Medicine_PPT_Dr. Santosh Patil Sir.pdf jjj

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND
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1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND
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1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND
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1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND
Classification
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GBSbased
on
NCS
AIDP
1
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AMSAN variant

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND

1)Which of the following is the earliest detectable
biomarker of MI?
b. Troponin I
c. Troponin T
d. CKMB
e. Ischemia modified albumin

Loading…

2) Identify the mismatch:
a.II, III, aVF- inferior wall
b.I,aVL- Lateral wall
c.V1, v2- Septum
d.V3, V4 posterior wall

Loading…

3) A 20-year-old male was brought to the emergency
department after collapsing in the gym. On examination, the
carotid pulse was absent and pupils were fixed, non-reacting
to light. The ECG was flat. Resuscitation was attempted but
the patient could not be revived. He is a known athletic
player and has no significant past history. A provisional
diagnosis of sudden cardiac death was suspected. Which of
the following is the most common cause of sudden cardiac
death in this patient?
a. Option A: Dilated cardiomyopathy
b. Option B: Restrictive cardiomyopathy
c. Option C: Hypertrophic cardiomyopathy
d. Option D: Takotsubo cardiomyopathy

4) Banana Shaped left ventricle is seen in:
a. ASD
b. VSD
c. Hypertrophic obstructive cardiomyopathy
d. Tetralogy of Fallot

5) 50-year-old presented with chest pain. ECG is
given below. Choose correct combination of
diagnosis and concerned blood vessel:
a. Anterolateral MI/LAD
b. Anteroseptal MI/ LAD
c. Inferior MI/ RCA
d. Lateral wall MI/ LCx

Loading…

6) Which of the following is not a fibrin specific
thrombolytic agent?
a. rTPA
b. Tenecteplase
c. Alteplase
d. Streptokinase

7) Patient died suddenly after exercise. Autopsy
image of heart is given below. What is the
diagnosis?
a. Hypertrophic cardiomyopathy
b. Dilated cardiomyopathy
c. Restrictive cardiomyopathy
d. Any of the above

8) Not true about GB syndrome:
a. Spastic ascending paralysis
b. Follows Campylobacter jejunii gastroenteritis
c. Most common type is AIDP
d. May lead to death due to respiratory paralysis or
complications of ventilation

9) Match the following:
1. McDonalds Criteria i. Heart failure
2. El Escorial criteriaii. Amyotrophic lateral
sclerosis
3. Framigham criteria iii. Multiple sclerosis
4. Brighton criteria iv. GB syndrome
a. a-i, b-ii, c-iii, d-iv
b. a-iii, b-ii, c-i, d- iv
c. a-ii, b-i, c- iii, d- iv
d. a-iii, b-i, c- ii, d- iv

10) A patient presented with chest pain. MI
diagnosed based on ECG. You give the patient
loading dose of aspirin which is enteric coated tablet.
Which of the following instruction would you give?
a. Keep the tablet under the tongue (sublingual)
b. Chew the tablets
c. Swallow without water
d. Swallow with plenty of water

11) Patient with bradycardia and hypotension.
ECG given below. What is the diagnosis?
a. First degree AV block
b. Mobitz Type 2 block
c. Mobitz Type 1 block
d. Complete heart block

12) Which of the following biomarker is useful
for diagnosis of heart failure?
a.Creatinine
b.BNP
c.Troponin I
d.CKMB

13) Which of the following drug is associated
with increased mortality in heart failure patients?
a. Digoxin
b. SGLT2 inhibitors
c. ARBs
d. Betablockers

14) Which of the following is not a feature of
right heart failure?
a. Distended neck veins
b. Ascites
c. Tender hepatomegaly
d. PND

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR
-
un
-
C
>0
.
7
=/
-
airwa
FEV
,
-
Restrictivedisease
EXC
"¥
&
- Obstructive
<0
.
7
=
Obstructive
-
(SABA)
"¥ex
::Asthma-
X
ii)COPD1
①
X
bronchodie
-
->100%Use
in
FEY
I

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR
- Exaggered
DiR=UMN
lesion
.
Anklejexk
LMN
->
->
LMN
(DTR)
①

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR

Loading…

15) A patient with syncopal history and angina.
Echo showed following finding. What is the
likely cause?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral regurgitation
d. Pulmonic stenosis

16) Most common cause of AS?
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

