201 - UPSC 2007 medical entrance mcqs with answers part 11

51. Chronic renal failure with inappropriately high haemoglobin levels may be seen with:

a. Hypertensive nephropathy
b. Ischemic nephropathy
c. Diabetic nephropathy
d. Polycystic renal disease

answer will post soon

52. Regarding rheumatoid arthritis, which one of the following statements is correct?

a. NSAIDs are helpful in controlling the disease process
b. Corticosteroids, on long term basis, are to be given in all cases
c. DMARDs should be given early and preferably in combinations
d. Every patient of rheumatoid arthritis has a positive rheumatoid factor

answer will post soon

53. Consider the following sites of lesion in brain:

1. Lateral geniculate body
2. Optic radiation
3. Optic tract
4. Optic chiasma

Which of the above can result in homonymous hemianopia?

(a) 1, 2 and 4
(b) 2, 3 and 4
(c) 1 and 4 only
(d) 1, 2 and 3 .

answer d . 1 , 2 and 3

54. What is the typical feature of nerve entrapment in the carpal tunnel syndrome?

(a) Symptoms diminish by wrist flexion
(b) Pain worsens at night
(c) Erythema present in the cutaneous distribution of median nerve
(d) Motor symptoms precede sensory symptoms

answer a . symptoms diminish by wrist flexion .

Have a look at this flow chart about carpal tunnel syndrome .

55. Which one of the following is not a feature of Guillain Barre syndrome?

(a) Albumino-cytological dissociation
(b) Transient bladder disturbances
(c) Areflexia
(d) Babinski plantar response

answer d . babinski plantar response . deep tendon reflexes are attenuated or absent in guillain barre syndrome

194 - UPSC 2007 medical entrance mcqs with answers part 4

16. Regarding vitamin K, which one of the following statements is correct?

a. It is a water soluble vitamin
b. Its body-stores can last more than 8 years
c. Its routine prophylaxis in newborn children is recommended to prevent early haemorrhagic disease
d. It is the treatment of choice in patients with acute severe haemoptysis

answer will post soon

17. Which one of the following is the most appropriate clinical tests to confirm the iron-deficiency anaemia?

a. Red blood cell indices
b. Serum ferritin level
c. Bone-marrow examination
d. Urinary iron clearance

answer b . serum ferritin level

18. A two day old child presents with persistent diarrhoea, acidic stools and presence of one percent of reducing substance in the fresh stools. What is the most probable diagnosis?

a. Cystic fibrosis
b. Lactose intolerance
c. Rotavirus induced diarrhoea
d. Intestinal tuberculosis

answer b . lactose intolerance

19. With reference to leprosy, consider the following statements:

1. In lepromatous leprosy, lepromin , test is always positive.
2. Polyclonal hypogammaglobinemia is a common feature of lepromatous leprosy.
3. Secondary amyloidosis may occur in long-standing lepromatous leprosy.

Which of the statements given above are correct?

(a) 1, 2 and 3
(b) 1 and 2 only
(c) 1 and 3 only
(d) 2 and 3 only

answer will post soon

20. With reference to Polyarticular juvenile rheumatoid arthritis" consider the following statements:

1. It is more common in girls.
2. Five or more joints are affected within the first six months of onset.
3, Uveitis occurs in 95% patients.
4. Rheumatoid factor may be negative.,

Which of the statements given above are correct?

(a) 1 and 4 only
(b) 1, 2 and 4
(c} 2, 3 and 4
(d) 2 and 3 only

answer will post soon