(Single Best Answer) Question 191: A 45 year old hypertensive male presented with sudden onset severe headache, vomiting and neck stiffness. On examination he didn't have any focal neurologic deficit. His CT Scan showed blood in the sylvian fissure. The probable diagnosis is ?
A) Meningitis B) Ruptured aneurysm C) Hypertensive bleed D) Stroke Answer (Select an option above to get the answer):
(Single Best Answer) Question 192: 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 193: A 3 year old boy is detected to have bilateral renal calculi. Metabolic evaluation confirms the presence of marked hypercalciuria with normal blood levels of calcium, magnesium, phosphate, uric acid and creatinine. A diagnosis of idiopathic hypercalciuria is made. The dietary management includes all , except ?
A) Increased water intake B) Low sodium diet C) Reduced Calcium intake D) Avoid meat proteins Answer (Select an option above to get the answer):
(Single Best Answer) Question 194: A 24 year old male presents to a STD clinic with a single, painless ulcer on external genitalia. The choice of laboratory test to look for the etiological agent would be ?
A) Scrappings from ulcer for culture on chocholate agar with antibiotic supplement B) Serology for detection of specific IgM antibodies C) Scrappings from ulcer for dark field microscopy D) Scarppings from ulcer for tissue culture Answer (Select an option above to get the answer):
(Single Best Answer) Question 195: A 24 year old female has flaccid bullae in the skin and oral erosions. Histopathology shows intraepidermal acantholytic blister. The most likely diagnosis is ?
A) Pemphigoid B) Erythema multiforme C) Pemphigus vulgaris D) Dermatitis herpetiformis Answer (Select an option above to get the answer):
(Single Best Answer) Question 196: A 21 year old primigravida is admitted at 39 weeks gestation with painless antepartum haemorrhage. On examination uterus is soft, non-tender and head engaged. The management for her would be ?
A) Blood transfusion and sedatives B) A speculum examination C) Pelvic examinaiton in OT D) Tocolysis and sedatives Answer (Select an option above to get the answer):
(Single Best Answer) Question 197: A 20 year old male had pain abdomen and mild fever followed by gastroenteritis. The stool examination showed presence of pus cells and RBCs on microscopy. The etiological agent responsible is most likely to be ?
A) Enteroinvasive E.coli B) Enterotoxigenic E.coli C) Enteropathogenic E.coli D) Enteroaggregative E.coli Answer (Select an option above to get the answer):
(Single Best Answer) Question 198: 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 199: 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):
A) An infected malignant melanoma B) A carbuncle C) A rapidly spreading rodent ulcer D) Anthrax of the skin Answer (Select an option above to get the answer):