Mcq Subject: Medicine

Which of the following antibodies is the most specific for the diagnosis of rheumatoid arthritis?

A. IgA

B. IgG

C. IgM

D. Anti-CCP

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Deficiency of the ‘intrinsic factor of Castle’ causes:

A. Microcytic anemia

B. Pernicious anemia

C. Cooley's anemia

D. Aplastic anemia

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The prognosis of rapidly proliferating glomerulonephritis (Crescentric GN) depends upon –

A. Number of crescents

B. Size of crescents

C. Shape of crescents

D. Cellularity of crescents

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A 45-year-old female is diagnosed as a case of pneumococcal meningitis. Her blood sample were sent for culture sensitivity. In the mean time best drug to start as an empirical treatment is –

A. Penicillin G

B. Doxycycline

C. Streptomycin

D. Vancomyin + Ceftriaxone

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All the following are true about bronchopulmonary aspergillosis except –

A. Central bronchiectasis

B. Pleural effusion

C. Asthma

D. Eosinophilia

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A patient came with dyspnea, elevated JVP and edema in the feet. Lungs are clear. There is a parasternal heave and S2 is palpable in the pulmonary area. Which one of the following is LEAST helpful in determining etiology?

A. Echo for mitral stenosis

B. Anti-endomysial antibody estimation

C. ELISA for HIV

D. Urine/stool examination for Schistosoma ova

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Drug of choice in amoebic liver abscess is

A. Metronidazole

B. Ciprofloxacin

C. Emetine

D. Chloroquine

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A 55-year-old woman presents to the clinic for evaluation of several weeks of fever, abdominal pain, weight loss, and lack of energy. Three days prior to the assessment, she developed a left foot drop. Her blood pressure is 160/90 mm Hg, pulse 80/min, and the physical examination confirms left peroneal nerve damage and a bilateral sensory neuropathy in both legs. There are no skin rashes. Laboratory evaluation reveals an ESR of 105 mm/h, WBC of 14,000/mL, and negative serologic tests for antineutrophil cytoplasmic antibody (ANCA) and ANA. The eosinophil count is normal, and urinalysis is negative for casts, protein, and red cells. A clinical diagnosis of polyarteritis nodosa is made. Which of the following is the most likely mechanism for renal injury in this condition?

A. nephrotic syndrome

B. diffuse glomerulonephritis

C. granuloma formation

D. necrotizing vasculitis of vessels

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Which among the following is true about Caplan’s syndrome?

A. Pneumoconiosis with lymphadenopathy

B. Pneumoconiosis with CCF

C. Pneumoconiosis with HIV

D. Pneumoconiosis with rheumatoid ahritis

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Lesion is Alzheimer’s disease are commonest at

A. Aniygdala

B. Nucleus of Meynes

C. Pineal gland

D. Prefrontal sulcus

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