Medicine MCQs with answers Part 4:

1.All are associated with pituitary apoplexy except :
a) Hyperthyroidism
b) Diabetes mellitus
c) Sickle cell anemia
d) Hypertension
Correct answer : a) Hyperthyroidism
Due to decrease in TSH secretion, there is hypothyroidism in pituitary apoplexy. The other options are known causes of pituitary apoplexy.

2.Hemolytic uremic syndrome is associated with all except
a) EHEC
b) Shigella
c) Campylobacter
d) Vibrio cholera
Correct answer : d) Vibrio cholera
Infections causing hemolytic uremic syndrome:

Enterohaemorrhagic E. coli
Shigella dysenteriae type 1
Campylobacter jejuni
Streptococcus pneumoniae
HIV

3.Most common catheter induced blood infection is due to
a) Staphylococcus aureus
b) Coagulase negative staphylococci
c) Gram negative bacilli
d) Candida
Correct answer : b) Coagulase negative staphylococci

4.Plasmapheresis (plasma exchange therapy) is used in the treatment of
a) Autoimmune hemolytic anemia
b) Disseminated intravascular coagulation
c) Thrombotic thrombocytopenic purpura
d) Hemolytic uremic syndrome
Correct answer : c) Thrombotic thrombocytopenic purpura
(It can also be used for HUS, but is not as successful)

5.Arsenic is used in treatment of
a) Acute promyelocytic leukemia
b) A.L.L.
c) CML
d) Transient myeloproliferative disorder
Correct answer : a) Acute promyelocytic leukemia

6.True regarding Couvade syndrome is?
A. A male experiencing pregnancy symptoms
B. A pregnant female who believes that she is not pregnant
C. Excessive urge for taking drugs
D. Opiods are treatment of choice
Correct answer : A. A male experiencing pregnancy symptoms
Couvade syndrome (sympathetic pregnancy / phantom pregnancy) is a condition in which a man experiences some of the same symptoms and behavior of an expectant mother.

7.Treatment of severe ulnar neuritis in borderline tuberculoid leprosy is:
A. MDT only
B. MDT + steroid
C. Wait and watch
D. MDT + thalidomide
(MDT = Multi Drug Therapy)
Correct answer : B. MDT + steroid

8.All of the following organs may be involved in Leprosy except:
A. Uterus
B. Ovary
C. Testes
D. Eye
Correct answer : A. Uterus
Female genital tract is seldom involved in leprosy. Ovary is the most common site of leprosy in the female genital tract.

9.Which of the following is the classical CSF finding seen in Tuberculous meningitis?
A. Increased protein, decreased sugar, increased lymphocytes
B. Increased protein, sugar and lymphocytes
C. Decreased protein, increased sugar and lymphocytes
D. Increased sugar, protein and neutrophils
Correct answer : A. Increased protein, decreased sugar, increased lymphocytes

10.The following are components of Brown Sequard syndrome except :
A. Ipsilateral extensor plantar response
B. lpsilateral pyramidal tract involvement
C. Contralateral spinothalamic tract involvement
D. Contralateral posterior column involvement
Correct answer : D. Contralateral posterior column involvement
In brown sequard syndrome ( hemisection of spinal cord ), there is ipsilateral posterior colum involvement.