Mcq Subject: Medicine

Which of the following drugs is used for treatment of cancer associated thromboembolism?

A. LMW heparin

B. Anti-thrombin III inhibitors

C. Direct factor Xa inhibitors

D. Warfarin

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Reticulocytosis is seen in:

A. Hemolytic anemia

B. Megaloblastic anemia

C. Aplastic anemia

D. Iron deficiency anemia

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Asymptomatic hep B is common in 2-3% normal population, but there is increased risk of transmission into hepatocellular carcinoma. Why?

A. Inability to induce inflammation to remove the organism

B. High level of transaminases

C. High rate of proliferation of virus

D. Integration of viral DNA with host DNA

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A patient who is a known case of CKD has complaints of vomiting. His ABG repos are as follows: pH – 7.40, pCO2 – 40, HCO3 – 25. Na -145, chloride-100.

A. Normal anion gap met acidosis

B. High anion gap met acidosis

C. No acid base abnormality

D. High anion gap metabolic acidosis with metabolic alkalosis

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A 27 years old pregnant lady comes with severe jaundice and altered sensorium. On examination, the patient is deeply icteric, not responding to commands and pelvic sonogram reveals intrauterine fetal death. Serum bilirubin levels are 28.8 mg/dL (direct = 18.6 mg/dL), AST levels are 1063 and ALT levels are 1191. The viral markers are as follows. What is the likely diagnosis?Anti-HAV IgGReactiveAnti-HAV IgMNonreactiveHbSAgNon reactiveAnti-HbSAgNonreactiveAnti-HBc IgMNonreactiveAnti-HBc IgGReactiveAnti-HCV IgGNonreactiveAnti-HEV IgMReactiveAnti-HEV IgGNon reactive

A. Acute hepatitis E superimposed on chronic liver failure due to hepatitis B

B. Fulminant hepatitis due to hepatitis B infection

C. Acute hepatitis E with chronic hepatitis A

D. Fulminant hepatitis due to hepatitis E infection

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Mantle cell Carcinoma shows

A. CD 5+, CD 25-

B. CD 5+, CD 10+

C. CD 5+, CD 23+

D. CD 5+, CD 23-

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A 60 years old male with alcoholic liver disease presented to emergency with a history of hematemesis. Which of the following is false regarding his management’

A. Somatostatin infusion is indicated

B. Negative nasogastric aspirate does not exclude variceal bleed

C. Nasogastric tube inseion can provoke variceal bleeding

D. Upper GI endoscopy is done initially

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Peripheral eosinophila with renal failure is least likely to be possible in:

A. Drug-induced interstitial nephritis

B. Drug-induced interstitial nephritis

C. Atheroembolic renal failure

D. Polyangitis nodosa

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What is the effective management of a dengue patient with warning signs without shock and haemorrhage-

A. Steroids

B. Platelet transfusion

C. IV fluids

D. Antiviral

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In a patient with implanted cardiac pacemaker (defibrillator),which of the following investigation is useful to know the position of the misplaced implant ?.

A. X-ray

B. CT scan

C. MR1

D. USG

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