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 with history of low grade fever and cough for last three months. Examination of respiratory system is normal. A diagnosis of tuberculosis is made. Which of the following feature on chest X-ray suggests this diagnosis:
A. Cavitation.
B. Con solidation.
C. Hilar congestion.
D. Prominent bronchovascular marking
2. 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
3. Reperfusion is useful for
A. Stunt myocardium
B. Hibernating myocardium
C. Non ischemic viable myocardium
D. Mixed ischemic myocardium
4. A young boy presents in outdoor with history of sudden painful swelling of joints after minor trauma since childhood. The most likely diagnosis is:
A. Disseminated intravascular coagulation.
B. Glanzmann’s thrombasthenia.
C. Idiopathic thrombocytopenic purpura.
D. Haemophilia A
5. 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
6. 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
7. 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
8. A fifteen year old girl presents with history of fever, bleeding from gums and pallor for last fifteen days. Her peripheral blood film shows pancytopenia. The most important investigation is:
A. Bone marrow examination.
B. Coomb’s test.
C. Reticulocyte count.
D. Serum folic acid level
9. Most common symptom of Immunoproliferative small intestinal disease
A. Malabsorption
B. Obstruction
C. Bleeding
D. Abdominal Pain
10. A young boy presents with history of fever, skin rash and diarrhea. Examination of oral cavity shows koplik spots on buccal mucosa. The most likely diagnosis is:
A. Chicken pox.
B. Diphtheria.
C. Measles.
D. Small pox
11. In a patient with history of haematemesis, the clinical feature which suggests that peptic ulcer is the underlying cause is:
A. Ascites.
B. Drowsiness.
C. History of jaundice.
D. Tender epigastrium
12. 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
13. Which of the following drugs is used in the treatment of hyperkalemia in acute renal failure:
A. Amiloride.
B. Amlodipine.
C. Captopril.
D. Insulin
14. 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
15. 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
16. A Penicillin allergic patient has Rheumatic Fever. Which of the following drug should be prescribed?
A. Penicillin G
B. Sulfoxazole
C. Sulfasalazine
D. Sulfadiazine
17. 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
18. 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
19. 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
20. A fifteen year old boy who is diabetic presents with pain abdomen, vomiting and shortness of breath. There is history of fever and sore throat two days back. The most likely cause of his symptoms is:
A. Diabetic ketoacidosis.
B. Gastritis.
C. Hypoglycemia.
D. Renal failure
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