(Single Best Answer) Question 871: A 70-yeard old male patient presented to the emergency department with pain in epigastrium and difficult in breathing for 6 hours. On examination, his heart rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest examination was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last 6 months. What should be the initial investigation ?
A) An ECG B) An upper GI endoscopy C) Urgent ultrasound of the abdomen D) An x-ray chest Answer (Select an option above to get the answer):
(Single Best Answer) Question 872: A 63 year old man presents with a triad of angina, syncope and congestive cardiac failure. Which of the following valvular heart lesion can be suspected ?
A) Mitral stenosis B) Tricuspid regurgitation C) Aortic stenosis D) Aortic regurgitation Answer (Select an option above to get the answer):
(Single Best Answer) Question 873: A 6-month old boy weighing 3.2 kg presents with recurrent vomiting and polyuria. Investigations show blood urea 60 mg / dL, creatinine 0.7 mg / dL, calcium 12.8 mg / dL, phosphate 3 mg / dL, pH 7.45, bicarbonate 25 mEq/L and PTH 140 pg / ml (normal < 60 pg / ml). Daily urinary calcium excretion is reduced. Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis is ?
A) Bartter syndrome B) Mutation of the calcium sensing receptor C) Pseudo-pseudohypoparathyroidism D) Parathyroid adenoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 874: A 6 month old child is suffering from patent ductus arteriosus (PDA) with congetive cardiac failure. Ligation of ductus arteriosus was decided for surgical management. The most appropriate inhalational anaesthetic agent of choice with minimal haemodynamic alteration for induction of anaesthesia is ?
A) Sevoflurane B) Isoflurane C) Enflurane D) Halothane Answer (Select an option above to get the answer):
(Single Best Answer) Question 875: A 55 year old patient complains of decreased distance vision. However, not he does not require his near glasses for near work. The most likely cause is ?
A) Posterior subcapsular cataract B) Zonular cataract C) Nuclear sclerosis D) Anterior subcapsular cataract Answer (Select an option above to get the answer):
(Single Best Answer) Question 876: A 55 year old female comes to the eye casualty with history of severe eye pain, redness and diminution of vision. On examination the visual acuity is 6/60, there is circumcorneal congestion, corneal oedema and a shallow anterior chamber. Which of the following is the best drug of choice ?
A) Atropine ointment B) I.V. Mannitol C) Ciprofloxacin eye drops D) Betamethasone eye drops Answer (Select an option above to get the answer):
(Single Best Answer) Question 877: A 50-year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/l SGPT 700 IU/l and serum alkaline phosphatase was 280 IU/l. What is the most likely diagnosis ?
A) Acute pancreatitis B) Acute cholangitis C) Acute viral hepatitis D) Posterior penetration of peptic ulcer Answer (Select an option above to get the answer):
(Single Best Answer) Question 878: A 50 year old man presented with multiple pathological fractures. His serum calcium was 11.5 mg/dl and phosphate was 2.5 mg/dl. Alkaline phosphatase was 940 I.U./fl/ The most probable diagnosis is ?
A) Osteoporosis B) Osteomalacia C) Multiple myeloma D) Hyperparathyroidism Answer (Select an option above to get the answer):
(Single Best Answer) Question 879: A 50 year old male feels uncomfortable in using lift, being in crowded places and travelling. The most appropriate line of treatment is ?
A) Counselling B) Relaxation therapy C) Exposure D) Covert sensitization Answer (Select an option above to get the answer):
(Single Best Answer) Question 880: A 5 year old child is suffering from cyanotic heart disease. He is planned for corrective surgery. The induction agent of the choice would be ?
A) Thiopentone B) Ketamine C) Halothane D) Midazolam Answer (Select an option above to get the answer):