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Vitiligo is associated with ALL of the following, EXCEPT;

A. Addison's disease

B. Rheumatoid arthritis ***************

C. Pernicious anemia

D. Diabetes mellitus

E. Thyrotoxicosis


354.The most frequent and clinically important vitamin deficiency developing in patients with cholestatic liver disease is which of the following:

A. Vitamin D

B. Vitamin A

C. Vitamin B 12

D. Vitamin B 1

E. Vitamin K********************


355.The most common clinical picture of renal cell carcinoma is:

A. Pyrexia

B. Hematuria***************

C. Mass in the flank

D. Left sided varicocele

E. Flank pain



356.ALL of the following may occur in myxedema, EXCEPT:

A. Ataxia

B. Deafness

C. Clonus*************

D. Pericardial effusion

E. Alopecia


357.The commonest symptom of bronchial carcinoma is:

A. Cough*********

B. Chest pain

C. Cough and pain

D. Coughing blood

E. Hoarseness


358.ALL of the following are clinical features of lead poisoning, EXCEPT:

A. Anorexia and vomiting

B. Anemia

C. Diarrhea ********************

D. Wrist and foot drop

E. Encephalopathy


359.Causes of hypercalcernia include ALL of the following, EXCEPT:

A. Sarcoidosis

B. Primary hyperparathyroidism

C. Osteomalacia **************

D. Multiple myeloma

E. Bronchogenic carcinoma


360.ALL of the following are signs of upper motor neurone lesion, EXCEPT:

A. Increase in tone

B. Hyperreflexia

C. Fasciculation****************

D. An extensor plantar reflex

E. Loss of abdominal reflexes



361.Causes of hematemesis include ALL of the following, EXCEPT.:


A. Peptic ulcer

B. Acute erosive gastritis

C. Gastric carcinoma

D. Pancreatic carcinoma***********

E. Mallory-Weiss syndrome


362.Which of the following has the greatest effect in enhancing calcium absorption from the gastrointestinal tract:

A. 25-hydrcxycholecalciferol

B. 24, 25-dihydroxycholecalciferol

C. 1, 25-dihydrocholecalciferol ***************

D. Parathyroid hormone

E. Calcitonine


363.Macroglossia may occur in ALL of the following, EXCEPT:?

A. Down's syndrome

B. Hypothyroidism (cretinism)

C. Acromegaly

D. Cushing's disease

E. Primary amiloidosis********

364.Signs of lower motor neuron lesion include ALL of the following, EXCEPT:

A. Clonus **********

B. Hypotonia

C. Muscle waisting

D. Hyporeflexia

E. Muscular weakness


365.The management of hyperkalemia include ALL of the following, EXCEPT:

A. IV calcium gluconate

B. IV ammonium chloride*************

C. IV glucose and insulin

D. IN sodium bicarbonate

E. IV furosemide


366.Causes of epilepsy include ALL of the following, EXCEPT:

A. Systemic lupus erythematosus

B. Hypoglycemia

C. Brain tumor

D. Acute bronchopneumonia ***************

E. Head injury


367.In isolated left ventricular failure the following are usually found, EXCEPT:

A. Orthopnoe

B. Third heart sound

C. Bilateral basal crepitations

D. Pulsus alternans

E. Lower limb edema**********


368.The most common pathogen in urinary tract infeetion is which of the following:

A. Streptococcus fecalis

B. Klebsiella pneumonia

C. Escherichia coli*************

D. Staphylococcus aureus

E. Pseudomonas aeruginosa


369.ALL of the following are features of severe asthma, EXCEPT:

A. Tachycardia of more than 130/min

B. Pulsus paradoxus of more than 30 mm Hg

C. Loud wheezy chest ************

D. Cyanosis

E. PEFR below 1001/min


370.ALL of the following are viral disease, EXCEPT:

A. Warts


C. Herpes zoster

D. Lyme disease ***********

E. Varicella


371.ALL of the following can cause confusion, EXCEPT :

