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Prognosis of diabetes: Cardiovascular mortality is higher in diabetic than in non-diabetic people up to the age of 80 (True) Explanation: A threefold increase. Diabetic patients with proteinuria have a higher cardiovascular risk than those without it (True) Explanation: It is indicative of nephropathy, which increases the risk of cardiovascular disease up to 100-fold. When sulfonylureas became available, there was a noticeable improvement in cardiovascular mortality (False) Good glycaemic control, on the balance of available evidence, can reduce cardiovascular mortality in both type 1 and type 2 DM (False) Even mildly 'impaired glucose tolerance' increases cardiovascular risk (True) Question 19.
The following are seen with NSAIDs: Improvement in renal function (False) Increase in serum potassium (True) Explanation: The change in renal function results in hyperkalaemia. Increased risk of peptic ulcer complications (True) Explanation: There is a clear relationship between NSAID use and complications such as perforation, bleeding and death particularly in old people. Improved long-term prognosis of rheumatoid arthritis (False) Improvement in coexistent asthma (False) Question 24. The following are features of systemic lupus erythematosus (SLE) Raynaud's phenomenon (True) Explanation: Pain during mastication is a characteristic feature of temporal arteritis.
H. MCQs VIA WEB 2005 shingles (False) Explanation: Varicella zoster virus paronychia (True) Explanation: HS type 1-'herpetic whitlow' Question 14. In a schoolchild with measles infection is due to a paramyxovirus (True) rhinorrhoea and conjunctivitis occur at the onset (True) Explanation: The catarrhal phase Koplik's spots appear at the same time as the skin rash (False) Explanation: They precede the rash the skin rash typically desquamates as it disappears (True) infectivity is confined to the prodromal phase (False) Explanation: Contact should be avoided for 7 days after the onset of the rash Question 15.