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NEET MDS Quiz - Practice Test
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Medicine - 3 Questions

1
Medicine
A young lady with spontaneous abortions has a history of joint pains and fever. She currently presents with thrombosis of her leg vein. Her APTT is prolonged. The diagnosis is most likely to be
1 Inherited protein C and S deficit
2 Factor XII deficiency
3 Antiphospholipid antibody syndrome
4 Increased antithrombin III levels

📝 Explanation:

Antiphospholipid antibody syndrome (APS) is characterized by recurrent thrombosis (such as deep vein thrombosis), pregnancy complications (including spontaneous abortions), and can be associated with autoimmune symptoms like joint pain and fever. The prolonged activated partial thromboplastin time (APTT) can also be seen in APS due to the presence of antiphospholipid antibodies.

2
Medicine
Anion gap is not increased in
1. Acute Renal Failure
2. Lactic acidosis
3. Ketoacidosis
4. Diarrhea

📝 Explanation:

Diarrhea causes a loss of bicarbonate HCO3-, which leads to a normal anion gap metabolic acidosis.

The body compensates for the loss of the negative bicarbonate ions by retaining chloride ions Cl- to maintain electrical neutrality, resulting in hyperchloremic acidosis. Therefore, the anion gap, remains within the normal range.

3
Medicine
Prophylactic spinal irradiation is given in all except 1 Acute lymphatic leukemia 2 Non Hodgkin's lymphoma 3 Hodgkin's lymphoma 4 Small cell carcinoma of lung

📝 Explanation:

Prophylactic spinal irradiation is often used in conditions like acute lymphatic leukemia and non-Hodgkin's lymphoma to prevent central nervous system involvement. However, it is not routinely used in Hodgkin's lymphoma unless there is a specific indication for it.

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