MBBS FINAL PROFESSIONAL
--- Content provided by FirstRanker.com ---
MODEL QUESTIONS FOR ANNUAL 2009Medicine
(Multiple Choice Questions)
--- Content provided by FirstRanker.com ---
Q.1
--- Content provided by FirstRanker.com ---
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:
--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
--- Content provided by FirstRanker.com ---
a) Tuberculosisd) Parapneumonic effusion
b) SLE
--- Content provided by FirstRanker.com ---
e) CCF
c) Rheumatoid arthritis
--- Content provided by FirstRanker.com ---
Q.2
65 years old chronic smoker presents with acute shortness of breath in medical emergency.
--- Content provided by FirstRanker.com ---
His chest x-ray and CT scan is shown below:--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
a) Pneumothorax
--- Content provided by FirstRanker.com ---
d) Pulmonary embolismb) Emphysema
e) Pulmonary edema
--- Content provided by FirstRanker.com ---
c) Bronchial asthma
--- Content provided by FirstRanker.com ---
Q.345 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:
--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
--- Content provided by FirstRanker.com ---
a) Valvular heart diseased) Pulmonary edema
b) Dilated cardiomyopathy
--- Content provided by FirstRanker.com ---
e) Pulmonary embolism
c) Dressler's syndrome
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
Chest X-ray ? mild cardiomegaly,
CBC ? normal, LFT's ? shows increased alkaline phosphatase with normal transaminases X-ray of
leg is shown below:
--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
--- Content provided by FirstRanker.com ---
a) Ricketsd) Primary bone tumor
b) Paget's disease of the bone
--- Content provided by FirstRanker.com ---
e) Osteoporosis
c) Syphilitic bone disease
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Q.5
27 year old lady long standing history of fever, arthritis and shortness of breath on exertion.
--- Content provided by FirstRanker.com ---
Spirometery shows restrictive defect on pulmonary function testing.Hand X-ray is shown below:
--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
a) Gouty arthritis
--- Content provided by FirstRanker.com ---
d) Rheumatoid arthritis
b) Psoriatic arthritis
--- Content provided by FirstRanker.com ---
e) Reactive arthritisc) SLE
--- Content provided by FirstRanker.com ---
Q.625 year old homosexual male known HIV patient presents with fever, headache, vomiting. On
examination signs of meningeal irritation positive. Fundoscopy shows papilledema.
--- Content provided by FirstRanker.com ---
CSF examination reported ? protein 2.5g/dl (20 ? 45mg/dl), glucose 42mg/dl (serum glucose200mg/dl), WBC 1200mm3 with predominant lymphocytosis. CT Brain with contrast shows ?
multiple ring enhancing lesions.
--- Content provided by FirstRanker.com ---
What is the most likely diagnosis?
a) Cereberal toxoplasmosis
--- Content provided by FirstRanker.com ---
d) Cerebral abscessb) Tuberculoma
e) Progressive multi focal
--- Content provided by FirstRanker.com ---
leukoencephalopathy
c) Metastatic brain disease
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Q.722 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.
--- Content provided by FirstRanker.com ---
Respiratory Flow Loop Curve is shown below:The above loop curve is consistent with which one the following illness?
--- Content provided by FirstRanker.com ---
a) Bronchial asthma
d) Hyperventilation syndrome
--- Content provided by FirstRanker.com ---
b) Pulmonary fibrosise) Pulmonary embolism
c) Pulmonary edema
--- Content provided by FirstRanker.com ---
Q.8
18 year old boy with history of allergic rhinitis and episodic shortness of breath with wheeze.
--- Content provided by FirstRanker.com ---
Respiratory Flow Loop Curve is shown below:
--- Content provided by FirstRanker.com ---
What is the interpretation of the curve?
a) Obstructive pattern
--- Content provided by FirstRanker.com ---
d) Extra thoracic obstructive pattern
b) Restrictive pattern
--- Content provided by FirstRanker.com ---
e) Intra thoracic obstructive patternc) Normal pattern
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Q.9
45 year old male smoker seen in emergency with 1 hour history of central chest pain with profuse
sweating.
--- Content provided by FirstRanker.com ---
The ECG done in emergency is shown below:
--- Content provided by FirstRanker.com ---
What immediate step you will take in emergency?
a) I/V Heprin
--- Content provided by FirstRanker.com ---
d) I/V Nitrates
b) I/V Morphine
--- Content provided by FirstRanker.com ---
e) I/V Beta Blockersc) Oxygen
--- Content provided by FirstRanker.com ---
Q.1047 year old male smoker, diabetic presented in emergency department with shortness of breath
and retrosternal chest pain.
--- Content provided by FirstRanker.com ---
The ECG is shown below:--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
What is the ECG diagnosis?
a) Acute posterior wall MI
--- Content provided by FirstRanker.com ---
d) Acute lateral wall MI
b) Acute anterior wall MI
--- Content provided by FirstRanker.com ---
e) Acute sub-endocardial MIc) Acute inferior wall MI
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Q.11
30 year old female seen in outpatient deaprtment with 3 months history of palpitation, weight
loss and heat intolerance.
