MEDICINE MCQs

Numans Book Series

A few Glimpses from

Our upcoming Book
on title
PRACTICE MCQs
For Final Yr MBBS &
STEP 2 PMDC Exam.

MEDICINE MCQs

Numans Book Series

MEDICINE-A MCQs
CHAPTER

CARDIOVASCULAR DISEASE
Reviewed by:
Dr Hafeez-Ur- Rehman
FCPS (Cardiology)
Consultant Cardiologist
Incharge CCU

Dr Abdul Hadi
MBBS (KMC)
FCPS (Cardiology)

Dr Iftikhar Ahmad
FCPS (Cardiology)
____________________________________________________

1) A 59 years old female admitted with central chest plan ECG

showed ST elevation in lead II, III and aVF. What is the likely
diagnosis?
a. Anterior wall MI
b. Inferior wall MI
c. Anterolateral wall MI
d. Posterior wall MI
____________________________________________________
2) A Wide pulse pressure is a diagnostic feature of
a. Aortic stenosis
b. Aortic regurgitation
c. Pulmonary stenosis
d. Mitral stenosis

1. B

2. B

MEDICINE MCQs

Numans Book Series

3) Which of the following is not included in Jones criteria of

Rheumatic Fever?
a. Chorea
b. Erythema Nodosum
c. Subcutaneous nodules
d. Carditis
____________________________________________________
4) A 60 years old man presents with dyspnea on exertion and
systolic murmur. Examination shows BP of 100/80 and a slow rising
pulse. What is diagnosis?
a) Mitral stenosis
b) Mitral regurgitation
c) Aortic stenosis
d) Aortic regurgitation
____________________________________________________
5) A 40 year old man collapsed while undergoing tooth extraction.
You open the airway; there are no signs of breathing. He is
pulseless as well. What is the immediate next step?
a) Give rescue breaths
b) Place in recovery position
c) Defibrillate the patient
d) Start chest compressions
____________________________________________________
6) A raised JVP indicates which of the following conditions
a) Right heart failure
b) Mitral regurgitation
c) Left heart failure
d) Supraventricular tachycardia
____________________________________________________

3. B

4. C

5. D

6. A

MEDICINE MCQs

Numans Book Series

CHAPTER
RESPIRATORY DISEASE
Reviewed By:
Dr Wasil Khan
FCPS (Medicine)
FCPS (Pulmo)
Consultant Pulmonologist

Dr Abdul Muneem
Consultant Pulmonologist/
Consultant MDR-TB

Dr Akhtar Ali
FCPS (Pulmonolgy)

1) Treatment duration of new case of pulmonary TB is

a. 6 months
b. 8 months
c. 9 months
d. 12 months
____________________________________________________
2) Pyridoxine is used along with anti TB treatment to prevent which
of the condition
a) Nephrotoxicity
b) Neurotoxicity
c) Hepatotoxicity
d) Anemia

2. B

*1. A

*1) Explanation: According to WHO guidelines:

2 months of Intensive Phase
& 4 months Continuation Phase

MEDICINE MCQs

Numans Book Series

3) Optic Neuritis is the adverse effect of which of the following

a) Rifampicin
b) Isoniazid
c) Ethambutol
d) Pyrazinamide
____________________________________________________
4) Which of the following organism is the most common cause of
community acquired pneumonia
a) H.Influenzae
b) Mycoplasma Pneumoniae
c) Streptococcus Pneumoniae
d) Morexella Cattarhalis
____________________________________________________
5) Clinical utility of CURB-65 score is to
a) Detect the severity of asthma
b) Admission criteria of COPD
c) Detect the severity of Pneumonia
d) Stage Bronchogenic CA

_
3. C

4. C

*5. C

*5) Explanation:
British Thoracic Society (BTS) Criteria:
CURB:
C Conscious level
U Blood Urea
R Respiratory rate
B BP
65 Age
____________________________________________________
5