17) A chronic cigarette smoker now joined a construction
company. His pulmonary function test results are given
below. What is the most likely diagnosis for this patient?
1.Initial lung volumes were:
2.FEV1-0.9L
3.FVC-1.9L
4.FEV1/FVC-0.4
5.After bronchodilation:
6.FEV1-1.9L
7.FVC-3.9L
8.FEV1/FVC-0.4
a. Vascular disease with bronchodilator reversibility
b. Restrictive lung disease with bronchodilator
reversibility
c. Restrictive lung disease without bronchodilator
reversibility
d. Obstructive disease with bronchodilator reversibility

18) Identify the conduction abnormality form the
ECG give below?
a. First degree heart block
b. Ventricular tachycardia
c. Third degree heart block
d. Second degree heart block

19) Which of the following is not a feature
of Brown Sequard syndrome?
a. Complete transection of spinal cord
b. Ipsilateral loss of vibration & touch
c. Contralateral loss of pain & temperature
d. Ipsilateral loss of proprioception

20) The following clinical examination was
performed. What lesion would cause an
exaggerated reflex?
a. Polyneuropathy
b. Radiculopathy
c. Upper motor neuron
d. Lower motor neuron

21) The given image shows a normal graph on
the left and the patient’s graph on the right.
Which of the following diagnosis can be inferred
from the graph?
a. Chest wall neuromuscular disease
b. Sarcoidosis
c. Idiopathic pulmonary fibrosis
d. Bronchiectasis

22) Resistant hypertension is present when
patient is on three classes of antiHTN drugs
which must include:
a. ACEI
b. Beta blockers
c. CCB
d. Diuretics

23) Which wave of JVP corresponds to IVC?
a. a wave
b. c wave
c. v wave
d. X descent

24) Which of the following drug is the only
medication usefull in preventing disability
progression in a patient with primary progressive
multiple sclerosis?
a. Natalizumab
b. Ocrelizumab
c. Siponimod
d. Rituximab

25) A 65-year-old hypertensive was diagnosed with
heart failure and was started on optimal doses of
lisinopril, carvedilol, empagliflozin and
spironolactone. Despite this patient continues to
symptomatic. Which of the following is the next
best step?
a. Double the dose of carvedilol
b. Add sacubitril
c. Stop empaglflozin and start on sacubitril+ valsartan
d. Strop lisinopril and start sacubitril + valsartan

26) False statement is:
a. Mepolizumab is most useful for type 2 asthma phenotype
b. Omalizumab is preferred biological for non-type 2 asthma
c. Non-type 2 asthma is characterized by neutrophilic
inflammation
d. Elevated serum IgE can be used as a marker of type 2
asthma

27) False about asthma:
a. Reducd FEV1/FVC ration
b. Reduced FEV1
c. Reduced DLCO
d. Reduced PEFR

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell
-
MIC14
->
Elderly
malesmokers
①
-
Young
,
Female
,
non-smokers
-
Smoking
related
ILDS

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell
Q
GerstmanSyndrome
-
-
alt
lesionin
Angular
gyrus
on
dominant
parictal
lobe
-
F10-
·
Acalculia
Agraphia
Alexia
·
=Rconfusion
·
Fingeragrosia

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell

28) False about emphysema:
a. Barrel shaped chest
b. Cyanosis
c. Smoking induced emphysema affects upper lobes
d. Alpha 1 antitrypsin deficiency related emphysema
affects lower lobes

29) Which of the following rx in COPD patient
can decrease mortality rates?
a. NIV
b. LAMA
c. Long term oxygen therapy
d. LABA

30) A 45-year-old smoker presented with cough and
dyspnea. On examination, he had wheeze. PFT
showed FEV1/FVC 0.52. FEV1 increased by 6%
upon administration of a SABA. What is the
diagnosis?
a. COPD
b. CLD
c. Asthma
d. ILD

31) Which of the following ILD is more
common in non-smokers?
a. Idiopathic pulmonary fibrosis
b. Idiopathic NSIP
c. RB-ILD
d. Desquamative interstitialpneumonia

32) A patient with chronic cough was evaluated
with pFT. It showed FEV1/FVC ratio of 0.48.
Which of the following is the least likely cause?
a. Asthma
b. Bronchiolitis
c. COPD
d. ILD

33) Which of the following is not a
recommended treatment for NSTEMI?
a. Anticoagulation
b. Antiplatelets
c. PTCA
d. Thrombolysis

34) Which of the following is preferred
analgesic for chest pain in MI?
a. Diclofenac
b. Sub cutaneous morphine
c. IV morphine
d. Iv paracetramol

35) Most common cause of AS:
a. Aging
b. Bicuspid valve
c. RHD
d. Trauma

36) Identify the tract shown in the question:
a. Lateral spinothalamic tract
b. Dorsal column
c. Pyramidal tract
d. Extrapyramidal tract

