Mcq Subject: Medicine

A 26-year-old woman complains of early fatigue and weakness in doing strenuous activity. Her symptoms are worse near the end of the day. She appears well, muscle bulk, tone, and reflexes are normal. Handgrip strength decreases with repetitive testing.For the above patient with muscle weakness, select the most likely anatomic site for the disorder

A. anterior horn cell

B. peripheral nerve

C. neuromuscular junction

D. muscle

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The following statements regarding Turner syndrome are true except –

A. Occurence of Turner syndrome is influenced by maternal age.

B. Most patients have primary amenorrhoea.

C. Most patients have short stature.

D. Edema of hands and feet is an important feature during infancy.

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A 24-year old woman notices increasing shortness of breath after recent treatment for right lower lobe pneumonia. She has no fever, cough, or sputum production. On examination, the pertinent findings are decreased fremitus, dullness on percussion, and absent breath sounds of the right lower lung. In addition, the trachea has shifted to the left.For the above patient with abnormal pulmonary physical findings, select the most likely diagnosis.

A. acute asthmatic attack

B. complete pneumothorax

C. large pleural effusion

D. atelectasis

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A 60-year-old woman presents with symptoms of weight loss, anxiety, and palpitations. On examination, she has a thyroid goiter. Which of the following is the most likely cardiac finding?

A. prolonged circulation time

B. decreased cardiac output

C. paroxysmal atrial fibrillation

D. pericardial effusion

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Secretin stimulation test used for –

A. Gastrinoma

B. Pituitary adenoma

C. Incidenteloma

D. Insulinoma

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Blood loss in class III hemorrhagic shock

A. < 750 mL

B. 750 - 1500 mL

C. 1500 - 2000 mL

D. > 2000 mL

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All are true about FTA -ABS in Syphilis, except

A. FTA - ABS becomes negative after treatment

B. Present in secondary syphilis

C. It is a specific test

D. May be positive in Lyme's disease

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Leukocyte alkaline phosphate is increased in all, except

A. Polycythemia vera

B. CML

C. Myelofibrosis

D. Myeloid metaplasia

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Most common cause of hypercalcemic crisis is -a) Carcinoma breastb) Parathyroid hyperplasiac) Parathyroid adenomad) Paget’s disease

A. a

B. bc

C. ad

D. ac

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The commonest cause of death in a patient with primary amyloidosis is –

A. Renal failure

B. Cardiac involvement

C. Bleeding diathesis

D. Respiratory failure

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