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 patient comes with transmural thrombi. Streptokinase and Warfarin is started. After which further intial sign thrombolysis should be stopped
A. Pericardial Friction Rub
B. Pericardial Effusion
C. Mobitz Type 2 Block
D. Leg vein thrombosis
2. In Pneumonia Severity Scale, most important factor is
A. Age
B. Congestive Heart Failure
C. Hypothermia
D. Hyponatremia
3. In a patient of thalessemia peripheral blood film for red cell morphology shows:
A. Hypochromic microcytic cells.
B. Normochromic normocytic cells.
C. Macrocytosis.
D. Sickle cells
4. Positive hepatojugular reflux is found in all of the following conditions except?
A. Tricuspid regurgitation
B. Right heart failure
C. Decreased after load
D. Increased pulmonary capillary bed pressure
5. Berry aneurysm – Defect lies in
A. Degeneration of internal elastic lamina
B. Deposition of mucoid material in media
C. Defect in muscular layer
D. Disturbance in vessel wall
6. 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
7. A patient of embolic stroke is taking warfarin. He comes to dental outdoor for tooth extraction. The most useful investigation to see the effect of warfarin is:
A. Bleeding time.
B. Hematocrit.
C. Platelet count.
D. Prothrombin time
8. Patient with Pneumococcal Brain Abscess. Culture is sent for Antibiotic sensitivity. Which empirical antibiotic is given till culture sensitivity result come?
A. Penicillin G
B. Ceftriaxone
C. ceftriaxone+ vancomycin
D. Ampicillin
9. The acid base status of a patient reveals a pH=7.45 and pCO2=30 mmHg. The patient has partially compensated
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis -
D. Respiratory Acidosis
10. 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
11. 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
12. A 46 year old man with constipation, abdominal pain, mucous in stool and sense of incomplete evacuation since 4 years. On examination, there was left iliac fossa tenderness. Diagnosis is
A. Ca Colon
B. Diverticular disease
C. IBS
D. Ulcerative Colitis
13. 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
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. A twenty year old girl is taking anti tuberculosis treatment. She presents in eye outdoor with visual complaints. The most likely cause of her symptoms is side effect of:
A. Isoniazid.
B. Rifampicin.
C. Ethambutol.
D. Streptomycin
16. 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
17. A Penicillin allergic patient has Rheumatic Fever. Which of the following drug should be prescribed?
A. Penicillin G
B. Sulfoxazole
C. Sulfasalazine
D. Sulfadiazine
18. ln renal cell carcinoma which is not associated
A. Polycythemia
B. Amyloidosis
C. Cushing syndrome
D. Malignant hypertension
19. 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
20. 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
Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc