- impermeable to water—thick ascending loop
2)unprovoked Dvt still limb swelling no thrombus on Doppler— extend warfern 6 month
3)20 year cyanosis palpable liver edge odema systolic murmur-- pulmonary stenosis
4)dermatomyocitis + arthiritis
Anti RNp Due to mixd or anti jo
5)on chemo Emprical antibiotics given for----Pseudomonas or Candida
6)MS neurogenic bladder Urine.urine 60 ml remaning -----Tolteridone(anti mascranic)
100 self catheter <100 antimascranic
7)RA for 12 year diabetic urine protein ---------amyloidosis
8)rash on scalp -----Discoid lupus
9)ca lung operated 15 year back now pain in shoulder knee hip wrest more than 3 h morning stiffness— HPOA
OR Poly rheum
10)35 year bangladeshi bp 160/100 FOR 2 weeks
Treatment ARB
11)GB Syndrome------ monitor FVc
- asthama-----Indication for intubation RR > 30
13)carbimazole inhibat-------Thyroid hormone production
14)warferin inhibit-----epoxide enzyme
15)flecainide -----Sodium chn blocker
16)confirm h pylori eridacation —Urea breath test
17)antibodies bind----Fc portion
18)wound in hand enlarg axillary node Antegen carried by------(a)Dendretic cell(b)langerhan cell
19)acute rejectin of kidney By-----(a)immunoglobulins(b) t cell
20)old age only Left side involuantry movements----Levodopa or tetrabenzine
21)irrediation of blood kill------T lymphocites
22)tp 53 -----DNA repair - fail kidney transplant anti gb anti body --------Alport
24)stroke after 6 hour Ct normal------aspirn
25)terlipression------Splanchic vasoconstriction
26)systemic sclerosis Abdominal bloating flatulance—Treatment----Tetracycline due t bac overgrowth
27)functianal residual capicity ----- Erv +Rv
28)membreamous GN - class 2 HLA------B lumphocytes
30)endothelin blockers cause ----Increase respiratory blood flow
31)sudden painless los of vesion-----Central vein block - macular degenration-------Smoking
33)tonsilitis then red scaly rash-----Guttate psoriasis
34)pranoid schizophrenia
35)washing hainds ------OCD
36)multiple admition with symptoms all investigation normal -----somatiform disorder
37)extrengic allergic alveolits-----Upper lobe fibrosis
38)lower lobe consolidation----Streptococcal pneumonia
39)copd dec mortility-----LTOT - adult polysystic kidney----- diagnostic Usg abdomen
41)17 year old girl abnormal lfts artheritis ataxia----Wilson - itch middle age woman-------Primary billary cirrhosis
43)low folic acid diarrohea–Coeliac
44)HNPCC hMLh1 gene-----Cause dna mismatch repair - O + blood patient after transfusion withen 10 minute develop reaction Due to ----- AB + blood given
46)old bad smell in mouth----Pharangeal pouch
47)came from egypt ate meat yesterday from 6 hour bloody diarrhea nausia--------C.perfingies - lithium cause-----D insupidus
- CRF with low calcium,normal prathyroid, normal phosphate
--------2ndry hyperparathyroid
50)cystic fibrosis with chronic pancrititis------Fecal elstase
51)patient on tredmill when u will stop(a)>2 st dep in lateral leads(b) on patient request©bp 210/110 (d)HR 150/s
52)delirium treatment-------Holopridole - tall man with flexible joints which abnormality---- actopia lentus
- turner syndrome abnormilty-----Biculsid orotic valve
55 ) lymphoma occure in which thyroid diseace—hashimoto - patient admited with pneumonia low TSH, normal T4, low T3 with thyroid peroxidase andibodies----(a)sick thyroid(b)hypothyroid
56)homosexual with Anal uretheral disharge (a) gonococcus (b) lumphogranuloma venerium
57)polycyctic ovariun ------- LH:FSH ratio - hirsutism,oligomenorrhea ,Androgenic hair pattern,Diagnosis by ---------Usg abdomen( POS)
59)low fsh Lh--------Kallaman - myotonic dystrophy---------prolong PR interval
61)negative pradictive value----
885/900 (true negative / total negative)
62)Hemragic peptic ulcer ,PPI will reduce---- (a)mortality(b)Reoccurance of ulcerc©Heamorrhage
63)patient with Gout drinking alcohol and started allopurinole one week before got severe inflamation of all joints due to----(a)allopurinol(b)bing alcohol
