Mcq Subject: Medicine

Which laboratory test is most useful for patient under dicumarol therapy?

A. PT

B. Platelet count

C. BT

D. CT

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A 45 year patient working in a factory for past 20 years presents with breathlessness. HRCT chest shows pleural thickening and fibrosis. Histopathology of the lesion shows?

A. Asbestosis

B. Cotton fiber

C. Coal worker pneumoconiosis

D. Silicosis

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Normal anion gap metabolic acidosis seen in all except?

A. Proximal A

B. Severe pancreatitis

C. Diarrhea

D. Salicylates poisoning

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Relative bradycardia is uncommon in:

A. Brucellosis

B. Typhoid

C. Malaria

D. Factitious fever

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In which of the following glucocoicoid is used?

A. E.coli septicemia

B. Severe typhoid

C. Cerebral Malaria

D. Leishmaniasis

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Serum chemistry analysis in a patient reveals pCo2=30mm Hg, pO2=105mm Hg, pH=7.46. This profile indicates

A. Metabolic alkalosis

B. Metabolic acidosis

C. Respiratory alkalosis

D. Respiratory acidosis

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All of the following are indications for thrombolysis in a patient with stroke except:

A. Age <18 years

B. Sustained BP >185/110 mm Fig despite treatment

C. On CT scan, edema less than 1/3rd of middle cerebral aery territory

D. Acute ischemic stroke within 3 hours of onset

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A young donor came to the blood bank for the first time for platelet apheresis with platelet count of 1.9L. During the course he developed paresthesias, circumoral numbness during donation. His vitals remain stable though. ECG showed tachycardia with ST-T changes. What is the reason for his symptoms?

A. Hypovolemic shock

B. Hypocalcemia

C. Seizures

D. Allergic reaction

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Bacteria responsible for post-operative endocarditis is:

A. Streptococcus viridans.

B. Staphylococcus epidermidis.

C. Streptococcus aureus.

D. Streptococcus pneumoniae.

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Diminution in normal size of the body, well proportioned body, fine sparse hair on the head and other hairy regions wrinkled atrophic skin and often hypogonadism could be diagnosed as suffering from:

A. Hypothyroidism

B. Hypopituitarism

C. Hyperthyroidism

D. None of the above

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