MCQs (Part VI)
- 1.
Loud first heart sound is heard in –
- A.
Mitral stenosis
- B.
M.R.
- C.
M.V.prolapse
- D.
Calcified mitral leaflet
Correct Answer
A. Mitral stenosis -
- 2.
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?
- A.
Thyroid storm
- B.
Bleeding
- C.
Hypoxia
- D.
Air embolism
Correct Answer
D. Air embolism -
- 3.
The following structures are felt on per rectal examination except -
- A.
Bulb of penis
- B.
Ureter
- C.
Anorectal ring
- D.
Urogenital diaphragm
Correct Answer
B. Ureter -
- 4.
In injury to head of fibula, all are involved except –
- A.
Common peroneal N.
- B.
Superficial peroneal N.
- C.
Anterior Tibial N.
- D.
Tibial N.
Correct Answer
D. Tibial N. -
- 5.
All of the following maintain the stability of ankle joint except –
- A.
Cruciate ligament
- B.
Shape of the bones
- C.
Tendons of muscle which cross the joint
- D.
Collateral ligament
Correct Answer
A. Cruciate ligament -
- 6.
Acoustic neuroma commonly arises from –
- A.
Superior division of vestibular nerve
- B.
Inferior division of vestibular nerve
- C.
Cochlear nerve
- D.
VIIth nerve
Correct Answer
A. Superior division of vestibular nerve -
- 7.
Hatter’s shakes are seen in which poisoning –
- A.
Arsenic
- B.
Mercury
- C.
Copper
- D.
Lead
Correct Answer
B. Mercury -
- 8.
Most sensitive investigation for diagnosis of asymptomatic chlamydial infection –
- A.
Culture
- B.
Nucleic acid amplification
- C.
Serology
- D.
Direct microscopic examination of tissue scraping
Correct Answer
B. Nucleic acid amplification -
- 9.
Infective form for mosquito in Plasmodium falciparum is –
- A.
Merozoites
- B.
Sporozoites
- C.
Gametocytes
- D.
Trophozoites
Correct Answer
C. Gametocytes -
- 10.
All are correct regarding Widal test, except –
- A.
Baseline titres differ depending on the endemicity of the disease
- B.
High titre value in a single widal test is not confirmative
- C.
O antibody lasts longer and hence is not indicative of recent infection
- D.
H antibody cannot differentiate between types
Correct Answer
C. O antibody lasts longer and hence is not indicative of recent infection -
- 11.
Regarding campylobacterium jejuni which is not true is?
- A.
Most common cause of compylobacteriosis
- B.
Poultry is the cause of disease
- C.
Human is the only reservoir
- D.
Cause of Guillain Barre syndrome
Correct Answer
C. Human is the only reservoir -
- 12.
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 –
- A.
Staph aureus
- B.
Candida albicans
- C.
Pseudomonas
- D.
Streptococcus viridans
Correct Answer
A. Staph aureus -
- 13.
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 –
- A.
VDRL
- B.
FTA ABS
- C.
TPI
- D.
RPR
Correct Answer
A. VDRL -
- 14.
Dissociated sensory loss in a case of tumor of central spinal cord is due to lesion of:
- A.
Dorsal column fibres
- B.
Anterior Spinothalmic tract
- C.
Decussating fibres of lateral spinothalmic tract
- D.
Cilio spinal centre of spinal cord
Correct Answer
C. Decussating fibres of lateral spinothalmic tract -
- 15.
In Asthma which of the following is seen –
- A.
Increased FRC & increased RV
- B.
Increased FRC & decreased RV
- C.
Decreased RV, decreased FRC
- D.
Decreased FRC, Increased RV
Correct Answer
A. Increased FRC & increased RV -
- 16.
Hyperkalemia with no ECG finding, the drug that should not be used is –
- A.
Sodium bicarbonate
- B.
Calcium gluconate
- C.
Glucose with insulin
- D.
Resins
Correct Answer
B. Calcium gluconate -
- 17.
Alkaline phosphatase is decreased in –
- A.
Hypophosphatemia
- B.
Primary biliary cirrhosis
- C.
Hyperphosphatemia
- D.
Hepatitis A
- E.
None of the above
Correct Answer
E. None of the above -
- 18.
Murmur increasing with valsalva maneouvre –
- A.
Mitral stenosis
- B.
HOCM
- C.
VSD
- D.
Aortic stenosis
Correct Answer
B. HOCM -
- 19.
Vasculitis in adults is seen in all the following except –
- A.
Kawasaki disease
- B.
Henoch schonlein purpura
- C.
Temporal arteritis
- D.
PAN
Correct Answer
A. Kawasaki disease -
- 20.
28 year old male met with an accident and sustained severe crush injury. He is most likely to develop –
- A.
Acute renal failure
- B.
Hypophosphatemia
- C.
Hypercalcemia
- D.
Acute myocardial infarction
Correct Answer
A. Acute renal failure -
- 21.
A 26 year old man died while playing football. His autopsy of the heart revealed myocyte hypertrophy. Diagnosis is –
- A.
HOCM
- B.
DCM
- C.
Arrhythmogenic cardiac problem
- D.
Restrictive cardiomyopathy
Correct Answer
A. HOCM -
- 22.
An elderly female presents with the features of fever, headache, diplopia. Biopsy of the artery revealed panarteritis. What is the most probable diagnosis?
- A.
Nonspecific arteritis
- B.
PAN
- C.
Wegener’s granulomatosis
- D.
Temporal arteritis
Correct Answer
C. Wegener’s granulomatosis -
- 23.
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?
- A.
Tubercular aortitis
- B.
Wegeners granulomatosis
- C.
Giant cell arteritis
- D.
Nonspecific aortoarteritis
Correct Answer
D. Nonspecific aortoarteritis -
- 24.
A patient presented with thunder clap headache. Followed by unconsciousness with progressive 3rd cranial nerve palsy –
- A.
Extradual hemorrhage
- B.
Aneurysmal subarachnoid hemorrhage
- C.
Basilar migraine
- D.
Cluster headache
Correct Answer
B. Aneurysmal subarachnoid hemorrhage -
- 25.
A case of jaundice with 50% direct bilirubin, other LFTs normal. Diagnosis is
- A.
Rotor syndrome
- B.
Gilbert syndrome
- C.
Glucuronyl transferase deficiency
- D.
PBC
Correct Answer
A. Rotor syndrome -
- 26.
In congestive cardiac failure all are used except –
- A.
Spironlactone
- B.
Nitrates
- C.
Nesiritide
- D.
Trimetazidine
Correct Answer
D. Trimetazidine -
- 27.
HLA B27 is seen associated with –
- A.
Rhematoid arthritis
- B.
Ankylosing spondylitis
- C.
Sjoren syndrome
- D.
Scleroderma
Correct Answer
B. Ankylosing spondylitis -
- 28.
Best marker for prediction of coronary artery disease –
- A.
LDL/HDL
- B.
Serum cholesterol
- C.
Cholesterol/TG
- D.
Blood cholesterol
Correct Answer
A. LDL/HDL -
- 29.
Drug not used in visceral leishmaniasis –
- A.
Pentamidine
- B.
Paromomycin
- C.
Miltefosine
- D.
Hydroxychloroquine
Correct Answer
D. Hydroxychloroquine -
- 30.
All are used in hyperkalemia except –
- A.
50 ml of 50% dextrose
- B.
Sodium bicarbonate
- C.
Salbutamol
- D.
Calcium glucose
Correct Answer
A. 50 ml of 50% dextrose -
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Feb 18, 2013Quiz Edited by
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Jun 03, 2012Quiz Created by
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