Fmge Jan 2023 Pyq PDF

FMGE Jan 2023 PYQs
Here is a valuable resource to strengthen your FMGE preparation - the FMGE Jan 2023
Previous Year Questions PDF. India's top medical faculty have carefully vetted these recall-
based questions to ensure the accuracy and relevance of all the questions.
You can use this PDF to elevate your exam preparations by identifying all the high-yield topics
that have been asked repeatedly over the past years.
Also, if you want to further improve your understanding of these topics, download the
PrepLadder app and get access to QBank 5.0 for detailed explanations of all correct and
incorrect options. QBank 5.0 is a treasure trove of MCQs based on the latest exam pattern,
especially clinical scenario-based questions.
In addition, you will get access to several other preparation resources including video lectures
and notes to stay ahead in your journey to success! Find the download link at the end.
Ques No: 1,QuesID : 794020

Subject: Microbiology
Topic: General Microbiology
Sub-Topic:
The culture media that is used to differentiate lactose fermenters and non-lactose fermenters
is
O1:
Bile salt agar
O2:
Thayer-Martin agar
O3:
Sabouraud Dextrose Agar
O4:
Mac-Conkey agar
Ans: 4

Subject: Biochemistry
Topic: Genetics
Sub-Topic:
In the liver, the Apo-B gene is completely translated to ApoB-100; in the intestine, it is
translated to ApoB-48. Which of the following mechanism explains this?
O1:
RNA editing
O2:
Gene splicing
O3:
Alternative polyadenylation
O4:
Gene rearrangements
Ans: 1

Subject: Anatomy
Topic: Histology
Sub-Topic:
Identify the histological image below.
O1:
Pseudostratified columnar epithelium
O2:
Non-keratinized squamous epithelium
O3:
Stratified squamous epithelium
O4:
Transitional epithelium
Ans: 4

Subject: Anatomy
Topic: Head and Neck
Sub-Topic:
The nerve supply of the larynx above the level of the vocal cords is by __
O1:
Superior laryngeal nerve
O2:
Recurrent laryngeal nerve
O3:
Glossopharyngeal nerve
O4:
External laryngeal nerve
Ans: 1

Subject: Anatomy
Sub-Topic:
A patient presents cyst on the neck with anterior to the sternocleidomastoid at the junction of
the upper and middle third of the muscle. This cyst is due to the persistence of which of the
following embryological clefts?
O1:
1st cleft
O2:
2nd cleft
O3:
3rd cleft
O4:
4th cleft
Ans: 2

Subject: Anatomy
Topic: Lower Limb
Sub-Topic:
A patient presented to the OPD with an abnormal gait. On examination, a right-sided hip drop
was observed when the patient was asked to stand on the left foot. Which of the following
muscles are paralyzed in this patient?
O1:
Right gluteus maximus and gluteus medius
O2:
Right gluteus medius and gluteus minimus
O3:
Left gluteus maximus and gluteus medius
O4:
Left gluteus medius and gluteus minimus
Ans: 4
Subject: Anatomy
Sub-Topic:
The framework of the external nose:
O1:
Upper 1/3rd bony and lower 2/3rd cartilaginous
O2:
Upper ½ is bony, and lower 1/2 is cartilaginous
O3:
Upper 2/3rd is bony and the lower 1/3rd is cartilaginous
O4:
None of the above
Ans: 1

Subject: Anatomy
Topic: Abdomen
Sub-Topic:
In the given barium swallow image, which of the following shows the left atrium impression on
the esophagus?
O1:
None of them
O2:
1
O3:
2
O4:
3
Ans: 4

Subject: Anatomy
Topic: Pelvis and Perineum
Sub-Topic:
A 55-year-old man is diagnosed with left testicular carcinoma. Which of the following lymph
nodes is the first to be involved?
O1:
Inguinal lymph nodes
O2:
Para-aortic lymph nodes
O3:
Iliac lymph nodes
O4:
Pre-caval lymph nodes
Ans: 2

Subject: Physiology
Topic: Cardiovascular System
Sub-Topic:
The first heart sound coincides with which cardiac cycle phase?
O1:
Rapid atrial filling
O2:
Aortic ejection
O3:
Isovolumetric contraction
O4:
Isovolumetric relaxation
Ans: 3

Subject: Physiology
Topic: The Nervous System
Sub-Topic:
Which among the following is true regarding creatinine clearance?
O1:
Equal to inulin clearance
O2:
It is less than inulin clearance
O3:
It is more than inulin clearance
O4:
Equal to renal plasma flow
Ans: 3

Subject: Physiology
Topic: The Nervous System
Sub-Topic:
Which of the following statements is true about GFR?
GFR-Glomerular filtration rate
RPF-Renal Plasma Flow
O1:
An increase in sympathetic function increases GFR
O2:
Afferent arteriolar constriction increases GFR
O3:
An increase in RPF increases GFR
O4:
A decrease in RPF increases GFR
Ans: 3

Subject: Physiology
Topic: Blood Physiology
Sub-Topic:
A new resident to a high-altitude area develops hypoxia. What is the causative factor?
O1:
Low hemoglobin levels
O2:
Low partial pressure of O2
O3:
Low blood lactate levels
O4:
High partial pressure of CO2
Ans: 2

Topic: Systemic Bacteriology
Sub-Topic:
A truck driver comes with complaints of a painless indurated genital ulcer after unsafe
intercourse. Which of the following investigations can be used to diagnose the causative
organism?
O1:
Darkfield microscopy
O2:
HSV 2 antibody
O3:
Albert stain
O4:
Acid-fast stain
Ans: 1

Subject: Physiology
Topic: Endocrine and Reproductive System
Sub-Topic:
Which of the following is an orexigenic hormone?
O1:
Melanocyte-stimulating hormone
O2:
Cholecystokinin
O3:
Ghrelin
O4:
Leptin
Ans: 3

Subject: Physiology
Sub-Topic:
Which of the following clotting factor participates in the extrinsic pathway of coagulation?
O1:
Factor VIII
O2:
Factor VII
O3:
Factor XI
O4:
Factor IX
Ans: 2

Topic: Amino Acids and Proteins Chemistry
Sub-Topic:
Melanin is derived from which of the following amino acids?

O1:
a.Tyrosine
O2:
b.Tryptophan
O3:
Phenylalanine
O4:
d.Alanine
Ans: 1

Sub-Topic:
Which of the following is an acid-fast organism?

O1:
Streptococcus pneumoniae
O2:
Escherichia coli
O3:
Mycobacterium avium
O4:
Actinomyces
Ans: 3

Subject: Physiology
Topic: General Physiology
Sub-Topic:
Which of the following is the principal constituent of serum osmolality?
O1:
Potassium
O2:
Sodium
O3:
Bicarbonate
O4:
Hydrogen ions
Ans: 2

Sub-Topic:
The stain used for identifying Cryptococcus is

O1:
Albert's stain
O2:
Silver staining
O3:
India ink stain.
O4:
Auramine-rhodamine stain
Ans: 3

Subject: Physiology
Sub-Topic:
Hemoglobin with iron in ferric form is
O1:
Methemoglobin
O2:
HbA
O3:
Fetal hemoglobin
O4:
HbS
Ans: 1
Topic: Carbohydrate Metabolism
Sub-Topic:
Which of the following enzyme is found to be deficient in Von Gierke's disease?

O1:
Glucose-6-phosphatase
O2:
Branching enzyme
O3:
Debranching enzyme
O4:
Muscle glycogen phosphorylase
Ans: 1

Topic: Virology
Sub-Topic:
The image shown here is used for the diagnosis of
O1:
Human immunodeficiency virus
O2:
Hepatitis B virus
O3:
Human papillomavirus
O4:
Herpes simplex virus
Ans: 4

Subject: Physiology
Sub-Topic:
A large 'V' wave on jugular venous examination is seen in JVP-Jugular venous pulse
O1:
Tricuspid regurgitation
O2:
Aortic regurgitation
O3:
Tricuspid stenosis
O4:
Atrial fibrillation
Ans: 1

Topic: Immunology
Sub-Topic:
Which of the following immunoglobulins shows the highest concentration in serum?

O1:
IgG
O2:
IgM
O3:
IgA
O4:
IgE
Ans: 1

Topic: Vitamins
Sub-Topic:
Allopurinol and Vitamin C- to reduce uric acid production and prevent gout-like symptoms.
Which among the following helps in the maturation of collagen?
O1:
Proline
O2:
Copper and zinc
O3:
Ascorbic acid
O4:
Phenylalanine
Ans: 3

Subject: ENT
Topic: Nose and Paranasal Sinuses
Sub-Topic:
Identify the sinus marked in the image.
O1:
Frontal sinus
O2:
Pyriform sinus
O3:
Ethmoid sinus
O4:
Maxillary sinus
Ans: 4

Sub-Topic:
Which of the following cell pathways occurs exclusively in cell cytoplasm?

O1:
Beta oxidation
O2:
TCA cycle
O3:
Glycolysis
O4:
Urea cycle
Ans: 3

Topic: Mycology
Sub-Topic:
Which of the following dimorphic fungi causes subcutaneous mycosis?

O1:
Sporothrix schenckii
O2:
Histoplasma capsulatum
O3:
Blastomyces dermatitidis
O4:
Penicilliosis marneffei
Ans: 1

Subject: ENT
Topic: Pharynx
Sub-Topic:
A 16-year-old boy presented with recurrent epistaxis. There is no history of trauma associated
with it. On examination, there is a firm purplish mass on the left posterior choanae. Which of
the following is the most appropriate for managing this patient?
O1:
Needle biopsy
O2:
FNAC
O3:
Radiotherapy
O4:
Surgical excision
Ans: 4

Sub-Topic:
Plasma sterilization is done by

O1:
Ethylene oxide
O2:
Gamma rays
O3:
Hydrogen peroxide
O4:
UV rays
Ans: 3

Subject: ENT
Topic: Ear
Sub-Topic:
What is the function of utricle and saccule?
O1:
Hearing high-frequency sounds
O2:
Linear acceleration
O3:
Angular acceleration
O4:
Hearing low-frequency sounds
Ans: 2

Sub-Topic:
Nitric oxide is synthesized from which of the following amino acids?
O1:
Tryptophan
O2:
Lysine
O3:
Arginine
O4:
Tyrosine
Ans: 3

Topic: Mycology
Sub-Topic:
A cattle farmer presented with a lesion on the arm. Gram staining showed gram-positive rods
with square ends with a central spore. Identify the organism.
O1:
Bacillus cereus
O2:
Bacillus anthracis
O3:
Pseudomonas aeruginosa
O4:
Brucella abortus
Ans: 2

Subject: ENT
Sub-Topic:
Which of the following is least likely to cause mucormycosis?
O1:
Neutropenia
O2:
Broad spectrum antibiotics
O3:
Uncontrolled diabetes without DKA
O4:
Prolonged use of steroid
Ans: 2

Subject: ENT
Topic: Larynx
Sub-Topic:
Which of the following is true about laryngeal cancer stage T1bNOMO?
O1:
Both vocal cords involved and fixed
O2:
Both vocal cords involved, and mobile
O3:
One vocal cord involved and fixed
O4:
One vocal cord involved, and mobile
Ans: 2

Sub-Topic:
Which among the following culture media is used in the identification of Salmonella?
O1:
PLET medium
O2:
BCYE medium
O3:
Wilson and Blair medium
O4:
Stuart's medium
Ans: 3

Subject: ENT
Sub-Topic:
A 35-year-old woman takes aspirin for a headache, later presented with wheezing and
breathlessness. Along with these two symptoms, what other clinical findings are likely to be
found in this condition?
O1:
IgE release
O2:
Nasal polyp
O3:
Extrinsic asthma
O4:
Drug interaction
Ans: 2

Topic: Parasitology
Sub-Topic:
Which among the following parasites directly invade the skin?

