Mcq Subject: Medicine

An ABG analysis shows : pH 7.2, raised pCO2, decreased HCO3; diagnosis is :

A. Respiratory acidosis

B. Compensated metabolic acidosis

C. Respiratory and metabolic acidosis

D. Respiratory alkalosis

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Which is NOT a feature of polymyositis?

A. Pharyngeal muscle involvement

B. Gottron's rash

C. Proximal muscle involvement

D. Pain in limbs

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Zollinger Ellison syndrome is characterized by all of the following except –

A. Post bulbar ulcer

B. Recurrent duodenal ulcer

C. Severe diarrhoea

D. Massive HCL in response to histamine injection

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Substernal pain is a feature of:

A. Tachycardia

B. Emphysema

C. Angina pectoris

D. Thrombi and emboli

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Ascent to high altitude may cause all of the following except: March 2012

A. Cerebral edema

B. Pulmonary edema

C. Cerebral palsy

D. Venous thrombosis

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The severity of mitral regurgitation is decided by all of the following clinical findings except

A. Presence of mid- diastolic murmur across mitral valve

B. Wide split second heart sound.

C. Presence of left ventricular S3 gallop.

D. Intensity of systolic murmur across mitral valve

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A 70 years old male develops pneumonia and septicaemia. Patient goes into renal failure and has a B.P of 70/50 mm of Hg. Drug that should be used to maintain B.P is

A. Adrenaline

B. Ephedrine

C. Phenylephrine

D. Nor epinephrine

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Young male with painless induration of penis, enlarged non tender genital lymph nodes. Cause is –

A. Chancroid

B. Herpes genitalis

C. Primary syphilis

D. Donovanosis

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Regarding obesity syndromes, determine the true / false statements: a) Prader-Willi syndrome has normal stature with truncal obesity b) Laurence-Moon-Biedl is autosomal; polydactyly is seen c) Ahlstrom’s syndrome patients has moderate mental retardation d) Cohen’s syndrome- Patients will have craniofacial anomalies and delayed pubey e) Carpenter’s syndrome have secondary hypogonadism

A. b,d,e-True & a, c- False

B. a,c,d,e-True & b- False

C. b,c,d,e-True & a- False

D. b,c,d-True & a,e- False

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Carbon monoxide diffusion capacity decreases in all, Except –

A. Emphysema

B. Primary pulmonary hypertension

C. Alveolar haemorrhage

D. Infiltrative lung disease

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