MCQ medicine – set 3

Choose true or false for each statement given

Wilson disease

a) The serum caeruloplasmin is decrease.



b) Autosomal recessive



c) Kayser-fleischer ring improves with treatment.



d) Penicillamine is the treatment of choice.



e) Sun flower cataract may occur.



Myasthenia gravis is chracterized by

a) lid lag



b) diplopia



c) equal sex distribution



d) autosomal recessive



e) loss of pupillary reflex



In the treatment of rheumatoid arthritis, methotrexate...

a) Should not be used in patient where NSAIDs have relieved symptoms.



b) Patients should have a chest x ray at the start of treatment.



c) Usually starting dose is 5-7.5mg twice weekly.



d) Induced mouth ulcer may improve if folic acid is given.



e) Adverse effect include hepatotoxicity.



Polycythemia may be associated with

a)  hypernephroma



b)  hepatoma



c) uterine myoma



d) phaechromocytoma



e) high altitude



Fibromyalgia

a) Predominantly affects men.



b) Recognized symptoms include non restorative sleep.



c) Patient still have an elevated creatinine kinase.



d) Teatment of choice is NSAIDs.



e) Patient should be adviced to avoid all exercise.





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