(Single Best Answer) Question 1461: 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 1462: 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 1463: 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 1464: 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 1465: 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 1466: 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 1467: 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 1468: 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):
(Single Best Answer) Question 1470: You have treated the simple and undisplaced fracture of shaft of right tibia in a nine year girl with above knee plaster cast. Parents want to know the prognosis of union of the fractured limb which was affected by poliomyelitis four years ago. What is the best possible advice will you offer to the parents ?
A) Fracture will unite slowly B) Fracture will not unite C) Fracture will unite normally D) Fracture will unite on attaining puberty Answer (Select an option above to get the answer):