23 - medicine 2 mcqs - 11 to 20

11) Following are Criteria for Rheumatoid arthritis except

a. morning stiffness for half hour

b. simultaneous 3 joints involved

c. asymmetrical joint involvement

d. small joints are affected

Answer c) Asymmetrical involvement

Reference: Harrison 15^th Edition Chapter 312

12) Non modifiable risk factor for Atherosclerosis is

a. High Cholesterol diet

b. Sedantary life style

c. Smoking

d. Lipoprotein a

Answer d) Lipoprotein a

Reference: Harrison 16th Edition

13) Sign which does not indicate Secondary hypertension

a. Renal Bruit

b. Acromegaly

c. Hypercalcemia

d. Diabetes

Answer d) Diabetes

Reference: Harrison 15th Edition chapter 246

14) Chronic diarrhea results in the following acid base imbalance

a. Normal anion gap metabolic acidosis

b. Metabolic alkalosis

c. Increased anion gap metabolic acidosis

d. Respiratory acidosis

Answer a) Normal anion gap metabolic acidosis

Reference: Harrison 16th Edition

15) Cardiac enzyme elevated after MI

a. CPK

b. LDH

c. Troponin

d. All of the above

Answer d) All of the above

Reference: Harrison 16th Edition

16) Giant a waves in JVP is formed by all of the following except

a. Tricuspid Stenosis

b. Tricuspid Atresia

c. Pulmonary Stenosis

d. Atrial Fibrillation

Answer d) Atrial Fibrillation

Reference: Harrison 16th Edition

17) All of the following cause Right Ventricular Hypertrophy except

a. Pulmonary Stenosis

b. Pulmonary Hypertension

c. Tetralogy of Fallot

d. Tricuspid Stenosis

Answer d) Tricuspid Stenosis

Reference: Harrison 16th Edition

18) Consistent finding in Pulmonary Embolism

a. Tachycardia

b. P₂ loud

c. Both

d. None

Answer c) Both

Reference: Harrison 15th Edition Chapter 261

19) Pulmonary air embolism occurs with excess of

a. 30 ml

b. 50 ml

c. 100 ml

d. 10 ml

Answer c) 100 ml of air

Reference: Harrison 16th Edition (The actual data is amount of air per second. For example 70 ml of air pushed in 1 second is more dangerous than 2 ml of air every second for one hour)

20) Primary Raynaud syndrome commonly affects

a. Large Arteries

b. Upper limb arteries

c. Venules

d. Capillaries

Answer a) Upper Limb arteries

Reference: Surgical Short Cases Das 2^nd Edition Page 211