{"_id":"annales-2016-qi-2","enonce":"A patient who is 35 weeks pregnant and 3 days pregnant is admitted to the maternity emergency room for pre-eclampsia: headache, blood pressure at 150\/90 mmHg, sharp osteotendinous reflexes, normal biological assessment except proteinuria at one gram per 24 hours. What treatment(s) do you implement?","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":false,"proposition":"Antenatal corticosteroid therapy"},{"idx":1,"correct":true,"proposition":"Magnesium sulphate"},{"idx":2,"correct":false,"proposition":"Tocolysis by atosiban IV"},{"idx":3,"correct":false,"proposition":"Antiplatelet agents"},{"idx":4,"correct":false,"proposition":"Antihypertensive treatment with calcium channel blockers"}],"type":"qi"}
{"_id":"annales-2016-qi-22","enonce":"Which of the following should be included in the clinical examination of a patient with acute low back pain?","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Search for a spinal deviation"},{"idx":1,"correct":true,"proposition":"Measurement of the Schoeber-McRae index"},{"idx":2,"correct":false,"proposition":"Score de BASDAI"},{"idx":3,"correct":false,"proposition":"ASIA score calculation"},{"idx":4,"correct":true,"proposition":"Search for a neurological deficit"}],"type":"qi"}
{"_id":"annales-2016-qi-27","enonce":"Which of the following statements is (are) accurate? Chronic kidney disease is associated with an increased risk of:","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Left ventricular hypertrophy"},{"idx":1,"correct":false,"proposition":"Deep vein thrombosis"},{"idx":2,"correct":false,"proposition":"Adrenal insufficiency"},{"idx":3,"correct":false,"proposition":"Type 2 diabetes"},{"idx":4,"correct":true,"proposition":"Hyperlipidemia"}],"type":"qi"}
{"_id":"annales-2016-qi-38","enonce":"A monoclonal gammopathy of undetermined significance:","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Is more often an IgG"},{"idx":1,"correct":false,"proposition":"Is usually discovered during an anemia check-up"},{"idx":2,"correct":false,"proposition":"Is usually discovered during a hypercalcemia assessment"},{"idx":3,"correct":true,"proposition":"Must be monitored due to the risk of malignant transformation"},{"idx":4,"correct":false,"proposition":"Does not accompany proteinuria."}],"type":"qi"}
{"_id":"annales-2016-qi-41","enonce":"A 78-year-old patient complains of right hip pain after a fall. Here is the x-ray performed, you identify:","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":false,"proposition":"A Garden 1 fracture"},{"idx":1,"correct":false,"proposition":"A Garden 2 fracture"},{"idx":2,"correct":true,"proposition":"A Garden 4 fracture"},{"idx":3,"correct":false,"proposition":"A fracture of the acetabulum"},{"idx":4,"correct":false,"proposition":"A fracture of the shutter frame"}],"type":"qi"}
{"_id":"annales-2016-qi-42","enonce":"An isolated prolongation of the TCA is observed in the following situation(s):","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Factor VIII deficiency"},{"idx":1,"correct":true,"proposition":"Circulating anticoagulant"},{"idx":2,"correct":false,"proposition":"Preventive treatment with low molecular weight heparin"},{"idx":3,"correct":false,"proposition":"Disseminated intravascular coagulation"},{"idx":4,"correct":true,"proposition":"Willebrand disease"}],"type":"qi"}
{"_id":"annales-2016-qi-62","enonce":"Risk factors for bladder tumours are:","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Exposure to coal tar"},{"idx":1,"correct":true,"proposition":"Urinary schistosomiasis"},{"idx":2,"correct":false,"proposition":"Exposure to asbestos"},{"idx":3,"correct":true,"proposition":"Tobacco"},{"idx":4,"correct":false,"proposition":"A diet rich in polyunsaturated fatty acids"}],"type":"qi"}
{"_id":"annales-2016-qi-83","enonce":"Which of the following proposals evokes the secondary character of a Raynaud's phenomenon?","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"Start after 40 years"},{"idx":1,"correct":false,"proposition":"Respect for thumbs"},{"idx":2,"correct":true,"proposition":"Lack of summer remission"},{"idx":3,"correct":false,"proposition":"Female"},{"idx":4,"correct":false,"proposition":"Negativity of Allen's maneuver"}],"type":"qi"}
{"_id":"annales-2016-qi-91","enonce":"Regarding open-angle glaucoma, what is (are) the exact proposal(s)?","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":true,"proposition":"CAPM is a chronic progressive neuropathy"},{"idx":1,"correct":true,"proposition":"The incidence of CAPM increases with age"},{"idx":2,"correct":false,"proposition":"Normal intraocular pressure is defined as less than 25 mmHg"},{"idx":3,"correct":false,"proposition":"The decrease in visual acuity is early at the first signs of visual field damage"},{"idx":4,"correct":false,"proposition":"Treatment of CAPM is first-line surgical"}],"type":"qi"}
{"_id":"annales-2016-qi-94","enonce":"Hydroxychloroquine is (one or more exact answers):","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":false,"proposition":"Treatment of joint flare-ups of systemic lupus erythematosus"},{"idx":1,"correct":true,"proposition":"A background treatment for systemic lupus erythematosus"},{"idx":2,"correct":false,"proposition":"Contraindicated during pregnancy"},{"idx":3,"correct":true,"proposition":"Contraindicated in retinopathy"},{"idx":4,"correct":true,"proposition":"Indicated in low-intensity early rheumatoid arthritis"}],"type":"qi"}
{"_id":"annales-2016-qi-108","enonce":"You perform blood gases in ambient air to a 68-year-old man who presents to the emergency room for increased dyspnea. The results are as follows: PaO2 58 mmHg; PaCO2 64 mmHg; pH 7.35; HCO3- 35.3 mmol\/L. What is (are) the mechanism(s) of hypoxemia?","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":false,"proposition":"Intracardiac shunt"},{"idx":1,"correct":false,"proposition":"Alveolo-capillary diffusion disorder"},{"idx":2,"correct":true,"proposition":"Alveolar hypoventilation"},{"idx":3,"correct":false,"proposition":"Shunt effect"},{"idx":4,"correct":false,"proposition":"Intrahepatic shunt"}],"type":"qi"}
{"_id":"annales-2016-qi-119","enonce":"Direct anti-Xa anticoagulants:","item":"annales-2016-qi","matiere":"annales-2016","propositions":[{"idx":0,"correct":false,"proposition":"Have a significant anticoagulant effect from about 12 h after taking"},{"idx":1,"correct":false,"proposition":"Do not accumulate in renal failure"},{"idx":2,"correct":false,"proposition":"Are indicated in wearers of mechanical prosthetic valves in AF"},{"idx":3,"correct":true,"proposition":"Have fewer drug interactions than VKAs"},{"idx":4,"correct":false,"proposition":"Require regular dosing of anti Xa activity"}],"type":"qi"}
{"_id":"annales-2017-qi-6","enonce":"What is (are) the possible cause(s) of metrorrhagia in the 3rd trimester of pregnancy?","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":true,"proposition":"Retroplacental hematoma"},{"idx":1,"correct":true,"proposition":"Placenta prævia"},{"idx":2,"correct":true,"proposition":"Marginal abruption of a normally inserted placenta","justification":""},{"idx":3,"correct":false,"proposition":"Start of work"},{"idx":4,"correct":true,"proposition":"Benckiser's hemorrhage"}],"type":"qi"}
