1] On routine examination of a 25 year old man , an ejection systolic murmur with musical quality is heard . What is the characteristic of this murmur ?

1. Best heard in lower left & mid-sternal border
2. Best heard when patient is lying in left lateral position
3. Less intense with excitement & fever

Ans : A

2] A 55 year old patient cannot copy a simple drawing . Which area of his brain is most likely affected :

1. Non Dominant frontal lobe
2. Non dominant parietal lobe
3. Non dominant temporal lobe
4. Non dominant occipital lobe

Ans : B

3] Treatment modalities used in the management of bedwetting include all the following except :

1. Daytime training
2. Restriction of fluid intake at night
3. Imipramine
4. Tolnaftate

Ans : D

4] In CPR , all the following drugs may be administered by endotrachial route except :

1. Adrenaline
2. Atropine
3. Lignocaine
4. Sodium Bicarbonate

Ans : D

5] Pancreatic cholera is characterized by all except :

1. Achiorhydria
2. Hypokalemia
3. Glucose intolerance
4. Hypercalcemia

Ans : D

6] Wide anion gap is not seen in :

1. Acute renal failure
2. Diarrhea
3. Lactic acidosis
4. Diabetic ketoacidosis

Ans : B

7] Pectus excavatum is :

1. Depression of the sternum posteriorly
2. Sternum depressed posteriorly & inferiorly
3. Sternum bulges forwards
4. Sternum laterally depressed

Ans : A

8] Doelhe Bodies are inclusions bodies seen in :

1. Monocytes
2. Eosinophils
3. Basophiles
4. Neutrophils

Ans: D

9] Paradoxical splitting of S2 is seen in all except :

1. Right bundle branch block
2. Left bundle branch block
3. Hypertension
4. Aortic stenosis

Ans : A

10] Cold antibodies of IgG type is seen in :

1. Syphilis
2. Donath-Landsteiner antibody
3. Lymphoma
4. Infectious mononucleosis

Ans : B

11] Commonest presenting feature of ALZHEIMER'S DISEASE :

1. Change in personality
2. Difficulty in learning new information
3. Loss of intellectual skills
4. Loss of memory

Ans : D

12] Most common cause of sudden death in post MI patients :

1. Cardiac aneurisms
2. Arrhythmias
3. LVF
4. Myocardial rupture

Ans : B

13] Treatment of choice in Thyrotoxicosis in pregnancy :

1. Propranolol
2. Anti thyroid drugs
3. surgery
4. Propranolol followed by surgery

Ans : B

14] All are true about mitral valve prolapse except :

1. Has mid or late systolic click with late systolic murmur increased by squatting
2. Propranolol can be used for atypical chest pains
3. Echo shows systolic displacement of mitral valve leaflets into left atrium
4. Increased incidence seen in family .

Ans : A

15] Edema in nephrotic syndrome is due to :

1. Increased intravascular blood volume
2. Hypoproteinemia
3. Lymphatic obstruction
4. Increased colloid onchotic pressure

Ans : B

16] Hypercalcemia is seen in all except :

1. Myxedema
2. Hyperparathyroidism
3. Multiple myeloma
4. Ca Lung

Ans : A

17] Canon waves seen in :

1. Constrictive pericarditis
2. Complete heart block
3. TR
4. Atrial fibrillation

Ans : D

18] Multi drug regimen is given in TB because :

1. Less toxicity
2. Less cost
3. Less time of treatment
4. Prevents resistance

Ans : D

19] In HIV, person develops AIDS when CD4 + count is

1. < 400
2. < 200
3.  300
4.  500

Ans : B

20] About lepromatous leprosy true is all except

1.  Indefinite margins are there

2.  central clearing is not present

3.  raised edges are seen

4.  Sensation is lost late.

Ans: D

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