Name - Ibad Uddin

roll no. - 020

MBBS 2K19

MCQs: 1

Most common site for cerebral hypertensive bleed is

1. Temporal lobe
2. Putamen
3. Dentate nuclei
4. Hypothalamus

MCQs: 2

A 40 yr old female had severe pain in RUQ with radiation to back and vomiting for 6 hrs.
Examination revealed mild tenderness in RUQ. Best initial investigation would be
1. X ray chest
2. X ray abdomen
3. CT scan
4. USG examination

MCQs: 3

A 65 year old man came with complaint of right sided weakness for past 3 days . MRI brain reveals
altered signal intensity involving left parietal lobe appearing T2/FLAIR hyperintense and showing
diffusion restriction on DWI . Primary differential includes:
1. Brain abscess
2. High grade glioma
3. Subacute infarct
4. Chronic infarct

MCQs: 4

A woman 35 years of age comes to the emergency department with symptoms of pain in abdomen
and bilious vomiting but no distension of abdomen. Abdominal X ray showed no air fluid level.
Diagnosis is:

1. Ca rectum
2. Duodenal obstruction
3. Adynamic ileus
4. Pseudoobstruction
 MCQ 5

Preferred view for detection for minimal free air under diaphragm is
1. X ray abdomen supine
2 Chest x ray Ap view
3 X ray abdomen erect
4 None of the above

MCQ 6

Appendix diameter of ____ mm is significant to call dilatation on imaging

1. 2mm
2. 4mm
3. 6mm
4. 8mm

MCQ7

25 year old male patient with pain abdomen for 3 days which has suddenly increased for
past 1 day a/w abdominal distension . X ray of the patient showed free air under
diapharagm . Which of the following findings most accurately suggest bowel perforation on
USG

1. Anechoic fluid in peritoneal spaces

2. Edematous thickening of bowel loops
3. Hypoechoic fluid with free floating internal echoes
4. None of the above

MCQ 8

A 35 year old male patient with high grade fever and altered sensorium . CECT head done reveals well
defined hypodense lesion with peripheral enhancing wall and marked perilesional edema . What is the
most appropriate diagnosis.
1. Infarct
2. Brain abscess
3. Low grade glioma
4. Early cereberitis

MCQ 9

In duodenal ulcer perforation

1. Erect x ray chest is not helpful in detecting air under diaphragm
2. Supine x ray is better than erect x ray abdomen
3. Air under diaphragm is not seen in all cases
4. X ray chest is not helpful in making correct diagnosis

MCQ10

X ray abdomen shown is diagnostic of

1. Acute pancreatitis
2. Acute appendicitis
3. Acute small intestinal obstruction
4. Acute cholecystitis
 MCQ 11

Initial investigation of choice for a patient with suspected head trauma

1. MRI brain
2. CT head plain
3. CT head contrast
4. X ray skull

MCQ 12

Focused Abdominal Sonogram in Trauma (FAST) assesses for blood in all of the following regions
EXCEPT
1. Retroperitoneum
2. Splenorenal pouch
3. Pelvis
4. Hepatorenal pouch

MCQ 13

Mechanism of injury in a patient with colles’s fracture is

1. Fall on inward flexed hand
2. Direct axial compression
3. Fall on outstreched hand
4. Lateral pressure injury

MCQ 14

First line of investigation in a patient with blunt trauma abdomen

1 . CECT whole abdomen
2 . MRI abdomen
3 . X ray abdomen
4 . FAST scan

MCQ 15
A young married female patient came with complaint of pain in lower abdomen and nausea for past 2
days . Her leukocyte count is within normal limits . UPT status of the patient is positive . USG pelvis
done shows collapsed endometrial cavity with no evidence of intrauterine gestational sac. Primary
differential includes

1 Appendicitis
2 PID
3 Ectopic pregnancy
4 Colitis