) Observed 4) a) OrientedWhen starvation, the _______ learns to obtain energy from keto acids instead of the usually obligatory glucose a) a) Heart b) b) Brain c) c) Stomach d) d) Liver 5) The _______ of a disease is the number of new cases of the disease during a articular time. a) a) Epidemiology b) b) Prevalence c) c) Incidence d) d) Population 6) Treatment of starvation is simply the provision of _______ but advanced cases may need to begin with easily digestible skimmed milk feeds. a) a) Drug b) b) Food c) c) Water d) d) Fruit 7) Kwashiorkor (protein Energy Malnutrition) is a disease that kill more people than all other nutritional _______ put together a) a) Fitness b) b) Diseases c) c) Linees d) d) Sickness 8) The ________ is the summary of an article and it usually begins the published research article a) a) Result b) b) Ocjtetive c) c) Abstract d) d) Conclusion 9) Starvation is when food supplies ______ the body draws on its energy reserves a) a) Increase b) b) Rise c) c) Fail d) d) Go up 10) If a patient is in good health, he is well and has no _______ a) a) Illness b) b) All are correct c) c) Sickness d) d) Disease 11) The patient's condition _______ so he was allowed to go home from hospital, but he continued treatment. a) a) Recovery b) b) Improved c) c) Deteriorated d) d) Go worse 12) The _______ of a drug is the quantity medication to be taken at any one time a) a) Reaction b) b) All are correct c) c) Allergy d) d) Dose 13) If you are healthy, you are ______ a) a) Fit  b) b) Poorly c) c) Unwell d) d) Ill 14) Trials in which neither the subjects and the researchers know who is receiving the treatment is a ______ trial. a) a) Blind b) b) Doble blind c) c) Case control d) d) Randomized 15) Obesity can be defined arbitrarily as a _______ greater than 110 per cent. The best obesity indices are weight in kg divided the height in metres. a) a) Height b) b) Put on c) c) Fat d) d) Weihgt 16) Overweight and obesity have a major risk to long-term health by increasing the risk of chronic ______. a) a) Illness b) b) Sickness c) c) Disease d) d) All are correct 17) The over the counter remedies are those ______ taken by the patient. a) a) Drug reactions b) b) Drugs c) c) Compliance d) d) Allergies 18) Drug _______ is the term used to refer the hypersensitivity to a particular drug a) a) over the counter b) b) Herbal c) c) Reaction d) d) Laxatives 19) Each of the national surveys conducted since 1995 has reported a hight rates of overweight and obesity for ______ than for females. a) a) Population b) b) Adults c) c) Males d) d) People 20) Same clinical features of starvation include_____ a) a) dry skin b) b) Slow pulse and hypotension c) c) Peripheral cyanosis d) d) All are correct 21) On clinical examination the patient presented with________ a) a) Loose stools and pain in the right lower abdomen in the presence of menses. b) b) Pain on the left lower abdomen with a fever of 39, 4 ºC. c) c) Ongoing nausea, vomiting and pain in the left lower abdomen. d) d) A and B are correct. 22) The patient experienced the onset of symptoms _________ a) a) One day before the current presentation. b) b) Three years before the current presentation. c) c) Eleven weeks before the current presentation. d) d) On the day of the current presentation. 23) The patient's past medical history included_________ a) a) Nephrolithiasis, asthma, allergic rhinitis, chronic back pain, depression, gastroesophageal reflux disease, severe dysmenorrhea. b) b) Shoulder replacement, Reduction mammoplasty, and removal of an ovarian cyst. c) c) Nephrolithiasis, asthma, allergic rhinitis, chronic back pain, depression, gastroesophageal reflux disease, severe dysmenorrheal and her previous surgeries. d) d) All are correct. 24) The patient's ______ included acetaminophen, intranasal fluticasone, inhaled fluticasone propionate, albuterol, promethazine, ondansetron, polyethylene glycol and a multivitamin. a) a) Drug history b) b) Social History c) c) Past Medical History d) d) Family History 25) Which of the following statements is NOT true about the patient? a) a) Chest radiography and CT of the abdomen revealed a source of infection.  b) b) Her tachycardia was out of proportion to the pain, findings and imaging studies. c) c) This patient had no history of bleeding. d) d) The hypovolemia was not severe enough to lead to this degree of tachycardia. 26) Which of the following findings are consistent with a diagnosis of Grave´s disease? a) a) Elevated T 3 and T4 levels; b) b) Thyrotropin receptor antibody level, TSI (Thyroid Stimulating Immunoglobulin) index of 7,5 and marked hyperemia. c) c) The prominent size of the thyroid gland. d) d) All are correct. 27) Because of the severity of her presentation, the patient was admitted to the Intensive Care Unit (ICU) for further _________ a) a) Hospitalization b) b) Antithyroid medication c) c) Treatment d) d) Physical examination 28) During the current hospitalization the patient responded well to treatment with an improvement in her clinical symptoms and was_________ home. a) a) Admitted b) b) Discharged c) c) Improved d) d) A and B are correct. 29) The patient had follow-up visits with her endocrinologist. However, the results of thyroid function tests performed a few months later were suggestive of poor_________ to treatment, with high free T4 and total T3 levels. The patient was lost to follow-up. a) a) Adherence b) b) Compliance c) c) Diagnosis d) d) A and B are correct. 