(Single Best Answer) Question 181: A 40 year old male patient, is suffering from type II diabetes mellitus and hypertension. Which of the following antihypertensive drugs should not be used in such patients ?
A) Lisinopril B) Hydrochlorthiazide C) Losartan D) Trandolopril Answer (Select an option above to get the answer):
(Single Best Answer) Question 182: A 40 year old male is admitted with complaints of abdominal pain and headache. General physical examination revealed six scars on the abdomen from previous surgeries. He seems to maintain a sick role and seeks attention from the nurses. He demands multiple diagnostic tests including a liver biopsy. The treating team failed to diagnose any major illness in the patient. His mental status examination did not reveal any major psychopathology. One of the treating staff recognized him to have appeared in several other hospitals with abdominal pain and some other vague complaints. He is most likely suffering from ?
A) Schizophrenia B) Malingering C) Somatisation disorder D) Factitious disorder Answer (Select an option above to get the answer):
(Single Best Answer) Question 183: A 35 year old non-smoker presents with 2 episodes of mild hemoptysis. There is no history of fever or any constitutional symptoms. A plain x-ray of chest is found to be normal. Which one of the following should be the next step in the diagnostic evaluation of this patient ?
A) Bronchography B) High-resolution computed tomography C) Contrast-enhanced computed tomography D) Fibreoptic bronchoscopy Answer (Select an option above to get the answer):
(Single Best Answer) Question 184: A 30-year old male with history of alcohol abuse for 15 years is brought to the hospital emergency with complaints of fearfulness mis-recognition, talking to self, aggressive behaviour, tremulosness and seeing snakes and reptiles that are not visible to others around him. There is a history of drinking alcohol two days prior to the onset of the present complaints. He is most likely suffering from ?
A) Delirium tremens B) Alcoholic hallucinosis C) Schizophrenia D) Seizure disorder Answer (Select an option above to get the answer):
(Single Best Answer) Question 185: A 30 year old manic patient was prescribed haloperidol one week back. For last two days he has become restless and kept pacing in the room for a day. On examination he was found to have tremors of hand. He is most likely suffering from?
A) Anhedonia B) Dystonia C) Restless leg syndrome D) Akathisia Answer (Select an option above to get the answer):
(Single Best Answer) Question 186: A 30 year old male patient has a large, spreading and exuberant ulcer with bright red granulation tissue over the glans penis. There was no lymphadenopathy. The most likely causative organism is ?
A) Treponema pallidum B) Herpes simplex virus type 1 C) Herpes simplex virus type 2 D) Calymmatobacterium granulomatis Answer (Select an option above to get the answer):
(Single Best Answer) Question 187: A 30 year old female epileptic on phenytoin, developed weakness and fatigue. Blood examination revealed Hb=4.6 gm, MCV=102fl and MCH=40pg/dL. What is the most probable diagnosis ?
A) Heart failure B) Iron deficiency Anaemia C) Phenytoin induced agranulocytosis D) Megaloblastic anaemia Answer (Select an option above to get the answer):
(Single Best Answer) Question 188: A 25 year old university student had a fight with the neighboring boy. On the next day while out, he started feeling that two men in police uniform were observing his movements. When he reached home in the evening he was frightened. He expressed that police was after him and would arrest him. His symptoms represent ?
A) Delusion of persecution B) Ideas of reference C) Passivity D) Thought insertion Answer (Select an option above to get the answer):
(Single Best Answer) Question 189: A 25 year old executive presents with metamorphopsia in his right eye. On examination the fundus shows a shallow detachment at the macula. The fluorescein angiography shows a "smoke stack sign". Which of the following management should be given ?
A) Topical antibiotic - corticosteriod combination B) Systemic corticosteriod for two weeks and then taper C) Pulse Methyl Prednisolone for three days and then taper D) Just wait and watch for spontaneous recovery Answer (Select an option above to get the answer):
(Single Best Answer) Question 190: A 24 year old man had multiple, small hypopigmented macules on the upper chest and back for the last three months. The macules were circular, arranged around follicles and many had coalesced to form large sheets. The surface of the macules showed fine scaling. He had similar lesions one year ago which subsided with treatment. The most appropriate investigation to confirm the diagnosis is ?
A) Potassium hydroxide preparation of scales B) Slit skin smear from discrete macules C) Tzanck test D) Skin biopsy of coalesced macules Answer (Select an option above to get the answer):