64)flecainide is ----- sodium channel blocker
65)cyclosporinside side effect ---------Tremers
66)rash with white spots in mouth------Measels
67)school teacher got shingles one year before now her son got chicken pox what interaction will be done for school teacher----- do nothing she is immune - leishemenia Carried by-------flies
- patient from kenya high grade fever, Semiconcious,Urine positive protein blood-------Cerebral malaria
- skin lesion with no sensation and loss of reflexes----- leprosy
71)02 year before valve replacement now on dialysis and got endo carditis by------(a) s.epidermidis(b) viridins(c ) staph aurius
72)iv drug abucer got tetnus treatment ----- metronidazole - haemochromatosis diagnosis ---- transferin saturation
74)birkut lumphoma Tumour lysis treatment-----Give rasbricase - mcv high daignosis----Pernious anemia
76)african with neutropenia all other investigation normal----Normal variant
77)kaposi sarcoma caused by ---- HHV 8
78)cyslophosphamide cause heamorrhagic cystis treated by—Mesna
79)Acute promylocytic lekumia--------t(15:17)
80)PRV--------JACK 2 mutation
81)CML treatment-------Amatinib
82)latreal MI with st in L5,L6-------circumflex artery - LBBB---------reverse split s2
84)dilated pupil and c/o bugs inside skin----(a)Coacine(b)canabis - old age dementia-------Alzeheimer
86)young girl morning convultion no previous any disease.mother gives ho two previous convulsion(a)Non epiletic seizures(b)juvinile seizures
87)b/l weaknes absent ankle and upgoing planters----- conus medularoius lesion - pregnant lady with axillat francles-----Neurofibromatosis 1
89)(von hipple lendu) two sister one 45 with only retinal henangioma other 35 with rana brain eye heamengiom ----(a)Variable penetration(b)genetic anticipation
90)patient with low ortisole,Low testo,Low fsh,Prolactin 440----Nonfunctioning pitutry tumour - clonic jurk with denentia ataxia----Cruzfield jacub
92)patient with copd exercabation how much oxygen you will give initially(A) 28% (B)45%
93)systemic sclerosis --------Calcinosis - hemophilia child. Who will be affected in family----Mothers brother
- heamochromatosis (autosomal recessive)—25% chances
96)polymialgia rheumatica - all organ involved except lung,Artheritis, neuropsthy----Diagnosis was PAN
- reactive artheritis-------HLA b 27
- ankylosing spondlytis—Diagnostic Xray sarcoiliac joint
100)hyperthyroid with wrist joint involvement—Pseudo gout - B/L hand sign with sensory loss only in hands with median nerve involment----(a)Carpal tounal(b) cervical mylopathy
102)high chloestrole plus triglyceride,Which apolipoprotein—E
103)liqurice intake cause-----Hypokalemia - h/o weight gain Multiple Loc-----Insulonoma
105)overtight 1mg dexa positive what Next----24 hr urinary cortisole
106)diabetic on mitfotmin and ramipril creatinine 250----(a)Stop mitformin(b)ramipril - PCOS on mitformin ------increase glucose uptake
108)patient on betablocker,ramipril and verapmil got constipation stoping which releave constipation----- verapmil - acromegally do how u proceed for diagnosisa(a)ILGF1
(b)OGTT (Past-test ILGF) - patient with dip pip jiont involvement with index fingre swelling--------Psoriasis
- DK patient insulin give what next-----give normal saline
- student experiment injected 2L i/v normal saline, this wii cause (a)Increase Urinary sodium(b)thrust©increase intracellular volume
- left accessory pathway will cause----Left axis deviation
114)anaphulaxis ------Serum tryptase level - life threatning astham not improving------- iv magnesium
116)lichnification papule pruritic------Lichen planus - cresentric Gn wit anti glomular basment membrane antibody— goodpausture
- wegner --------protease 3
- reanl failure withhymoptysis-----Good pauster syndrome
- decrease vesion in one eye with heamorrhage–Branch of retinal vein occulusion
- loss of abduction of eye -----Small vessel stroke
122)young girl with High o2 low co2 alklosis----Hyperventlation
