MBBS DEGREE EXAMINATION - IIIrd PROFESSIONAL - PART II - FEB 2025
PAPER I - GENERAL MEDICINE
SECTION A - Multiple Choice Questions (MCQs)
PAPER CODE : 2511130011
--- Content provided by FirstRanker.com ---
SET : BNote: Choose one correct answer in the OMR sheet provided. No overwriting should be done.
Time: 20 Minutes
(20 x 1 = 20 MARKS)
1. What is the primary goal of fluid resuscitation in septic shock?
--- Content provided by FirstRanker.com ---
a) Restore adequate tissue perfusionb) Correct electrolyte imbalances
c) Increase oxygen saturation
d) Normalize blood glucose levels
2. Which lab test best differentiates between iron deficiency anemia and anemia of chronic
--- Content provided by FirstRanker.com ---
disease?a) Mean corpuscular volume
b) Reticulocyte count
c) Serum ferritin
d) Hemoglobin level
--- Content provided by FirstRanker.com ---
3. Which of the following laboratory findings is most consistent with primary hypothyroidism?a) Low TSH and elevated T4
b) Low TSH and low T4
c) Elevated TSH & elevated T4
d) Elevated TSH and low T4
--- Content provided by FirstRanker.com ---
4. Which of the following is a common acute complication of type I diabetes mellitus?a) Hypothyroidism
b) Cushing syndrome
c) Hyperosmolar hyperglycemic
d) Diabetic ketoacidosis
--- Content provided by FirstRanker.com ---
5. Which of the following is the first-line vasopressor in septic shock?a) Norepinephrine
b) Vasopressin
c) Dopamine
d) Epinephrine
--- Content provided by FirstRanker.com ---
6. Philadelphia chromosome is most commonly associated with which leukemia?a) Acute lymphoblastic leukemia
b) Chronic lymphocytic leukemia
c) Chronic myeloid leukemia
d) Acute myeloid leukemia
--- Content provided by FirstRanker.com ---
7. Which of the following features best differentiates Hodgkin lymphoma from Non-Hodgkin
lymphoma?
a) Presence of Reed-Sternberg
b) Bone marrow involvement
c) B symptoms
--- Content provided by FirstRanker.com ---
d) Peripheral lymphadenopathy8. Which of the following coronary arteries is most commonly involved in an anterior wall
myocardial infarction (MI)?
a) Left anterior descending artery
b) Posterior descending artery
--- Content provided by FirstRanker.com ---
c) Right coronary arteryd) Left circumflex artery
9. Which of the following is the most common cause of CKD worldwide?
a) Glomerulonephritis
b) Polycystic kidney disease
--- Content provided by FirstRanker.com ---
c) Diabetes mellitusd) Hypertension
10. Which opportunistic infection is most commonly associated with HIV when the CD4 count
drops below 200 cells/?L?
a) Pneumocystis pneumonia
--- Content provided by FirstRanker.com ---
b) Kaposi sarcomac) Toxoplasmosis
d) Cytomegalovirus retinitis
11. Which of the following is most commonly associated with high anion gap metabolic acidosis?
a) Renal tubular acidosis
--- Content provided by FirstRanker.com ---
b) Hyperaldosteronismc) Diarrhea
d) Lactic acidosis
12. Which feature is more characteristic of Crohn's disease (CD) compared to ulcerative colitis
(UC)?
--- Content provided by FirstRanker.com ---
a) Rectal involvement in all casesb) Mucosal inflammation only
c) Continuous inflammation
d) Non-caseating granulomas
13. What is the minimum duration of fever required to classify it as fever of unknown origin
--- Content provided by FirstRanker.com ---
(FUO)?a) 3 weeks
b) 4 weeks
c) 1 week
d) 2 weeks
--- Content provided by FirstRanker.com ---
14. Which of the following ECG findings is most characteristic of severe hyperkalemia?
a) Peaked T waves
b) ST-segment elevation
c) U waves
d) Flattened T waves
--- Content provided by FirstRanker.com ---
15. Which serological marker indicates active replication of hepatitis B virus and high infectivity?a) Anti-HBs
b) Anti-HBc
c) HBsAg
d) HBeAg
--- Content provided by FirstRanker.com ---
16. Which electrolyte abnormality is most commonly seen in advanced CKD?a) Hyperphosphatemia
b) Hypocalcemia
c) Hyperkalemia
d) All of the above
--- Content provided by FirstRanker.com ---
17. What is the primary acid-base disorder in a patient with a pH of 7.32, PCO2 of 50 mmHg,and HCO3- of 24 mEq/L?
a) Metabolic alkalosis
b) Respiratory alkalosis
c) Metabolic acidosis
--- Content provided by FirstRanker.com ---
d) Respiratory acidosis18. In mitral stenosis caused by rheumatic heart disease, which of the following is the most
specific clinical finding?
a) Wide pulse pressure
b) Displaced apical impulse
--- Content provided by FirstRanker.com ---
c) Loud first heart sound (S1) & an opening snapd) Pansystolic murmur radiating to the axilla
19. Which of the following is the most common clinical presentation of portal hypertension?
a) Hepatomegaly
b) Jaundice
--- Content provided by FirstRanker.com ---
c) Ascitesd) Hepatic encephalopathy
20. Which electrolyte abnormality is most commonly associated with AKI?
a) Hypophosphatemia
b) Hypercalcemia
--- Content provided by FirstRanker.com ---
c) Hypokalemiad) Hyperkalemia
***