{"_id":"annales-2017-qi-43","enonce":"A 45-year-old man consults in front of the appearance of erythematous lesions infiltrate of the right cheek appeared for a few weeks. The general state is preserved. What diagnoses can you evoke in front of this table?","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":true,"proposition":"cutaneous sarcoidosis","justification":""},{"idx":1,"correct":false,"proposition":"Lupus tumidus","justification":""},{"idx":2,"correct":false,"proposition":"basal cell carcinoma","justification":""},{"idx":3,"correct":true,"proposition":"cutaneous lymphoma","justification":""},{"idx":4,"correct":true,"proposition":"Rosacea","justification":""}],"type":"qi"}
{"_id":"annales-2017-qi-48","enonce":"In a patient in suicidal crisis, what symptom(s) is(are) in favor of a characterized depressive episode?","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":true,"proposition":"Loss of vital momentum"},{"idx":1,"correct":true,"proposition":"Crying"},{"idx":2,"correct":true,"proposition":"Psychomotor slowdown"},{"idx":3,"correct":true,"proposition":"Bulimia"},{"idx":4,"correct":false,"proposition":"Nightmares"}],"type":"qi"}
{"_id":"annales-2017-qi-58","enonce":"Hypereosinophilia at 1800 \/ mm3 evolving for 1 month may be due to:","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":true,"proposition":"Hodgkin's disease"},{"idx":1,"correct":false,"proposition":"Tissue amoebiasis"},{"idx":2,"correct":false,"proposition":"Atopy"},{"idx":3,"correct":true,"proposition":"Toxocariasis"},{"idx":4,"correct":true,"proposition":"Eosinophilic granulomatosis with polyangiitis","justification":""}],"type":"qi"}
{"_id":"annales-2017-qi-64","enonce":"Which of the following biological explorations explores exocrine pancreatic function?","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":true,"proposition":"Fecal fat flow","justification":""},{"idx":1,"correct":true,"proposition":"Determination of faecal elastase","justification":""},{"idx":2,"correct":false,"proposition":"Blood glucose testing","justification":""},{"idx":3,"correct":false,"proposition":"Lipasemia determination","justification":""},{"idx":4,"correct":false,"proposition":"Serum glucagon determination","justification":""}],"type":"qi"}
{"_id":"annales-2017-qi-113","enonce":"A 22-year-old woman consults for this facial dermatosis evolving for several years with recent worsening since the modification of her oral contraception. What diagnosis do you mention?","item":"annales-2017-qi","matiere":"annales-2017","propositions":[{"idx":0,"correct":false,"proposition":"Rosacea","justification":""},{"idx":1,"correct":false,"proposition":"Lupus tumidus","justification":""},{"idx":2,"correct":false,"proposition":"Sarcoidosis","justification":""},{"idx":3,"correct":false,"proposition":"Acne","justification":""},{"idx":4,"correct":false,"proposition":"Seborrheic dermatitis","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-15","enonce":"Which of the following infectious agents is responsible for blood culture negative endocarditis:","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Mycobacterium tuberculosis"},{"idx":1,"correct":true,"proposition":"Bartonella"},{"idx":2,"correct":false,"proposition":"Streptococcus pyogenes"},{"idx":3,"correct":true,"proposition":"Coxiella burnetii"},{"idx":4,"correct":true,"proposition":"Tropheryma whieplei"}],"type":"qi"}
{"_id":"annales-2018-qi-17","enonce":"In a patient treated for 2 days for proximal pulmonary embolism with unfractionated heparin (UFH), the TCA ratio is 6 and anti-Xa activity is measured at peak activity at 1.2 Ul\/mL, in the absence of bleeding, which measure(s) do you take immediately? (one or more possible answers)","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Vitamin K intake"},{"idx":1,"correct":false,"proposition":"Platelet concentrate pellet infusion","justification":"The patient is asymptomatic"},{"idx":2,"correct":false,"proposition":"Protamine infusion"},{"idx":3,"correct":true,"proposition":"Discontinuation and dose adjustment","justification":"A TCA ratio of 6 is very (too) high! We do not want to exceed 3 as a general rule."},{"idx":4,"correct":false,"proposition":"Introduction of VKAs"}],"type":"qi"}
{"_id":"annales-2018-qi-34","enonce":"Regarding osteoarthritis of the knee, what is (are) the true answer(s)?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Joint puncture is essential for diagnosis","justification":"Diagnosis is clinical and radiographic"},{"idx":1,"correct":false,"proposition":"Infiltrations by visco-supplementation are indicated in flare-ups with effusion","justification":""},{"idx":2,"correct":false,"proposition":"Surgical indication depends on the extent of joint pinching","justification":"It depends on the symptomatology (Lequesne index), which has no connection with radiology"},{"idx":3,"correct":true,"proposition":"A genu varum predisposes to medial femoro-tibial gonarthrosis","justification":""},{"idx":4,"correct":true,"proposition":"The effectiveness of corticosteroid infiltrations is limited in time","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-37","enonce":"A 78-year-old former mechanic comes to consult for significant febrile inflammatory low back pain that has appeared for 10 days. You suspect spondylodiscite and decide to prescribe a lumbar MRI. This patient has a total hip replacement placed 8 years ago and a valve prosthesis for 2 years. He benefited from the placement of a coronary stent 3 months ago. It has a glomerular filtration rate of 48 ml\/min. During the interrogation, he tells you that he received shrapnel in his right eye and right cheek 40 years ago. Which proposal(s) contraindicate(s) the injected MRI?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Metallic splinters in the eye","justification":""},{"idx":1,"correct":false,"proposition":"Hip replacement","justification":"They do not contraindicate MRI"},{"idx":2,"correct":false,"proposition":"Prosthetic valve","justification":""},{"idx":3,"correct":false,"proposition":"The coronary stent","justification":""},{"idx":4,"correct":false,"proposition":"Kidney function","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-43","enonce":"Which of the following foods contains more than 5% carbohydrates?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Lenses","justification":"20% carbohydrates, for your general culture;)"},{"idx":1,"correct":false,"proposition":"Green beans","justification":""},{"idx":2,"correct":false,"proposition":"Meat","justification":""},{"idx":3,"correct":false,"proposition":"Cheese 🧀","justification":""},{"idx":4,"correct":true,"proposition":"Fruit","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-54","enonce":"A 32-year-old patient visits the emergency room for asthenia. There are no other abnormalities on clinical examination. An increase in transaminases was observed on biological examinations with AST = 1,362 IU (N<40), ALT = 2,348 IU (N<40). What is (are) the possible cause(s)?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Acute viral hepatitis","justification":""},{"idx":1,"correct":false,"proposition":"Acute alcoholic hepatitis","justification":"OGT\/AST are lower than TGP\/ALT"},{"idx":2,"correct":true,"proposition":"Drug hepatitis","justification":""},{"idx":3,"correct":true,"proposition":"Autoimmune hepatitis","justification":""},{"idx":4,"correct":false,"proposition":"Hepatitis related to cannabis use","justification":"Cannabis does not make hepatitis"}],"type":"qi"}
