Professional Documents
Culture Documents
4. A person with malaria with travel recent history from Assam to Delhi. Which drug will be used for
treatment :
A. Chloroquine , sulphadoxine and pyrimethamine
B. Artesunate ✓
C. Quinine
D. Chloroqine
5. A patient having COPD taking salmetrol but no improvement. Which drug would be added to
improve the condition :
A. Tiotropium ✓
B. Corticosteroid
6. A person took unknown poison presented with excessive sweating and BP of 80/60 mmHg. Which
drug will be given for treating this condition :
A. Neostigmine
B. Atropine ✓
7. Resistance to rifampcin, isoniazid , kanamycin and ciprofloxacin known as :
A. MDR
B. Rif resistance
C. Extremely resistance ✓
D. Exclusively resistance
8. A patient taking platinum based chemotherapy. Drug used to prevent nausea and vomiting : A.
Domperidone
B. Palonosetron ✓
C. Domperidone
D. Promethazine
9. A patient presented with head trauma and increased ICP. Which of the following agent will be used
treatment : A. Mannitol ✓
B. Acetazolamide
C. Furosemide
D. Thiazides
10. A child was noticed to have spells of fast binks and staring at something for 30seconds. Which of
the following drugs is for treatment of this condition :
A. Phenytoin
B. Valproate ✓
C. Carbamazepine
11. A female with whiff test positive with white discharge with clue cell positive. Diagnosis of bacterial
vaginosis was made. Which drug was used for the treatment :
A. Doxycycline
B. Metronidazole ✓
17. A person is going for a trip to the mountains, which of the following drugs should he take
for mountain sickness?
a) Furosamide
b) Acetazolamide ✓
c) Thiazides
18. Ms X presented to the ER. On ECG, a wide QRS complex and tall T waves were seen. Identify
the possible cause:
a. Hyperkalemia ✓
b. Hypokalemia
c. Hyponatremia
d. Hypernatremia
19. A female presented to the OPD. On examination, a malar rash was seen. Lab results show
presence of Anti Sm ith antibody positive and small sterile nodules were present on the cardiac
valve. Identify:
a. Infective endocarditis
b. Rheumatic heart disease
c. SLE ✓
a. Vitamin A deficiency ✓
b. Refractive errors
c. Cataract
d. Glaucoma
22. Which of the following is the true statement from the image given below:
a. It is seen in homicidal death
b. Rigor mortis
c. Cadaveric spasm ✓
23. A 12 month old infant with the weight of 8 kgs will be given what dose of vitamin A?
a. 1,00,000 IU ✓
b. 2,00,000 IU
c. 2000 IU
24. An ECG is done for a patient. Identify the next step in management from the ECG given
below:
a.
25. A male chronic smoker came with the following finding given in the image below. The most
likely diagnosis is:
a. Buerger’s disease ✓
b. PAN
c. Wegener’s granulomatis
27. A patient presented to the ER with diarrhea and altered sensorium. He has complaints of
impaired memory and a rash. What could be the most likely diagnosis: a. Pellagra ✓
b. Scurvy
c. Wernecke’s encephalopathy
32. A patient presented to the ER with the complaints of tremors, palpitation & sweating. The
patient has a history of no alcohol intake in the last 72 hours. What is the most probable
diagnosis?
a. Delirium tremens ✓
b. Wernicke’s encephalopathy
34. A worker is working in the stone factory. Which of the following has the maximum risk of
having tuberculosis: a. Baggasosis
b. Byssnosis
c. Asbestosis
d. Silicosis ✓
44. Identify:
a. Hydatiform mole ✓
b. Partial mole
c. Choriocarcinoma
45. A patient had a central line insertion and presented with dyspnea, shortness of breath
and on examination breathe sounds were absent: a. Hemothorax
b. Pneumothorax ✓
48. A patient has multiple punched out lesions. Identify the following:
a. Mutiple Myeloma ✓
b. Langerhan histiocytosis
c. Hyperparathyroidism
49. Identify:
a. P. Falciparum ✓
b. P. Ovale
c. P.Vivax
d. P. Malariae
51. A female had a gastrectomy and now she is suffering from anemia. Identify the cause: a.
Iron deficiency Anemia
b. Vitamin b12 deficiency ✓
c. Folic acid deficiency
52. A female is on a vegan diet. The image of her peripheral blood smear is given below. What
is the diagnosis?
a. Vitamin B12 deficiency ✓
b. Folic acid deficiency
c. Iron deficiency Anemia
53. An old man presented to the OPD with bleeding gums. Which of the following vitamin
is deficient in this person? a. Vitamin C ✓
b. Vitamin A
c. Vitamin B
d. Vitamin D
56. A patient presented to the ER with complains of vomiting and pain in the epigastrium
radiating to the back. On X-ray colon cut of sign was seen. Which is the most probable
diagnosis?
