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 forty year old diabetic man presents with history of sudden onset of pain in right loin which radiates towards right iliac fossa. It is associated with fever and vomiting. On examination tenderness is present in right loin. The most likely diagnosis is:
A. Appendicitis.
B. Cholecystitis.
C. Diverticulitis.
D. Pyelonephritis
2. In 2 patients with Atherosclerosis, one is diabetic and other is non-diabeti
A. In relation to non-diabetic, diabetic patient has 100 times increased risk of
B. MI
C. Cerebrovascular Stroke
D. Lower Limb Ischemia
3. 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
4. All of the following can be seen in Massive Acute Blood loss EXCEPT
A. Increase in Reticulocyte count
B. Increase in PCV
C. Increase in MCV
D. Increase in Neutophils
5. An old hypertensive man, on treatment with Aspirin, Sorbitrate, and Atenolol suddenly fell in bathroom. Relatives noted black stools. He presented in ER with hypotension, tachycardi
A. The diagnosis is
B. Gastric Ulcer bleed
C. Cerebrovascular Accident
D. MI
6. The anti diabetic agent of choice for a fifty year old obese lady with mild hyperglycemia is:
A. Chlorpropamide.
B. Glibenclamide.
C. Insulin.
D. Metformin
7. 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
8. A fifty year old man presents with dysphagia. Which of the following characteristic suggests a benign structure of esophagus:
A. Anaemia.
B. Cervical lymphadenopathy.
C. Dysphagia worse for solids.
D. Hoarseness of voice
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. A forty year old man presents with cold intolerance and weight gain. Examination reveals goiter. The most likely finding on central nervous system examination is:
A. Ataxia.
B. Delayed relaxation of ankle jerk.
C. Hypotonia.
D. Hyper reflexia
11. 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
12. 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
13. 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
14. Thrombotic event is seen in all of following except
A. PNH
B. DIC
C. TP
D. Heparin induced thrombocytopenia
15. ln renal cell carcinoma which is not associated
A. Polycythemia
B. Amyloidosis
C. Cushing syndrome
D. Malignant hypertension
16. A neonate presents with bleeding from umbilical stump, rest of the examination is normal. Probable diagnosis is
A. Factor X deficiency
B. von Willebrand Disease
C. Glanzman Thromboasthenia
D. Bernard Soulier Syndrome
17. Pseudotumor Cerebri is seen in
A. Obese Female of 20-40 years
B. Obese Male of 20-40 years
C. Thin Female of 50-60 years
D. Thin Male of 50-60 years
18. 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
19. 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
20. Most common type Spinocerebral Ataxia in India is
A. SCA 1
B. SCA 2
C. SCA 3
D. SCA 4
Public Hospital 554/7 New Anaj Mandi, Fatehabad 125050 M: 9810570740, 9810571993
Tel: 01667221011, 9810570740, 9810571993 facebook.com/doctorkc