{"_id":"annales-2018-qi-70","enonce":"What are the elements that guide you towards the occupational origin of allergic contact eczema in a plastics worker working in the manufacture of pleasure boats (one or more possible answers)?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"The symptomatology that improves during the holidays","justification":""},{"idx":1,"correct":true,"proposition":"Localization of lesions on the backs of the hands and wrists","justification":"He works with his hands 😉"},{"idx":2,"correct":false,"proposition":"The presence of several simultaneous cases in the same workshop","justification":"Refers to irritation dermatitis"},{"idx":3,"correct":false,"proposition":"A history of atopy in childhood","justification":"Eczema (atopic dermatitis) should not be confused with contact dermatitis"},{"idx":4,"correct":true,"proposition":"The presence of lesions on the eyelids","justification":"He brings his hands to his eyes 👀"}],"type":"qi"}
{"_id":"annales-2018-qi-73","enonce":"What hygiene measures should be taken when entering the room for the management of a patient with pulmonary tuberculosis?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Wearing a long-handled helmet","justification":""},{"idx":1,"correct":true,"proposition":"Wearing a respiratory protective mask (type FFP2)","justification":""},{"idx":2,"correct":false,"proposition":"Wearing a charlotte","justification":""},{"idx":3,"correct":false,"proposition":"Wearing overshoes","justification":""},{"idx":4,"correct":true,"proposition":"Hand rubbing with a hydroalcoholic solution","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-81","enonce":"A patient presents with claudication for a distance estimated at 400 meters and which results in pain in the right calf. At the clinical examination you note: the absence of edema of the lower limbs, the presence of all peripheral pulses in the lower left limb. The popliteal pulse is however ample and very easy to palpate while on the right only the femoral pulse is perceived. There is no sensory or motor disorder in the lower limbs. You finally find a left iliac murmur. Which arterial injury(s) should you suspect?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Left iliac obliteration","justification":""},{"idx":1,"correct":true,"proposition":"Left iliac stenosis","justification":""},{"idx":2,"correct":true,"proposition":"Left popliteal aneurysm","justification":""},{"idx":3,"correct":false,"proposition":"Right iliac obliteration","justification":""},{"idx":4,"correct":false,"proposition":"Right femoral obliteration","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-87","enonce":"Measures of association that can be estimated in a cross-sectional etiological epidemiological study include ","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"The incidence rate","justification":"We are cross-sectional: we can only measure prevalence (but the two are not measures of associations)."},{"idx":1,"correct":true,"proposition":"The odds ratio","justification":"And not the relative 👀 risk. These are the only two measures of association."},{"idx":2,"correct":false,"proposition":"The mortality rate","justification":""},{"idx":3,"correct":false,"proposition":"Prevalence","justification":"It is not an association measure"},{"idx":4,"correct":false,"proposition":"The etiological fraction","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-89","enonce":"Which of the following parasitosis is transmitted through skin contact (barefoot walking, swimming) with water or moist soil?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":false,"proposition":"Amoebose","justification":"Oral"},{"idx":1,"correct":false,"proposition":"Teniosis","justification":"Oral"},{"idx":2,"correct":false,"proposition":"Hydatidosis (echinococcosis)","justification":"Oral"},{"idx":3,"correct":true,"proposition":"Strongyloidiasis (anguillulosis)","justification":"Barefoot walking on the sand"},{"idx":4,"correct":true,"proposition":"Schistosomoses (bilharzia)","justification":"Freshwater swimming"}],"type":"qi"}
{"_id":"annales-2018-qi-90","enonce":"The medical certificate describing injuries secondary to violence: (one or more exact answers) ","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Must mention the psychological impact of the violence on the victim","justification":""},{"idx":1,"correct":false,"proposition":"May be handed over directly to a judicial police officer if the total incapacity for work exceeds eight days","justification":"Always to the patient directly, unless minor (given to an adult) or requisition (given to the OPJ)"},{"idx":2,"correct":false,"proposition":"May be handed over directly to a third party provided that he provides proof of his link with the victim","justification":""},{"idx":3,"correct":true,"proposition":"Is handed over to the holder of parental authority if the victim is a minor","justification":""},{"idx":4,"correct":false,"proposition":"Allows to see on the medical level the credibility of the victim's remarks","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-96","enonce":"You receive a consultation with a pregnant woman for the morphological ultrasound of 22 weeks of amenorrhea. Her couple has no family history. Fetal growth is normal. She received combined screening in the first trimester with a risk of trisomy 21 calculated at 1\/10,000. The only peculiarity is fetal intestinal hyperechogenicity. What is the exact proposal(s)?","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"This is a call sign of cystic fibrosis","justification":""},{"idx":1,"correct":true,"proposition":"This is a call sign of a viral infection","justification":""},{"idx":2,"correct":false,"proposition":"This sign is frequently encountered in heterozygous fetuses for a severe mutation of the CFTR gene.","justification":"homozygous"},{"idx":3,"correct":true,"proposition":"Priority is given to heterozygosity testing for 2 parents","justification":""},{"idx":4,"correct":false,"proposition":"Priority is given to amniocentesis for testing for mutations in the CFTR gene in the fetus","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-100","enonce":"Cite the potential consequence(s) of a drug combination with a cytochrome P450 3A4 inducer drug:","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Ciclosporin transplant rejection ","justification":""},{"idx":1,"correct":false,"proposition":"Ergotism in the presence of ergotamine","justification":""},{"idx":2,"correct":false,"proposition":"Rhabdomyolysis in the presence of certain statins","justification":""},{"idx":3,"correct":true,"proposition":"Pregnancy on estrogen-progestin","justification":""},{"idx":4,"correct":true,"proposition":"Failure of antiretroviral therapy","justification":""}],"type":"qi"}
