MEDICINE MEDIC INE MCQs
Numan’s Numan’ s Book Series Seri es
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MEDICINE MCQs
Numan’s Book Series
ME$!$%EA M!'s CHAPTER
(!A)$O*AS!+,A) $SEASEReviewed by: Dr Hafeez-Ur- Rehman FCPS (Cardil!y" Cn&ul'an' Cardil!i&' n)har!e CCU
Dr Abdul Hadi #$$S (%#C" FCPS (Cardil!y"
Dr f'i*har Ahmad FCPS (Cardil!y"
____________________________________________________
1) A 59 years old female admitted with central chest plan ECG showed ST elevation in lead II III and a!"# $hat is the li%ely dia&nosis' a# Anterior wall (I # Inferior wall (I c# Anterolateral wall (I d# *osterior wall (I ____________________________________________________ +) A $ide p,lse press,re is a dia&nostic feat,re of a# Aortic stenosis # Aortic re&,r&itation c# *,lmonary stenosis d# (itral stenosis
.# B
2# B
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MEDICINE MCQs
Numan’s Book Series
-) $hich of the followin& is not incl,ded in .ones criteria of /he,matic "ever' a# Chorea # Erythema 0odos,m c# S,c,taneo,s nod,les d# Carditis ____________________________________________________ ) A 23 years old man presents with dyspnea on e4ertion and systolic m,rm,r# E4amination shows * of 133673 and a slow risin& p,lse# $hat is dia&nosis' a) (itral stenosis ) (itral re&,r&itation c) Aortic stenosis d) Aortic re&,r&itation ____________________________________________________ /0 A 3 year old man collapsed while ,nder&oin& tooth e4traction# 8o, open the airway there are no si&ns of reathin&# :e is p,lseless as well# $hat is the immediate ne4t step' a) Give resc,e reaths ) *lace in recovery position c) ;efirillate the patient d) Start chest compressions ____________________________________________________ 2) A raised .!* indicates which of the followin& conditions a) /i&ht heart fail,re ) (itral re&,r&itation c)
1# B
# !
/#
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3# A
MEDICINE MCQs
Numan’s Book Series
!4APTE) )ESP$)ATO)Y $SEASE Reviewed By: Dr +a&il %han FCPS (#edi)ine" FCPS (Pulm" Cn&ul'an' Pulmnl!i&'
Dr Abdul #uneem Cn&ul'an' Pulmnl!i&', Cn&ul'an' #DR-T$
Dr A*h'ar Ali FCPS (Pulmnl!y"
1) Treatment d,ration of new case of p,lmonary T is a# 2 months # 7 months c# 9 months d# 1+ months ____________________________________________________ +) *yrido4ine is ,sed alon& with anti T treatment to prevent which of the condition a) 0ephroto4icity ) 0e,roto4icity c) :epatoto4icity d) Anemia
2# B
5.# A
5.0 E"planation6 Accordin& to $:= &,idelines> + months of Intensive *hase ? months Contin,ation *hase
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MEDICINE MCQs
Numan’s Book Series
-) =ptic 0e,ritis is the adverse effect of which of the followin& a) /ifampicin ) Isonia@id c) Etham,tol d) *yra@inamide ____________________________________________________ ) $hich of the followin& or&anism is the most common ca,se of comm,nity ac,ired pne,monia a) :#Infl,en@ae ) (ycoplasma *ne,moniae c) Streptococc,s *ne,moniae d) (ore4ella Cattarhalis ____________________________________________________ 5) Clinical ,tility of CB/25 score is to a) ;etect the severity of asthma ) Admission criteria of C=*; c) ;etect the severity of *ne,monia d) Sta&e roncho&enic CA
_ 1# !
# !
D/# !
