2019 MCQ 1

New Questions:

1. Which of these is not characteristic of Dupuytren’s contracture

(A) Affects 2nd and 4th fingers most
(B) Arises in RA
(C) Can be caused by anti-epileptic drugs

2. 29 year old male patient with sore throat and purulent discharge? Had
splenomegaly, but no other lymphadenopathy. Bloods showing neutropaenia,
thrombocytopaenia, blast cells.
Which condition?
(A) Infectious mononucleosis
(B) Acute leukaemia

3. Patient with peripheral pitting oedema and increased intravascular volume. Which of
these patients will fits this picture?
(A) 18 year old with GN
(B) 72 year old with chronic liver disease, ascites and caput medusae
(C) 60 year old with severe diabetic nephropathy and an eGFR of 12

4. Patient with right MCA stroke and UMN lesion, which of these is not a sign?
(A) Left ankle clonus
(B) Increased tone in left upper limb
(C) Weakness in left upper limb extensors more than upper limb flexors
(D) Weakness in left lower limb extensors more than lower limb flexors

5. Patient with right MCA stroke and UMN lesion, which of these is not a sign?
(A) Left ankle clonus
(B) Increased tone in left upper limb
(C) Weakness in left upper limb extensors more than upper limb flexors
(D) Weakness of the left forehead

6. Patient with a skin malignancy, which is not a sign?

(A) Ulcerated centre
(B) Asymmetrical
(C) Irregular borders
(D) Diameter 3-5cm

7. Patient with melanoma, which is not a sign?

(A) New mole present
(B) Bleeding
(C) Associated with UV exposure
8. Old lady who takes metformin and pantoprazole (or another PPI), who finds it
difficult to cook at home now. Has little meat intake. Bloods showed low B12, normal
folate.
Which of these is true?
(A) Metformin does not affect B12 levels in body?
(B) She could have low folate levels in spite of normal folate levels in blood

9. Very dodgy X-ray made on patient, with a meniscus sign and white, complete
consolidation of LL lobe. Which diagnosis?
(A) Left lower lobe pneumonia
(B) Pleural effusion

10. Which of these is not a cause of transudative pleural effusion?

(A) Lung cancer
(B) Nephrotic syndrome
(C) Congestive heart failure

11. Which of these is true of massive rectal bleeding?

(A) Can be caused by diverticulitis
(B) Can be caused by a duodenal ulcer

12. Which of these is a complication of a pancreatic cyst?

(A) Serous cystadeonoma

13. Patient with C. diff infection. Which is not true?

(A) Clinical presentation: fever, systemic toxic symptoms, diarrhoea
(B) Often presents with disseminated toxic symptoms

14. Which of these will not result in patchy involvement on x-ray?

(A) Viruses
(B) Mycoplasma pneumoniae
(C) S aureus
(D) S pneumoniae

15. Something about U:Cr ratio and why it is used.

16. Breast cancer. Which of these is a reliable sign of malignancy?

(A) Bloody discharge
(B) Serous discharge
(C) Dimpling of the overlying skin with oedema

17. Excess cortisol, which of these is not a sign?

(A) Hirsutism
(B) Bruising/striae
(C) Osteoporosis
(D) Hyperpigmentation of the buccal mucosa
18. ECG showing first degree HB. Options:
(A) First degree HB
(B) Second degree HB
(C) Complete HB

19. Which of these is not a sign of hypothyroidism?

(A) Carpal tunnel syndrome
(B) Delayed relaxation of reflexes
(C) Ataxia

20. Extended wrist, extended elbow. Which sign?

(A) Golfer elbow
(B) Tennis elbow

21. Some question on epididymitis/orchitis

22. Varicose veins – which of these is not characteristic?
(A) Proximal ‘blockage’?
(B) Calcification
(C) Occurs more in superficial veins