End of M3 Medicine Posting (June-Aug 2004) Mcqs

End Of M3 Medicine Posting (June-Aug 2004) MCQs

Which of the following is not true about Helicobacter Pylori gastritis? A. The organism attaches to specific receptors on the surface mucosa cells B. Invasion of the lamina propia happens with acquired immunodeficiency C. It has characteristic clinical and endoscopic features D. Both the gastric antrum and body are affected in the majority of cases E. It can be diagnosed by urease testing

The following are features of IBS except: A. Abdominal pain associated with more frequent stools B. Nocturnal diarrhea that disrupts sleep C. Abdominal pain associated with looser stools D. Tenesmus E. Pain relief after defecation

Small pupils are associated with: A. Third nerve lesion B. Anti-cholinergic usage C. Holmes-Adie syndrome D. Mydriatic usage E. Horner’s syndrome

The following are typical features of malignant hypertension except: A. normal mental status B. diastolic BP > 140mmHg C. Proteinuria D. Microangiopathic hemolytic anemia E. Retinal hemorrhage

The following are caused by portal hypertension except: A. Esophageal varices B. Gastric varices C. Increased splenic flow D. Ascites E. Jaundice

You see a 27yr old man who had occasional seizures in the left hand in the emergency department. He was confused and had a right sided headache. Lumbar puncture revealed blood in the CSF. He most likely has A. Ruptured intracranial aneurysm B. Cerebellar pontine angle formation tumour C. Arterio-venous malformation D. Vacular astrocytoma E. Cerebral hemangioblastoma T.B. Pleural effusion fluid – A. Is haemorrhagic B. Bilateral C. Predominantly lymphocytic D. Low protein content E. Has acid-fast bacilli

Extensor plantar response is elicited in the following except A. infants B. deep sleep in normal people C. patients in coma, due to any cause D. parasagittal meningioma E. intervertebral disc prolapse resulting in impingement of the L5 root

Platelet dysfunction or deficiency is seen in all of the following except A. aspirin use B. warfarin use C. uraemia D. HIV E. Glanzmann's disease

Iron deficiency anemia occurs in A. end-stage renal failure B. dysmennorhea C. carcinoma of colon D. cerebral heamorrhage E. chronic pancreatitis

Respiratory failure with a decreased pO2 and decreased pCO2 is not seen in A. pneumonia B. chronic bronchitis C. bronchial asthma D. pulmonary edema E. pulmonary embolism

The following causes of central cyanosis are not corrected by administration of a high concentration of oxygen: A. CCF B. High hematocrit C. Pulmonary fibrosis D. Fallot’s tetralogy E. Emphysema A single hot red joint is most likely due to A. Rheumatoid arthritis B. Septic arthritis C. Vasculitis D. SLE E. Reiter’s disease

Unconjugated hyperbilirubinemia is seen in: A. Gilbert’s disease B. Rotor C. Dublin-Johnson D. Primary sclerosing cholangitis E. Primary biliary cirrhosis

The first laboratory abnormality seen in viral hepatitis A. Increase in serum liver enzymes B. Increase in bilirubin C. Increase in Alkaline phosphatase D. ??? E. ???

Features of dengue include: A. Hemodilution B. Leukocytosis C. Chronic carrier state D. Life-long immunity E. Hepatomegaly

Hepatitis A is A. DNA virus B. A common cause of chronic liver disease C. Causes prolonged jaundice D. A cause of HCC E. A cause of high mortality in Singapore

The following features are found in pulmonary embolism except: A. Tachycardia B. Tachypnoea C. LBBB D. Raised hemidiaphragm on affected side E. Atelectasis Most sensitive clinical index of fluid retention in the body A. Raised JVP B. Decreased frequency of micturition C. Increased body weight D. Pitting edema E. Decreased osmolarity of urine

Which of the following is not a risk factor of stroke? A. hypertension B. Atrial fibrillation C. Thyrotoxicosis D. Diabetes mellitus E. Rheumatic heart disease

UMN lesion causes A. Flaccid paresis B. Fasciculations C. Clonus D. Increased abdominal reflex E. Marked muscle wasting

Hematuria is a feature of A. Diabetic nephropathy B. Renal agensis C. Glomerulonephritis D. Renal artery stenosis E. Retroperitoneal fibrosis

Most reliable clinical sign of dehydration is A. Decreased skin turgor B. Decreased intraocular pressure C. Dry tongue D. Postural hypotension E. Tachycardia

Following are features of hypothyroidism except A. Dry coarse skin B. Slurred speech C. Delayed tendon reflexes D. Hoarseness of voice E. Excessive weight gain A 15 yr old boy comes in with gross painless hematuria one day after a sore throat and unproductive cough. The following are possible diagnosis A. SLE B. Post-streptococcal glomerulonephritis C. Urinary tract infection D. IgA nephropathy E. Renal stones

A 24 yr old diabetic presents with coma and rapid breathing. Sodium 105mmol/L Carbon dioxide 6 mmol/L Urea 10.2 mmol/L Glucose 35 mmol/L

Possible cause for his hyponatremia is: A. SIADH B. Inadequate sodium intake C. Pseudohyponatremia D. Anterior pituitary insufficiency E. Adrenocortical insufficiency

What good is it for a man to gain the whole world, and yet lose or forfeit his very self?