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Medicine MCQs with answers Part 5:

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1.All of the following statements are true about Benedict’s syndrome, except:
A. Contralateral tremor
B. 3rd nerve palsy
C. Involvement of the penetrating branch of the basilar artery
D. Lesion at the level of the pons
Correct answer : D. Lesion at the level of the pons
Benedict’s syndrome is a dorsal mid brain syndrome.

2.Millard Gubler syndrome includes the following except :
A. 5th nerve palsy
B. 6th nerve palsy
C. 7th nerve palsy
D. Contralateral hemiparesis
Correct answer : A. 5th nerve palsy
Millard Gubler syndrome (ventral pontine syndrome) is characterised by:
Ipsilateral paresis of lateral rectus (6th nerve)
Ipsilateral UMN type of facial weakness (7th nerve)
Contralateral hemiplegia (pyramidal tract)

3.Pontine Stroke is associated with all except :
A. Bilateral pin point pupil
B. Pyrexia
C. Vagal palsy
D. Quadriparesis
Correct answer : C. Vagal palsy
Vagal palsy is not a component of pontine stroke.

4.Increased ICT is associated with all except
A. Paraparesis
B. Abducent paralysis
C. Headache
D. Visual blurring
Correct answer : A. Paraparesis
Increased ICT alone does not cause paraparesis. It can occur if the increased ICT is due to a mass lesion in the parasagittal region.

5.The following are components of Kawasaki disease except,
A. Purulent conjunctivitis
B. Pedal edema
C. Truncal rash
D. Pharyngeal congestion
Correct answer : A. Purulent conjunctivitis
Non purulent conjunctivitis is seen in Kawasaki disease.

6.All of the following true about Raynaud’s disease except:
A. More common in females
B. Positive Antinuclear Antibodies
C. Most common cause of raynaud’s phenomenon
D. Has good prognosis
Correct answer : B. Positive Antinuclear Antibodies
Antinuclear Antibodies are seen only in secondary causes of Raynaud’s phenomenon. Raynaud’s disease refers to idiopathic Raynaud’s phenomenon.

7.Best marker for drug induced lupus is.
A. Anti histone antibodies
B. Anti ds DNA
C. Anti neutrophil antibody
D. Anti Smith antibody
Correct answer : A. Anti histone antibodies
Anti histone antibodies are the best markers for drug induced lupus.

8.Deposition of Anti ds DNA antibody in kidney, skin, choroid plexus and joints is seen in:
A. SLE
B. Goodpasture syndrome
C. Scleroderma
D. Raynauds disease
Correct answer : A. SLE
Anti ds DNA antibody is specific for SLE.

9.C- ANCA positivity indicates antibody formed against
A. Proteinase 3
B. Myeloperoxidase
C. Cytoplasmic antinuclear Antibody
D. Anti centromeric Antibody
Correct answer : A. Proteinase 3
Proteinase 3 is the major C ANCA antigen.

10.Hypophosphatemia is seen in all except:
A. Acute renal failure
B. Resolving phases of diabetic ketocidosis
C. Respiratory alkalosis / COPD
D. Chronic alcoholism
Correct answer : A. Acute renal failure
Hyperphosphatemia is seen in renal failure.
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