Saturday, March 15, 2008

93 - test yourself in medicine - mcqs with answers and explanations - 401 to 500

401 - most common malignant tumour of the eyelids ?

basal cell carcinoma.

402 - ulcer serpens is caused by – PNEUMOCOCCUS

403 - sunflower cataract is seen in ?

answer is wilson's disease ( hepatolenticular degeneration )

--- i get confused with this snowflake and sunflower cataract . let me find a way to remember these. lets say THERE IS NOTHING FLORAL ABOUT DIABETES MELLITUS . that means sunflower cataract is related to wilson's disease and snowflake cataract is related to diabetes mellitus .

404 - snow flake cataract is seen in ?

answer is DIABETES MELLITUS

405 - match the following

pulsus paradoxus - cardiac tamponade

pulsus bisferiens - aortic stenosis and aortic regurgitation

pulsus alterans - left ventricular failure

pulsus parvus - aortic stenosis .

answer- all are correctly matched .

point to be noted - BOTH PULSUS BISFERIENS AND PULSUS PARVUS ARE SEEN IN AORTIC STENOSIS .

406 - in a patient with myocardial infarction the valvular lesion commonly seen is ?
answer is - mitral regurgitation .

407 - agent of first choice in an acute attack of prinzmetal's angina ?

answer is - nitrates ( sublingual nitroglycerin )

408 - what is the limb deformity u see in freeman-sheldon syndrome ?

a- severe CTEV

b- congenital dislocation of hip

c- congenital vertical talus

d- rocker bottom foot

the answer is a . this question was never asked and so i thought ill ask :-)

409 - bamboo spine - ossification of the lumbar spine - is seen in

ANKYLOSING SPONDYLITIS

410 - in 40 days of menstrual cycle , the ovulation occurs at?

a- 14 th day

b- 20 th day

c- 26 th day

d- 30 th day

the answer is c . no matter wat the length of the menstrual cycle is , the ovulation always occurs exactly 14 days before menstruation . so always have knowledge about ur girlfriend's menstrual cycle length before u do something .

411- in a newborn , vagina is lined by which epithelium?


a- squamous epithelium

b- transitional epithelium

c- columnar epithelium

d- stratified epithelium

answer is b . transitional epithelium . oh god how shud i remember this one .

412 - pH of vagina in adults ?

4.5 to 5.5 . i dont like choices here , they confuse u further .

413 - - tennis racquet cells seen in ?

Answer is Rhabdomyosarcoma

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414 - Which of the following Anti RetroViral Drugs causes Steven Johnson syndrome as its complication?

1. Nevirapine
2. Stavudine
3. Indinavir
4. Ritonavir

Answer : Nevirapine is a non nucleoside reverse transcriptase inhibitor associated with Steven Johnson's syndrome.

415 - which drug is not used along with ziduvudine
Answer is Stavudine
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416 - Didanosine causes pancreatitis.

Indinavir is assoicated with Renal stones.

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417 - Hadfield's operation is done for ? (APPG 2007, Manipal 2007)

1. Mondor's disease
2. Periductal mastitis
3. Traumatic fat necrosis
4. Galactocoele

Answer is : Duct ectasia/periductal mastitis ( option 2)

Bailey and Love 23rd edition page number 757:
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418 - which of the following conditions can be diagnosed with 100 percent and specificity using fine needle aspiration?
1. Medullary cancer
2. Colloid cancer
3. Follicular cancer
4. Anaplastic cancer
5. Papillary cancer

Answer is : Papillary carcinoma of thyroid ( option 5)
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419 - Which of the following mentioned below is correct for representation of the serial fundal heights in the form of a Graph? (Manipal 2007)
1. Gravidogram
2. Nomogram
3. Cervicogram
4. Partogram

Answer : Option 1 ( Gravidogram)

420 - "UREA CYCLE"

1. Carbomyl phosphate is formed in Mitochondria
2. Citrulline is formed in Cytoplasm
3. Arginase converts Arginine to Ornithine in the formation of UREA
4. Arginosuccinase leads to the formation of Fumarate
5. Enzymes of Urea cycle are induced if a high protein diet is consumed for several days.

