Test Your Knowledge - Free MCQ PRACTICE
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DRIVINGTEST
A fresh set of 20 random questions is generated every time you open this page and every time you refresh it.
For each of the following multiple choice questions, choose the most appropriate answer :

1. A young girl comes in the cardiology ward with history of breathlessness and palpitations for last one year. After auscultation of precordium cardiology registrar makes diagnosis of mitral stenosis. The most important sign on which this diagnosis is based is:
A. Ejection systolic murmur.
B. Mid diastolic murmur.
C. Mid systolic click.
D. Pan systolic murmur

2. A child undergoing induction before surgery suddenly developes ,tachycardia,unable to open mouth etco2 shows increase co2 level with Metabolic Acidosis and respiratory alkalosis, Start treatment with
A. IV Dantrolene
B. Na Bicarbonate
C. Mg SO4
D. All of these

3. A patient with Atrial Fibrilation has clot in Left Atrium. All of the following should be done in management EXCEPT
A. DC Cardioversion with Percutaneous Clot removal
B. Warfarin therapy
C. Open Commisurotomy and Clot Removal
D. None of these

4. In which cotrimoxazole not use in treatment?
A. UTI
B. Prostatitis
C. Chancroid
D. Typhoid

5. A ten year old boy gives history of swelling of body starting from face and more on getting up in the morning. On examination his blood pressure is normal, pallor is absent and jugular venous pressure is not raised. Signs of ascites and bilateral pleural effusion are found. The first line of investigation in this case is:
A. Blood urea level.
B. Chest X-ray.
C. Echocardiography.
D. Urine for albumin

6. A 9 yr old girl has difficulty in combing hairs and climbing upstairs since 6 / months. She has Gower’s sign positive and maculopapular rash over metacarphalangeal joints. What should be the next appropriate investigation to be done?
A. ESR
B. RA factor
C. Creatine kinase
D. Electromyography

7. In a patient with centripetal obesity, acne and hirsuitism. The most likely diagnosis is:
A. Cushing’s syndrome.
B. Diabetes mellitus.
C. Hypogonadism.
D. Hypothyroidism

8. A sixteen year old girl presents with chronic diarrhea. Which o the following features suggests that she has irritable bowel syndrome:
A. Anaemia.
B. Abdominal pain relieved by defecation.
C. Blood in stools.
D. Nocturnal symptoms

9. Post-transplantation lymphoma is due to
A. CMV
B. EBV
C. HPV
D. Parvovirus

10. For the patient with history of fever, headache and neck stiffness, the most important investigation is:
A. Cerebrospinal fluid examination.
B. Complete blood counts.
C. Computerized tomography scan brain.
D. Magnetic resonance imaging brain

11. Intracorpuscular Defect of Erythrocyte
A. Autoimmune Hemolytic Anemia
B. Hereditary Spherocytosis
C. Microangiopathic Hemolytic Anemia
D. ITP

12. A forty year old lady gives history of weight gain and hoarseness of voice. On examination her pulse is 64 per minute and skin is pale, coarse and dry. The most important investigation to find diagnosis in this case is:
A. Adrenocorticotrophin hormone (ACTH).
B. Cortisol level.
C. Gonadotrophin levels.
D. Thyroid function test.

13. A girl presented with severe hyperkalemia and peaked T waves on ECG. Most rapid way to decreased serum potassium level?
A. Calcium gluconate IV
B. Oral resins
C. Insulin + glucose
D. Sodium bicarbonate

14. In a patient with history of shortness of breath, which of the following sign indicates left heart failure:
A. Ascites.
B. Basal crepitations.
C. Dependant edema.
D. Engorged neck veins

15. All of the following are true for Hepatitis B EXCEPT?
A. Vertical transmission more important than horizontal
B. Age of onset determines prognosis
C. Period of Communicability lasts several months
D. Virus can be found in blood 1 month before jaundice

16. 14 yrs old girl on exposure to cold has pallor of extremities followed by pain and cyanosis. In later ages of life she is prone to develop?
A. SLE
B. Scleroderma
C. Rheumatoid arthritis
D. Histiocytosis

17. A thirty year old man is found to be HBsAg positive on a routine biochemical test. He is asymptomatic. On examination there is mild hepatomegaly. Alanine aminotransferase (ALT) is 200 m/L. HBV-DNA is positive by polymerase chain reaction (PCR). The oral antiviral agent of choice for this patient is:
A. Aciclovir.
B. Adefovir.
C. Amantidine.
D. Ribavirin

18. The gait of a patient with cog-wheel rigidity and pill rolling tremors is likely to be:
A. Drunken.
B. Hemiplegic.
C. High stepping.
D. Shuffling

19. A forty year old lady presents with history of severe, constant upper abdominal pain that does not radiate and is associated with vomiting. On examination temperature is normal and there is marked tenderness in epigastrium. Most useful investigation for this patient is:
A. Cardiac enzymes.
B. Electrocardiography.
C. Gastroscopy.
D. Liver function tests

20. In Posterier Intercommunicating Artery Aneurysm, which structure has most chances to be compressed?
A. Occulomotor Nerve
B. Trochlear Nerve
C. Hypophysis
D. Cerebellum

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