O1:
Schistosoma mansoni
O2:
Dracunculus medinenesis
O3:
Wuchereria bancrofti
O4:
Onchocerca volvulus
Ans: 1

Subject: ENT
Topic: Larynx
Sub-Topic:
A patient who is a teacher by profession presents to the clinic with hoarseness of voice. What
is the most likely diagnosis for this patient?
O1:
Vocal polyp
O2:
Vocal cyst
O3:
Vocal nodule
O4:
Reinke's oedema
Ans: 3

Topic: Lipid Metabolism
Sub-Topic:
A 20-year-old male presented with yellowish discoloration of his skin and sclera. He is
otherwise normal. He gives a history of viral infection 10 days ago, which was resolved 2 days
back. He also gives a history of similar episodes in the past following any illness. Lab values
are given below. What is the most likely diagnosis?
Serum bilirubin: 2.4 mg/dL Unconjugated bilirubin: 2.1mg/dL Conjugated bilirubin: 0.3mg/dL
Serum AST and ALT: Normal
O1:
Dubin-Johnson syndrome
O2:
Criggler-Najar type 1 syndrome
O3:
Gilbert syndrome
O4:
Rotor syndrome
Ans: 3

Subject: ENT
Topic: Ear
Sub-Topic:
A patient presents with painful vesicles in the external auditory meatus and over the tympanic
membrane. In addition to that, he also has facial nerve palsy. What is the most likely diagnosis
and which is the site that is affected?
O1:
Ramsay Hunt syndrome and basal ganglion
O2:
Ramsay Hunt syndrome and geniculate ganglion
O3:
Melkersson syndrome and trigeminal ganglion
O4:
Melkersson syndrome and otic ganglion
Ans: 2

Topic: Systemic Bacteriology
Sub-Topic:
A 45-year-old man with multiple sexual partners presents with a palmoplantar rash as seen
below. On examination, he has epitrochlear lymphadenopathy. Which of the following is the
likely diagnosis?
O1:
Psoriasis
O2:
Secondary syphilis
O3:
Meningococcemia
O4:
Steven Johnson syndrome
Ans: 2

Subject: ENT
Topic: Larynx
Sub-Topic:
A 2-year-old was brought to the emergency department with difficulty swallowing for the last
few hours. The X-ray is given below. Which is the next best step to manage this patient?
O1:
Bronchoscopy
O2:
Esophagoscopy
O3:
Tracheostomy
O4:
Heimlich's manoeuvre
Ans: 2

Subject: ENT
Sub-Topic:
A patient presented with unilateral nasal obstruction associated with watery nasal discharge
and bleeding. A diagnosis of inverted papilloma is made. Which of the following is true about
this condition?
O1:
Malignant and invasive
O2:
Benign and non-invasive
O3:
Benign and invasive
O4:
Malignant and non-invasive
Ans: 3

Subject: ENT
Topic: Ear
Sub-Topic:
A 5-year-old child was brought to the clinic by her mother with reduced hearing for the past 2-3
months. The otoscopy finding is given below. What is the most likely diagnosis?
O1:
Myringitis bullosa
O2:
Serous otitis media
O3:
Acute otitis media
O4:
Myringitis granulosa
Ans: 1

Topic: Virology
Sub-Topic:
Which of the following hepatitis viruses is likely to get transmitted via feco-oral route?
O1:
Hepatitis A
O2:
Hepatitis B
O3:
Hepatitis C
O4:
Hepatitis D
Ans: 1

Subject: ENT
Topic: Ear
Sub-Topic:
Which of the following is associated with CSF otorrhea?
O1:
Battle sign
O2:
Traumatic rupture of the tympanic membrane
O3:
Penetrating injury to the eye
O4:
Fracture of the roof of the nose
Ans: 1

Subject: ENT
Sub-Topic:
A patient presents with a thick nasal discharge and headache. Examination reveals
hypertrophy of the inferior turbinate with a mulberry appearance. Which of the following is the
most likely diagnosis?
O1:
Atrophic rhinitis
O2:
Common cold
O3:
Hypertrophic rhinitis
O4:
Nasal polyp
Ans: 3

Subject: ENT
Topic: Larynx
Sub-Topic:
Which of the following symptoms does a patient with Reinke's edema classically present with?
O1:
Diplophonia
O2:
Dysphonia
O3:
Dysphagia of liquids more than solids
O4:
Dysphagia of solids more than liquids
Ans: 1

Topic: Vitamins
Sub-Topic:
Which of the following is least likely to cause Beriberi?

O1:
Chronic use of diuretics
O2:
Vegan diet
O3:
Bariatric surgery
O4:
Chronic alcohol intake
Ans: 2

Subject: ENT
Sub-Topic:
An elderly diabetic female patient is presented, as shown in the image. What is the most
probable diagnosis?
O1:
Aspergillosis
O2:
Mucormycosis
O3:
Foreign body
O4:
Rhinosporidiosis
Ans: 2

Topic: Enzymes
Sub-Topic:
Identify the type of inhibition shown in the graph.
O1:
Competitive inhibition
O2:
Allosteric Inhibition
O3:
Uncompetitive inhibition
O4:
Noncompetitive inhibition
Ans: 4

Topic: Enzymes
Sub-Topic:
Which source and cell produce testosterone?

O1:
Cholesterol and Sertoli cells
O2:
Dihydrotestosterone and Leydig cells
O3:
FSH and Leydig cells
O4:
Cholesterol and Leydig cells
Ans: 4

Subject: Ophthalmology
Topic: Cornea
Sub-Topic:
The SAFE strategy given by WHO forms the mainstream of the management of Trachoma.
What does the S in the acronym represent?
O1:
Surgery
O2:
Symptom
O3:
Spectacles
O4:
Symbol
Ans: 1

Subject: Gynaecology & Obstetrics
Topic: Gynecology
Sub-Topic:
What is the cause of LH surge?

FSH: Follicle-stimulating Hormone
LH: Luteinizing hormone
O1:
FSH
O2:
Estradiol
O3:
Progesterone
O4:
LH
Ans: 2

Topic: Gynecology
Sub-Topic:
Ovarian drilling is done in which of the following conditions?

O1:
Ovarian tumor
O2:
Polycystic ovarian syndrome
O3:
Ovarian hyperstimulation syndrome
O4:
Endometriosis
Ans: 2

Topic: Gynecology
Sub-Topic:
Which type of hysterectomy is done in a case of carcinoma cervix stage I B?

O1:
Type 1 hysterectomy
O2:
Type 2 hysterectomy
O3:
Type 3 hysterectomy
O4:
Type 4 hysterectomy
Ans: 3

Subject: Pathology
Topic: Liver, Biliary System and Pancreas
Sub-Topic:
Which of the following cells is responsible for destroying bacterial foreign bodies in liver
sinusoids?
O1:
Hepatocytes
O2:
Ito cells
O3:
Sinusoidal endothelial cells
O4:
Kupffer cells
Ans: 4

Subject: Pathology
Topic: Gastrointestinal Tract
Sub-Topic:
Which of the following is a sensitive and specific marker of intestinal inflammation?
O1:
Procalcitonin
O2:
Fecal lactoferrin
O3:
Tissue transglutaminase IgA
O4:
High-sensitivity C-reactive protein
Ans: 2

Subject: Pathology
Topic: CVS, Blood Vessels and Vasculitis
Sub-Topic:
A 65-year-old man dies due to myocardial infarction. Which stains can be used to see the
infarct in the heart while conducting an autopsy?
O1:
Oil red O
O2:
Triphenyl tetrazolium chloride
O3:
Sudan black B
O4:
Masson trichrome
Ans: 2

Subject: Pathology
Topic: Immunity
Sub-Topic:
A young person with recurrent seasonal conjunctivitis presents with itchiness and eye-
watering. What is the most likely cell involved in the immediate phase of this condition?
O1:
Eosinophils
O2:
Mast cells
O3:
Neutrophils
O4:
Lymphocyte
Ans: 2

Subject: Pathology
Topic: Skin and Musculoskeletal
Sub-Topic:
Which of the following is implicated in the pathogenesis of rheumatoid arthritis?
O1:
IgE mediated
O2:
Defective cellular and humoral immunity
O3:
Autoimmunity
O4:
Chronic microbial infections
Ans: 3

Subject: Pathology
Topic: Respiratory System
Sub-Topic:
Asbestos exposure may be associated with which of the following malignancies?
O1:
Mesothelioma
O2:
Acute myeloid leukemia
O3:
Hepatic angiosarcoma
O4:
Skin carcinoma
Ans: 1

Topic: Diseases of Lens
Sub-Topic:
Following cataract surgery, a patient comes with complaints of decreased visual acuity. On
examination, posterior capsular opacification is seen. What type of laser can be used to treat
this condition?
O1:
Femto laser
O2:
Nd YAG laser
O3:
Argon fluoride
O4:
Argon
Ans: 2

Subject: Pathology
Topic: Skin and Musculoskeletal
Sub-Topic:
An 8-year-old boy presents with progressive muscle weakness and walking difficulties. On
examination, pseudohypertrophy of calf muscles was noted. Which of the following is true
regarding this condition?
O1:
Abnormal collagen
O2:
Absent dystrophin
O3:
Expansions of CTG triplet repeats
O4:
Defective fibrillin
Ans: 2

Sub-Topic:
The 68-year-old female patient has had a diabetic cataract for 3 months. Accumulation of
which of the following substances is responsible for this?
O1:
Glucose
O2:
Fructose
O3:
Lactose + Glucose
O4:
Sorbitol + Fructose
Ans: 4
Subject: Pathology
Topic: Renal System
Sub-Topic:
Following urine microscopy and examination, a child is found to have hematuria and RBC
casts in the urine. What is the probable cause for this?
O1:
Focal segmental glomerulosclerosis (FSGS)
O2:
Post-streptococcal glomerulonephritis (PSGN)
O3:
Membranoproliferative glomerulonephritis (MPGN)
O4:
Minimal change disease
Ans: 2

Topic: Squint / Strabismus
Sub-Topic:
Which of the following is the right lateral rectus yoke muscle?

O1:
Right superior oblique
O2:
Left medial rectus
O3:
Left lateral rectus
O4:
Right medial rectus
Ans: 2

Subject: Pathology
Topic: Hematology: Red Blood Cells
Sub-Topic:
Which of the following is a feature of hemolytic anemia?
O1:
All of the options given below
O2:
Neutropenia
O3:
Reticulocytopenia
O4:
Decreased haptoglobin
Ans: 4

Topic: Obstetrics
Sub-Topic:
A primigravida woman at 26 weeks gestation, presented with a BP of 150/90 mm Hg. Which

test should be done next?
O1:
Uric acid
O2:
Liver function test
O3:
Complete blood count
O4:
Urine dipstick
Ans: 4

Topic: Orbit
Sub-Topic:
In relation to which wall of the orbit is the canaliculi that open into the lacrimal sac present?
O1:
Lateral wall
O2:
Medial wall
O3:
Superior wall
O4:
Inferior wall
Ans: 2

Subject: Pharmacology
Topic: Renal Pharmacology
Sub-Topic:
A 50-year-old woman was prescribed a diuretic by a doctor to manage hypertension. Which of

the following diuretic acts on the site 'A' is marked in the given image?
O1:
Furosemide
O2:
Hydrochlorothiazide
O3:
Acetazolamide
O4:
Mannitol
Ans: 2

Subject: Pathology
Topic: Hematology: Red Blood Cells
Sub-Topic:
Which of the following correctly represents the effect of the mutation causing sickle cell
anemia?
O1:
Glutamate by valine at the 6th position
O2:
Valine by glutamate at the 6th position
O3:
Glutamate by valine at the 5th position
O4:
Valine by glutamate at the 5th position
Ans: 1
Subject: Pathology
Topic: Renal System
Sub-Topic:
Tamm-Horsfall mucoprotein is a major component of which of the following?
O1:
Mural thrombi
O2:
Curschmann spirals
O3:
Renal casts
O4:
Bence-Jones proteins
Ans: 3

Topic: Optics
Sub-Topic:
A 3-year-old child has amblyopia in the right eye. What is the preferred treatment for this
child?
O1:
Observation
O2:
Spectacles or refraction with a near addition
O3:
Occlusion Therapy
O4:
Radial keratotomy
Ans: 3

Topic: CVS Pharmacology
Sub-Topic:
Which of the following statement is correct regarding the mechanism of action of labetalol?
O1:
Directly acts as arterial vasodilator resulting in indirect effect tachycardia.
O2:
Blocks both alpha and beta-adrenergic receptors.
O3:
Primarily acts as a vasodilator with little effect on arterioles
O4:
Decreases peripheral vascular resistance by directly acting as a relaxant for vascular smooth
muscles.
Ans: 2

Topic: Retina
Sub-Topic:
A three-year-old boy has been observed by his parents to be increasingly clumsy for the past
6 months. On a physical examination, there is a cauliflower-like growth in the left eye,
leukocoria, and an absent red reflex. The microscopic appearance of the specimen shows
Flexner-Wintersteiner rosettes. Which is the positive gene in the given condition?
O1:
Rb gene
O2:
ATP 7B gene
O3:
Rhodopsin gene
O4:
FBN 1 gene
Ans: 1

Topic: CNS Pharmacology
Sub-Topic:
A psychiatrist prescribes lithium for a patient who is diagnosed with bipolar disorder. Which of
the following statements is incorrect regarding lithium?
O1:
Lithium is teratogenic if given to pregnant females
O2:
Lithium toxicity is exacerbated with thiazide
O3:
Lithium can decrease thyroid hormone levels
O4:
Hemodialysis is not useful in lithium overdose
Ans: 4

Sub-Topic:
A 70-year-old patient who has been using presbyopia glasses for the past few years can now
read the newspaper comfortably without the glasses. What is the most likely diagnosis?
O1:
Index myopia
O2:
Index hypermetropia
O3:
Regression of presbyopia
O4:
None of the above
Ans: 1

Topic: Gynecology
Sub-Topic:
A patient presents with an endometrial thickness of 14mm with an adnexal mass. She has a
history of complex endometrial hyperplasia with the presence of atypical cells. Which of the
following is likely the diagnosis?
O1:
Struma ovarii
O2:
Metastasis endometrial cancer to ovary
O3:
Polycystic ovarian disease
O4:
Immature ovarian teratoma
Ans: 2

Topic: GIT Pharmacology
Sub-Topic:
Which of these drugs stimulates PPAR-alpha? PPAR alpha-Peroxisome proliferator-activated

receptor alpha
O1:
Gemfibrozil
O2:
Ezetimibe
O3:
Colestipol
O4:
Simvastatin
Ans: 1

Subject: Orthopaedics
Topic: Spine + Pelvis + Lower Limb Traumatology
Sub-Topic:
A 60-year-old female patient complains of pain and swelling in the left wrist following a fall on
an outstretched hand. On examination, dinner fork deformity can be noticed. What is the most
likely displacement seen in this patient?
O1:
Proximal and ventral displacement of radius
O2:
Proximal and dorsal displacement of radius
O3:
Proximal and dorsal displacement of ulna
O4:
Proximal and ventral displacement of ulna
Ans: 2

Topic: Orthopedics Oncology
Sub-Topic:
A 17-year-old boy presents to the clinic complaining of a painless lump on the lateral aspect of
his left knee. The radiograph of the patient is shown below. Which of the following is the most
likely diagnosis?
O1:
Enchondroma
O2:
Chondroblastoma
O3:
Osteochondroma
O4:
Giant cell tumor
Ans: 3

Topic: Cornea
Sub-Topic:
A patient presents to you with pain and redness in the right eye following an injury during
welding. On examination, the image as seen below is observed. Which of the following is the
appropriate next step in managing this patient?
O1:
Steroids and antibiotics
O2:
Surgical exploration
O3:
Keratoplasty
O4:
Removal by 26G needle
Ans: 4

Topic: Respiratory Pharmacology
Sub-Topic:
A patient comes to you with increased cough, increased breathlessness, and decreased
exercise capacity. Chest X-ray shows pulmonary fibrosis. Which drug can be administered in
the given condition?
O1:
Bortezomib
O2:
Roflumilast
O3:
Imatinib
O4:
Pirfenidone
Ans: 4

Topic: Arthritis
Sub-Topic:
An elderly patient with the following deformity was brought to the OPD. What is the most
probable diagnosis?
O1:
Rickets
O2:
Osteomalacia
O3:
Osteoarthritis
O4:
Rheumatoid arthritis
Ans: 4

Topic: Orthopedics Oncology
Sub-Topic:
A 20-year-old patient presents with painful swelling in the middle finger around the proximal
phalanx. An X-ray was done, and it is shown below. What is the most likely diagnosis?
O1:
Osteosarcoma
O2:
Ewing's sarcoma
O3:
Osteoclastoma
O4:
Enchondroma
Ans: 4

Subject: PSM
Topic: Vaccines and Cold Chain
Sub-Topic:
A study was conducted to compare MMR vaccine history in children with autism and children
without autism. What kind of study is being done here?
O1:
Cross-sectional study
O2:
Cohort study
O3:
Case-control study
O4:
Clinical trial
Ans: 3

Topic: General + Upper Limb Traumatology
Sub-Topic:
An 80-year-old female patient with a history of slip and fall in the bathroom was brought to the
casualty. She is having pain in the left hip and is unable to walk. She has no history of
osteoarthritis. On examination, the left lower limb is shortened and externally rotated. X-ray
findings are shown below. How will you manage this patient?
O1:
Internal fixation with cancellous screws
O2:
Meyer's operation
O3:
Hemiarthroplasty
O4:
McMurray's osteotomy
Ans: 3

Subject: PSM
Topic: Biostatistics
Sub-Topic:
The urban area of Delhi has 4000 people with different religions. Research is being done to
study the dietary habits of the population. Which of the following techniques can be used to
obtain a study sample?
O1:
Cluster random sampling
O2:
Stratified random sampling.
O3:
Simple random sampling
O4:
Systematic random sampling
Ans: 2

Sub-Topic:
Which drug is most appropriate for treating diarrhea in a patient treated for colorectal
carcinoma with 5-fluorouracil?
O1:
Ciprofloxacin
O2:
Loperamide
O3:
Atropine
O4:
Ornidazole
Ans: 2

Topic: Obstetrics
Sub-Topic:
All of the following are true about audit in obstetrics except:

O1:
Improve treatment
O2:
Change in hospital administration and practices
O3:
Fetal death data is analyzed
O4:
Should be done before analyzing outcomes
Ans: 4

Sub-Topic:
Which of the following drugs are used to treat chemotherapy-induced nausea and vomiting?
O1:
Doxylamine + domperidone + aprepitant
O2:
Prochlorperazine + metoclopramide + domperidone
O3:
Dexamethasone + metoclopramide + domperidone
O4:
Granisteron + dexamethasone + aprepitant
Ans: 4

Topic: Gynecology
Sub-Topic:
How long should a couple use contraception post-vasectomy?

O1:
4-6 weeks
O2:
9-11 weeks
O3:
12-16 weeks
O4:
16-20 weeks
Ans: 3

Subject: PSM
Topic: National Health Programs
Sub-Topic:
Which of the following is not a component of the RCH program?

O1:
Safe motherhood
O2:
Women education and empowerment
O3:
Children and new-born care
O4:
Screening and treatment of STD/RTI
Ans: 2

Topic: Anticancer Drugs
Sub-Topic:
A patient on anti-cancer therapy developed an infection. Blood analysis revealed neutropenia.

Which of the following drug is likely to be effective in this patient?
O1:
Romiplostim
O2:
Oprelvekin
O3:
Filgrastim
O4:
Epoetin alfa
Ans: 3

Topic: Obstetrics
Sub-Topic:
In a primigravida what is a satisfactory dilation rate?

O1:
0.5 cm/ hr
O2:
0.75 cm/hr
O3:
1.2 cm/ hr
O4:
1.5 cm/hr
Ans: 3

Subject: PSM
Topic: Social Sciences and Health
Sub-Topic:
A surveyor visits a household consisting of a 35-year-old man, his wife who is 6 weeks
pregnant and a 3-year-old child. The man's brother along with his wife is currently visiting
them for a month owing to winter vacation. What type of family would the surveyor classify the
household?
O1:
Joint family
O2:
Nuclear family
O3:
Extended family
O4:
Third generation family
Ans: 2

Topic: Obstetrics
Sub-Topic:
What is the definition of a post-term neonate?

O1:
Neonate born after 37 weeks of gestation
O2:
Neonate born between 37-40 weeks of gestation
O3:
O4:
Ans: 4

Subject: Dermatology
Topic: Miscellaneous Disorders
Sub-Topic:
A baby presents to the OPD; the image below shows the findings. What is the probable
diagnosis?
O1:
Portwine stain
O2:
Cavernous hemangioma
O3:
Naevus simplex
O4:
Capillary hemangioma
Ans: 4
Subject: PSM
Topic: Preventive Medicine in Obstetrics, Pediatrics and Geriatrics
Sub-Topic:
The ideal per capita space for students in a classroom should be

O1:
>5 sq. ft.
O2:
>10 sq. ft.
O3:
>15 sq. ft.
O4:
>20 sq. ft.
Ans: 2

Subject: PSM
Topic: Concept of Health and Disease
Sub-Topic:
What is the denominator in infant mortality rate?

O1:
100
O2:
1000
O3:
10,000
O4:
1,00,000
Ans: 2

Topic: Papulosquamous Disorders
Sub-Topic:
A 50-year-old female patient with a known case of ovarian cancer presents with difficulty in
activities like climbing stairs, getting up from a chair, combing hair, etc. The following
characteristic sign was found on examination. The most probable diagnosis is:
O1:
Systemic lupus erythematosus
O2:
Dermatomyositis
O3:
Systemic sclerosis
O4:
Cushing syndrome
Ans: 2

Topic: CNS Pharmacology
Sub-Topic:
A young male patient presents with ptosis and muscle weakness, which reportedly worsens in
the evening and improves in the morning. This is relieved by neostigmine. What is the likely
diagnosis?
O1:
Myasthenia gravis
O2:
Huntington chorea
O3:
Amyotrophic lateral sclerosis
O4:
External ophthalmoplegia
Ans: 1

Topic: Introduction to Dermatology
Sub-Topic:
An 18-year-old female patient comes with the following findings. Which of the following is
pathognomic of the primary stage of this disease?
O1:
Papule
O2:
Pustule
O3:
Abscess
O4:
Comedone
Ans: 4

Subject: PSM
Topic: Demography and Health
Sub-Topic:
Highest birth rate is seen in which stage of the demographic cycle?

O1:
Stage I
O2:
Stage II
O3:
Stage III
O4:
Stage IV
Ans: 1

Sub-Topic:
A 26-year-old male presented with erythematous plaques covered with silvery scales over the
extensor surfaces of both arms. Punctate pitting was noted on examining the nails. What is
the most likely diagnosis?
O1:
Psoriasis
O2:
Lichen planus
O3:
Eczema
O4:
Pityriasis rosea
Ans: 1

Subject: PSM
Topic: Health Education and Communication
Sub-Topic:
During a vaccination drive, a male patient asks the presiding doctor if the recommended
vaccine can lead to impotency. What type of barrier will the doctor be addressing?
O1:
Physical barrier
O2:
Environmental barrier
O3:
Physiological barrier
O4:
Cultural barrier
Ans: 4

Subject: PSM
Sub-Topic:
A primigravida delivers a healthy baby via normal delivery. After how many hours should she
initiate breastfeeding?
O1:
Within 1 hour
O2:
After 1 hour
O3:
After 4-6 hours
O4:
After 24 hours
Ans: 1

Subject: Surgery
Topic: Gastrointestinal Surgery
Sub-Topic:
A diabetic patient developed DVT with a necrolytic migratory rash. What is the most likely
diagnosis?
O1:
Insulinoma
O2:
Gastrinoma
O3:
Glucagonoma
O4:
VIPoma
Ans: 3

Subject: PSM
Topic: Vaccines and Cold Chain
Sub-Topic:
A pregnant woman with a 2-year-old child gives a history of completing required antenatal
vaccinations during her previous pregnancy. Which of the following would you recommend for
her current pregnancy?
O1:
Give a booster dose of TT
O2:
Give a booster dose of Td
O3:
Give 2 doses of TT
O4:
Give 2 doses of Td
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
A 44-year-old lady presents to the hospital with a ballotable flank mass. On CT imaging, the
mass measures 4cm. Urine examination shows malignant cells. What is the most appropriate
management for her condition?
O1:
Partial nephrectomy
O2:
Partial nephrectomy + neoadjuvant chemotherapy
O3:
Radical nephrectomy
O4:
Radical nephrectomy + postoperative radiotherapy
Ans: 1

Subject: PSM
Topic: Communicable and Non-communicable Diseases
Sub-Topic:
A patient comes with a history of category 3 dog bites. He received prophylaxis for a monkey
bite 6 months back. What is the next step in management?
RIG-Rabies immunoglobulin
O1:
Wound cleaning only
O2:
Wound cleaning+ rabies vaccine on day 0 & 3
O3:
Wound cleaning+rabies vaccine on day 0,3 & 7
O4:
Wound cleaning+IM vaccine +RIG
Ans: 2

Sub-Topic:
A patient presented with itchy lesions, as shown below. What is the diagnosis?
O1:
Scabies
O2:
Lichen planus
O3:
Psoriasis
O4:
Warts
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
Which of the following will have unilateral hydronephrosis?

O1:
Phimosis
O2:
Posterior urethral valves
O3:
Urethral strictures
O4:
Retrocaval ureter
Ans: 4

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 65-year-old male presented with unexplained fever and prolonged respiratory distress
despite appropriate treatment. A diagnosis of cryptic tuberculosis was made. Which of the
following is the correct statement related to this condition?
O1:
Positive skin tuberculin test and negative chest X-ray
O2:
Positive skin tuberculin test and positive chest X-ray
O3:
Negative skin tuberculin test and negative chest X-ray
O4:
Negative skin tuberculin test and positive chest X-ray
Ans: 3

Subject: PSM
Sub-Topic:
A government plans to outline tobacco control laws. What is the level of prevention here?
O1:
Primordial prevention
O2:
Primary prevention
O3:
Secondary prevention
O4:
Tertiary prevention
Ans: 2

Subject: PSM
Sub-Topic:
Hand washing during COVID-19 is what level of prevention?

O1:
Primordial prevention
O2:
Primary prevention
O3:
Secondary prevention
O4:
Tertiary prevention
Ans: 2

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
Ground-glass appearance on HRCT is seen in which of the following condition?

O1:
Asbestosis
O2:
Silicosis
O3:
Anthracosis
O4:
Bagassosis
Ans: 2

Subject: Medicine
Topic: Liver
Sub-Topic:
Which of the following is not a component of Child-Pugh scoring?

O1:
Albumin
O2:
Bilirubin
O3:
Prothrombin Time
O4:
LFT
Ans: 4

Subject: Medicine
Topic: Infections
Sub-Topic:
A patient presented with a fever for 11 days with neck rigidity. A lumbar puncture was done,
and it showed predominantly lymphocytes, sugar- 50mg, and protein- 3000mg/dl. Gram-
staining was negative. The patient’s chest X-ray shows upper lobe involvement with hilar
lymph node enlargement. What is the probable diagnosis?
O1:
Tuberculous meningitis
O2:
Bacterial meningitis
O3:
Fungal meningitis
O4:
Viral meningitis
Ans: 1

Subject: Psychiatry
Topic: Mood Disorders
Sub-Topic:
A 38-year-old professor with depression requests you to prescribe an antidepressant that

would be least likely to cause sexual dysfunction. Which of the following drugs would you
prescribe?
O1:
Bupropion
O2:
Escitalopram
O3:
Venlafaxine
O4:
Fluoxetine
Ans: 1

Subject: Psychiatry
Topic: Organic Mental Disorders
Sub-Topic:
The Mental State Examination (100-7) examines which of the following mental functions?
O1:
Judgment
O2:
Language
O3:
Orientation
O4:
Concentration
Ans: 4

Subject: Psychiatry
Topic: Substance-Related and Addictive Disorders
Sub-Topic:
What is the most common symptom of cannabis intake?
O1:
Anxiety
O2:
Depressed mood
O3:
Dream-like state
O4:
Decreased appetite
Ans: 3

Subject: Psychiatry
Topic: Schizophrenia Spectrum and Other Psychotic Disorders
Sub-Topic:
You see a middle-aged man presenting to the psychiatry OPD who reports aliens have been
speaking to him and telling him to kill his relatives over the past 7 months. What is the likely
diagnosis?
O1:
Mania
O2:
Delusional disorder
O3:
Schizophrenia
O4:
Brief psychotic disorder
Ans: 3

Subject: PSM
Topic: Preventive Medicine in Obstetrics, Pediatrics and Geriatrics
Sub-Topic:
School health service should include all the following except

O1:
Education of handicapped children
O2:
Doctor on premises
O3:
Dental and eye health services
O4:
School health records
Ans: 2

Subject: Medicine
Topic: Neurology
Sub-Topic:
A young patient presents with a severe headache. He has never experienced a headache of
this severity before. He has hypertension and nuchal rigidity on examination. Which of the
following could be the diagnosis?
O1:
Cluster headache
O2:
Subarachnoid haemorrhage
O3:
Encephalitis
O4:
Meningitis
Ans: 2

Subject: PSM
Sub-Topic:
Giving class in a village for wound care after a dog bite by enacting it is which mode of health
communication?
O1:
Lecture
O2:
Group discussion
O3:
Flash cards
O4:
Demonstration
Ans: 4

Subject: Surgery
Topic: Urology
Sub-Topic:
Which of the following statements is false about the following image?
O1: Staph. aureus is the causative organism

O2: Common in diabetic patients
O3: High mortality
O4: The testes remain unaffected
Ans: 1

Subject: PSM
Topic: Epidemiology
Sub-Topic:
Infectivity is also known as?

O1:
Incubation
O2:
Serial interval
O3:
Secondary attack rate
O4:
Case fatality rate
Ans: 3

Subject: PSM
Sub-Topic:
Which of the following statements is true about health propaganda?

O1:
It is actively acquired
O2:
It appeals to emotions
O3:
It is behaviour centred
O4:
It aids in developing a reflective behaviour
Ans: 2

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
Which of the following is a cause of exudative pleural effusion?

O1:
Heart failure
O2:
Liver failure
O3:
Rheumatoid arthritis
O4:
Nephrotic syndrome
Ans: 3

Subject: Surgery
Topic: Urology
Sub-Topic:
Involvement of which of the following structures leads to the clinical presentation as shown in
the image?
O1:
a.Superficial lymphatics
O2:
b.Deep lymphatics
O3:
c.Superficial veins
O4:
d.Skin
Ans: 1

Subject: PSM
Sub-Topic:
How much percent of GNP does WHO recommend being spent on the healthcare sector?
O1:
2.0%
O2:
2.5%
O3:
3.5%
O4:
5%
Ans: 4

Subject: Forensic Medicine
Topic: Sexual Jurisprudence
Sub-Topic:
Which of the following tests cannot be used to detect blood stains?
O1:
Barberio's test
O2:
Takayama's test
O3:
Teichman's test
O4:
Spectroscopy
Ans: 1

Subject: PSM
Sub-Topic:
Eligible couple registers are maintained at which of the following centres?

O1:
PHC
O2:
CHC
O3:
Sub-centre
O4:
District hospital
Ans: 3

Subject: Surgery
Topic: Others
Sub-Topic:
A 60-year-old patient presents with painless hematuria. He is diagnosed with bladder cancer
involving the muscle layer. What is the next best step in the treatment of this patient?
O1:
Intravesical administration of BCG
O2:
Radiotherapy
O3:
Neoadjuvant chemotherapy with Mitomycin C
O4:
Radical cystectomy
Ans: 4
Topic: Indian Legal System & Medical Jurisprudence
Sub-Topic:
Inquest in a case of custodial death is handled by
O1:
Police inspector
O2:
Jail superintendent
O3:
Superintendent of Police
O4:
Executive magistrate
Ans: 4

Subject: PSM
Topic: Nutrition and Health
Sub-Topic:
You are administering an 8-month-old infant with vitamin A supplements over the course of 2
consecutive days. What is the recommended dose?
O1:
25,000 IU
O2:
50,000 IU
O3:
100,000 IU
O4:
200,000 IU
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
A 26-year-old male with a history of respiratory tract infection 4 weeks ago is unable to stand
or walk for the past 2 weeks and the weakness is progressive, ascending, and symmetrical in
nature. The lower limbs were involved before and gradually the upper limbs were also
affected. On examination you note areflexia. Pain and proprioception are preserved. What is
the probable diagnosis?
O1:
Guillain Barre syndrome
O2:
Myasthenia gravis
O3:
Polymyositis
O4:
Multiple sclerosis
Ans: 1

Subject: Surgery
Topic: Endocrine Surgery
Sub-Topic:
Which of the following is the class of shock where urine output is first decreased?
O1:
a.Compensated
O2:
b.Moderate
O3:
c.Mild
O4:
d.Severe
Ans: 2

Topic: Violent Asphyxia Deaths
Sub-Topic:
Identify the type of homicide caused by smothering and traumatic asphyxia.
O1:
Mugging
O2:
Garrotting
O3:
Burking
O4:
Bansdola
Ans: 3

Subject: PSM
Sub-Topic:
Which vitamin deficiency causes xerophthalmia, a condition which causes dry eyes?
O1:
Vitamin A
O2:
Vitamin B
O3:
Vitamin C
O4:
Vitamin D
Ans: 1

Subject: Surgery
Sub-Topic:
A 28-year-old mother presents with pain in her left breast. Which of the following is the most
likely cause of acute mastitis?
O1:
Breast engorgement
O2:
Hormonal influence
O3:
.Absence of lactation
O4:
.Crack in the nipple
Ans: 4

Sub-Topic:
According to the law, nothing is an offense if a person is of an unsound mind and is not able to
understand that the nature and consequences of his/her act are wrong. Which rule of insanity
applies in this case?
O1:
Durham's rule
O2:
Mc Naughton's rule
O3:
Curren's rule
O4:
Irresistible impulse rule
Ans: 2
Subject: Medicine
Topic: Neurology
Sub-Topic:
An HIV-positive man presents with a high-grade fever. Examination reveals a positive Kernig's
sign. CSF shows reduced glucose, increased protein, and increased leukocytes. A diagnosis
of cryptococcal meningitis is made. What is the appropriate management for this patient?
O1:
Vancomycin
O2:
High dose fluconazole with flucytosine
O3:
Voriconazole
O4:
Liposomal amphotericin B
Ans: 4

Subject: Surgery
Topic: Hepatobiliary Pancreatic Surgery
Sub-Topic:
Which of the following is not true about CHPS? CHPS - Congenital hypertrophic pyloric
stenosis
O1:
a.Presents with non-bilious vomiting
O2:
b.Caused by hypertrophy of longitudinal muscles
O3:
c.USG is very sensitive in diagnosing this condition
O4:
d.Hypokalemic metabolic alkalosis seen
Ans: 2

Subject: Surgery
Topic: Cardiothoracic Vascular Surgery
Sub-Topic:
A chronic-alcoholic presents to the emergency room with acute pain abdomen in the epigastric
region radiating to the back with nausea, anorexia, and occasional vomiting. Investigations
showed elevated amylase levels and total count. Likely diagnosis is
O1:
a.Acute hepatitis
O2:
b.Acute pancreatitis
O3:
c.Acute Cholecystitis
O4:
d.Acute appendicitis
Ans: 2

Topic: Forensic Toxicology
Sub-Topic:
In which poisoning is cherry red hypostasis seen on post-mortem examination?
O1:
CO Poisoning
O2:
Hydrogen sulphide
O3:
Yellow phosphorus
O4:
Hydrogen cyanide
Ans: 1

Topic: Forensic Thanatology
Sub-Topic:
All of the following changes occur in chronic starvation except?
O1:
Hyperthermia
O2:
Exhaustion
O3:
Heart atrophy
O4:
Hypotension
Ans: 1

Subject: PSM
Topic: Family Planning and Contraceptives
Sub-Topic:
The shelf life of copper T 380 A is

O1:
3 Jahre
O2:
5 years
O3:
7 years
O4:
10 years
Ans: 4

Subject: Surgery
Sub-Topic:
All of the following are superior mediastinal tumors except:

O1: Parathyroid
O2: Lymphoma
O3: Thyroid
O4: Thymus
Ans: 2

Sub-Topic:
A public witness of the incident is asked to attend the court and record his evidence. Which
type of evidence is provided by the witness to the court?
O1:
Oral evidence
O2:
Hearsay evidence
O3:
Subpoena
O4:
Circumstantial evidence
Ans: 1

Subject: Surgery
Sub-Topic:
A 73 yr old male smoker with a past history of coronary artery disease presents with
blackening of the toes. An image of the foot is shown below. What is the most likely
diagnosis?
O1:
a.Buerger's disease
O2:
b.Atherosclerosis
O3:
c.Raynaud's disease
O4:
d.Giant cell arteritis
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
A 50-year-old woman after thyroidectomy comes to you for a 2nd opinion for further treatment
of papillary thyroid cancer. What would you recommend for this patient?
O1: Radiotherapy
O2: Chemotherapy
O3: Radioiodine scan
O4: Wait and watch.
Ans: 3

Sub-Topic:
Which of the following is NOT a symptom associated with chronic cocaine abuse?
O1:
Nasal/palatal perforation.
O2:
Dilated pupils, rapid pulse and sweating.
O3:
Black tongue and teeth.
O4:
Hallucination of insects crawling on the skin (formication).
Ans: 2

Subject: PSM
Sub-Topic:
Confidentiality is maintained in which of the following conditions?

