Medical Quiz

Medicine Clinics Quiz

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A 54 year old, presented with altered sensorium, fever, and headache of 5 days. Lumbar puncture revealed turbid CSF showing 250 cells 90% polymorphs, protein 100mg/dl, glucose csf/serum ratio- 0.2, likely diagnosis is –

A. Viral Meningitis

B. Bacterial Meningitis

C. TB meningitis

D. Fungal Meningitis

All of the following are true regarding Dengue fever except

A. Positive tourniquet test is an indication for platelet transfusion

B. Complications are Hemorrhage, Shock syndrome, DIC, encephalitis, Hepatitis, myocarditis

C. Warning signs are – Abdominal pain, persistent vomiting, hepatomegaly >2cm, Fluid accumulation, lethargy, rapid rise in hematocrit with fall in platelets, mucosal bleed,

D. Severe Dengue is – Shock, Respiratory Distress, severe haemorrhage, severe organ involvement

Regarding Leptospirosis all are true except

A. It is caused by Gram negative Spirochete

B. Human to human spread via urine is the most common route of infection

C. Leptospira can’t penetrate intact skin

D. Frequency increases in monsoon and after floods

Regarding Auscultation of Respiratory system, false is

A. Wheeze are continuous musical sounds caused due to narrowing of airways

B. Crackles are continuous, non-musical sounds due to sudden snapping/opening of small airways and/or bubbling of air through secretions.

C. Bronchial breath sounds are hoarse, and expiration is higher pitched, louder and longer than usual, with a pause between inspiration and expiration.

D. Vesicular breath sounds are rustling quality, and inspiration is longer, higher pitched than expiration sound. No gap between the two.

Most common cause of anaemia is

A. Iron deficiency

B. B12 deficiency

C. Folate Defieciency

D. Thalassemia

All are usual features of hyperthyroidism except

A. Palpitations and tremor

B. Loss of appetite

C. Lid lag

D. Tachycardia

A female with oligomenorrhea is referred from OBG with the following TFT – TSH undetectable, T3 and T4 are elevated, how will you interpret ?

A. Primary Hyperthyroidism

B. Secondary Hyperthyroidism

C. Primary Hypothyroidism

D. Secondary Hypothyroidism

False statement regarding complications of DM is

A. Pregabalin and duloxetine are approved for the treatment of diabetic peripheral neuropathy

B. Angiotensin-converting enzyme (ACE) inhibitors and the angiotensin receptor blockers (ARBs) are the preferred agents to delay the progression of albuminuria

C. SGLT-2 inhibitors empagliflozin and canagliflozin worsen cardiovascular outcomes, hence must be avoided in diabetic patients with coexisting heart disease.

D. First screening of Diabetic retinopathy is recommended to be done on diagnosis of type 2 DM

Diarrhea due to preformed toxin usually have a short incubation period of <6 hours, common causes are – A. Streptococcus agalactiae B. Bacillus cereus C. Staphylococcus aureus D. Clostridium spp

All are indications for emergency blood transfusion EXCEPT

A. Road accident victim having Hb drop from 14g% to 10g% over the last 4 hours

B. 67 year old admitted with angina diagnosed as acute coronary syndrome, Hb of 8g%

C. 50 year old male with hookworm infection having Hb of 5g%

D. Post menopausal female with fibroid uterus, with fatigue and dyspnea and having Hb of 7g%

Diagnostic criteria for Diabetes Mellitus are all EXCEPT –

A. Hba1c ≥ 6.5%

B. FBS ≥ 126mg/dl

C. 2 hour OGTT ≥ 200mg/dl

D. RBS ≥ 180mg/dl with features of hyperglycemia

False regarding history and clinical examination in patient with pallor –

A. History of melena, hematochezia or hematemesis suggests GI loss

B. Vegan diet, total gastrectomy, history of autoimmune disease (vitiligo, hashimotos, graves disease, etc) point to possible folic acid deficiency

C. Sensory neuropathy, angular cheilosis and bald tongue are features of B12 deficiency

D. Icterus, splenomegaly, abdominal pain and dark urine suggest hemolytic anemia.

Regarding fever all are true except

A. Hyperpyrexia is body temperature of more than 106F

B. Normal rectal temperature is more than axillary temperature which itself is more than oral temperature

C. Normal diurnal variation is less than 1°C

D. Normal peak temperature is at 4pm and nadir is at 6am

Hanging drop test is used to identify

A. Vibrio cholera

B. Paratyphi A

C. Shigella flexneri

D. Entamoeba histolytica

All are features of Hypothyroidism EXCEPT –

A. Pallor

B. Constipation

C. Cold intolerance

D. Sweaty skin


18 year old girl presents with syncopal episode and history of fatigue. Peripheral blood smear is shown.

Most likely diagnosis is

A. Lead poisoning

B. Leukemia

C. Iron deficiency

D. Megaloblastic anemia

All are components of pre-test counselling for HIV except –

A. Discuss meaning of positive and negative test results

B. Maintain confidentiality

C. Obtain informed consent, after explaining test procedure

D. Identify person(s) to whom results may be disclosed

E. Transmission and risk reduction need not be discussed

Usual causes of chronic diarrhea are all EXCEPT –

A. Giardia lamblia

B. Celiac Disease

C. HIV enteropathy

D. Chronic calcific pancreatitis

E. Noro virus

Chest Xray showing Bilateral opacities progressing to ARDS may be seen in –

A. Leptospirosis

B. Scrub Typhus

C. Viral pneumonia

D. All of the above


Caused by

A. Neisseria Gonorrhoea

B. Cytomegalovirus

C. Varicella virus

D. Staphylococcus aureus

Regarding Malaria, false statement is

A. A malarial attack or paroxysm consists of initial shaking chills, high grade fever and generalized diaphoresis, followed by resolution of fever

B. Diagnostic is visualization of parasite in thick and thin blood smears

C. Recrudescences in Falciparum malaria arise from persisting liver stage forms called hypnozoites

D. Treatment option of uncomplicated vivax malaria is Chloroquine

Regarding Malaria all are true except

A. Clinical features may include fever, malaise, pallor, icterus, hepatosplenomegaly

B. Indigenous malaria is common in Kerala

C. Vector is female Anopheles mosquito

D. Severe illness may cause respiratory distress, seizures, renal failure, hypoglycemia

A Post partum female is referred with abnormal TFT, TSH is undetectable, T3 and T4 are low, how will you interpret?

A. Primary Hyperthyroidism

B. Secondary Hyperthyroidism

C. Primary Hypothyroidism

D. Secondary Hypothyroidism

All are correct matched treatment for DM except –

A. Biguanides – Metformin

B. Sulphonylureas -Glimipiride, Gliclazide

C. GLP1 analogues – Sitagliptin, Linagliptin

D. Insulin analogues – Aspart, Lispro

A 60 year old woman is detected to have DM on routine health checkup, and was advised Urine Routine Examination, which showed – Glucose 2+, Pus cells – 10-15, Bacteria present.

Which is the appropriate management

A. Oral Nitrofurantoin

B. Intravenous Cephalosporin

C. First IV then later oral antibiotics

D. No antibiotics


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