Mcq Subject: Medicine

Dietary goals for avoiding Coronary Artery Disease include

A. LDL cholesterol less than 100 mg/dl

B. Saturated fat <7% of total calories.

C. Alcohol consumption of 30 ml/day

D. All of the above

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A 62 years old woman presented with acute onset confusion and bumping into th ings. On examination, she was ale, oriented with fluent speech and normal comprehension. Fuher examination revealed impaired writing (acalculia), right-left confusion, impaired arithmetic abilities, difficulty in finger identification. MRI demonstrated foci of coical and sub coical increase T2 signals and areas of leptomeningeal enhancement. Most likely diagnosis:

A. Gerstmann's syndrome

B. Millard-Gubler syndrome

C. Anton syndrome

D. Korsakoff's psychosis

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Addison’s disease is due to:

A. Chronic insufficiency of adrenal cortex

B. Chronic insufficiency of adrenal medulla

C. Insufficiency of pancreas

D. Hypofunction of thyroid gland

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All of these are true about microalbuminuria

A. Urine protein levels range from 20 mg/d to 200 mg/d

B. It is an independent risk factor for cardiovascular morbidity in diabetic patients

C. It is the earliest marker of diabetic nephropathy

D. It is not detected by routine dipstick method

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A girl comes with symptoms of involuntary movements. Sydenham’s chorea and acute rheumatic fever is suspected. Other major criteria of rheumatic fever (ahritis, skin rashes, subcutaneous nodules and carditis) were absent. No evidence of sore throat. Best investigation to prove rheumatic etiology is:

A. Antistreptolysin S

B. Antistreptolysin O

C. Throat culture

D. PCR for M protein

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A 14 years old male child presented with abnormal body movements with MRI showing signal changes in corpus striatum, thalami, pons, medulla, centrum semiovale and asymmetric diffuse white matter involvement. Most likely diagnosis is:

A. Parkinsonism

B. Nigrostriatal degeneration

C. Wilson's disease

D. Hallervorden-Spatz disease

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Which of the following infections causes a non-centrally distributed rash?

A. Epidemic typhus

B. Measles

C. Secondary syphilis

D. Typhoid

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Which of the following doesn’t have any effect on pancreatic secretion?

A. Cck

B. Gastrin

C. Secretin

D. Gastric inhibitory polypeptide

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A 60 years old patient having cardiorespiratory arrest in hospital ward, for oxygenation what should be done immediately?

A. Nasal intubation

B. Oral intubation

C. Cricothyroid membrane puncture

D. Tracheostomy

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Babu, a 49-year-old patient, complains of foul breath and regurgitation of food eaten few days back. He also complains of dysphagia. The probable diagnosis is:

A. Gastrophoresis

B. Achalasia

C. Diabetes

D. Pharyngeal pouch

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