Mcq Subject: Medicine

Calculate the base deficit in a patient of weight 75 kg with a pH = 6.96, pCO2 = 30 mm Hg and HCO3- = 6 mEq/L:

A. 300 mEq

B. 400 mEq

C. 500 mEq

D. 800 mEq

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A patient has had recurrent optic neuritis bilaterally with transverse myelitis. Visual acuity in right eye is 6/60 and left eye is 6/18. Patient showed a 50% response to steroids. Diagnosis is?

A. Neuromyelitis Optica

B. Subacute combined degeneration of spinal cord(SACD)

C. Post cerebral aery stroke

D. Neuro-syphilis

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A 60 years old patient who had myocardial infarction 2 weeks back, the lipid profile is done for a patient and reveals HDL 32 mgldL, LDL 126 mg/dl, TG 276 mgl/dL. Which of the following is preferred for this patient ?

A. Rosuvastatin + Fenofibrate

B. Fenofibrate alone

C. Rosuvastatin 10 mg

D. Atorvastatin 80 mg

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The red blood cells in beta thalassemia are typically:

A. Macrocytic and normochromic

B. Microcytic and hypochromic

C. Normocytic and hypochromic

D. Normocytic and normochromic

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Patient who is a known case of thalassemia major already on repeated blood transfusions with history of iron overload previously treated with chelating agents. She also has a history of cardiac arrhythmia. She came for BT now. During BT patient complained of backache and looks extremely anxious. What is next management?

A. Observe for a change in colour of the urine

B. Continue BT, do ECG

C. Stop BT and wait for patient to get normal and sta

D. Stop BT and Do clerical check

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Localised suppuration of lung is called:

A. An abscess

B. Empyema

C. Emphysema

D. Anasarca

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All the following are seen in myasthenia gravis except:

A. Ptosis

B. Muscle fatigability

C. Absent DTRs

D. Normal pupillary reflex

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What is the difference between RIFLE & KDIGO criteria in differentiating a tubular injury?

A. Uosm

B. Urinary Na

C. Urinary NGAL

D. FeNa (UN, x Scr / SNa x Ucr)

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Lacunar cells are seen in which type of Hodgkin’s lymphoma

A. Lymphocyte predominance

B. Lymphocyte depletion

C. Nodular sclerosing

D. Mixed cellularity

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Which of the following is a false statement?

A. Acetaminophen does not have anti-inflammatory action

B. NSAIDs with least cardiovascular risk in Naproxen

C. Gastric irritation is more severe with NSAIDs compared to aspirin

D. Non selective COX-2 inhibitors are contraindicated in postoperative patients

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