In which of the following conditions is splenectomy typically NOT recommended as a primary treatment option: A. Idiopathic thrombocytopenic purpuraB. Congenital spherocytosisC. Autoimmune haemolytic anemiaD. Vascular purpuraE. Hypersplenism Answer: D. Vascular purpura Explanation: Splenectomy is recommended in various medical conditions when other treatments have failed or when it is deemed necessary to address the underlying … Read more
A 12-year-old child has been experiencing a persistent dry cough and fever for four weeks. A chest X-ray reveals hilar lymphadenopathy on the right side and consolidation of the right middle lobe. Which of the following conditions is the most likely diagnosis in this case? A. Pneumococcal pneumonia B. Benign tumor of the right bronchus … Read more
Five persons have the following fasting blood sugar levels in a blood sugar camp. Which of the following report is to be considered normal: A. 90 mg/diB. 120 mg/dlC. 130 mg/diD. 49 mg/dlE. 52 mg/dl Answer: A The normal range for fasting blood sugar levels can vary slightly depending on the lab and specific guidelines … Read more
A young boy 12 years of age has swelling and pain involving more than one large joints of the body along with fever and a history of sore throat. Which of the following conditions you will consider as the first possibility? A. Rheumatoid arthritisB. Septic arthritisC. OsteoarthritisD. Rheumatic feverE. Tuberculosis arthritis Answer: D. Rheumatic fever … Read more
A patient has been diagnosed as a case of pulmonary tuberculosis and started on antituberculosis therapy. A month later he reported to you with jaundice. On stopping treatment jaundice has recovered. Now antituberculosis therapy has to be restarted which of the following drugs is least likely to be cause of his jaundice: A. RifampicinB. StreptomycinC. … Read more
In a patient’s medical report, the following laboratory results are observed: serum calcium level of 8 mg/dL, serum phosphate (P04) level of 3.2 mg/dL, and an alkaline phosphatase level of 500 units/L. Based on these findings, which of the following medical conditions is the most likely diagnosis? A. OsteomalaciaB. HyperparathyroidismC. OsteoporosisD. Paget’s disease of the … Read more
A 50-year-old male underwent a partial gastrectomy for the treatment of gastric ulcers a decade ago. During examination, he displays pallor, and his hemoglobin (Hb) level is measured at 8 g/dL. His mean corpuscular hemoglobin concentration (MCHC) value is within the normal range, but his mean corpuscular volume (MCV) value is elevated. What is the … Read more
A patient, 40 years old, has been enduring right-sided hemicranial headaches for the past fifteen years. The headaches consistently occur on the right side of the head and occasionally entail visual symptoms. Which of the following possibilities is likely? A) MigraineB) Tension headachesC) Cluster headachesD) Intracranial vascular malformationE) Brain tumor Answer: A. Migraine Explanation: The … Read more
A 3-year-old boy presents for a routine check-up, and during the examination, it is noted that one of his testicles is not palpable in the scrotum. The pediatrician suspects undescended testis. What is the most important associated risk for a child with an undescended testis? A. Indirect inguinal herniaB. Epididymo-orchitisC. SterilityD. Testicular torsionE. Increased risk … Read more
A 25-year-old male presents with persistent fever, weight loss, and swelling in the neck. On examination, he has enlarged, firm, non-tender lymph nodes in the cervical region. The patient also reports a history of night sweats. Given the suspicion of tuberculous lymphadenitis (T.B. lymphadenitis), which of the following findings is most commonly associated with this … Read more