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Home > MCQs > JIPMER > 2003 > Medicine
  1. Normal anion gap acidosis is seen in?
    A. Diarrhoea
    B. Lactic acidosis
    C. Diabetic ketoacidosis
    D. Ethylene glycol poisoning

    Ans: A) Diarrhoea
     
  2. Type of Renal Tubular Acidosis associated with hyperkalemia is?
    A. Type I
    B. Type II
    C. Type III
    D. Type IV

    Ans: D) Type IV
    [By - Dr. Priyadarshi Hatekar, thanks...!!!]
    [Ref: Harrison's ]
     
  3. The most specific investigation among the following in Disseminated Intravascular Coagulation is?
    A. APTT
    B. Bleeding time
    C. Fibrinogen assays
    D. d-Dimer assays

    Ans: D) d-Dimer assays
     
  4. All of the following statements are true regarding the von willebrand's disease, except?
    A. Platelet count is abnormal
    B. Platelet count is normal
    C. Decreased coagulation with ADP
    D. Decreased time on Ristocetin test

    Ans: A) Platelet count is abnormal
    [Explanation -
    Regarding von Willebrand disease: it is the most common hereditary bleeding disorder in which the laboratory testing is notoriously variable and the patient's blood group affects the vWF level¡ªthat is, patients with blood group O have lower vWF levels than those with blood group A, B, or AB, by as much as 30%.
    Ristocetin test can assay the functional capabilities of vWF while platelet activation with either ADP or epinephrine can be used as an useful screening test. The platelet count is usually (but not invariably) normal. So, the best answer here is A. platelet count is abnormal.]

    [By - Dr. Souvik Adhikari, thanks...!!!]
     
  5. The peripheral smear of an anaemic patient with following indices would reveal: MCV - 114, MCH - 31, MCHC - 44?
    A. Pelger Heut Anomaly
    B. Hypersegmented neutrophils
    C. Malignant cells
    D. Dohle bodies
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  6. Fanconi's anaemia is?
    A. Allergic anaemia
    B. Autoimmune anaemia
    C. Immunologic anaemia
    D. Constitutional anaemia

    Ans: D) Constitutional anaemia
    [Explanation -
    Fanconi's anemia is a form of CONSTITUTIONAL anemia which is characterised by defective DNA repair caused by a variety of genetic mutations.]
    [By - Dr. Souvik Adhikari, thanks...!!!]
     
  7. Toxoplasma gondii infection is treated with the combination of pyrimethamine and?
    A. Amikacin
    B. Vancomycin
    C. Clindamycin
    D. Clarithromycin

    Ans: C) Clindamycin
    [By - Dr. Priyadarshi Hatekar, thanks...!!!]
    [Ref: Harrison's, 15th ed, Pg-1236]
     
  8. The drug used in the treatment of Hepatitis C, together with interferons is ?
    A. Amantadine
    B. Flucytosine
    C. Ribavirin
    D. Lamivudine

    Ans: D) Lamivudine
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  9. All of the following are causes of diarrhoea in a seropositive case of HIV infection, except?
    A. Acanthamoeba
    B. Cryptospora
    C. Isospora
    D. None

    Ans: A) Acanthamoeba
    [By - Dr. Priyadarshi Hatekar, thanks...!!!]
    [Ref: Harrison's, 15th, Pg-1885]
     
  10. Scleromalacis perforans is seen in which of the following?
    A. Vitamin A deficiency
    B. Herpetic keratitis
    C. Sicca syndrome
    D. Rheumatoid arthritis

    Ans: D) Rheumatoid arthritis
    [Explanation -
    Scleromalacia perforans is a thinning and perforation of the globe the lesion resembling a rheumatoid nodule sometimes encountered in patients with RHEUMATOID ARTHRITIS.]
    [By - Dr. Souvik Adhikari, thanks...!!!]
     
  11. All of the following may be complications of an A-V fistula made for dialysis, except?
    A. Aneurysm formation
    B. DVT
    C. Primary thrombosus formation
    D. High output heart failure
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  12. All of the following features are present in a patient suffering from COPD, except?
    A. Descent of trachea with inspiration
    B. Decreased FEV1/Vital capacity ratio
    C. Decreased Compliance of the lung
    D. Increased residual volume
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  13. ANCA is positive in all of the following except?
    A. Chrug strauss syndrome
    B. Wegener's granulomatosis
    C. Henoch Schonlein purpura
    D. Microscopic polyangitis
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  14. The most likely diagnosis in a patient who is brought unconscious to emergency and on investigations has, PaCO2 - 70 mm Hg, PaO2 - 50 mm Hg, and pH - 7.17 is?
    A. COPD
    B. hypersensitive pneumonitis
    C. hypoxic respiratory failure
    D. central respiratory depression
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  15. Tests positive for carbohydrate include all of the following except?
    A. Arabinose
    B. Erythrose
    C. Glucose
    D. Starch
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  16. Delta waves on EEG over Frontal region may be due to?
    A. Raised intracranial tension
    B. Hypoxic encephalopathy
    C. Metabolic encephalopathy
    D. Toxoplamosis
    [Contribute questions, options, answers, explanations, to mcqs@netmedicos.com ]
     
  17. HLA III codes for?
    A. Helper T cells
    B. Complement proteins

    Ans: B) Complement proteins
    [Explanation -
    HLA class III is actually not a part of the HLA complex but is located within the HLA region because its components are either related to the functions of HLA antigens or are under similar control mechanisms to the HLA genes. It contains loci responsible for COMPLEMENT, hormones, intracellular peptide processing and other developmental characteristics.]
    [By - Dr. Souvik Adhikari, thanks...!!!]

     




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