Dr.

Marwah’s Test Series

WhatsApp Number: 9873835363, 8447982490, 9717143789 , 3 Medicine-2

1. A 70 year old man presents with progressive pallor, c. Proteinuria

night sweats and cervical lymphadenopathy. d. Bleeding diathesis
Peripheral Smear is given below. First differential 9. A 28 year old man has lenticonus and ESRD. His
diagnosis is? maternal uncle also died of similar illness. What is
the diagnosis?
a. ARPKD
b. ADPKD
c. Oxalosis
d. Alport’s syndrome
10. In chronic renal failure there is?
a. Chronic Lymphocytic Leukaemia a. Decrease anion gap
b. Non Hodgkin Lymphoma b. Normal anion gap
c. Extra-pulmonary TB c. Increased anion gap
d. Multiple myeloma d. Metabolic alkalosis
2. Which of the following is an absolute indication for 11. Which of the following is Sinusoidal cause of portal
Dialysis? hypertension?
a. Hypertension a. Portal vein Thrombosis
b. Hypokalemia b. Porta hepatis Lymphadenopathy
c. Pericarditis c. Biliary Cirrhosis
d. Metabolic alkalosis d. Budd Chiari syndrome
3. The following cells are located are seen with which 12. Not a feature of SLE?
of the following infection? a. Arthritis
b. Nephritis
c. Low C3
d. Positive ANA
13. Autoimmune hepatitis is caused by?
a. HAV
b. HBV
c. HCV
a. HTLV-1 d. HEV
b. EBV 14. Most common cause of transfusion associated
c. CMV hepatitis?
d. HIV a. HAV
4. Acute renal failure results in? b. HBV
a. Hyperkalemic alkalosis c. HCV
b. Hypokalemic alkalosis d. HDV
c. Hyperkalemic acidosis 15. Most common cause of viral hepatitis?
d. Hypokalemic acidosis a. HAV
5. All of the following cause acute renal failure except: b. HBV
a. Pyelonephritis c. HCV
b. Snakebite d. HDV
c. Rhabdomyolysis 16. Which will lead to melena?
d. Analgesic nephropathy a. Haemorrhoids
6. Patient on insulin in CKD stage 4. What is dose b. Mallory Weiss syndrome
adjustment of insulin required? c. Meckel’s diverticulum
a. increased insulin d. Cancer rectum
b. Decreased insulin 17. Most common cause of Fulminant hepatic failure?
c. Normal insulin a. HAV
d. Add DPP – 4 inhibitors b. HBV
7. The term end-stage renal disease (ESRD) is c. HCV
considered appropriate when GFR falls to: d. HDV
a. 50% of normal 18. Discriminant score is used for management of?
b. 25% of normal a. Viral hepatitis
c. 10-25% of normal b. Alcoholic hepatitis
d. 5-10% of normal c. Variceal bleeding
8. Which is a diagnostic feature of CRF? d. Weight loss
a. Broad casts in urine 19. Not a cause of upper GIT bleeding is
b. Elevated blood urea
 Dr. Marwah’s Test Series
WhatsApp Number: 9873835363, 8447982490, 9717143789 , 3 Medicine-2

