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Internal Medicine MCQs (part 3)

Part 3: 1. Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease? A. Amino transaminase B. Alkaline phosphatase C. Bilirubin D. Albumin Correct answer : D. Albumin Albumin is significantly decreased in chronic liver diseases. 2. 5’-Nucleotidase activity is increased in: A. Bone diseases B. Prostate cancer C. Chronic renal failure D. Cholestatic disorders Correct answer : D. Cholestatic disorders 5′ nucleotidase and Gamma glutamyl transferase are specific for cholestatic disorders. 3. Which one of the following conditions commonly predisposes to Colonic carcinoma? A. Ulcerative colitis B. Crohn’s disease C. Diverticular disease D. Ischaemic colitis Correct answer : A. Ulcerative colitis Risk of colonic carcinoma is more in Ulcerative colitis compared to Chron’s disease 4. Serum angiotensin converting enzyme may be raised in all of the following, except: A. Sarcoidosis B. Silicosis ...

Internal Medicine MCQs (part 2)

Part 2: 1. Normal CSF glucose level in the normoglycemic adult is: A. 20-40 mg/dl B. 40-70 mg/dl C. 70-90 mgdl D. 90-110 mg/dl Correct answer : B. 40-70 mg/dl 2. Which one of the following is the most common location of hypertensive bleed in the brain? A. Putamen/external capsule B. Pons C. Ventricles D. Lobar white matter Correct answer : A. Putamen/external capsule 3. Which of the following features are seen in lower motor lesions? A. Flaccid paralysis B. Hyperactive stretch reflex C. Spasticity D. Muscular incordination Correct answer : A. Flaccid paralysis 4. Which of the following drugs is useful in prophylaxis of migraine? A. Propranolol B. Sumatriptan C. Domperidone D. Ergotamine Correct answer : A. Propranolol Drugs for prophylaxis of migraine: Beta antagonists – propranalol, timolol Anti epileptics – Valproate Antidepressants – amitryptiline, nortryptiline MOA inhibitors – phenelzine Serotonergic agents – methysergide, cyprohe...

Internal Medicine MCQs (part 1)

1.Disseminated intravascular coagulation (DIC) differs from thrombotic thrombocytopenic purpura. In this reference the DIC is most likely characterized by: A. Significant numbers of schistocytes B. A brisk reticulocytosis C. Decreased coagulation factor levels D. Significant thrombocytopenia Correct answer : C. Decreased coagulation factor levels In DIC, the levels of coagulation factors are decreased. Whereas in TTP, coagulation factor levels are normal. 2.Isolated 3rd nerve palsy is seen in? A. Frontal lobe tumor B. Weber’s syndrome C. Diabetes D. All of the above 3.All of the following are true about manifestations of vitamin E deficiency, except: A. Hemolytic anemia B. Posterior column abnormalities C. Cerebellar ataxia D. Autonomic dysfunction Correct answer : D. Autonomic dysfunction Autonomic dysfunction is not seen with vitamin E deficiency. 4.Vitamin B12 deficiency can give rise to all of the following, except: A. Myelopathy B. O...

Endocrinology (Physiology practice multiple choice questions for FCPS, MRCP, USMLE, and PLAB)

Endocrinology MCQs 1) A meal rich in proteins but low in carbohydrates does not cause hypoglycaemia because a. glucagon secretion is stimulated by meals        b. the meal causes compensatory increase in T4 secretion c. cortisol in circulation prevents glucose from entering the muscles        d. the amino acids in the meal are converted to glucose Ans. a 2) Which of the following is incorrectly paired a. beta cells-insulin          b. F cells- gastrin c. delta cells- somatostatin          d. alpha cells- glucagon Ans. b 3) After intravenous administration of a large dose of insulin, the return of a low blood sugar level to normal is delayed by a. thyrotoxicosis               b. glucagon deficiency c.   diabetes    ...