123)weight loss dysphagia laprotomy scar with megalo blastic anemia which investigation(a)Uper gi endo(b)Illeocolonoscopy
124)itchy blister bullous old lady---- bullous Pompigoid
125)fathef aplastic picture low MCv Son red checks with fever-----Parvovirus b19
126)uriticaria Treatment-----citrizine
127)vit d cause-----increase git calcium absorption
128)BRCL gene involve in(a) dna mismatch repair(b)… - after long travil got stroke-----do echocardio
- BP 210 left arm 190 right leg-----Coarcatation
131)pregnant lady with h/o alcohol and gallstone got pain radiating to back.pancreatitis caused by(a) gall stone (b) Alcohol
131)grave disease patient on carbimazole whish test improve first
(a)TSH (b)T4©T3 Ans tsh pastest
132)h/o 5 previous fits at home, on examination had a fit in ED, wat is the immediate treatment A)phenytoin(b)IV sodium valproate©lorazepam
133)Lower limb weakness, upper limb normal unable to sit level of compression (a) T11(b)L 1
134)RA patient got progressive breathlessness with no restructive or obstructive picture(a) rhematoid nodule (b) bronchleolis oblitrens© fibrosis
135)hyponatremia treatment ---- fluid restriction
136)lung fibrosisFEv1/FVC 78%, KCO 84, next investigation, answer (a) no further
137)occipital meningioma post op refused to eat medicine and claimed medical staffs want to poison her, agitated and irritated? what’s the cause of the psychosis(a) steroid
138)patient with thyroid disease itchy rash raised Alp and mcv
— primary billary cicchosis
139)denentia ( lost herself in local shop) ataxia seizures—chronic subdural hemotoma
140)adalimumab (a) decrease imunogenicity
141)UMN sign with inter nuclearopthalmoplegia and consusal light reflex---------MS
142)Mulpile ventricular bigemini after PCI , appropriate intervention----(a)observe
143)DKA ------- lipolysis
144)waldenstrom --------IgM
145)pain in L ipicondyl— L epicondylitis
146)subarquinoid heamorrhage with CT normal after 12 hour what u will do------ LP
147)nicorindil and issorbide mononitrate
148)morphine resistant pain ---- radiotherapy
149)corelation coefficient
150)left size weakness body and face with aphesia—(anterior cerebral(b) middle cerebral
151)erythema nodosum with pleural effusion -----TB
152)allergic bronchopulmonary aspergilosis which investigation(a)brongiscopy(b) aspergilus precipitant
153)COPD exercabation ABGs not known how much oxygen(a)90%(b)96%
153)daily potassium requirement-----(a)120mg(b)140mg
154)benign essential tremors treatment---- propranolol
154)common pathogen in septic artheritis---- staph aurius
155)autoimmune hepititis ------- IgG
156)during plasmapherisis patient start tingling numbness on face and fingres(a)hypocalcemia(b)cerebral ischemia
157)endocarditis monitor disease acetivity------CRP
158)compare mean between two (unrelated)independent groups---- unpaired t test
159)spironolactone act on---- collecting ducts
160)HOCM defectin myosen B thick filament
161)before start Azathiopurine —measure thyopurinemethyl transferase
162)congental kidney with end stage kidney which intervation best to extend life(a)living kidney transplant(b)dialysis
163)type 2 respiratory failure----masculoskeletal problem
164)BPH treatment------- tamslusin
165)COPD oxygen given to patient via(a)venturi mast(b)binasal canula©mask with resivior
166)dermatitis herpitiform
167)low Bp give iv fluids
168)refeeding-------hyperphosphatemia
169)venous blood of heart drain in to – right atrium
170)young patient hypothyroid low cortisole collapse— treated with dexametasone(adisonian crisis)
171)biatriel enlargement— investigated by cardiac cathertrization
172)splenomegally with leucoerythroblastic picture— myelofibrosis
173)pacemacker insetred then present with abdominal symptoms diarrhea due to antibiotics —clostridium difficle.
173)pregnant with diabetes------ mitformin
174)colestatic picture—fluclocacillin
175)most common death in RA---- cardiovascular
176)patient in hypovolemic shock-increase peripheral vascular resistance