(Single Best Answer) Question 91: A 40 year old patient has undergone an open cholecystectomy. The procedure was reported as uneventful by the operating surgeon. She has 100 ml of bile output from the drain kept in the gall bladder bed on the first post operative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are normally heard. As an attending physician, what should be your best possible advice ?
A) Order an urgent endoscopic retrograde cholangiography and biliary stenting B) Urgent laparotomy C) Order an urgent hepatic iminodiacetic acid scintigraphy (HIDA) D) Clinical observation Answer (Select an option above to get the answer):
(Single Best Answer) Question 92: A young man weighing 65 Kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 Kcal per Kg body weight/day. This young man was given a solution containing 20% glucose and 4.25% protein. If 3000ml of solution is infused per day ?
A) The patient would not be getting sufficient protein B) The calories supplied would be inadequate C) Both protein and calories would be adequate D) Too much protein is being infused Answer (Select an option above to get the answer):
(Single Best Answer) Question 93: A 50 year old male suffering from renal failure, underwent kidney transplant. He was prescribed a nucleotide derivative following the organ transplant. The nucleotide derivative of therapeutic importance in this organ transplant is ?
A) Azathioprine B) 5-Fluorouracil C) Cytarabine D) Allopurinol Answer (Select an option above to get the answer):
(Single Best Answer) Question 94: A three year old male child presents with history of constipation and abdominal distension for the last two years. The plain radiograph of abdomen reveals fecal matter containing distended bowel loops. A barium enema study done subsequently shows a transition zone at the rectosigmoid junction with reversal of recto-sigmoid ratio. The most probable diagnosis is ?
A) Anal atresia B) Malrotation of gut C) Hirschprung's disease D) Congenital megacolon Answer (Select an option above to get the answer):
(Single Best Answer) Question 95: A young patient presents with history of dysphagia more to liquids than solids. The first investigation you will do is ?
A) Barium swallow B) Esophagoscopy C) Ultrasound of the chest D) C T Scan of the chest Answer (Select an option above to get the answer):
(Single Best Answer) Question 96: After a minor head injury a young patient was unable to close his left eye and had drooling of saliva from left angle of mouth. He is suffering from ?
A) VIIth nerve injury B) Vth nerve injury C) IIIrd nerve injury D) Combined VIIth adn VIIIth nerve injury Answer (Select an option above to get the answer):
A) Xanthine B) Cysteine C) Allopurinol D) Orotic acid Answer (Select an option above to get the answer):
(Single Best Answer) Question 98: An adult old man gets a burn injury to his hands. Over few weeks , the burned skin heals without the need for skin grafting. The most critical factor responsible for the rapid healing in this case is ?
A) Remnant skin appendages B) Underlying connective tissue C) Minimal edema and erythema D) Granulation tissue Answer (Select an option above to get the answer):
(Single Best Answer) Question 99: Use of tamoxifen in carcinoma of breast patients does not lead to the following side effects ?
A) Thromboembolic events B) Endometrial Carcinoma C) Cataract D) Cancer in opposite breast Answer (Select an option above to get the answer):
A) Congenital hypertrophic pyloric stenosis B) Hirschprung's disease C) Oesophagal atresia D) Jejunal atresia Answer (Select an option above to get the answer):