(Single Best Answer) Question 151: A one year old boy presented with hepatosplenomegaly and delayed milestones. The liver biopsy and bone marrow biopsy revealed presence of histiocytes with PAS-positive. Diastase-resistant material in the cytoplasm. Electron-microscopic examination of these histiocytes is most likely to reveal the presence of ?
A) Birbeck granules in the cytoplasm B) Myelin figures in the cytoplasm C) Parallel rays of tubular structures in lysosomes D) Electron dense deposit in the mitochondria Answer (Select an option above to get the answer):
A) Diarrhoea B) Diabetic ketoacidosis C) Methyl alcohol poisoning D) Acute renal failure Answer (Select an option above to get the answer):
(Single Best Answer) Question 153: A hypertensive individual had a sudden headache and became unconscious within a few minutes. On regaining consciousness, there was complete flaccid hemiplegia with no involvement of upper face, absence of tendon reflexes and a positive Babinski sign. Which one of the following arteries could have ruptured ?
A) Lateral striate branch of middle cerebral B) Medial striate branch of anterior cerebral C) Posterolateral branch from posterior cerebral D) Posterior choroidal branch of posterior cerebral Answer (Select an option above to get the answer):
(Single Best Answer) Question 154: A child with Pyoderma becomes toxic and presents with respiratory distress. His chest radiograph shows patchy areas of consolidation and multiple bilateral thin walled air containing cysts. The most likely etiologic agent in this case is ?
A) Mycobacterium tuberculosis B) Staphylococcus aureus C) Mycobacterium avium intercellulare D) Pneumocystis carinii Answer (Select an option above to get the answer):
(Single Best Answer) Question 155: A case of injury to right brow due to a fall from scooter presents with sudden loss of vision in the right eye. The pupil shows absent direct reflex but a normal consensual pupillary reflex is present. The fundus is normal. The treatment of choice is ?
A) Intensive intravenous corticosteriods as prescribed for spinal injuries to be instituted within six hours B) Pulse methyl prednisolone 250 mg four times daily for three days C) Oral Prednisolone 1.5 mg/kg body weight D) Emergency optic canal decompression Answer (Select an option above to get the answer):
A) Breast abscess B) Fibroadenoma C) Duct papilloma D) Fat necrosis of breast Answer (Select an option above to get the answer):
(Single Best Answer) Question 158: A 7 year old boy presented with generalised oedema. Urine examinations revealed marked albuminuria. Serum biochemical examinations showed hypoalbuminemia with hyperlipidemia. Kidney biopsy was undertaken. On light microscopic examination, the kidney appeared normal. Electron microscopic examination is most likely to reveal ?
A) Fusion of foot processes of the glomerular epithelial cells B) Rarefaction of glomerular basement membrane C) Deposition of electron dense material in the basement membrane D) Thin basement membrane Answer (Select an option above to get the answer):
(Single Best Answer) Question 159: A 69 year old male patient having coronary artery disease was found to have gall bladder stones while undergoing a routine ultrasound of the abdomen. There was no history of biliary colic or jaundice at any time. What is the best treatment advice for such a patient for his gallbladder stones ?
A) Open cholecystectomy B) Laparoscopic cholecystectomy C) No surgery for gallbladder stones D) ERCP and removal of gallbladder stones Answer (Select an option above to get the answer):
(Single Best Answer) Question 160: A 65 year old male was diagnosed with prostate cancer three years back and was treated by surgery and hormone therapy. Presently he has developed urinary symptoms and progressive backache. What is the tumor marker which can be indicative of disease relapse ?
A) CA 125 B) Beta - HCG C) Carcinoembryonic antigen (CEA) D) PSA Answer (Select an option above to get the answer):