(BO NOT OPEN THIS TEST BOOKLET UNTIL YOU ARE ASKED TO DO SO} Test Booklet Series T. B.C. : AS/2019 TEST BOOKLET MEDICAL OFFICER SLND. 1857 (ASSISTANT SURGEON) Time Allowed : 3 Hours Maximum Marks : 200) : INSTRUCTIONS TO CANDIDATES : 1. IMMEDIATELY AFTER THE COMMENCEMENT. OF THE EXAMINATION, YOU SHOULD CHECK THAT THIS TEST BOOKLET DOES NOT HAVE ANY UNPRINTED OR TORN OR MISSING PAGES OR ITEMS ETC. IF SO, GET IT REPLACED BY A COMPLETE TEST BOOKLET OF THE SAME SERIES ISSUED TO YOU, 2. ENCODE CLEARLY THE TEST BOOKLET SERIES A, B, COR D, AS THE CASE MAY BE, INTHE ‘APPROPRIATE PLACE IN THE ANSWER SHEET USING BALL POINT PEN (BLUE OR BLACK). 3. You have to enter your Roll No. on the Test Booklet in the Box provided alongside. DO NOT write anything else on the Test Booklet. 4, YOU ARE REQUIRED TO FILL UP & DARKEN ROLL NO., TEST BOOKLET / QUESTION BOOKLET SERIES IN THE ANSWER SHEET AS WELL AS FILL UP TEST BOOKLET / QUESTION BOOKLET SERIES AND SERIAL NO. AND ANSWER SHEET SERIAL NO. IN THE ATTENDANCE SHEET CAREFULLY. WRONGLY FIL|_ED UP ANSWER SHEETS ARE LIABLE FOR REJECTION AT THE RISK OF THE CANDIDATE. 5. This Test Booklet contains 200 items (questions). Each item (question) comprises four responses (answers). You have to select the correct response (answer) which you want to mark (darken) on the Answer Sheet. In case, you feel that there is more than one correct response (answer), you should mark (darken) the response (answer) which you consider the best. in any case, choose ONLY ONE response (answer) for each item (question), 6. You have to mark (darken) all your responses (answeis) ONLY on the separate Answer Shoot provided by using BALL POINT PEN (BLUE OR BLACK). See instictions in the Answer Sheet. 7. All items (questions) carry equal marks. All items (questions) are compulsory. Your total marks will depend only on-the number of correct responses (answers) marked by you in the Answer Sheet, There will be no negative markeing for wrong answer 8. Before you proceed to mark (darken) in the Answer Sheet the responses to various items (questions) in the Test Booklet, you have to fill in some particulars in the Answer Sheet as per the instructions sent to you with your Admission Certificate. 9. After you have completed filling in all your responses (answers) on the Answer Sheet and after Conclusion of the examination, you stiould hand over to the Invigilator the Answer Sheetissued to you. You are allowed to take with you the candidate's copy / second page of the Answer ‘Sheet along with the Test Booklet, after completion of the examination, for your refarence, 10. Sheets for rough work are appended.in the Test Booklet at the end, (CO NOT OPEN THIS TEST BOOKLET UNTIL YOU ARE ASKED TO DO SO} ‘IWaS4... Which nerve passes through pronator (8) Splenicvein teres muscle ? (C)_ Left renal vein (A) Musculocutaneous nerve : (D) Inferior vena cava <(B) - Ulnarnerve (C) Radial nerve 6. Skeletal muscle weakness in (0) Median nerve Myasthenia Gravis is due to circulating antibodies to the : 2, What passes through foramen (A) « Muscarinicreceptors ovale ? (A) Maxillary nerve (B) Nicotinic receptors (8) Ophthaimicnerve (©) Both (A) and (B) (C) Mandibular nerve {D) None ofthese (0) Faciainerve 7. Fast pain sensation is transmitted 3. Pineal gland is a part of oe (A). Dorsal thalamus (A) Adelta fibres (8) Epithalamus (B)_ Aalpha fibres (C) Subthalamus (D) Metathalamus ° (©) Fibres : i No 4, Oesophageal epitheliumis : Oa (A) Stratified squamous 8 G-34Fragment of Gastrin has.a half (8) Coumnar life of : (C) Columnarciliafed —- (A) Sminutes (D) Cuboidal . (8) 10 minutes 5. ‘Left gonadal vein drains into: (C) 15 minutes (A) Left common iliac vein {D). 