Professional Documents
Culture Documents
Fmge Jan 2023 Pyq PDF
Fmge Jan 2023 Pyq PDF
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.
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
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
O1:
Pseudostratified columnar epithelium
O2:
Non-keratinized squamous epithelium
O3:
Stratified squamous epithelium
O4:
Transitional epithelium
Ans: 4
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
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
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
Ques No: 7,QuesID : 794042
Subject: Anatomy
Topic: Head and Neck
Sub-Topic:
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
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
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
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
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
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
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
O1:
Melanocyte-stimulating hormone
O2:
Cholecystokinin
O3:
Ghrelin
O4:
Leptin
Ans: 3
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
O1:
Potassium
O2:
Sodium
O3:
Bicarbonate
O4:
Hydrogen ions
Ans: 2
O1:
Methemoglobin
O2:
HbA
O3:
Fetal hemoglobin
O4:
HbS
Ans: 1
Ques No: 22,QuesID : 794079
Subject: Biochemistry
Topic: Carbohydrate Metabolism
Sub-Topic:
O1:
Human immunodeficiency virus
O2:
Hepatitis B virus
O3:
Human papillomavirus
O4:
Herpes simplex virus
Ans: 4
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
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
O1:
Frontal sinus
O2:
Pyriform sinus
O3:
Ethmoid sinus
O4:
Maxillary sinus
Ans: 4
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
O1:
Hearing high-frequency sounds
O2:
Linear acceleration
O3:
Angular acceleration
O4:
Hearing low-frequency sounds
Ans: 2
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
O1:
Neutropenia
O2:
Broad spectrum antibiotics
O3:
Uncontrolled diabetes without DKA
O4:
Prolonged use of steroid
Ans: 2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
O1:
Competitive inhibition
O2:
Allosteric Inhibition
O3:
Uncompetitive inhibition
O4:
Noncompetitive inhibition
Ans: 4
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
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
O1:
Procalcitonin
O2:
Fecal lactoferrin
O3:
Tissue transglutaminase IgA
O4:
High-sensitivity C-reactive protein
Ans: 2
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
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
O1:
IgE mediated
O2:
Defective cellular and humoral immunity
O3:
Autoimmunity
O4:
Chronic microbial infections
Ans: 3
O1:
Mesothelioma
O2:
Acute myeloid leukemia
O3:
Hepatic angiosarcoma
O4:
Skin carcinoma
Ans: 1
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
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
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
Ques No: 68,QuesID : 794217
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
O1:
All of the options given below
O2:
Neutropenia
O3:
Reticulocytopenia
O4:
Decreased haptoglobin
Ans: 4
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
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
Ques No: 75,QuesID : 794238
Subject: Pathology
Topic: Renal System
Sub-Topic:
O1:
Mural thrombi
O2:
Curschmann spirals
O3:
Renal casts
O4:
Bence-Jones proteins
Ans: 3
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Ques No: 103,QuesID : 794317
Subject: PSM
Topic: Preventive Medicine in Obstetrics, Pediatrics and Geriatrics
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
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
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
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
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
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
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
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
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
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
A patient presented with itchy lesions, as shown below. What is the diagnosis?
O1:
Scabies
O2:
Lichen planus
O3:
Psoriasis
O4:
Warts
Ans: 2
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
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
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
O1:
Bupropion
O2:
Escitalopram
O3:
Venlafaxine
O4:
Fluoxetine
Ans: 1
The Mental State Examination (100-7) examines which of the following mental functions?
O1:
Judgment
O2:
Language
O3:
Orientation
O4:
Concentration
Ans: 4
O1:
Anxiety
O2:
Depressed mood
O3:
Dream-like state
O4:
Decreased appetite
Ans: 3
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
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
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
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
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
O1:
Barberio's test
O2:
Takayama's test
O3:
Teichman's test
O4:
Spectroscopy
Ans: 1
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
Ques No: 140,QuesID : 794384
Subject: Forensic Medicine
Topic: Indian Legal System & Medical Jurisprudence
Sub-Topic:
O1:
Police inspector
O2:
Jail superintendent
O3:
Superintendent of Police
O4:
Executive magistrate
Ans: 4
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
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
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
O1:
Mugging
O2:
Garrotting
O3:
Burking
O4:
Bansdola
Ans: 3
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
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
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
Ques No: 148,QuesID : 794394
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
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
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
O1:
CO Poisoning
O2:
Hydrogen sulphide
O3:
Yellow phosphorus
O4:
Hydrogen cyanide
Ans: 1
O1:
Hyperthermia
O2:
Exhaustion
O3:
Heart atrophy
O4:
Hypotension
Ans: 1
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
How much oxygen is given to a term infant with respiratory distress during resuscitation?
O1:
21%
O2:
50%
O3:
70%
O4:
100%
Ans: 1
O1:
HIV positive mother
O2:
Galactosemia in infant
O3:
Hepatitis C in mother
O4:
Tuberculosis in mother
Ans: 2
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
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
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
According to the neonatal resuscitation protocol, below what heart rate are chest
compressions initiated?
