391 - AIIMS May 2010 Medicine Mcqs

107. Hyperextensibility with normal elastic recoil is a feature of
a) Ehlers Danlos syndrome
b) Pseudoxanthoma elasticum
c) Cutis laxa
d) Scleroderma

answer a. Ehlers Danlos syndrome.

108. Which of the following about atherosclerosis is true?
a) Intake of PUFA associated with decreased risk
b) Thoracic aorta involvement is more severe than abdominal aorta involvement
c) Extent of lesion in veins is same as that in arteries
d) Hypercholesterolemia does not always increase the risk of atherosclerosis per se

answer a. Intake of PUFA associated with decreased risk.

109. Not a cardiovascular complication of HIV/AIDS
a) Cardiac tamponade
b) Recurrent arterial embolism
c) CHF
d) Aortic aneurysm

answer d. Aortic aneurysm.

110. A girl presented with severe hyperkalemia and peaked T waves on ECG. Fastest way of shifting potassium intracellularly is
a) Calcium gluconate IV
b) Oral resins
c) Insulin + glucose
d) Sodium bicarbonate

answer c. Insulin + glucose

111. Features of hypocalcemia are A/E
a) Numbness & tingling
b) Circumoral paresthesia
c) Depressed tendon reflexes
d) Skin irritability & sensitivity

answer c. Depressed tendon reflexes.

112. A young man back from leisure trip has swollen knee joints & foriegn body sensation in eyes. Llikely cause is
a) Reiter’s syndrome
b) Sarcoidosis
c) Behcet’s disease
d) SLE

answer a. Reiter's syndrome

113. Cause of vasodilatation in spider nevi
a) Estrogen
b) Testosterone
c) Hepatotoxins
d) FSH

answer a. Estrogen.

114. A patient presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the
vessels. The patient should be tested for which of the following?
a) HBV
b) HCV
c) EBV
d) Parvovirus

answer b. HCV

115. Rapid infusion of insulin causes
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hyponatremia

answer b. Hypokalemia.

116. Digitalis toxicity enhanced by A/E
a) Renal failure
b) Hyperkalemia
c) Hypercalcemia
d) Hypomagnesemia

answer b. Hyperkalemia.

117. True about hemochromatosis
a) Is genetically heterogenous
b) Cannot be treated by phlebotomy
c) Completely penetrant
d) More common in female than male

answer a. Is genetically heterogenous.

118. Strawberry gingivitis seen in
a) Myelocytic infiltration
b) Phenytoin toxicity
c) Wegener granulomatosis
d) Klippel Trenaunay syndrome

answer c. Wegener's granulomatosis.

119. A child presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the vessels. The patient should be tested for which of the following?
a) C3
b) C5a
c) C1 esterase inhibitor
d) C9

answer c. C1 esterase inhibitor.

120. Test for assessment of absorptive function of colon
a) D-xylose test
b) NBT-PABA test
c) Fecal fat estimation
d) Schilling test

answer a. D-xylose test.

121. All are true about temporal arteritis except
a) Can lead to sudden bilateral blindness
b) More common in females
c) Worsens on exposure to heat
d) Mostly affects elderly

answer c. Worsens on exposure to heat.

122. A pt presents with acute rheumatic carditis with fever. True statement is
a) Increased troponin T
b) Reduced myocardial contractility
c) Signs of inflammation and necrosis
d) Valve replacement will ameliorate CCF

answer d. Valve replacement will ameliorate CCF.