MD MCQ 2033+

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• In hypermetropia
  ক

  Ciliary muscles contracts to make clear focus

  খ

  A biconvex lens is required for correction

  গ

  Light reflex is lost

  ঘ

  Objects at infinity cannot be focused sharply on retina

  ঙ

  Image is formed in front of retina
• During accommodation for near vision there is
  ক

  An increase in the curvature of the lens

  খ

  Contraction of ciliary muscles

  গ

  Constriction of sphincter pupillae of the iris

  ঘ

  An increase in tension of the suspensory ligament

  ঙ

  Increased intraocular pressure
• Pupillary light reflex involves the
  ক

  Pretectal nucleus

  খ

  Edenger-Westphal nucleus

  গ

  Lateral geniculate body

  ঘ

  Nerve to the medial rectus

  ঙ

  Short ciliary nerve
• The cornea
  ক

  Has a stratified epithelium in which the cells retain their nuclei

  খ

  Normally contains leucocytes

  গ

  Contains peripheral myelinated nerves

  ঘ

  Plays a part in accommodation

  ঙ

  Has sensory afferents running in the short cilary nerves to the ciliary ganglion
• Nasal septum may be destructed in
  ক

  Lupus vulgaris

  খ

  Mucocutaneous Leishmaniasis

  গ

  Pemphigus vulgaris

  ঘ

  Psoriasis

  ঙ

  Sarcoidosis
• Lining epithelium of several parts of Bartholins gland
  ক

  Gland proper is lined by cubical epithelium

  খ

  Inner half of the duct is lined by columnar epithelium

  গ

  Aloveoli of the gland is lined by squamous epithelium

  ঘ

  Outer half of the duct is lined by squamous epithelium

  ঙ

  Duct mouth is lined by transitional epithelium
• Regarding cervical dysplasia
  ক

  It is an in situ carcinoma

  খ

  It is common in HPV infection

  গ

  It is also known as “Cervical Intraepithelial Neoplasia (CI

  ঘ

  It always progresses to malignancy

  ঙ

  Can not be detected by cytological examination
• Risk factors for development of pre-eclampsia are
  ক

  Increasing maternal age

  খ

  Hydatidiform mole

  গ

  Diabetes mellitus

  ঘ

  High parity

  ঙ

  Maternal cardiac disease
• Polyhydramnios is characteristically associated with
  ক

  Oesophageal atresia

  খ

  Meningomyelocele

  গ

  Menternal diabetes mellitus

  ঘ

  Renal agenesis

  ঙ

  Talipes
• In ectopic pregnancy
  ক

  Incidence is more in women wearing IUD

  খ

  Shoulder tip pain is an important symptom

  গ

  Bleeding precedes pain

  ঘ

  Isthmus of the tube is the commonest site of implantation

  ঙ

  Ultrasonic scan is of no help in diagnosis
• The workload of heart during pregnancy increases due to
  ক

  Increased blood volume

  খ

  Increased body weight

  গ

  Decreased heart rate

  ঘ

  Decreased metabolic rate

  ঙ

  Decreased peripheral resistance
• In MRI the following statements are correct
  ক

  CSF shows hyperintense in T2WI

  খ

  Blood in flowing vessels show signal void

  গ

  CSF shows hyperintense in T1WI

  ঘ

  CSF shows hyperintense in FLAIR Image

  ঙ

  Bones show signal void in all sequences
• At the level of T4 & T5 vertebral interspaces, a CT scan shows the
  ক

  Bifurcation of trachea

  খ

  Azygos vein

  গ

  Commencement of the pulmonary artery

  ঘ

  Upper aspect of the arch of aorta

  ঙ

  Left brachiocephalic vein
• Followings are vascular imaging techniques
  ক

  Magnatic resonance angiography

  খ

  Digital subtraction angiography

  গ

  Magnatic resonance venography

  ঘ

  Doppler ultrasound

  ঙ

  Magnatic resonance cholangiopancreatography
• Pre-anaesthetic medications include
  ক

