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LETTER TO THE EDITOR
Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 58-59

Quiz for journal of Association of Physicians of India Assam


Consultant Physicians, Guwahati, Assam, India

Date of Submission23-Jul-2021
Date of Acceptance27-Jul-2021
Date of Web Publication05-Oct-2021

Correspondence Address:
Dr. Pritam Kumar Borthakur
Consultant Physician, Guwahati, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajoim.ajoim_14_21

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How to cite this article:
Borthakur PK. Quiz for journal of Association of Physicians of India Assam. Assam J Intern Med 2021;11:58-9

How to cite this URL:
Borthakur PK. Quiz for journal of Association of Physicians of India Assam. Assam J Intern Med [serial online] 2021 [cited 2021 Oct 18];11:58-9. Available from: http://www.ajimedicine.com/text.asp?2021/11/2/58/327515

Q.1. Which of the following is a manning criterion for the diagnosis of irritable bowel syndrome?

  1. Relief of pain after defecation
  2. Sense of incomplete evacuation
  3. Abdominal distension
  4. All of the above


Q.2. At what level of hepatic venous pressure clinically significant portal hypertension develops and esophageal varices start to appear?

  1. 20 mm Hg or more
  2. 10 mm Hg or more
  3. 30 mm Hg or more
  4. None of the above


Q.3. Which of the following is not a parameter in fibrosis index-4 calculator in nonalcoholic steatohepatitis?

  1. Age
  2. gamma glutamyl transpeptidase
  3. Aspartate aminotransferase
  4. Platelet count


Q.4. Erectile dysfunction in ankylosing spondylitis is not only common, but it may be a sign of high disease activity also. Is this statement

  1. True
  2. False


Q.5. Withdrawal of methotrexate should be considered in rheumatoid arthritis if there is an elevation of aminotransferases from baseline

  1. More than double from the baseline level
  2. More than three times the upper limit
  3. Should not be withdrawn as it is the most effective drug
  4. None of the above


Q.6. Decreased renal clearance of urate is a factor causing secondary gout. Which of the following is not a factor to cause decreased renal clearance of urate?

  1. Hyperparathyroidism
  2. Diuretics
  3. Malignancy and hemolytic disease
  4. Chronic kidney disease


Q.7. Which of the following is not correct about mycophenolate mofetil in systemic lupus erythromatosus?

  1. Should be discontinued 6 weeks before planned surgery
  2. Can be safely continued during pregnancy
  3. Not effective in neuropsychiatric lupus
  4. None of the above


Q.8. Match the following pairs correctly

  • Adalimumab Chimeric anti-TNF
  • Tocilizumab TNF blocker
  • Rituximab IL-6 blocker
  • Infliximab CD20 blocker


Q.9. Mr. B.B., 59 years old, is a case of T2DM, essential hypertension and recently had moderate COVID disease. Seven days post-discharge he presented with extreme exertional fatigue, two episodes of nocturnal cough, and shortness of breath. Which of the following set of investigations you are going to perform first?

  1. CK-MB, troponin I, pulmonary function test
  2. ECG, echocardiography, NT PRO BNP
  3. CT scan thorax, pro calcitonin, IL-6
  4. CT pulmonary angiography, fibrinogen, D-dimer.


Q.10. Acute kidney injury is an independent predictor of mortality in COVID-19. Is the statement true or false?

  1. True
  2. False.


Q.11. Which of the following pro-inflammatory cytokines and hormones play a major role in the development of insulin resistance?

  1. TNF alpha
  2. IL-6
  3. Resistin
  4. All of the above


Q.12. Which of the following is not a cause of true treatment-resistant hypertension?

  1. Obstructive sleep apnea
  2. Renal artery stenosis
  3. White coat hypertension
  4. Thyroid disorder


Q.13. A patient presented with acute chest pain, sweating, and breathlessness. His ECG showed ST-segment elevation in inferior leads. He was given IV tenecteplase and shifted to a nearby percutaneous coronary intervention (PCI)-capable hospital. Repeat CT after 1h revealed persistent ST elevation. What should be the next course of action?

  • Repeat fibrinolysis
  • Primary PCI
  • Rescue PCI
  • None of the above


Q.14. The raised level of which two components is suggestive of a prothrombotic state?

  1. Fibrinogen and insulin
  2. D-dimer and homocysteine
  3. Homocysteine and insulin
  4. Fibrinogen and D-dimer


Q.15. Which of the following is not a risk factor for severe disease in COVID-19?

  1. History of hypertension
  2. Diabetes mellitus
  3. Obesity
  4. Thyrotoxicosis






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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




 

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