37) A 45-year-old female presented to the medicine OPD
with a history of weakness in the right arm and right leg
that was initiated 2 days ago and subsided within 24
hours. She has a past history of atrial fibrillation. She is
worried whether this event will happen again. On CT
scan of the brain, ischemic changes can be appreciated in
the internal capsule. What is the provisional diagnosis for
this patient?
a. Option A: Haemorrhagic stroke
b. Option B: Thrombotic stroke
c. Option C: Embolic stroke
d. Option D: Transient ischemic attack

38) Which of the following is not a feature of
Gerstman syndrome?
a. Acalculia
b. Agraphia
c. Aphasia
d. Alexia

39) Which of the following is a plasma cell
disorder?
a.Multiple myeloma
b.Waldenstrom’s macroglobulinemia
c.Primary amyloidosis
d.A, B, and C

40) A 60-year-old male presented to the clinic with
complaints of bone pain in the ribs and the back,
tiredness, fatigue, and increased thirst for a few
months. Blood reports show anemia, hypercalcemia,
and raised creatinine levels. The clinician has ordered
a bone marrow biopsy. Which cell type abnormality
is most likely to be found in this patient?
a. Reticulocytes
b. Megakaryocytes
c. Plasma cell
d. Red blood cell

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

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Mkk
for
IDAtobe
refractory
toovaliron
R
->
Poor
compliance/abtinutrients
(phytates)
2ndmikfor
↓
efractory(to
Oval
iron)
IDA
->
Celiacdisease
.
Cduodenitis)

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

&
-
-
Dryness
of
eyes
=
KCSicca
.①

41) Which of the following statements is not
true regarding asthma?
a. Asthma is characterized by reversible airway
obstruction in most patients
b. Lymphocytosis is a common feature in asthmatic
patients
c. The most common clinical feature of asthma is
shortness of breath and chest tightness
d. The incidence of asthma is higher in individuals with a
predisposition to atopy

Loading…

43) Which of the following tests is an
indicator of eosinophilic inflammation in the
airways?
a. Forced Expiratory Volume in 1-second
b. Total serum IgE levels
c. Fraction of exhaled nitric oxide (FeNO)
d. Both B and C

43) A 32-year-old male presented to the general
medicine OP with the history of headache, muscle
weakness and easy fatigability. On clinical
examination, his blood pressure was 160/104 mm Hg.
The blood investigations revealed hypernatremia and
hypokalemia. Which of the following is most
probably expected in this patient?
a. Deficiency of mineralocorticoids
b. Excess mineralocorticoids
c. Deficiency of glucocorticoids
d. Excess glucocorticoids

44) A 60-year-old male presented to the emergency
department with complaints of weakness in the right
side of the body and speech issues for 2 hours. His
speech is non-fluent, agrammatic with marked amount
of pauses. He is able to understand spoken language. A
provisional diagnosis of stroke is considered. Which of
the following artery is likely affected in this patient?
a. Superior division of the middle cerebral artery in the non-
dominant hemisphere
b. Superior division of the middle cerebral artery in the
dominant hemisphere
c. Inferior division of the middle cerebral artery in the dominant
hemisphere
d. Inferior division of the middle cerebral artery in the non-
dominant hemisphere

45) A 68-year-old was evaluated for stroke
rehabilitation. Patient seem to have neglected left side
of his body and when asked to draw a clock on the
wall, he produced the image given below:
A lesion in which part of the brain explains this
condition?
a. Motor cortex
b. Occipital lobe
c. Dominant parietal lobe
d. Non-dominant parietal lobe

46) Which of the following diseases present with
a “puff of smoke” sign on CT scan of the brain?
a. Giant cell arteritis
b. Moyamoya disease
c. Wegener’s granulomatosis
d. Fabry’s disease

47) A 44-year-old male has come to your clinic
because he is worried about suffering from a stroke.
He has a strong family history of stroke in both his
parents and his elder sibling. He wants to know how
to detect the symptoms of stroke and you tell him
about the FAST acronym. Which of the following is
not a part of this acronym?
a. Facial weakness
b. Arm weakness
c. Speech abnormality
d. Trauma

48) A 60-year-old male presented to the respiratory clinic
with complaints of gradually progressive breathlessness,
dry cough, and fatigue for the past six months. There is no
history of exposure to any occupational carcinogens. He
has been a cigarette smoker for the past 30 years. On
examination, clubbing and cyanosis are evident. Velcro
crackles heard. CT scan of the chest shows subpleural
reticulation, honeycombing, and traction bronchiectasis.
What is the most likely diagnosis?
a. Asbestosis
b. Silicosis
c. Idiopathic pulmonary fibrosis
d. Non-specific interstitial pneumonia

