Mcq Subject: Medicine

Which of the following cannula is used in patient with severe dehydration and diarrhea?

A. Blue

B. Green

C. Grey

D. Pink

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A patient of CKD has presented with protracted vomiting. ABG shows pH = 7.40, pCO2 = 40 mm Hg, HCO3 = 25 mEq, Na=145 mEq/L, Chloride = 100 mEq/L, HCO3 = 24 mEq/L. What is the observation?

A. Normal anion gap metabolic acidosis

B. High anion gap metabolic acidosis

C. No acid base abnormality

D. High anion gap metabolic acidosis and metabolic alkalosis

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A 50 years old lady, who has a known diagnosis of bronchial asthma, presented to the AIIMS emergency with complaints of severe breathlessness, diaphoresis and wheezing. On examination, you find that the patient is conscious with a respiratory rate of 30 per minute, blood pressure of 96/64 mm Hg and a pulse rate of 144 per minute. An aerial blood gas analysis showed a pH of 7.2, p02 of 50 mm Hg and pCO, of 70 mm Hg. How will you manage the patient?

A. Ventilation with continuous positive airway pressure

B. Oxygen supplementation by nasal mask

C. Mechanical ventilation with controlled ventilation

D. Intubation

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C wave in JVP due to

A. Atrial contraction

B. Atrial filling

C. Tricuspid bulging

D. Rapid ventricular filling

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Severe acidosis occurs during cardiopulmonary resuscitation. The best method to counteract acidosis is to administer:

A. Glucose intravenously

B. Epinephrine intravenously

C. Epinephrine intramuscularly

D. Sodium bicarbonate intravenously

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A 40 years old female currently on a drug for psychiatric illness and hypeension presents with NYHA class III hea failure with dyspnea, pedal edema and K+ levels of 5.5 mEq/L and creatinine 2.5 mg%. Which of the following drug is best avoided?

A. Carvedilol

B. Enalapril

C. Spironolactone

D. Digoxin

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Acetone breath is a feature of:

A. Liver disease

B. Sinusitis

C. Renal disease

D. Diabetes mellitus

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A patient presents with ascending muscle weakness for 2 days. On examination, the limb is flaccid. What investigation should be done first?

A. Serum potassium

B. Serum creatinine

C. Serum magnesium

D. Serum calcium

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A patient with Tubercular meningitis was taking ATT regularly. At end of 1 month of regular intake of drugs deterioration in sensorium is noted in condition of the patient despite good compliance for drugs. Which of the following investigations is not required as emergency condition?

A. MRI

B. NCCT

C. CSF examination

D. Liver function tests

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Intake of unsaturated fatty acid is associated with:

A. Increased risk of cardiovascular disease

B. Decreased risk of cardiovascular disease

C. Increased risk of GI disturbances

D. Decreased risk of GI disturbances

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