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 thirty five year old man presents in a clinic with history of chronic productive cough that is worse in the morning and brought on by changes in posture. Sputum is copious and yellow. The most likely diagnosis in this patient is:
A. Bronchial asthma.
B. Bronchiectasis.
C. Bronchogenic carcinoma.
D. Pulmonary tuberculosis
2. 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
3. An important physical sign of portal hypertension in a patient of cirrhosis of liver is:
A. Gynecomastia.
B. Hepatomegaly.
C. Palmer erythema.
D. Spleno-megaly
4. Post-transplantation lymphoma is due to
A. CMV
B. EBV
C. HPV
D. Parvovirus
5. A fifty year old man is admitted in emergency ward with acute myocardial infarction. Which of the following drug is used as acute reperfusion therapy:
A. Aspirin.
B. Clopidogrel.
C. Heparin.
D. Streptokinase
6. Midsystolic Click is heard in a female. Pathology seen in mitral valve is
A. Myxomatous degeneration
B. Aschoff Nodules
C. Sub Acute Bacterial Endocarditis
D. Ruptured Chordae Tendinae
7. A boy is suffering from Acute Pyelonephritis. Most specific urinary finding
A. WBC Cast
B. Gram Staining for Bacteria
C. Leucocyte Esterase positive
D. Positive Nitrite Test
8. An epileptic girl is found to have gum hypertrophy. Anti epileptic drug which she is most likely taking is:
A. Carbamazepine.
B. Gabapentin.
C. Lamotrigine.
D. Phenytoin
9. Which of the following about atherosclerosis is true?
A. Intake of unsaturated fatty acid associated with decreased risk
B. Thoracic aorta involvement is more severe than abdominal aorta involvement
C. Extent of lesion in veins is same as that in arteries
D. Hypercholesterolemia does not always increase the risk of atherosclerosis perse
10. Drug induced Lupus seen in all EXCEPT
A. Sulfonamides
B. Hydralazine
C. Isoniazid
D. Penicillin
11. 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
12. In Pneumonia Severity Scale, most important factor is
A. Age
B. Congestive Heart Failure
C. Hypothermia
D. Hyponatremia
13. Most common type Spinocerebral Ataxia in India is
A. SCA 1
B. SCA 2
C. SCA 3
D. SCA 4
14. A lady with cold intolerance and hoarseness of voice was detected with cardiomegaly. Investigation to be done to know the cause is
A. Coronary Angiography
B. Left Ventricle Angiography
C. Right Ventricle Angiography
D. Echocardiography
15. 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
16. 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
17. An alcoholic with poor judgment and decreased in skilled motor movements. Blood alcohol level would be
A. 30-80 mg/dl
B. 80-200 mg/dl
C. 200-300 mg/dl
D. >300 mg/dl
18. In a patient with history of muscle cramps and carpopedal spasm. Which of the following serum electrolyte level is most likely to be low:
A. Calcium.
B. Chloride.
C. Magnesium.
D. Potassium
19. Which of the following is a cause of central cyanosis:
A. Exposure to cold.
B. Heart failure.
C. Shock.
D. Right to left cardiac shunts
20. A Penicillin allergic patient has Rheumatic Fever. Which of the following drug should be prescribed?
A. Penicillin G
B. Sulfoxazole
C. Sulfasalazine
D. Sulfadiazine
Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc