Medicine MCQs – 2
Café au lait spots with rough borders seen in -
Café au lait spots are often harmless but may be associated with syndromes such as neurofibromatosis type 1 and McCune–Albright syndrome
Neurofibromatosis Type 1 -
- Café au lait lesions tend to resemble the "coast of California," rather than the "coast of Maine," - Meaning the edges are smoother and more linear.
McCune-Albright syndrome.- Café au lait lesions with rough borders (“coast of Maine”)
Early-morning nausea and vomiting is seen in all of the following cases EXCEPT -
Early-morning nausea and vomiting is seen in -
- Alcohol dependence
Large volumes of vomit - suggest gastric outlet or upper intestinal obstruction.
Most common form of glomerulonephritis in adults worldwide -
IgA nephropathy is also known as Berger's disease. It is the most common form of glomerulonephritis in adults worldwide
IgA nephropathy, also known as Berger's disease, is the most common type of glomerulonephritis, and generally presents with isolated visible or occult hematuria, occasionally combined with low grade proteinuria
All of the following are usually CORRECT about Isolated proteinuria without hematuria EXCEPT -
Isolated proteinuria without hematuria
is usually in the sub-nephrotic range without an active urine sediment and there is normal renal function. Over 50% of these patients have postural proteinuria.
Bilateral renal cell carcinomas is seen in -
von Hippel–Lindau disease -
- autosomal dominant disorder We can find - - bilateral renal cell carcinomas - haemangioblastomas - phaeochromocytomas - renal cysts
VHL syndrome is found in 4.3% of bilateral RCCs
Check shoulder shrug or trapezius muscle action is the testing of which nerve -
CN XI (Spinal Accessory) Check shoulder shrug (trapezius muscle) and head rotation to each side (sternocleidomastoid) against resistance.
Patients with aerophagia have excessive intestinal gas that is mostly composed of -
Patients who have excessive intestinal gas that is mostly composed of nitrogen have aerophagia
Low-FODMAP diet is used for -
Dietary modification to reduce the volume of flatus produced is - reducing the amount of fermentable carbohydrates.
Low-FODMAP diet- low fermentable oligosaccharide, disacharide, monosaccharide and polyols
Horizontal nystagmus is best assessed at -
Horizontal nystagmus is best assessed at 45° and not at extreme lateral gaze
Most common form of electrolyte disorder in the emergency room
Hyponatremia is the most common form of electrolyte disorder in the emergency room