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Tuesday 23 June 2015

GENERAL MEDICINE - AIPGMEE 2006 QUESTIONS AND ANSWERS



Q143.All of the following statements regarding subendocardial infarction are true, except :

A.     These are multifocal in nature.

B.     These often result from hypotension or shock.

C.     Epicarditis is not seen.

D.     These may result in aneurysm.

Ans: D. These may result in aneurysm

Q144.All of the following are true for mitral valve prolapse, except :

A.     Transmission may be as an Autosomal dominant trait.

B.     Majority of the case present with features of mitral regurgitation.

C.     The value leaflets characteristically show myxomatous degeneration.

D.     The disease is one of the common cardiovascular manifestations of Marfan Syndrome.

Ans: B. Majority of the cases present with features of mitral regurgitation

Q145.The following diseases are associated with Epstein Barr virus infection, except :

  
A.     Infectious mononucleosis.

B.     Epidermodysplasia verruciformis.

C.     Nasopharyngeal carcinoma.

D.     Oral Hairy  leukoplakia

Ans: B. Epidermodysplasia verruciformis

Q146.Megaloblastic anaemia due to folic acid deficiency is commonly due to :

A.     Inadequate dietary intake.

B.     Defective intestinal absorption.

C.     Absence of folic acid binding protein in serum.

D.     Absence of glutamic acid in the intestine.

Ans: A. Inadequate dietary intake

Q147.In which of the following conditions Parakeratosis most frequently occurs?

  
A.     Actinic Keratoses.

B.     Seborrheic keratoses.

C.     Molluscum contagiosum.

D.     Basal cell carcinoma.

Ans: A.   Actinic Keratoses.

Q148.Which of the following is the most common presenting symptom of non-cirrhotic portal hypertension?

A.     Chronic liver failure.

B.     Ascites.

C.     Upper gastrointestinal bleeding.

D.     Encephalopathy.

Ans: C.   Upper gastrointestinal bleeding.

Q149.In which of the following conditions left atrium is not enlarged:

A.     Ventricular septal defect.

B.     Atrial septal defect.

C.     Aorto-pulmonary window.

D.     Patent ductus arteriosus.

Ans: B.   Atrial septal defect.

Q150.The percentage of pulmonary emboli, that proceed to infraction, is approximately:

A.     0-5%.

B.     5-15%.

C.     20-30%.

D.     30-40%.

Ans: B.   5-15%.

Q151.Which of the following is not a major criteria for dignosis of multiple myeloma?

A.     Lytic bone lesions.

B.     Plasmacytoma on tissue biopsy.

C.     Bone marrow plasmacytosis > 30%

D.     M Spike > 3g% for 1g G, >2g% for 1g A.

Ans: A.   Lytic bone lesions.

Q152. Brain abscess in cyanotic heart disease is commonly located in :

A.     Cerebellar hemisphere

B.     Thalamus.

C.     Temporal lobe.

D.     Parietal lobe.

Ans: D.  Parietal lobe.

Q153. The presence of anti-Saccharomyces cerevisiae antibody is a surrogate marker of one of the following

A.     Coeliac disease

B.     Crohn’s disease

C.     Ulcerative colitis

D.     Tropical sprue

Ans: B.   Crohn’s disease

Q154.The most common cause of gastric outlet obstruction in India is:

A.     Tuberculosis

B.     Cancer of stomach

C.     Duodenal lymphoma

D.     Peptic ulcer disease

Ans: D.  Peptic ulcer disease

Q155.Which of the following parasitic infestation can led to malabsorption syndrome?

A.     Amoebiasis

B.     Adcariasis

C.     Hookworm infestation

D.     Giardiasis

Ans: D.  Giardiasis

Q156. Which of the following is not a feature of hypercalcemia:

A.     Diarrhoea

B.     Polyuria

C.     Depression

D.     Vomiting

Ans: A.   Diarrhoea

Q157.Joint erosions are not a feature of:

A.     Rheumatoid arthritis

B.     Psoriasis

C.     Multicentric reticulohistiocytosis

D.     Systemic lpus erythematosus

Ans: D.  Systemic lpus erythematosus

Q158. Anticentromere antibodies are most commonly associated with:


A.     Diffuse cutaneous systemic sclerosis

B.     Mixed connective tissue disease

C.     CREST syndrome

D.     Polymyositis

Ans: C.   CREST syndrome

Q159.A 58 years old woman, who had backache and recurrent chest infections for 6 months, develops sudden weakness of the legs and urinary retention.  Her investigations show a hemoglobin of 7.3gm/dl, serum calcium 12.6mg/dl, phosphate-2.5mg/dl, alkaline phosphatase-100u/l, serum albumin-3 gm/dl, globulin-7.1gm/dl and urea-178 mg/d.  What is the most likely diagnosis?

A.     Lung cancer

B.     Disseminated tuberculosis

C.     Multiple myeloma

D.     Osteoporosis

Ans: C.   Multiple myeloma

Q160.A 28 years old woman having limited cutaneous scleroderma for the last 10 years complains of shortness of breath for last one month.  Her pulmonary function tests (PFT) are as follows:

    PFT    Observed    Predicted

    FVC    2.63    2.82


    FEV1    88%    80%

    DLCO    5.26    16.3

          

    What is the most likely diagnosis in this case?

A.     Interstitial lung disease

B.     Pulmonary artery hypertension

C.     Congestive heart failure

D.     Bronchiectasis

Ans: A.   Interstitial lung disease

Q161.Which of the following is least likely to cause infective endocarditis:

A.     Staphylococcus albust

B.     Streptococcus faecalis

C.     Salmonella typhi

D.     Pseudomonas aeruginosa

Ans: C.   Salmonella typhi

Q162.All of the following may occur due to hyperkalemia, except:


A.     Prolonged PR interval

B.     Prolonged QRS interval

C.     Prolonged QT interval

D.     Ventricular asystole

Ans: C.   Prolonged QT interval

Q163.Renal artery stenosis may occur in all of the following, except:

A.     Atherosclerosis

B.     Fibromuscular dysplasia

C.     Takayasu’s arteritis

D.     Polyarteritis nodosa

Ans: D.  Polyarteritis nodosa


Q164.Sudden cardiac death may occur in all of the following, except:

A.     Dilated cardiomyopathy

B.     Hypertrophic cardiomyopathy

C.     Eisenmenger’s syndrome

D.     Ventricular septal defect

Ans: D.  Ventricular septal defect

Q165.All of the following are risk factors for atherosclerosis except:


A.     Increased waist-hip ratio

B.     Hyperhomocysteinemia

C.     Decreased fibrinogen levels

D.     Decreased HDL levels

Ans: C.   Decreased fibrinogen levels

Q166.All of the following may occur in Down’s syndrome except:

A.     Hypothyroidism

B.     Undescended testis

C.     Ventricular septal defect

D.     Brushfield’s spots
  
Ans: B.   Undescended testis

Q167.All of the following may be seen in patients of cardiac tamponade except:

A.     Kussmaul’s sign

B.     Pulsus paradoxus

C.     Electrical alternans

D.     Right ventricular diastolic collapse on echocardiogram

Ans: A.   Kussmaul’s sign