(Single Best Answer) Question 171: A patient was administered epidural anaesthesia with 15 ml of 1.5% lignocaine with adrenaline for hernia surgery. He developed hypotension and respiratory depression within 3 minutes after administration of block. The commonest cause would be ?
A) Allergy to drug administered B) Systemic toxicity to drug administered C) Patient got vasovagal shock D) Drug has entered the sub arachnoid space Answer (Select an option above to get the answer):
(Single Best Answer) Question 172: A patient undergoing surgery suddenly develops hypotension. The monitor shows that the end tidal carbondioxide has decreased abruptly by 15 mm Hg. What is the probable diagnosis ?
A) Hypothermia B) Pulmonary embolism C) Massive fluid deficit D) Myocardial depression due to anaesthetic agents Answer (Select an option above to get the answer):
(Single Best Answer) Question 173: A patient in an ICU is on a CVP line. His blood culture shows growth of gram positive cocci which are catalase positive and coagulase negative. The most likely etiological agent is ?
A) Staphylococcus aureus B) Staphylococcus epidermidis C) Streptococcus pyogenes D) Enterococcus faecalis Answer (Select an option above to get the answer):
(Single Best Answer) Question 174: A newborn infant refuses breast milk since the 2nd day of birth, vomits on force-feeding but accepts glucose-water, develops diarrhoea on the third day, by the 5th day she is jaundiced with liver enlargement and eyes show signs of cataract. Urinary reducing sugar was positive but blood glucose estimated by glucose oxidation method was found low. The most likely cause is deficiency of ?
A) Galactose-1-phosphate uridyl transferase B) Beta galactosidase C) Glucose-6-phosphatase D) Galactokinase Answer (Select an option above to get the answer):
(Single Best Answer) Question 175: A newborn baby has been referred to the casualty as a case of congenital diaphragmatic hernia. The first clinical intervention is of ?
A) Insert a central venous pressure line B) Bag and mask ventilation C) Insert a nasogastric tube D) Ventilate with high frequency ventilator Answer (Select an option above to get the answer):
(Single Best Answer) Question 176: A newborn baby had normal APGAR score at birth and developed excessive frothing and choking on attempted feeds. The investigation of choice is ?
A) Esophagoscopy B) Bronchoscopy C) MRI chest D) Xray chest and abdomen wiht the red rubber catheter passed per orally into oesophagus Answer (Select an option above to get the answer):
(Single Best Answer) Question 177: A middle aged old man, with chronic renal failure is diagnosed to have sputum positive pulmonary tuberculosis. His creatinine clearance is 25ml/min. All of the following drug need modification in doses except ?
A) Isoniazid B) Streptomycin C) Rifampicin D) Ethambutol Answer (Select an option above to get the answer):
(Single Best Answer) Question 178: A middle aged man presented with pain in back, lack of interest in recreational activities, low mood, lethargy, decreased sleep and appetite for two months. There was no history suggestive of delusions or hallucinations. He did not suffer from any chronic medical illness. There was no family history of psychiatric illness. Routine investigations including hemogram, renal function tests, liver function tests, electrocardiogram did not reveal any abnormality. The patient should be treated with ?
A) Haloperidol B) Sertraline C) Alprazolam D) Olanzepine Answer (Select an option above to get the answer):
(Single Best Answer) Question 179: A man presents with fever and chills 2 weeks after a louse bite. There was a maculopapular rash on the trunk which spread peripherally. The cause of this infection can be ?
A) Scrub typhus B) Endemic typhus C) Rickettsial pox D) Epidemic typhus Answer (Select an option above to get the answer):