Mcq Subject: Medicine

All of the following clinical features are seen in Zika fever except:

A. Guillain-Barre syndrome

B. Petechial rash

C. Fever with ahralgia

D. Petechial rash

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Which of the following is used for laboratory diagnosis of alcoholic hepatitis?

A. ALP

B. AST

C. LDH

D. GGT

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A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words. RR = 40/min, BP= 90/40 mmHg. What is the next immediate step in management?

A. Intubate the patient

B. Urgent fluid infusion

C. Chest X ray

D. Needle inseion in 2nd ICS

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A 30 year old patient has right upper limb BP of 180/95 mm Hg and left upper limb BP of 130/90 mm Hg. He also has early diastolic murmur in right 2 intercostal space. Which of the following would be LEAST likely associated with these findings?

A. Supravalvular aoic Stenosis

B. Coarctation of aoa

C. Takayasu aeritis

D. Aoic dissection

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A 50-year-old male presented with complains of ptosis, difficulty in chewing and occasional difficulty in swallowing. There is no history of diplopia or visual loss. On examination, there is symmetric ptosis and mild restriction of extraocular muscle movement with finger abduction test 60deg. Nerve conduction study shows decremental response in orbicularis only. ERG revealed a myopathic pattern. Anti-AchR radioimmunoassay was negative. The most probable diagnosis would be:

A. Ocular myasthenia gravis

B. Generalized myasthenia gravis

C. As anti-ACHR is negative you will consider an alternative diagnosis

D. Chronic progressive external ophthalmoplegia (CPEO)

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Window period for thrombolysis in a stroke patient is:

A. 1.5 hours

B. 2.5 hours

C. 3.5 hours

D. 4.5 hours

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If the cycle stas with ‘ a ‘ wave of jvp . Arrange the following in order-

A. R wave

B. T wave

C. 1st hea sound and Rapid ejection phase

D. All

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Which heart sound indicates stiffness of ventricular wall

A. S1

B. S2

C. S3

D. S4

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Which of the following is most associated with respiratory alkalosis:-

A. Assisted control mode ventilation

B. Non invasive ventilation

C. Pressure controlled

D. SIMV

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A smoker presents with recent onset breathlessness and ECG was done. The diagnosis is?

A. Atrial fibrillation

B. Paroxysmal supraventricular tachycardia

C. Acute myocardial infarction

D. Multi-focal atrial tachycardia

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