20 minutes SA-1A/34 (2) . Contd:9. Asoftlowpitched Thirdheartsound 13. in many young individuals is due to : A) vB) (©) (0) Mitral stenosis Mitral regurgitation , Aortic regurgitation None of these 10. The principal neurotransmitter ofthe ~ 14. glomus cells of carotid and aortic bodiyis (A) (8) (C) (0) Glutamine Serotonin Dopamine Noradrenaline a 11. Which one of these is excreted in i essential pentosutia? : (A) Ribose ®) Xylose (©) Ributose “2 4B)" xyldloge® 12. Methylmalonic aciduria occurs in the 16. deficiency of which one ? () thiamine (8) Biotin (©) Vitamin 812 (©) Pyridoxine (3) Which one inhibits the activity of hormone sensitive lipase ? (A) Insulin 8) () (0) ‘Glucagon Epinephrine Thyroxine Which one can interfere with glycosylation of VLDL ? A) (B) Betaine (C)’ Orotic Acid Choline (0) Selenium: Which is the most potent form of HDL. that induces cholesterol efflux from. ‘ the tissues ? (A) HOLA (8) HOL2 (C) HOLS (0) Pre Beta HDL ‘Which complex of respiratory chain is inhibited by BAL ? (A) Complex! « (8) Comptexi (C) Complex (0) Complex iv (Tum over)17. Which one of the enzymes uses 24," If a drug is absorbed through skin, inelcouler oxygen asa eee what is the order of maximum acceptor? percutaneous absofption of the drug (A) Catalase fromthe given routes ? (8) Superoxide Dismutase ; (A) Posterior auricular > Scrotum > (©) Cytochrome c Oxidase Si > De of hi > (0) -Isocitrate Dehydrogenase cae ep oeun oe Plantar area 18. Which one is a 03 fatty acid? (8) Palmitoteic acid (8) Scalp > Scrotum > Posterior ©) Linoleic acid auricular > Dorsum of hand > (CG) Timriodimic acid Planter. area (0) Elaidic acid (C) Plantar area> Dorsum of idnd"* 49. Plasmalogens resembles which Scalp > Scrotum > Posterior one? * auricular (A) Phosphatidyl Choline “ (B) Scrotum > Scalp > Posterior (8) Phosphatidic Acid auricular > Dorsum of hand > (C) Phosphatidyl Ethanolamine Plantar ar {D)_Phosphatidy! Inositol eR 22. Which of the following Is a 20. Which one is a potent CDK-cyclin " Peat prodrug ? inhibitor ? (A) P53. (A) Enalapril (B) P63 (8). Clonidine One (C) Salmeterol (0) Pat +. (OY Acetazolamide SA-1A/34 (4) » s\Contd.:23; Apatientpresents to emergency with (C) Mematine pin point pupil, salvation, lacrimation, _()_Galantamine tremofs and, bronchoconstriction. 26. . Nitric oxide acts via Plasma cholinesterase level was 30% of normal. Most. probable aches diagnosis is : (8) oGMP (A) Organophosphorus poisoning (C) Ca (B) ‘Datura poisoning (0) K © Opiod poisoning 27. Most effective non-habit forming (D) Pontine-haemorrhage sedative is : 24.. , Which of the following drugs acts on (A) Lorazepam . trabecular meshwork and affects the (8) Zolpidem aqueous outflow ? (C). Flurazepam A) Total (0) Trazadone 2 : (8). Pilocarpine, 28, Fosphenytoin is different from (©). Brimonigine phenytoin in which of the following ©) Brinzolamide aspect ? 25. Which of the folowing is available as (A) Can be used in absence of patch for once daily use andi likely eee to provide steady drug levels to treat (8) Can be mixed with dextrose Alzheimers’ disease ? (C)_ Can be given orally (A) Rivastigniine (0) It is the drug of choice of (8) Donepezil’* myoclonic seizures SA 1A34 (5) : (Tum over)29. Which of the following is mostlikely- 32. to be effective against multidrug resistant strains of M. tuberculosis, including those resistant to streptomycin ? (A) Amikacin (8) (©) 0} Clarithromycin 33. Gentamicin Spectinomycin 30. Comimon dose dependent side effects of Ethambutol is: a) (8) Red urine Optic neuritis © © Nephropathy Peripheral Neuropathy 31. Reed Sternberg cell in classic Hodgkin's lymphoma is charac- teristically positive for: _ 36. (A) CD3 and CD7 (8) CD16 and CD30 (C) CD19 and CD20 () CD45 and CD79a sA-1A/34'" (6) Malignancy not associated with BRCAt mutations: (A) Breast carcinoma (8) Ovarian carcinoma (©) Carcinoma cervix * (D) Carcinoma prostate HbF is markedly increased in: (A) B-Thalassemia major (©). Sickle cell homozygous (Cc) (D) Sickle cell heterozygous* {Thalassemia minor |. _ Allare opsonising agents except : (A) C3b (8) C5a (c) ©) lgG Plasma lectin EGFR mutation is common in: A) ®) (©) ©) ‘Squamous cell carcinoma lung ‘Adenocarcinoma lung Small cell Garcinoma iung Carcinoid tumor 6flung “Contd.36. Alfa-feto protein is raised in : 40: (A) ° Endometrial carcinoma (8) Yoksac tumor (©) - Lung carcinoma (D) Osteosarcoma 37. Alkaline phosphatase is markedly raised in : at (A). Hepatocellular Jaundice (B) Obstructive Jaundice (©) Hemolytic Jaundice (D) Megaloblastic anemia. 