Clinical examination MCQ 28+

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• Distal interphalangeal joints are classically involved in
  ক

  Psoriatic arthritis

  খ

  Osteoarthritis

  গ

  Reiter's disease

  ঘ

  Rheumatoid arthritis

  ঙ

  Behcet's disease
• Following diseases may present with joint involvement
  ক

  Gonorrhoea [Davidson/24th/P-379]

  খ

  Systemic lupus erythematosus

  গ

  Ehler-Danlos syndrome [Davidson’s/24th/980]

  ঘ

  Porphyria [Davidson’s/24th/644

  ঙ

  645]

  চ

  Tuberculoid leprosy
• Scoring of Glasgow coma scale includes
  ক

  Extensor planter reflex

  খ

  Tremor of the tongue

  গ

  Verbal response

  ঘ

  Motor response

  ঙ

  Opening of the eye
• Characteristics of cerebrospinal fluid in acute pyogenic meningitis are
  ক

  Hazy in appearance

  খ

  Marked increase in neutrophilic polymorphs

  গ

  Increased glucose level

  ঘ

  Decreased protein level

  ঙ

  Bacteria absence in Gram staining
• Lumbar puncture is contraindicated in
  ক

  Depressed level of consciousness

  খ

  Hydrocephalous with papilledema

  গ

  Aspirin therapy

  ঘ

  Thrombolytic therapy

  ঙ

  Subarachnoid hemorrhage
• Following conditions may present with absent knee jerks and- extensor planter responses
  ক

  Friedreich's ataxia

  খ

  Vitamin B12 deficiency

  গ

  Tabes dorsalis

  ঘ

  Peroneal muscular dystrophy

  ঙ

  Myotonia congenital
• Loss of ankle jerk with extensor planter response is found in
  ক

  Subacute combined degeneration of spinal cord

  খ

  Friedreich’s ataxia

  গ

  Taboparesis

  ঘ

  Cauda equina syndrome

  ঙ

  Gullain-Barre syndrome
• Causes of absent ankle jerk with extensor plantar response are
  ক

  Friedreich's ataxia

  খ

  Subacute combined degeneration of spinal cord

  গ

  Cauda equina syndrome

  ঘ

  Motor neuron disease

  ঙ

  Multiple sclerosis
• Absent ankle jerk with extensor plantar response occurs in
  ক

  Subacute combined degeneration of spinal cord

  খ

  Motor neuron disease

  গ

  Cauda equina syndrome

  ঘ

  Friedrich’s ataxia

  ঙ

  Guillain -Barre syndrome
• Pulse oxymeter is used for the measurement of
  ক

  Pulse rate

  খ

  Arterial oxygen saturation

  গ

  Peripheral perfusion

  ঘ

  Partial pressure of oxygen

  ঙ

  Oxygen content in arterial blood
• Bilateral symmetrical hilar gland enlargement is typical of
  ক

  Pulmonary tuberculosis

  খ

  Lymphoma

  গ

  Sarcoidosis

  ঘ

  Milliary tuberculosis

  ঙ

  Infectious mononucleosis
• Bronchial breath sound is found in
  ক

  Cavitary malignancy

  খ

  Pneumonic consolidation

  গ

  Chronic obstructive pulmonary disease

  ঘ

  Pneumothorax

  ঙ

  Collapse due to complete obstruction of major bronchus
• Causes of central cyanosis include
  ক

  Tetralogy of fallot

  খ

  Respiratory failure

  গ

  Right to left cardiac shunt

  ঘ

  Aortic regurgitation

  ঙ

  Pleural effusion
• Cavitary lung disease are
  ক

  Tuberculosis

  খ

  Lung absces

  গ

  Chronic obstructive airways disease

  ঘ

  Bronchiectasis

  ঙ

  Obstructive sleep apnoea
• Tracheal deviation to the right may occur due to
  ক

  Left sided pleural effusion

  খ

  Fibrosis of the upper lobe of the right lung

  গ

  Right sided pneumothorax

  ঘ

  A restrosternal goiter

  ঙ

  A previous left sided pneumonectomy
• Pulmonary hypertension may be associated with
  ক

  Left parasternal heave

  খ

  Loud 2nd heart sound

  গ

  Prominent ‘c’ wave in JVP

  ঘ

  Late diastolic murmur in pulmonary area

  ঙ

  Bilateral basal crepitations
• Apex beat is
  ক

  Thrusting in aortic regurgitation

  খ

  Not palpable in dextrocardia

  গ

  Tapping in aortic stenosis

  ঘ

  Heaving in tricuspid regurgitation

  ঙ

  Jerky in hypertrophic cardiomyopathy
• 24 Hour holter monitoring is helpful in the diagnosis of
  ক

  Silent ischemia

  খ

  Ventricular arrhythmia

  গ

  SA node dysfunction

  ঘ

  Congenital heart disease

  ঙ

  Pulmonary edema
• Cannon a wave is found in
  ক

  Ventricular tachycardia

  খ

  Junctional rhythm

  গ

  Sinus bradycardia

  ঘ

  Paroxysmal atrial tachycardia
• The abnormalities of the jugular venous pulse are associated with the following disorders
  ক

  Giant a waves-tricuspid stenosis

  খ

  V waves- tricuspid regurgitations

  গ

  Inspiratory rise of JVP-pericardial tamponades

  ঘ

  Cannon waves-pulmonary hypertension

  ঙ

  Absent a wave-atrioventricular dissociation
• Elevated jugular venous pressure occurs in
  ক

  Right heart failure

  খ

  Cardiac tamponade

  গ

  Left heart failure

  ঘ

  Constrictive pericarditis

  ঙ

  Cirrhosis of liver
• Central venous pressure is raised in
  ক

  Pericardial tamponades

  খ

  Fluid overload

  গ

  Tension pneumothorax

  ঘ

  Simple pneumothorax

  ঙ

  Neurogenic shock
• Differential cyanosis is present in
  ক

  Atrial septal defect with reverse shunt

  খ

  Ventricular septal defect with reverse shunt

  গ

  Patent ductus arteriosus with reverse shunt

  ঘ

  Tetralogy of Fallot

  ঙ

  Pulmonary arteriovenous fistula