{"_id":"annales-2018-qi-115","enonce":"Molecular biology analyses as part of the histopathological diagnosis of a tumor (one or more exact answers) ","item":"annales-2018-qi","matiere":"annales-2018","propositions":[{"idx":0,"correct":true,"proposition":"Can be taken from tissue samples fixed and included in paraffin","justification":""},{"idx":1,"correct":true,"proposition":"can be made on non-fixed tissue samples coogeled at - 80 ° C","justification":""},{"idx":2,"correct":true,"proposition":"can be done on cell smears in liquid medium","justification":""},{"idx":3,"correct":true,"proposition":"Require morphological control of tissue sampling","justification":""},{"idx":4,"correct":false,"proposition":"require a signed authorization from the patient","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-50","enonce":"Adenocarcinomas are a common histological type of cancer: (one or more exact answers) ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"From the lung","justification":""},{"idx":1,"correct":true,"proposition":"From the endometrium","justification":""},{"idx":2,"correct":false,"proposition":"From the cervix","justification":""},{"idx":3,"correct":true,"proposition":"From the ovary","justification":""},{"idx":4,"correct":false,"proposition":"From the testicle","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-52","enonce":"Regarding generalized amyloidosis it is true that: (one or more possible answers) ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"Accessory salivary gland biopsy is a preferred biopsy site","justification":""},{"idx":1,"correct":false,"proposition":"Transparietal liver biopsy is a preferred biopsy site","justification":""},{"idx":2,"correct":true,"proposition":"The coloring by congo red is done on fixed fabric","justification":""},{"idx":3,"correct":true,"proposition":"AL amyloidosis is linked to lambda light chain deposits","justification":""},{"idx":4,"correct":true,"proposition":"AL amyloidosis may be related to monoclonal gammopathy of undetermined significance (MGUS)","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-53","enonce":"You take care of Mrs. D., 28, who consults for febrile meningeal syndrome without signs of neurological focus. As part of your diagnostic strategy, you decide to perform a lumbar puncture. As an operator, which proposal(s) is(are) accurate?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"You must wear a surgical mask","justification":""},{"idx":1,"correct":true,"proposition":"Wearing gloves is a measure to prevent accidents involving exposure to blood or body fluids","justification":""},{"idx":2,"correct":true,"proposition":"You perform antisepsis in two steps","justification":""},{"idx":3,"correct":false,"proposition":"A disinfection of your hands must be carried out after the performance of the gesture","justification":"⚠ Recurrent trap: only inert surfaces are DISINFECTED. For living surfaces, ANTISEPTIC or STERILIZED. It is not the same term. The proposal is therefore false."},{"idx":4,"correct":false,"proposition":"The disposal of the needle in a container for a puncture, cutting or cutting object is a risk prevention measure a posteriori","justification":"Here is the memo sheet of the HAS concerning the lumbar puncture where we find the answers to this IQ: https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2019-07\/fm_ponction_lombaire.pdf 👉 It is advisable to read it ++"}],"type":"qi"}
{"_id":"annales-2020-qi-58","enonce":"Regarding septic arthritis on native joint (without prosthesis), which is (are) the true proposition(s) ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"The germ most often involved is streptococcus","justification":""},{"idx":1,"correct":false,"proposition":"Joint lavage is systematic in therapeutic management","justification":""},{"idx":3,"correct":true,"proposition":"Antibiotic therapy often involves a combination of 2 antibiotics","justification":""},{"idx":2,"correct":true,"proposition":"Bacteriological diagnosis can be made on blood cultures","justification":""},{"idx":4,"correct":false,"proposition":"The duration of antibiotic therapy is 12 weeks","justification":"3 months is a little bit much 😯. Most often, the total duration is around a month and a half (4 to 6 weeks)."}],"type":"qi"}
{"_id":"annales-2020-qi-61","enonce":"A 27-year-old patient has an abnormal blood count. The results of this report are as follows: \n\nHb 13 g\/dL;\n VGM 86;\n blisters 310 g\/L -\n leukocytes 12 g\/L -\n neutrophils 3.7 g\/L -\n eosinophilic polynuclear 6 g\/L -\n basophil polynuclear 0.08 g\/L -\n lymphocytes 1.6 G\/L\n monocytes 0.5 G\/L.\n\nThe patient has never travelled and has no significant history. She complains of pruritus that has been progressing for a few weeks, without associated skin lesions. There is no other functional sign at the interrogation. Which diagnostic hypothesis(s) should you mention in front of this clinico-biological picture? (one or more expected answers) ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"Atopy","justification":"Hypereosinophilia atopy 👉 less than 1.5G\/L."},{"idx":1,"correct":true,"proposition":"Toxocariasis","justification":"Common cause of autochthonous eosinophilia."},{"idx":2,"correct":true,"proposition":"Drug cause","justification":""},{"idx":3,"correct":true,"proposition":"Hodgkin's disease","justification":""},{"idx":4,"correct":false,"proposition":"Systemic lupus","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-63","enonce":"You see a 38-year-old patient who would like to be able to quit smoking cIgArettes. His father has just died of bronchial cancer. The patient started smoking at the age of 14. He studied at a vocational high school. He currently smokes 2 packs a day. Its overall smoking is estimated at 40 pack-years. In the morning as soon as his alarm goes off he turns on a cIgArette. He sometimes smokes in the shower which is not easy. He drinks alcohol only occasionally. He would like nicotine substitutes that he has heard about. Which proposals are correct? (one or more correct answers)","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"The patient has a strong pharmacological dependence on nicotine","justification":""},{"idx":1,"correct":false,"proposition":"The notion of 40 smoked pack-years (PA) indicates that weaning will be difficult","justification":"There is no demonstrated link between APs and difficulty weaning."},{"idx":2,"correct":false,"proposition":"The amount of tobacco smoked per day is the main risk factor for bronchial cancer","justification":""},{"idx":3,"correct":true,"proposition":"Alcohol consumption, even controlled, is a risk factor for relapse of smoking","justification":""},{"idx":4,"correct":true,"proposition":"The prescription of nicotine substitutes will require a dosage close to 40 mg \/ day","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-82","enonce":"Regarding myasthenia gravis, which is (are) the exact proposal(s)?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"The engine deficit is constant","justification":""},{"idx":1,"correct":true,"proposition":"Involvement of the oculo-palpebral musculature is usually asymmetrical","justification":""},{"idx":2,"correct":true,"proposition":"The fatIgAbility of the cervical muscles is classic","justification":""},{"idx":3,"correct":true,"proposition":"Pupillary motility is normal","justification":""},{"idx":4,"correct":false,"proposition":"Motor involvement predominates on the distal muscles","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-86","enonce":"A 67-year-old patient, type 2 diabetic, is followed in nephrology for diabetic nephropathy. Her ambulatory blood pressures are 151\/89 mmHg on average (diurnal). She has edema of the lower limbs. Its biological balance finds a serum creatinine 2), a serum potassium level of 5.1 mmol \/ L, an alkaline reserve of 170 μmol \/ L (DFG CKD EPI 25 ml \/ min \/ 1.73m to 19 mmol \/ L, proteinuria at 1 g \/ g creatinineuria. She is treated with metformin, ramipril and cholecalciferol. What therapeutic measures should be taken in this patient? (one or more correct answers) ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"Discontinuation of metformin","justification":"GFR < 30"},{"idx":1,"correct":true,"proposition":"Starting treatment with furosemide","justification":"She has edema of the lower limbs."},{"idx":2,"correct":false,"proposition":"Starting treatment with amiloride","justification":"She is hyperkalemia."},{"idx":3,"correct":false,"proposition":"Start of hydrochlorothiazide therapy","justification":"GFR < 30."},{"idx":4,"correct":true,"proposition":"low-salt diet (less than 6 g\/d)","justification":"."}],"type":"qi"}