a. Acute cholecystitis
b. Acute Appendicitis
c. Acute Pancreatitis ✓
57. A fungal corneal ulcer is given in the image below. Identify the marked structure: a.
Satellite lesion ✓
b. Dendritic ulcer
58. A patient presented to the ER with head trauma. He describes his pain as the worst
headache he has ever had in his life. Identify the diagnosis:
a. EDH
b. SDH
c. SAH ✓
d. Meningioma
a. Teichmann test ✓
b. Takayama test
c. Barberio’s test
60. On a fed state, Insulin increases, glucagon decreases. Which of the following occurs?
a. Inhibit gluconeogenesis
b. Stimulate ketone body formation
Parthenium plant ✓
65. A 57 year old male with a history of diabetes since the past 10 years will have which of the
following nephrological changes?
a. Acute pyelonephritis
b. Nodular glomerulosclerosis ✓
66. Cannon ball appearance is seen in:
a. Lung metastasis ✓
b. Tuberculosis
c. Sarcoidosis
a. Seminoma ✓
b. Teratoma
c. Yolk sac tumor
69. A patient presents to the ER with the chief complaint of headache. On examination he is
seen sweating and has palpitations. Which of the following tests will you perform? a. 24
hour urine metanephrine levels ✓
b. Serotonin levels
71. In an urban area how will you spread awareness about ORS?
a. Role play
b. Demonstration ✓
72. A 15 year old male presented to the ER with the chief complaint of epistaxis. On
examination, a red nasal mass is protruding out. Which of the following is the most
probable diagnosis?
a. Juvenile Nasopharyngeal Angiofibroma ✓
b. Rhinosclerosis
73. A 13 year old adolescent presents to the ER with heaviness in his ear. On examination, it is
found that a mass is extending towards the maxillary cavity. What is the most probable
diagnosis?
a. Juvenile Nasopharyngeal Angiofibroma ✓
74. During an ear procedure a patient starts coughing. Which of the following nerve is
responsible for it? a. Arnold nerve ✓
b. Jacobson nerve
82. A patient presented with blunt abdominal trauma. On examination patient is hemodynamically
unstable with FAST positive. What would be the next management?
A. Exploratory laparotomy ✓
83. A female presented with lower abdominal pain with vaginal discharge and history of UTI. Which of
the following STI kit is be used:
A. Kit 1 : grey
B. Kit 3 : white
C. Kit 6 : yellow ✓
D. Kit 7 : black
A. Primordial follicle
B. Primary follicle
C. Antral follicle ✓
D. Corpus luteum
87. Identify the structure marked given in image below:
A. Circular muscle layer of esophagus
B. Longitudinal muscle layer of esophagus
C. Trachealis ✓
88. What would be probable diagnosis based on condition shown in image:
A. Weber's syndrome
B. Millard Gubler syndrome
C. Brown Sequard syndrome ✓
89. Dermatome for the arrow marked area is:-
A. L3
B. L2
C. L5
D. L4 ✓
A. Retinoblastoma ✓
B. Congenital cataract
C. Glaucoma
D. Bupthalmos
92. Which artery can be palpated below in shown image :-
A. Posterior tibial artery ✓
B. Anterior tibial artery
C. Medial plantar artery
93. Which type of joint is found at marked point in given X-ray :
A. Synovial joint
B. Fibrous joint
C. Primary cartilaginous
D. Secondary cartilaginous ✓
94. Which nerve is associated in given deformity shown below :
A. Ulnar Nerve ✓
B. Radial nerve
C. Median nerve
D. Axillary nerve
95. Identify the marked bone in x-ray of feet shown :-
A. Cuneiform
B. Cuboid
C. Navicular ✓
D. Talus
96. A new born baby was noted to be passing meconium from umbilicus. Which of the following is the
most likely cause:
A. Urachus
B. Vitellointestinal duct ✓
C. Mesonephric duct
D. Allantois
97. A patient presented with herniation of intestinal loop passing along spermatic cord and reaches in
scrotum. What would be diagnosis?