MEDICINE MCQs

Numans Book Series

6) Which of the following is not given in acute exacerbation of

COPD?
a) High Flow Oxygen
b) Nebulized Salbutamol
c) Nebulized Ipratropium
d) Steroids
____________________________________________________
7) Sarcoidosis is least likely to cause
a) Dry Eyes and Mouth
b) Erythema Nodosum
c) Facial Nerve Paralysis
d) Monoclonal Gammopathy
____________________________________________________
8) 35 Years old Man presents with chronic cough with copious
amount of Yellow Sputum which is worse in the morning is
associated with changes in posture the likely diagnosis is
a) Chronic Bronchitis
b) Pneumonia
c) Bronchiectasis
d) TB
____________________________________________________
9) An elderly lady presented with fever in left sided chest pain for
one month examination showed decreased chest movements,
stony dull percussion note and absent breath sound on the left side.
The chest X-Ray is likely to show
a) Collapse
b) Consolidation
c) Pleural Effusion
d) Pneumothorax

____________________________________________________
6. A
7. D
8. C
9. C

MEDICINE MCQs

Numans Book Series

CHAPTER
Endocrine Disease, Diabetes Mellitus & other
disorders of metabolism
1) Treatment of Gestational Diabetes Mellitus (GDM) resistant to
diet is:
a) Insulin
b) Metformin
c) Dianil
d) Glibenclamide
____________________________________________________
2) A 29 years old woman in her 28th week of gestation presents for
a routine prenatal visit. She does not have any complaints. Her
vitals are normal. She is asked to ingest 50 mg of glucose and have
her blood glucose checked in one hour; it returns as 145 mg/dl.
Which of the following is best next step in the management of this
patient?
a) Treat with insulin
b) FBS
c) Perform Oral Glucose tolerance test
d) Treat with Sulfonyl urea
____________________________________________________

1. A

2. C

MEDICINE MCQs

Numans Book Series

MEDICINE PAPER-B MCQs

CHAPTER
Gastrointestinal Disease, Liver, Biliary tract &
Pancreatic Disease

1) A 20 years old girl with the history of continuous fever for 10

days, splenic tip is palpable, leucopenia, what is diagnosis?
a) Typhoid
b) Malaria
c) CML
d) Hepatitis
____________________________________________________
2) Clubbing is feature of
a. ARDS
b. Mitral Valve Disease
c. CLD
d. CAD
____________________________________________________

1. A

2. C

MEDICINE MCQs

Numans Book Series

CHAPTER
RENAL DISEASE
1) Glomeruloscelorosis is a feature of
a) Diabetes mellitus
b) Hypertension
c) Pre-renal causes of renal impairment
d) Post renal causes of renal impairment
____________________________________________________
2) Commonest type of Nephrotic syndrome in children is
a) Focal
b) Diffuse
c) Minimal change
d) Proliferative
____________________________________________________
3) Interstitial nephritis is caused by
a) Methicillin
b) Ampicillin
c) Cloxacillin
d) Penicillin
_____________________________________________________

________________________________________
1. B
2. C
3. D

MEDICINE MCQs

Numans Book Series

4)
A ten year old boy gives history of swelling of body starting
from face and more on getting up in the morning. On examination
his blood pressure is normal, pallor is absent and jugular venous
pressure is not raised. Signs of ascites and bilateral pleural effusion
are found. The first line of investigation in this case is:
a) Blood urea level.
b) Chest X ray.
c) Echocardiography.
d) Liver function test.
e) Urine for albumin.
____________________________________________________
5) In hemolytic uremic syndrome (HUS)
a) Creatinine is raised
b) SBR is raised
c) RBS is raised
d) Kernicterus occurs
____________________________________________________
6) Which of the following is not included in Nephrotic Syndrome
Triad?
a) Hypoalbuminemia
b) Proteinuria
c) Edema
d) Haematuria
____________________________________________________

4. E

5. A

6. D

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