Mcq Subject: Medicine

Cause of alpha thalasemia –

A. Deletion of alpha genes

B. Deletion of beta genes

C. Excess of alpha genes

D. Single amino acid substitution in alpha chain

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A 21 year old male presents with anemia and mild hepatosplenomegaly. His hemoglobin is 5 gm/dit, history of single blood transfusion is present till date. Most probable diagnosis is –

A. Thalassemia major

B. Thalassemia minor

C. Thalassemia intermedia

D. Autoimmune hemolytic anemia

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The blood gas parameters: pH 7.58, pCo2 23 mm Hg pO2 300 mm Hg and oxygen saturation 60% are most consistent with-

A. Carbon monoxide poisoning

B. Ventilatory malfunction

C. Voluntary hyperventilation

D. Methyl alcohol poisoning

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A 24 year old man falls on the ground when he is struck in the right temple by a baseball. While being driven to the hospital, he lapses into coma. He is unresponsive with the dilated right pupil when he reaches the emergency department. The most important step in initial management is –

A. Craniotomy

B. CT scan of the head

C. X-ray of the skull and cervical spine

D. Doppler ultrasound examination of the neck

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Migraine prophylaxis includes:

A. Verapamil

B. Valproate

C. Amitryptiline

D. All of the above

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A 28-year-old woman presented with high-grade fever, cough, diarrhea and mental confusion for 4 days. X-ray chest revealed bilateral pneumonitis. Search for etiology will most likely reveal?

A. Streptococcus pneumonia

B. Staphylococcus aureus

C. Legionella pneumophila

D. Pseudomonas aeruginosa

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All of the following are signs of chronic liver failure, Except:

A. Palmer erythema

B. Spider nevi

C. Testicular atrophy

D. Subcutaneous nodules

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Organism which causes pancreatitis

A. Mumps

B. Measles

C. Candida

D. Treponema

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In the Forrest classiflcation for bleeding peptic ulcer with a visible vessel or pigmented protuberance is classified as –

A. FI

B. FIIa

C. FIIb

D. FIIc

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Risk factors for coronary aery disease (CAD) –

A. High HDL

B. LowLDL

C. Increased homocysteine levels

D. Decreased fibrinogen levels

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