A. Indirect inguinal Hernia ✓
B. Femoral hernia
C. Paraumbilical hernia
D. Indirect inguinal Hernia
98. A female presented to the ER with abdominal pain. She has a known history of long-term steroidal
use. On X-Ray the following findings are given. Identify the most probable diagnosis:
a
102. Most common type of renal stone is:
a. Calcium oxalate ✓
b. Struvite stones
c. Cysteine stone
103. Syndyctl✓
104. Which of the following antibody plays a role in the hypersensitivity caused by a bee sting? a. IgE ✓
b. IgM
c. IgG
105. A patient presented with unilateral hemiparesis, BP: 220/110, HbA1c: 8. CT shows no
hemorrhage. What should be the next management?
a. IV thrombolysis
b. IV labetalol ✓
c. Sublingual nifidipine
d. Conservative management
106. A baby was given ORS. Glucose will be transported by:
107. Mrs X presented to the OPD. Her lab resports show t3 ↓ t4 ↓, TSH ↑. What should be the
management?
a. Low thyroxine
b. 25 mg levothyroxine with gradual increase ✓
c. 100 mg direct levothyroxine
108. A pregnant female with a previous history of Neural tube defect will be given what dose of folic
acid?
a. 4 mg ✓
b. 0.4 mg
c. 0.3 mg
109. A patient was given Doxycycline. What is the mechanism of action of this drug?
110. A man was taking a shower and he accidentally notices a painless lump which looked like a third
testis. It was not trans-illuminant. Identify the diagnosis:
a. Epidydymo-orchitis
b. Testicular torsion
c. Hydrocele
d. varicocele ✓
a. Glottis
b. Epigglotis ✓
c. Vocal cord
d. Hypoglossal muscle
112. A person with a history of surgery has a scar bounded to the suture line. It is a raised scar. What
kind of scar is it?
a. Hypertrophic scar ✓
b. Keloid
114. Ph: 7.4. What will be the ratio of bicarbonate HCO3/PaCo2 is: a.
16:1
b. 13:1
c. 30:1
115. Menke’s disease is due to Deficiency of:
A. Iron
B. Copper ✓
116. A child presents with a history of unilateral deafness, neuralgia affecting branches of the
trigeminal nerve, and defective mobility of the soft palate. He is a known case of Nasopharyngeal
carcinoma.
A. trotter's triad ✓
A. Anterior wall MI
B. Interior wall MI ✓
122. IUCD is absolute contraindicated in:
A. History of PID
B. Unexplained vaginal bleeding ✓
127. A patient was referred by a doctor to a radiologist for CT scan. Radiologist gave commission to the
doctor. It is described as:
A. Dichoctomy ✓
131. A child with his mother presents to the PHC. On examination, chest was indrawn, RR: 36 and
danger signs were present. What will be the next step to do for this patient:
A. Severe pneumonia, refer the patient immediately ✓
A. Severe pneumonia, admit the patient
B. Reassure and send home
C. Pneumonia: Give antibiotics, call after 3 days
131. Spaghetti and meatball appearance is seen in which condition: A. Malassezia
furfur ✓
a. 9:22 translocation ✓
b. ALL
c. 8:14
137 .Patient with thymic hypoplasia , CVS abnormality , T-cell defect . Diagnosis :
A. Di-gerorge syndrome ✓
138. Urine pregnancy kit in home based testing in NRHM :
A. Nishchay ✓
B. Nikshay
139. Fat sugar baby is seen in:
A. Kwashiorkor ✓
140. You are asked to explain about nutritional requirements to a patient in the OPD. Which of the
pictorial representation would be used:
A. Pie chart ✓
B. Histogram
C. Pictogram
D. Component
141. In a post cholecystectomy patient what do you expect:
A. Steatorrea ✓
B. Weight loss
C. Hypoglycemia
D. Increase cholesterol
142. Bartholin cyst will be present in:
A. Vaginal gland ✓
B. Urethral gland
C. Vulvular gland
143. A patient in first trimester of pregnancy presented with appendicitis. What would be the
management:
A. Wait till 2nd trimester
B. Emergency appendectomy ✓
C. Oshner regime
D. Terminate pregnancy
144. A male of 20 years presented with gynaecomastia. It is side effect of which drug: A.
Spironolactone ✓
149. A child presents with bloody diarrhea. He was suspected to have E. coli 0157 H7. Which of the
following culture media’s can be used to identify:
a. Sorbital Mackonkey agar ✓
b. Thiosulphate citrate bile salt agar
150. A child has a whitish membrane that bleeds on scraping. Identify the diagnosis? a.
Diptheria ✓
b. Ludwig angina
152. A child presented to the OPD. She is not able to breathe through her nose but through her
mouthed. She also has a narrow nose, shortened upper lip,narrow palate, high palatal vault and snores
while sleeping. What could be the management for this patient?
A Myringotomy with grommet insertion
154. A female went to a movie theatre. Which of the reactions will take place when she shifts from
bright light to a dark environment.
a. cisretinal to trans
b. Renal to al
156. A person presented to the ER with the complaints of breathlessness and cyanosis. He had a
history of fracture of the neck of femur in an RTA 3 months ago. Which of the following is the cause of
his condition?
a. Fat embolism ✓
b. Deep vein thrombosis
c. Emphysema
159. Swelling around testes, umbilical swelling, supraclavicular lymph node swelling:
A. Testicular cancer ✓
160. A patient had a lap cholecystectomy and gall bladder was removed, and was discharged the same day. He
later came with severe abdominal pain and tenderness. LFT was normal. What is the most likely cause?