O1:
Group discussion
O2:
Counselling
O3:
Panel discussion
O4:
Seminar
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
A patient who was diagnosed with prostate cancer is being investigated. The bone scan is
reported as a super scan with increased uptake in the bones and reduced activity in the
spleen. What is the reason for this super scan appearance?
O1:
Increased uptake due to diffuse metastasis
O2:
Increased uptake by carcinoma prostate
O3:
Increased uptake by the bone
O4:
Decreased uptake by adrenal glands and kidney
Ans: 1

Sub-Topic:
A 50-year-old factory worker was brought to the emergency room with complaints of
headache, vomiting, and blurring of vision after he consumed local spirit. Which of the
following is used for the treatment of his condition?
O1:
Fomepizole
O2:
Flumazenil
O3:
N-acetyl cysteine
O4:
Naloxone
Ans: 1

Subject: Surgery
Sub-Topic:
A 55-year-old male patient presents with hematuria and a neovascular mass in the left kidney
on a CT scan, as shown below. What is the diagnosis?
O1:
a.Renal cell carcinoma
O2:
b.Renal oncocytoma
O3:
c.Renal angiomyolipoma
O4:
Renal cyst
Ans: 3

Subject: PSM
Topic: Allied Health Disciplines
Sub-Topic:
An 8 weeks pregnant woman, working in an industry, consults a doctor. According to the ESI
act, what is the duration of maternity leave that she can get?
O1:
4 months
O2:
28 weeks, starting from 4 weeks after delivery
O3:
26 weeks, starting from 8 weeks before delivery
O4:
9 months
Ans: 3

Subject: Surgery
Sub-Topic:
Which of the following is the best imaging modality to diagnose neuroendocrine tumors
(NETs)?
O1:
a.USG
O2:
b.CT
O3:
c.MRI
O4:
d.PET
Ans: 4

Subject: Medicine
Topic: Endocrinology
Sub-Topic:
A 29-year-old male patient presents to the OPD with a 10-year history of coarse facial features
and progressive enlargement of the hands and feet. Laboratory evaluation revealed elevated
IGF-1 and non-suppressible growth hormone levels after the 75 g glucose challenge test. A
diagnosis of acromegaly is made. Which of the following drugs is preferred for the
management of this patient?
O1:
Lanreotide depot formulation
O2:
Terlipressin
O3:
Ketoconazole
O4:
Leuprolide
Ans: 1

Subject: Surgery
Sub-Topic:
Genetic testing for BRCA 1/BRCA 2 is indicated for all of the following except:
O1:
a.Breast cancer diagnosed in a postmenopausal female >50 years of age
O2:
b.Male breast cancer
O3:
Bilateral breast cancer
O4:
d.Breast and ovarian cancer
Ans: 1

Subject: PSM
Sub-Topic:
Which of the following is a first-line antitubercular drug prescribed in the initial 2 months of
treatment?
O1:
Streptomycin
O2:
Ethambutol
O3:
Linezolide
O4:
Levofloxacin
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
A 51-year-old lady presents with complaints of a mass in the right breast. On examination, the
mass was larger than 5 cm and ipsilateral mobile axillary lymph nodes were present. What is
the staging, considering the mass is malignant?
O1:
a.CT3N1MO
O2:
уT4N1M0
O3:
c.CT4N1MO
O4:
d.уT3N1M0
Ans: 1

Subject: PSM
Topic: Environment and Health
Sub-Topic:
The process in the oxidation pond is __

O1:
Always aerobic
O2:
Always anaerobic
O3:
Aerobic during day, anaerobic during night
O4:
Anaerobic during day, aerobic during night
Ans: 3

Subject: Surgery
Sub-Topic:
Which lymph node is most commonly involved in prostate cancer?

O1:
a.Deep inguinal
O2:
b.Pelvic
O3:
c.Superficial inguinal
O4:
d.Internal iliac
Ans: 2

Subject: PSM
Topic: Epidemiology
Sub-Topic:
Which of the following is true regarding the single exposure point source epidemic?
O1:
Has more than one incubation period
O2:
Has multiple peaks
O3:
Explosive in nature.
O4:
Slow rise and fall
Ans: 3

Subject: Surgery
Sub-Topic:
Which of the following procedures has the highest risk of causing the recurrence of duodenal
ulcers?
O1:
a.Gastrectomy
O2:
b.Highly selective vagotomy
O3:
c.Truncal vagotomy
O4:
Gastro-jejunostomy
Ans: 2

Subject: Medicine
Topic: Hematology
Sub-Topic:
Elective splenectomy is preferred in which of the following conditions?

O1:
G6PD deficiency-Glucose-6-phosphate dehydrogenase deficiency
O2:
Paroxysmal nocturnal hemoglobinuria
O3:
Hereditary spherocytosis
O4:
Hairy cell leukemia
Ans: 3

Subject: PSM
Topic: Allied Health Disciplines
Sub-Topic:
Sickness absenteeism of workers in the industry is used to evaluate

O1:
Health of the worker
O2:
Health of the family
O3:
Industrial environment
O4:
Community health
Ans: 1

Subject: PSM
Sub-Topic:
The incisors of a child who had white patches on them which later turned brown are due to
excessive supplementation of which of the following?
O1:
Vitamin A
O2:
Chlorine
O3:
Fluorine
O4:
Riboflavin
Ans: 3

Subject: Pediatrics
Topic: Nutrition and Malnutrition
Sub-Topic:
What is the fluid of choice for shock in a child with severe acute malnutrition?
O1:
Normal saline
O2:
Ringer lactate
O3:
10% dextrose
O4:
Ringer's lactate with 5% dextrose
Ans: 4

Subject: Pediatrics
Topic: Neonatology
Sub-Topic:
How much oxygen is given to a term infant with respiratory distress during resuscitation?
O1:
21%
O2:
50%
O3:
70%
O4:
100%
Ans: 1

Subject: Pediatrics
Topic: Inborn Errors of Metabolism
Sub-Topic:
Which of the following is an absolute contraindication for breastfeeding?
O1:
HIV positive mother
O2:
Galactosemia in infant
O3:
Hepatitis C in mother
O4:
Tuberculosis in mother
Ans: 2

Subject: Pediatrics
Topic: Pediatric Neurology
Sub-Topic:
An 8-year-old child presented with a sudden onset of high-grade fever, seizures, and loss of
consciousness. On examination, the child had anemia, hypoglycemia, and no neurological
deficits. What is the probable diagnosis?
O1:
Tubercular meningitis
O2:
Viral meningitis
O3:
Cerebral malaria
O4:
Fungal meningitis
Ans: 3

Subject: Pediatrics
Topic: Common Childhood Poisonings
Sub-Topic:
A child who has overdosed on iron tablets comes with nausea and abdominal pain. What is
the antidote for this toxicity?
O1:
EDTA
O2:
Deferoxamine
O3:
British anti-Lewisite
O4:
Penicillamine
Ans: 2

Subject: Medicine
Sub-Topic:
A patient presents with complaints of sudden onset headache, palpitation, and profuse
sweating. The patient has had multiple similar episodes in the past. During these episodes,
the patient's blood pressure is elevated. A 24-hour urinary metanephrine is elevated. What is
the most likely diagnosis?
O1:
Addison's disease
O2:
Renal artery stenosis
O3:
Pheochromocytoma
O4:
Hyperthyroidism
Ans: 3

Subject: Pediatrics
Topic: Neonatology
Sub-Topic:
According to the neonatal resuscitation protocol, below what heart rate are chest
compressions initiated?
O1:
50
O2:
60
O3:
80
O4:
100
Ans: 2

Subject: Pediatrics
Topic: Growth
Sub-Topic:
Gonadal growth corresponds with _____.
O1:
Skeletal system
O2:
Brain
O3:
Lymphoid growth
O4:
Dental growth
Ans: 2

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 70-year-old patient with a smoking history presents with high-grade fever, cough, confusion,
and diarrhea. Chest X-ray shows bilateral infiltrates in bilateral lower lung fields. On sputum
gram stain, no organisms were detected. Laboratory results reveal Na: 126mEq/L, AST:62,
ALT:56, RBS:112 mg/dl, serum bilirubin of 0.8mg%, and a positive HIV test. Which of the
following organisms is responsible?
O1:
Streptococcus
O2:
Legionella
O3:
Pneumocystis jeroveci
O4:
Klebsiella
Ans: 2

Subject: Pediatrics
Topic: Growth
Sub-Topic:
A 6-year-old child is brought for complaints of short stature. His height is comparable with his
parent's height and his bone age corresponds to his chronological age. What is the likely
diagnosis?
O1:
Familial short stature
O2:
Constitutional delay
O3:
Undernutrition
O4:
Growth hormone deficiency
Ans: 1

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 45-year-old patient with a history of smoking a pack of cigarettes for the past 15 years
presents with hemoptysis. Chest X-ray shows a 3cm upper lobe mass near the apex of the
lung, What is the next best step for managing this patient?
O1:
Bronchoscopy
O2:
CT-guided biopsy
O3:
Sputum cytology
O4:
Sputum for AFB
Ans: 2

Subject: Surgery
Topic: Others
Sub-Topic:
Which of the following is seen in all kinds of shock?

O1:
Reduced tissue perfusion
O2:
Increased peripheral resistance
O3:
Decreased respiratory rate
O4:
Cold clammy skin
Ans: 1

Subject: Medicine
Topic: Neurology
Sub-Topic:
A woman presents with a history of headaches for the past 9 months that worsen in a
recumbent position and improves as the day progresses. She also gives a history of taking
oral contraceptives. Fundal examination shows papilledema. There are no focal neurological
deficits. What is the probable cause of her headaches?
O1:
Myasthenia gravis
O2:
Temporal arteritis
O3:
Chronic migraine
O4:
Pseudotumor cerebri
Ans: 4

Subject: Surgery
Sub-Topic:
A man came with complaints of recurrent discharge and pain due to lesions around the anus
for 3 years. A diagnosis of fistula-in-ano is made. What is the gold standard investigation for
this condition?
O1:
Fistulogram
O2:
USG
O3:
CECT
O4:
MRI
Ans: 4

Subject: Medicine
Sub-Topic:
Which of the following is the most common cause of mortality in diabetic ketoacidosis?
O1:
Acute respiratory distress syndrome
O2:
Cardiac arrhythmia
O3:
Cerebral edema
O4:
Acute kidney injury
Ans: 3

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
Which of the following is not included in the Gaisböck syndrome?

