Which of the following is the most common presenting symptom of non cirrhotic portal hypertension?

Which of the following is the most common presenting symptom of non cirrhotic portal hypertension?
A. Chronic liver failure
B. Ascites
C. Upper gastrointestinal bleeding
D. Encephalopathy

Correct answer : C. Upper gastrointestinal bleeding

Acute gastrointestinal bleed is the most common presenting symptom of extrahepatic portal hypertension.

Which of the following is not a common feature of Anorexia Nervosa?
A. Binge eating
B. Amenorrhoea
C. Self perception of being ‘fat`
D. Under weight

Correct answer : A. Binge eating

Binge eating is a common feature of bulimia. It is rarely seen in anorexia nervosa.

Smoking is not a risk factor for development of?
A. Small cell carcinoma
B. Respiratory bronchiolitis
C. Emphysema
D. Bronchiolitis obliterans organizing pneumonia

Correct answer : D. Bronchiolitis obliterans organizing pneumonia

Smoking is a known risk factor for small cell carcinoma, respiratory bronchiolitis and emphysema.

Mycotic abscesses are due to:
A. Bacterial infection
B. Fungal infection
C. Viral infection
D. Mixed infection

Correct answer : B. Fungal infection

Mycotic aneurysm is an aneurysm infected because of:
A. Fungal infection
B. Blood-borne infection (intravascular)
C. Infection introduced from outside (extravascular)
D. Both intravascular and extravascular infection

Correct answer : D. Both intravascular and extravascular infection

The source of infection in a mycotic aneurysm can be intravascular or extravascular.

Which of the following is least likely to cause infective endocarditis?
A. Staphylococcus albus
B. Streptococcus faecalis
C. Salmonella typhi
D. Pseudomonas aeruginosa

Correct answer : C. Salmonella typhi

Infective endocarditis is a rare complication of Salmonella typhi infection.

Sudden cardiac death may occur in all of the following except:
A. Dilated cardiomyopathy
B. Hypertrophic cardiomyopathy
C. Eisenmengers syndrome
D. Ventricular septal defect

Correct answer : D. Ventricular septal defect

VSD is the best answer among the options given

All of the following are true for mitral valve prolapse, except:
A. Transmission may be as an autosomal dominant trait
B. Majority of the cases present with features of mitral regurgitation
C. The valve leaflets characteristically show myxomatous degeneration
D. The disease is one of the common cardiovascular manifestations of Marfan’s Syndrome

Correct answer : B. Majority of the cases present with features of mitral regurgitation

Features of Mitral valve prolapse:

Majority of patients are asymptomatic
Some present with non specific chest pain, dyspnoea, fatigue or palpitation
Myxomatous degeneration of heart valves is seen (mostly mitral valve)
Autosomal dominant pattern of inheritance
Prominent cardiovascular manifestation of Marfans syndrome
Mitral regurgitation can occur as a complication due to rupture of chordae tendinae or failure of papillary muscles

All of the following may be seen in patients of cardiac tamponade except:
A. Kussmaul’s sign
B. Pulsus paradoxus
C. Electrical alternans
D. Right ventricular diastolic collapse in echocardiography

Correct answer : A. Kussmaul’s sign

Kussmaul’s sign is seen in constrictive pericarditis.