(Single Best Answer) Question 181: A 30 year old man who was recently started on haloperidol 30 mg/day developed hyperpyrexia, muscle rigidity, akinesia, mutism, sweating, tachycardia and increased blood pressure. The investigations showed increased WBC count, increased Creatinine Phosphokinase. There is no history of any other drug intake or any signs of infection. The most likely diagnosis is ?
A) Drug overdose B) Neuroleptic Malignant Syndrome C) Drug induced Parkinsonism D) Tardive Dyskinesia Answer (Select an option above to get the answer):
(Single Best Answer) Question 182: A 48 year old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, teleangiectasia. The most likely diagnosis would be ?
A) Basal cell carcinoma B) Squamous cell carcinoma C) Atypical melanoma D) Kaposi's sarcoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 183: A 45-year-old male having a long history of cigarette smoking presented with gangrene of left foot. An amputation of the left foot was done. Representative sections from the specimen revealed presence of arterial thrombus with neutrophilic infiltrate in the arterial wall. The inflammation also extended into the neighboring veins and nerves. The most probable diagnosis is ?
A) Takayasu arteritis B) Giant cell arteritis C) Hypersensitivity angitis D) Thromboangitis obliterans Answer (Select an option above to get the answer):
(Single Best Answer) Question 184: A 45 year old woman underwent a modified radical mastectomy 4 yr ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exertion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilateral rales in the lungs, S1, S2 audible, S3, S4 gallop present. Her BP is 149/117 mmHg, PR is 80/min. What is the most likely cause for her cardiac condition ?
A) Systolic dysfunction CHF B) Drug induced cardiac toxicity C) Metastatic cardiac disease D) Pneumonia Answer (Select an option above to get the answer):
(Single Best Answer) Question 185: A 45 year old gentleman has undergone truncal vagotomy and pyloroplasty for bleeding duodenal ulcer seven years ago. Now he has intractable recurrent symptoms of peptic ulcer. All of the following suggest the diagnosis of Zollinger Ellison syndrome, except ?
A) Basal acid output of 15 meq/hour B) Serum gastrin value of 500 pg/ml C) Ulcers in proximal jejunum and lower end of esophagus D) Serum gastrin value 200 pg/ml with secretin stimulation Answer (Select an option above to get the answer):
(Single Best Answer) Question 186: A 40 years old female patient presented with recurrent headaches. MRI showed an extra-axial, dural based and enhancing lesion. The most likely diagnosis is ?
A) Meningioma B) Glioma C) Schwannoma D) Pituitary adenoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 187: A 40 year old female patient presented with dysphagia to both liquids and regurgitation solids and for 3 moths. The dysphagia was non-progressive. What is the most likely diagnosis ?
A) Carcinoma of the esophagus B) Lower oesophageal mucosal ring C) Achalasia cardia D) Reflux esophagitis with esophageal stricture Answer (Select an option above to get the answer):
(Single Best Answer) Question 188: A 35 year old premenopausal patient has recently developed a 1.5 cm pigmented lesion on her back. Which of the following forms of tissue diagnosis will you recommend for her ?
A) Needle biopsy B) Trucut biopsy C) Excision biopsy D) Incisional biopsy Answer (Select an option above to get the answer):
(Single Best Answer) Question 189: A 30 year old woman with family history of hearing loss from her motherâ??s side developed hearing problem during pregnancy. Hearing loss is bilateral, slowly progressive, with bilateral tinnitus that bothers her at night. Pure tone audiometry shows conductive hearing loss with an apparent bone conduction hearing loss at 2000 Hz. What is the most likely diagnosis ?
A) Otosclerosis B) Acoustic neuroma C) Otitis media with effusion D) Sigmoid sinus thrombosis Answer (Select an option above to get the answer):
(Single Best Answer) Question 190: A 30 year old patient presented with history of jaundice for 10 days. His liver function tests showed bilirubin of 10 mg/dl, SGOT/SGPT â?? 1100/1450, serum alkaline phosphatase â?? 240 IU. He was positive for HbsAg. What should be the confirmatory test to establish acute hepatitis B infection ?
A) IgM Anti-HBc antibody B) HbeAg C) HBV DNA by PCR D) Anti-HBc antibody Answer (Select an option above to get the answer):