Question

43. CVS features in PDA is

a.All true

b.Thrill over the pulmonary area

c.Low diastolic pressure

d.Continuous machinery murmur

44. Physical Findings in aortic stenosis is

a.Election systolic murmur

b.Wide pulse pressure

c.Ranitidina carotid pulse

d.Pulmonary edema absent

45. Which micro-organism causing food poisoning?

a.All true

b.Entamoeba histolytica

c.Shigella

d.Campylobacter jejuni

46. Haemolytic Uraemic Syndrome means

a.Anaemia, low platelet count and kidney failure

b.Anaemia, low platelet count and hepatic failure

c.Anemia low RBC count and kidney failure

d.Anemia low WBC count and kidney failure

57. Metencephalon is composed of

a.Cerebral cortex

b.Pons and cerebellum

c.Thalamus and hypothalamus

d.Medulla

58. Head nodding with pulse associate with

a.de Musset's sign

b.None

c.Quincke's sign

d.OuISIDerS Son

61. Decreased CSF glucose may be due to bacterial infection

TRUE/ FALSE

62. Fothergill's Sign is common in rectus sheath hematoma

TRUE /FALSE

63. For anemia you should check the patient ventral surface of tongue

TRUE /FALSE

Answer 1

43. Correct answer: a, All true. Patent ductus arteriosus (PDA) is a persistence of the fetal connection (ductus arteriosus) between the aorta and pulmonary artery after birth. In the absence of other structural heart abnormalities or elevated pulmonary vascular resistance, shunting in the PDA will be left to right i. e from aorta to pulmonary artery. Symptoms such as failure to thrive, poor feeding, tachycardia and tachypnea may occur. There is also a continuous murmur at the upper left sternal border.

44. Correct answer: a, elevated systolic murmur. Aortic stenosis is one of the most common and serious valvedisease problems. It is a narrowing of the aortic valve opening which restricts the blood flow from left ventricle to the aorta. It may also affect the pressure in the left atrium. The classic physical finding of aortic stenosis is a harsh, late-peaking systolic murmur that is loudest over the second right intercostal space and radiates to the carotid arteries.

45. Correct answer: a, all true. Food poisoning or foodborne illness is a illness caused by eating contaminated food and infectious organisms and their toxins are the most common cause of food poisoning. The names of the bacteria that cause the majority of outbreaks of food poisoning are Campylobacter, Salmonella, Shigella, Staphylococcus aureus, Entamoeba histolytica etc.

46. Correct answer: a, anaemia, low platelet count and kidney failure. Hemolytic uremic syndrome (HUS) is a condition that affects the blood and blood vessels. It results in the destruction of blood platelets (cells involved in clotting).

57. Correct answer: b. Metencephalon is the embryonic part of hindbrain that differentiates into pons and cerebellum.

58. Correct answer: a. de Musset's sign is a condition in which there is rhythmic nodding or bobbing of the head in synchrony with the beating of the heart.

61. True. Meningitis can be caused by bacterial, fungal or viral pathogens. The hallmark of bacterial meningitis is reduced glucose levels in the cerebrospinal fluid (CSF) of patients.

62. True. If a mass in the abdominal wall does not cross midline and does not change with flexion of the rectu muscles, Fothergill's sign is a positive sign for rectus sheath hematoma.

63. False. In anaemia, the tongue becomes swollen, inflamed, pale or strangely smooth. So, by looking inside (dorsal side) or around the mouth may give an indication whether the patient is suffering from iron-deficiency anaemia.