A. Bile leak ✓
A. Kagoj microabscess ✓
162. In a fist fight, a person suffered trauma to his eye. What could be the diagnosis?
A. Cataract
B. Infraorbital fracture ✓
C. Glaucoma
A. Pyriform fossa ✓
B. Tonsil
163. A metal welder has an accident during welding. A metal part went to eye, the power of eye then was 6/60 in
one eye and other eye has 6/6. What is this condition?
A. Glaucoma
B. Cataract
C. Optic neuritis ✓
164. A 5 year old child presented to the OPD with his mother. On examination the scrotum of the baby was
empty. Which management will you choose for this baby?
b. Do immediate surgery
166. A patient presented to the ER with complaints of retching, vomiting and retrosternal burning. He says that
he has lost his appetite due to pain in swallowing. What could be the diagnosis? a. Reflux esophagitis ✓
b. Pyloric stenosis
167. A patient presented to the OPD for a general check-up. On histopathology, villous atrophy is seen in the
intestine. Tissue transglutaminase IgA antibodies were positive. What is the most likely diagnosis? a.
Celiac sprue ✓
168. A patient with supraspinatus tendinitis. What degree and movement of shoulder would be painful?
Flatulence
A. COPD
B. Interstitial fibrosis ✓
A. ASD ✓
A. Fibrinolysis ✓
A. Family expansion ✓
B. Family extension
C. Complete family
176. A researcher during his study is concerned about one group getting high values. What would be helpful to
remove this bais:
A. Randomization ✓
B. Matching
C.Blinding
A. Canned food ✓
178. A patient having esophageal varices and underwent an endoscopy. Patient had hematemesis and died.
What is the most likely cause of this?
A. Hypovolemic shock ✓
B. Cardiogenic shock
C. Neurogenic shock
179. Tumor in lower lobe of kidney was found. What would be the treatment:
A. Radical nephrectomy ✓
B. Partial nephrectomy
Diabetic ketoacidosis ✓
181. A female presents with polyuria but there is no presence of sugar in the urine. What could it be? a.
SIADH
b. Diabetes Insipidus ✓
c. Diabetes mellitus
182. If the eyelid is rolled inward against the eyeball, what could this be? a.
Entropion ✓
b. Extropion
183. A man was brought to the hospital with uncontrolled excessive sexual desire. Which of the following
could the man be suffering from? a. Satyriasis ✓
b. Nymphomaniac
184. A pregnant female complains of urinary leakage on coughing. What could be the possible cause of
this?
a. Stress incontinence ✓
185. When does the cardiac output returns normal after pregnancy? a.
15 days ✓
b. 60 days
c. 45 days
186. A child presents to an ophthalmologist with complains of hazy vision while trying to watch the
blackboard in the classroom. The doctor prescribes him concave lens. What could be the diagnosis? a.
Myopia ✓
b. Hypermetropia
b. 34 weeks
c. 36 weeks
192. A patient presents with complaints of watery diarrhea and pain abdomen. He has drug history of
Clindamycin intake for a pre-existing infection. The most likely organism responsible for this condition
is: a. Clostridium difficile ✓
A. Kanamycin ✓
B. Isoniazid
C. Rifampicin
194. A child of 13 year visits OPD with complaints of not attaining menarche with 46XX. On Examination there is
clitoromegaly . Enzyme most likely deficient:
A. 17 hydroxylase deficiency
B. 21 Alpha hydroxylase
C. 11 beta hydroxylase
195. A patient brought to ED after a car accident. On primary examination GCS is 9. Patient is hypotensive with
BP is 90/60 mmHg. Least likely cause of hypovolemia in this patient:
A. Retroperitoneal hematoma
B. Splenic laceration
C. Subdural hematoma ✓
A. BPH
A. Adriamycin
B. Gosarelin ✓
C. BCG
198. A child presents hoarseness of voice and unilateral vocal cord paralysis. He has a history of diphtheria
infection. What will be the management for this patient?
a. Type 1 thyroplasty
199. An elderly hypertensive patient presents with the chief complaints of dyspnea, palpitations and pulmonary
edema. The drug to be used in this condition is:
a. Mannitol
b. Furosemide ✓
c. Spironolactone
200. A 25 year old married or unmarried female of the same village who is 8 th pass can be a: a.
ASHA worker ✓
b. Anganwadi worker
c. Multipurpose worker