My Health Profession

Part: 7 1. A 45-year old woman underwent a modified radical mastectomy 4 years ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exertion on exercise, swelling of the legs, and swelling around eyes in the moming. On examination, she has bilateral rales in the lungs, S1, S2 audible, S3, S4 gallop present. Her BP is 149/117 mm Hg, PR is 80/min, and RR is 18/min. What is the most likely cause for her cardiac condition? a) Systolic dysfunction CHF b) Drug induced cardiac toxicity c) … 2. Which of the following statements is correct regarding adrenal histoplasmosis: a) In active disease, calcification is commonly seen b) Lymphadenopathy is not seen c) The adrenal glands are usually symmetrically enlarged d) Adrenal insufficiency is uncommon Correct answer : c) The adrenal glands are usually symmetrically enlarged Explanation : Adrenal histoplasmosis 3. Which of the follow...

Part: 6 1. All of the following statements regarding primary effusion lymphoma are true except: A. It generally presents in elderly patients B. There is often an association with HHV 8 C. The proliferating cells are NK cells D. Patients are commonly HIV positive Correct answer :C. The proliferating cells are NK cells Primary effusion lymphomas are aggressive malignancies that present as serous effusion without any tumour mass. 2. An 18-year-old male presented with acute onset descending paralysis of 3 days duration. There is also a history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non reactive. The most probable diagnosis is: a) Poliomyelitis b) Botulism c) Diphtheria d) Porphyria Correct answer : b) Botulism The important features of the patient are descending paralysis, blurring of vision and non reactive pupils. Descending paralysis is caused by 3 of the conditions ment...

Part 5: 1. Which of the following is least likely to cause infective endocarditis? A. Staphylococcus albus B. Streptococcus faecalis C. Salmonella typhi D. Pseudomonas aeruginosa Correct answer : C. Salmonella typhi Infective endocarditis is a rare complication of Salmonella typhi infection. 2. Sudden cardiac death may occur in all of the following except: A. Dilated cardiomyopathy B. Hypertrophic cardiomyopathy C. Eisenmengers syndrome D. Ventricular septal defect Correct answer : D. Ventricular septal defect VSD is the best answer among the options given 3. All of the following are true for mitral valve prolapse, except: A. Transmission may be as an autosomal dominant trait B. Majority of the cases present with features of mitral regurgitation C. The value leaflets characteristically show myxomatous degeneration D. The disease is one of the common cardiovascular manifestations of Marfan’s Syndrome Correct answer : B. Majority of the cases present ...

Part 4: 1. In which of the following conditions Splenectomy is not useful? A. Herediatary spherocytosis B. Porphyria C. Thalassemia D. Sickle cell disease with large spleen Correct answer : B. Porphyria Splenectomy has little role in the management of porphyria 2. Renal artery stenosis may occur in all of the following except: A. Atherosclerosis B. Fibromuscular dysplasia C. Takayasu’s arteritis D. Polyarteritis nodosa Correct answer : D. Polyarteritis nodosa Causes of renal artery stenosis: Atherosclerosis Giant cell arteritis Fibromuscular dysplasia Takayasu arteritis Tranplant renal artery stenosis Antiphospholipid antibody syndrome 3. The presence of anti Saccharomyces cerevisae antibody is a surrogate marker of one of the following: A. Celiac disease B. Crohn’s disease C. Ulcerative colitis D. Tropical sprue Correct answer : B. Crohn’s disease Saccharomyces cerevisae antibody positivity: Chron’s disease – 60-70% Ulcerative colitis – ...