MEDICINE: PRACTICE 17

MULTIPLE CHOICE QUESTIONS SERIES

INSTRUCTION: WRITE T (TRUE) OR F (FALSE) AGAINST THE OPTIONS IN EACH QUESTION. 

1.        In acute exacerbation of chronic obstructive pulmonary disease (COPD):
   a.       There may be worsening breathlessness, wheezing and cough
   b.      There is usually spontaneous relief with an inhaler
   c.       Infection may be the precipitant
   d.      Confusional state is indicative of dementia
   e.      Pneumothorax may be a complication
   2.       Type 1 respiratory failure refers to:
   a.       Normal PaCO₂ and low PaO₂
   b.      High PaCO₂ and low PaO₂
   c.       Low PaCO₂ and low PaO₂
   d.      Normal PaCO₂ and normal PaO₂
   e.      Normal PaCO₂ and high PaO₂
   3.       Which of the following is/are correctly matched:
   a.       Festinant gait........................................................Parkinson disease
   b.      Gower’s sign..........................................................Pott’s disease of the spine
   c.       Saddle anaesthesia................................................cordal equina syndrome
   d.      Adenoma sebaceum..............................................tuberous sclerosis
   e.      Bilateral lower motor neuron facial palsy.............Lyme disease
   4.       The following are known adverse drug reactions of the paired drugs:
   a.       Nephrotoxicity....................................gentamycin  
   b.      Hypokalaemia.....................................hydrochlorthiazide
   c.       Stevens Johnson syndrome..................sulphonamides
   d.      Bleeding gums.......................................nifedipine
   e.      Dehydration...........................................propanolol
   5.       The following are determinants of cardiac performance:
   a.       Preload
   b.      Environmental stress
   c.       Afterload
   d.      Heart rate
   e.      Myocardial contractility
   6.       Hypertension is a common cause of:
   a.       Heart failure
   b.      Respiratory failure
   c.       Renal failure
   d.      Hepatic failure
   e.      Cerebrovascular accident
   7.       Concerning the jugular venous pressure:
   a.       Mirrors left atrial pressure
   b.      Mirrors right atrial pressure
   c.       Mirrors right ventricular pressure
   d.      Mirrors left ventricular pressure
   e.      Mirrors pulmonary venous pressure
   8.       In nephrotic syndrome:
   a.       There is gross proteinuria
   b.      The serum albumin is low
   c.       There is gross haematuria
   d.      There is always accompanying hypertension
   e.      There is hypercholesterolaemia
   9.       Aortic incompetence is a recognized complication of:
   a.       Rheumatic fever
   b.      Rheumatoid arthritis
   c.       Diabetes insipidus
   d.      Dissecting aortic aneurysm
   e.      Syphilis
   10.   Severe headache is a well known feature of:
   a.       Hypertensive encephalopathy
   b.      Meningitis
   c.       Vitamin D deficiency
   d.      Glaucoma
   e.      Fibrosing alveolitis
   
   
   ANSWERS:
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