{"_id":"annales-2020-qi-88","enonce":"You ask a 63-year-old patient, whose BMI is 29 kg\/m^2, to reduce his dietary intake of saturated fatty acids because he has just been diagnosed with type 2 diabetes.\nWhich of the following foods should be targeted for to reduce daily intake of saturated fatty acids?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"Crescent 🥐"},{"idx":1,"correct":false,"proposition":"Salmon 🐟"},{"idx":2,"correct":true,"proposition":"Cheese 🧀"},{"idx":3,"correct":false,"proposition":"Olive oil 🛢"},{"idx":4,"correct":false,"proposition":"Peanut 🪔 oil"}],"type":"qi"}
{"_id":"annales-2020-qi-89","enonce":"You are called as an expert in a potentially criminal story of hypoglycemia in a type 2 diabetic patient, who was found in a coma at his home and eventually died in hospital of a massive stroke. The SAMU doctor had taken a sample which could be technical later, the results of which are as follows: • blood glucose: 2.2 mmol \/ L - • insulinemia: 50 μU \/ ml (normal values on an empty stomach: 5 to 15 μU \/ ml); • C-peptide: 3 nmol\/L (normal fasting values: 0.4 to 1.2 nmol\/L). \n\nHis wife is suspected of having caused this coma. Given the elements at your disposal, which of these therapeutic classes could have been used to obtain this biological and clinical assessment? ","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"Sitagliptin overdose","justification":""},{"idx":1,"correct":false,"proposition":"Overdose of ordinary insulin","justification":"The C-peptide would be indosable."},{"idx":2,"correct":false,"proposition":"Metformin overdose","justification":""},{"idx":3,"correct":false,"proposition":"Liraglutide overdose","justification":""},{"idx":4,"correct":true,"proposition":"Gliclazide overdose","justification":"Glucazides (sulfonamides) are hypoglycemic insulin-secretors. They cause an endogenous release of insulin, which corresponds well to this situation."}],"type":"qi"}
{"_id":"annales-2020-qi-92","enonce":"A 32-year-old patient, with no history, a dynamic executive leaving for a business trip to the United States in 48 hours, complains of heartburn. He is seeing a gastroenterologist today. The clinical examination is unremarkable. Upper gastrointestinal endoscopy is indicated. The patient wants it to be performed under general anesthesia. What is the true proposal(s) if the anaesthetist is immediately available to see the patient?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"Endoscopy can be performed today","justification":""},{"idx":1,"correct":false,"proposition":"Endoscopy can be performed tomorrow","justification":""},{"idx":2,"correct":false,"proposition":"Endoscopy can be performed the day after tomorrow early in the morning before travel","justification":""},{"idx":3,"correct":true,"proposition":"Endoscopy can be performed the day after tomorrow if the trip is cancelled","justification":""},{"idx":4,"correct":true,"proposition":"Endoscopy can be performed within 72 hours","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-105","enonce":"Which teeth can cause chronic right purulent maxillary sinusitis? (one or more expected answers)","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":false,"proposition":"Tooth n°28","justification":"She is on the left 😉"},{"idx":1,"correct":true,"proposition":"Tooth n°15"},{"idx":2,"correct":true,"proposition":"right upper first premolar"},{"idx":3,"correct":false,"proposition":"right upper central incisor","justification":"It is a bit far from the maxillary sinus! Only the molars and premolars are close enough to be able to give maxillary sinusitis."},{"idx":4,"correct":true,"proposition":"right upper first molar","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-113","enonce":"Regarding osteoporotic fractures, which proposal(s) is (are) right?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"The decrease in the height of the individual may be the only witness of osteoporotic vertebral fractures","justification":""},{"idx":1,"correct":true,"proposition":"The majority of them are severe","justification":""},{"idx":2,"correct":false,"proposition":"They require high-energy trauma","justification":""},{"idx":3,"correct":false,"proposition":"Vertebral fractures are often very symptomatic","justification":""},{"idx":4,"correct":true,"proposition":"Femoral neck fractures are associated with significant excess mortality","justification":""}],"type":"qi"}
{"_id":"annales-2020-qi-119","enonce":"Regarding hemorrhoidal pathology, which proposal(s) is(are) true?","item":"annales-2020-qi","matiere":"annales-2020","propositions":[{"idx":0,"correct":true,"proposition":"Hemorrhoidal prolapse corresponds to the externalization of internal hemorrhoidal packages through the anus","justification":""},{"idx":1,"correct":false,"proposition":"Symptomatic hemorrhoids are a risk factor for degeneration into squamous cell cancer","justification":"Whether they are symptomatic or not does not come into play."},{"idx":2,"correct":true,"proposition":"Acute hemorrhoidal thrombosis can be incised urgently to evacuate a clot","justification":""},{"idx":3,"correct":false,"proposition":"In case of hemorrhoids responsible for rectal bleeding evident on clinical examination in a 65-year-old man, colonoscopy is not essential","justification":""},{"idx":4,"correct":false,"proposition":"It is necessary to operate all symptomatic hemorrhoids","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-1","enonce":" This 5-year-old child is taken by his parents to the pediatric emergency room for a rash that appeared for 2 days and has since spread. The lesions are present all over the body, they are itchy. There is hyperthermia at 38°5C.  The examination of the health record is without particularity and the mandatory vaccinations are up to date. What is your diagnosis?