Mcq Subject: Medicine

Which of the following is not true regarding iron supplementation in iron deficiency anemia?

A. Administer a small diluted dose first prior to infusion to look for any allergy to iron preparation

B. Oral iron therapy should be stopped once the patient achieves a hemoglobin of >12 mg/dL

C. If gastric intolerance to oral iron therapy occurs, all patients should be administered parenteral forms

D. Parenteral iron supplementation is required in a patient with Hb of less then 7 mg/dL

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Which of the following is true about WILSON disease

A. High copper in urine, high copper in serum

B. High ceruloplasmin

C. Low serum copper

D. Low urinary copper

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A patient with suspected cardiac tamponade presents to the AIIMS emergency. You are asked to monitor BP of this patient. All the following precautions should be taken except:

A. Patient should be asked to take deep breaths

B. The cuff pressure should be increased to 20 mm over systolic pressure

C. The cuff should be slowly deflated until the first Korotkoff sound is heard only during expiration

D. Pulses paradoxus may not be present

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Cold agglutinin is

A. IgG

B. IgM

C. IgA

D. IgD

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Sublingual tablet or sublingual GTN metered dose aerosol usually relieve angina in

A. 15 sec

B. 2-3 min

C. 10-12 min

D. 30 min

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A middle-aged man comes after a road traffic accident with bleeding from the scalp. He is unconscious. A card in his pocket reveals that he is a known diabetic on Tab Glimepiride + Metformin 2 tablets twice daily. What should the next step in management?

A. Send blood for tests, sta IV glucose and send to CT

B. Sta normal saline and send to CT

C. Dextrose solution, CT scan

D. Airway, CT scan. Blood sugar if <70 sta dextrose

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Continuous murmur can be heard in all except:

A. VSD with aoic regurgitation

B. Coronary AV fistula

C. Pulmonary AV fistula

D. Patent ductus aeriosus

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All are features of benign intracranial hypeension except:

A. Proptosis

B. Normal size ventricles

C. Headache

D. Papilledema

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In a patient of rheumatic heart disease with fever and mitral valve vegetations due to infective endocarditis, the vegetation usually do no embolise to:

A. Brain

B. Lungs

C. Liver

D. Spleen.

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All of the following are true about iron deficiency anemia except:

A. Transferrin saturation <16%

B. Detected by serum ferritin levels even in earlier states

C. Mostly presents without any symptoms with abnormal laboratory findings

D. Latent anemia is most prevalent in India

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