(Single Best Answer) Question 211: A 65-year-old woman with history of Type 2 Diabetes mellitus for the last eight years dies in a hospital. She had no other significant medical history. Which of the following is the most likely cause of her death ?
A) Diabetic ketoacidosis B) Myocardial infarction C) Renal failure D) Stroke Answer (Select an option above to get the answer):
A) Type I Diabetes mellitus B) Type II Diabetes mellitus C) Stress related Diabetes mellitus D) Gestational Diabetes mellitus Answer (Select an option above to get the answer):
A) Breast swelling B) Increased myometrial contractility C) Thermogenesis D) Endometrial proliferation Answer (Select an option above to get the answer):
(Single Best Answer) Question 214: The parents of a 13-month-old boy are contacted by a local social agency because the day care reported them for suspected child abuse based on too many bruises. The parents deny the abuse and promptly arrange to have their child seen by a medical specialist. The child has multiple large bruises on his legs, anus and buttocks. No skin abrasions and no pattern marks are seen. PTT is prolonged and PT and bleeding time are normal. Which of the following is the most probable diagnosis ?
A) Acute myelogenous leukaemia B) Disseminated intravascular coagulation C) Vitamin K deficiency D) Von Willebrand disease Answer (Select an option above to get the answer):
A) Splenomegaly B) Increased RBC life span C) Pigment gall stones D) Effective splenectomy Answer (Select an option above to get the answer):
(Single Best Answer) Question 217: An orally active anticoagulant under development with an advantage of not requiring the monitoring of anticoagulant effect is ?
A) Fondaparinux B) Ximelagatran C) Snake venom derivative D) Ancrod Answer (Select an option above to get the answer):
A) Polycythemia vera B) Essential thrombocytosis C) Chronic myeloid leukaemia D) Hairy cell leukaemia Answer (Select an option above to get the answer):
(Single Best Answer) Question 219: A 37-year-old woman presents to her physician with the complaint of difficulty in reading and fatigue. She reports having had pins and needles feeling in her left arm several months ago that resolved without treatment. On examination, she has visual field deficits and mild hyperreflexia. The MRI examination confirms the suspected diagnosis. Which of the following is the underlying mechanism responsible for the patients disease ?
A) Antibodies to acetylcholine receptors B) Axonal degeneration C) Demyelination of neurons D) Posterior column degeneration Answer (Select an option above to get the answer):
(Single Best Answer) Question 220: A 56-year-old diabetic male patient who underwent a CABG for triple vessel disease is brought to the emergency with sudden-onset inability to speak since the last two hours. He can understand what is being said to him but cannot speak. His BP is 200/110 mm Hg. The emergency CT scan of the head is normal. The next step in the management would be ?
A) Wait and watch B) Administer intravenous tPA C) Control blood pressure D) Administer a tablet of baby aspirin Answer (Select an option above to get the answer):