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Scabies","justification":""},{"idx":1,"correct":false,"proposition":"Chickenpox","justification":""},{"idx":2,"correct":false,"proposition":"Syndrome de Kaposi-Juliusberg","justification":""},{"idx":3,"correct":false,"proposition":"Primary herpes infection","justification":""},{"idx":4,"correct":false,"proposition":"Erythema multiforme","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-23","enonce":" A young patient of 28 years comes to see you for consultation. He is of Malian origin, arrived in France 2 years ago. He consults for pain at the time of urination radiating to the anus evolving for 6 months. It also exhibits diurnal and nocturnal pollakiuria at more than 20 urinations per day. He occasionally describes right lower back pain. The clinical examination does not find any abnormality on inspection or palpation. The digital rectal exam is normal. He is 1m94 tall and weighs 79 kg. Heart rate is 62\/min and BP is 110\/78 mmHg. Cytobacteriological examination of urine reveals: white blood cells 10\/mm 3, red blood cells 25,000\/mm 3, no bacteria on direct examination or culture. What is your main diagnostic hypothesis?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Alport syndrome","justification":""},{"idx":1,"correct":false,"proposition":"Subacute prostatitis","justification":""},{"idx":2,"correct":false,"proposition":"Urinary schistosomiasis","justification":""},{"idx":3,"correct":false,"proposition":"Berger's disease","justification":""},{"idx":4,"correct":false,"proposition":"ANCA vasculitis","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-25","enonce":" You are reviewing the publication of a double-blind, multicenter randomized clinical trial. The objective of this trial was to evaluate the efficacy and safety of a novel monoclonal antibody, directed against a pro-inflammatory cytokine produced by neutrophils, in subjects hospitalized with SARS-CoV-2 infection, oxygen-dependent but not in the context of resuscitation. Which of the outcomes assessed is which one do you think is clinically relevant?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Evolution of the viral load measured on nasopharyngeal swabs between the 1st day and the 10th day of hospitalization","justification":""},{"idx":1,"correct":false,"proposition":"30-day all-cause mortality","justification":""},{"idx":2,"correct":false,"proposition":"Evolution of the blood neutrophil level between the 1st day and the 10th day of hospitalization","justification":""},{"idx":3,"correct":false,"proposition":"Length of hospital stay","justification":""},{"idx":4,"correct":false,"proposition":"Transfer to intensive care for acute respiratory distress syndrome at 30 days","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-27","enonce":" A doctor tells a patient about metastatic cancer. Throughout the constutiation, he held a very technical speech, rich in medical terms preventing a real dialogue with the patient. What \"psycho-adaptive\" mechanism does this doctor's behavior correspond to? (only one answer expected)","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Denial","justification":""},{"idx":1,"correct":false,"proposition":"Aggressive projection","justification":""},{"idx":2,"correct":false,"proposition":"Rationalization","justification":""},{"idx":3,"correct":false,"proposition":"Avoidance","justification":""},{"idx":4,"correct":false,"proposition":"Commoditization","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-32","enonce":" You come back to see at his home Mr G, 83 years old, for whom you had already been asked for a rebellious cough. Mr G lives with his 56-year-old daughter, a switchboard operator, and his 26-year-old grandson, a mechanic. Mr G and his daughter have not received a vaccine for at least 20 years. Her grandson is completely up to date with his vaccination schedule. Mr G plays belote at the senior club on Thursday afternoons with a 79-year-old friend with respiratory insufficiency who has always refused vaccinations. You had thought of the possibility of whooping cough, which has just been confirmed while it has now been 2 weeks that he coughs. You decide to treat Mr G with 3 days of azithromycin. In addition to this treatment, what proposal(s) do you retain?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Prescription of 3 days of azithromycin to her daughter","justification":""},{"idx":1,"correct":false,"proposition":"Prescription of 3 days of azithromycin to his grandson","justification":""},{"idx":2,"correct":false,"proposition":"Prescription of 3 days of azithromycin to his belote partner","justification":""},{"idx":3,"correct":false,"proposition":"No outing during the next 3 weeks","justification":""},{"idx":4,"correct":false,"proposition":"Notification of the case to the RHA","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-46","enonce":" You receive a 35-year-old patient with facial pain and left purulent rhinorrhea. What associated signs or symptoms would be in favor of frontal sinusitis? (one or more expected answers)","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"supraorbital localization of pain","justification":""},{"idx":1,"correct":false,"proposition":"filling of the inner angle of the eye (eyelid edema)","justification":""},{"idx":2,"correct":false,"proposition":"occipital irradiation of pain","justification":""},{"idx":3,"correct":false,"proposition":"homolateral nasal obstruction","justification":""},{"idx":4,"correct":false,"proposition":"pulsatile nature of pain","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-51","enonce":" A 16-year-old girl expresses suicidal thoughts. Which of the proposals concerning these suicidal ideation expressed is(s) the exact proposal(s)?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"they are commonplace in adolescence","justification":""},{"idx":1,"correct":false,"proposition":"they are an indication for antidepressant treatment","justification":""},{"idx":2,"correct":false,"proposition":"they often indicate a personality disorder","justification":""},{"idx":3,"correct":false,"proposition":"they specifically affect adolescents in precarious social situations","justification":""},{"idx":4,"correct":false,"proposition":"they constitute a psychiatric emergency","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-72","enonce":" Mrs. O, aged 32, is hospitalized in intensive care at the request of her obstetrician whom she has just consulted for marked edema of the lower limbs of progressive installation over a week. She complains of shortness of breath when she goes to bed at night for 72 hours. It is primiparous, at 32 weeks of amenorrhea. His vital parameters when he arrived in the department are as follows: blood pressure at 170\/130 mmHg, heart rate at 110\/min, respiratory rate at 20\/min for ambient air saturation at 92%. The urine strip performed in obstetrics consultation showed proteinuria +++. She complains of frontal bar headache and blurred vision. The osteotendinous reflexes are lively and polykinetic to the 4 limbs. You do not yet have the results of the biological work-up taken in obstetrics. The fetal heart rhythm is normal. Regarding the management of this patient, which proposal(s) is (are) accurate?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Bladder catheterization is essential","justification":""},{"idx":1,"correct":false,"proposition":"you tolerate current blood pressure","justification":""},{"idx":2,"correct":false,"proposition":"you prescribe a calcium channel blocker","justification":""},{"idx":3,"correct":false,"proposition":"you prescribe magnesium sulfate","justification":""},{"idx":4,"correct":false,"proposition":"you prescribe an ACE inhibitor","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-75","enonce":" Which symptom(s) can (can) lead to a diagnosis of amyotrophic lateral sclerosis?