2021 P1 Q57
Q1. A 30-year-old female presents with malaise, breathlessness off and on and paraesthesias. She is vegetarian by diet. Her investigation revealed Hb = 6.2 gm/dL, MCV = 128 fL, platelet count = 1,20,000/cumm, with blood smear showing macrocytosis and neutrophil hyper segmentation. What is the likely diagnosis?
- Iron deficiency anemia
- Myelophthisic anemia
- Megaloblastic anemia
- Aplastic anemia
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 86
2022 P1 Q94
Q2. An elderly alcoholic man who mainly eats a diet of maize and maize products presents with complaints of chronic diarrhea, severe sunburn-like lesions, tension on exposed parts, and acute delirium. He is admitted. What is the likely diagnosis and its treatment?
- Celiac disease, Gluten-free diet
- Vitamin B12 deficiency, Parenteral B12 therapy
- Pellagra, Niacin therapy
- Whipple’s disease, Doxycycline + Trimethoprim
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 165
2025 P1 Q40
Q3. A 46 year old lady on vegan diet for a decade presents with chief complaints of tingling and numbness in lower limbs for two months and a history of swaying while walking through narrow corridors. Which one of the following blood tests is advisable for diagnosis in this patient?
- Serum protein electrophoresis
- Anti-gliadin antibodies
- Vitamin 25(OH) D level
- Vitamin B12 levels
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 384
2025 P1 Q54
Q4. A 36 year old man presents with decreased appetite, mouth soreness, diarrhoea and irritability. On examination he has a bright red tongue with a pigmented scaly rash around the neck. Which one of the following food items in his diet has a bearing on his disease?
- Rice
- Wheat
- Corn
- Fish
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 390
2025 P1 Q55
Q5. Acrodermatitis enteropathica is an autosomal recessive metabolic disorder which affects the absorption of which one of the following micronutrients?
- Iodine
- Zinc
- Iron
- Selenium
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 390