a. Meckel’s diverticulum a. Carcinoma Oesophagus

b. Mallory Weiss syndrome b. Scleroderma
c. Gastric antral vascular ectasia c. Achalasia Cardia
d. Portal hypertension d. Schatazki’s ring
20. Compare the intestinal biopsy specimen of patient 29. Not correct about H. pylori?
before and after diet restriction. All the true about a. N.H.L
the condition shown except: b. Peptic ulceration
c. Pyloric stenosis
d. Reflux esophagitis
30. Mucosal melanosis is seen in?
a. UC
b. CD
c. Peutz Jehgers
a. Most common complication of celiac
sprue is development of cancer d. Addison disease
b. Most sensitive test is anti-Tissue 31. The CT chest shows presence of:
transglutaminase antibody
c. Classic changes in celiac sprue occur in
submucosa
d. Associated with dermatitis herpetiformis
21. Death in scleroderma occurs due to? a. Interstitial lung disease
a. Restrictive cardiomyopathy b. Bronchiectasis
b. Pulmonary artery hypertension c. Aspergillosis
c. Renal artery stenosis d. Pulmonary Alveolar proteinosis
d. Myocardial infarction 32. Sepsis will lead to?
22. Patient develops vomiting episodes and extreme a. Type A lactic acidosis
muscle weakness. Cause is? b. Type B lactic acidosis
a. Hypokalemia c. Type D lactic acidosis
b. Hyponatremia d. All of the above
c. Hypophosphatemia 33. Necrobiosis lipoidica diabeticorum is seen in?
d. Hypomagnesemia a. Gestational diabetes
23. Tender hepatomegaly is absent in? b. Impaired glucose tolerance
a. Budd chiari syndrome c. Diabetes insipidus
b. Amoebic liver abscess d. Diabetes mellitus
c. Acute left ventricular failure 34. Type 3 respiratory failure occurs due to?
d. Nutmeg liver a. Post-operative atelectasis
24. Most cause of portal hypertension? b. Kyphoscoliosis
a. Extra-hepatic portal vein obstruction c. Flail chest
b. Non-alcoholic fatty liver disease d. Pulmonary fibrosis
c. Alcoholic cirrhosis 35. Paradoxical breathing is characteristic of?
d. Non-alcoholic Steatotic hepatitis a. Pneumonia
25. Weight loss is a feature of? b. Pneumothorax
a. Insulinoma c. Atelectasis
b. Hypothyroidism d. Flail chest
c. Addison disease 36. The patient is scheduled for haemodialysis. The A-V
d. Fatty liver fistula is called as?
26. Most common form of extra-pulmonary TB is?
a. TB CNS
b. TB Lymphadenitis
c. TB Genito-urinary
d. Potts spine
27. Test not done for diagnosis of TB is?
a. Gene XPERT
b. Albumin levels
c. Adenosine Deaminase levels
d. Lymphocyte counts a. Cimino-Brescia fistula
28. Not a cause of progressive dysphagia? b. Hughes fistula
 Dr. Marwah’s Test Series
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c. SLED (sustained Low efficiency dialysis) c. SLE