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"dysarthria","justification":""},{"idx":1,"correct":false,"proposition":"urinary problems","justification":""},{"idx":2,"correct":false,"proposition":"pyramidal syndrome","justification":""},{"idx":3,"correct":false,"proposition":"amyotrophy","justification":""},{"idx":4,"correct":false,"proposition":"hypopallesthesia","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-83","enonce":" You receive a 17-year-old girl who has no particular history in consultation for information on contraception. During your clinical examination, you note the following: height 156 cm, weight 52 kg (BMI 21.4 kg\/m2). Its pubic hair is not very abundant and its breast bud is not developed. There is no axillary hair, no acne or hyperseborrhea. She tells you she never had her period, but hasn't worried about it so far because her mom got her period late. Which diagnostic hypothesis(s) do you think are compatible with this table?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"pituitary prolactin adenoma","justification":""},{"idx":1,"correct":false,"proposition":"simple pubertal delay","justification":""},{"idx":2,"correct":false,"proposition":"Turner syndrome","justification":""},{"idx":3,"correct":false,"proposition":"anorexia nervosa","justification":""},{"idx":4,"correct":false,"proposition":"21-hydroxylase block","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-102","enonce":" The management of a steady-state COPD patient with FEV1 at 65% of the predicted value and daily exercise dyspnea and no history of COPD exacerbation is based primarily on: (one or more exact answers)","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Quitting smoking","justification":""},{"idx":1,"correct":false,"proposition":"Rehabilitation to exercise","justification":""},{"idx":2,"correct":false,"proposition":"Systemic corticosteroid therapy","justification":""},{"idx":3,"correct":false,"proposition":"A long-acting bronchodilator","justification":""},{"idx":4,"correct":false,"proposition":"Inhaled corticosteroid monotherapy","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-109","enonce":" You are taking care of a 27-year-old patient, a community cook, who has suffered a severe trauma responsible for a serious head trauma, a multifragmentary fracture of the right femoral diaphysis osteosynthesized by a centromedullary nail. He has complete stiffness in his right knee. He has right hemiparesis without hypertonia but can mobilize his hemibody without much difficulty. The rating according to the MRC scale (medical research council) is generally between 3 and 4 on the right hemibody. On the other hand, he has cognitive impairment and remains very confused. It is still mainly fed by nasogastric tube. Initial feeding tests were attempted by the nurse. Which proposal(s) is (are) the exact proposal(s)?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"After the care phase in neurosurgery and orthopedics, you feel that the optimal orientation is in neurological follow-up care.","justification":""},{"idx":1,"correct":false,"proposition":"The recovery of knee flexion is essential for its walking autonomy especially for stairs","justification":""},{"idx":2,"correct":false,"proposition":"If he has to work again, the recognition \"disabled worker\" is to be requested from the vocational training center for adults","justification":""},{"idx":3,"correct":false,"proposition":"The swallowing assessment requires the expertise of a speech-language pathologist","justification":""},{"idx":4,"correct":false,"proposition":"Muscle strengthening of the thigh is essential to recover knee mobility","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-110","enonce":" A 42-year-old woman consults for meno-metrorrhagia evolving for several years. Adenomyosis was diagnosed. Various treatments have been tried without success (oral progestogens, levonorgestrel-releasing intrauterine device, hysteroscopic endometrectomy). Laparoscopic hysterectomy is considered. What information(s) do you give him about this intervention?","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"it leads to menopause","justification":""},{"idx":1,"correct":false,"proposition":"it causes infertility","justification":""},{"idx":2,"correct":false,"proposition":"the cervix can be preserved","justification":""},{"idx":3,"correct":false,"proposition":"bilateral oophorectomy should be combined","justification":""},{"idx":4,"correct":false,"proposition":"General anesthesia should be performed","justification":""}],"type":"qi"}
{"_id":"annales-2022-qi-119","enonce":" About fragile X syndrome, what are the exact answers? (one or more correct answers)","item":"annales-2022-qi","matiere":"annales-2022","propositions":[{"idx":0,"correct":false,"proposition":"Fragile X syndrome is a cause of intellectual disability in boys","justification":""},{"idx":1,"correct":false,"proposition":"It only reaches boys","justification":""},{"idx":2,"correct":false,"proposition":"It is a disease related to an expansion of trinucleotides in the non-coding region of the FMR1 gene","justification":""},{"idx":3,"correct":false,"proposition":"The diagnosis of certainty of fragile X syndrome is made on a chromosomal analysis","justification":""},{"idx":4,"correct":false,"proposition":"Clinical expression results from overexpression of the FMR1 gene","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-1","enonce":"A 70-year-old patient presents to the emergency room with chest pain and dyspnea. The imaging examination performed is:","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"Magnetic resonance imaging after iodinated contrast medium injection","justification":""},{"idx":1,"correct":false,"proposition":"Magnetic resonance imaging without iodinated contrast medium injection","justification":""},{"idx":2,"correct":true,"proposition":"A CT scan after injection of iodinated contrast medium","justification":"CT, unlike MRI, allows you to see the bones much more strongly. The injection is recognized because there is a difference in density between the arteries and veins."},{"idx":3,"correct":false,"proposition":"A CT scan without injection of iodinated contrast medium","justification":""},{"idx":4,"correct":false,"proposition":"An infusion scan","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-9","enonce":"A 71-year-old patient, hypertensive, hypothyroid receiving opo replacement therapy, consults you for significant pain of the right hemiface. You suspect neuralgia of the right trigeminal. What is (are) the proposal(s) evocative of the diagnosis?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"Sensation of electric discharge","justification":""},{"idx":1,"correct":true,"proposition":"Trigger zone","justification":""},{"idx":2,"correct":false,"proposition":"Retroorbital pain","justification":""},{"idx":3,"correct":false,"proposition":"Posterior scalp pain","justification":""},{"idx":4,"correct":false,"proposition":"Rhinorrhea","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-12","enonce":"Regarding this chest X-ray of a 6-month-old child performed due to a febrile cough, what is (are) the exact proposal(s)?