(Single Best Answer) Question 141: A case of gestational trophoblastic neoplasia is detected to have Lung Metastasis. She should be staged as ?
A) Stage I B) Stage II C) Stage III D) Stage IV Answer (Select an option above to get the answer):
(Single Best Answer) Question 142: A baby girl with ambiguous genitalia is found to have 21-hydroxylase deficiency of the salt-wasting type. Which of the following karyotypes would you expect to find ?
A) 46 XX B) 46 XY C) 47 XXY D) 47 XYY Answer (Select an option above to get the answer):
(Single Best Answer) Question 143: A 9 year old boy has multiple itchy erythematous wheals all of the body for 2 days. There is no respiratory difficulty. Which is the best treatment ?
A) Antihelminthics B) Systemic corticosteroids C) Antihistamines D) Adrenaline Answer (Select an option above to get the answer):
(Single Best Answer) Question 144: 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 145: A 59 year old male came with Hb 18.0 g/dl on three occasions. The resident doctor wants to exclude Polycythemia Vera. Which of the following is the most relevant investigation ?
A) Hematocrit B) Total leucocyte count C) Red cell mass D) Reticulocyte count Answer (Select an option above to get the answer):
(Single Best Answer) Question 146: A 43 year old lady presents with a 5 cms lump in right breast with a 3 cm node in the supraclavicular fossa. Which of the following TNM stage she belongs to as per the latest AJCC staging system ?
A) T2N0M1 B) T1N0M1 C) T2N3M0 D) T2N2M0 Answer (Select an option above to get the answer):
(Single Best Answer) Question 147: A 42 year old male with a past history of a manic episode presents with an illness of 1 month duration characterized by depressed mood, anhedonia and profound psychomotor retardation. The most appropriate management strategy is prescribing a combination of ?
A) Antipsychotics and antidepressants B) Antidepressants and mood stabilizers C) Antipsychotics and mood stabilizers D) Antidepressants and benzodiazepines Answer (Select an option above to get the answer):
(Single Best Answer) Question 148: A 35 year old male patient presented with history of jaundice for 15 days. The onset was preceeded by a prodromal illness. His serum tested positive for HBsAg. A clinical diagnosis of acute hepatitis B was made. What should be the next best confirmatory investigation ?
A) Anti-HBeAg antibody B) HBe antigen C) Anti-HBe IgM antibody D) HBV DNA by PCR Answer (Select an option above to get the answer):
(Single Best Answer) Question 149: A 34 year old housewife reports a three month history of feeling low, lack of interest in activities, lethargy, multiple body-aches, ideas of worthlessness, decreased appetite and disturbed sleep with early morning awakening. She is likely to benefit from ?
A) Anti-psychotics B) Anti-depressants C) Anxiolytics D) Hypno-sedatives Answer (Select an option above to get the answer):
(Single Best Answer) Question 150: A 33 year old man presented with a slowly progressive swelling in the middle 1/3rd of his right tibia. X rays examination revealed multiple sharply demarcated radiolucent lesions separated by areas of dense and sclerotic bone. Microscopic examination of a biopsy specimen revealed island of epithelial cells in a fibrous stroma. Which of the following is the most probable diagnosis ?
A) Adamantinoma B) Osteofibrous dysplasia C) Osteosarcoma D) Fibrous cortical defect Answer (Select an option above to get the answer):