MCQs (Part III)

1. All the following are malignant tumors except:

Osteosarcoma

Chondrosarcoma

Aneurysmal bone cyst

Ewing sarcoma

2. Rapid infusion of insulin causes

Hyperkalemia

Hypokalemia

Hypernatremia

Hyponatremia

Hypochloremia

3. A 23 year old just got back from a Hiking trip in Bhutan. He has swollen knee joints & foreign body sensation in eyes. Likely cause is:

Reiter’s syndrome

Sarcoidosis

Behcet’s disease

SLE

Rheumatic Fever

4. In wrist drop, which nerve is affected?

Median nerve

Radial nerve

Ulnar nerve

Brachial nerve

Axillary nerve

5. Cause of vasodilatation in spider nevi

Estrogen

Testosterone

Hepatotoxins

FSH

LH

6. A child 3years came to ER with a history of bleeding per rectum since 2 hours. She was healthy before that. She bled 300ml of blood. After coming the ER she again had a bout of bleeding of about 200ml. PE- abdomen soft, no mass palpable. What is the most appropriate investigation?

Ultra sound

Lower GI endo scopy

Technetium 99 scan

Ba enema

7. Test for assessment of absorptive function of colon

D-xylose test

NBT-PABA test

Fecal fat estimation

Schilling test

Stool fat globules

8. The following is true regarding hemochromatosis

Is genetically heterogeneous

Cannot be treated by phlebotomy

Completely penetrant

More common in female than male

More common in Nigeria

9. (primary respiratory acidosis and compensation with metabolic alkalosis) A pap smear is:

Primary prevention

Secondary prevention

Tertiary prevention

Quaternary prevention

10. In a patient with obstructive pulmonary disease, which of the following ABG finding suggests oxygen therapy may be dangerous:

PH=7.34, pCO2=60, bicarbonate=30

PH=7.4, pCO2=40, bicarbonate=24

PH=7.19, pCO2=25, bicarbonate=18

PH=7.25, PCO2=35, bicarbonate= 20

11. A 28 years old presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the vessels. The patient should be tested for which of the following?

HBV

HCV

EBV

Parvovirus

H1N1

12. Diagnostic in obstructive jaundice :

Urobilinogen absent in urine

Stercobilinogen absent in urine

Increased enzyme levels

Normal acid phosphatase

Normal alkaline phosphatase

13. A lady one year after delivery presents with amenorrhea even though .She chose not to breast feed her baby . She had PPH and curetting done during delivery. You gave her estrogenprogesterone. But no withdrawal bleeding. what is your diagnosis?

Sheehan syndrome

Asherman syndrome

Premature ovarian failure

Gestational Diabetes

Freeman Syndrome

14. Each of the following factors is associated with endometrial cancer EXCEPT:

Age 75

Diabetes

Hypertension

Obesity

Multiparity

15. Digitalis toxicity enhanced by :

Renal failure

Hyperkalemia

Hypercalcemia

Hypomagnesemia

Hypoglycemia

16. The best diagnosis of chronic pancreatitis:

CT

ERCP

Serum amylase

Urinary amylase

U/S

17. The anion gap is increased in Metabolic Acidosis associated with each of the following EXCEPT:

Diabetic ketoacidosis

Renal tubular acidosis

Acute Tubular necrosis

Ethylene glycol intoxication

Lactic acidosis

18. A newborn needs:

75 kcal/kg/day

115 kcal/kg/day

200 kcal/kg/day

250 kcal/kg/day

275kcal/kg/day

19. A child presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the vessels. The patient should be tested for which of the following?

C3

C5a

C1 Esterase inhibitor

C9

IgE

20. All are true about temporal arteritis except

Can lead to sudden bilateral blindness

More common in females

Worsens on exposure to heat

Mostly affects elderly

Improves on exposure to heat

21. Drug used to prevent HIV transmission from pregnant mother to child

Lamivudine

Stavudine

Nevirapine

Didanosine

Sibutramine

22. The treatment in neuroleptic malignant syndrome is:

Benzodiazepine

Bromocriptine

Benztropine

Buspirone

23. Absolute contraindications of birth control pill include each of the following EXCEPT:

Smoking

Pregnancy

Active liver disease

Diagnosed vaginal bleeding

Previous thromboembolic disease

24. KOH is used to diagnose:

Candidiasis

Bacterial vaginosis

Thichomoniasis

Gonnorhea

Chlamydia

25. A common symptom of cardial tamponade and pneumothorax:

Hypotension

Bradycardia

Decreased venous pressure

Tachycardia

Increased JVP

26. Complications of genital herpes virus infections include each of the following EXCEPT:

Urinary retention

Pelvic Inflammatory disease

Secondary bacterial skin infection

Transverse myelitis

Aseptic meningitis

27. Strawberry gingivitis seen in

Myelocytic infiltration

Phenytoin toxicity

Wegener granulomatosis

Klippel Trenaunay syndrome

Kawasaki Disease

28. True statement regarding a patient who presents with acute rheumatic carditis with fever is:

Increased troponin T

Reduced myocardial contractility

Signs of inflammation and necrosis

Valve replacement will ameliorate CCF

Should be reassured and sent home

29. A 75 years old man presented with bilateral loss of vision, he gave history of herpeszoster. What is the most likely cause of his visual loss?

Bilateral corneal opacity due to herpes zoster

Macular degeneration

Glaucoma

Cataracts

Conjunctivitis

30. Concerning an adolescent who is frequently truant, sexually exploitive, lies, steals and abuses drugs, each of the following statements is correct EXCEPT:

There is a good chance he has a reading disability

He likely has no remorse or guilt

He may have soft neurologic signs

He is likely isolated from his peers

He should receive intensive insight-oriented individual psychotherapy