GENERAL MEDICINE
1. A patient on
amphotericin B develops hypokalemia of 2.3meq/l. K+ supplementation requires
is?
a. 40meq over 24 hrs
b. 60meq over 24 he's
c. 80 meq over 24 hrs
d. 120-160meq over 24 hrs
Answer (A) 40meq over 24 hrs
2 A patient with 12cm
abscess in liver which was drained under sonographic monitoring 3 times and On
follow up a residual cavity of 4cm was found to be present .An oral lumicidal
drug was given for 14 days. Next plan of action shall
be:
a. Stool examination
serially
b. USG weekly for 1 month
followed by monthly USG till 1 year.
c. USG weekly for 1 month
followed by CT scan at 3 months.
d. Monthly CT scan
Answer (b) USG weekly
for 1 month followed by monthly USG till 1 year.
3. Which of the following
is Not true aboutpolymyositis ?
a. Limb girdle weakness
b. Ophthalmoplegia
c. Para-neoplastic syndrome
d. Spontaneous discharge in
EMG.
Answer (B) Ophthalmoplegia
4. 35 year old female with
recurrent renal stone. not advised is:
a. Increase water
b. Restrict protein
c. Restrict salt
d. increased salt intake
Answer (D)
5 A 28 yr old man has
lenticonus and ESRD now. His maternal uncle also died of similar illness. Diagnosis
is
a. ARPKD
b. ADPKD
c. Oxalosis
d. Alport's syndrome
Answer: (D) Alport’s
syndrome
5. Pinna calcification
Except
a. Gout
b. Onchrnosis
c. Frost bite
d. Addisons disease
Answer (a) Gout
6. Which of the following
doesnot need treatment?
a. Neuroblastoma
b. Burkitts
c. t cell lymphoblastic
leukemia
d. Not Recalled
Answer is A
7. With ageing, a slight
decrease in cognitive impairment is seen due to increase in level of
a. Homocysteine
b. Taurine
c. Methionine
d. Cysteine
Answer (a) Homocysteine
8. A Patient presents with
pain in Meta-Tarso-Phalangeal jointsM.T.P.andis a known case of Chronic Renal
Failure. This is due to accumulation of-
a. Rh factor
b. Uric acid
c. Serum urea
d. HLA B27 typing
Answer (b) Uric Acid
9. SARS causative agent
a. Corona-virus
b. Picorna-virus
c. Myxovirus
d. Recalled
Answer: (a) Corona-virus
10. Blink reflex is used
for?
a. Mid pontine lesions
b. Neuromuscular
transmission
c. Axonal neuropathy
d. Motor neuron disease
Answer (a) Mid pontine
lesions
11. Grisel syndrome all are
true except:
a. Post-adeniodectomy
b. Conservation treatment
c. Inflammation of cervical
spine ligaments
d. No need for neurosurgeon
Answer (d) No need for neurosurgeon
12 Cervical syringomyelia
all are seen except
a. Burning sensation in
hands
b. Hypertrophy of abductor
pollicis brevis
c. Plantar extensor
d. Absent biceps reflex.
Answer: (b) Hypertrophy of abductor
pollicis brevis
13. 70year female is on
treatment with Alendronate for severe osteoporosis.Now she complains of pain in
right thigh. What is the next investigation to be performed?
a. DEXA scan
b. x ray
c. Serum vitamin D levels
d. Serum alkaline phosphate
levels
Answer (b) X-ray
14. A 70 year old retired
Military person with good previous medical record complains of bi-temporal
headache which is decreased in lying down position. He states that he gets
relief by giving pressure over bilateral temples. The patient also complains of
loss of appetite with feeling feverish.
a. Chronic tension headache
b. Temporal arteritis
c. Migraine
d. Fibromyalgia
Answer (b) Temporal
arteritis
15. A patient of rheumatoid
arthritis develops sudden onset Quadriparesis, , increased muscle tone of limbs
with exaggerated tendon jerks and worseningof gait. The investigation to
be done:
a. Flexion and extension
Cervical area X ray of neck
b. MRI brain
c. EMG and NCV
d. Carotid angiography
Answer( a) Flexion and extension Cervical area X ray of neck
16. Patient with ICD
collapses, ICD imaging modality
a. Chest x ray
b. MRI
c. CT
d. USG
Answer (a) Chest X ray
17. Type 1 renal tubular
acidosis all are true,Except?
a. Renal stones
b. Hypokalemia
c. > 4mg/ day Sodium
bicarbonate
d. Urine pH > 5.
Answer (c) > 4mg/ day Sodium bicarbonate
18. A diabetes mellitus
patient with fungal infection of sinuses and peri-orbital region with
significant visual impairment:
a. Amphotericin B
b. Itraconazole
c. Ketoconazole
d. Broad spectrum
antibiotics
Answer: Amphotericin B
19. Gait apraxia?
a. ACA
b. MCA
c. PCA
d. Posterior choroidal
artery
Answer a ACA
20. Prions, which of
following is correct
a. Long incubation period
b. Destroyed by autoclaving
at 121C
c. Nucleic acid present
d. Immunogenic
Answer (a) Long incubation period
21. A patient with
Tubercular meningitis was taking ATT regularly. At end of 1 month of regular
intake of drugs deterioration in sensorium is noted in condition of the
patient. Which of the following investigations is not required on emergency
evaluation?
a. MRI
b. NCCT
c. CSF examination
d. Liver function tests
Answer (c) CSF examination
22. What is feature of
temporal arteritis
a. Giant cell arteritis
b. Granulomatous vasculitis
c. Necrotizing vasculitis
d. Leucocytoclasticvasculitis
Answer (a) Giant cell arteritis
23. A patient withHepatits
C, exhibits hypo-complimentemia, 2g/day proteinuria andhematuria is present.
The most probable diagnosis is:
a. M.P.G.N.
b. Cryo-globulinemia
c. Membranous
Glomerulopathy
d. Post-infectious
Glomerulonephritis
Answer (a) M.P.G.N.
24 All are indicated in a
patient increased s. cysteine and multiple renal stones except:
a. Cysteamine or
b. Increase fluid intake
c. Alkalinisation of urine
d. Pencillamine
Answer: (a) Cysteamine 
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