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, cyproheptadine
Misc – verapamil

5. Cluster headache is characterized by all, except:
A. Affects predominantly females
B. Unilateral headache
C. Onset typically in 20-50 years of life
D. Associated with conjunctival congestion
Correct answer : A. Affects predominantly females
Males are predominantly affected by cluster headache.

6. Discriminant function is used for determining the prognosis of?
A. Alcoholic hepatitis
B. Cirrhosis
C. Viral hepatitis
D. Fulminant hepatic failure
E. Hepatocellular carcinoma
The modified Maddrey’s discriminant function is used to determine prognosis of alcoholic hepatitis. It is calculated as follows:

It is useful in predicting short term prognosis especially mortality within 30 days. A value more than 32 implies poor outcome with one month mortality ranging between 35% to 45%.
 

7. All of the following conditions are known to cause diabetes insipidus except:
A. Multiple sclerosis
B. Head injury
C. Histiocytosis
D. Viral encephalitis
Correct answer : A. Multiple sclerosis

8. Pancreatitis, pituitary tumor and phaeochrornocytoma may be associated with:
A. Medullary carinoma of thyroid
B. Papillary carcinoma of thyroid
C. Anaplastic carcinoma of thyroid
D. Follicular carcinoma of thyroid
Correct answer : A. Medullary carinoma of thyroid
Occurs as a part of MEN syndrome.

9. All of the following can cause osteoporosis, except:
A. Hyperparathyroidism
B. Steroid use
C. Fluorosis
D. Thyrotoxicosis
Correct answer : C. Fluorosis