30) Marasmus is usually caused by early weaning from _____ milk a) a) Breast  b) b) Cow c) c) All are correct d) d) Formula 31) Which of the following are included in a patient's Social History (SH)?: a) a) Marital Status b) b) Alcohol intake c) c) Smoking d) d) Current medication e) e) Occupation f) f) Allergies 32) A patient's history of surgery (operations) is included in which of the following: a) a) Drug History (DH) b) b) Social History (SH) c) c) Past Medical History (PMH) d) d) Family History (FH) e) e) History of the Presenting Complaint (HPC) f) f) Presenting Complaint (PC) 33) After taking a history the next stage of the clinical process is: a) a) Investigations (X-rays, scans, blood tests etc) b) b) Follow-up (review the patient after treatment) c) c) Physical Examination (inspection, palpation, auscultation, percussion) d) d) A and B are correct. 34) The _______ of overweight adults has increased from 33% in 1095 to 36% in 2004 a) a) Result b) b) Variable c) c) Rate d) d) Trials 35) The introduction of a research article contains the _______ information, it reminds the reader what is already known about the subject. a) a) Conclusions b) b) Limitations c) c) Background d) d) Objectives 36) The patient was not eating more than usual but he_____ (increased) ten kilos in last year a) a) Regular b) b) Put on c) c) Off food d) d) Lost 37) __________ is caused by an energy imbalance where energy intake exceeds energy expended over time. a) a) Starvation b) b) Overweight c) c) Healthy weight d) d) Weight 38) In a case-control study a group of people suffering a ______ is compared with a group who do not have it, who are healthy. a) a) Sick b) b) Disease c) c) Ill d) d) Present complaint 39) A harmless substance given to some participants to test the effect of a trialsubstance is a _________ a) a) Blind b) b) Control c) c) Placebo d) d) Cohort 40) “Signs” are what the doctor finds on the patient, also known as______ a) a) Findings  b) b) Symptoms c) c) Present complaint d) d) Presentation 41) The cause of sleeping ______ was the patient's obesity. a) a) illness b) b) Dispares c) c) Sickness d) d) Unhealthy 42) The problems which a patient report to the doctor al called_____ a) a) Findings b) b) Symptoms c) c) Present complaint d) d) Presentation 43) After a week he has _____ (got worse again) and was readmitted to hospital a) a) Deteriorated  b) b) Improved c) c) Remains d) d) Made a good recovery 44) Lifestyle factors such as increased ______ a foods with high levels of sugar and saturated fats, as well as a reduction in physical activity lead to obesity. a) a) taken in  b) b) Sources c) c) Eating d) d) Consumption 45) The number o patients still alive treatment for a particular disecareis referred to as ______ a) a) birth rate b) b) Death rate c) c) Case fatality rates d) d) Survival rates 46) Infantile Marasmus is simply starvation of______ a) a) Elderly b) b) Babies c) c) Young people d) d) Adults 47) The number of birth in a population is known as _____ a) a) case fatality b) b) Survival c) c) Birth d) d) Death 48) The ______ symptoms in the patient are caused by digestive failure. a) a) Presentation b) b) Presents c) c) Presenting d) d) Complaint 49) The patients usually refer loss of energy as __________ a) a) All are correct  b) b) Fatigue c) c) Worn out d) d) Tiredness 50) The prevalence of a disease is the number of people in a _________ who have the disease at a particular time. a) a) Population  b) b) Research c) c) All are correct d) d) Country 51) Hypertension means _________ a) a) Removal of the appendix  b) b) High blood pressure c) c) Inflammation of the joints d) d) Inflammation of the appendix 52) The diagnosis of nephrolitiasis, intoxication from substance use, serotonin syndrome and ovarian teratoma as the cause of her _______ is unlikely. a) a) Hypotension b) b) Tachycardia c) c) Paralysis d) d) Anemia 53) Appendicitis means _________ a) a) Removal of the appendix  b) b) High blood pressure c) c) Inflammation of the joints d) d) Inflammation of the appendix 54) A drug _____ is hypersensitivity to a particular drug. a) a) Reaction b) b) Allergy c) c) Dose d) d) All are correct. 55) Arthritis means _________ a) a) Removal of the appendix  b) b) High blood pressure c) c) Inflammation of the joints d) d) Inflammation of the appendix 56) Pharmacies sell a wide variety of _______ remedies as well as dispensing prescriptions from physicians. a) a) Drugs b) b) Prescription-only c) c) Over the counter d) d) A and B are correct. 57) A _______ is a medication prepared from plants, especially a traditional remedy. a) a) Alternative remedy b) b) Placebo c) c) Drug d) d) Herbal remedy 58) Your brothers and your sisters are your ______ . a) a) Family members b) b) Siblings c) c) Parents d) d) A and B are correct. 59) More money is spent on preventive medicine than on curative medicine. a) TRUE b) FALSE 60) In developed countries, death rates rise steeply after middle age. a) TRUE b) FALSE 61) In developing countries, death rates in the first few years of life are usually very low. a) TRUE b) FALSE 62) Infant mortality rates are a useful index of the healthiness or otherwise of a country. a) TRUE b) FALSE 63) The male appears to be biologically the weaker sex. a) TRUE b) FALSE 64) In the USA whites have higher death rates, age for age, than non-whites. a) TRUE b) FALSE 65) Seven Day Adventists often die of lung cancer a) TRUE b) FALSE

Inglés final III

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