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(Single Best Answer) Question 1: A 6-month old boy weighing 3.2 kg presents with recurrent vomiting and polyuria. Investigations show blood urea 60 mg / dL, creatinine 0.7 mg / dL, calcium 12.8 mg / dL, phosphate 3 mg / dL, pH 7.45, bicarbonate 25 mEq/L and PTH 140 pg / ml (normal < 60 pg / ml). Daily urinary calcium excretion is reduced. Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis is ?
A) Bartter syndrome
B) Mutation of the calcium sensing receptor
C) Pseudo-pseudohypoparathyroidism
D) Parathyroid adenoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 70-yeard old male patient presented to the emergency department with pain in epigastrium and difficult in breathing for 6 hours. On examination, his heart rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest examination was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last 6 months. What should be the initial investigation ?
A) An ECG
B) An upper GI endoscopy
C) Urgent ultrasound of the abdomen
D) An x-ray chest
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: In a child, non-functioning kidney is best diagnosed by ?
A) Ultrasonography
B) IVU
C) DTPA renogram
D) Creatinine clearance
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: At 12 weeks of gestation, the best investigation to diagnose anencephaly would be ?
A) Amniography
B) Radiography
C) Ultrasonography
D) Serum alpha fetoprotein
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: Which of the following imaging modality is most sensitive to detect early renal tuberculosis ?
A) Intravenous urography
B) Ultrasound
C) Computed tomography
D) Magnetic resonance imaging
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: Which of the following is not an appropriate investigation for anterior urethral stricture ?
A) Magnetic Resonance Imaging
B) Retrograde Urethrogram
C) Micturating Cystourethrogram
D) High frequency Ultrasound
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: One year old male child is presented with poor urinary stream since birth. The investigation of choice for evaluation is ?
A) Voiding cystourethrography (VCUG)
B) USG bladder
C) Intravenous urography
D) Uroflometry
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: A young patient presents with history of dysphagia more to liquids than solids. The first investigation you will do is ?
A) Barium swallow
B) Esophagoscopy
C) Ultrasound of the chest
D) C T Scan of the chest
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: A 11-month old boy, weighing 3 kg, has polyuria, polydipsia and delayed motor milestones. Blood investigations show creatinine of 0.5 mg/dl, potassium 3mEq/L, sodium 125 mEq/L, chloride 88 mEq/L, calcium 8.8 mg/dl, pH 7.46 and bicarbonate 26 mEq/L. Ultrasonography shows medullary nephrocalcinosis. The most likely diagnosis is ?
A) Renal tubular acidosis
B) Diabetes insipidus
C) Bartters syndrome
D) Pseudohypoaldosteronism
Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: Which of the following imaging modalities is most sensitive for evaluation of extra-adrenal phaeochromocytoma ?
A) Ultrasound
B) CT
C) MRI
D) MIBG Scan
Answer (Select an option above to get the answer):
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