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1.An eight year old boy presented to the casualty with high fever, pruritic erythematous rash, joint pain and lymph node enlargement. There is a history of upper respiratory tract infection for which he was on cefaclor – 8 days completed of a 10 day course. The most likely diagnosis is? A. Serum sickness like illness B. HSP C. Type III hypersensitivity D. Kawasaki disease Correct answer : A. Serum sickness like illness Serum sickness like reaction can occur following the use of certain drugs, especially cefaclor in children. It presents with an urticarial / purpuric rash, arthritis, lymphadenopathy and fever. But unlike true serum sickness (a type III hypersensitivity response), it is not caused by circulating immune complexes. 2.A one year old child presented to the OPD with the history of short stature, tiredness and constipation. Examination revealed a palpable goitre. Serum T4 was decreased and TSH levels were ...

1.Erythropoietin is increased in all of the following conditions except: A. Hepatocellular carcinoma B. Renal cell carcinoma C. Cerebellar Hemangioblastoma D. Pancreatic carcinoma Correct answer : Pancreatic carcinoma 2.Which of the following statements about Mycosis fungoides is not true: A. lt is the most common form of cutaneous lymphoma B. Pautriers microabscess C. lndolent course and easily amenable to treatment D. Erythroderma seen and spreads to peripheral circulation Correct answer : Indolent course and easily amenable to treatment 3.80 year old, asymptomatic man present with a Total Leucocyte Count of 1 lakh, with 80% lymphocytes and 20% PMC’s, What is the most probable diagnosis? A. HIV B. CML C. CLL D. TB Correct answer : CLL 4.ln PML, all of the following are seen except : A. Retinoic acid is used in treatment B. 15/17 translocation may be seen C. CD 15/34 both seen in same cell D. Associated with Disseminated Intravascular Coagulation...

1.A patient presents with decreased vital capacity and total lung volume. What is the most probable diagnosis? A. Bronchiectasis B. Sarcoidosis C. Cystic fibrosis D. Asthma Answer : B. Sarcoidosis A restrictive lung disease causes decrease in vital capacity and total lung volume. Among the options provided, sarcoidosis is the only one causing a restrictive lung disease. 2.A 70 year old man develops pneumonia and septicemia. Patient goes into renal failure and has a BP of 70/50 mm of Hg. Drug that should be used to maintain BP is: A. Adrenaline B. Ephedrine C. Phenylephrine D. Nor epinephrine Answer : D. Nor epinephrine The patient is in septic shock. Dopamine is the recommended drug for maintenance of BP in a case of septic shock. If there is no response, nor epinephrine should be tried. Since nor epinephrine is the only one given among the options, it is the best answer. 3.A patient presents with acute anterior wall infarction and hypotension. Which will be t...

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 Johns...

1.All of the following statements are true about Benedict’s syndrome, except: A. Contralateral tremor B. 3rd nerve palsy C. Involvement of the penetrating branch of the basilar artery D. Lesion at the level of the pons Correct answer : D. Lesion at the level of the pons Benedict’s syndrome is a dorsal mid brain syndrome. 2.Millard Gubler syndrome includes the following except : A. 5th nerve palsy B. 6th nerve palsy C. 7th nerve palsy D. Contralateral hemiparesis Correct answer : A. 5th nerve palsy Millard Gubler syndrome (ventral pontine syndrome) is characterised by: Ipsilateral paresis of lateral rectus (6th nerve) Ipsilateral UMN type of facial weakness (7th nerve) Contralateral hemiplegia (pyramidal tract) 3.Pontine Stroke is associated with all except : A. Bilateral pin point pupil B. Pyrexia C. Vagal palsy D. Quadriparesis Correct answer : C. Vagal palsy Vagal palsy is not a component of pontine stroke. 4.Increased ICT is associated with al...

1.All are associated with pituitary apoplexy except : a) Hyperthyroidism b) Diabetes mellitus c) Sickle cell anemia d) Hypertension Correct answer : a) Hyperthyroidism Due to decrease in TSH secretion, there is hypothyroidism in pituitary apoplexy. The other options are known causes of pituitary apoplexy. 2.Hemolytic uremic syndrome is associated with all except a) EHEC b) Shigella c) Campylobacter d) Vibrio cholera Correct answer : d) Vibrio cholera Infections causing hemolytic uremic syndrome: Enterohaemorrhagic E. coli Shigella dysenteriae type 1 Campylobacter jejuni Streptococcus pneumoniae HIV 3.Most common catheter induced blood infection is due to a) Staphylococcus aureus b) Coagulase negative staphylococci c) Gram negative bacilli d) Candida Correct answer : b) Coagulase negative staphylococci 4.Plasmapheresis (plasma exchange therapy) is used in the treatment of a) Autoimmune hemolytic anemia b) Disseminated intravascular coagulation c)...