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Med Inquisition Prelims

Total questions: 50

Worksheet time: 50mins

Name
Class
Date
1.

Naglazyme is used in the treatment of ___.

a)

 Maroteaux-Lamy Syndrome

b)

Morquio's Disease

c)

VonGierke's Disease

d)

Niemann-Pick Disease

2.

An AIDS patient presents with anorexia and weight loss. Which of the following is a naturally extracted cannabinoid that is approved for his condition?

a)

Dronabinol

b)

Nabilone

c)

Tibolone

d)

Cannabidiol

3.

A 30-year-old man with hereditary hemochromatosis has been started on weekly phlebotomy. All of the following complications will improve with this treatment except ____.

a)

Hepatomegaly

b)

Skin Pigmentation

c)

Cardiacfailure

d)

Arthropathy

4.

Upon intramuscular injection of which of the following local anesthetics is maximum toxicity induced?

a)

Lidocaine

b)

Prilocaine

c)

Procaine

d)

Bupivacaine

5.

What is the biochemical basis of precipitation of porphyria by barbiturates?

a)

De-repressionofALAsynthase

b)

Repression of ALA synthase

c)

Inhibition Of Ferrochelatase

d)

Noneoftheabove

6.

If the percentage of thymine residues in DNA is 28%. What is the percentage of cytosine?

a)

28%

b)

44%

c)

36%

d)

22%

7.

Your patient is a 22-year-old woman with several episodes of bloody diarrhea. She is HIV antibody positive with a CD4 count of 50. Stool cultures for Shigella, Salmonella, and Campylobacter were negative. An assay for Clostridium difficile toxin was negative. Colonoscopy revealed many ulcerated lesions. Biopsy revealed cells with “owl’s eye” inclusions in the nucleus. Which one of the following is the most likely cause of this disease?

Which of the following is the most likely organism causing this disease?

a)

Cytomegalovirus

b)

Epstein Barr virus

c)

Epstein Barr virus

d)

Varicella Zoster virus

8.

Reverse isolation would be appropriate for:

a)

a patient with tuberculosis

b)

a patient who has had minor surgery

c)

a patient with glaucoma

d)

a patient with leukemia

9.

A 60-year-old man reports to the emergency room complaining of shortness of breath and a rapid, irregular heartbeat. An ECG shows the pattern recorded in Figure 6-4, panel A. A diagnosis of atrial fibrillation, heart rate 140, is made. He is treated with an IV drug, which results in a change of the ECG, 1 hour after drug administration, to the pattern shown in panel B. This ECG was read as atrial fibrillation, heart rate 65..What drug was used?

a)

Adenosine

b)

Diltiazem

c)

Disopyramide

d)

 Quinidine

10.

Which of the following insulin regimens most closely mimics insulin release from a normally functioning pancreas?

a)

Prebreakfast & predinner inj. of lente insulin + injection of R insulin if blood glucose >150 mg/dL

b)

Premeal injections of insulin lispro plus morning and evening injections of detemir insulin

c)

Premeal injections of NPH insulin plus an injection of insulin lispro at bedtime

d)

Post-meal injections of insulin glargine

11.

Which of the following does not produce thickened peripheral nerves?

a)

Chronic Guillain-Barre syndrome

b)

Refsum' s disease

c)

 Leprosy

d)

Alcoholic polyneuropathy

12.

The common sites of meningioma are all except

a)

Sylvian fissure

b)

Olfactory groove

c)

Over visual cortex

d)

Cerebello-pontine angle

13.

Mercury drop appearance colony of B.pertusis is seen on which of the following culture media?

a)

Blood agar

b)

Chocolate agar 

c)

Regan-Lowe agar

d)

Nutrient agar

14.

All of the following intestinal nematodes are oviparous, except:

a)

Roundworm

b)

Strongyloides

c)

Hookworm

d)

Enterobius

15.

Bacteriophages are not used for

a)

Phage assay

b)

Transduction

c)

Cloning vector

d)

Transformation

16.

Blind spots are common characteristics of:

a)

Cataract

b)

Glaucoma

c)

Conjunctivitis

d)

Diabetic retinopathy

17.

Estrogen receptor alpha is not present where?

a)

vagina

b)

uterus

c)

ovaries

d)

bone

18.

Poor prognostic factors in meningitis include all except *

a)

CSF bacterial count > 1000000 cells/mm3

b)

CSF glucose < 40 mg/dl

c)

CSF protein > 1000 mg/dl

d)

seizure > 4 days

19.

Which of the following is not the hallmark of P falciparum on peripheral smear?

a)

accole bodies

b)

schuffner's dots

c)

double chromatin dots

d)

absence of trophozoites on peripheral smear

20.

The drug of choice for preventing relapses in vivax malaria during pregnancy is ...

a)

weekly primaquine

b)

weekly artesunate

c)

weekly chloroquine

d)

weekly mefloquine

21.

