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 young girl comes in the cardiology ward with history of breathlessness and palpitations for last one year. After auscultation of precordium cardiology registrar makes diagnosis of mitral stenosis. The most important sign on which this diagnosis is based is:
A. Ejection systolic murmur.
B. Mid diastolic murmur.
C. Mid systolic click.
D. Pan systolic murmur
2. A patient presents with history of intermittent fever, abdominal pain and headache. Abdominal examination shows tenderness and hepatosplenomegaly. His blood culture is positive for salmonella typhi. The antibiotic of choice for this patient is:
A. Ciprofloxacin.
B. Gentamycin.
C. Metronidazole.
D. Tetracycline
3. ln renal cell carcinoma which is not associated
A. Polycythemia
B. Amyloidosis
C. Cushing syndrome
D. Malignant hypertension
4. 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
5. 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
6. In a patient with high grade fever, rigors and tender hepatomegaly. The most likely diagnosis is:
A. Carcinoma of liver.
B. Liver abscess.
C. Malaria.
D. Right heart failure
7. Most common type Spinocerebral Ataxia in India is
A. SCA 1
B. SCA 2
C. SCA 3
D. SCA 4
8. A 23 year old female presenting with anemia, jaundice for 2 years. Peripheral smears showing spherocytes. The best investigation to be done is
A. Osmotic Fragility Test
B. Coomb's Test
C. Reticulocyte Count
D. Bone Marrow Aspiration
9. 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
10. Most significant association for Hepatocellular Carcinoma
A. Hepatitis A
B. Hepatitis B
C. EBV
D. CMV
11. Post-transplantation lymphoma is due to
A. CMV
B. EBV
C. HPV
D. Parvovirus
12. 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
13. 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
14. In which cotrimoxazole not use in treatment?
A. UTI
B. Prostatitis
C. Chancroid
D. Typhoid
15. A patient with Hypertension, comes with severe unilateral headache and vomiting. On MRI, lateralized convex lesion seen. He has neck stiffness. The diagnosis is
A. Intracerebral Hemorrhage
B. Subarachnoid Hemorrhage
C. Meningitis
D. meningoencephalites
16. 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
17. 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
18. 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
19. A male come with anemia, weakness in hand and constipation since 2 years. He has abdominal pain. Most probable diagnosis
A. Lead toxicity
B. Gastric ca
C. chronic pancreatitis
D.
20. In an ablated animal, a researcher injects Myeloid Stem Cells, after the incubation period he finds which type of cells?
A. Lymphocyte
B. Erythrocyte
C. Fibroblast
D. Hematopoietic Stem Cells
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