38. EBV virus.is, associated with all malignancy except: 2 (A) Burkitt's lymphoma ©) Hepatocellular carcinoma (©) Nasopharyngeal carcinoma © Hodgkin's lymphoma 39. Microcytic hypochromic blood is ; . picture seen in all except: : (A). . tron deficiency anemia (8) Sideroblastic anemia (C) Thalassemia trait © Acute blood loss SA~1A/34 (7) Decompression sickness is an example of : (A) Fatembolism (B) Amniotic‘luid embolism (C) Thromboembolism (0) Airembolism Which of the following article can be sterilized by hot air oven ? (A) - Culture media (8) Gloves (C) Aprons (0) Glasswares Vector for endemic typhus is : (A) Louse (8) Retflea (©) Tick (0) Mite Pandeimics of influenza are due to: (A) Antigenic shift (8) Antigenic drift (©) P-Q-R variation (2) O-Dvariation (Tum over)44. Which immunoglobulin crosses placental barrier ? (A) IgM (8) 6G (C) A 48. “O) WE 45. Which of the following larval forms of Ankylostoma duodenale infect humans ? (A) Rhabditiform larvae (®) Filariform larvae (C) Third stage larvae (0) Miracidia 46, Cryptococcus neoformans has a prominent capsule composed of: Ha 49. (A) Peptidoglycan (8) Lipopolysaccharide (C)- Polysaccharide (D) Lipoteichoic acid 47. Secretory component of IgA is synthesized by: (A) Plasma cel SA~1A/34 (8) (B) Epithelial cells (C) Blymphooytes (D) Tlymphocyte Which is True regarding Polio vaccine? (A) Salk vaccine is administered orally (8) Sabin's vaccine is a live attenuated vaccine (C) OPV in India is given in monovalent form i (0) Sabin's vaccine is indicated in HIV infected individual In partially treated case to enteric fever most appropriate sample for isolation of salmonellais: ‘ (A) Blood ®) Urine (C) Bonemarrow (0) CSF Contd.50. A baby is born at full term with a _ petechial rash, low birthweight, hepatosplenomegaly and cataracts. Which ofthe folowing conciton inthe mother during pregnancy is most likely to have caused this clinical presentation : (A) Cytomegalovirus {8) Group B streptococcus (C) Rubella virus (D). Treponema pallidum 51. The most useful single indicator for the time of death during the first 24 hours post-mortem is : (A) Rigot mortis (8) Livermortis AC) Algor mortis (0) " Post-mortem decomposition 62, Perjury means giving wilful false evidence by a witness while under oath. The witness is liable to be prosecuted for perjury and the imprisonment may extend to seven SA~1A/34 ‘ (9) 53, 54. 55. years. This falls under which section of IPC? (A) 190 (8) 194 () (0) 193 192 Science of studying fingerprints is: (A) Dermatographism (8) Dermatoglyphics (C) 0) Dermatobraftism Dermatistry An Jrfesistible desire to set fire to things : (A) Mutilomania (8) () ©), Kleptomania Pyromania Dipromania ‘Run-Amok’ is found in poisoning with: A) ® (c) (0) Cannabis Datura Opium Cocaine (Turn over)56. Parkland formula for burns is for : 60. (A) Ringer lactate (8) Glucose saline (C)_ Normal saline. (D) 25% dextrose 57. When a seat belt is worn, if an accident occurs, sudden decele- 61. ration can result in: (A) Rupture of mesentery (8) Liverinjury (©). Spleen injury (0) Vertebral injury 58. Leading questions are permitted 6, only in: (A) Examination in-chief (B) Cross-examination (©) Dying decleration (0) Re-exainination 59. Disputed paternity can be solved by 63. using the following tests except: (A). Blood grouping (8) HALtyping (C) Precipitin test (D) DNA fingerprints SA-1A/34 (10) Gastric lavage is contraindicated in poisoning with : (A) Kerosene (8) Arsenic (C)_ Organophosphorous (0) Dhatura Barberio’s test is done for : (A) Blood (®). Urine : (C) Saliva (0) Semen Gas in great vessels of foetus indicates : (A) Foetaldistress (B) Post-mature foetus (©) Foetal death (D) Premature foetus Paraphilias are all except : (A) Incest (8) Transvestism (©) Frotteurisni (0) Masochism ‘Contd.64. Most reliable test for identification of 65, 66. 