O1:
50
O2:
60
O3:
80
O4:
100
Ans: 2
O1:
Skeletal system
O2:
Brain
O3:
Lymphoid growth
O4:
Dental growth
Ans: 2
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
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
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
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
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
O1:
a.Linear stapler
O2:
b.Skin stapler
O3:
c.Circular stapler
O4:
d.Curved stapler
Ans: 1
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:
Aortic regurgitation
O3:
Tricuspid stenosis
O4:
Pulmonary arterial hypertension
Ans: 1
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
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
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
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
Ques No: 201,QuesID : 794548
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
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
Which of the following drugs reduce mortality in a patient with heart failure?
O1:
Metoprolol
O2:
Furosemide
O3:
Prazosin
O4:
Torsemide
Ans: 1
O1:
Autosomal dominant
O2:
Autosomal recessive
O3:
X-linked recessive
O4:
X-linked dominant
Ans: 1
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
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
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
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
O1:
Fried egg appearance
O2:
Flexner - Wintersteiner rosettes
O3:
Psammoma bodies with whorling of tumor cells
O4:
Homer - Wright rosettes
Ans: 3
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
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
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
O1:
Stria gravidarum
O2:
Chloasma
O3:
Linea alba
O4:
Linea nigra
Ans: 4
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
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
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
Ques No: 222,QuesID : 794613
Subject: Radiology
Topic: Hepatobiliary Radiology
Sub-Topic:
O1:
a.V
O2:
b.IVa
O3:
c.VII
O4:
lll
Ans: 1
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
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
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
Ques No: 228,QuesID : 794647
Subject: Gynaecology & Obstetrics
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
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
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
O1:
Transient tachypnea of newborn
O2:
Congenital diaphragmatic hernia
O3:
Esophageal atresia with tracheo-esophageal fistula
O4:
Respiratory distress syndrome
Ans: 3
O1:
External capsule
O2:
b.Internal Capsule
O3:
c.Caudate nucleus
O4:
Putamen
Ans: 2
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
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
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
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
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
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
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
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
O1:
Marginal
O2:
Low lying
O3:
Incomplete
O4:
Complete
Ans: 1
Ques No: 245,QuesID : 794720
Subject: Surgery
Topic: Gastrointestinal Surgery
Sub-Topic:
O1:
Android pelvis
O2:
Gynecoid pelvis
O3:
Anthropoid pelvis
O4:
Platypelloid pelvis
Ans: 2
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
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
O1:
Malpresentation of fetus
O2:
Heart disease in mother
O3:
Premature labour
O4:
Hypothyroidism
Ans: 1
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
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
Which of the following is the process of breaking the clavicle during delivery?
O1:
Craniotomy
O2:
Symphysiotomy
O3:
Zavanelli manoeuvre
O4:
Cleidotomy
Ans: 4
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
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
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
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
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
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
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
Which of the following structures marked in the image contains the splenic artery?
O1:
2
O2:
1
O3:
3
O4:
4
Ans: 4
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
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:
T2-T3 intervertebral disc
O3:
T5-T6 intervertebral disc
O4:
T4-T5 intervertebral disc
Ans: 4
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
O1:
At the junction of L1 & L2
O2:
At the junction of L2 & L3
O3:
At the junction of T12 & L1
O4:
At the junction of L3 & L4
Ans: 4
Ques No: 270,QuesID : 794786
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
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
O1:
Copper
O2:
Zinc
O3:
Calcium
O4:
Selenium
Ans: 3
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
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
O1:
Catalase
O2:
Superoxide dismutase
O3:
Cytochrome c oxidase
O4:
Pyruvate dehydrogenase
Ans: 3
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
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
Ques No: 279,QuesID : 794810
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
A patient with a history of hypertension is given the drug 'X'. Identify 'X'?
O1:
Captopril
O2:
Spironolactone
O3:
Aliskiren
O4:
Losartan
Ans: 3
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
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
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
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
O1:
Beriberi
O2:
Pellagra
O3:
Xerophthalmia
O4:
Neuropathy
Ans: 3
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
Ques No: 291,QuesID : 795744
Subject: Dermatology
Topic: Viral Infections
Sub-Topic:
O1:
Herpes simplex
O2:
Herpes zoster
O3:
Molluscum contagiosum
O4:
Chicken pox
Ans: 2
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
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
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
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
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
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:
Aortic regurgitation
O2:
Tricuspid regurgitation
O3:
Aortic stenosis
O4:
Mitral regurgitation
Ans: 2
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
Ques No: 300,QuesID : 795881
Subject: Physiology
Topic: Cardiovascular System
Sub-Topic:
O1:
Sepsis
O2:
Dehydration
O3:
Hypokalemia
O4:
Cerebral edema
Ans: 4
If you wish to access the detailed explanations for the correct and incorrect options of
these questions, download the PrepLadder app now.