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 in a clinic with history of chronic productive cough that is worse in the morning and brought on by changes in posture. Sputum is copious and yellow. The most likely diagnosis in this patient is:
A. Bronchial asthma.
B. Bronchiectasis.
C. Bronchogenic carcinoma.
D. Pulmonary tuberculosis
2. 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
3. A forty year old man presents with cold intolerance and weight gain. Examination reveals goiter. The most likely finding on central nervous system examination is:
A. Ataxia.
B. Delayed relaxation of ankle jerk.
C. Hypotonia.
D. Hyper reflexia
4. A 56 year old man presents with unilateral headache, diplopia and fever. He had difficulty in chewing. MRI of brain was normal and ESR was raised. Treatment is
A. Prednisolone
B. High Dose Aspirin
C. Coxibs
D. Valproate
5. 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
6. Which of the following is incorrectly matched
A. Neurofibromatosis - Renal Artery Stenosis
B. Moyamoya disease - Aortic Aneurysm
C. Marfan's Syndrome - Dural Ectasia
D. Muilbrey nanism - Constricitve Pericarditis
7. 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
8. 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
9. A patient develops sudden palpitation with HR 150 / min, regular. What could be the cause?
A. PSVT
B. Sinus tachycardia
C. Ventricular tachycardia
D. Atrial flutter with block
10. 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
11. 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
12. 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
13. Most common symptom of Immunoproliferative small intestinal disease
A. Malabsorption
B. Obstruction
C. Bleeding
D. Abdominal Pain
14. 14 yrs old girl on exposure to cold has pallor of extremities followed by pain and cyanosis. In later ages of life she is prone to develop?
A. SLE
B. Scleroderma
C. Rheumatoid arthritis
D. Histiocytosis
15. A lady had breathlessness, arthralgia and granulomatous uveitis. Diagnosis is
A. Ocular Sarcoid
B. HLA B27 related Uveitis
C. Tuberculosis
D. Behcets syndrome
16. All are true EXCEPT
A. Amyloid Angiopathy is associated with Small Vessel Disease
B. Alzheimer's Disease is associated with Amyloid Angiopathy
C. Alzheimer's Disease is related to Small Vessel Disease
D. Alzheimer's Disease is not related to Small Vessel Disease
17. Which of the following is a cause of central cyanosis:
A. Exposure to cold.
B. Heart failure.
C. Shock.
D. Right to left cardiac shunts
18. A forty year old man gives history of high grade fever for last one week associated with cough productive of rusty sputum. Auscultation reveals bronchial breathing on right lower chest. Chest X-ray shows consolidation. The most likely causative organism is:
A. Anaerobic bacteria.
B. Gram negative bacilli.
C. Mycobacterium tuberculosis.
D. Streptococcus pneumoniae
19. 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
20. 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
Public Hospital 554/7 New Anaj Mandi, Fatehabad 125050 M: 9810570740, 9810571993
Tel: 01667221011, 9810570740, 9810571993 facebook.com/doctorkc