(Single Best Answer) Question 191: A 22 years old male patient presents with a complaint of severe itching and white scaly lesions in the groin for past one month. Which of the following is most likely to be the causative agent ?
A) Trichophyton rubrum B) Candida albicans C) Candida glabrata D) Malassezia furfur Answer (Select an option above to get the answer):
(Single Best Answer) Question 192: A 22 year old woman developed small itchy wheals after physical exertion, walking in the sun, eating hot spicy food and when she was angry. The most likely diagnosis is?
A) Chronic idiopathic urticaria B) Heat urticaria C) Solar urticaria D) Cholinergic urticaria Answer (Select an option above to get the answer):
(Single Best Answer) Question 193: A 16 year old student reported for the evaluation of multiple hypopigmented macules on the trunk and limbs. All of the following tests are useful in making a diagnosis of leprosy, except ?
A) Sensation testing B) Lepromin test C) Slit smears D) Skin biopsy Answer (Select an option above to get the answer):
(Single Best Answer) Question 194: A 15 year old boy presents to you with history of fever, altered sensorium and purpuric rash for two days. On examination, the patient is found stuporous. He has a BP of 90/60 mmHg and extensive palpable purpura over the legs. Which of the following would be the most appropriate initial choice of antibiotic ?
A) Vancomycin B) Penicillin G C) Ciprofloxacin D) Gentamicin Answer (Select an option above to get the answer):
(Single Best Answer) Question 195: A 14 year old healthy girl of normal height and weight for age, complains that her right breast has developed twice the size of her left breast since the onset of puberty at the age of 12. Both breasts have a .similar consistency on palpation with normal nipples areolae. The most likely-cause for these findings is ?
A) Cystosarcoma phylloides B) Virginal hypertrophy C) Fibrocystic disease D) Early state of carcinoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 196: A 12 year old boy is referred for evaluation of nocturnal enuresis and short stature. The blood pressure is normal. The blood urea is 112 mg/dL, creatinine 6 mg/dL, sodium 119 mEq/l, potassium 4 mEq/l, calcium 7 mg/dl, phosphate 6 mg/dl, and alkaline phosphatase 400 U/l. Urinalysis shows trace proteinuria with hyaline casts; no red and white cells are seen. Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is normal. The most likely diagnosis is ?
A) Alport's syndrome B) Medullary sponge kidney C) Chronic glomerulonephritis D) Nephronophthisis Answer (Select an option above to get the answer):
(Single Best Answer) Question 197: A 12 year old boy had a gradually progressive plaque on a buttock for the last 3 years. The plaque was 15 cms in diameter, annular in shape, with crusting and induration at the periphery and scarring at the center. The most likely diagnosis is ?
A) Tinea corporis B) Granuloma annulare C) Lupus vulgaris D) Borderline leprosy Answer (Select an option above to get the answer):
(Single Best Answer) Question 198: A 10 month old boy, weighing 3 kg has polyuria, polydipsia and delayed motor milestones. Investigations show blood levels of creatinine 0.5 mg/dL. potassium 3 mEq/L, sodium 125 mEq/L, chloride 88 mEq/L, calcium 8.8 mg/dL, pH - 7.46, and bicarbonate 26 mEq/L. Ultrasonography shows medullary nephrocalcinosis. The most likely diagnosis is ?
A) Renal tubular acidosis B) Diabetes insipidus C) Bartter syndrome D) Pseudohypoaldosteronism Answer (Select an option above to get the answer):
A) Hering-Breuer inflation reflex B) Hering-Breuer deflation reflex C) Head's paradoxical reflex D) J-reflex Answer (Select an option above to get the answer):
A) Thyroplasty B) Tracheostomy C) Tracheal division and permanent tracheotome D) Feeding gastrostomy / jejunostomy Answer (Select an option above to get the answer):