O1:
Hypotension
O2:
Erythrocytosis
O3:
Normal leukocyte counts
O4:
Obesity
Ans: 1

Subject: Surgery
Topic: Others
Sub-Topic:
Identify the given instrument.
O1:
a.Linear stapler
O2:
b.Skin stapler
O3:
c.Circular stapler
O4:
d.Curved stapler
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
A patient presents with dyspnea and distended neck veins that increase on inspiration. There
is no murmur. What is the diagnosis?
O1:
Constrictive pericarditis
O2:
O3:
Tricuspid stenosis
O4:
Pulmonary arterial hypertension
Ans: 1

Subject: Anaesthesia
Topic: Inhalational Anesthetic Agents
Sub-Topic:
Inhalational induction of choice in children is:

O1:
Sevoflurane
O2:
Desflurane
O3:
Halothane
O4:
Isoflurane
Ans: 1

Subject: Surgery
Topic: Others
Sub-Topic:
A patient was brought to the emergency department following a road traffic accident. Skin
grafting was done wherein the graft was taken from the same person. Which type of graft is it?
O1:
a.Autograft
O2:
b.Xenograft
O3:
c.Allograft
O4:
d.Isograft
Ans: 1

Topic: Intravenous Anesthetic Agents
Sub-Topic:
Which of the following is most suitable for intravenous regional anesthesia?

O1:
Bupivacaine
O2:
Mepivacaine
O3:
Procaine
O4:
Lidocaine
Ans: 4

Topic: Oxygen Therapy
Sub-Topic:
Which of the following airway devices helps maintain Fio2 of 0.25-0.60, irrespective of the
patient's breathing effort?
O1:
Nasal cannula
O2:
Simple face mask
O3:
Venturi mask
O4:
Non-rebreathing mask
Ans: 3

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 5-year-old child presented with recurrent respiratory infections with thickened sputum. Chest
X-ray showed bronchial wall thickening. He has been suffering from steatorrhea since birth.
Which of the following is the first differential diagnosis?
O1:
Hyaline membrane disease
O2:
Cystic fibrosis
O3:
Alpha 1 anti-trypsin deficiency
O4:
Malabsorption syndrome
Ans: 2

Subject: Medicine
Sub-Topic:
What is the most common cause of Cushing's disease in a 60-year-old male?

O1:
Small-cell lung cancer
O2:
Adrenal tumor
O3:
Ectopic ACTH syndrome
O4:
Pituitary microadenoma
Ans: 4

Subject: Medicine
Sub-Topic:
A 30-year-old woman presented with complaints of bone pain and abdominal cramps. Her
family says she has a history of abnormal behavior. The consultant doctor arrived at a
provisional diagnosis based on the clinical features. Which of the following would be the best
investigation to arrive at a definitive diagnosis?
O1:
MRI
O2:
Ultrasonogram
O3:
Sestamibi scan
O4:
CT scan
Ans: 3
Subject: Medicine
Topic: Rheumatology / Connective Tissue Disorder
Sub-Topic:
A 50-year-old woman presented with difficulty in activities like climbing stairs, getting up from a
chair, and combing hair. Violaceous erythema of the upper eyelids was noted. What is the
most probable diagnosis?
O1:
Inclusion body myositis
O2:
Dermatomyositis
O3:
Polymyositis
O4:
Scleroderma
Ans: 2

Subject: Medicine
Topic: Neurology
Sub-Topic:
A young male patient presents with ptosis and muscle weakness which reportedly worsens in
the evening and improves in the morning. This is relieved by neostigmine. What is the likely
diagnosis?
O1:
Myasthenia gravis
O2:
Huntington chorea
O3:
Amyotrophic lateral sclerosis
O4:
External ophthalmoplegia
Ans: 1

Subject: Medicine
Topic: Neurology
Sub-Topic:
Bell's palsy involves

O1:
Ipsilateral upper and lower halves of the face.
O2:
Contralateral upper and lower halves of the face.
O3:
Ipsilateral lower half of the face.
O4:
Contralateral lower half of the face.
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
Which of the following drugs reduce mortality in a patient with heart failure?
O1:
Metoprolol
O2:
Furosemide
O3:
Prazosin
O4:
Torsemide
Ans: 1

Subject: Medicine
Sub-Topic:
A 49-year-old male presents with recurrent episodes of watery diarrhoea, dehydration,

hypokalemia, and achlorhydria. Which of the following neuroendocrine tumour can be
responsible for these symptoms?
O1:
Insulinoma
O2:
Somatostatinoma
O3:
VIPoma
O4:
Glucagonoma
Ans: 3

Subject: Pathology
Topic: Genetics
Sub-Topic:
A family pedigree chart is given below. Identify the mode of inheritance of this condition.
O1:
Autosomal dominant
O2:
Autosomal recessive
O3:
X-linked recessive
O4:
X-linked dominant
Ans: 1

Topic: Gynecology
Sub-Topic:
A woman presents with complaints of greenish-frothy vaginal discharge for 1 month. On

examination, vulvovaginal erythema is noticed. On saline microscopy, motile organisms are
seen. What is the most likely diagnosis?
O1:
Trichomoniasis
O2:
Bacterial vaginitis
O3:
Chlamydial cervicitis
O4:
Candidiasis
Ans: 1

Subject: Pathology
Topic: Inflammation
Sub-Topic:
The given inclusion bodies are characteristic of which of the following organisms?
O1:
Human papillomavirus
O2:
Cytomegalovirus
O3:
Ebstein Barr virus
O4:
Herpes simplex virus
Ans: 2

Subject: Pathology
Topic: Hematology: White Blood Cells
Sub-Topic:
A 70-year-old male comes with complaints of hip pain. An X-ray of the hip shows lytic lesions
and elevated serum calcium levels. Bone marrow plasma cells are 42%, and the cells seen
are given in the image below. What is the most likely diagnosis?
O1:
Multiple myeloma
O2:
CLL
O3:
ALL
O4:
CML
Ans: 1

Topic: Obstetrics
Sub-Topic:
If the division in the zygote occurs between 9-12 days after fertilization, which of the following
twin is expected?
O1:
Dichorionic diamniotic
O2:
Conjoint twins
O3:
Monochorionic diamniotic
O4:
Monochorionic monoamniotic
Ans: 4

Subject: Pathology
Sub-Topic:
The following picture showed a lymph node biopsy of a 30-year-old male with cervical
lymphadenopathy. The diagnosis is
O1:
Acute myeloid leukemia (AML)
O2:
Hodgkin disease
O3:
Human papillomavirus (HPV)
O4:
Chronic lymphocytic leukemia (CLL)
Ans: 2

Subject: Pathology
Sub-Topic:
What type of cell is shown in the image below?

O1:
Faggot cell
O2:
Reed Sternberg cell
O3:
Mott cells
O4:
Sézary-Lutzner cells
Ans: 2

Subject: Pathology
Topic: Central Nervous System
Sub-Topic:
A 40-year-old female presents with frequent headaches. Investigation reveals raised

intracranial pressure and the presence of a dural-based tumor. Which of the following
histological findings correlate with the diagnosis?
O1:
Fried egg appearance
O2:
Flexner - Wintersteiner rosettes
O3:
Psammoma bodies with whorling of tumor cells
O4:
Homer - Wright rosettes
Ans: 3

Topic: Obstetrics
Sub-Topic:
Which of the following is the correct sequence of vaginal discharge during puerperium?
O1:
Lochia serosa>Lochia rubra>Lochia alba
O2:
Lochia rubra>Lochia alba>Lochia serosa
O3:
Lochia alba>Lochia rubra>Lochia serosa
O4:
Lochia rubra>Lochia serosa>Lochia alba
Ans: 4

Subject: Radiology
Topic: Radiotherapy
Sub-Topic:
1. A cancer patient undergoing radiotherapy is given a dose of 1.8 to 2 Gy once daily for 5
days per week for a duration of 6 to 8 weeks. What is this type of radiotherapy called?
O1:
a.Regular Fractionated radiotherapy
O2:
b.Hyper fractionated radiotherapy
O3:
Accelerated fractionation radiotherapy
O4:
d.Brachytherapy
Ans: 1

Subject: Pediatrics
Topic: Nutrition and Malnutrition
Sub-Topic:
A child presents with the findings shown in the image below. What is the true statement
regarding this condition?
O1:
Kwashiorkor due to protein malnutrition
O2:
Kwashiorkor due to calorie malnutrition
O3:
Marasmus due to protein malnutrition
O4:
Marasmus due to calorie malnutrition
Ans: 1

Topic: Obstetrics
Sub-Topic:
Which of the following finding is shown in the given image?
O1:
Stria gravidarum
O2:
Chloasma
O3:
Linea alba
O4:
Linea nigra
Ans: 4

Subject: Pediatrics
Topic: Infectious Diseases
Sub-Topic:
A 5-year-old girl is brought to the clinic with a fever, cough, red eyes, running nose, and rash.
The appearance of the child is shown below. What is the diagnosis?
O1:
Mumps
O2:
Measles
O3:
Chickenpox
O4:
Erythema infectiosum
Ans: 2

Subject: Pediatrics
Topic: Neonatology
Sub-Topic:
Which of the following is not a correct match for ABCD according to pediatric advanced life
support?
O1:
Airway
O2:
Breathing
O3:
Circulation
O4:
Dehydration
Ans: 4

Topic: Obstetrics
Sub-Topic:
In which of the following situations is ventouse not used?

O1:
Prolonged second stage
O2:
Maternal exhaustion
O3:
Fetal distress
O4:
Premature baby
Ans: 4

Subject: Pediatrics
Topic: Pediatric Nephrology
Sub-Topic:
A 5-year-old child presented with a history of edema of the face which later progressed to
generalized edema. Urine showed massive proteinuria and light microscopy was normal.
Electron microscopy showed effacement of podocyte foot processes. What is the diagnosis?
O1:
Focal segmental glomerulo sclerosis
O2:
Minimal change disease
O3:
Membranous glomerulonephritis
O4:
Post streptococcal glomerulonephritis
Ans: 2
Subject: Radiology
Topic: Hepatobiliary Radiology
Sub-Topic:
Identify the segment marked in red in the image below.
O1:
a.V
O2:
b.IVa
O3:
c.VII
O4:
lll
Ans: 1

Topic: Obstetrics
Sub-Topic:
Which of the following is not an indication for a cesarean section?

O1:
Absolute cephalopelvic disproportion
O2:
Previous history of macrosomia
O3:
Central placenta previa
O4:
Advanced carcinoma cervix
Ans: 2

Subject: Radiology
Topic: X-Rays
Sub-Topic:
Identify the rib highlighted in the X-ray.
O1:
a.3rd rib anterior part
O2:
b.3rd rib posterior part
O3:
c.4th rib anterior part
O4:
d.1st rib anterior part
Ans: 2

Topic: Obstetrics
Sub-Topic:
What is the level of the uterus immediately after delivery?