Choose the incorrect statement ?
a. option 1,2
b. option 1,2,3
c. option 2 only
d. option 2,5

All the options mentioned are correct except the option 2

Citrulline is actually formed in Mitochondria and transported to Cytoplasm.

421 - Which of the following is the shortest diameter of the mentioned below?

1. Obstetrical conjugate
2. Diagonal conjugate
3. True conjugate
4. Posterior sagittal diameter of inlet

Answer : Option 4 ( Posterior sagittal diameter of inlet) which is 4.25 to 5cm ref : Mudhliar 9th edition page number 5.

422 - POLIOMYELITIS is an example of ?

1. Epidemic
2. Endemic
3. Sporadic
4. Exotic
5. Epizootic

option 3 . correct.

Park 18th edition page number 86 mentions:

The word sporadic means scattered about. The cases occur irregurlarly, haphazardly from time to time , and generally infrequently. The cases are so few and separated widely in space and time that they show little or no connection with each other, nor a recognizable common source of infection.

423 - "BANGALORE Method" is a type of ?
1. Dumping
2. Controlled tipping
3. Incineration
4. Composting
5. Burial

Bangalore method is an Anaerobic method of composting.

Further reading for all the aspirants is recommended on the topic of disposal ;
Reference : Park 18 th edition, page number : 561-563

424 - Which of the following doesn't cause pulmonary fibrosis? (CMC Vellore 2007)
1. Nitrofurantoin
2. Bleomycin
3. Methotrexate
4. Amiodarone
5. Cytosine arabinoside

All the options mentioned are correct exept option 5 ( cytosine arabinoside)

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425 - Which of the following is involved in the regulation of apoptosis?

1. Glucose-6-phosphatase
2. Adenyl cyclase
3. Nitric oxide synthase
4. Aquaporin 2
5. Cytochrome c


answer is 5 .

426 - Which of the following acts directly on the nucleus to produe physiologic effects?

1. IL-1 Beta
2. Growth Hormone
3. Ghrelin
4. Dopamine
5. Estradiol

Estradiol is the right answer.

427 - There are five Aquaporins have been identified.

Aquaporin -1, -2 and -3 are found in the kidneys

Aquaporin -4 is found in the brain

Aquaporin -5 is found in salivary and lacrimal glands and in the respiratory tract

aquaporins 9 have been identified

The vasopressin-responsive water channel in the collecting ducts is aquaporin-2

428 - Simultaneous conflicting feelings (such as both love and hate) about a person, idea, or object is known as ?

1. Autism
2. Affect
3. Association
4. Ambivalence

Ans : Ambivalence

429 - "Haemorrhagica histirionica" is an example of ?

1. Hospital hoboes
2. Borderline personality
3. Schizophrenia
4. Alice in wonderland syndrome

Haemorrhagica histrionica is an example of Hospital hoboes ( Munchausen syndrome)

The term was coined by Richard Asher in a paper in the Lancet in 1951,1 taking the name of the legendary Baron von Munchausen. Patients present with feigned or simulated illnesses. The patient gains many hospital admissions through deception, either feigning surgical illness, hoping for a laparotomy (laparotimophilia migrans), or bleeding alarmingly (haemorrhagica histrionica) or presenting with curious fits (neurologica diabolica) or false heart attacks (cardiopathia fantastica).1,2,3 These 'hospital hobos' may cause themselves considerable injury. They should not to be confused with those who present with a history suggestive of renal colic and demand that only an injection of pethidine will suffice.

430 - "Braunwald sign " is seen in ?
1. Dilated cardiomyopathy
2. Cardiac tamponade
3. Hypertrophied obstructive cardiomyopathy
4. Restrictive cardiomyopathy
5. Constrictive pericarditis

answer 3 .

Occurrence of a weak pulse rather than a strong pulse immediately after a premature ventricular contraction (PVC). To detect this sign, watch for a PVC during cardiac monitoring and check the quality of the pulse after it. Braunwald sign may indicate hypertrophic cardiomyopathy

431 - Which of the following drug has low extent of first pass metabolism?
1. Propranolol
2. Verapamil
3. Salbutamol
4. Methyl Testosterone
5. Theophylline

Answer : Option 5 ( Theophylline)

432 - "Werewolve hand" is seen in ?

