Medicine MCQ Questions — Page 1364

Question 1

A 59 year old man with severe myxomatous mitral regurgitation is asymptomatic, with a left ventricular ejection fraction of 45% and an end systolic diameter index of 2.9 cm/m2. The most appropriate t/t is

Answer

Mitral valve repair or replacement

Answer

No treatment

Answer

ACE inhibitor therapy

Answer

Digoxin and diuretic therapy

Question 2

Chances of vertical transmission of Hepatitis B are?

A25-30%

B40%

C60%

Answer

90 to 95 %

Question 3

All of the following agents are used for prophylaxis of migraine, except

BValproate

Answer

Propanalol

Answer

Topiramate

Answer

Ethosuxamide

Question 4

Which is true about treatment of hypeensive crisis with encephalopathy in a patient with a pheochromocytoma.

Answer

Immediate surgical removal of the mass is indicated

Answer

High-dose phenoxybenzamine should be used to control the blood pressure with surgery in 24 to 48 hours

Answer

Treatment with phentolamine should be staed with low-dose phenoxybenzamine to be titrated upward. Surgery should be done in 2 to 3 weeks once blood pressure is below 160/100 mmHg

Answer

Beta blockade is contraindicated

Question 5

The following type of pulse is seen in:

BIHD

Answer

Aortic regurgitation

Answer

Pericardial tamponade

Answer

Severe LVF

Question 6

In celiac sprue which vitamin deficiency is least likely ?

AVitamin A

DIron

Answer

Vitamin B12

Answer

Folic acid

Question 7

What is diagnosis of fresh myocardial infarction in ECG-

BP mitrale

Answer

QT interval prolongation

Answer

ST segment elevation

Answer

ST segment depression

Question 8

Which drug is not used in SIADH –

Answer

Fludrocoisone

Answer

Demeclocycline

Answer

Desmopressin

Answer

Hypeonic saline

Question 9

A child presents with unilateral proptosis which is compressible and increases on bending forwards. It is non-pulsatile and has no thrill or bruit. MRI shows retroorbital mass with echogenic shadows. The most probable diagnosis is

Answer

Orbital varix

Answer

Orbital encephalocoele

Answer

Orbital A-V malformation

Answer

Neurofibromatosis