Medicine Clinics Quiz
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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
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.
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
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
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
False regarding management of acute diarrhea is –
A. Isolation, hand hygiene and notification of public health is advised
B. Replacement of fluids
C. Routine use of antibiotics
D. Antidiarrheal agents may be used in antibiotic associated diarrhea
Most common cause of acute diarrhea?
A. Viral
B. Bacterial
C. Parasitic
D. Non infectious
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
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
All are features of Hypothyroidism EXCEPT –
A. Pallor
B. Constipation
C. Cold intolerance
D. Sweaty skin
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
Characteristic CT chest findings in COVID is
A. Bilateral ground glass opacities, and crazy paving pattern
B. Upper lobe patchy consolidation and cavitatory lesion
C. Diffuse pleural thickening with or without pleural effusion
D. Tram track sign and signet ring sign
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