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Mcqs MBBS Exams India
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(Single Best Answer) Question 881: A normal anion gap metabolic acidosis occurs in patients with ?
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 882: A patient with salicylic acid poisoning has the following arterial blood gas analysis report: pH-7.12, PCO2 = 18 mmHg; HCO3 = 12 mmol/L. The resulting acid-base abnormality can be best labelled as ?
A) Metabolic acidosis with respiratory alkalosis
B) Metabolic acidosis wiht respiratory acidosis
C) Respiratory acidosis with metabolic alkalosis
D) Metabolic acidosis
Answer (Select an option above to get the answer):
(Single Best Answer) Question 883: A 41 year old male patient presented with recurrent episodes of bloody diarrhoea for 5 years. Despite regular treatment with adequate doses of sulfasalazine, he has had several exacerbations of his disease and required several weeks of steroids for the control of flares. What should be the next line of treatment for him ?
A) Methotrexate
B) Azathioprine
C) Cyclosporine
D) Cyclophosphamide
Answer (Select an option above to get the answer):
(Single Best Answer) Question 884: A 55 year old male patient was diagnosed to have chronic hepatitis C. He responded to treatment with interferon, However, after one year of follow up he showed a relapse of disease. Which of the following would be the next most appropriate choice ?
A) Ribavirin and interferon
B) Lamivudine and interferon
C) Nevirapine and lamivudine
D) Indinavir and ribavirin
Answer (Select an option above to get the answer):
(Single Best Answer) Question 885: A 45 year old female patient presents with symptoms of easy bruisability and frequent headaches. Physical examination shows moderate splenomegaly. Blood counts show a normal leucocyte count and a platelet count of 1000 X 103 /cu mm. the leucocyte alkaline phosphatase score is normal. Which one of the following is the drug of choice for the treatment of this patient ?
A) Hydroxyurea
B) Radioactive phosphorus
C) Anagrelide
D) Interferon alpha
Answer (Select an option above to get the answer):
(Single Best Answer) Question 886: A 50 year old male patient, an alcoholic and smoker presents with a 3 hour history of severe retrosternal chest pain and increasing shortness of breath. He started having this pain while eating, which was constant and radiated to the back and interscapular region. He was a known hypertensive. On, examination, he was cold and clammy with a heart rate of 130/min, and a BP of 80/40 mmHg, JVP was normal. All peripheral pulses were present and equal. Breath sounds were decreased at the left lung base and chest x-ray showed left pleural effusion. What is the most likely diagnosis ?
A) Acute aortic dissection
B) Acute myocardial infarction
C) Rupture of the oesophagus
D) Acute pulmonary embolism
Answer (Select an option above to get the answer):
(Single Best Answer) Question 887: In malignant hyperthermia the increased heat production is due to ?
A) Increased muscle metabolism by excess of calcium ions
B) Thermic effect of blood
C) Increased sympathetic discharge
D) Mitochondrial thermogenesis
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(Single Best Answer) Question 888: A 45 years old hypertensive male patient presented in the casualty with two hours history of sudden onset of severe headache associated wit nausea and vomiting. On clinical examination the patient had neck stiffness and right sided ptosis. Rest of the neurological examination was normal. What is the clinical diagnosis ?
A) Hypertensive brain haemorrhage
B) Migraine
C) Aneurysmal subarachnoid haemorrhage
D) Arteriovenous malformation haemorrhage
Answer (Select an option above to get the answer):
(Single Best Answer) Question 889: For the management of intraoperative myocardial ischaemia, all of the following are advised, except ?
A) Heparin
B) Intravenous nitroglycerine
C) Calcium channel blocker
D) Atropine
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(Single Best Answer) Question 890: The following cereals should be avoided in patients with celiac disease, except ?
A) Wheat
B) Barley
C) Maize
D) Rye
Answer (Select an option above to get the answer):