Medicine MCQs with answers Part 6:

1.SIADH is associated with the following drug:
A. Vincristine
B. Erythromycin
C. 5 — FU
D. Methotrexate
Correct answer : A. Vincristine

2.Treatment of choice for Zollinger Ellison Syndrome (ZES) is:
A. PPI
B. Somatostatin analogues
C. Streptozocin
D. Sucralfate
Correct answer : PPI

3.Which of the following endocrine tumors is most commonly seen in MEN I?
A. lnsulinoma
B. Gastrinoma
C. Glucagonoma
D. Somatostatinoma
Correct answer : Gastrinoma

4.A 60 year old woman presents with generalized edema, skin ulceration and hypertension. Urine examination shows subnephrotic proteinuria (<2gm) and microscopic hematuria. Serum omplement levels are decreased and she is positive for anti-hepatitis C antibodies. The likely diagnosis is :
A. PSGN
B. Essential mixed cryoglobulinemia
C. Membrano proliferative glomerulonephritis
D. Focal segmental glomerulosclerosis
Correct answer : Essential mixed cryoglobulinemia

5.The test used to diagnose Dubin Johnson syndrome is:
A. Serum transminases
B. Bromsulphalein test (BSP)
C. Hippurate test
D. Gamma glutamyl transferase level
Answer: B. Bromsulphalein test (BSP)

6.A 30 year old man presents with generalized edema and hypertension. Urine examination shows subnephrotic proteinuria (< 2gm) and microscopic hematuria. Serum complement levels are decreased and he is positive for antihepatitis C antibodies. The most likely diagnosis is:
A. Post streptococcal Glomerulonephritis (PSGN)
B. Mixed cryoglobulinemia
C. Membranoproliferative glomerulonephritis (MPGN)
D. Focal symental Glomerular sclerosis (FSGS)

7.Most common cause of nephrotic range proteinuria in an adult is:
A. Diabetes Mellitus
B. Amyloidosis
C. Hypertensive nephropathy
D. Wegner`s Granulomatosis

8.A patient presents with chronic small bowel diarrhea, duodenal biopsy shows villous atrophy. Anti endomysial antibodies and IgA TTG antibodies are positive. What is the treatment of choice?
A. Gluten free diet
B. Antibiotics
C. Loperamide
D. 5—ASA
Answer:A. Gluten free diet
The clinical picture and investigation findings are suggestive of coeliac sprue. The treatment is gluten free diet.

9.A patient with H. Pylori infection is treated with drugs. The best method to detect presence of residual H.Pylori infection in this person is :
A. Rapid urease test
B. Urea breath test
C. Endoscopy and biopsy
D. Serum anti H.Pylori titre
Ans: B. Urea breath test
Recommended test for confirmation of H.pylori eradication – urea breath test.

10.All of the following drugs are commonly used in regimens against H. pylori except:
A. Oxytetracycline
B. Amoxicillin
C. Bismuth Subcitrate
D. Omeprazole
Answer : A. Oxytetracycline
Oxytetracycline is not a recommended drug for treatment of H.pylori.