Competitive Exams: Medical Science MCQs (Practice-Test 120 of 135)

  1. A 30-year old person met with a roadside accident. One admission, his pulse rate was 120/minute. BP was 100/60 mm Hg. Ultrasonography examination revealed location of the lower pole of spleen and haemoperitoneum. He was resuscitated with blood and fluid. Two hours later, his pulse was 84/minute and BP was 120/70 mm Hg. The most appropriate course of management in this case would be

    1. Exploring the patient followed by splenectomy

    2. Exploring the patient followed by excision of the lower pole of spleen

    3. Splenorrhaphy

    4. Continuation of conservative treatment under close monitoring system and subsequent surgery if further indicate

  2. A 22-year old male is admitted with fracture of the left femur. Two days later, he becomes mildly confused, has a respiratory rate of 40/min and scattered petechial rash on his upper torso. Chest xray shows patchy alveolar opacities bilaterally. His arterial blood gas analysis is abnormal. The most likely diagnosis is

    1. Cerebral oedema with early neurogenic pulmonary oedema

    2. Pulmonary thrombo-embolism

    3. Chest contusion

    4. Fat embolism

  3. Match List I with List II and select the correct answer:

    List-I List-II
    1. Umbilical secondaries

    2. Scalene node deposits

    3. Mass in the pouch of Douglas

    4. Secondaries in the ovaries

    1. Umbilical secondaries

    2. Scalene node deposits

    3. Mass in the pouch of Douglas

    4. Virchow gland

    • A
    • B
    • C
    • D
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      • 2
      • 1
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      • 1
  4. Consider the following types of growth:

    1. Pyloric growth

    2. Carcinoma of body of stomach.

    3. Growth at cardia.

    The correct sequence in DESCENDING order of the degree of accuracy of barium meal examination for the diagnosis of carcinoma stomach in respect of the given types of growth is

    1. 2, 1, 3

    2. 3, 1, 2

    3. 1, 2, 3

    4. 1, 3, 2

  5. On measurement, the base of Bryants triangle on the left side is found to be short by 2 cm as compared to the right side. This indicates:

    1. Fracture of the neck of femur

    2. Fracture of the shaft of femur

    3. Osteoarthritis of the hip joint

    4. Rheumatoid arthritis of the hip joint

  6. Intramedullary fixation is ideal in a case of fracture of shaft of femur when there is

    1. A transverse fracture

    2. A compound fracture

    3. Soft tissue interposition between the fractured ends

    4. Such a fracture in a child

  7. Match List I (Glasgow coma scale) with List II (Systolic blood pressure) and select the correct answer:

    List-I List-II
    1. 13 to 15

    2. 9 to 12

    3. 6 to 8

    4. 4 to 5

    1. 76 to 89

    2. 50 to 75

    3. 1 to 49

    4. > 89

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    • D
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  8. Which of the following measures are taken to preven post-operative thromboembolism?

    1. Use of elastic stocking and exercise

    2. Early ambulation.

    3. Prophylatic anti-coagulant therapy.

    Select the correct answer using the codes given below:

    1. 1, 2 and 3

    2. 1 and 2

    3. 2 and 3

    4. 1 and 3

  9. Consider the following procedure:

    1. Ventriculoperitoneal shunt.

    2. Ven triculocisternal shunt.

    3. Ventriculopleural shunt

    Surgical procedures prescribed for the tratement of hydrocephalus would include

    1. 1 and 3

    2. 1 and 2

    3. 2 and 3

    4. 1, 2 and 3

  10. Which one of the following is a characteristic pathological change in Buergers disease?

    1. Sub-intimal plaques with haemorrhage

    2. Panarteritis involving both veins and nerves

    3. Dense infiltration of granulomatous reaction around the wall of artery

    4. Acute embolic state of a vessel

  11. A 25-year old man presents with 3 days history of pain in the right lower abdomen and vomitings. Patients general condition is satisfactory and clinical examination reveals a tender lump in right iliac fossa. The most appropriate management in this case would be

    1. Immediate appendicectomy

    2. Exploratory laparotomy

    3. Oschner Sherren regimen

    4. External drainage

  12. Consider the following statements regarding colorectal carcinoma:

    1. The 5-year survival in dukes A state is 80%

    2. The survival rate for patients with carcinoma colon has not changed in the last three decades.

    3. Radiotherapy is quite helpful in treating recurrent disease that is confined to the bowel wall.

    Of these statements

    1. 1 along is correct

    2. 2 and 3 are correct

    3. 1, 2 and 3 are correct

    4. 1 and 2 are correct

  13. The most frequent electrolyte imbalance following transsuretheral resection of prostate is

    1. hypernatraemia

    2. hyponatraemia

    3. hypercalcaemia

    4. hyperkalaemia

  14. A 50-year old post-menopausal woman has undergone modified radical mastectomy for a 4 cm sized T2 cancer breast. Examination of the axillary lymphnodes by the pathologist does not show any metastatic disease. Postoperative management of this patient would be

    1. Radiotherapy

    2. Chemotherapy

    3. Tamoxifen

    4. close monitoring and follow up

  15. Math List I (Clinical signs of carcinoma breast) with List II (TNM size) and select the correct answer:

    List-I List-II
    1. Tumour size 4 cm, nodes not involved skin free

    2. Tumour size 6 cm, involvement of ipsilateral mobile axillary nodes, skin free

    3. Tumour size 2 cm, fixed axillary nodes, skin free

    4. Tumour size 8 cm, involvement of supraclavicular nodes, skin free

    1. T2N1M0

    2. T2N0M0

    3. T3N3Mo

    4. T1N2M0

    5. T3N1M0

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