Mediquiz organised for MBBS students. Image rounds, spotters, connecting dots, guess the gaits are varieties of questions. Diseaes that celebrities are suffereing from also asked.
16. 1.A 52yrs old person came with complaints of weakness on
right side and loss of sensation on left side. On examination
both upper and lower limb of right side had decreased tone
and signs of Horner’s syndrome on right side. He had
dysarthria and difficulty in swallowing. In addition there was
hemisensory loss of touch, pain and temperature on the
left side of the body.
What is the most likely diagnosis?
A. Right postero-inferior cerebellar artery occlusion
B. Right antero-inferior cerebellar artery occlusion
C. Right superior cerebral artery occlusion
D. Basillar artery occlusion
17. 2.A 45yr old female came to emergency department
with complaints of acute onset of breathlessness
after a prolonged air travel for 16hrs. On clinical
examination, PR-115/min,BP-90/60 mmHg, SpO2-
80% and sinus tachycardia on ECG. Bedside echo
suggestive of right ventricular dilatation with
interventricular septum deviated to left.
What is the primary treatment modality?
A. IV Plasminogen activator
B. IV Unfractioned Heparin
C. Thrombectomy
D. IVC filter
18. 3.A 40yrs old patient presented with dyspnea on
exertion grade III and palpitations. ECG showed
atrial fibrillation with fast ventricular rate.
Echocardiography shows severe mitral stenosis with
left atrial appendage clot.
Which of the following is not advised ?
A. Diltiazem to control heart rate
B. Start Warfarin and follow up with repeat
echocardiography
C. DC followed by percutaneous balloon mitral valvuloplasty
D. Open mitral commissurotomy with clot removal
19. 4.A 25yr old woman has recurrent episodes of
headache and sweating. Her mother had renal
calculi and died after having a neck mass.
Physical examination reveals a thyroid nodule but
no clinical sign of thyrotoxicosis.
Before performing thyroid surgery, surgeon should
advise-
A. Reassessment of thyroid hormone levels
B. Serial determination of calcium, phosphate, protein and
ALP
C. 24hrs urine test for 5-HIAA exertion
D. Serial 24hr test for catecholamine, metanephrin and
VMA excretion
21. 5. A female 40 yr presented with intolerance to
cold, constipation and hoarseness of voice was
found to have cardiomegaly on chest
roentgenogram.
Which of the following investigation is best to
determine the cause of her cardiomegaly?
A. Coronary Angiography
B. Left Ventricular Angiography
C. Right Ventricular Angiography
D. Echocardiography