1. A 28 year old lady develops atypical chest pain and she is advised exercise stress test to assess for coronary artery disease. In such a case, the test will have:
(a) High positive predictive value
(b) Low negative predictive value
(c) High false positive results
(d) High false negative results
Answer: (c)
2. Abnormality of which one of the following waves/segments of the ECG suggests an atrial enlargement?
(a) P-wave
(b) Q-wave
(c) T-wave
(d) ST segment
Answer: (a)
(a) P-wave
(b) Q-wave
(c) T-wave
(d) ST segment
Answer: (a)
3. Which one of the following does NOT cause ST segment elevation?
(a) Hypokalemia
(b) Pericarditis
(c) Left ventricular aneurysm
(d) Pulmonary embolism
Answer: (a)
(a) Hypokalemia
(b) Pericarditis
(c) Left ventricular aneurysm
(d) Pulmonary embolism
Answer: (a)
4. An elderly patient presents with exertional dyspnea. On examination, the patient has a slowrising carotid pulse, heaving apex beat and an ejection systolic murmur. The most likely
diagnosis is:
(a) Senile degenerative aortic stenosis
(b) Rheumatic heart disease with mitral stenosis
(c) Hypertrophic obstructive cardiomyopathy
(d) Myocardial infarction
Answer: (a)
5. A plateau of inspiratory limb of flow-volume curve during spirometry is suggestive of:
(a) Chronic obstructive pulmonary disease
(b) Extrathoracic large-airway obstruction
(c) Pulmonary fibrosis
(d) Interstitial lung disease
Answer: (b)
6. Which one of the following is NOT used/advised in the stepwise management of bronchial asthma?
(a) Inhaled short-acting beta 2 agonist (SABA)
(b) Inhaled corticosteroids (ICS)
(c) Oral theophyllines
(d) Oral leukotriene receptor agonists
Answer: (d)
7. A patient presents with fever, cough and expectoration of 4 days duration. On examination the respiratory rate is 30/min and auscultation reveals bronchial breathing. Which one of the following may help in deciding regarding hospitalization of the patient?
(a) APACHE-II score
(b) CURB-65
(c) GINA guidelines
(d) BODE index
Answer: (b)
8. Consider the following statements with regard to acute rheumatic fever:
1. It is an infectious illness characterized by fever, anorexia and joint pain.
2. It is an autoimmune condition.
3. Revised Duke’s criteria are used for the diagnosis.
4. A patient presenting with chorea may be the only feature of this condition.
Which of the above statements are correct?
(a) 1 and 3
(b) 2 and 4
(c) 2 and 3
(d) 3 and 4
Answer: (b)
9. Ulcerative colitis is characterized by all EXCEPT:
(a) Recurrence after surgery
(b) Mucus in stools
(c) Gross blood in stools
(d) Continuous disease spread
Answer: (a)
10. The urinary D-xylose test is useful in assessment of disease of:
(a) Stomach
(b) Kidney
(c) Small intestine
(d) Large intestine
Answer: (c)
diagnosis is:
(a) Senile degenerative aortic stenosis
(b) Rheumatic heart disease with mitral stenosis
(c) Hypertrophic obstructive cardiomyopathy
(d) Myocardial infarction
Answer: (a)
(a) Chronic obstructive pulmonary disease
(b) Extrathoracic large-airway obstruction
(c) Pulmonary fibrosis
(d) Interstitial lung disease
Answer: (b)
(a) Inhaled short-acting beta 2 agonist (SABA)
(b) Inhaled corticosteroids (ICS)
(c) Oral theophyllines
(d) Oral leukotriene receptor agonists
Answer: (d)
(a) APACHE-II score
(b) CURB-65
(c) GINA guidelines
(d) BODE index
Answer: (b)
1. It is an infectious illness characterized by fever, anorexia and joint pain.
2. It is an autoimmune condition.
3. Revised Duke’s criteria are used for the diagnosis.
4. A patient presenting with chorea may be the only feature of this condition.
Which of the above statements are correct?
(a) 1 and 3
(b) 2 and 4
(c) 2 and 3
(d) 3 and 4
Answer: (b)
(a) Recurrence after surgery
(b) Mucus in stools
(c) Gross blood in stools
(d) Continuous disease spread
Answer: (a)
(a) Stomach
(b) Kidney
(c) Small intestine
(d) Large intestine
Answer: (c)
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