67. SA=1A/34 blood stain : (A) _Benzidine test (8) Spectroscopic test © 0 Perception test Haemin test Following is NOT true about fresh water drowning: (A) Hyperkalemia (8) Ventricular fibrillation (©) Hemolysis (0) Hypovolemia ILR temperature should be maintained at: (A) +2°Cto+8°C (B). +5°C to+ 8°C (C) #1°Cto+8°C (0) +2°C to + 10°C HDI includes all except: (A) Mean years of schooling (B) Life expectancy at birth (C) Life expectancy at age 1 (P) Gross national income per capita (1) 68. 69. 70. Out of the 17 goals of SDG which goallis specifically devoted to health ? (A) 5 ®) 8 (ce) 3 (0) 12 Which is the most initial step of investigation of an epidemic ? (A) Defining population at risk (8) Confirmation of existence of epidemic (C) Verification of diagnosis (0) Rapid search of all cases Which of the following is a live vaccine? (A) DPT Vaccine (8) Hep B vaccine (C) Tetanus vaccine (0) Measles vaccine |. APlis: (A) Annual Parasite Index (®) Average Parasite index (C) Animal Parasite Index (D) Annual Parasite Incidence (Turn over)72, Primaquine is contraindicatedin: + 76. (@)- Adultwith diabetes (8) Adolescents (©) Infants (0) Geriatrics 77. 73. - Yellow fever vaccine starts protecting after how many days of injection ? (A) Sdays (8) 7days (C) 10days (D) 14d: (0) lays: 78, 74. Which of the following indices of obesity is height independent ? (A) Quetelet's index (8) Ponderal index (C) Brocas index (Q) Corpulenae index 79, 75. WHO was established in: i (A) 1945 (B) 1948 (C) 1950 (D) 1956 SA- 1A/34 (12) Horrock’s apparatus estimates : (A) Freechlorine (8) Combined chlorine (C) Both (A) and (B) (D) Chlorine demand: Exclusive breast feeding should contain till the age of : (A) 4months (8) Smonths (©) Bmonths (0) 10months Denominator for thaternal mortality ratios (A) Totalnumberoflive ith (@) Total number ofinfantdeaths (C) Total number of under deaths (D) Total no of women iri reprodue- tweyears””” Which of the following is a water borrie disease ? (A) Typhoid (8) . Measles (C) Tuberculosis (0) Scabies Conia,80. 81. 82. -O) 8) oO Principles of health education includes all except : A) ®) (c) (D) Participation Motivation Reinforcement Punishment What microscopic test is done to confirm the diagnosis in superficial dermatophytosis ? A) ®) (c) KOH mount Gram stain ‘Skin Smeat for AFB ‘Tzanck smear 85. All the following topical therapy are used in psoriasis except (A) _Mometaxone Caleipotrio! Tazarotene (D) Terbinafine ‘A20yearmiale is presented with two hypo pigmented anaesthetic patch on back and one tender thickened right ulnar nerve, All the following drugs can be used except: (A) Dapsone (8) Prednisolene SA= 1A/34 (13) (©). Ritampicin () - Piperaciltin |. Which cells are seen in Tzanck Smear in a Pemphius vulgaris patient 7 (A) Sezaryeells (8) Foam cells (©) Acantholytic cell (0) Giant cell Which classification is used. for Androgenetic Alopecia in man ? (A) Hamilton-Norwood (8) Hanifin-Rajka (C) Ridley-Jopling (PD) Hutchison Signs of raised intracranial tension ina child in a skull X-ray ; (A) Separation of sutures (B) : Tense anterior Fontanelle (C) Silver beaten appearance of thebones (0) Allofthese ‘ (Tum over)87. 88. 89. 