Mcq Subject: Medicine

Sudden death in a patient with an acute myocardial infarction is most commonly due to

A. Aortic dissection

B. Atrial fibrillation

C. Cardiac tamponade

D. Ventricular fibrillation

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Myocardial infarction; signs are all except

A. ‘a’ wave elevation

B. Levine’s sign

C. Kussmaul’s sign

D. Bradycardia in case of infarction of anterior portion of heart

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Anti-epileptic which is not associated with congenital malformation when used in pregnant woman is:

A. Phenytoin

B. Phenobarbitone

C. Carbamazepine

D. Valproate

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A I 6-y ear-old girl presented with abdominal pain after administration of a sulfa drug. She was incoherent and suffered a seizure. Which of the following is the most likely possibility?

A. Acute intermittent porphyria

B. Congenital erythropoetic porphyria

C. Adenosine deaminase deficiency

D. HGPase deficiency

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A patient presented with a steering wheel injury to the right side of chest with breathlessness and shock. How will you differentiate tension pneumothorax and cardiac tamponade?

A. Pulse pressure

B. JVP

C. Breath sound

D. Hea sounds

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All the following are features of Addison’s disease, EXCEPT:

A. Hypoglycemia

B. Hypocalcaemia

C. Hypotension

D. Hyponatremia

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Routine examination of a 17 years old asymptomatic boy reveals sho PR interval, and delta wave on ECG. The least effective measure for the boy would be:

A. Hotter monitoring

B. Treadmill stress test

C. Beta blocker

D. Reassurance

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An elderly female presented with blockade, nasal discharge, diplopia and facial swelling. On examination, there is blackish discharge from the nasal cavity with necrosis of nasal mucosa, facial skin and palate. There is fixation of the right globe. There is elevated blood sugar and urinary ketones are positive.Which of the following would be the medication to be used in this patient?

A. Amphotericin B

B. Itraconazole

C. Ketoconazole

D. Broad spectrum antibiotics

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Which of the following complications of stroke need not to be treated?

A. Fever

B. Spasticity

C. Dysphagia

D. Numbness

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Maximum spherocytes is seen in

A. Autoimmune hemolytic anemia

B. Vit B12 deficiency

C. Aplastic anemia

D. None

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