Regular Exam 02, Penta 11 (Radius)

1) Not a cause of cyanotic congenital heart disease:

A. Persistent truncus arteriosus

B. Tetralogy of Fallot

C. Patent ductus arteriosus

D. Eisenmenger syndrome

2) cardinal features of the tetralogy of Fallot (TOF) are all except:

A. Obstruction of the right ventricular outflow tract

B. Heart is classically "boot-shaped

C. Results from posteroinferior displacement of the infundibular septum.

D. Right ventricular hypertrophy

3) Non modifiable Risk factors for IHD

A. Hyperlipidaemia

B. Type A personality

C. Cigarette smoking

D. Insulin resistance

4) Which one is the earliest enzyme , increased aftr an attack of acute MI?

A. CK-MB

B. Troponin I

C. LDH

D. AST

5) Pathognomic for rheumatic carditis

A. Dohle bodies

B. Howell jolly bodies

C. Barr body

D. Aschoff bodies

6) False about Morphology of an atheromatous plaque:

A. Colour: white-yellow

B. On cross-section “central "

C. The plaques have a central (necrotic) core covered by a subendothelial fibrous cap:

D. Periphery of the lesions: Neovascularization present

7) Which is not a Primary glomerulopathy?

A. Membranous glomerulopathy

B. Goodpasture syndrome

C. Focal segmental glomerulosclerosis

D. Membranoproliferative glomerulonephritis

8) Which is not a cause of Rapidly progressive glomerulonephritis

A. Goodpasture syndrome

B. Wegener granulomatosis

C. Post-streptococcal glomerulonephritis

D. Microscopic polyangiitis

9) Not a feature of Nephrotic syndrome:

A. proteinuria (300mg to 3.5 gm/day)

B. Plasma albumin < 3 gm/dl

C. Generalized edema

D. hyperlipidemia

10) treatment of choice in minimal change disease –

A. penicillin

B. corticosteroid

C. azathioprine

D. ciclosporin\

11) most common Renal cell carcinoma is -

A. Clear cell carcinoma

B. Papillary carcinoma

C. Chromophobe renal carcinoma

D. Collecting duct (Bellini duct) carcinoma.

12) paraneoplastic syndromes in RCC includes all except:

A. polycythemia

B. hypercalcemia

C. Cushing syndrome

D. Lambert-Eaton myasthenia

13) Risk factors of bladder carcinoma includes all except:

A. Industrial exposure to arylamines

B. Schistosoma haematobium infection

C. Long-term use of OCP

D. Prior exposure of the bladder to radiation.

14) Which is not a feature of Dressler syndrome ?

A. Chest pain

B. Fever

C. Pleurisy

D. Heart block

15) Which type of metaplasia occurs in Barret’s esophagus?

A. Squamous

B. Columnar

C. Transitional

D. Mesenchyme

16) Which is not an ) Ulcers of small intestine:

A. Peptic ulcer

B. Typhoid ulcer

C. Tuberculous ulcer

D. Ulcerative colitis

17) Which is not a component of gastric mucosal defense mechanism:

A. HCl secretion in mucus

B. Mucosal blood flow

C. Epithelial regenerative capacity

D. Prostaglandin elaboration

18. False about morphological feature of peptic ulcer:

A. Location: Gastric ulcer - Along the lesser curvature

B. Shape: Round to oval, sharply punched-our defect.

C. Margin: Usually levels with surrounding mucosa or only slightly elevated.

D. Base: rough and dirty

19. Which is not a cause of cerebral infarction

A. endocarditis

B. Embolism from the heart

C. Arterio venous malformation

D. Vasculitis,

20. Bacterial causes of meningitis in neonate is

A. Haemophilus influenzae

B. Streptococcus agalactiae

C. Neisseria meningitidis

D. Streptococcus pneumoniae

21. Most common cause of Viral encephalitis:

A. Herpes simplex

B. Varicella zoster

C. HIV

D. Rabies

22. Trigger factors for seizures includes all except:

A. Sleep deprivation

B. Alcohol withdrawal

C. Computer screens

D. anxiety

23. False about Myasthenia gravis

A. Autoantibodies against the acetylcholine (ACH) receptor of the neuromuscular junction,

B. Resulting in muscular weakness predominantly affecting the respiratory muscles.

C. There is an association with thymic hyperplasia

D. Extraocular muscle weakness may lead to ptosis and diplopia

24. Treatment of choice in neurosyphilis :

A. Penicillin

B. Doxycycline

C. Meropenam

D. ceftriaxone

25. Seizure common in childhood:

A. Tonic clonic

B. Absence

C. Myoclonic

D. Motor tics

Regular Exam 02, Penta 11 (Radius)

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