5/0 E"planation6 Britis7 T7oracic Societ8 9BTS0 !riteria6 CB/> C Conscio,s level B lood Brea / /espiratory rate * 25 A&e ____________________________________________________ 5
MEDICINE MCQs
Numan’s Book Series
2) $hich of the followin& is not &iven in ac,te e4aceration of C=*;' a) :i&h "low =4y&en ) 0e,li@ed Sal,tamol c) 0e,li@ed Ipratropi,m d) Steroids ____________________________________________________ ) Sarcoidosis is least li%ely to ca,se a) ;ry Eyes and (o,th ) Erythema 0odos,m c) "acial 0erve *aralysis d) (onoclonal Gammopathy ____________________________________________________ 7) -5 8ears old (an presents with chronic co,&h with copio,s amo,nt of 8ellow Sp,t,m which is worse in the mornin& is associated with chan&es in post,re the li%ely dia&nosis is a) Chronic ronchitis ) *ne,monia c) ronchiectasis d) T ____________________________________________________ 9) An elderly lady presented with fever in left sided chest pain for one month e4amination showed decreased chest movements stony d,ll perc,ssion note and asent reath so,nd on the left side# The chest F/ay is li%ely to show a) Collapse ) Consolidation c) *le,ral Eff,sion d) *ne,mothora4
____________________________________________________ 3# A :# ;# ! <# !
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MEDICINE MCQs
Numan’s Book Series
!4APTE) (En=ocrine isease> ia?etes Mellitus & ot7er =isor=ers of meta?olism.0 Treatment of Gestational ;iaetes (ellit,s G;() resistant to diet is> a) Ins,lin ) (etformin c) ;ianil d) Glienclamide ____________________________________________________ 20 A +9 years old woman in her +7 th wee% of &estation presents for a ro,tine prenatal visit# She does not have any complaints# :er vitals are normal# She is as%ed to in&est 53 m& of &l,cose and have her lood &l,cose chec%ed in one ho,r it ret,rns as 15 m&6dl# $hich of the followin& is est ne4t step in the mana&ement of this patient' a) Treat with ins,lin ) "S c) *erform =ral Gl,cose tolerance test d) Treat with S,lfonyl ,rea ____________________________________________________
.# A
. C
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MEDICINE MCQs
Numan’s Book Series
ME$!$%E PAPE)B M!'s CHAPTER /0a&'rin'e&'inal Di&ea&e1 2iver1 $iliary 'ra)' 3 Pan)rea'i) Di&ea&e4
.0 A +3 years old &irl with the history of contin,o,s fever for 13 days splenic tip is palpale le,copenia what is dia&nosis' a) Typhoid ) (alaria c) C(< d) :epatitis ____________________________________________________ 20 Cl,in& is feat,re of a# A/;S # (itral !alve ;isease c# C<; d# CA; ____________________________________________________
.# A
2# !
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MEDICINE MCQs
Numan’s Book Series
!4APTE) /RE5A2 DSEASE4 1) Glomer,loscelorosis is a feat,re of a) ;iaetes mellit,s ) :ypertension c) *rerenal ca,ses of renal impairment d) *ost renal ca,ses of renal impairment ____________________________________________________ +) Commonest type of 0ephrotic syndrome in children is a) "ocal ) ;iff,se c) (inimal chan&e d) *roliferative ____________________________________________________ 10 Interstitial nephritis is ca,sed y a) (ethicillin ) Ampicillin c) Clo4acillin d) *enicillin _____________________________________________________
________________________________________ .# B 2# ! 1#
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MEDICINE MCQs
Numan’s Book Series
0 A ten year old oy &ives history of swellin& of ody startin& from face and more on &ettin& ,p in the mornin&# =n e4amination his lood press,re is normal pallor is asent and H,&,lar veno,s press,re is not raised# Si&ns of ascites and ilateral ple,ral eff,sion are fo,nd# The first line of investi&ation in this case is> a) lood ,rea level# ) Chest F ray# c) Echocardio&raphy# d)
# E
/# A
3#
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