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1) CV of Kawasaki disease. Treatment?

• IVIG and low dose aspirin

• IVIG and high dose aspirin

2) CV of Parvo B19 infection with pic of boy. Management?

• Ibuprofen
• Isolation

3) CV of BPPV. Management?

• Repositioning (may be similar word)

4) Patient presented with right sided hearing loss, vertigo, problem in balance, sensory deficit
on face. Diagnosis?

• Vestibular neuritis
• Labyrinthitis
• Posterior inferior cerebellar infract

5) 2 questions from age related macular degeneration (easy)

6) CV of ALS. Diagnostic test?

• MRI of head
• Lumbar puncture
• Electrodiagnostic test

7) CV of methemoglobinemia? Cause was asked. All options were related to some kind of
enzyme deficiency, though very confusing.

8) CV of unprotected intercourse. Best emergency contraception? (IUCD was not in option)

• Combine OCP
• Depot injection
• Oral levonergestrel

9) CV of Ectopic pregnancy. Patient was hypotensive. TVUS failed to locate gestational sac. NBS?

• CT scan of abdomen and pelvis

• Emergency laparoscopy

10) Patient with murmur, no previous history IE, need dental care. Prophylaxis?

• Lot of options with different antibiotics

• No prophylaxis needed
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11) Child with bilateral cataract, depressed nasal bridge, epicanthal fold, single crease in hand,
heart murmur. Diagnosis?

• Congenital rubella
• Trisomy 21

12) 2 weeks ago dose of levodopa was increased to address increasing symptoms of Parkinson.

Patient symptoms improved significantly but he developed visual hallucination. Did not want
to reduce the dose of levodopa. Management?

• Add chlorpromazine
• Add Quetiapine

13) A child with ADHD developed tics. Patient is at increased risk of

• Moderate to severe tics throughout the life

• OCD

14) Case of exertional heat stroke. What determines poor prognosis?

Don’t know exact options. Those were like temperature of patient, mental status etc.

15) Patient with Peripheral vascular disease. Pedal pulses were not palpable. What would
improve the morbidity of the patient

• Cilostazole
• Clopidogrel
• Graded exercise

16) patient with SCID exposed to chicken pox. Management?

• IVIG

17) 37 years’ para 1 women came for preconception counselling. Previous history of
pregnancy induced heart failure with ejection fraction of 23%. Preterm delivery of 1 st child
via LSCS. After the delivery of the child heart failure got resolved and recent ejection fraction
is 53%. Which of the following factors poses greatest risk for next pregnancy?

• Ejection fraction
• Age of mother
• Preterm delivery
• LSCS

18) A scuba diver was travelling on an airplane, had done scuba diving 2 hours before the
flight, develop acute symptoms of bends. Management?

• Emergency landing
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• Forgot other options

19) Absolute contraindication of organ donation

• HIV
• Hep B
• Hep C
• Creutzfeldt Jakob Disease

20) CV of depression, trazodone was prescribed. Patient presented with priapism. NBS

• Give citalopram

21) recurrent history of nose bleed. Prolonged aPTT. Cause?

• Von willebrand factor deficiency

22) Mom has FAP syndrome and Father is clean. What is the chance of having a child with
FAP syndrome?

• 0%, 25%, 50%, 100%

23) Mom was worried about the genu varum deformity of leg of her 15 months old son. NBS?

• Reassurance (genu varum deformity is normal in children below 2 years)

24) CV of Traceomalacia. We have to make the diagnosis.

25) CV of bluish discoloration of skin and mucus membrane. Mom applied Benzocaine to the
child’s gum because he was teething. Cause of bluish discoloration?

• Benzocaine (methemoglobin formation)

26) CV of a child with supra ventricular tachycardia. What is the next best step of
management?

• Eye ball pressure

27) 2 CV of coeliac disease. How do you diagnose?

• Tissue transglutaminase measurement

28) CV of acute DVT. How do you treat? (renal function was not given)

• Rivaroxaban
• Warfarin
• SC Heparin TDS

29) CV of generalized tonic clonic seizure. What is decreased on patients serum?