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"There is a right thymic overhang","justification":""},{"idx":1,"correct":false,"proposition":"There is left upper lobar lung disease","justification":"It is the thymic lodge that gives this opacity"},{"idx":2,"correct":false,"proposition":"There is chest distension","justification":""},{"idx":3,"correct":true,"proposition":"The trachea is in place","justification":""},{"idx":4,"correct":true,"proposition":"The small split is in place","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-18","enonce":"Mr. X., 66 years old, is a carrier of a subrenal abdominal aortic aneurysm measured 3 months ago at 40 mm anteroposterior diameter. He presents to the emergency room for the occurrence of acute abdominal pain. On clinical examination, the pulse is 88 bpm, blood pressure is 134\/68 mmHg in both arms. What action do you propose to take in this patient? (Only one exact proposal)","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"Emergency abdominal CT scan","justification":""},{"idx":1,"correct":false,"proposition":"Emergency abdominal ultrasound","justification":""},{"idx":2,"correct":false,"proposition":"Arteriography of the aorta and lower limbs in emergency","justification":""},{"idx":3,"correct":false,"proposition":"Emergency exploratory laparotomy without prior imaging","justification":""},{"idx":4,"correct":false,"proposition":"X-ray of the abdomen without emergency preparation","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-50","enonce":"Researchers are interested in the relationship between disease M and exposure E. To this end, they constitute a cohort representative of their population of interest. At the end of the 10 years of follow-up, 300 subjects became ill. The results are summarized in the contingency table below. About this study: (one or more correct answers)","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"The base risk is 20%","justification":""},{"idx":1,"correct":true,"proposition":"The excess risk is 10%","justification":""},{"idx":2,"correct":false,"proposition":"The relative risk is 2.25","justification":""},{"idx":3,"correct":false,"proposition":"The risk in exposed is increased by 100% compared to the risk of non-exposed","justification":""},{"idx":4,"correct":false,"proposition":"The cumulative incidence of the disease is equal to 0.15 in the sample","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-67","enonce":"Which of the following clinical signs is a criterion(s) for hospitalization of a 15-year-old girl with anorexia nervosa?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"A restrictive diet of food","justification":""},{"idx":1,"correct":false,"proposition":"Amenorrhea"},{"idx":2,"correct":true,"proposition":"Tachycardia"},{"idx":3,"correct":false,"proposition":"Body mass index of 16 kg\/m2","justification":""},{"idx":4,"correct":true,"proposition":"Lipothymia"}],"type":"qi"}
{"_id":"annales-2019-qi-84","enonce":"You see in consultation a 32-year-old man who has a complete sensorimotor paraplegia of level T6 following a bicycle accident dating back several years. He is concerned about a right ischial redness present for 3 weeks. Regarding this lesion:","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"This is a stage 1 pressure ulcer","justification":""},{"idx":1,"correct":false,"proposition":"Ischial localization is unusual","justification":""},{"idx":2,"correct":true,"proposition":"Removal of support is recommended","justification":""},{"idx":3,"correct":false,"proposition":"Massages are recommended","justification":""},{"idx":4,"correct":false,"proposition":"A preventive surgical procedure is recommended","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-88","enonce":"In children, antibiotic prophylaxis in infective endocarditis is recommended in case of ?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"Prosthetic valve","justification":""},{"idx":1,"correct":false,"proposition":"Inter-atrial communication","justification":""},{"idx":2,"correct":true,"proposition":"Non-operated cyanogenic heart disease","justification":""},{"idx":3,"correct":false,"proposition":"Coarctation of the aorta","justification":""},{"idx":4,"correct":true,"proposition":"History of infective endocarditis","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-90","enonce":"X-ray of the front chest performed as part of an asthenia assessment in an 11-year-old child. What is the exact proposal(s)?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"There is cardiomegaly","justification":""},{"idx":1,"correct":false,"proposition":"The para-aortic line is repressed","justification":""},{"idx":2,"correct":false,"proposition":"There is pleural effusion","justification":""},{"idx":3,"correct":false,"proposition":"There is an anterior mediastinal mass","justification":""},{"idx":4,"correct":false,"proposition":"There is a systematized alveolar opacity","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-95","enonce":"A 52-year-old patient consults you for diarrhea consisting of 6 to 8 watery stools per day, including two nocturnal ones, associated with urges. Since the onset of these symptoms 6 months earlier, the patient has lost 3 kg. There is no abdominal pain. The patient has pyrosis treated with lansoprazole, high blood pressure treated with amlopidine and diabetes treated for 2 years with glibenclamide. Which factor(s) may be responsible for this diarrhea?","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":true,"proposition":"Ulcerated colitis","justification":""},{"idx":1,"correct":true,"proposition":"Microscopic colitis","justification":""},{"idx":2,"correct":true,"proposition":"Treatment with lansoprazole","justification":""},{"idx":3,"correct":false,"proposition":"Amlodipine treatment","justification":""},{"idx":4,"correct":true,"proposition":"Ileocolic Crohn's disease","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-105","enonce":"Regarding the pre-resumption visit carried out by the occupational physician, it can be carried out on request (one or more possible answers):","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"Co-workers","justification":""},{"idx":1,"correct":true,"proposition":"From the general practitioner","justification":""},{"idx":2,"correct":true,"proposition":"From the medical advisor","justification":""},{"idx":3,"correct":true,"proposition":"From the employee","justification":""},{"idx":4,"correct":false,"proposition":"From the employer","justification":""}],"type":"qi"}
{"_id":"annales-2019-qi-115","enonce":"About trisomy 21 syndrome: (one or more exact answers)","item":"annales-2019-qi","matiere":"annales-2019","propositions":[{"idx":0,"correct":false,"proposition":"His diagnosis is usually carried out in the balance sheet of a delay in school acquisitions.","justification":""},{"idx":1,"correct":false,"proposition":"Intellectual disability is usually profound","justification":""},{"idx":2,"correct":true,"proposition":"A majority of patients are able to acquire reading","justification":""},{"idx":3,"correct":false,"proposition":"Congenital malformations are constant","justification":""},{"idx":4,"correct":true,"proposition":"The most common digestive malformation is atresia of the duodenum","justification":""}],"type":"qi"}