A. Meningitis

B. Subdural hematoma

C. Hypertensive encephalopathy

D. Cerebro-vascular accident

E. Multiple sclerosis*************


372.Hematemesis may be seen in ALL of the following, EXCEPT:

A. Bronchial adenoma

B. Mitral stenosis

C. Bronchogenic carcinoma

D. Uncomplicated bronchial asthma ************

E. Tuberculosis


373.The most common cause of chronic pancreatitis is:

A. Protein malnutrtition

B. Hyperlipidemia

C. Alcohol***********

D. Idiopathic

E. Post ERCP

374.ALL of the following are side effects of digoxin therapy, EXCEPT:

A. Nausea and vomiting

B. Yellow vision

C. AV block

D. Ventricular extrasystole

E. Insomnia***************


375.ALL of the following are complications of diabetes, EXCEPT:

A. Sixth cranial nerve palsy

B. Cataract

C. Allopecia ****************

D. Albuminuria

E. Painful neuropathy



376.ALL of the following are TRUE about hepatitis B infection EXCEPT:

A. May be transmitted sexually

B. Can cause chronic active hepatitis

C. Hepatoma is recognized complication

D. Vaccination is available

E. Recovery is invariable****************


377.Which of the following is NOT associated streptococcal glomerulonephritis:

A. Hematuria

B. Fatty cats**************

C. Red blood cell casts

D. Edema

E. Oliguria


378.Causes of hypertension include ALL of the following, EXCEPT:

A. Pheochrbmocytoma

B. Cohn's syndrome

C. Cushing's syndrome

D: Renal artery stenosis

E. Zollinger - Ellison's syndrome*************


379.ALL of the following are sero-negative arthritis, EXCEPT:?

A. Ankylosing spondylitis

B. Psoriatic arthritis

C. Reiter's syndrome

D. Rheumatoid arthritis

E. Reactive arthritis


380.The following are TRUE about multiple sclerosis, EXCEPT:


A. Causes parasthesia

B. Diplopia is a feature

C. Is a remitting and relapsing disease

D. Causes urinary symptoms

E. More common in elderly********


381.In which of the following diseases would you expect to find the nephrotic syndrome:?

A. Pyelonephritis

B. Acute glomerulonephritis

C. Urinary tract infection

D. Mild hypertension

E. Amyloidosis*********


382.Causes of epilepsy include ALL of the following, EXCEPT:

A. Encephalitis

B. Brain tumor

C. Hypoglycemia

D. Head injury

E. Acute bronchopneumonia***********


383.Huge splenomegaly (more than 10 cm) occur in ALL of the following, EXCEPT:

A. Chronic granulocytic leukemia

B. Myelofibeosis

C. Malaria

D. Kala Azar

E. Infectious mononucleosis*************


384.Causes of carpal tunnel syndrome occur in ALL of the following, EXCEPT:

A. Acromegaly

B. Myxedema

C. Rheumatoid arthritis

D. May be idiopathic

E. Ankylosing spondylitis************


385.ALL of the following are used in the treatment of :acute myocardial infarction, EXCEPT:

A. Morphine

B. Streptokinase

C. Nitroglycerin

D. Aspirin

E. Salbutamol************



386.Which of the following is characteristic feature of acute gonococcal urethritis:

A. Dysuria***********

B. Genital ulceration

C. High fever

D. Generalized lymphadenopathy

E. Sweating


387.Signs of hypercapnia include ALL of the following, EXCEPT:

a. Confusion

b. Papilloedema

c. Cold extremities

d. A large pulse volume **************

e. Coma


388.Bloody diarrhea is caused by ALL of the following, EXCEPT:

A. Ulcerative colitis

B. Cholera************

C. Colonic carcinoma

D. Bacillary dysentery

E. Shistosomiasis


389.Interstitial nephritis may be caused by ALL of tht following, EXCEPT:

A. Phenacetin

B. Streptomycin

C. Furosemide *************

D. Digoxin

E. Garamycin


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