Internal medicine MCQs

1.Not an action of bradykinin?
A. Bronchodilation
B. Vasodilatation
C. Pain
D. Increase in vascular permeability

Correct answer : A. Bronchodilation
Bradykinin is a bronchoconstrictor.

2.Which of the following is used to decrease the toxicity of amphotericin B?

A. Dose reduction
B. Liposomal delivery systems
C. Supplementing glucose
D. Giving it along with flucytosine

Correct answer : B. Liposomal delivery systems
Liposomal delivery systems decrease the amount of free drug in the blood. Infected cells interact with the liposomes, resulting in the release of amphotericin B at the site of action.

 

 

3.An otherwise healthy male presented to the OPD with a curdy white patch on the tongue. The most probable diagnosis is?

A. Candidiasis
B. Lichen planus
C. Histoplasmosis
D. Aspergillosis

Correct answer : A. Candidiasis
White curdy patch in the oral cavity in an otherwise healthy individual is characteristic of candidiasis. But immunosuppressive conditions like HIV should be ruled out.

4.Most common laser used in laryngeal surgery is?
A. Argon laser
B. Nd YAG laser
C. CO2 laser
D. KTP laser

Correct answer : C. CO2 laser
CO2 does not penetrate into the deep tissue, hence there is decreased risk of scarring.

5.Triad of Klippel Feil syndrome triad consists of all except?
A. Low hair line
B. Elevated scapula
C. Short neck
D. Limited neck movements

Correct answer : B. Elevated scapula
Elevated scapula can be seen as a part of Klippel Feil syndrome. But it does not constitute the characteristic triad.

6.Drug of choice for treatment of intrahepatic cholestasis in pregnancy is ?
A. Ursodeoxycholic acid
B. Dexamethasone
C. Antihistamines
D. Cholestyramine

Correct answer : A. Ursodeoxycholic acid
Ursodeoxycholic acid decreases bile salt levels and relieves pruritus. It can also decrease the chance for fetal complications.

7.Which is not used for the treatment of juvenile myoclonic epilepsy?
A. Zonisamide
B. Topiramate
C. Carbamazepine
D. Valproate

Correct answer : C. Carbamazepine
Use of carbamazepine /  phenytoin may increase myoclonus in juvenile myoclonic epilepsy.

8.Most common splenic cyst is?
A. Dermoid cyst
B. Hydatid cyst
C. Pseudocyst
D. Lymphangioma

Correct answer : B. Hydatid cyst
Hydatid cyst (caused by Echinococcus) is the most common type of splenic cyst.

9.Surgery for correction of cryptorchidism is best done before?
A. 1 month of age
B. 6 months of age
C. 1 year of age
D. 2 years of age

Correct answer : C. 1 year of age
Surgical orchidopexy should be done if spontaneous descent has not occurred by 1 year of age.

10.Use of streptokinase is contraindicated in?
A. Pulmonary embolism
B. AV fistula
C. Thrombophlebitis
D. Intracranial tumour

Correct answer : D. Intracranial tumour

Absolute contraindications for thrombolysis:
Previous history of intracranial haemorrhage
Cerebral vascular lesions (like AV malformations)
Intracranial malignancy
Suspected aortic dissection
Bleeding diathesis