Mcq Subject: Medicine

Which test is not useful in a patient with history of Syncopal attack?

A. Electrophysiological testing

B. Tilt Table testing

C. PET Scan

D. Holter monitoring

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A patient with cushinoid features presents with hemoptysis; he shows no response to dexamethasone suppression test; most likely diagnosis here is:

A. Adrenal hyperplasia

B. Adrenal adenoma

C. Ca lung with ectopic ACTH production

D. Pituitary microadenoma

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Usually associated with parvovirus B19 infection in those with hereditary spherocytosis-

A. Mild to moderate splenomegaly

B. Aplastic crisis

C. Gallstones

D. Hemolytic crisis

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A 63 year old man presents with a triad of angina, syncope and congestive hea failure. Which of the following valvular hea lesion can be suspected-

A. antral stenosis

B. Tricuspid regurgitation

C. Aoic stenosis

D. Aoic regurgitation

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Which of the following is the most specific and sensitive screening test for renovascular hypeension?

A. HRCT

B. CT Angiography

C. Captopril enhanced radionucleotide scan

D. Doppler ultrasound of renal aeries

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Flipped LDH indicating Myocardial Infarction is represented by:

A. LDH-1> LDH-2

B. LDH-2 > LDH-1

C. LDH-4 > LDH-5

D. LDH-5 > LDH-4

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Investigations in a clinically suspected case of tuberculosis –

A. Mantoux (in children)

B. Sputum AFB

C. Bactec

D. All of the above

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Coloured urine is not seen in :

A. Quinine

B. Rifampcin

C. Nitrofurantoin

D. Pyridium

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A 40-year old diabetic patient presents with proptosis of one eye and black eschar over palate. The likely organism is :

A. Pseudomonas

B. Candida

C. E. coli

D. Mucor

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Which of the following may be seen in second degree Hea block (select three options):

A. Change in QRS complex morphology

B. Atrial rate more than ventricular rate

C. Prolonged conduction time

D. All of the above

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