(Single Best Answer) Question 181: A 5 year old child is rushed to casualty reportedly electrocuted while playing in a park. The child is apneic and is ventilated with bag and mask. There are burns on each hand. What will be the next step in the management ?
A) Check pulses B) Start chest compressions C) Intubate D) Check oxygen saturation Answer (Select an option above to get the answer):
(Single Best Answer) Question 182: A 48 year old woman was admitted with a history of weakness for two months. On examination, cervical lymph nodes were found enlarged and spleen was palpable 2 cm below the costal margin. Her hemoglobin was 10.5 g/dl, platelet count 237 X 109/L and total leukocyte count 40 X 109/L, which included 80 % mature lymphoid cells with coarse clumped choromatin. Bone marrow revealed a nodular lymphoid infiltrate. The peripheral blood lymphoid cells were positive for CD19, CD5, CD20 and CD23 and were negative for CD79B and FMC-7. What is the most likely diagnosis ?
A) T-cell rich B-cell lymphoma with leukemic spill over in blood B) Chronic lymphocytic leukemia C) Mantle cell lymphoma D) A definite diagnosis cannot be made in this patient without lymph node biopsy Answer (Select an option above to get the answer):
(Single Best Answer) Question 183: A 45-year old male presents with 4 X 4 cm, mobile right solitary thyroid nodule of 5 months duration. The patient is euthyroid. The following statements about his management are true except ?
A) Cold nodule on thyroid scan is diagnostic of malignancy B) FNAC is the investigation of choice C) The patient should undergo hemithyroidectomy if FNAC report is inconclusive D) Indirect laryngoscopy should be done in the preoperative period to assess mobility of vocal cords Answer (Select an option above to get the answer):
(Single Best Answer) Question 184: A 45 year old woman, presenting with the history of diplopia and dysphagia worsening as the day progresses, can be diagnosed to have ?
A) Thyrotoxicosis B) Myasthenia gravis C) Muscular dystrophy D) Brain tumor Answer (Select an option above to get the answer):
(Single Best Answer) Question 185: A 45 year old female complains of lower abdominal pain and vaginal discharge. On examination there is cervicitis along with a mucopurulent cervical discharge. The gram smear of the discharge shows presence of abundant pus cells but no bacteria. The best approach to isolate the possible causative agent would be ?
A) Culture on chocolate agar supplemented with Haemin B) Culture on McCoy cells C) Culture on a bilayer of human blood agar D) Culture on vero cell lines Answer (Select an option above to get the answer):
(Single Best Answer) Question 186: A 30-year old lady delivered a healthy baby at 37 week of gestation. She was a known case of chronic hepatitis B infection. She was positive for HBsAg but negative for HBeAg. Which of the following is the most appropriate treatment for the baby ?
A) Both active and passive immunization soon after birth B) Passive immunization soon after birth and active immunization at 1 year of age C) Only passive immunization soon after birth D) Only active immunization soon after birth Answer (Select an option above to get the answer):
(Single Best Answer) Question 187: A 30 year old woman with coarctation of aorta is admitted to the labour room for elective caesarian section. Which of the following is the anaesthesia technique of choice ?
A) Spinal anaesthesia B) Epidural anaesthesia C) General anaesthesia D) Local anaesthesia with nerve blocks Answer (Select an option above to get the answer):
(Single Best Answer) Question 188: A 30 year old patient with history of recurrent headache was sent for fundus evaluation. he was found to be having generalized arterial attenuation with multiple cotton wool spots and flame shaped haemorrhages in both eyes. The most likely cause is ?
A) Diabetic retinopathy B) Hypertensive retinopathy C) Central retinal artery occlusion D) Temporal arteritis Answer (Select an option above to get the answer):
(Single Best Answer) Question 189: A 30 year old lady presents with features of malabsorption and iron deficiency anaemia. Duodenal biopsy shows complete villous atrophy. Which of the following antibodies is likely to be present ?
A) Antiendomysial antibodies B) Anti-goblet cell antibodies C) Anti-Saccharomyces cerevisae antibodies D) Antineutrophil cytoplasmic antibodies Answer (Select an option above to get the answer):
(Single Best Answer) Question 190: 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):