Which one of the following gross appearances of a kidney is most characteristic of malignant nephrosclerosis?

a)

Broad U-shaped cortical scars overly dilated calyces renal poles

b)

Depressed Cortical Areas overlying necrotic papillae of varying stages 

c)

Multiple Small Petechial Hemorrhages on the surface

d)

Multiple small white areas on the surface

22.

Which of these should you put on first if you will be wearing a gown, gloves, mask and goggles?

a)

Gown

b)

Gloves

c)

Mask

d)

Goggles

23.

In glycoproteins, the carbohydrate moiety is always attached through the amino acid residues:

a)

tryptophan, aspartate, or cysteine.

b)

asparagine, serine, or threonine

c)

glycine, alanine, or aspartate.

d)

aspartate or glutamate.

24.

Regarding heavy metal toxicity, all of the following statements are false

EXCEPT:

a)

Ricewatery stools are characteristic of mercury vapor intoxication

b)

Mee's lines are found characteristically in the fingernails of iron intoxicated cases

c)

Mee's lines are found characteristically in the fingernails of iron intoxicated cases

d)

Intoxication from both mercury vapor and divalent copper may cause severe salivation and gingivitis.

25.

Which of the following vaccines should not be kept on an ice pack during routine immunization?

a)

Measles

b)

Japanese encephalitis

c)

OPV

d)

IPV

26.

You are posted with dermatology department. During patient's examination your professor scraped some skin for fungal smear. Your friend, Ajay was looking outside the window and didn't hear what the professor was speaking. Unfortunately the professor noticed it and asked him "What compound will be used for the smear?" Help Ajay with the compound's name and concentration.

a)

Sodium sulphate 0.2%

b)

Potassium hydroxide 20%

c)

Sodium carbonate 0.2%

d)

Potassium hydroxide 2%

27.

A 62-year-old man recently had coronary bypass surgery in which the great saphenous vein was harvested for reestablishing coronary blood flow. Following the procedure, he complained of loss of sensation in the cutaneous area noted in the given photo in the limb from which the vein was harvested. Which of the following nerves was most likely damaged during the surgery?

a)

Sural nerve

b)

Obturator nerve

c)

Saphenous nerve

d)

Deep fibular (peroneal) nerve

28.

You are a swimming instructor who is taking classes during Covid-19 pandemic. You have divided the pool into different section (water can move between them) and there is only one student in one section. You also make sure that all the covid- related protective measures are followed. One of your student tests positive for covid. What will you do next?

a)

Advice everyone to get admitted to designated covid-19 hospital

b)

Ask everyone to stay in quarantine for 14 days + compulsory rtpcr test after that

c)

Ask everyone to stay in quarantine for 7 days + compulsory rtpcr test after that

d)

You will do nothing and continue with the classes

29.

Which of the following is NOT associated with tortuosity of the aorta on chest x-ray?

a)

Hypertension

b)

Congestive heart failure

c)

Atherosclerosis

d)

Marfan syndrome

30.

A patient was started on antihypertensive medications; developed persistent dry cough, the most probably prescribed drug is

a)

Lisinopril

b)

Hydrochlorothiazide 

c)

Losartan

d)

Amlodipine

31.

Epstein Barr (EB) virus has been implicated in the following malignancies except:

a)

Hodgkin‘s disease

b)

Non Hodgkin‘s lymphoma

c)

Nasopharyngeal carcinoma

d)

Multiple myeloma

32.

1.A 30 year old male with hereditary hemochromatosis has been started on weekly phlebotomy. All of the following complications will improve with this treatment except:

a) Hepatomegaly

b) Skin pigmentation

c) Cardiac failure

d) Arthropathy

a)

A

b)

B

c)

C

d)

D

33.

A postmenopausal women presents with a complaints of feeling a mass PV. She informs that the mass increases on coughing and sneezing. Which of the following is not the complication of this condition?

a) Incarceration

b) Hydronephrosis

c) Stress incontinence

d) Urge incontinence

a)

A

b)

B

c)

C

d)

D

34.

A multiparous women was admitted to the labour room at term with complaints of draining PV. On examination the uterus correspondence to term size, presentation is cephalic and the presenting part is face. Which diameter is engaged in this type of presentation?

a) Mento-vertebral

b) Sub mento-vertical

c)Occipito-frontal

d)Sub Occipito-frontal

a)

A

b)

B

c)

C

d)

D

35.

A patient showed persistence of genital herpes lesions even after 7days of high dose oral acyclovir therapy. Which of the following antivirals can be used to manage this case?

a) Ganciclovir

b) Abacavir

c) Foscarnet

d) Valacyclovir

a)

A

b)

B

c)

C

d)

D

36.

A 4 year old unimmunized child presents with whooping cough. Which of the following constituents of the causative organism is responsible for facilitating it's adhesion to the respiratory epithelium?

a)Adenylate cyclase

b) Lipopolysaccharides

c) Tracheal cytotoxin

d) Filamentous hemagglutinin

a)

A

b)

B

c)

C

d)

D

37.