O1:
Below pubic symphysis
O2:
Above pubic symphysis
O3:
Below the umbilicus
O4:
Above umbilicus
Ans: 3

Sub-Topic:
A child has elevated Liver enzyme levels. A ring-like structure noted on ocular examination
has shown in the image below. Which of the following is the cause for this?
O1:
Copper
O2:
Zinc
O3:
Selenium
O4:
Iron
Ans: 1

Topic: Obstetrics
Sub-Topic:
Which of the following procedures is done with the instrument shown below?
O1:
Hysterosalpingography
O2:
Dilatation and curettage
O3:
Cervical sampling
O4:
Endometrial sampling
Ans: 4
Topic: Obstetrics
Sub-Topic:
Which of the following is the most common location of implantation in ectopic pregnancy?
O1:
D
O2:
C
O3:
B
O4:
A
Ans: 4

Topic: Gynecology
Sub-Topic:
A young sexually active female patient presented to the outpatient department with complaints
of lower abdominal pain, fever, vomiting, and foul-smelling vaginal discharge. On examination,
the body temperature is 103 degrees Fahrenheit, pulse rate is 109 per minute and there is
abdominal tenderness. Cervical motion tenderness is present on examination. What is the
most likely diagnosis?
O1:
Pelvic inflammatory disease
O2:
Endometriosis
O3:
Adenomyosis
O4:
Appendicitis
Ans: 1

Topic: Retina
Sub-Topic:
Fundoscopy findings are shown in the image below. What is the most likely diagnosis?
O1:
CRAO
O2:
CRVO
O3:
Diabetic retinopathy
O4:
Cystoid macular edema
Ans: 1

Subject: Pediatrics
Topic: Pediatric Gastroenterology
Sub-Topic:
A neonate was brought with a history of frothiness from the mouth and respiratory distress. An
X-ray of the neonate is given below. What is the diagnosis?
O1:
Transient tachypnea of newborn
O2:
Congenital diaphragmatic hernia
O3:
Esophageal atresia with tracheo-esophageal fistula
O4:
Respiratory distress syndrome
Ans: 3

Subject: Radiology
Topic: Basics of Radiology
Sub-Topic:
4. Whole-body CT scan protocol for a trauma patient includes all, except

O1:
a.CT Head
O2:
b.CT Cervical spine
O3:
c.CT Limbs
O4:
d.CT Abdomen
Ans: 3

Subject: Radiology
Topic: Thoracic Radiology
Sub-Topic:
5. Hamman sign is seen in

O1:
a.Pneumoperitoneum
O2:
b.Pneumopericardium
O3:
c.Pneumomediastinum
O4:
d.Hydropneumothorax
Ans: 3

Subject: Radiology
Topic: CT Scan
Sub-Topic:
Identify the structure marked in the image given below.
O1:
External capsule
O2:
b.Internal Capsule
O3:
c.Caudate nucleus
O4:
Putamen
Ans: 2

Subject: Radiology
Topic: Gastrointestinal Radiology
Sub-Topic:
Identify the part of the bowel in the barium study given below.
O1:
a.lleum
O2:
b.Transverse colon
O3:
c.Jejunum
O4:
d.Splenic flexure
Ans: 3

Topic: Retina
Sub-Topic:
A patient presents to the OPD with the given visual field effect. What is the probable site of the
lesion based on the image displayed?
O1:
3
O2:
1
O3:
4
O4:
5
Ans: 1

Subject: Surgery
Topic: Urology
Sub-Topic:
A male patient presented with complaints of hematuria and recurrent urinary tract infection.
You notice the following finding in his CECT. What is the likely condition indicated by the arrow
in the image?
O1:
a.Polycystic kidney disease
O2:
b.Horseshoe kidney
O3:
c.Hydronephrosis
O4:
d.Pancake kidney
Ans: 2

Subject: Surgery
Topic: Others
Sub-Topic:
A male patient presented with a sudden onset tearing type of chest pain radiating to the back,
shortness of breath, and nausea. CT chest image is given. What is the most appropriate next
step in the management of this patient?
O1:
Esmolol and urgent surgery
O2:
b.Urgent surgery
O3:
c.Wait and watch
O4:
d.Blood transfusion
Ans: 1

Subject: Surgery
Topic: Head And Neck
Sub-Topic:
A 32-year-old patient who is a chronic tobacco chewer presents with a whitish lesion on the
gingivobuccal sulcus for 7 months. What is the next best step in the management of this
condition?
O1:
a.Local excision and biopsy
O2:
b.Avoid smoking; wait and watch
O3:
c.Steroidal injection
O4:
d.Sclerotherapy
Ans: 1

Topic: Drugs Affecting Blood and Blood formation
Sub-Topic:
What is the mechanism of action of dicumarol?

O1:
Activates antithrombin III .
O2:
Inhibits vitamin K dependant Clotting factors
O3:
Inhibits tissue plasminogen activator
O4:
Inhibitor of factor Xa
Ans: 2

Subject: Surgery
Topic: Others
Sub-Topic:
A 30-year-old female patient involved in a road traffic accident had nausea and vomiting. She
was brought unconscious to the emergency room. The NCCT brain reveals the following
findings. What is the most likely diagnosis?
O1:
a.Extradural hemorrhage
O2:
b.Subdural hemorrhage
O3:
c.Intra-parenchymal hemorrhage
O4:
d.Subarachnoid hemorrhage
Ans: 1

Subject: Surgery
Sub-Topic:
Involvement of which of the following structures leads to the clinical presentation as shown in
the image?
O1:
a.Superficial lymphatics
O2:
b.Deep lymphatics
O3:
c.Superficial veins
O4:
d.Skin
Ans: 1

Subject: Surgery
Topic: Others
Sub-Topic:
A soldier presents to a referral hospital one day after sustaining a high-velocity shrapnel injury
to his right thigh. He complains of severe pain at the wound site. On examination, crepitus is
present. Which of the following organisms is the most likely cause of his condition?
O1:
Clostridium septicum
O2:
Clostridium difficile
O3:
Clostridium novyi
O4:
Clostridium perfringens
Ans: 4

Topic: Obstetrics
Sub-Topic:
Identify the given image of the placenta previa.
O1:
Marginal
O2:
Low lying
O3:
Incomplete
O4:
Complete
Ans: 1
Subject: Surgery
Sub-Topic:
A 32-year-old female undergoes emergency laparotomy for perforation peritonitis. Which of

the following is the surest sign of wound dehiscence?
O1:
Copious sero-sanguinous discharge
O2:
Rebound tenderness
O3:
Hemorrhage
O4:
Hypotension
Ans: 1

Topic: Obstetrics
Sub-Topic:
Identify the type of pelvis in the given image.
O1:
Android pelvis
O2:
Gynecoid pelvis
O3:
Anthropoid pelvis
O4:
Platypelloid pelvis
Ans: 2

Sub-Topic:
Post-mortem examination of a dead body reveals contraction of the hands with absent primary
relaxation. What is this suggestive of?
O1:
Rigor mortis
O2:
Livor mortis
O3:
Cadaveric spasm
O4:
Algor mortis
Ans: 3

Sub-Topic:
Study of death in all aspects is known as:

O1:
Thanatology
O2:
Forensic anthropology
O3:
Toxicology
O4:
Molecular death
Ans: 1

Topic: Obstetrics
Sub-Topic:
Identify the following instrument used by obstetricians:

O1:
Kielland forceps
O2:
Tucker Mclane forceps
O3:
Pipers forceps
O4:
Outlet forceps
Ans: 4

Sub-Topic:
Following the recovery of a beheaded skull bone by the police, the relatives of a missing
person want to confirm his identity. Which of the following techniques can be used to figure
out a person's identity using the beheaded skull bone and photograph of the person?
O1:
Superimposition
O2:
Anthropometry
O3:
DNA fingerprinting
O4:
Cheiloscopy
Ans: 1

Topic: Drugs used in Obstetrics and Gynaecology
Sub-Topic:
In which of the following cases is the drug below contraindicated?
O1:
Malpresentation of fetus
O2:
Heart disease in mother
O3:
Premature labour
O4:
Hypothyroidism
Ans: 1

Subject: Anatomy
Topic: Thorax
Sub-Topic:
Which of the following structures passes through the foramen marked by the arrow?
O1:
Oesophagus
O2:
Inferior vena cava
O3:
Thoracic duct
O4:
Sympathetic trunk
Ans: 3

Subject: Anatomy
Topic: Upper Limb
Sub-Topic:
Which nerve can be injured when a fracture is sustained in the area marked with the red arrow
in the image?
O1:
Radial nerve
O2:
Median nerve
O3:
Ulnar nerve
O4:
Musculocutaneous nerve
Ans: 3

Topic: Obstetrics
Sub-Topic:
Which of the following is the process of breaking the clavicle during delivery?
O1:
Craniotomy
O2:
Symphysiotomy
O3:
Zavanelli manoeuvre
O4:
Cleidotomy
Ans: 4

Subject: Surgery
Topic: Others
Sub-Topic:
Four patients were brought to the casualty after sustaining trauma. Which of the following is
the correct match among the following?
O1:
a.Extradural hemorrhage (EDH)- Pin point pupil
O2:
b.Penetrating injury to eustachian tube- CSF otorrhea
O3:
c.Penetrating injury to eye- Battle sign
O4:
d.Gaze palseis-Mid brain lesion
Ans: 4

Topic: Obstetrics
Sub-Topic:
Which of the following is the best parameter for estimation of fetal age by ultrasound in 1st
trimester?
O1:
Biparietal Diameter
O2:
Head circumference
O3:
Crown rump length
O4:
Abdominal circumference
Ans: 3

Subject: Surgery
Sub-Topic:
A homosexual man complains of painful defecation and mass protruding from the anal canal.
Biopsy reveals squamous cell carcinoma of anus. Correct management for this patient is
O1:
a.Chemotherapy
O2:
b.Abdominoperineal repair
O3:
c.Combined chemoradiation
O4:
d.Wide local excision
Ans: 3

Subject: Anatomy
Topic: General Embryology
Sub-Topic:
The following condition is seen in the image results from the failure of fusion:
O1:
Lateral nasal prominence and maxillary prominence
O2:
Lateral nasal prominence and mandibular prominence
O3:
Medial nasal prominence and maxillary prominence
O4:
Medial nasal prominence and mandibular prominence
Ans: 3

Subject: Anatomy
Topic: Histology
Sub-Topic:
Identify the given histology slide:

O1:
Lymph node
O2:
Glomerulus
O3:
Spleen
O4:
Pancreas
Ans: 4

Subject: Psychiatry
Topic: Schizophrenia Spectrum and Other Psychotic Disorders
Sub-Topic:
Which of the following does not suggest a medical cause of mental illness?
O1:
Elderly age
O2:
Loss of consciousness
O3:
Auditory hallucination
O4:
Acute onset
Ans: 3

Subject: Surgery
Sub-Topic:
A 25-year-old patient presents to the surgical OPD with a painless left inguinal reducible mass.
On examination cough impulse is positive. After further investigations, the patient is diagnosed
with an inguinal hernia. What is the surgical management of this patient?
O1:
a.Herniotomy
O2:
b.Hernioplasty
O3:
c.Wait and watch
O4:
d.Emergency laparotomy
Ans: 2

Topic: Mechanical Ventilation and Modes of Ventilation
Sub-Topic:
A patient in the ICU with an endotracheal tube now needs a tracheostomy tube. Which type of
tube will you use?
O1:
Uncuffed tracheostomy tube
O2:
Cuffed tracheostomy tube
O3:
Metallic tracheostomy tube.
O4:
Endotracheal tube
Ans: 2

Subject: Anatomy
Topic: Abdomen
Sub-Topic:
Which of the following structures marked in the image contains the splenic artery?
O1:
2
O2:
1
O3:
3
O4:
4
Ans: 4

Subject: Surgery
Sub-Topic:
While doing an endoscopy, constriction is felt at the oesophageal junction at 25 cm from the
incisor. This is due to?
O1:
a.Inferior vena cava
O2:
b.Arch of aorta
O3:
c.Right bronchus
O4:
d.Diaphragmatic opening
Ans: 2

Topic: Mechanical Ventilation and Modes of Ventilation
Sub-Topic:
Resistance of the tube shown below is primarily because of _____.

O1:
Curvature
O2:
Circumference
O3:
Length
O4:
Diameter
Ans: 4

Subject: Anatomy
Topic: Thorax
Sub-Topic:
On palpation at the site marked by the red arrow on the image, a bony ridge is felt. What is the
vertebral level of the marked arrow?
O1:
T3-T4 intervertebral disc
O2:
O3:
O4:
Ans: 4

Subject: Anatomy
Topic: Upper Limb
Sub-Topic:
A patient is referred to a higher center with the diagnosis of fracture. On examination, the
forearm pulses were not palpable. An upper arm X-ray was done, which is given below. Which
artery is most likely to be injured in this condition?
O1:
Radial artery
O2:
Ulnar artery
O3:
Brachial artery
O4:
Anterior interosseous artery
Ans: 3

Subject: Surgery
Topic: Urology
Sub-Topic:
Which of the following are true about nephroblastoma except:

O1:
Treatment is chemotherapy followed by surgery
O2:
b. Early lung mets
O3:
c. Hematogenous spread
O4:
d. Most common intra abdominal malignancy in children
Ans: 4

Subject: Anatomy
Topic: Back Region
Sub-Topic:
To what level of vertebrae does the marked structure correspond?
O1:
At the junction of L1 & L2
O2:
O3:
At the junction of T12 & L1
O4:
Ans: 4
Subject: Surgery
Topic: Urology
Sub-Topic:
A patient presents with urinary symptoms due to benign prostatic hyperplasia. Which of the
following is used to manage the urinary symptoms in the initial stage of this condition?
O1:
a. TURP-Transurethral resection of prostate
O2:
b. Tamsulosin
O3:
c. Finasteride
O4:
d. Observation
Ans: 2

Subject: Surgery
Sub-Topic:
A 17-year-old woman with no comorbidities presents with numbness and paraesthesia of the
fingers along with the characteristic finding as shown in the image below. She has no history
of smoking or history of other illnesses. She mentions the episodes occur when she is under
excess stress or during cold temperatures. What is the most likely diagnosis?
O1:
a. Raynaud's phenomenon
O2:
b. Buerger's disease
O3:
c. Atherosclerosis
O4:
d. Peripheral arterial disease
Ans: 1

Topic: Concepts
Sub-Topic:
Which of the following is not a microelement?
O1:
Copper
O2:
Zinc
O3:
Calcium
O4:
Selenium
Ans: 3

Subject: Surgery
Topic: Others
Sub-Topic:
Which of the following is not a component of qSOFA score?

