(Single Best Answer) Question 21: A 45 year old was given steroids after renal transplant. After 2 years he had difficulty in walking and pain in both hips. Which one of the following is most likely cause ?
A) Primary Osteoarthritis B) Avascular necrosis C) Tuberculosis D) Aluminium Toxicity Answer (Select an option above to get the answer):
A) Endometrial tuberculosis B) Premature ovarian failure C) Polycystic ovarian syndrome D) Sheehan's syndrome Answer (Select an option above to get the answer):
(Single Best Answer) Question 23: A 65 year old smoker presents with hoarseness, haemoptysis and a hard painless lump in the left supraclavicular fossa. Which of the following is the most appropriate diagnostic step ?
A) Undertake an open biopsy of the neck lump B) Undertake a radical neck dissection C) Do fine needle aspiration cytology D) Give a trial of Anti tuberculous therapy Answer (Select an option above to get the answer):
(Single Best Answer) Question 24: A 25 year old man presented with fever and cough for two months. CT chest showed bilateral upper lobe fibrosis and mediastinal enlarged necrotic nodes with peripheral rim enhancement. What is the most likely diagnosis ?
A) Sarcoidosis B) Tuberculosis C) Lymphoma D) Silicosis Answer (Select an option above to get the answer):
A) Resistance ratio method B) Disc diffusion method C) Molecular method D) Radiometric broth method Answer (Select an option above to get the answer):
(Single Best Answer) Question 27: A forty two year old engineer developed redness of the glans and radial fissuring of the prepuce 2 weeks ago. A potassium hydroxide preparation of scrapings from the glans showed pseudohyphae and buds. Which one of the following systemic illness should he be screened for ?
A) Pulmonary tuberculosis B) Diabetes mellitus C) Systemic candidiasis D) Chronic renal failure Answer (Select an option above to get the answer):
A) Tuberculosis B) Synpneumonic effusion C) Pneumocystis carinii pneumonia D) None Answer (Select an option above to get the answer):
(Single Best Answer) Question 29: A 58 years old woman, who had backache and recurrent chest infections for 6 months, develops sudden weakness of the legs and urinary retention. Her investigations show a hemoglobin of 7.3gm/dl, serum calcium12.6mg/dl, phosphate-2.5mg/dl, alkaline phosphatase-l00 u/l, serum albumin-3 gm/dl, globulin-7.1gm/dl, and urea-I78 mg/dl. What is the most likely diagnosis ?
A) Lung cancer B) Disseminated tuberculosis C) Multiple myeloma D) Osteoporosis Answer (Select an option above to get the answer):
(Single Best Answer) Question 30: A 20 year old woman presents with bilateral conductive deafness, palpable purpura on the legs and hemoptysis. Radiograph of the chest shows a thin-walled cavity in left lower zone. Investigations reveal total leukocyte count 12000/mm3, red cell casts in the urine and 12000/mm3 serum creatinine 3 mg/dL. What is the most probable diagnosis?
A) Henoch-Schonlein purpura B) Polyarteritis nodosa C) Wegener's granulomatosis D) Disseminated tuberculosis Answer (Select an option above to get the answer):