Mcq Subject: Medicine

While measuring blood pressure of a cardiac tamponade patient, what advice will you give him:

A. Hold breath

B. Breathe normally

C. I.ong and deep breathing

D. Sho and shallow breaths

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Which of the following is not true about the salivary gland output in Sjogren’s syndrome?

A. Increase in sodium concentration

B. Increase in phosphate concentration

C. Decreased output of salivary glands <0.5 ml/min

D. Increase in IgA concentration

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A patient on amphotericin B develops hypokalemia of 2.3 meq/l. K+ supplementation required?

A. 40 mEq over 24 hours

B. 60 mEq over 24 hours

C. 80 mEq over 24 hours

D. 120-160 mEq over 24 hours

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A patient comes to ED with fever and headache. On examination he has neck stiffness. CSF analysis was done:- Parameter Finding Normal range Glucose (mg/dl) 55 50-80 Protein (g/L) 0.50 0.18-0.45 ICT (cmH2O) 35 5-20 WBC 25 (predominantly lymphocytes) <5 Most likely diagnosis is-

A. TB

B. N. Gonorrhea

C. Cryptococcus

D. Coxsackie

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Valvular lesion most often resulting from myocardial infarction is:

A. Aortic stenosis

B. Mitral stenosis

C. Mitral regurgitation

D. Pulmonary stenosis

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Site of lesion in endocarditis of RHD is:

A. Along line of closure of valves

B. Both side of valves

C. Valve cusps

D. Free margins of valves

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A patient presents with palpitations. O/E the patient was conscious, pulse was fast with BP of 80/50 mmHg. He was subjected to Vagal maneuver and was given intravenous adenosine. The rhythm remains refractory to maximum dose of adenosine. What is the next step in management of this patient?

A. Repeat adenosine

B. Amiodarone

C. Defibrillation

D. Cardioversion

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A patient of disseminated malignancy comes to the palliative care clinic with nausea, vomiting and altered sensorium. Hypercalcemia is detected on investigations. What will be the first line of management?

A. Intravenous steroids

B. Thiazides

C. Intravenous fluids

D. Intravenous bisphosphonates

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A known 60-year-old male Diabetic and hypeensive patient was found unconscious in the morning. On examination pulse- 120, bp- 180/100 and there was positive extensor plantar. What is next step to be done?

A. Order CT scan

B. Immediately reduces bp with antihypeensives

C. Give I/v mannitol

D. Check blood glucose

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Unstable Angina, True is

A. Chest pain occurs at rest.

B. Pain lasts for 10 minutes.

C. Pain subsides on rest.

D. All of the above.

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