O1:
a. Respiratory rate >22
O2:
b. LDH-Lactate dehydrogenase
O3:
c. Altered mental status
O4:
d. Systolic blood pressure < 100 mmHg O
Ans: 2

Subject: Surgery
Sub-Topic:
Which is the least commonly used graft for coronary artery bypass graft (CABG)?
O1:
a. Long saphenous vein
O2:
Internal mammary artery
O3:
c. Intercostal artery
O4:
d. Radial artery
Ans: 3

Topic: Vitamins
Sub-Topic:
A male patient complained of imbalance, numbness of the foot, and muscle weakness. On
history taking, he revealed that he has been taking multivitamin tablets more than the
prescribed dose for 1 year. Which of the following is the most likely cause of the associated
symptoms seen in this patient?
O1:
Vitamin D toxicity
O2:
Vitamin B6 toxicity
O3:
Vitamin C toxicity
O4:
Vitamin A toxicity
Ans: 2

Topic: Oxidative Phosphorylation
Sub-Topic:
Which enzymes use molecular oxygen as a hydrogen acceptor to produce water?
O1:
Catalase
O2:
Superoxide dismutase
O3:
Cytochrome c oxidase
O4:
Pyruvate dehydrogenase
Ans: 3

Subject: Surgery
Topic: Urology
Sub-Topic:
Which of the following is the recommended treatment for the condition shown in the image?
O1:
Percutaneous nephrolithotomy
O2:
b. Ureteroscopy
O3:
c. ESWL
O4:
d. Wait and watch
Ans: 2

Topic: Vitamins
Sub-Topic:
A 34-year-old male whose staple diet primarily consisted of only maize presents with diarrhea,
dementia, and photosensitive dermatitis in sun-exposed areas. Which vitamin is most likely
deficient in this patient?
O1:
Niacin
O2:
Vitamin B6
O3:
Ascorbic acid
O4:
Biotin
Ans: 1
Subject: ENT
Topic: Ear
Sub-Topic:
A 35-year-old woman presented to the clinic with the symptoms of hearing loss and pulsatile
tinnitus. Further examination reveals conductive hearing loss with the Rinne test negative. A
reddish mass is seen behind the tympanic membrane. What is the most likely diagnosis for
this patient?
O1:
Acute otitis media
O2:
Chronic otitis media
O3:
Glomus tumour
O4:
Serous otitis media
Ans: 3

Topic: CVS Pharmacology
Sub-Topic:
A patient with a history of hypertension is given the drug 'X'. Identify 'X'?
O1:
Captopril
O2:
Spironolactone
O3:
Aliskiren
O4:
Losartan
Ans: 3

Topic: General Pharmacology
Sub-Topic:
Identify the true statement about the given dose-response curve:

O1:
Drug C is the most potent
O2:
Drug B is the most efficacious
O3:
Drug C is as efficacious as drug D
O4:
Drug D is more potent than drug C
Ans: 2

Topic: ANS Pharmacology
Sub-Topic:
Which drug elicits the following response on blood pressure and heart rate, as shown in the
image?
O1:
Norepinephrine
O2:
Isoproterenol
O3:
Epinephrine
O4:
Dopamine
Ans: 1

Sub-Topic:
A female patient complains of swelling and pain in her great toe. Her uric acid level is found to
be high. A drug that reduces uric acid levels is prescribed. Which of the following enzyme
should the drug inhibit?
O1:
Urease
O2:
Homogentisate oxidase
O3:
Lysyl oxidase
O4:
Xanthine oxidase
Ans: 4

Sub-Topic:
Which of the following drugs increases uric acid in urine?

O1:
Colchicine
O2:
Febuxostat
O3:
Probenecid
O4:
Allopurinol
Ans: 3

Topic: ANS Pharmacology
Sub-Topic:
The most appropriate description of the vasomotor reversal of Dale is that

O1:
Repeated administration of ephedrine decreases its effect on blood pressure
O2:
A patient pretreated with phentolamine develops severe hypotension on the administration of
adrenaline
O3:
High dose of acetylcholine after
O4:
An increase in pulse pressure is produced by the intravenous administration of isoprenaline
Ans: 2

Sub-Topic:
Which immunoglobulin is present in serum/plasma at the highest concentration?

O1:
IgG
O2:
IgA
O3:
IgM
O4:
IgE
Ans: 1

Sub-Topic:
A patient presented to the OPD with liver damage. The picture depicts the patient having their
eyes examined. Which of the following subsequent factors is responsible for this condition?
O1:
Copper
O2:
Glucose
O3:
Galactose
O4:
Mannose
Ans: 1

Sub-Topic:
A patient who was in excruciating pain all over his body was taken to the hospital. In recent
years, he has experienced these incidents frequently. When exercising vigorously, the ache
begins. Anemia was detected on blood examination along with elongated RBC as opposed to
concave ones. It was determined that he had sickle cell anemia. What substitution takes place
in sickle cell anemia?
O1:
Substitution of valine by glutamic acid at the 6th position
O2:
Substitution of glutamic acid by valine at the 6th position
O3:
Substitution of valine by glutamic acid at the 5th position
O4:
Substitution of glutamic acid by valine at the 5th position
Ans: 2

Topic: Vitamins
Sub-Topic:
Vitamin A deficiency leads to?
O1:
Beriberi
O2:
Pellagra
O3:
Xerophthalmia
O4:
Neuropathy
Ans: 3

Topic: Genetics
Sub-Topic:
Which of the following is true about p53?
O1:
It increases telomere length in the liver.
O2:
It synthesizes RNA
O3:
It stabilizes RNA
O4:
It retains the telomerase enzyme in the nucleus
Ans: 4
Topic: Viral Infections
Sub-Topic:
A patient presented with multiple painful blisters on an erythematous base. Along a

dermatome on the trunk as shown in the image. What is the diagnosis?
O1:
Herpes simplex
O2:
Herpes zoster
O3:
Molluscum contagiosum
O4:
Chicken pox
Ans: 2

Topic: Sexually Transmitted Infections
Sub-Topic:
A 45-year-old truck driver with a history of multiple sex partners presented to the
dermatological department, as shown below. What is the likely diagnosis?
O1:
Secondary syphilis
O2:
Lichen planus
O3:
Scabies
O4:
Psoriasis
Ans: 1

Topic: Viral Infections
Sub-Topic:
A 50-year-old smoker presents to the hospital with a painless oral lesion and white patch that
develops in the oral cavity, as shown in the image. What is the diagnosis?
O1:
Leukoplakia
O2:
Candidiasis
O3:
Lichen planus
O4:
Oral cancer
Ans: 1

Subject: Radiology
Topic: Radiological Anatomy
Sub-Topic:
Identify the pelvis type given below.

O1:
Platypoid
O2:
Anthropoid
O3:
Android
O4:
Gynecoid
Ans: 3

Subject: Radiology
Topic: CT Scan
Sub-Topic:
A patient presented to OPD with complaints of fatigue, loss of appetite, constipation, urinary
symptoms of kidney stone, and increased urination. The patient has a history of psychiatric
disorder; you suspect a case of hyperparathyroidism. Which of the following investigations is
useful in this condition?
O1:
Sestamibi scan
O2:
USG neck
O3:
CT neck
O4:
PET scan
Ans: 1

Subject: Radiology
Topic: Gastrointestinal Radiology
Sub-Topic:
A 2-year-old child was brought to the emergency department. The child was having difficulty in
speaking and breathing. An X-ray was performed, given below. Which among the following is
the best treatment for this condition?
O1:
Laryngoscopy
O2:
Esophagoscopy
O3:
Oxygen
O4:
Tracheostomy
Ans: 4

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
An elderly male on bed rest for many months presented with breathlessness and chest pain.
What is the next best step in the management of this patient?
O1:
CT pulmonary angiogram
O2:
ECG
O3:
CT thorax
O4:
Echocardiography
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
A chronic smoker presented with bilateral pitting pedal edema, and abdominal distension. On
examination, he had ascites and auscultation revealed an S3. Which of the following defects
can be seen in this patient?
O1:
O2:
Tricuspid regurgitation
O3:
Aortic stenosis
O4:
Mitral regurgitation
Ans: 2

Subject: Medicine
Sub-Topic:
In the sagittal section of the brain given below the colored area represents the paracentral
lobule. Which of the following structures are affected in a lesion to this area?
O1:
Scapular region and neck
O2:
Trunk and shoulder
O3:
Perineum and leg
O4:
Face and neck
Ans: 3
Subject: Physiology
Sub-Topic:
What is the cause of death in Diabetic ketoacidosis?
O1:
Sepsis
O2:
Dehydration
O3:
Hypokalemia
O4:
Cerebral edema
Ans: 4
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FMGE Jan 2023 PYQs

Ques No: 1,QuesID : 794020

Ques No: 2,QuesID : 794030

Ques No: 3,QuesID : 794021

Identify the histological image below.

Ques No: 4,QuesID : 794032

Ques No: 5,QuesID : 794036

Ques No: 6,QuesID : 794039

The framework of the external nose:

Ques No: 8,QuesID : 794047

Ques No: 9,QuesID : 794052

Ques No: 10,QuesID : 794055

Ques No: 11,QuesID : 794060

Which among the following is true regarding creatinine clearance?

Ques No: 12,QuesID : 794064

Ques No: 13,QuesID : 794069

Ques No: 14,QuesID : 794026

Ques No: 15,QuesID : 794072

Which of the following is an orexigenic hormone?

Ques No: 16,QuesID : 794081

Ques No: 17,QuesID : 794077

Melanin is derived from which of the following amino acids?

Ques No: 18,QuesID : 794029

Which of the following is an acid-fast organism?

Ques No: 19,QuesID : 794087

Ques No: 20,QuesID : 794083

The stain used for identifying Cryptococcus is

Ques No: 21,QuesID : 794090

Hemoglobin with iron in ferric form is

Which of the following enzyme is found to be deficient in Von Gierke's disease?

Ques No: 23,QuesID : 794095

The image shown here is used for the diagnosis of

Ques No: 24,QuesID : 794098

Ques No: 25,QuesID : 794101

Which of the following immunoglobulins shows the highest concentration in serum?

Ques No: 26,QuesID : 794093

Ques No: 27,QuesID : 794103

Identify the sinus marked in the image.

Ques No: 28,QuesID : 794106

Which of the following cell pathways occurs exclusively in cell cytoplasm?

Ques No: 29,QuesID : 794109

Which of the following dimorphic fungi causes subcutaneous mycosis?

Ques No: 30,QuesID : 794115

Ques No: 31,QuesID : 794113

Plasma sterilization is done by

Ques No: 32,QuesID : 794122

What is the function of utricle and saccule?

Ques No: 33,QuesID : 794118

Ques No: 34,QuesID : 794128

Ques No: 35,QuesID : 794130

Which of the following is least likely to cause mucormycosis?

Ques No: 36,QuesID : 794135

Which of the following is true about laryngeal cancer stage T1bNOMO?

Ques No: 37,QuesID : 794132

Ques No: 38,QuesID : 794140

Ques No: 39,QuesID : 794138

Which among the following parasites directly invade the skin?

Ques No: 40,QuesID : 794143

Ques No: 41,QuesID : 794125

Ques No: 42,QuesID : 794149

Ques No: 43,QuesID : 794151

Ques No: 44,QuesID : 794158