--- Content provided by FirstRanker.com ---
The ECG is shown below:
--- Content provided by FirstRanker.com ---
What is the ECG diagnosis?
a) Atrial fibliration
--- Content provided by FirstRanker.com ---
d) Multiple atrial ectopics
b) Sinus arrhythmia
--- Content provided by FirstRanker.com ---
e) Ventricular tachycardiac) Atrial flutter
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Q.12
--- Content provided by FirstRanker.com ---
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?
--- Content provided by FirstRanker.com ---
a) I/V lignocain
d) I/V Adenosin
--- Content provided by FirstRanker.com ---
b) I/V Verapamile) I/V Beta Blocker
c) I/V Amiodarone
--- Content provided by FirstRanker.com ---
Q.13
60 year old male brought in emergency in a state of shock. He is haemodynamically unstable.
--- Content provided by FirstRanker.com ---
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:
--- Content provided by FirstRanker.com ---
What immediate step you will take?
--- Content provided by FirstRanker.com ---
a) I/V adrenalind) I/V amiodarone
b) I/V atropine
--- Content provided by FirstRanker.com ---
e) I/V lignocain
c) DC cardio version
--- Content provided by FirstRanker.com ---
Q.14
10 year old child seen in medical OPD with history of shortness of breath on exertion and
--- Content provided by FirstRanker.com ---
palpitation. cardiac auscultation reveals wide fixed splitting of second heart sound:The following is the cardiac catheterization of the patient:
Chamber
--- Content provided by FirstRanker.com ---
Pressure
--- Content provided by FirstRanker.com ---
(mmHg)Oxygen
Saturation
--- Content provided by FirstRanker.com ---
(%)
Superior vena cava
--- Content provided by FirstRanker.com ---
-
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
69
Inferior vena cava
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
---- Content provided by FirstRanker.com ---
65
--- Content provided by FirstRanker.com ---
Right atrium--- Content provided by FirstRanker.com ---
10
--- Content provided by FirstRanker.com ---
81
--- Content provided by FirstRanker.com ---
Right ventricle
--- Content provided by FirstRanker.com ---
35/0
--- Content provided by FirstRanker.com ---
80
--- Content provided by FirstRanker.com ---
Pulmonaryartery
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
35/1280
Left atrium
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
12
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
96Left
ventricle
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
105/0
--- Content provided by FirstRanker.com ---
95
Femoral
--- Content provided by FirstRanker.com ---
artery105/55 95
--- Content provided by FirstRanker.com ---
What is the diagnosis?
a) ASD
--- Content provided by FirstRanker.com ---
d) Mitral stenosisb) VSD
e) Aortic regurgitation
--- Content provided by FirstRanker.com ---
c) PDA
Q.15
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
Pressure
--- Content provided by FirstRanker.com ---
(mmHg)Oxygen
Saturation
--- Content provided by FirstRanker.com ---
(%)
Superior vena cava
--- Content provided by FirstRanker.com ---
-
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
67
Inferior vena cava
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
---- Content provided by FirstRanker.com ---
69
--- Content provided by FirstRanker.com ---
Right atrium--- Content provided by FirstRanker.com ---
3.5
--- Content provided by FirstRanker.com ---
68
--- Content provided by FirstRanker.com ---
Right
ventricle
--- Content provided by FirstRanker.com ---
35/079
Pulmonary artery
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
35/10--- Content provided by FirstRanker.com ---
80
Left ventricle
--- Content provided by FirstRanker.com ---
100/0
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
96What was the diagnosis?
--- Content provided by FirstRanker.com ---
a) ASDd) Mitral regurgitation
b) VSD
--- Content provided by FirstRanker.com ---
e) PDA
c) Tricuspid regurgitation
--- Content provided by FirstRanker.com ---
Q.16
65 year old lady presents with syncope and angina. On clinical examination her pulse was low
--- Content provided by FirstRanker.com ---
volume with BP of 120/100.The following figures were obtained at cardiac catheterization:
Chamber
--- Content provided by FirstRanker.com ---
Pressure
(mmHg)
--- Content provided by FirstRanker.com ---
Right atrium
--- Content provided by FirstRanker.com ---
3.5
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
Rightventricle
35/9
--- Content provided by FirstRanker.com ---
Pulmonary artery
--- Content provided by FirstRanker.com ---
35/20
--- Content provided by FirstRanker.com ---
Pulmonary artery wedge
--- Content provided by FirstRanker.com ---
18Left
ventricle
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
210/9
Left ventricular end diastolic
--- Content provided by FirstRanker.com ---
22
Ascending
--- Content provided by FirstRanker.com ---
aorta142/70
--- Content provided by FirstRanker.com ---
What was the diagnosis?
a) Pulmonary stenosis
--- Content provided by FirstRanker.com ---
b) Aortic stenosis
c) Coaractation of aorta
--- Content provided by FirstRanker.com ---
d) Tricuspid stenosise) Mitral regurgitation
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---