1] A 15 year old girl has recurrent abdominal cramps & Melina. Physical examination revels increased pigmentation on her lips & buccal mucosa. Her sister has a similar History & same physical findings. Most likely diagnosis.

1. Pseudopolysosis

2. Familial polyposis

3. Villous adenoma

4. P-J Syndrome

Ans :D

2] All the following statements regarding a patient with IDDM in pregnancy  is true except:

1. Can be safely monitored by home blood glucose monitoring.

2. Have a reduced incidence of congenital anomalies if preconceptional blood glucose control is good.

3. Ideally should have an HbA1C > 8%.

4. May have a macrosomic fetus even in the presence of good glycaemic control.

Ans :C

3] A distinctive feature when comparing ulcerative colitis with crohn's disease 

1. Fistula formation

2. Possible malignant transformation

3. Colonic Involvement

4. Absence of granulomas

Ans: A

4] S1Q3T3 pattern in an ECG is classically described in cases of :

1. Acute cor pulmonale

2. Acute inferior wall MI

3. Hypokalemia

4. hypocalcaemia

Ans: A

5] Depressed bridge of nose is due to all except :

1. Leprosy

2. Syphilis

3. Thalassemia

4. Acromegaly

Ans: D

6] In a patient of Hiv infection, pneumocystis carinii pneumonia prophylaxis is indicated with a CD4 cell count of :

1. 600 per micro liter

2. 500 per micro liter

3. 400 per micro liter

4. 200 per micro liter

Ans :D

7] Differential cyanosis is a feature of :

1. PDA

2. PDA with coarctation of aorta

3. Fallot's tetrology

4. VSD with PS

Ans :A

8] A 25 year old presents with fever malaise headache & muscle pains. A chest x ray shows bilateral infiltrates . Cold agglutinins are present in the blood . This patient is infected with :

1. Influenza A virus

2. Mycoplasma pneumonia

3. Streptococcal pneumonia

4. Pneumocystis pneumonia

Ans : B

9] Neurosurgical treatment of epilepsy usually involves , removal of epileptic foci from which lobe?

1. Frontal lobe

2. Temporal lobe

3. Occipital lobe

4. Parietal lobe

Ans: B

10] Cryptoprecipitate is used to treat all the following coagulopathies  except :

1. Hemophilia -A

2. Christmas disease

3. Von willebrands disease

4. DIC

Ans: B

11] All the following statements regarding GB syndrome are correct except :

1. There is prominent motor involvement with variable sensory loss

2. CSF shows elevated protein without proportionate rise in cells.

3. High dose IV Ig's have been found to be useful in management.

4. Autonomic disturbances are rare.

Ans : D

12] The clinical manifestation due to infection with the following closely resembles that of chronic Pulmonary TB :

1. Cryptococcus

2. Histoplasmosis

3. Blastomycosis

4. Mucormycosis

Ans: C

13] A 26 year old lady presents with h/o bloody diarrhea since 6 months., weight loss & crampy abdominal pain . The first step towards diagnosis of inflammatory bowel disease will be :

1. Upper GI scopy

2. Small bowel mucosal biopsy

3. Mesenteric angiography

4. Barium enema

Ans : D

14] Mesothelioma is associated with one of the following :

1. Crocidolite

2. Amosite

3. anthrophylite

4. All the above

Ans : D

15] The following statement regarding dobutamine stress echocardiography are true except :

1. Development of regional wall abnormalities is evaluated during dobutamine infusion

2. atropine administration is recommended if target HR is not achieved even with maximum dose of dobutamine

3. useful in assessing left ventricular function in patients with aortic stenosis

4. Employed in preoperative evaluation of coronary artery disease in patients presenting for vascular surgery .

Ans: C

16] The diagnosis of concussion is established by which one of the following?

1. Pupillary Constriction

2. Nausea & Vomiting

3. Brief loss of consciousness & amnesia for event

4. A positive Babinski's sign

Ans :C

17] The EMG is least useful for the diagnosis of :

1. Cerebral palsy

2. Charcot's -Marie- Tooth disease

3. Spinal muscular atrophy

4. M.Gravis

Ans :A

18] A 40 year old lady is brought to the emergency room after being unresponsive following a sudden bout of severe headache at work. O/E her BP is 180/100mmHg & her respiration is irregular & of Cheyne-Stokes type . She is agitated & doesn't follow commands, but moves her extremities spontaneously. Most likely diagnosis will be :

