Download MBBS UHS Lahore Final Year Medicine II MCQ Question Paper

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) UHS Lahore (University of Health Sciences Lahore) Final Year Medicine II MCQ Previous Year Question Paper









MBBS FINAL PROFESSIONAL

MODEL QUESTIONS FOR ANNUAL 2009

Medicine

(Multiple Choice Questions)




Q.1

22 year old patient with 6 months history of fever, joint pain, photosensitivity skin rash and
shortness of breath. Complete urine examination shows; proteins ++, blood ++.

Chest X-Ray is shown below:



What is the most likely diagnosis?

a) Tuberculosis

d) Parapneumonic effusion

b) SLE

e) CCF

c) Rheumatoid arthritis


Q.2

65 years old chronic smoker presents with acute shortness of breath in medical emergency.

His chest x-ray and CT scan is shown below:





What is the most likely diagnosis?

a) Pneumothorax

d) Pulmonary embolism

b) Emphysema

e) Pulmonary edema

c) Bronchial asthma



Q.3

45 year old gentleman presents in emergency department with fever, pleuritic chest pain
shortness of breath on exertion. He has history of acute myocardial infarction 4 weeks back.
Chest X-ray reveals cardiac shadow enlargement:



What is the most likely diagnosis?

a) Valvular heart disease

d) Pulmonary edema

b) Dilated cardiomyopathy

e) Pulmonary embolism

c) Dressler's syndrome


Q.4

70 years old lady presents with pain in the leg with shortness of breath and deafness. On
examination her leg is warm and bowed.

Chest X-ray ? mild cardiomegaly,

CBC ? normal, LFT's ? shows increased alkaline phosphatase with normal transaminases X-ray of
leg is shown below:



What is the most likely diagnosis?

a) Rickets

d) Primary bone tumor

b) Paget's disease of the bone

e) Osteoporosis

c) Syphilitic bone disease


















Q.5

27 year old lady long standing history of fever, arthritis and shortness of breath on exertion.
Spirometery shows restrictive defect on pulmonary function testing.

Hand X-ray is shown below:




What is the most likely diagnosis?

a) Gouty arthritis

d) Rheumatoid arthritis

b) Psoriatic arthritis

e) Reactive arthritis

c) SLE


Q.6

25 year old homosexual male known HIV patient presents with fever, headache, vomiting. On
examination signs of meningeal irritation positive. Fundoscopy shows papilledema.

CSF examination reported ? protein 2.5g/dl (20 ? 45mg/dl), glucose 42mg/dl (serum glucose
200mg/dl), WBC 1200mm3 with predominant lymphocytosis. CT Brain with contrast shows ?
multiple ring enhancing lesions.



What is the most likely diagnosis?

a) Cereberal toxoplasmosis

d) Cerebral abscess

b) Tuberculoma

e) Progressive multi focal

leukoencephalopathy

c) Metastatic brain disease





















Q.7

22 year old girl seen in emergency department with history of intermittent shortness of breath
and palpitation. During episodes she feels numbness and paraesthesia in her limbs.

Respiratory Flow Loop Curve is shown below:



The above loop curve is consistent with which one the following illness?

a) Bronchial asthma

d) Hyperventilation syndrome

b) Pulmonary fibrosis

e) Pulmonary embolism

c) Pulmonary edema


Q.8

18 year old boy with history of allergic rhinitis and episodic shortness of breath with wheeze.

Respiratory Flow Loop Curve is shown below:





What is the interpretation of the curve?

a) Obstructive pattern

d) Extra thoracic obstructive pattern

b) Restrictive pattern

e) Intra thoracic obstructive pattern

c) Normal pattern























Q.9

45 year old male smoker seen in emergency with 1 hour history of central chest pain with profuse
sweating.

The ECG done in emergency is shown below:





What immediate step you will take in emergency?

a) I/V Heprin

d) I/V Nitrates

b) I/V Morphine

e) I/V Beta Blockers

c) Oxygen


Q.10

47 year old male smoker, diabetic presented in emergency department with shortness of breath
and retrosternal chest pain.

The ECG is shown below:











What is the ECG diagnosis?

a) Acute posterior wall MI

d) Acute lateral wall MI

b) Acute anterior wall MI

e) Acute sub-endocardial MI

c) Acute inferior wall MI























Q.11

30 year old female seen in outpatient deaprtment with 3 months history of palpitation, weight
loss and heat intolerance.

The ECG is shown below:






What is the ECG diagnosis?
a) Atrial fibliration

d) Multiple atrial ectopics

b) Sinus arrhythmia

e) Ventricular tachycardia

c) Atrial flutter
















Q.12

The above ECG is of 20 year old girl who gives intermittent history of palpitation. The ECG
reported to be Broad complex Tachycardia, either SVT with aberrant conduction or VT.

Which one of the following drugs response will decide between the two arrhythmias?

a) I/V lignocain

d) I/V Adenosin

b) I/V Verapamil

e) I/V Beta Blocker

c) I/V Amiodarone


Q.13

60 year old male brought in emergency in a state of shock. He is haemodynamically unstable.
According to his wife he has two episodes of myocardial infarction in the past 2 years.

ECG has taken immediately in emergency is shown below:





What immediate step you will take?

a) I/V adrenalin

d) I/V amiodarone

b) I/V atropine

e) I/V lignocain

c) DC cardio version



Q.14

10 year old child seen in medical OPD with history of shortness of breath on exertion and
palpitation. cardiac auscultation reveals wide fixed splitting of second heart sound:

The following is the cardiac catheterization of the patient:

Chamber



Pressure

(mmHg)

Oxygen

Saturation

(%)

Superior vena cava





-







69

Inferior vena cava





-







65

Right atrium





10







81

Right ventricle





35/0





80

Pulmonary

artery







35/12

80

Left atrium







12







96

Left

ventricle









105/0

95

Femoral

artery

105/55 95



What is the diagnosis?

a) ASD

d) Mitral stenosis

b) VSD

e) Aortic regurgitation

c) PDA


Q.15

07 year old child seen in medical OPD with incidental finding of pansystolic murmur heard at left
lower sternal edge. Cardiac catheterization data is shown:

Chamber



Pressure

(mmHg)

Oxygen

Saturation

(%)

Superior vena cava





-







67

Inferior vena cava





-







69

Right atrium





3.5







68

Right

ventricle

35/0

79

Pulmonary artery





35/10





80

Left ventricle





100/0





96


What was the diagnosis?

a) ASD

d) Mitral regurgitation

b) VSD

e) PDA

c) Tricuspid regurgitation



Q.16

65 year old lady presents with syncope and angina. On clinical examination her pulse was low
volume with BP of 120/100.

The following figures were obtained at cardiac catheterization:
Chamber



Pressure

(mmHg)



Right atrium





3.5





Right

ventricle

35/9



Pulmonary artery





35/20

Pulmonary artery wedge



18

Left

ventricle







210/9

Left ventricular end diastolic

22

Ascending

aorta



142/70


What was the diagnosis?

a) Pulmonary stenosis

b) Aortic stenosis

c) Coaractation of aorta

d) Tricuspid stenosis

e) Mitral regurgitation







This post was last modified on 30 November 2021