49) A 24-year-old female presented to the clinic
with complaints of tiredness, easy fatiguability and
fissures at the corner of the mouth for 6 months.
She has been having heavy menstrual bleeding for a
few months. Examination shows pallor,
tachycardia, and spooning of the fingernails. What
is the most likely cause of this patient’s symptoms?
a. Megaloblastic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Thalassemia

50) A 20-year-old female presented to the clinic for
a follow-up of iron-deficiency anemia. She has been
on oral iron therapy for 6 weeks and has a complaint
of gastrointestinal intolerance. There are no
complaints of dizziness, palpitations, or falls. Lab
investigations show no improvement in the
haemoglobin levels. Which of the following is the
next step of treatment?
a. Increase the dose of oral iron
b. Parenteral iron therapy
c. Blood transfusions
d. Erythropoietin

51) A 52-year-old female came to the ophthalmology
OPD with a history of floaters and blurred vision for
the past 8 months. She was a known case of diabetes
mellitus on medications and her random blood sugar
level (RBS) was 314 mg/dL. On detailed
ophthalmological evaluation, she was diagnosed to
have diabetic retinopathy. Which of the following is
mainly responsible for the development of
retinopathy in this patient?
a. Epidermal growth factor
b. Platelet derived growth factor
c. Vascular endothelial growth factor
d. Neuronal growth factor

52) A 37-year-old man presents with some raised
lesions on the shin. He presents with a cough and
also complains of arthralgia. ACE levels are
high. On Examination : bilateral hilar
lymphadenopathy and erythema nodosum is
present. What is the next step of management?
a. Glucocorticoids
b. Methotrexate
c. Cyclophosphamide
d. Infliximab

53) A 70-year-old woman presents with
recurrent episodes of parotid swelling. She
complains of difficulty in talking and speaking
and her eyes feel gritty on waking in the
morning. What is the single most likely
diagnosis?
a. C1 esterase deficiency
b. Mumps
c. Sarcoidosis
d. Sjogren's syndrome

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

-
-
-
UmN+LMN
--
①
O
unN
-
> Peripheral
neives
=LAN
I
=
LMN
Indicates
-Lateralcorticospinaltract
=
Pyramidal
tract
↓V
⑭

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

⑳
LeNlesion
-Q
Tone↓
-
Flaccidity
"¥
↓
-
Hyporeflexia
Severe
form
of
DIR
exaggerated
DTRs
Plantar
Flexer
t
where
a
single
tap
on
tendonresultsin
seenin
sustained
ora
series
of
contractionumt
damage
.
ofthe
muscles
.

54) A patient presented to opd with complaints of
swelling of face followed by swelling of bilateral
lower limbs since 6months. USG of abdomen and
pelvis showed corticomedullary differentiation of
both kidneys lost and decreased in size. Most
probable diagnosis is:
a. Acute Kidney Injury
b. Chronic Kidney Disease
c. Congestive Cardiac Failure
d. Glomerulonephritis

55) Which of the following motor neuron
diseases affects only the upper motor neurons?
a. Option A: Amyotrophic Lateral Sclerosis (ALS)
b. Option B: Primary Lateral Sclerosis (PLS)
c. Option C: Multifocal motor neuropathy
d. Option D: Motor-predominant peripheral neuropath

56) Which of the following is not a sign of lower
motor neuron damage?
a. Flaccidity
b. Hyporeflexia
c. Flexor plantar response
d. Clonus

57) Which of the following is the most sensitive
test for myasthenia gravis?
a. Repetitive nerve stimulation
b. Single fibre electromyography
c. Anti achR antibody
d. Edrophonium test

58) Which of the following is not a pathological
feature of motor neuron diseases?
a. Option A: The degeneration of posterior horn cells in the
spinal cord
b. Option B: The accumulation of lipofuscin in the affected
neurons
c. Option C: The presence of ubiquitin-positive aggregates in
the affected neurons
d. Option D: The proliferation of astroglial cells

59) Following phonocardiographic representation
recorded from 5th intercostal space medial to
midclavicular line indicates which valvular heart
disease?
a.Mitral stenosis
b.Tricuspid stenosis
c.Aortic stenosis
d.Mitral regurgitation

60) A 31 year old HIV-positive man develops a severe
pneumonia. Lower respiratory tract secretions obtained
by fiberoptic bronchoscopy with bronchoalveolar
lavage and stained with methenamine silver stain
demonstrate cup-shaped cysts with sharply outlined
walls. Which of the following organisms is the most
likely pathogen in this case?
a. Candida albicans
b. Giardia lamblia
c. Haemophilus influenzae
d. Pneumocystis carinii

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