1. Erythropoietic protoporphyria
2. Congenital erythropoietic porphyria
3. Porphyria cutanea tarda
4. Variegate porphyria

werewolf hand seen in congenital erythropoietic porphyria.

433 - Fasanella-Servat operation is done for ?

1. Ptosis
2. Blepharitis
3. Chalazion
4. External Hordeolum

answer 1 .

434 - CATARACTA BRUNESCENS is a type of ?

1. Congenital Cataract
2. Cortical Cataract
3. Nuclear Cataract
4. After Cataract

answer 3 .

435 - Moebius syndrome is associated with ?

1. Optic nerve
2. Oculomotor nerve
3. Vagus nerve
4. Facial nerve

answer is 4 . moebius syndrome is due to absence of facial nucleus.

436 - Gorlin's Sign is seen in ?
1. Myasthenia Gravis
2. Lambert Eaton Syndrome
3. Spino Muscular Atrophy
4. Ehler Danlos Syndrome

gorlin sign seen in ehler danlos syndrome...it`s the ability to touch the nose with the tongue!

437 - Congenital reduction or loss of subcutaneous fat and collagen of the hands and feet is called ?
1. Acrodynia
2. Acrogeria
3. Acroesthesia
4. Acrognosis

answer 2 .

438 - which of the following is not seen in pregancy?

1) increased fibrinogen

2) decreased fibrinolytic activity

3) thrombocytosis

4) unchanged protein –C

answer 3 .

439 - The Baermann culture technique for human feces helps to concentrate:

A. Enterobius vermicularis eggs.

B. Trichinella spiralis larvae.

C. Strongyloides stercoralis larvae.

D. Ascaris lumbricoides larvae.

Answer c .

440 - After India ink injection, the gravid proglottids of which cestode contain seven to thirteen branches on each side?

A. Taenia saginata

B. Taenia solium

C. Diphyllobothrium latum

D. Dipylidium caninum

answer b.

441 - Which of the following is the most common chromosomal abnormality associated with CLL ?

1. Trisomy 21
2. Trisomy 13
3. Trisomy 18
4. Trisomy 12

TRISOMY 12 & DELETIONS OF CHROMO 11&12

442 - Apple Jelly nodule seen in ?


a. syphilis
b. lupus vulgaris
c. tuberculosis

answer b .

443 - which of the following doesn't constitute Hutchison's triad?
a. Interstitial keratitis
b. Permanent deafness
c. Hutchinsons teeth(nothching of the two upper permanent incisors
d. Sabre Tibia

Ans : d

444 - CAGE questtionaire used in
1.alcoholism
2.mental retardation

ans 1

445 - absent a wave in jvp
1.atrial fibrillation
2.tricuspid atresia

ans 1

446 - kellys surgical repair done for


ans stress incontinence.

447 - virus associated with ca cervix are all except
1.human papilloma 12
2.HPV 16
3.HPV18
4.HPV31


ans 1

448 - Which of the following is used for grading of osteoporosis?
a. Singh's Index
b. Natarajan Index

Ans: a Singh's Index

449 - absense of fructose in semen indicates


ans.blockage of seminal vesicle.

450 - casts common in normal urine


a)hyaline
b)rbc
c)epithelial

answer a .

451 - FOX sign is seen in?

a)Gall stone ileus
b)ulcerative colitis
c)acute pancreatitis
d)aortic aneurysm

answer c .

452 - Tribadism is?
a)man havng anal sex with man
b)women having sex with women
c)man having anal sex with women
d)women having sex with animal

answer b .

453 - fluoride inhibits which enzyme in glycolysis:
a)enolase b)aconitase c)succinate dehydrogenase

answer a .

454 - Strawberry vagina is seen in?
a)lactobacillus
b)Trichomonas vaginalis
c)candida infection

answer b .

455 - Scaphocephaly is due to fusion of:

1. sagittal suture
2. caronal suture
3. lamboid suture
4. forgot

ans is sagittal suture

456 - In PAN all are involved except :

1. lung
2. liver
3. kidney
4. pancreas

answer is lung.

