PG CORNER

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MCQ

Sagar

Postgraduate Resident, Department of Medicine, LHMC, New Delhi

 

1) 25year old farmer presented with complaints of 5 days of fever, rash and myalgia for last 1 day he is having yellowish discoloration of eyes. Patient was admitted and during the course of hospital stay, he developed acute kidney injury. Which of the following is the probable causative organism?

  1. Plasmodium species
  2. Leptospirosis
  3. Yersinia
  4. Babesia

2) 50year old male presents to hospital with fever, malaise, myalgia, dizziness and increasing pain in regional lymph nodes for 3 days. Lymph nodes are tender and boggy on palpation. Lymph node aspirate reveals gram negative coccobacilli. What is the causative organism?

  1. Treponema pallidum
  2. Chlamydia
  3. Yersinia pestis
  4. Leptospira

3) 30year old patient presents with 4 weeks duration of dry cough. On examination there is splenomegaly. Peripheral smear shows spherocytes with high reticulocyte count, coombs test positive. Chest X-ray shows bilateral infiltrations. Most likely cause is

  1. Legionella
  2. Chlamydia
  3. Mycoplasma
  4. Pneumocystis Jiroveci

4) A 20year old male, from a village was brought in unconscious state and clothes soiled with urine and faeces. On examination pupils are constricted, bp= 80/60 mm Hg, HR= 48 bpm. Relatives gave history of pesticide bottle lying beside him. What can be the cause of this clinical presentation.

  1. Opioid ingestion
  2. Datura poisoning
  3. Organophosphate poisoning
  4. Cannabis overdose

 

5) 36year old woman has fatigue since past 5 months. She also noticed purple blotches on her skin. On physical examination, there are purpuric areas on her trunk and extremities. She has no hepatosplenomegaly and no lymphadenopathy. Lab parameters-Hb-6.8g/dl, Hct-20.7, MCV-91fl, Plt-28000, WBC-1940. Most likely cause.

  1. Aplastic anemia
  2. Myeloproliferative neoplasm
  3. Myelofibrosis
  4. Hairy cell Leukemia

 

6) 58year old man presents with history of bone pain, weakness and loss of weight for 3 yrs. On examination, enlarged lymph nodes and organomegaly noted. P/S shows 22% plasma cells which are gamma chain restricted, serum Ig E levels are elevated. X-ray image of lumbar vertebra shows lytic punched out lesions. What is the likely diagnoses?

 

  1. Multiple myeloma
  2. Plasma cell leukemia
  3. Aplastic anemia
  4. CML

 

7) 30year old male, with retrovirus positive status, presented with diarrhea, confusion, high grade fever, bilateral pneumonitis. Which of the following organism is the suspected cause?

  1. Legionella
  2. Pneumocystis Jiroveci
  3. Streptococcus pneumonia
  4. Pseudomonas Aeruginosa

8) 28year old male has a blood pressure of 170/100mmHg. He has prominent aortic ejection click and murmurs heard over the ribs of both sides anteriorly and over the back posteriorly. Patient has feeble pulse in lower extremities and complains of mild claudication with exertion. Most likely cause.

  1. Aortic stenosis
  2. Coarctation of aorta
  3. Pericarditis
  4. Cardiomyopathy

9) 30year male presents with arthritis, hyperpigmentation of skin and hypogonadism and has deranged liver function tests. What could the diagnoses be?

  1. Hemochromatosis
  2. Rheumatoid arthritis
  3. Wilson’s disease
  4. Osteoarthritis

 

10) 20year old man presented with recurrent respiratory infections, bilateral nasal polyps and chronic diarrhea with bulky greasy stools. Sweat chloride test revealed increased chloride concentration (>60meq/l). What is the likely etiology?

  1. Cystic fibrosis
  2. ABPA
  3. Hypersensitivity pneumonitis
  4. Community acquired pneumonia