90. Basal Ganglia calcification is not seenin: i (A) Wilson's disease (8) Berryaneurysm © _Cysticercosis (0) Haemangioma Commonest cause of intracranial calcification in adult is (A) Pineal Calcification (B) intracranial Calcification (©) Meningioma (D) Tuberculoma ‘Suprasellar calcification is seen in: (A) Craniopharyngioma (B). Meningioma {C) Pineal calcification + (D) Cysticercosis In brain infarct, MRI may be hegative upto: (A) 2-4hours postictus (8) 8t0 46 hours _ SA=1A134 (14) (©), 16-32hours, os, ae (0) Upto 72 hours 91. Whathappen in Mandibular Fracture Oy rt cases ? (A) Apnea (8) Occlusal Derangement (©) Cyanosis (0) Dyspnea 92. Abnormal coagulation time will occur in patients with : (A) Hemangioma (©) ‘Hemophilia; (C) Thalassemia hy (2) Von Willebrand diseases: 93. Myofacial pain dysfunction syndrome there is a tenderness about which muscles ? (A) Masseter (8) Medial Ptorygoid (C) Temporalis (D) Lateral Pterygoial Contd.94. Most common malignancy of oral 95, 97." cavity is: (A) Basal cell carcinoma ® (C) Melanoma 0) Transitional cell carcinoma Squamus cell carcinoma * Trismus associate with lateral pharyngeal space related to iritation ofthe (A) Medial pterygoid (8) Lateral pterygoid muscles (©) Masseter muscle (0) Medial constrictor of pharynx All are true about Wolff-Parkinson- White syndrome except: (A) More,common in females (8) Deltawave inECG (C)_ HIS bundle’ study is done for diagnosis “'(®) Can occurin normal heart Blood pressure is difficult to measure in patient with : (A) Mitral stenosis (8) Aortic stenosis (C) Complete heart block (D) - Atrial fibrillation SA- 10/34 (15) 98. 99. 100. 10 Drug of choice in’ maintenance of * PSVT: (A) Amiodarone (8) Lignocaine (©) Verapamit (D) Adenosine CSF glucose is : (A) Halfthe plasma glucose 8) 1/3rd plasma glucose (C) 2/3rd plasma glucose (D) Same as plasma glucose Type of sensation lost on same side - in Brown Sequard syndrome is: (A) Pain (8) Touch (C) Proprioception (0) Temperature In Parkinsonism, which is not present ? (A) Tremors at rest ®) © Past pointing Akinesia (0) Rigidity (Turnover)102. Addison's disease is characterized byallexcept (A) (8) (c) (0) Hyperglycemia Hypotension Hyperkalemia Hyponatremia 103. Microalbuminuria refers to urinary albumin excretion rate : “” (8) (c) (0) 30-300 mg/day 400-800 mg/day 700-900 mg/day >100 mg/day 104, A 45 year old.man, known case of chronic renal failure develops ‘rugger jersy' spine. The probable cause is: , “ ®) Aluminum intoxication ‘Secondary hyperparathyroi- dism (c) (0) Osteoporosis Osteomalacia 10! a Characteristic ECG finding of pulmonary embolism : (A) Sinus tachycardia SA~1A/34 (16) 106 8 107 108. x (8), $1373 (C)’ Twave inversion (2) Epsilon waves }. Caplan syndrome is pneumoconiosis with: (A) Lymiphadenopathy (8) (c) Congestive cardiac failure Rheumatoid arthritis (0) HIV Curschmani's spirals in sputum is seenin: A 8) (C) Tuberculosis cavity Asthma Bronchitis (D) Bronchiectasis ‘The most frequent location for spider aingiomata in cirrhosis : (A) Abdomen ®) (©) Back Neck and shoulders (D) Upper and lower extremities Contd.409. In Peutz Jegher’s syndrome, polyps 110. 111. 112. SA- are seen in: (A) Colon (8) Rectum (©) Smallbowel (0) Stomach Charcot’s joint in diabetes affects ‘commonly : (A) Shoulder joint *(B) Kneejoint (C) Hipjoint (0) “Tarsaljoint in Rheumatoid arthiitis, pathology starts from: (A) Articular cartilage 6) Capsule (©) Synovium (0) Muscle Absoliste indication for dialysis are all except: (A) Persistent hyperkalemia (8) CCF (©) Pulmonary edema (0) | Hyperphosphatemia 1/34 (17) 113. 114. 115. 116. Anemia of. advanced -renal insufficiency is best treated by: A). 8) Blood transfusions if Recombinant human + erythropoietin (©) Parenteraliron therapy (0) Folic acid supplementation Polycythemia is commonly seén in : (A). Congestive cardiac fallure @) (c) (0) Hereditary spherocytosis, Chronic cor pulmonale Uncomplicated ASD Commonest site of lytic lesion in multiple myeloma : A) (8) (e) (0) Vertebral column Femur Clavicle Pelvis ‘Tolvaptan is useful for: (A) Hyponatremia ®) Hypematremia : (C) Nephrogenic diabetes mellitus (0). Decreased water clearance (Tum over)117. Mineral which activates action of 118. "1 120. ingulin: (A). Selenium ®) Zine *(C) Chromium 2 8 () “Copper InMarfan's syndrome, thereis defect in protein: i (A) ., Collagen (8). Elastin (C) Fibritin (0): Allofthese Paradoxical breathing is charac- teristic of : (A) 8) Pneumonia Pneumothorax (C). Atelectasis (0) Flail chest Electric alternans is seen in: (A) Cardiactamponade (8) Restrictive cardiomyopathy SA- 14134 (18) 12 122. 