Shown below is a skin lesion. Which of the following is not a criteria to assess it's malignant potential?

a) Irregular border

b) Inhomogeneous colour

c) Diameter> 4mm*

d) Asymmetry

a)

A

b)

B

c)

C

d)

D

38.

A patient presented to the emergency with symptoms of unstable angina. ECG done in pain free interval showed biphasic T waves in precordial leads without ST changes. Cardiac troponins were normal. Coronary angiography revealed stenosis of the proximal left anterior descending artery. What is the

likely diagnosis?

a) Broken heart syndrome

b) Wellens syndrome

c) Barlow syndrome

d) Brugada syndrome

a)

A

b)

B

c)

C

d)

D

39.

While doffing which is the first component of the PPE that you would remove?

a) Coverall

b) Shoe covers

c) Face shield

d) Gloves

a)

A

b)

B

c)

C

d)

D

40.

Identify the wrong match regarding COVID-19 vaccines: 

a) Pfizer- mRNA based vaccine

b)Covaxin - Inactivated vaccine

c) Modern - Recombinant DNA vaccine

d) AstraZeneca- Non Replicating viral vector vaccine

a)

A

b)

B

c)

C

d)

D

41.

Continuous renal replacement therapy ( CRRT) is preferred in patients with which of the following features?

a) Severe hypotension

b) Hyperkalemia

c) Metabolic acidosis

d) Uremic symptoms

a)

A

b)

B

c)

C

d)

D

42.

 A patient with peptic ulcer disease presents with recurrent ulcers that do not respond well to medical therapy. Which among the following is the next appropriate step?

a) Urea breath test

b) Secretin test

c) Serum gastrin levels

d) Endoscopic ultrasound

a)

A

b)

B

c)

C

d)

D

43.

A neonate diagnosed with Rhabdomyosarcoma was started on Vincristine, Cyclophosphamide and cisplatin. A week after initiation of treatment the baby had multiple episodes of seizures refractory to diazepam and lidocaine. Work up revealed an elevated ADH levels and euvolemic hyponatremia. Which of the following drugs can be used to treat this patient?

a) Carbamazepine

b) Pheytoin

c) Oxcarbamazepine

d) Phenobarbitone

a)

A

b)

B

c)

C

d)

D

44.

Which of the following diseases is a patient presenting with spontaneous hyphema likely to have? a) Discoid lupus erythematosis

b) Behcet's disease

c) Juvenile Xanthogranuloma*

d) Syphilis

a)

A

b)

B

c)

C

d)

D

45.

Blessy, a 3 year old unconscious child is rushed to the ER. She is found to have a complete upper airway obstruction. An emergency invasive airway procedure is planned to save her. Which among the following is not an invasive airway procedure?

a) Endotracheal intubation

b) Retrograde intubation

c) Needle Cricothirotomy

d) Percutaneous transtracheal jet ventilation

a)

A

b)

B

c)

C

d)

D

46.

A nephrectomy specimen of a 40 years old man showed the following histological picture. The familial cancer syndrome most likely to be associated with this type is:

a) Von Hipple Lindau Syndrome

b) Hereditary leiomyomatosis and renal cell cancer syndrome

c) Birt-Hogg Dube Syndrome*

d) Tuberous sclerosis complex

a)

A

b)

B

c)

C

d)

D

47.

A 30 year old patient who was diagnosed with familial adenomatous Polyposis presents with a mass at the colectomy scar site. After further investigations, a biopsy is done and it revealed the following findings. Which of the following statements regarding the abdominal mass is false?

 

 a) It is more common in males*

b) It is unencapsulated

c) Metastasis is absent

d) Recurrence is common after surgery

a)

A

b)

B

c)

C

d)

D

48.

Four days after being extubated, an elderly diabetic man with COVID-19 developed Rhinosinusitis. The tissue obtained from the sinuses showed the following. The physician wanted to start the patient on Amphotericin-B. However, it was not available. Which other drug can be given to this patient?

a) Voriconazole

b) Isavuconazole

c) Itraconazole

d)Flucytosine

a)

A

b)

B

c)

C

d)

D

49.

A 60 year old man comes to the OPD, for an eye examination. He is having difficulty reading newspaper, but has no problem watching television. At what distance would you ask him to read a Jaeger's chart from?

a) 20cm

b) 30cm

c) 35cm

d) 40cm

a)

A

b)

B

c)

C

d)

D

50.

A male patient who presented with a lump in his right breast is diagnosed to have breast carcinoma. Which of the following is true regarding the given condition?

A. The Prognosis Is Worse Than Females

B. Infiltrating Ductal Carcinoma Is The Most Common Type

C. Age Of Presentation Is Earlier Than in women

D. Tamoxifen Is Not Effective In The Treatment

a)

 The Prognosis Is Worse Than Females

b)

Infiltrating Ductal Carcinoma Is The Most Common Type

c)

Age Of Presentation Is Earlier Than in women

d)

Tamoxifen Is Not Effective In The Treatment