Questions in Test

1) 60 yrs old female is on Tamoxifen for Breast CA But now has DVT. What drug to switch to?

  • Ans: Aromatase Inhibitor

2) An alcoholic had signs of thiamine def in scenario (wernicke korsakof) Confusion, nystagmus etc. What to give first?

  • A) Thiamine
  • B) Dextrose
  • (Note: The standard medical answer is usually Thiamine first to prevent precipitating Wernicke’s encephalopathy).

3) In Ovarian Cancer with CA 125 rising after chemo There’s abdominal distention. Reason?

  • Ans: PLATINUM resistant relapse

4) A patient has subtotal villous atrophy Chronic diarrhea But negative anti tissue transglut Diagnosis?

  • Ans: SEROnegative Celiac

5) Most common type of Non Hodgkin Lymphoma

  • Ans: DIFFUSE large B cell

6) A patient has PBC and now has pruritis URSOdeoxycholic acid doesn’t resolve it. What to give next?

  • Flow: UDCA –> cholestyramine –> rifamipicin –> naltrexone or seratraline

7) Methotrexate is being taken by RA patient He now has respiratory difficulties Reason?

  • Ans: Methotrexate induced

8) Gfr =28, Ckd patient T2DM Full dose metformin is being taken by pt What DOC now

  • Ans: LINAGLIPTIN

9) SGLT2 inhibitors cause Euglycemic DKA scenario

10) Patient has all symptoms of hyperkalemia WHICH DRUG WOULD LOWER POTASSIUM the fastest

  • Ans: Insulin with dextrose

11) Patient is on warfarin INR =3.5 now has renal thrombosis Reason?

  • Ans: LEFT atrial appendage

12) PCI done for STEMI Stent put inside He’s on Aspirin nd clopidogrel Patient has severe hematemesis nd Hb Reduced from 13 to 8 What to do?

  • A) Stop aspirin continue clopidogrel
  • B) stop clopidogrel continue aspirin
  • C) Transfuse and continue anticoagulation
  • D) give prasugrel instead of clopidogrel

13) Acanthosis nigrans Linitis plastica Signet ring cell positive What Does it show

  • I) EBV associated
  • Ii) Her2
  • Iii) microsatellite something Or something else

14) Ck 8000 with proximal muscle weakness despite using prednisolone for PMR what’s the reason

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