Test No. 1 A 59-year-old male develops intense substernal, crushing chest pain that is not relieved by nitroglycerin.

He is admitted to the CCU. 1. Which one of the listed substances has the following characteristic serum changes following a myocardial infarction: levels begin to increase 4 to 6 h after the onset of chest pain, reach maximal serum concentration in about 12 to 24 h, and remain elevated for about 7 to 10 days? a. AST (SGOT) b. CPK-MB c. LDH (with isotype LDH1 greater than LDH2) d. Troponin I 2. Which of the following scan will selectively label the infracted area if the patient has MI? a. Thallium-201 b. Xenon-131 c. Technetium-99 PYP d. MUGA scan 3. Probing into the etiological causes for MI, the patient was found to have atherosclerotic changes in his coronary vessels. The patient did not have a familial history. The infection with the following agent has been recently suspected to cause the atherosclerotic plaques. a. Streptococcus pyogenes b. Staph aureus c. Chlamydia pneumoniae d. Streptococcus pneumoniae e. GAS ( Group A Streptococci) 4. The presence of lipoprotein(a) elevated is also seen. The possible reason for Lp (a) being a risk factor is related to the fact that lipoprotein(a) has kringle regions, which are regions that have structural homology with a. Cardiolipin, and this homology increases the formation of clots on cardiac valves b. Plasminogen, and this homology decreases the ability to clear thrombi c. Lipoprotein lipase, and this homology decreases the ability to metabolize chylomicrons d. Fibrinogen, and this homology increases the formation of fibrin thrombi 5. A 36 year old male develops high fever with chill and rigor. On examination he was found to have well defined erythematous rashes. Blood and CSF culture were done. CSF was sterile. However it was considered to be a bad prognosis. Three days later he developed shock and died. Autopsy revealed hemorrhagic adrenals. What would the blood culture show? a. Neisseria meningitidis b. Vibrio vulnificus c. Streptococcus viridians d. Haemophilus influenzae 6. A obese female 47 yrs of age had a H/o calf pain for he past 2 wks. Suddenly she developed excrutiating chest pain. She was admitted and treated for it. She was sent home with some medications. Five days later she noticed darkening of both her breasts. Which drug could have caused this? a. Streptokinase b. Aspirin c. Epsilon amino Caproic Acid d. Warfarin 7. A patient with Hb 7.5 & Hct 24% has a reticulocyte index of 9%. Calculate his corrected reticulocyte index a. 3.5 b. 2.25 c. 2 d. 1.5

PG Preparation Test

Prepared by: Abialbon Paul

8. During the healing of skin ulcers, which of the following is the most effective in angiogenesis? a. Platelet Derived Growth Factor b. Epidermal Growth Factor c. basic Fibroblast Growth Factor d. Endostatin 9. Which of the following test used in health care has reduced the no. of cancer deaths significantly? a. Chest radiograph b. Stool guaiac c. Pap Smear d. Serum carcinoembryonic antigen 10. A 25 year old male had a road traffic accident and had sustained a wound in h is right arm which he left untreated. Four days later the wound was markedly swollen. Examination revealed crepitance. The wound margin has no neutrophils. Which was the infective organism? a. Candida albicans b. Clostridium perfringens c. Listeria monocytogens d. Bacteroide fragilis 11. Increasing the plasma concentration of which substance(s) will result in an increase in the clearance? a. Inulin b. Glucose c. pAH d. All of the above 12. In which of the following metastatic calcification is more likely to be seen? a. Tuberculosis of lung b. Acute pancreatitis c. Vit D intoxication d. Aortic Stenosis

Prepared by: Abialbon Paul