457 - Long arm chromosome 5 deletion is seen in


a) Crohn`s disease
b) Ulcerative colites
c)Polyposis coli
d) Pheochromocytoma

answer c .

Ulcerative colitis & crohn's -----Chromosome no.1, 3, 7, 12, 16

pheocromocytoma----------Ch.9

Poly.coli------Ch.5

in cri du chat syndrome there is deletion of one arm of the 5th chrmosome .
the child crys like a cat{mew}

458 - Shield ulcer is seen in
• Plycten
• Spring catarrh
• Conjunctivitis

answer b .

459 - a child is able to skip by
• 48months
• 54 months
• 60months
• 72 months

Answer 60 Months. 5 years .

460 - crystalline lens of eye develops from
• Surface ectoderm
• Nero ectoderm
• Mesoderm


Answer surface ectoderm

461 – kehr’s sign – splenic rupture – pain over left shoulder .

462 - charcot’s triad – pain , jaundice and fever – cholangitis – inflammation of bile duct

463 – more appropriate for diagnosis of cbd stones ?

answer: ERCP.

464 – MOST COMMON TYPE OF RENAL CELL CARCINOMA ?

ANS: CLEAR CELL TYPE

465 – 16 AND 4 – ADULT POLYCYSTIC KIDNEY DISEASE 1 AND 2.

466 – Diffuse general peritonitis – 45 % of 2nd and 3rd degree burns

467 – peritoneal mice – appendicular epiploicae

468 – odourless peritoneal fluid – perforated peptic ulcer .

469 – mid axillary line- 8th intercostal space – liver biopsy ?

answer- lung injury .

470 - yellow coloured crusts are seen in?

Impetigo.

471 – resting ureteric pressure – 0 to 5 cms of water .

472 – flower vase type of pelvis – on intravenous urethrogram – horse shoe kidney .

473 – ectopic ureter – paradoxical incontinence .

474 – TB kidney – sometimes the only presentation – increased frequency.

475 – fluid levels are absent in ? meconium ileus .

476 – coffee bean sign –sigmoid volvulus .

477 – commonest site of ischemic colitis ?

answer : splenic flexure .

478 – burst abdomen – 7 th day .

479 – 1 unit of blood – increases hb by one gram .

480 – millroy’s disease – congenital lymphedema .

481 – cns tumor with calcification – oligodendroglioma ( 70 to 90 % )

even other tumors of brain show calcification .

482 – cyanotic heart disease – brain abscess – most common site – parietal lobe .

483 – cleft palate + mandibular hypoplasia + respiratory obstruction – Pierre robin syndrome

484 – folds of Hoboken are seen in ?

answer: umbilical cord.

485 – weight of placenta at term ?

answer: 500 gms.

486 – shortest diameter among the following?

a- true conjugate

b- obstetric conjugate

c- diagonal conjugate

d- none

answer is b . obstetric conjugate

487 – zygote reaches the uterine cavity at how many celled stage ?

answer: 16 celled stage.

488 – the most common site of puerperal infection is ?

a- episiotomy wound

b- placental site

c- vaginal laceration

d- cervical laceration

answer is b . placental site .

489 – commonest cause for puerperal sepsis ?

answer: streptococci.

490 – fastest acting triptan?

Answer: rizatriptan

491 – blue urine is seen with ?

answer: mitoxantrone.

492 – pus is rich in?

answer: PABA .

493 – drug of choice in pneumocystis carinii?

Answer: cotrimoxazole.

494 – oral contraceptive failure occurs by intake of ?

answer: RIFAMPICIN.

495 – coronary steal phenomenon is caused by which drug ?

answer: dipyridamole.

496 – lithium is used in a pregnant woman which congenital anamoly can occur in the fetus ?

answer: ebstein’s anamoly.

497 – HMG coA reductase inhibitors ?

answer: statins .

498 – drug of choice in absence seizures?

Answer: valproate and ethosuximide.

499 – drug of choice in partial seizures?

Answer: carbamazepine .

500 – dancing carotid sign – thyrotoxicosis , aortic regurgitation and any condition with hyperdynamic circulation .

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