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 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
2. 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
3. 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
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. 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
6. Hematopoietic Stem Cells differ from Committed Progenitor Cells in
A. Can reconstitute Bone Marrow
B. Secrete Growth Factor
C. Terminal Cells are different
D. Nuclear Receptor present
7. 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
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. In Tension Pneumothorax
A. Chest wall expansion
B. Negative intrapleural pressure
C. Decreased surfactant
D. Increased compliance of lung
10. Most common type Spinocerebral Ataxia in India is
A. SCA 1
B. SCA 2
C. SCA 3
D. SCA 4
11. An old patient presented in emergency ward with history of weakness of right side of body of rapid onset. The most helpful first line investigation for management of this patient is:
A. Cerebral angiography.
B. Cerebro spinal fluid examination.
C. Computerized tomography scan brain.
D. Fasting lipid profile
12. 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
13. Thrombolytics can be given in treatment of AMI, if patient comes within
A. 6 hours
B. 12 hours
C. 18 hours
D. 24 hours
14. 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
15. Reperfusion is useful for
A. Stunt myocardium
B. Hibernating myocardium
C. Non ischemic viable myocardium
D. Mixed ischemic myocardium
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 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
18. 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
19. A patient of chronic diarrhea is having angular stomatitis and glossitis. The most likely cause of these signs is deficiency of:
A. Folic acid.
B. Iron.
C. Proteins.
D. Thiamine
20. 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
Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc