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Clinical nutrition ,immunology & Toxicology Exam for FCPS part 1 with Dr Sohrab
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Clinical nutrition ,immunology & Toxicology Exam for FCPS part 1 with Dr Sohrab
Clinical nutrition + Toxicology + Biostatistics Exam for FCPS part 1 with Dr Sohrab
1
Personal infomations
2
True and false
3
multiple choice
Name
*
Phone number
*
Email
Vit. C deficiency cause a) Haemarthrosis b) Intracerebral haemorrhgae c) GIT bleeding d) Perifollicular haemorrhage e) Poor wound healing
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Obesity is associated with a) Turner's syndrome b) Down's syndrome c) Prader-willi syndrome d) Klinefelter's syndrome e) Fragile-X-syndrome
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Site of absorption of vitamin B₁2 a) Stomach b) Duodenum c) Jejunum d) Ileum e) Colon
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding Micronutrients -- a) They act as enzymes b) They provide energy c) They are essential for proper mental development d) They form structural components of the cell e) Their deficiency may cause congenital malformations
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
The following are trace elements a) Sodium b) Magnesium c) Iron d) Selenium e) Phosphorus
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Alkaline phosphates is increased in - a) Hemolytic jaundice b) Obstructive jaundice c) Viral hepatitis d) Paget's disease of bone e) Osteomalacia
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Chronic lead poisoning a) Renal tubular acidosis b) Basophilic stippling c) Predominant motor neuropathy d) Dysguision and constipation e) Hypersegmented neutrophil
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Dilated pupils are a recognized finding in acute poisoning with a) Phenytoin b). Theophylline c) Datura d) Chlorpromazine e) Carbon monoxide
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Poison can be removed from body by a) Cathartics b) Activated charcoal c) Antacid d) Omeprazole e) Haemofiltration
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Features of cobra bite poisoning a) Huge local swelling b) Respiratory paralysis c) Hyperkalemia d) Ptosis e) Myalgia
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Opiate withdrawal syndrome includes a) Insomnia b) Hyperthermia c) Hypothermia d) Miosis e) Constipation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Arsenic has association for the development of the following skin cancers -a) Basal cell carcinoma b) Squamous cell carcinoma. c) Malignant melanoma d) Kaposis sarcoma in e) Bowens disease
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Indication of anti-venom Hypercoagulabity a)Features of neurotoxicity b) Ptosis c) Hypercoagulabity d) Features of cardiotoxicity e) Local swelling extensively
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Benzodiazepine withdrawal syndrome include a) Insomnia b) Hallucination c) Ataxia d) Seizure e) Anxiety
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Ethanol poisoning a) Converted to formic acid b) Metabolic acidosis c) Antidote is methanol d) Coma
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Cholinergic nicotinic features of OPC poisoning a) Seizures b) Tachycardia c) Fasciculation d) Fever e) Mydriasis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
In acute poisoning if muscarinic receptor stimulates a) Miosis b) Tachycardia c) Dry mouth d) Bronchoconstriction e) Bradycardia
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Acidosis with normal lactate level is found in a) Salicylate poisoning b) Carbon monoxide poisoning c) Ethylene glycol poisoning d) Cyanide poisoning e) Methanol poisoning
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding arsenicosis a) It causes gastric cancer b) Rain water is highly source of arsenic c) Mainly found in hair and nail d) Never found in brain e) Can lead to mesothelioma
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Specific antidote for poison a) Flumazenil - Opioid poisoning b) Ethanol-Methanol poisoning c) Atropine - OPC poisoning d) Pralidoxime- OPC poisoning Dimercaprol - arsenic poisoning
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
What are the qualitative variable? a) Age b) Ethnicity c) Height d) Weight e) Sex
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
If you consider a population group for a study design. What are the criteria? a) It may be the a specific group of an area b) It may be finite c) It may be infinite d) It may be the invisible group which has no existence e) May share the common characteristics
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Control group of a population are considered as a a) Take treatment in a specific space b) Are the group who take new treatment from the doctor c) Are the group who are taking standard treatment Should not be taken as placebo d) e) Those who take the new treatment who take the past
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pie chart a) Also called pie diagram b) 360 °rotation c) Compares between two different types of value d) Also called sector diagram e) 1% means 3.60 rotation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Measures of central tendency are a) Median b) Mean c) Mode d) Range e) Standard deviation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Method for presentation of quantitative continuous numerical data a) Histogram b) Line chart c) Bar diagram d) Frequency polygon e) Scatter dot
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Scales used in biostatistics a) Normal scale b) Ratio scale c) Continuous scale d) Intervening scale e) Interval scale
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Which ones are correct? a) Predictive value is the proportion of patients with a test result who have the disease b) Predict value combines only prevalence but not sensitivity c) Sensitivity depends on population d) Specificity is the characteristics of the test e) Post test probability and predictive values are same
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Case control study is a) Analytical study b) Randomized CT c) Interventional study d) Efficient for rare disease e) Less expensive
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Quantitative variable are a) Weight b) Height c) Sex d) Occupation e) Parity
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Hypervitaminosis K which is the most important clinical features
Hyperpigmentation/ Dermatitis
Gastrointestinal disturbance
Hyperirritability
AKI
Hemolysis
A 70 years old male complains of bilateral leg edema & dyspnea for 1 month. He used to take refrained rice for 2 years. Which one of the following nutrient deficiency is the cause of this condition?
Thiamine deficiency.
Niacin deficiency
B12 deficiency
Folic acid deficiency
Vitamin C deficiency
A 50 years old male alcoholic with poor diet, presents with foot drop, psychosis. Which deficiency causes this?
Thiamine
Vitamin B₁2
Niacin
Riboflavin
Pyridoxine
Serum Homocystine is reduced by/ removed from body
Methyl cobalamine
Folic acid
Biotin
Pyridoxine
Vitamin B1
Which would be deficient in a patient of pernicious anemia?
Folic acid
VitaminB,
Niacin
Vitamin B₁2
Iron
Most appropriate marker for assessing liver synthetic function
S. Bilirubin
SGOT
SGPT
Prothrombin time
S. Albumin
A strict vegetarian patient develops anemia. Serum assay reveals reduced vit. B₁2 level. Commonly expected finding from this patient
Brisk plantar reflex
Flexor plantar response
Dementia
Paraplegia
A 30 years old pregnant lady delivered a child with anencephaly. How could you prevent this condition?
Folic acid supplementation
Vitamin B₁2 supplementation
Iron supplementation
Vitamin E supplementation
Zinc supplementation
About Salicylate which is true?
Removed by haemoperfusion
Cause Resp.Aalkalosis
Salicylate molecule cross dialysis
Urinary alkalization is recommended with dialysis now
May cause hypoglycemia
Drug causing myadriasis
Amphetamine
Bezodiazepin
Opioid
OPC
Tramadol
Paracetamol poisoning → Most important criteria for liver transplantation is
ALT
S. creatinine > 100
Hepatic encephalopathy grade 1
Prothrombin Time > 3 sec
pH>7.1
Nicotinic sign of OPC poisoning
Bronchoconstriction
Bronchorrhoea
Fever
Bradycardia
Mitosis
A truck driver presents with bilateral blindness after heavy drinking. Cause is
Arsenic
Ethanol
Methanol
Lead
Fluoride mof-l
Acidosis with normal lactate not present in
Fe poisoning (high lactate)
Salicylate
Methanol
Ethylene glycol
Paradehyde
A Salicylate poisoning is associated with
Metabolic alkalosis
Respiratory acidosis
Tachycardia
Cerebral oedema
A 45 yrs of patient presented to you with intake of 30 tablet of unknown drug. His ALT & AST is found very high. What may be the cause of poisoning
Acetaminophen
TCA
Aspirin
Ibuprofen
Diazepam
P value
It is a Quantitative value
Always its value is less than .05
P value is more then the result is significant
If the P value is less then the result is not significant
P value is equivalent to varience
A Histogram would be appropriate for which of these data?
Height/weight
Level of education
Age group
Economic status
Occupation
Most common initial cranial nerve presentation of snake venom poisoning
Broken neck
Opthalmoplegia
Facial palsy
Ptosis
Diplopia
A 40 years old farmer presented with snake bite. Which of the following feature is an indication for starting anti-venom?
Ptosis
Shock
Vomiting
Active bleeding
Respiratory compromise
