MCQs (Part VI)

1. Loud first heart sound is heard in –

Mitral stenosis

M.R.

M.V.prolapse

Calcified mitral leaflet

2. The following structures are felt on per rectal examination except -

Bulb of penis

Ureter

Anorectal ring

Urogenital diaphragm

3. HLA B27 is seen associated with –

Rhematoid arthritis

Ankylosing spondylitis

Sjoren syndrome

Scleroderma

4. 28 year old male met with an accident and sustained severe crush injury. He is most likely to develop –

Acute renal failure

Hypophosphatemia

Hypercalcemia

Acute myocardial infarction

5. In injury to head of fibula, all are involved except –

Common peroneal N.

Superficial peroneal N.

Anterior Tibial N.

Tibial N.

6. A patient presented with thunder clap headache. Followed by unconsciousness with progressive 3rd cranial nerve palsy –

Extradual hemorrhage

Aneurysmal subarachnoid hemorrhage

Basilar migraine

Cluster headache

7. Best marker for prediction of coronary artery disease –

LDL/HDL

Serum cholesterol

Cholesterol/TG

Blood cholesterol

8. Hatter's shakes are seen in which poisoning –

Arsenic

Mercury

Copper

Lead

9. A 26 year old man died while playing football. His autopsy of the heart revealed myocyte hypertrophy. Diagnosis is –

HOCM

DCM

Arrhythmogenic cardiac problem

Restrictive cardiomyopathy

10. 25 year old man with 3 weeks fever presented with tricuspid valve vegetation. Most common cause is? Most common cause of Endocorditis in I.V. drug abuses –

Staph aureus

Candida albicans

Pseudomonas

Streptococcus viridans

11. 25 year old Tourist guide 3 years back presented with penile ulcer not treated. Later he presented with neurological symptoms for which he got treated. Test to monitor response to treatment is –

VDRL

FTA ABS

TPI

RPR

12. Murmur increasing with valsalva maneouvre –

Mitral stenosis

HOCM

VSD

Aortic stenosis

13. 55 yr old female a known case of thryotoxicosis in control posted for abdomino perineal resection during there was sudden drop in B.P., and end tidal CO2 decreased from 40 to 10 mmHg. On auscultation there was a mill wheel murmur, what is the diagnosis?

Thyroid storm

Bleeding

Hypoxia

Air embolism

14. Vasculitis in adults is seen in all the following except –

Kawasaki disease

Henoch schonlein purpura

Temporal arteritis

PAN

15. Drug not used in visceral leishmaniasis –

Pentamidine

Paromomycin

Miltefosine

Hydroxychloroquine

16. Regarding campylobacterium jejuni which is not true is?

Most common cause of compylobacteriosis

Poultry is the cause of disease

Human is the only reservoir

Cause of Guillain Barre syndrome

17. All of the following maintain the stability of ankle joint except –

Cruciate ligament

Shape of the bones

Tendons of muscle which cross the joint

Collateral ligament

18. In congestive cardiac failure all are used except –

Spironlactone

Nitrates

Nesiritide

Trimetazidine

19. Acoustic neuroma commonly arises from –

Superior division of vestibular nerve

Inferior division of vestibular nerve

Cochlear nerve

VIIth nerve

20. Dissociated sensory loss in a case of tumor of central spinal cord is due to lesion of:

Dorsal column fibres

Anterior Spinothalmic tract

Decussating fibres of lateral spinothalmic tract

Cilio spinal centre of spinal cord

21. A case of jaundice with 50% direct bilirubin, other LFTs normal. Diagnosis is

Rotor syndrome

Gilbert syndrome

Glucuronyl transferase deficiency

PBC

22. Most sensitive investigation for diagnosis of asymptomatic chlamydial infection –

Culture

Nucleic acid amplification

Serology

Direct microscopic examination of tissue scraping

23. All are used in hyperkalemia except –

50 ml of 50% dextrose

Sodium bicarbonate

Salbutamol

Calcium glucose

24. All are correct regarding Widal test, except –

Baseline titres differ depending on the endemicity of the disease

High titre value in a single widal test is not confirmative

O antibody lasts longer and hence is not indicative of recent infection

H antibody cannot differentiate between types

25. Hyperkalemia with no ECG finding, the drug that should not be used is –

Sodium bicarbonate

Calcium gluconate

Glucose with insulin

Resins

26. Alkaline phosphatase is decreased in –

Hypophosphatemia

Primary biliary cirrhosis

Hyperphosphatemia

Hepatitis A

None of the above

27. Infective form for mosquito in Plasmodium falciparum is –

Merozoites

Sporozoites

Gametocytes

Trophozoites

28. In Asthma which of the following is seen –

Increased FRC & increased RV

Increased FRC & decreased RV

Decreased RV, decreased FRC

Decreased FRC, Increased RV

29. 21 year old female presented with aortic arch aneurysm she underwent resection and the specimen was sent to histopathological examination. It showed all three layers were involved and giant cells were present. What is the probable diagnosis?

Tubercular aortitis

Wegeners granulomatosis

Giant cell arteritis

Nonspecific aortoarteritis

30. An elderly female presents with the features of fever, headache, diplopia. Biopsy of the artery revealed panarteritis. What is the most probable diagnosis?

Nonspecific arteritis

PAN

Wegener’s granulomatosis