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Fever
(Single Best Answer) Question 1: A cholera case differs from the case of food poisoning on the following points except ?
A) Incubation period in cholera is longer i.e. 2 to 5 days
B) Frequent effortless purging
C) Rice watery stools
D) Fever, fast pulse and head ache
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 2 year old boy presents with fever for 3 days which responded to administration of paracetamol. Three days later he developed acute renal failure, marked acidosis and encephalopathy. His urine showed plenty of oxalate crystals. The blood anion gap and osmolal gap were increased. Which of the following is the most likely diagnosis ?
A) Paracetamol poisoning
B) Diethyl glycol poisoning
C) Severe malaria
D) Hanta virus infection
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A patient of Acute lymphocytic leukemia with fever and neutropenia develops diarrhoea after administration of amoxicillin therapy, which of the following organism is most likely to be the causative agent ?
A) Salmonella typhi
B) Clostridium difficile
C) Clostridium perfringens
D) Shigella flexneri
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A 25-year old farmer presented with history of high grade fever for 7 days and altered sensorium for 2 days. On examination, he was comatosed and had conjunctival hemorrhage. Urgent investigations showed a hemoglobin of 11 gm/dl, serum bilirubin 8 mg/dl and urea 78 mg/dl. Peripheral blood smear was negative for malarial parasite. What is the most likely diagnosis ?
A) Brucellosis
B) Weil's disease
C) Acute viral hepatitis
D) Q fever
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: A four year old boy was admitted with a history of abdominal pain and fever for two months, maculopapular rash for ten days, and dry cough, dyspnea and wheezing for three days. On examination, liver and spleen were enlarged 4 cm and 3 cm respectively below the costal margins. His hemoglobin was 10.0 g/dl, platelet count 37 x 109/L and total leukocyte count 70 x 109/L, which included 80% eosinophils. Bone marrow examination revealed a cellular marrow comprising 45% blasts and 34% eosinophils and eosinophilic precursors. The blasts stained negative for myeloperoxidase and non-specific esterase¬ and were positive for CD 19, CD 10, CD22 and CD20. Which one of the following statements in not true about this disease ?
A) Eosinophils are not part of the neoplastic clone
B) t(5; 14) rearrangement may be detected in blasts
C) Peripheral blood eosinophilia may normalize with chemotherapy
D) Inv (16) is often detected in the blasts and the eosinophils
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A 15 year old boy with mass shaft of tibia complains of pain in the lower limb & fever. Histopathology shows small round cells. Most likely diagnosis is ?
A) Osteochondroma
B) Giant cell carcinoma
C) Osteosarcoma
D) Ewing's sarcoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: Deep Venous Thrombosis may present with ?
A) Cyanosis
B) Tachycardia
C) Fever of high grade
D) Almost no symptoms
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: A 40-year-old man has a chronic cough with fever for several months. The chest radiograph reveals a diffuse reticulonodular pattern. Microscopically on transbronchial biopsy there are focal areas of inflammation containing epithelioid cell granuloma, Langhans giant cells, and lymphocytes. These findings are typical for which of the following type of hypersensitivity immunologic responses ?
A) Type I
B) Type II
C) Type III
D) Type IV
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: A 12 year old girl complains of pain persisting in his left leg. For several weeks with a low grade fever. A radiograph reveals a mass in the diaphyseal region of the left femur with overlying cortical erosion and soft tissue extension. A biopsy of the lesion shows numerous small round cells, rich in PAS positive diastase sensitive granules. The most likely histological diagnosis is ?
A) Osteogenic sarcoma
B) Osteoblastoma
C) Ewing's sarcoma
D) Chondroblastoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: A man presents with fever and chills 2 weeks after a louse bite. There was a maculopapular rash on the trunk which spread peripherally. The cause of this infection can be ?
A) Scrub typhus
B) Endemic typhus
C) Rickettsial pox
D) Epidemic typhus
Answer (Select an option above to get the answer):
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