Sunday, January 3, 2010

MCQS for MRCP part-1

MRCP

Q1.A 28 patient with a 10 year history of bronchial asthma presents with footdrop, he is noted to have purpura and painful skin nodules, the chest radiograph shows several peripheral nodules, these features are characteristic of:
a) Leoffler's syndrome
b) Idiopathic Hypereosinophilic Syndrome
c) chronic eosinophilic pneumonia
d) Churg-Strauss syndrome
e) Allergic bronchopulmonary aspergillosis

Q2.A sexually active patient presents with a pharyngitis , diarrhea and lymphadenopathy three weeks following exposure to an individual infected with HIV.
What is the test of choice for HIV in acutely infected individuals during the short period between infection and seroconversion?
a) viral lysate EIA
b) Fluoxetine
c) p24 antigen
d) Radioimmunoprecipitation assay
e) Polymerase chain reaction

Q3.A selective, reversible alpha-1 blocker which may be used in the pre-operative preparation of patients with phaeochromocytoma
a) phenylephrine
b) prazosin
c) clonidine
d) yohimbine
e) idazoxan

Q4.A patient suffering from hemochromatosis classically presents with the following triad:
a) micro-nodular liver cirrhosis, iron deficiency anemia & diabetes mellitus
b) micro-nodular liver cirrhosis, diabetes mellitus & bronze pigmentation of skin
c) diabetes mellitus, sickle cell anemia, bronze pigmentation of skin
d) micro-nodular liver cirrhosis, diabetes mellitus & sickle cell anemia
e) micro-nodular liver cirrhosis, Kayser-Fleischer rings & diabetes mellitus

Q5.An 18-year-old male presented with excessive bleeding following a tooth extraction.
His investigations showed:
Platelet count 260 x 109/l (150-400)
Prothrombin time 13 s (11.5-15.5)
Activated partial thromboplastin time 86 s (30-40)
Factor VIII 110 IU/dl (50-150)
Deficiency of which of the following clotting factors is the most likely explanation for this patient? (Please select 1 option)
0. II
0. V
0. VII
0. IX
0. X

Q6.A fifty-five year old with chronic cardiac failure is on treatment with digoxin and the a loop diuretic.
This combination is likely to cause digoxin toxicity by the following reason:
a) this combination increases the half-life of digoxin
b) diuretics decrease potassium levels
c) frusemide and digoxin interact to form a poisonous compound
d) digoxin is a competitive inhibitor of frusemide
e) the above statement is wrong, loop diuretics are not a recognised cause of increased digoxin toxicity


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http://medicinemcq.blogspot.com/search/label/MRCP%20Part%201