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Medicine; Free Online Mock test 72

Author: RxPG, Posted on Monday, August 25 @ 00:00:00 IST by RxPG  

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Multiple Choice Test

1) The following are the causes of pleural effusion except :

One answer only.
   a) Pancreatititis
   b) Ovarian carcinoma
   c) Retroperotoneal fibrosis
   d) Mesothelonia

2) A 40 yrs old patient with a history of having been treated for pulmonary tuberculosis 10 yrs back presents with weight loss & recurrent hemoptysis of six months duration. His sputum for AFB is repeatedly negative. His Xray chest shows a cavitary lesion in the upper lobe with an ill defined cavity within it. The most appropriate line of management will be :

One answer only.
   a) Surgical resection
   b) Antituberculous drugs
   c) Antifungal drugs
   d) Broad spectrum antibiotics

3) Regarding an empyema, all are true except :

One answer only.
   a) It is usually an incidental finding on chest Xray
   b) It may follow a ruptural oesophagus
   c) It becomes the seat of anaerobic infection
   d) Aspiration is the mainstay of treatment

4) A young male is diagnosed to have right sided tubercular pleural effusion and is put on ATT. Even, after 3 months of regular treatment, the patient is having persistent symptoms and no radiological improvement, the most likely management is :

One answer only.
   a) Consider alternative diagnosis
   b) Add oral corticosteroids
   c) Rule out HIV infection
   d) Do pleural aspiration & consider empyema

5) Pneumatocoeles are most commonly associated with :

One answer only.
   a) Pneumococcal pneumonia
   b) Staphylococcal pneumonia
   c) Klebsiella pneumonia
   d) Trauma

6) Pneumocystis carinii pneumonia (PCP) is characterized by all the following except :

One answer only.
   a) Can occur with a normal chest Xray
   b) Typically presents with symptoms & signs of a lobar pneumonia
   c) Has a fall in exercise tolerance and desaturation on exercise as useful early indicators
   d) Can be diagnosed by a methanamine silver stain of sputum
   e) Can be treated in most cases of oral cotrimoxazole

7) A 40 yrs old male patient is put on category III treatement after a diagnosis of smear negative pulmonary tuberculosis. The patient took regular treatment & at the end of treatment, his sputum for AFB is positive. The right approach of such a case is :

One answer only.
   a) Chest Xray P.A.
   b) Atypical mycobacterial infection
   c) HIV testing
   d) MDR - T.B.
   e) Category II treatment

8) The total number of doses for a category I treatment of PTB as per RNTCP are :

One answer only.
   a) 180
   b) 72
   c) 168
   d) 48

9) The investigation associated with highest diagnostic yield in case of malignant pleural effusion is :

One answer only.
   a) Pleural biopsy
   b) Pleural fluid crytology
   c) Cancer markers
   d) CT Scan

10) Bronchiolitis , all are true except :

One answer only.
   a) Caused by Respiratory Syncilial Virus (RSV)
   b) Occurs most commonly in 1 - 3 years age group
   c) May cause cot death
   d) Produces widespread wheezes

This test has been created by RxPG

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