d. Continuous renal replacement therapy d. HUS
37. Chronic hemodialysis in ESRD patient is done? 48. All are true for sickle cell anemia, except?
a. Once per week a. Pulmonary arterial hypertension
b. Twice per week b. Autosomal dominant
c. Thrice per week c. Acute chest syndrome
d. Daily d. Fish vertebra
38. Most common acute complication of dialysis is: 49. Urine Samples of the patient were collected.
a. Hypotension Probable diagnosis can be best evaluated by?
b. Bleeding
c. Dementia
d. Muscle Cramps
39. A 20 year old patient presents with oedema and
decreased urine output. On evaluation, serum
albumin is 3.5g/dL, S. Creatinine is 2.5mg/dl, Urine
protein is 1+ with RBC casts. Pathological change
expected is? a. Flow Cytometry
a. Minimal change disease b. Bone marrow examination
b. Lipoid nephrosis c. 24 hour urinary Homogenetisic acid
c. IgA nephropathy d. Urine myoglobin and serum creatinine
d. Nephritic syndrome 50. Patient is on heart failure treatment. Which drug
40. Non- selective proteinuria is seen in: will explain this finding?
a. Minimal change
b. Mesangio-proliferative GN
c. Membranous glomerulonephritis
d. Focal segmental Glomerulosclerosis
41. Carbohydrate related to blood grouping? a. Digoxin
a. Arabinose b. Spironolactone
b. Xylulose c. Furosemide
c. Xylose d. ACE inhibitor
d. Fucose 51. Burkitt’s Lymphoma is associated with:
42. Blood transfusion should be completed within a. t (8:14)
___hours of initiation? b. t (11:14)
a. 1-4 hours c. t (15:17)
b. 3-6 hours d. t (14:18)
c. 4-8 hours 52. Bleeding tendencies are common in?
d. 8-12 hours a. Chronic myeloid leukaemia
43. Most Complication of blood transfusion leading to b. Chronic lymphocytic leukaemia
death? c. Acute monocytic leukaemia
a. Hyperkalemia d. Hodgkins lymphoma
b. Citrate toxicity 53. Storage temperature of platelets is:
c. T.R.A.L.I a. - 4 degrees Celsius
d. Hypothermia b. + 4 degrees Celsius
44. Most common complication of blood transfusion: c. - 20 degrees Celsius
a. Transfusion associated hepatitis d. + 20-24 degrees Celsius
b. Hyperkalemia 54. All of the following are the causes of relative
c. Haemolysis polycythemia except
d. Febrile non-haemolytic transfusion a. Dehydration
reaction b. Dengue haemorrhagic fever
45. Blood transfusion may be indicated in: c. Gaisbock syndrome
a. Acute pulmonary oedema d. High altitude
b. Epistaxis with hypertension 55. Secretory diarrhea is caused by all except?
c. Congestive cardiac failure a. Medullary thyroid tumor
d. Acute leukaemia b. Carcinoid Tumor
46. Seen in chronic inflammatory anemia is: c. Somatostinoma
a. Serum iron ↓ S. ferritin ↑and d. Glucagonoma
transferrin ↓ 56. Hypertension with hypokalemia is seen in
b. Serum iron ↑ S. ferritin ↑ and transferrin ↑ following except
c. Serum iron ↓ S. ferritin ↓and transferrin ↓ a. Cushing syndrome
d. Serum iron ↑ S. ferritin ↓ and transferrin ↑ b. Liddle syndrome
47. Coomb’s positive hemolytic anemia associated c. End stage renal disease
with: d. Primary hyperaldosteronism
a. TTP 57. Low serum alkaline phosphatase is seen with
b. PAN a. Hypoparathyroidism
 Dr. Marwah’s Test Series
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b. Hypophosphataisa a. Hypertension
c. Hyperparathyroidism b. Hypokalemia
d. Pseudohypoparathyrodism c. Pericarditis
58. Worsening of kidney function on contrast d. Metabolic alkalosis
nephropathy is best evaluated with? 69. Which of the following is correct about Packed RBC
a. High serum creatinine transfusion?
b. Low serum creatinine
a. Administer via 18-20 G cannula within 4
c. High serum bilirubin
d. Low serum bilirubin hours of issue from the blood bank
59. Which is the best investigation for Dysphagia b. Administer via 16-18G cannula within 4
Lusoria? hours of issue from the blood bank
a. Oesophageal manometry c. Administer via 18-20 G cannula within 4
b. CT scan hours of reaching the bedside
c. Single contrast Barium swallow d. Administer via 18-20G cannula within 4
d. Digital CXR hours of separation of components
60. Feline oesophagus is seen in? 70. Most common complication causing death in patients
a. Eosinophilic esophagus on recurrent hemodialysis?
b. Schatzki ring a. Cardiovascular mortality
c. GERD b. Adynamic osteomalacia
d. Herpes simplex esophagitis c. Dyselectrolytemia
61. Diffuse esophageal spasm is best diagnosed by? d. Encephalopathy
a. Endoscopy
b. Manometry
c. Barium swallow
d. CT
62. Which of the following staging is used for GERD?
a. Ranson
b. Gleason
c. Savary miller
d. Hunter scale
63. Most common site of tear in boerhaave syndrome:
a. Lower end of oesophagus
b. At gastroesophageal junction
c. Upper esophagus
d. Mid oesophagus
64. Most common site of type 1 gastric ulcer:
a. Lesser Curvature
b. Antrum
c. Pylorus
d. Cardia
65. What is the earliest radiological finding of
ulcerative colitis on single contrast barium enema?
a. Loss of haustrations
b. Fine mucosal granularity
c. Pipe stem colon
d. Collar button ulcer
66. DOC of acute exacerbation of ulcerative colitis?
a. Sulfasalzine
b. Steroids
c. Infliximab
d. Cyclosporine
67. Mutation of STK 11 and LKB 1 gene is associated
with?
a. Familial adenomatous polyposis
b. Hereditary nonpolyposis colorectal
cancer
c. Peutz – Jeghers syndrome
d. Neurofibromatosis
68. Which of the following is an absolute indication for
Dialysis?