8 123, (C) Constrictive pericarditis (D) Right ventricular myocardial’ infarction . All are the causes of pseudotumor- corebri EXCEPT : (A) Nalidixic acid (8) Diabetes ketoacidosis (©) Hypoparathyroidism (0) Acetazolamide ‘Shakir tape is used by health worker tomeasure : (A) Head circumference (8) Armspan (©) Midarm circumference "(D) Standing height Upper segment and lower segment ofa child beceme equal atthe age of: A) yrs (B) tyr (©) 8yrs (2) toyrs ‘Contd.124. Palmo mental reflexis seen in lesion {B) . Gellac disease of: : (C) Crohn's disease (A) Frontallobe: ..: (D) Ulcerative colitis (8) .. Parietal lobe 128. Aspirin is associated with : (C) Temporal lobe . (A) Reiter syndrome (D) Occipital lobe EE (B) Reye's syndrome (C)_ Sjogrens syndrome 126. RETCAM Screening in Newborn is pees (2) Budd-Chiari syndrorne donétodetédt: : : 129. Under IMNCI programme, in (A) inborn errérof métabollsm outpatient health facility, all of the wtiv.A(B)- Ostéopenia of prematurit ~. 2 coe id following are general danger signs (C) Retinopathy of prematurity ee (D) “Fetdthateral blood trairisfusion (A) Convulsion 426. NESTROF testis used for screening wp dP Difficulty breathing ee ©) Vomiting (A) Hereditary spherocytosis, (0) Lethargy “"@) Thalassemia trait 130. In children renal failure in terms of 996 eri te Inupa sine " urine output using pRIFLE criteria (C) Sickle cell anaemia is: (D) G6PD deficiency (A) <0.3milkgihr 4127. MARSH histopathological grading is (8) <0.5mikginr used to diagnose which disease ? (©) -<0.8 mikgihi (A) Tropical sprue « (D).: 38°C or < 36°C. (8) Heartrate > 90/minute (C) Loss of body weight (D) Respiratory rate > 20/minute Following massive blood transfusion, deficiency occurs of all of the following except: A) ®) ¢C @) Clotting factor V: Clotting factor Vill Platelets Leukooytes (Tum over)144 145. 146, 147. SA Which of the following statements about blood storage at 2-6°C after 21 daysis incorrect ? (A) Platelets remain viable (8) (C) pHis 6.74 Potassium increases to 20 millimoles (D) Erythrocyte viability decreases 10 70-80% Hand washing was introduced in patient care by a (8) (c) (0) Joseph Lister William Halsted Philip Iganog Sommelweiss © Harvey Cushig Which one of the following is not essential amiino‘acid ? A) @)" (c) (0) Alamine Lysine Tryptophanx Valine Regarding diverticular disease of colon false statement is : (A) Are mostly asymptomatic (B) 25% complicate as perforation, obstruction, fistulisation : (22) 148. 149, 150. 8) (C) Bleeding usually stops auto- matically (D) Disease of young age Regarding patient with rigid abdomen and free air under diaphragm the possible diagnosis will be. (A) Peptic.ulcer perforation Liver injury with bile duct trauma () (0) Grade il splenicinjury Pancreatic injury with duct disruption In a male child of 7 years which of the following hemia isthe commonest ? (A) Indirect inguinal hernia (8). Direct inguinal hernia (C) Femoral hernia (0). Bilateral hernia: Murphy's sign is positive in : (A) (B) (c) (D) Acute appendicitis Chronic cholecystis Peptic ulcer perforation Acute cholecystitis Contd.151, Easily Broken Bone : Blue selern — Joint Laxity.— Otosclerosis. These are seen in! (A) Arthrogryposis Multiplex Congenita (8) _DiaphysealAchalasis (©). Osteogenesis Imperfect (D) None ofthese 152, Musculoskeletal abnormalities present in Neurofibromatosis: (A) Hyperthropy of mb (B) Scoliosis (C) Pseudoarthrosis (0) Allofthese 153, Commonest site of Skeletal Tuberculosis, (A) Tibia (8) Radius (C) Humerus (0) -Vertebra 184, Which of the following Tumour arises from epiphysis ? (A) Osteosarcoma SA-1A/34 (23) 16! & 158. 