FINAL YEAR MEDICINE TEST- WEEK : presentation of respiratory illness, investigations. Tuberculosis

Questions; Q1. All of the following are indication of single lung transplantation except a) emphysema b) pulmonary fibrosis c) cystic fibrosis d) none of them. 2) A female smoker complains of breathlessness, cough and sputum production for 3 years, her afb smear is negative and hb is 16grams/dl. The most likely diagnosis is a) lung cancer b) asthma c) bronchitis d) copd Q3) At least how much fluid is required in pleural effusion to be detected on xray chest? A)50ml b)100ml c)200ml d)300ml Q4) All of the following pre dispose to asthma except: a) childhood viral infections b) exposure to pets in early life c) lactobacilli predominance in gut flora d) indoor pollution. 5) A patient complains of cough, chest tightness, breathlessness, examination shows rash on body and xray chest is normal. The likely diagnosis is : a) asthma b) copd c) pulmonary fibrosis d) pneumonia 6) All of the following disease cause millet seed appearance on xray except: a) TB b) sarcoidosis c) coal worker pneumoconiasis d) pneumonia Q7) A person was diagnosed as having tuberculosis and given ATT, To label him as resistant case of tuberculosis, smear should be positive after? a) 2 weeks b) 2 months c) at 5months d) at the end of therapy Q8) A 60yrz old pt with history of copd and needs to be considered for chemotherapy. Which of following drugs may cause lung fibrosis and should be avoided? A)5 fluorouracil B)tamoxifen C)vincristine D)bleomycin E)cytarabine Q9)A 60yr old miner has been in the occupation for 20 years . He presents with cough and breathlesness. CXR shows diffuse interstitial shadowing, a sputm sample is positive for afb. Which of the following dusts is most likely to hve predisposed the patien To tb? A)berrylium B)cadmium C)coal D)silica E)house dust. 10) which disease increases the risk of a child to contract tuberculosis: a) chicken pox b) rubella c) measles d) diarrhoea

Health tip:the fruit from the graviola tree is a miraculous natural cancer cell killer

SOLVED PAPER for SURGERY TEST

Q1. Regarding acute perionitis all are true except: a) Most cases are caused by invasion by bacteria. b) Gastrointestinal perforation is one of its path. c) Abdominal pain worse by moving and breathing d) Bacterial peritonitis is usually with anaerobics alone. e) Pelvic abcess is its complication. Q2. All are the clinical features of paralytic ileus which is the complication of acute peritonitis except a) Mild abdominal pain. b) Gas filled loops and fluid levels are seen in proximal colon. c) It has to be differentated from intestinal obstruction. d) Bowel sounds are reduced or abscent Q3. Which of the following is the cause for transudative ascites? a) Tuberculous peritonitis. b) Peritoneal Malignancy. c) Budd-chiari syndromed. d) Congenital heart disease. e) Meig's syndorme Q4. A 24 year female complaining of painless lump in breast,which is firm in consistency,solitary,not fixed to the surrounding structures,regional lymph nodes are not involved,what will e your diagnosis?? a) Phyllodes tumor b) Duct papiloma c) Fibroadenoma d) Duct cell carcinoma Q5. in localised peritonitis, the most imp sign is a) gaurding and rigidity of abd wall b) rebound tenderness c) rising pulse and temp d) shoulder tip (phrenic) pain e) both a and b Q6. in grading of mammography, grade 4 indicates a) benign lesion b) highly suggestive of Ca c) suspicious of breast cancer d) probably benign lesion Q7. black or green discharge from more than 1 duct of nipple is seen in a) purulent infection b) fibrocystic disease c) carcinoma d) duct ectasia Q8. thrombophlebitis of superficial veins of breast occur in a) actinomycosis b) breast abscess c) TB of breast d) mondor's disease Q9. non cyclic mastalgia in post menopausal women is usually refered from a) neck and shoulder b) ears c) back d) uper limb Q10. fibroadenoma usually arises at age of a) 20 to 25 yrs b) 15-25 yrs c) 35-40 yrs d) 25-30 yrs