MCQ medicine – set 8

For each statement, choose true/false

In peptic ulcer disease

a) The use of aspirin reduces the efficacy of mucosal sparing effect of mucosal sparing effect of cox-2 selective agent.



b) Complications of ulcer occur few years after initiating of NSAIDs therapy in Helicobacter pylori infected patients.



c) Typically, patient presented with severe epigastric pain.



d) Duodenal ulcer do not require biopsy.



e) NSAIDs use is more commonly associated with duodenal ulcer rather than gastric ulcer.



 Glucose 6 phosphatase dehydrogenase deficiency is…

a) An autosomal recessive disorder.



b) Presents as episodic haemolytic anaemia.



c) In between haemolytic episodes, the blood is normal.



d) Antimalarial is one of the offending drugs.



e) Enzyme assay should be done during acute hemolysis in order to get accurate result for diagnosis purposes.



In coarctation of aorta

a) There is radio-radial delay.



b) There is hypertension in the arms but normal pressure in the legs.



c) Medical treatment is more effective than surgical resection.



d) It is associated with cerebral aneurysm.



e) In infancy, it presents with cardiac failure.



Regarding treatment of ischemic heart disease.

a) In angina caused by coronary vasospasm, calcium channel blockers are the treatment of choice.



b) In post myocardial infarction patients, calcium channel blockers reduce mortality.



c) Clopidogrel causes agraulocytosis.



d) Chronic nitrate therapy leads to tolerance.



e) Beta blockers prolong life in patients with coronary disease.



About management of atrial fibrillation.

a) Rate should be aimed at less than 100 bpm.



b) In hypertensive patients, treatment with aspirin is an option.



c) With treatment of warfarin, INR is aimed at 2.5.



d) Anticoagulant is stopped once sinus rhythm is achieved.



e) Amiodarone interacts with warfarin by increasing prothrombin time.





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