MCQ set 5 – medicine
Choose true/false.
1) Regarding bacterial endocarditis prophylaxis.
a. It is needed in patients with PDA going for tooth extraction. (true/false)
b. Patients already taking antibiotics for another reason (particularly penicillin for rheumatic fever prophylaxis) should be given an agent from a different class for endocarditis prophylaxis. (true/false)
c. Erythromycin based regimen for oral prophylaxis is not recommended because of problem with pharmacokinetics and gastro intestinal tolerability. (true/false)
d. It is not recommended to a patient with hyperthrophic cardiomyopathy. (true/false)
e. Staphylococcus aureus is the most common cause of endocarditis occuring after dental procedure. (true/false)
2) Regarding peptic ulcer disease
a. Gastric ulcer occurs more commonly in older age group as compared to duodenal ulcer. (true/false)
b. Pain in duodenal ulcer characteristically occurs on awakening. (true/false)
c. Aspirin is the most ulcerogenic NSAIDs. (true/false)
d. Antacids accelerate ulcer healing. (true/false)
e. In gastric ulcer, a repeat gastroscopy is suggestive after 4 weeks of treatment. (true/false)
3) In salicylates poisoning
a. Hyperventilation is one of the features. (true/false)
b. It causes prolongation of prothrombin time. (true/false)
c. Administration of activated charcoal is not effective in eliminating salicylates. (true/false)
d. Salicylates are effectively removed by hemodialysis. (true/false)
e. Phenobarbital is contraindicated in the management of seizure. (true/false)
4) Regarding thyrotoxicosis
a. Grave’s disease has familial distribution. (true/fasle)
b. Absence of thyroid enlargement makes the diagnosis of Grave’s disease less likely. (true/false)
c. A coarse tremor of the fingers is characteristic. (true/false)
d. Hypothyroidism is an uncommon complication of radioactive iodine therapy. (true/false)
e. Dexamethasone is used in the management of thyrotoxic crisis. (true/false)
5) Regarding lung cancer
a. The chance of developing lung cancer will return to non smoker level with cessation of smoking. (true/false)
b. The majority of patients are asymptomatic at diagnosis. (true/fasle)
c. Horner’s syndrome is a rare manifestation of Pancoast’s tumour. (true/false)
d. Spinal cord compression is one of the complications. (true/false)
e. Chemotherapy is the treatment of choice for non small cell cancer. (true/false)
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