  Metoclopramide

  খ

  Atropine

  গ

  Lignocaine

  ঘ

  Tranexamic Acid

  ঙ

  Propranolol
• Causes of avascular necrosis of femur include
  ক

  Trauma

  খ

  Radiation injury

  গ

  Use of steroid

  ঘ

  Obesity

  ঙ

  Hypoproteinaemia
• Primary malignant bone tumours are
  ক

  Osteosarcoma

  খ

  Chondrosarcoma

  গ

  Osteoclastoma

  ঘ

  Brown tumour

  ঙ

  Osteoid osteoma
• Causes of unilateral hydronephrosis are
  ক

  Idiopathic retroperitoneal fibrosis

  খ

  Retro-caval ureter

  গ

  Phimosis

  ঘ

  Posterior urethral valves

  ঙ

  Stricture urethra
• Regarding haematuria
  ক

  Silent haematuria suggests renal parenchymal disease

  খ

  Total haematuria indicates bleeding occurring above the bladder

  গ

  Bladder washing for cytology is not mandatory for surgical haematuria

  ঘ

  Intravesical instillation of formalin can be performed under local anesthesia

  ঙ

  As few as 3 RBCs/HPF in a voided specimen from an adult male is considered significant
• Haematuria occurs in
  ক

  Renal calculi

  খ

  Renal carcinoma

  গ

  Cystitis

  ঘ

  Vesical calculi

  ঙ

  Pelvi-ureteric junction obstruction
• Brown sequards syndrome is characterized by the loss of
  ক

  Voluntary movement on the same side

  খ

  Fine touch on the same side

  গ

  Pain sensation on the same side

  ঘ

  Thermal sensation on the same side

  ঙ

  Position sensation of the opposite side
• Glasgow coma scale score is obtained from
  ক

  Eye opening

  খ

  Best motor response

  গ

  Best verbal response

  ঘ

  Visual analogue scale

  ঙ

  Verbal rating score
• Regarding carcinoma of the gall bladder
  ক

  Porcelain gall bladder has association

  খ

  Adenomatous polyps more than 10 mm is pre-malignant

  গ

  Gall stones have been suggested as an etiological factor but relation is unproven

  ঘ

  Response to chemotherapy is excellent

  ঙ

  Curative resection is usually possible
• Regarding gallstone
  ক

  Most people are asymptomatic

  খ

  Gallstones cause pancreatitis by obstructing the pancreatic duct

  গ

  CT is the imaging modality of choice in diagnosing gallstones

  ঘ

  20% gallstones are radio-opaque

  ঙ

  Mirizzi's syndrome is caused by a stone in the common bile duct
• Gangrene of the gut can occur in
  ক

  Volvulus of sigmoid colon

  খ

  Intestinal obstruction due to bands and adhesions

  গ

  Mesenteric vascular occlusion

  ঘ

  Intestinal polyp

  ঙ

  Paralytic ileus
• Risk of gastric cancer is increased by
  ক

  Helicobacter pylori infection

  খ

  Previous gastric surgery

  গ

  Positive family history

  ঘ

  Smoking

  ঙ

  NSAIDs
• Biochemical changes that occur followingprolonged vomiting due to gastric outlet obstruction are
  ক

  Hypokalaemia

  খ

  Hypochloremia

  গ

  Metabolic acidosis

  ঘ

  Hypernatremia

  ঙ

  Hypoalbuminemia
• Complications of gastro-oesophageal reflux are
  ক

  Esophageal stricture

  খ

  Barrett's oesophagitis

  গ

  Carcinoma of the stomach

  ঘ

  Hoarseness of voice

  ঙ

  Bronchospasm
• After major surgery there is
  ক

  Increased plasma cortisol level

  খ

  Negative nitrogen balance

  গ

  Negative sodium balance

  ঘ

  Potassium retention

  ঙ

  Decreased tendency for blood clotting
• Causes of reactionary hemorrhage are
  ক

  Dislodgement of blood clot

  খ

  Cessation of reflex vasospasm

  গ

  Sliping of ligature

  ঘ

  Infection

  ঙ

  Pressure by drain tube