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