1
MEDICINE I BCQS ACTUAL EXAM
QUESTIONS AND ANSWERS
NOTE: ALL QUESTIONS TAKEN FROM DIFFEFENT PAST PAPERS OF LUMHS
Q1 A male patient 40 years having history of recurrent of cough with sputum at
early morning. The sputum was foul smelling. O/E patient have clubbing and
coarse crepitation all over the chest. What is most likely diagnosis
A) Pulmonary TB
B) Bronchiectasis
C) Chronic Bronchitis
D) Pneumonia
E) Carcinoma of lung
Q2 A 60 year old male smoker with 70 packs year. His CT scan shows peripheral
situated mass in left hemithorax with rib erosion. How will you confirm diagnose
A) X-ray chest
B) Percutaneous lung biopsy is not performed under radiology
C) Percutaneous lung biopsy is useful for peripheral lung lesion
D) Trans bronchial biopsy is performed under ultrasound
E) CT chest
Q3 Gold standard investigation for pulmonary diagnosis of pulmonary
tuberculosis in a patient who has history of cough, fever and weight loss for more
than three weeks
A) Sputum for AFB culture
B) Tuberculin test
C) Radiology of chest
D) Gastric aspirate
,2
E) Laryngeal swab
Q4 In a patient with pleural effusion clinical examination of chest will reveal
A) Decreased chest movement on affected side
B) Hyper resonant note on affected side
C) Normal chest movement on the affected side
D) Trachea pulled on the affected side
Q5 A 18 year old girl referred from gynaecology OPD for physician opinion with
complain of primary amenorrhea and short stature , no history of diabetic
mellitus, celiac disease and thyroid disease. O/E short stature with webbing of
neck and poorly developed secondary sexual characteristic. what is diagnosis
A) Celiac disease
B) Cystic fibrosis
C) Down’s syndrome
D) Diabetes mellitus
E) Turner syndrome
Q5 The best treatment for hyperkalaemia in acute emergency
A) Dialysis
B) Inhaled B2 agonists
C) IV calcium gluconate 10 ml of 10% dextrose water
D) IV soda bicarbonate
E) IV glucose and insulin
Q6 Which of the following feature differentiate CRF from ARF
A) Acidosis
B) Anaemia
C) Bleeding
D) Infections
E) Renal osteodystrophy
Q7 Nephrotic syndrome is characterised by
A) Low serum cholesterol
B) Low blood pressure
, 3
C) Non pitting oedema
D) Raised urinary albumin
E) Raised serum albumin
Q8 All of the following are side effects of loop diuretics except:
A) Hypokalaemia
B) Hypomagnesaemia
C) Hyperkalaemia
D) Water retention
E) Ototoxicity
Q9 A 80 years old lady presented to her general practitioner with a 24 hours
history of profuse diarrhoea and mild abdominal pain. Her type 2 diabetes
mellitus had been treated with metformin for 10 years. Two days previously, she
had been discharged from hospital, following treatment for community acquired
pneumonia. Her medication was omeprazole 20mg once daily and metformin
500mg twice daily. What is most likely explanation for her diarrhoea
A) Clostridium deficile toxin
B) Constipation with overflow
C) Diverticulitis
D) Metformin
E) Omeprazole
Q10 The 60 years old man presented in medical emergency with tachypnea, on
arrival BP 90/50mm Hg , pulse 100/min, bounding pulses with warm extermition,
lab report shows TLC 18000/cmm. Patient is suffering from
A) Anaphylactic shock
B) Cardiogenic shock
C) Hypovolemic shock
D) Neurogenic shock
E) Septic shock
Q11 20 years female taken 20 tablets of aspirin to attempt suicide. Patient is
admitted in the intensive care unit, vitals and clinical examinations was noted and
base line investigation was sent. Her serum concentration of salicylate is above
MEDICINE I BCQS ACTUAL EXAM
QUESTIONS AND ANSWERS
NOTE: ALL QUESTIONS TAKEN FROM DIFFEFENT PAST PAPERS OF LUMHS
Q1 A male patient 40 years having history of recurrent of cough with sputum at
early morning. The sputum was foul smelling. O/E patient have clubbing and
coarse crepitation all over the chest. What is most likely diagnosis
A) Pulmonary TB
B) Bronchiectasis
C) Chronic Bronchitis
D) Pneumonia
E) Carcinoma of lung
Q2 A 60 year old male smoker with 70 packs year. His CT scan shows peripheral
situated mass in left hemithorax with rib erosion. How will you confirm diagnose
A) X-ray chest
B) Percutaneous lung biopsy is not performed under radiology
C) Percutaneous lung biopsy is useful for peripheral lung lesion
D) Trans bronchial biopsy is performed under ultrasound
E) CT chest
Q3 Gold standard investigation for pulmonary diagnosis of pulmonary
tuberculosis in a patient who has history of cough, fever and weight loss for more
than three weeks
A) Sputum for AFB culture
B) Tuberculin test
C) Radiology of chest
D) Gastric aspirate
,2
E) Laryngeal swab
Q4 In a patient with pleural effusion clinical examination of chest will reveal
A) Decreased chest movement on affected side
B) Hyper resonant note on affected side
C) Normal chest movement on the affected side
D) Trachea pulled on the affected side
Q5 A 18 year old girl referred from gynaecology OPD for physician opinion with
complain of primary amenorrhea and short stature , no history of diabetic
mellitus, celiac disease and thyroid disease. O/E short stature with webbing of
neck and poorly developed secondary sexual characteristic. what is diagnosis
A) Celiac disease
B) Cystic fibrosis
C) Down’s syndrome
D) Diabetes mellitus
E) Turner syndrome
Q5 The best treatment for hyperkalaemia in acute emergency
A) Dialysis
B) Inhaled B2 agonists
C) IV calcium gluconate 10 ml of 10% dextrose water
D) IV soda bicarbonate
E) IV glucose and insulin
Q6 Which of the following feature differentiate CRF from ARF
A) Acidosis
B) Anaemia
C) Bleeding
D) Infections
E) Renal osteodystrophy
Q7 Nephrotic syndrome is characterised by
A) Low serum cholesterol
B) Low blood pressure
, 3
C) Non pitting oedema
D) Raised urinary albumin
E) Raised serum albumin
Q8 All of the following are side effects of loop diuretics except:
A) Hypokalaemia
B) Hypomagnesaemia
C) Hyperkalaemia
D) Water retention
E) Ototoxicity
Q9 A 80 years old lady presented to her general practitioner with a 24 hours
history of profuse diarrhoea and mild abdominal pain. Her type 2 diabetes
mellitus had been treated with metformin for 10 years. Two days previously, she
had been discharged from hospital, following treatment for community acquired
pneumonia. Her medication was omeprazole 20mg once daily and metformin
500mg twice daily. What is most likely explanation for her diarrhoea
A) Clostridium deficile toxin
B) Constipation with overflow
C) Diverticulitis
D) Metformin
E) Omeprazole
Q10 The 60 years old man presented in medical emergency with tachypnea, on
arrival BP 90/50mm Hg , pulse 100/min, bounding pulses with warm extermition,
lab report shows TLC 18000/cmm. Patient is suffering from
A) Anaphylactic shock
B) Cardiogenic shock
C) Hypovolemic shock
D) Neurogenic shock
E) Septic shock
Q11 20 years female taken 20 tablets of aspirin to attempt suicide. Patient is
admitted in the intensive care unit, vitals and clinical examinations was noted and
base line investigation was sent. Her serum concentration of salicylate is above
