Mcq Subject: Medicine
An I.V. drug abuser presents with fever for 10 days. CXR shows B/L lower lobe consolidation with necrosis and right sided pyopneumothorax. Probable diagnosis is:
A. MV endocarditis due to viridans Streptococci
B. TV endocarditis due to Staph. aureus
C. Tuberculosis
D. Pneumocystis jirovecii infection
View DescriptionA patient with multiple loose teeth requires extraction and has mitral stenosis with mild cardiac insufficiency. He is on enalapril, digoxin, and furosemide. The antibiotic of choice to prevent bacterial endocarditis is:
A. Amoxicillin
B. Doxycycline
C. Cotrimoxazole
D. Gentamicin
View DescriptionEndocarditis is most commonly seen in:
A. Aortic stenosis.
B. Mitral regurgitation.
C. Patent ductus arteriosus.
D. Venous bypass graft.
View DescriptionAbout Transfusion Related Acute Lung Injury (TRALI), all of the following are true except:
A. Signs and symptoms usually subsides within 2-3 weeks of onset
B. Suppoive care is the mainstay of treatment
C. Steroids have a doubtful role in management
D. Moality is less than 10%
View DescriptionPtosis may be caused by a lesion of the:
A. Oculomotor nerve
B. Superior oblique
C. Trigeminal nerve
D. Trochlear nerve
View DescriptionAn 80 kg male patient presented to the emergency with hypotension and you have been instructed to sta him on an inotrope at a dose of 10 mcg/kg/min. Each 5 mL amp of the drug contains 200 mg drug. You choose 2 ampules of the drug and decide to mix it with saline to make a 250 mL solution. What should be the flow rate of the drug solution to maintain the BP of the patient (assuming 16 drops = 1 mL)?
A. 4 drops/min
B. 8 drops/min
C. 10 drops/min
D. 16 drops/min
View DescriptionFactors affecting the treatment of MI
A. Regional wall motion abnormality
B. Troponin level
C. Both
D. None
View DescriptionAll of the following are true about COPD except:
A. Decreased FEV1
B. Decreased MEFR
C. Increased RV
D. Decreased diffusion capacity
View DescriptionA65-year-old male adult presents with chronic sinusitis, nasopharyngeal ulcers, cavitatory lung nodules and renal failure. What will be the appropriate next diagnostic step?
A. Lung biopsy
B. Sputum AFB and PCR for TB
C. ANCA and evaluation for vasculitis
D. ESR
View DescriptionA 42 years old male patient presented with jaundice. His AST was 48 U, ALT was 51 U, ALP, GGTP were normal. Ultrasound of liver was suggestive of cirrhosis. Viral markers were done and the following results were obtained.TestResultAnti-HAVNegativeAnti-HBsAgNegativeAnti-HBeAgNegativeAnti-HBcAg IgGPositiveAnti-HBcAg IgMNegativeHBsAgNegativeAnti-HCVPositiveAnti-HEVNegativeWhat is the next best step in management of this patient?
A. Sta interferon therapy
B. Liver biopsy
C. -PCR for hepatitis C virus
D. PCR for HBV-DNA
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