MEDICINE - PAGE 2

1. Severe deficiency of thiamin causes
(a). Beriberi
(b). Scurvy
(c). Rickets
(d). Keratomalacia
Answer: Beriberi
 
2. Normal blood pressure for an adult is
(a). 100/80 mm of Hg 
(b). 140/90 mm of Hg
(c). 120/80 mm of Hg
(d). 130/90 mm of Hg
Answer: 120/80 mm of Hg
 
3. Inflammation of mucous membrane of mouth is called
(a). Glossitis
(b). Gingivitis
(c). Stomatitis
(d). Gastritis
Answer: Stomatitis
 
4. If 10-99 AFB are seen per 100 oil immersion fields, then the smear result is
(a). 1+ 
(b). 2+
(c). 3+
(d). scanty
Answer: 1+
 
5. Under RNTCP, the term "DMC" means
(a). Drug managing centre
(b). Designated microscopy centre
(c). Direct medication centre
(d). DOTS medicine centre
Answer: Designated microscopy centre
 
6. Which among the following categories were withdrawn from the RNTCP
(a). CAT-I
(b). CAT-II
(c). CAT-III
(d). CAT-IV
Answer: CAT-III
 
7. All are true regarding DOT provider except
(a). Preferably a close relative or family member
(b). Should be acceptable to the patient
(c). Should be easily accessible
(d). Should be accountable to the programme
Answer: Preferably a close relative or family member 
 
8. Joint pain and high blood levels of uric acid are the features of toxicity related to the following anti TB drug 
(a). Pyrazinamide 
(b). Ethambutol
(c). Streptomycin
(d). Isoniazid
Answer: Pyrazinamide 
 
9. Continuation Phase in anti TB chemotherapy is meant for
(a). Rapid killing of bacilli
(b). Preventing emergence of resistant strains
(c). Preventing rapid community spread
(d). Preventing relapse and failure
Answer: Preventing relapse and failure
 
10. Mycobacteria classified in to different populations according to their growth pattern was done by 
(a). Wallace Fox
(b). D A Mitchison
(c). Robert Koch
(d). Roentgen
Answer: D A Mitchison
 
11. Estimated daily deaths due to Tuberculosis is
(a). 500
(b). 1000
(c). 1500
(d). 2000
Answer: 1000
 
12. Intensive phase recommended for Category II on a routine basis is
(a). 2 months 
(b). 3 months
(c). 4 months
(d). 6months
Answer: 3 months
 
13. Before starting anti TB medications for a suspected smear negative TB patient, the number of sputum smear examinations recommended by the RNTCP is 
(a). 2 smears as in positive cases
(b). 3 smears as it was done earlier
(c). 2 smears, followed by antibiotics and then 2 more smears
(d). Only Chest X-ray PA is  required, sputum examinations not necessary
Answer: 2 smears, followed by antibiotics and then 2 more smears
 
14. To make a diagnosis of multidrug resistant tuberculosis, the mycobacteria should be resistant at least to
(a). INH and Ethambutol
(b). INH and Rifampicin
(c). INH and Pyrazinamide
(d). Streptomycin and Rifampicin
Answer: INH and Rifampicin
 
15. Single sample sputum culture is recommended for
(a). Follow up monitoring of MDR/XDR TB patients under DOTS Plus regime
(b). Making a diagnosis of MDR TB
(c). Making a diagnosis of Total drug resistance
(d). All of the above
Answer: Follow up monitoring of MDR/XDR TB patients under DOTS Plus regime
 
16. The fastest method for diagnosing MDR TB among the following is
(a). Gene Xpert
(b). Quantiferon Gold assay
(c). T spot assay
(d). Liquid culture method
Answer: Gene Xpert
 
17. The minimum treatment duration for MDR TB as per the PMDT (programmatic management of Drug resistant tuberculosis) 
(a). 12 months 
(b). 18 months
(c). 24 months
(d). 30 months
Answer: 24 months
 
18. Robert Koch discovered mycobacteria in the year
(a). 1862 
(b). 1872
(c). 1882
(d). 1892
Answer: 1882
 
19. Which of the following anti TB medication is available as granules
(a). Isoniazid
(b). Para amino salicylic acid
(c). Thiacetazone
(d). Pyrazinamide
Answer: Para amino salicylic acid
 
20. The standard duration of short course chemotherapy is
(a). 3 months 
(b). 6 months
(c). 9 months
(d). less than 12 months
Answer: 6 months
 
21. All the following instructions are given to a smear positive TB patient on DOTS except
(a). Take nutritious food
(b). Observe good cough habits
(c). Remain in an isolated closed room till intensive phase is over
(d). Do not panic if you see that you are passing high coloured urine after taking medication
Answer: Remain in an isolated closed room till intensive phase is over
 
22. Which among the following is an Acid Fast staining technique?
(a). Ziehl-Neelsen Technique
(b). Kinyoun method
(c). Auramine- Rhodamine Flurochrome staining
(d). All of the above
Answer: All of the above
 
23. The acid component of TB bacilli is
(a). Hydrochloric acid
(b). Lactic acid
(c). Sulphuric acid
(d). Mycolic acid
Answer: Mycolic acid
 
24. The number of sputum samples collected for the diagnosis of Pulmonary tuberculosis as per the current RNTCP guideline is
(a). 3 samples ( spot-morning-spot)
(b). 2 samples (morning-spot)
(c). 2 samples (morning -morning)
(d). 2 samples (spot-morning)
Answer: 2 samples (spot-morning)
 
25. The theme for the World TB day for the year 2015 is (a). DOTS cured me -it will cure you too!
(b). Stop TB in my life time
(c). I am stopping TB
(d). Reach, treat, cure everyone
Answer: Reach, treat, cure everyone