187. (8) Ewing's Sarcoma (C) Osteociastoma (0) Multiple Myeloma Rupture of Extensor Pollics Longus Tendon can be seen as complication of: (A) Scaphoid # (8) Galeazzi# (©) Cole's # (0) Chauffeur's # Bennett's # dislocation is the base of which metacarpal ? (A) Fourth (8) Third (C) Second (0) First Pointings index is seen in which nerve palsy ? (A) Ulnar @) Median (C) Radial (2) Axillary (Tum over)188. Syme's Amputations is : (C) Bleeding occurs. from (A) Through Tibia and Fibula « _ Kesselbach’s plexus presentin (8). Through the ankle joint litles area due to nose pricking (C) Through Tarsometatarsal joint ‘(B) Bleeding occurs from (D) Through the Knee joint Woodruff's plexus present in 159. Finkelstein’s Test done for: Posterior part of nasal septum (A) Trigger finger’ due to adenoid (8B) Carpal Tunnel syndrome * 162. In tympanomastoid (unsafe) type of (C) Dequervein's disease C.S.0.M.: (0) Tenniselbow (A) Thereis central perforation and 160. Cotton's # is : foul smelling purulent otorrhoea (A) #Medial Mallelous (B) There is posterior superior (8) #Lateral Mallelous pérforation and mucopurulent (C) #Postetior Mallelous : otorthoea : (0) Allofthese (C) There is total perforation with id otorrh 161. Which statementis true for epistaxis mucord oforrhoea in children ? (0) There is attic perforation and (A) Bleeding occurs from Kessel- +. foulsmelling otorthoea bach’s plexus present in 4¢5 in Quinsy there is collection of Pus dangerous area of nose due to ea tumor (A) Retropharyngeal space (8) Bleeding occurs from Kessel- bach’s plexus present in (8) . Parapharyngeal space dangerous aréa of face due to. (C)_Peritonsillar space vestibulitis (D) Submental triangle SA-1A/34 7 (24) Contd.464, Gradenigo syndrome comprises of : 165. 166. 167. SA- 10/34 a) ®) ) (0) VII nerve palsy, Retro orbital Pain and otorrhoea VI nerve palsy, Retro orbital Pain and otorrhoea Vinerve palsy, absent corneal Reflex and Otorrhoea X.nerve palsy, Retro orbital Pain and otorrhoea Hoarseness of voice is the earliest symptom of : ~A ®) ©) (0) Supraglottic Carcinoma Glottic Carcinoma Subglottic Carcinoma Hypopharyngeal Carcinoma Which of the following will be the most important adjuvant therapy in a case of fungal corneal ulcer ? “ ®) (c) (©) Atropine eye drops Dexamethasone eye drops Pilocarpine eye drops Lignocaine eye drops Areas of focus in Vision 2020 are all except: @) Strengthening advocacy (25) 168. 169. (8) Promotion of integrated eye health policies (C) Building effective partnership across multiple sectors (D) Integrated programmes: for non-preventable blindness ‘56 year old patient complains of decreased distance vision. However, now he does not require his near glasses for near work, The most likely cause is : (A). Posterior subcapstilar cataract (8) Zonularcataract (©) Nuclearsclerosis () Anterior subcapsular cataract A woman complains of coloured halos around lights in the evening, with nausea and vomiting, IOP is normal ; Diagnosis is : (A) Incipient stage, open angle glaucoma (8) Prodromal closure glaucoma stage, angle (C) Migraine (D) Cluster headache ’ (Turnover)170. Malignant glaucoma is seen in: (A) Malignancy (8) After surgery for cataract or glaucoma (©) Trauma (0). Thrombosis 17 The Regimen that is followed in expectant management of placenta praivia : (A) Liley's (8) Cride's (C) Macatee and Johnson (D) Brandt-Andress 17; S ‘A32 weeks pregnant women present with mild contraction and on examination her vitals are stable, Placenta praevia type lll is present, best managements : (A) (8) Bed rest + Dexamethasone methasone (C) Bed rest + Sedation (D) Immediate cesarean section 173. Most common cause of Postpartum hemorrhage is : (A). Uterine atony SA- 10/34 Bed rest + Nifedipine + Dexa- (26) 47 175. 