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University of Medicine, Mandalay

Final Part (I), M.B.,B.S

Supplementary Class Test

1. Evidences of red cell damage are

(F) A. Reduced red cell osmotic fragility
(T) B. Spherocytosis
(F) C. Nucleated red cells
(F) D. Reticulocytosis
(T) E. Heinz bodies

2. Peripheral blood picture of macrocytic anaemia

(T) A. increased MCV
(F) B. increased MCHC
(T) C. LE blood picture
(T) D. Howell jolly bodies present
(F) E. Thrombocytosis

3. Common clinical features of acute leukaemia

(T) A. Skin petachiae
(T) B. Progressive & severe anaemia
(T) C. Fever
(F) D. Pain in Bone & Joint
(F) E. Hepatosplenomegaly

4. Match
(F) A. M1 – Minimally differentiated AML
(F) B. M2 – Erythroleukamia
(T) C. M3 – Hypergranular promyelocytic leukaemia
(F) D. M4 – Myeloblastic leukaemia with maturation
(F) E. M5 – Myelomonocytic leukaemia

5. Regarding the hepatocellular carcinoma

(F) A. Fibroleamellar type has poor/worst prognosis
(T) B. Can invade IVC
(T) C. Can cause paraneoplastic syndrome
(F) D. Alpha-feto protein is increased up to 30 ng/ml
(T) E. Grossly green hue may be seen

6. Typical Features of beta-thalassemia

(T) A. Skeletal radiological changes
(F) B. Reduced Hemoglobin F
(F) C. Increased level of Hemoglobin H
() D.
(T) E. Reticulocytosis and nucleated RBC in peripheral blood film
7. Causes of haemoptysis include
(T) A. Bronchogenic carcinoma
(F) B. Bronchial asthma
(T) C. Bronchiectasis
(T) D. Rheumatic Heart Disease
(F) E. Pulmonary Hypertension

8. Followings are true for carcinoma cervix

(F) A. Usually occur in nulliparous
(F) B. HPV type 42 can cause carcinoma
(F) C. One of Gestational Trophoblastic Disease
(T) D. Can present irregular vaginal bleeding
(F) E. Focal expansion is more important than distant metastasis

9. Causes of GCK include

(T) B. Benign nephrosclerosis
(T) C. Chronic glomerulonephritis
(F) D. Minimal change diseases
(F) E. Malignant nephrosclerosis

10. In CML, the followings are true

(T) A. Thrombocytosis occur
(F) B. Priapism is a common presentation
(T) C. Full granulocytic spectrum is seen in peripheral blood film
(T) D. Blastic transformation is major cause of death
(F) E. Commonly occur

11. The followings are causes of myocardial infarction

(T) A. Atherosclerosis narrowing of coronary artery with superimposed thrombotic
(T) B. Coronary osteal stenosis in leutic aortitis
(F) C. Abdominal aortic aneurysm
(T) D. Coronary artery spasm
(F) E. Septicaemia

12. Hormones or hormone like factors that elaborate by lung cancer

(T) A. TSH
(T) B. Calcitonin
(T) C. ADH
(F) D. FSH

13. The followings are true for osteoclastoma

(F) A. Not common on less than 20 year of age
(T) B. Association with Rb gene mutation
(F) C. Lower end of tibia is the most common site
(F) D. Large lytic soap, bubble appearance on radiology
(T) E. Pathological fracture may be the 1st symptom

14. Features of portal hypertension

(F) A. Jaundice
(T) B. Ascites
(T) C. Haemorrhoids
(F) D. Gynaecomastia
(T) E. Splenomegaly

15. Nephrotic Syndrome

(T) A. Massive proteinuria
(T) B. Hypoalbuminaemia
(F) C. Hypercalcemia
(F) D. Chronic Renal Failure
(F) E. Nephrolithiasis

16. Meningioma
(F) A. Male preporderance
(T) B. Rapid Growth during pregnancy
(F) C. Can present visual disturbance
(T) D. Can metastasize
(T) E. Psammoma bodies may be present in histology

17. Choriocarcinoma
(T) A. Extensive area of necrosis
(F) B. Presence of villi
(T) C. associated with normal pregnancy
(F) D. Cannot metastasize
(F) E. Beta-HCG elevation is 1:1000

18. Leiomyoma
(T) A. During reproductive age
(F) B. Reduce size in pregnancy
(T) C. Presence of menorrhagia
(T) D. Causes infertility
(F) E. Malignant change common

19. The followings are feature of renal cell carcinoma

(T) A. Associated with cigarette smoking
(T) B. Variegated appearance
C. The clear cytoplasm contain hyaline material
(T) D. Can present paraneoplastic syndrome
(F) E. Tumor cell cannot invade renal vein

20. Causes of secondary hypertension

(T) A. Acute stress
(T) B. Acute renal failure
(T) C. Pheochromocytoma
(T) D. Nephrotic syndrome
(T) E. Hyperthyroidism