299 - AIIMS NOVEMBER 2009 MCQS with Answers - part 14

66q: Which of the following cancers are associated with LYNCH syndrome?
a. Breast, ovarian and endometrial cancers
b. Colon, ovarian and endometrial cancers
c. Breast, colon and ovarian cancers
d. Endometrial, breast and colon cancers

answer b. Colon + ovarian + endometrial cancers

*Refer page 607, bottom left last paragraph - Harrison's 17th edition.

67. Anti-neutrophilic cytoplasmic antibodies are seen in ?
a. Good pasture syndrome
b. PAN
c. Kawasaki disease
d. Wegener's granulomatosis

answer Both a and d.

*p-ANCA is seen in Microscopic polyangitis, Churg strauss syndrome, Good pasture syndrome and Cresentric glomerulonephritis.
*c-ANCA is seen in Wegener's granulomatosis.

68q: Which of the following statement is true regarding Phenytoin ?
a. It follows zero order kinetics
b. It is excreted unchanged in urine
c. It is not teratogenic
d. ????????

answer A.It follows zero order kinetics

*Drugs which follow zero order kinetics are Theophylline, Warfarin, Salicylates (high doses), Tolbutamide, Ethanol(except low blood levels)and Phenytoin (high doses).

69q: During valsalva maneuvre, murmurs of all of the following are reduced except?
a. HOCM
b. ???????
c. ???????
d. ???????

answer a.HOCM

70q: A 15 year old boy dies suddenly playing in the field. Probable diagnosis ?
a. Dilated cardiomyopathy
b. Hypertrophic cardiomyopathy
c. Obstructive cardiomyopathy
d. arrythmogenic heart disease

answer post in comments