17 a 3 4: (B) - Retained products (C) Trauma (0), Bleeding disorders In which of the following conditions the medical treatment of Ectopic pregnancy is contraindicated ? (A) Sacsize 3.cm @) Blood in pelvis 70 ml © 0) Presence of fetal heart activity Previous ectopic pregnancy The following is always an indigation of LSCS except : (A) Abruptio placenta (B), Untreated stage | Ca cervix (C)_ Active primary genital harpes (0) Type IV placenta praevia In which stage of Ca cervix hydro- nephrosisis seen : A) @®) (c) Stage 2A Stage 3A, Stage 38 (0) ‘Stage 44 Contd.177. Staging of cervical cancer is based on: A) (8) (C) (0) Chest X-ray MRI Clinical examination CT Scan 178, Which is the strongest support of uterus ? AY 8) (C) (0) Levator ani Perineal body Macendrot ligament Round ligament 179. Whatis the most common secondary change in fibroid ? A) (8) Hyaline degeneration Cystic degeneration Red degeneration Fatty degeneration 180, Allare associated with increase risk of fibroid uterus except : A) @®) (©) (0) High fat diet Family history Nulliparity Smoking SA-1A/34 (27) 181. To’ avoid contraception DMPA is given. (A) Monthly (8) Monthly (C) 6 Monthly (0) Yearly 182. Among the following IUCD which has life spat for 10 years ? A) (B) (C) (0) CuT3€0a cuT 200 NovaT Multioad 183 s Ideal contraceptive for lactating mother “” @) (c) (0) Barrier method Gombined OCP Lactational amenorrhea Progesterone only Pill 184. Best investigation to assess tubal patency A) (8) (c) (0) Rubin's test HsG° Laparatomy Laparoscopic chromoper- tubetion (Turnover)185. According to WHO the minimum 188. A multigravida for ANC at 38w 6d normal sperm count in: appear pale and on performing a Hb% (A) 10 million /mi itwas found to be 6g%. What line of (8) 20million/mi management should you give ? fanaa (A) - Continue with oral iron she is million / ml : taking (D). 60 million /mi (8) Start with intravenous iron 188, A known case of heart disease sues delivered by NVD following which (C) Start with intravenous FCM there occurs PPH. Which of the oO Arrange for blood transfusion following drugs is contraindicated in ; | 189. Allcan be used to lower to child HIV thié case ? spread Except: (A) Methylergometrine (A) Elective LScs. (B), Oxytocin iat (C) Mis tol Yr (C)_ Misoprost (C). Omitting ergometrine (9). Carboprost (D) Nevirapine to neonate 187. Wrich ofthe followings notafeature 499, Caudal Regression Syndrome may Of HELLP syndrome ? "pe tound inibabies of mother having (A) Hemolysis (A) Cardiac disease (8) Eosinophilia @) Thyroiddisease (C)_ Elevated liverenzyme (C) Diabetes (0) Thrombocytopenia (0) Anemia SA- 1034 (28) Contd.191. “192, 193: SA- As per A. S.A. classfication, on otherwise healthy patient with current, smoking history belongs to: @ ASA-I @®) ASA-tI ©) ASA-lll (2) ASA-IV. While visualizing the intraoral structures on maximal mouth opening, ifthe tip of the epigiottis is visible, then, which of the following grades as perthe Mallampati Score, will be assigned to: (A) Grade o (8) . Grade‘ (©) Grade 2 (0) Grades “STOP-BANG’ Questionnaire is used to assess : @ PONV. (B) Post-operative pain (©) SleepApnoea (2) POC. 4AI34 (28) 194. The correct capacity of a ‘E’ type oxygen cylinder is one of the following : @ ®) © ©) 170 litres 340 litres: 680 litres 1360 litres 195. The complications following the use of succinyl choline include all the following except: = (A) Hyperkalemia 6) (C) Post-operative myalgia Increased intra ocular pressure’ (D). Fascicilation in young children and elderly patients 196, Delusion is a disorder of (A) @). () (0) Thinking Perception Memory Emotion 19; g Paredolia is a disorder of (A) ®) (©) (0) Emotion Perception Thinking Abstract thinking (Turnover)198. Bleuler's concept Schizophrenia is (8) Depression characterized by all except: ~ (©) Mania () Ambivalence (0) Alcohol Dependance Syn- °: ~ a (8) Autistic Thinking oe ease 200. “Early Morning Awakening’ of Sleep characteristic of : (D) Association Disturbances (A) Depression 199. CAGE Diagnostic criteria are meant (@) Mania for diagnosis of : (C) Schizophrenia (A) Schizophrenta : (0) Anxiety Disorder SA-1A134 (30) Contd.SPACE FOR ROUGH WORK SA-1A/34 (550) (31) Medical Officer (Assistant Surgeon)