Medicine On-Line: MCQs

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A may present with a functional systolic murmur

B usually causes hypertension

C causes nonspecific ST changes on ECG

D is often caused by Coxsackie virus

E is worsened by hypoxia and exercise


A is primarily characterised by right ventricular dilatation

B is associated with thyrotoxicosis

C is usually associated with valve calcification

D secondary to alcohol has a good prognosis

E may be a cause of the sudden death syndrome

Chronic heart failure:

A is incorrectly diagnosed in only 10% of cases

B often occurs when ECG and chest X-rays are completely normal

C has been shown not to respond to ACE inhibitors in large epidemiological studies

D should be routinely investigated using thyroid function tests

E in the elderly, if treated with ACE inhibitors may be complicated by a deterioration in renal function

Chronic Fatigue

1. Chronic fatigue sufferers:

A often complain of low-grade fever

B often have a self-induced pressurised lifestyle

C have a problem-focused coping style

D tend to feel socially unsupported prior to their illness

E usually have type A personalities

2. Patients with chronic fatigue:

A adopt a slower lifestyle after their illness

B may have Epstein-Barr virus which can be reactivated by psychological stress

C are equally as likely as muscular dystrophy patients to be fatigued by emotional distress

D are much more likely to report physical weakness than psychiatric patients

E all believe that they have a physical illness

F show physical responses to stress rather than emotional responses

3. The differential diagnosis of chronic fatigue includes:

A leukaemia

B solid white cell tumours

C systemic lupus erythematosus

D hypothyroidism

E depression



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