Medicine Special Test-1

 Test No: 01,  Dated: 12th January 2012.  
Time Duration : 20 Mins, Total Marks: 10 x 1 = 10.
NB. Answers should be written in a single comment,
For Example, 1D, 2B, 3,C............,7A,.......,10C


01.A 56-year-old man is admitted to the hospital for chest pain of 2-hour
duration. His heart rate is 42 bpm, with sinus bradycardia on ECG, as
well as ST-segment elevation in leads II, III, and aVF. Which of the
following is the most likely diagnosis?
A. He is likely in good physical condition with increased vagal tone.
B. He likely has suffered an inferior wall MI.
C. He likely has an LV aneurysm.
D. The low heart rate is a reflection of a good cardiac ejection fraction.


02.Which of the following is a useful clue to the
diagnosis of Legionella pneumonia?
(A) diarrhea
(B) rash
(C) pedal edema
(D) elevated serum glucose
(E) photophobia

03. Which of the following tests is the most important to follow for a
patient receiving isoniazid and rifampin for tuberculosis treatment?
A. Renal function tests
B. Liver function tests
C. Slit-lamp examinations
D. Amylase and lipase tests

04. A 22-year-old woman is pregnant and at 14-week gestation. Her hemoglobin
level is 9 g/dL. She asks why she could have iron deficiency
when she is no longer menstruating. Which of the following is the best
explanation?
A. Occult gastrointestinal blood loss
B. Expanded blood volume and transport to the fetus
C. Hemolysis
D. Iron losses as a result of relative alkalosis of pregnancy


05.While examining a 46-year-old woman, you hear
a diastolic murmur that is increased when the
patient is in the left lateral decubitus position.
You ask her to run in place for 3 minutes, and the
murmur is found to be accentuated as well by
exercise. What is the most likely valvular defect?
(A) aortic regurgitation
(B) mitral stenosis
(C) tricuspid stenosis
(D) pulmonic regurgitation
(E) VSD


06.A 23-year-old man presents complaining of
severe crampy abdominal pain and blood in
his stool over the past 2 days. Asimilar episode
occurred a few months ago and spontaneously
resolved. No history of travel. Abdominal x-ray
shows mild colonic dilatation. Which of the
following is the most likely diagnosis?
(A) ulcerative colitis
(B) viral gastroenteritis
(C) irritable bowel syndrome
(D) celiac sprue
(E) Whipple disease


07.A 36-year-old woman with HIV is admitted with new-onset seizures.
The CT scan of the head reveals multiple ring enhancing lesions of
the brain. Which of the following is the best therapy for the likely
condition?
A. Rifampin, isoniazid, ethambutol
B. Ganciclovir
C. Penicillin
D. Sulfadiazine with pyrimethamine


08. A 24-year-old man develops seizures following an emergent splenectomy
after a car accident. His serum sodium level is initially 116 mEq/L
and is corrected to 120 mEq/L over the next 3 hours with hypertonic saline.
Which of the following factors most likely led to his hyponatremia?
A. Elevation of serum vasopressin
B. Administration of hypertonic solutions
C. Volume depletion
D. Seizure-induced hyponatremia


09.Which of the following agents most closely resembles the action of
alcohol in the brain?
A. Amphetamines
B. Marijuana
C. Cocaine
D. Benzodiazepine
E. Acetaminophen


10.A 57-year-old man is noted to have a blood pressure 68/50 mm Hg,
heart rate 140 bpm, elevated jugular venous pressure, inspiratory
crackles on examination, and cold clammy extremities. Which of the
following is the most likely etiology?
A. Septic shock
B. Adrenal crisis
C. Cardiogenic shock
D. Hypovolemic shock




Answer will Publish Soon.

Posted in: Medicine