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Medicine practice mcqs

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Medicine practice mcqs

Digital clubbing is seen in all except


A. Aortic dissection (Correct Answer)
B. Tricuspid atresia
C. Endocarditis
D. Pulmonary arteriovenous fistula


Most common catheter induced blood infection is due to

A. Gram negative bacilli
B. Candida
C. Coagulase negative staphylococci (Correct Answer)
D. Staphylococcus aureus

lnfective endocarditis due to pseudomonas is most commonly seen with


A. Intravenous drug abuse of pentazocin (Correct Answer)
B. Elderly with community acquired pneumonia
C. HIV patient
D. Chronic steroid therapy
Explanation
Pseudomonas endocarditis is seen in intravenous drug abusers and those with prosthetic heart valves.


Water hammer pulse seen in


A. Aortic stenosis
B. Aortic stenosis and Aortic regurgitation
C. Mitral regurgitation
D. Aortic regurgitation (Correct Answer)


Life threatening complications of diabetes mellitus are all except :


A. Malignant otitis externa
B. Rhinocerebral mucormycosis
C. Emphysematous appendicitis (Correct Answer)
D. Emphysematous pyelonephritis

Causes of raised J.V.P. with hypotension are all except


A. Right ventricular M.I.
B. 2nd degree A.V. block (Correct Answer)
C. Cardiac tamponade
D. Heart failure
Explanation
Causes of raised JVP with hypotension:

Cardiac tamponade
Right ventricular MI
Right heart failure
Constrictive pericarditis
Restrictive cardiomyopathy

Hemolytic uremic syndrome is associated with all except

A. Shigella
B. Campylobacter
C. Vibrio cholera (Correct Answer)
D. EHEC
Explanation
Infections causing hemolytic uremic syndrome:

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

All are associated with pituitary apoplexy except :


A. Hypertension
B. Sickle cell anemia
C. Hyperthyroidism (Correct Answer)
D. Diabetes mellitus
Explanation
Due to decrease in TSH secretion, there is hypothyroidism in pituitary apoplexy. The other options are known causes of pituitary apoplexy.


Which is useful to decrease mortality and renal failure in acute liver disease due to alcoholism


A. Orlistat
B. Spiramycin
C. Pentoxifylline (Correct Answer)
D. S-Adenosyl methionine


In primary pulmonary hypertension basic abnormality in gene lies in


A. Homeobox gene
B. Bone morphogenetic protein receptor II (Correct Answer)
C. PAX-11
D. Endothelin


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