1. Subarecnoid hemorrhage due to ruptures cerebral aneurism.

2. Hypoglycemic coma

3. Conversion reaction

4. Addisonian crisis

Ans: A

19] In the heterosexual transmission of HIV :

1. There is greater risk of transmission from man to woman

2. There is greater risk of transmission from woman to man

3. Risk is equal both ways

4. HIV infection is not transmitted by heterosexual act

Ans: A

20] Cushing's syndrome is characterized by all these features except :

1. Central obesity

2. Osteoporosis

3. Muscle weakness

4. Hyperkalemia

Ans : D

21] All the following are the features of hemolytic anemia except :

1.  Increased reticulocyte count

2. Increased serum lactate dehydrogenize level

3. Increased serum haptoglobin level

4. Increased serum unconjugated bilirubin

Ans: C

22] Which of the following statements regarding myasthenia gravis & thymectomy is false?

1. Thymectomy achieves best results in patients with bulbar myasthenia

2. Thymectomy achieves good remission in patients with benign thymoma's

3. Invasive thymoma's have less likelihood of remission after thymectomy

4. Best surgical approach is median sternotomy

Ans: A

23] A 40 year old woman presents with hepatic failure , greesish brown deposits in Descemet's membrane of the cornea, & choreiform movements. The defect most likely responsible for the patients disease is :

1. Defect in the synthesis of alpha 1 anti trypsin

2. Defect of extraction of copper into bile

3. An abnormality in glycogen synthesis

4. Excessive absorption of iron from the small bowel

Ans : B

24] All of the following statements regarding epileptic seizures are true except :

1. Seizures are caused by abnormal neuronal discharges in the cerebral cortex

2. The nature of partial seizure may reflect the site of its cortical origin

3. Temporal lobe epilepsy is generally associated with hippocampal sclerosis

4. Phenytoin is the drug of choice for absence seizures

Ans : D

25] An anemic patient with microcytic hypochromic anemia having low serum iron, low total iron binding capacity , increased red cell protoporphyrin is likely to have :

1. Iron deficiency anemia

2. Anemia of chronic disease

3. Sideroblastic anemia

4. Beta Thalassemia

Ans : B

26] All the following can constitute signs of anterior horn cell disease except :

1. Asymmetry

2. atrophy

3. Areflexia

4. Sensory loss

Ans : D

27] Ventricular aneurism has one of the following characteristic features :

1. Persistent ST segment elevation

2. Persistent ST segment depression

3. Left bundle branch block

4. Right bundle branch block

Ans : A

28] APACHE scoring system is used as a scoring system to :

1. To predict post operative cardiac risk

2. To predict post operative pulmonary complications

3. To evaluate prognosis in critical care setting

4. To evaluate prognosis after a/c MI

 Ans: C

29] In differentiating seizures from syncope , all the following features favor the former [seizures] except:

1.  Clear focal onset

2. Convulsive muscular contractions

3. Clear sensorium after the event

4. Tongue biting

Ans : C

30] The most common cause of isolated 3rd nerve palsy in a young person with berry aneurysm  arising from :

1. Anterior communicating artery

2. Posterior communicating artery

3. Middle cerebral artery

4. Basilar artery

 Ans : B

31] Which of the following acute viral hepatitis infections has the highest risk in progression to chronicity ?

1. Hepatitis C

2. Hepatitis B

3. Hepatitis A

4. Hepatitis E

Ans : A

32] Children born to mothers with SLE are likely to have one of the following anomalies :

1. ASD

2. Tetrology of Fallot's

3. Transposition of great vessels

4. Complete heart block

 Ans : D

33] Intensity of murmurs heard in all of the conditions listed below decreases with "VALSAVA MANEUVER" except :

1. Tricuspid Regurgitation

2. Pulmonary stenosis

3. Fallot's tetrology

4. Mitral valve prolapse

Ans: D

34] Increased level of atherosclerosis is associated with all the following lipid anomalies except :

1. Increased level of Cholesterol

2. Increased level of LDL

3. Increased level of HDL

4. Increased level of VLDL

Ans: C

. .

Site last Updated on :  Thursday July 10, 2008 09:27 AM

All logos and trademarks at this site are the property of their respective owner (s).
© 2003- 2004 by "The E-Doctor" All rights reserved.
Any queries, feed back or clarifications may be mailed to webmaster@edoctor.cjb.net
By using this website you are agreeing to have read and accepted the Disclaimer and abide by our copyright laws. "