Mcq Subject: Medicine

With reference to Bacteroides fragilis the following statements are true except:

A. B. fragilis is the most frequent anaerobe isolated from clinical samples

B. B. fragilis is sensitive to metronidazole

C. The lipopolysaccharide formed by B. fragilis is structurally & functionally different from conventional endotoxin.

D. Shock & DIC are common in Bacteroides bacteremia

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A patient presents to the emergency with altered sensorium. All of these tests should be done except:

A. Complete blood counts

B. Random blood sugar

C. Lumbar puncture

D. Non-contrast CT head

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A Female patient was brought to the ER with altered sensorium. On examination BP was 88/67mm with a pulse of 60/min. Rectal temperature was 34 Celsius. There was associated history of constipation, dry skin and menorrhagia. What is the diagnosis?

A. Myxedema Coma

B. Septic Shock

C. Hypothermia

D. Cardiogenic Shock

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A patient with history of frequent abortions and pain in calf muscles from past 4 years is due to deficiency of

A. Factory VII

B. Protein c

C. Plasmin

D. Thrombin

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A patient of hypeension on Metoprolol, Verapamil was given. This is will result in?

A. Atrial fibrillation

B. Bradycardia with AV Block

C. Torsades De pointes

D. Tachycardia

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A 50 years old male presented with frontal bossing, enlarged nasal bone, enlarged jaw and spade like fingers. Which of the following test will you do for diagnosis?

A. IGF1

B. ACTH

C. TSH

D. Serum coisol

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A patient with Hb 7 was to be transfused with 2 packs of blood. The first pack was transfused in 2 hours after which vitals were stable and then the transfusion of the next pack was staed . But suddenly the patient develops breathlessness and hypeension. What can be the cause of this sudden reaction?

A. transfusion related circulatory overload (TACO)

B. allergic reaction to transfused blood

C. transfusion related acute lung injury (TRALI)

D. transfusion related acute renal failure

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Physical sign of severe aortic stenosis is:

A. A late peaking holosystolic murmur

B. A delayed carotid upstroke

C. A diastolic rumble

D. An opening snap

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To assure surgical hemostasis, the best blood product administered preoperatively to patients with classic hemophilia is:

A. Whole blood

B. Factor 8 concentrate

C. Fresh frozen plasma

D. Factor 9 concentrate

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A 20 years old female came with complaints of headache, vomiting and decrease in movement of right leg. In the past, she had episodes of violent and aggressive behaviour and abdominal pain. Which of the following is the most probable diagnosis?

A. Conversion disorder

B. Mitochondria disorder

C. Acute inflammatory demyelinating, paralysis

D. Acute intermittent porphyria

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