8

Question 1

Pulmonary artery hypeetension/pumonary artery systolic pressure having positive response with vasodilator ie nitic oxide should be treated with ?

Answer 1

Calcium channel blocker
Nifedipine

Question 2

Complete heart block due to inferior wall MI is not an indication of pacing management to do is

Answer 2

Observation only

Question 3

Temporary pacing wire is inserted as treatment option in

Answer 3

2nd degree/ complete heart block with anterior wall MI
Symptomatic bradycardia not responding to atropine

Question 4

High arched palate ,archnodactyly,late systolic murmur with visual disoder

Answer 4

Supratemporal ectopia lentis i.e upward lens dislocation in Marfan syndrome

Question 5

Infranasal ectopia lenstis

Answer 5

Homocystinuria

Question 6

Indication to stop exercise tolerance test

Answer 6

Drop in BP

Question 7

Magnesium sulphate induced resliratory depression first line treatment

Answer 7

Calcium gluconate

Question 8

Least likely to cause myopatjy among statins

Answer 8

Pravastatin

Question 9

In pulmonary embolism first treatment should be

Answer 9

Direct oral anti coagulant for 3 months

Question 10

In aortic dissection initial management is

Answer 10

Iv labetalol

Question 11

In polyartritis nodosa leaset recognized is

Answer 11

C-Anca found in 20% cases only

Question 12

Normal ecg
Normal coronary angiogram
Changes in exercise tolerance test ( ST depression particularly)

Answer 12

Coronary syndrome X

Question 13

St elevation v1-v3 on ecg

Answer 13

Brugada syndrome

Question 14

11 year old kid
Cyanosed
Right ventricular heave
Increase jvp
Loud 2nd heart sound

Answer 14

Esinmeger syndrome

Question 15

Increase in aptt
Decrease platelets

Answer 15

Antiphospholipid syndrome

Question 16

Diagnosis of secondary osteoporosis by

Answer 16

Z score

Question 17

Variable intensity of S1 produced by

Answer 17

Complete heart block

Question 18

Second line treatment f angine pectoris contraindicated in GIT diseases. And causes ulcer anywhere in body

Answer 18

Nicorand

Question 19

Infective endocarditis due to dental procedure

Answer 19

Strep viridans
Strep mitis
Strep oralis

Question 20

Tnf inhibiyor therapy does not improve

Answer 20

Radiological progression

Question 21

During exercise

Answer 21

Increase myocardial contractility
Increased stroke volume
Increased heart rate
Venous constriction
Increase is systolic BP
Decrease diastolic BP

Question 22

If patient already on ACE inhibitor(ramipril10mg) and uncontrolled hypertension

Answer 22

Add thiazide diueretic (indapamide) or calcium channel blocker

Question 23

Qtc prolongation blocks

Answer 23

Cardiac potassium channels

Question 24

Type of pain in ankylosing spondylitis

Answer 24

Pain at night
Worsens with rest
Improves by movement or exercise

Question 25

Dequrvain tenosinovitis involves

Answer 25

Abductor ploicis longus Extensor policis brevis

Question 26

Main investigation of ankylosing spondylitis

Answer 26

Pelvic x ray of sacroiliac joints

Question 27

Osteomalacia x ray shows

Answer 27

Looser zones Milkman fractures Pseudo fracture Translucent bands

Question 28

Tennis elbow

Answer 28

Lateral epicondilitis Pain on wrist extension 0

Question 29

Reduced central visual field acuity Floaters Bulls eye caused by

Answer 29

Hydroxychloroquine retinopathy

Question 30

Osteomalacia labs

Answer 30

Dec calcium Dec phosphate Inc PTH Inc ALP

Question 31

Knee oseoarthritis First line treatment

Answer 31

Topical nsaid

Question 32

Qtc prolongation blocks

Answer 32

Cardiac potassium channels

Question 33

Tingling and numbness to 4th and 5th nerve

Answer 33

Cubital tunner syndrome due to co.pression of ulner nerve

Question 34

Persistent rash on multiple areas of body V shaped scaly rash on upper part of chest Scales affect meta tarsophalangeal joints Muscle weakness Cough

Answer 34

Dematomyositis Diagnosed by anti Mi 2 Biomarker creatinine kinase

Question 35

Calcium pyrophosphate crystal in joints Blood test for diagnosis

Answer 35

Transferrin saturation ( risk of hemochromatosis inc in psedo gout)

Question 36

Complicated giant cell arteritis ( having visual problem and jaw or tongue claudication) treates with

Answer 36

Iv methylprednislone 500-1000mg for 3 days before starting with oral prednisolone

Question 37

Sensory loss of dorsum of foot Weakness of dorsiflexion of foot and big toe Positive scaitic nerve stretch test

Answer 37

L5 nerve root compression Lower back pain with prolapsed disc

Question 38

Acute onset unilateral severe pain in shoulder with shoulder weakness few days later Sensation remain intact No history of trauma Shoulder appears smaller after a few days

Answer 38

Brachial neuritis

Question 39

Adhesive capsulitis initial management

Answer 39

Physiotherapy and nsaids

Question 40

Adhesive capsulitis presents as

Answer 40

Middle aged women History of diabetes Active passive movement limited External rotation of shoulder more affected then internal

Question 41

Microscopic polyangitis presents as

Answer 41

Lung and kidney symptoms Fever weight loss joint pain purpric rash Upper resp tract symptoms Pauci immune cresenteric glomuerulonephritis Blood in urine

Question 42

Clubbing Fine iinspiratory crackles at lung base On ct interstitial fibrosis affecting lower zone

Answer 42

Idiopathic pulmonary fibrosis

Question 43

Aortic regurgitation Sensineural hearing loss Recurrent hoarseness Nasal sympotoms

Answer 43

Relapsing polychondritis

Question 44

Collapsing pulse Aortic regurgitation

Answer 44

Bicuspid Aortic valve

Question 45

Complicated giant cell arteritis ( having visual problem and jaw or tongue claudication) treates with

Answer 45

Iv methylprednislone 500-1000mg for 3 days before starting with oral prednisolone