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• Na
• K
• Ca
• Hco3 (may be due to lactic acidosis)

30) Histological Pic of Tumor like below was given (alternating hyper cellular and hypo
cellular area. Tumor was arising from cranial nerve/ obstructing ……. foramina. Cell of origin
of tumor?

• Schwannoma

31) A group of scientist are trying to find a screening test for some disease. ROC is given.
Which point on ROC helps to identify the maximum no of cases of the disease.
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32) a woman presented with diarrhea for 2 weeks. Recently returned from Africa. Blood
Investigation shows eosinophilia (may be 13%). Cause of diarrhea?

• Giardia
• Amoeba
• Strongyloides stercoralis

33) History of chronic sinusitis, cough with bloody sputum, dyspnea, hematuria ( seems like CV of
granulomatosis with polyangiitis). Which of the following is found on blood test?

• cANCA

34) A boy is presented with coloboma and abdominal mass. CT abdomen looks like below pic.

Diagnosis?

• Wilm’s tumor

35) A woman, who was taking PTU for hyperthyroidism, presented with sore throat. CBC
showed 2000 WBC. Diagnosis?

• PTU induced agranulocytosis

35) Pic of hysterosalpingography was given. What is the risk for future pregnancy?
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• Preterm delivery

36) 15 years old child presented with high graded fever, flu like symptoms, rashes on body
palms and soles. Return from New York (camping ??) 2 days ago. Diagnosis?

• Coxsackie virus
• Rocky mountain spotted fever

37) CV of type 2 HIT (heparin induced thrombocytopenia). Patient was taking heparin for more
than a week. Presented with large ecchymosis on trunk and lower limbs. Platelets count was
less than 50,000. Diagnosis?

• Type 2 HIT

38) CV of pelvic inflammatory disease. Treatment

• IM ceftriaxone and oral doxycycline for one week

• Other options can be easily ruled out.

39) CV of Subclavian steal syndrome. Have to make the diagnosis.

• Subclavian steal syndrome

40) Pregnant women presented with excessive vomiting. Metoclopramide was prescribed. After
one week came with inner restlessness. Cause?

• Antagonism of D2 receptor (Akathesia)

41) CV about delayed sleep wake phase disorder. History of inability to fall asleep at night and
excessive morning sleepiness in morning classes. During weekend slept till noon and got
refreshed. Diagnosis?

• Delayed sleep wake phase disorder

• Advanced sleep wake phase disorder
• Narcolepsy
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42) CV of congenital hip dysplasia. Treatment?

• Pavlik harness
• POP

43) CV of Metatarsus adduction. Treatment?

• Reassurance

44) young girl (may be 24 years) presented with typical features of fibroadenoma. NBS

• Follow up after 3 months

• USG

45) Above 40 year women, micro calcification was seen on mammography. NBS?

• MRI
• Core biopsy

46) 16 years old girl, primary amenorrhoea. Breast development is normal. Blind vaginal pouch. A
small firm mass can be palpated on inguinal region. Diagnosis?

• 5 alpha reductase deficiency

• Androgen insensitivity
In 5 alpha reductase deficiency, normal serum testosterone level suppresses breast
development.

47) HIV patient with ulcerated papule and nodule on limbs and trunk. CD4 count 80. Biopsy of the
lesion shows highly vascular connective tissue with neutrophil infiltration. Treatment of Choice?

• Erythromycin (for Bacillary angiomatosis)

48) A 15-month old boy presented with phimosis. Treatment?

• Vigorous retraction twice a day

• Topical estrogen cream application
• Elective circumcision

49) A G2 P2 woman presented with urgency and urinary incontinence. Incontinence was not
associated with wt lifting and coughing. Both babies were delivered via LSCS. Urinalysis Normal.
Treatment?

• Tolterodine

50) CV of Kaposi sarcoma. HIV + patient, low CD4 count, blueish lesion on skin and mucous
membrane. pic given. Cause?
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• HHV 8

51) a woman with 16 week of pregnancy came to the office with USG scan of fetus which showed
anomalies similar to that of Down syndrome. Woman want best diagnostic method as soon as
possible.

• Quadruple test
• Chorionic villus sampling
• Amniocentesis
• Maternal blood free DNA test