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B.C, :AS/2019 TEST BOOKLET : MEDICAL OFFICER sind. {857 (ASSISTANT SURGEON) rrles ‘Maximum Marks : 200) Hours : INSTRUCTIONS TO CANDIDATES : AFTER THE COMMENCEMENT OF THE EXAMINATION, YOU SHOULD 4S TEST BOOKLET DOES NOT HAVE ANY UNPRINTED OR TORN OR MISSING TEMS ETC. IF SO, GET IT REPLACED BY A COMPLETE TEST & SAME SERIES ISSUED TO YOU, iLY THE TEST BOOKLET SERIES A, B, C OR D, AS THE CASE MAY BE, IN THE LACE IN THE ANSWER SHEET USING BALL POINT PEN (BLUE OR BLACK). aryour Roll No. on the Test Booklet vided alongside. DO NOT write 1 the Test Booklet. 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Allare the causes of pseudotumor (0) Chromium cerebri EXCEPT (0) Copper (A) Nalidixie acid (B) Diabetes ketoacidosis 118. In Marfan’s syndrome, thereis defect (C)_Hypeparathyroidism in protein ne (D)-Rectazolamide jagen heen 122. Shakirtape is used by health worker tomeasure GY Fin ae es (A) Head circumference (@) Amspan 119. Paradoxical bre {©)-Atia arm cicumterence icof: (0) Standing height (A) Pneumonia 123. Upper segment and lower segment (8) Pneumothorax ‘of a child become equal at the age (C). Atelectasis of YOF Fiallchest ey ® iy {AY Carciac tamponsde Greys (8) Restictve cardiomyopathy (©) toys SA~- 134 (18) Contd, 124. Palmo mental reflex is seen in lesion i of: . ar Frontal lobe 3). Parietalloba (©) Temporal lobe (D) Occipital lobe 4125. RETCAM Screening in Newborn Is done to detect: (A) Inborn errérof metabolism Osteopeniatof prerhaturity Retinopathy of prematurity (0) Fetomatemalbiced traistusion oft (A) Hereditary spherocytosis (D) G6PDdeficiency 127. MARSH histopathological grading Is 0? used to diagnose which. (A) Tropical sprue SA-1A/34 Pr Colne ase (©) Urcerative cots 128, Aspirinis associated with : (A) Reitersyndrome (Rove's syndrome (©). Sjogrens syndrome (©) Budd-chiari syndrome 429, Under IMNCI programme, in the outpatient heslin fact, al following are geil danger signe EXCEPT (A) Convulsion 27 Bitty breathing (©) Vomiting ©) Lethargy 190. In children renal failure in terms of urine output using pRIFLE criteria is . oo 3mikgnhr (8) <0.5mikgfar (C) <0.8mikg/hr «(D).- Peritoneal metastasis palpable by rectal examination (8) Supraciavicular lymph node (©) Periumbitical lymph node (D) Ovarian mass dropping into pelvis 137. Most common malignant gastric neoplasms is: (A) Squamous cell carcinoma (8) Lymphoma (Adenocarcinoma (0) Carcinoid tumors (20) Contd. 138, Dominant symptom of fat embolism (©) Hopaticfalure {0) Cardiovascular failure 4139, Which ofthe folowing vessel drain(s) Into1ve ? ) Splenic vein ) SMV ) IM Op Feenaveins 140, 45 years male has history of pain abdomen, vomitting, distension ‘abdomen for 7 days followinga bout of alcohol. There is a lump in the epigastrium. Most likely diagnosis ake pancreatitis with pseudo- oyst ®) thacute fuld ©) with pancreatio Acpancre: ascites SA-1A/34 (0) Acpancreatitis with pancreatic abscess 4141, Nasal intubations is contraindicated in (A) Head injuries. Facto maxi inary {C) Thoracicinjuries {D) Abdominal injury 142. Systemic inflammatory response. syndrome comprises all of the following except: (A) Rectal temperature > 38°C or <36°C (8) Heartrate> s0/minute (ess otbocy weight (0) Respiratory rate > 20/minute 143. Following massive blood transfusion, deficiency occurs of all of the following except (A) Clotting factor v (B) Clotting factor Vil (©) Platelets LO) teikoctes (Tum over) 144, Which of the following statements about blood storage at 2-6°C conect ? 's remain viable 671 Potassi mmilimoles () Erythrocyte viability decreases, 145, Hand washing was introduced in patient care by A) (8) ir Pi (D) ° Harvey Cushig Joseph Lister wi sted lganog Sommelweiss ‘eas perforation, isation : (22) (C) Bleeding usually stops auto- ‘matically (0) Biisease of young age 148, Regarding patient with rigid abdomen and free air under diaphragm the possible diagnosis will bo (Ar Peptic ulcer perforation (B) Liver injury with bile duct trauma (©) Gradeiill splenicinjury (0) Pancreatic injury with duct disruption 149, In @ male child of 7 years which of {he fellowing hemiais the commonest ? ern rectinguinal hernia inguinal hernia joral hernia (D) Bilateral hernia 150. Murphy's sign is positive in (A) Aoute appendicitis (8) Chroniccholecystis (C)_ Peptic utcerperforation (Pr Feate cholecy: Contd, 151, Easily Broken Bone : Blue selern ~ (@) Ewing's Sarcoma Joint Laxily.— Otosclerosis. These (oy “Osteoctastoma are seen in: (0) Multiple Myeloma (A) Arthrogryposis Multiplex 455, Rupture of Extensor Pollics Longus Congenita \ Tendon can be seen as complication (®)_DiaphyseatAchalasis (E}- Osteogenesis imperfecta (0) None ofthese fs (A) Scaphoid # (G) Galeazzitt (0) Sates # (D) Chauffeur's # 152, Musculoskeletal abnorm: present in Neurofibromatosis: (A) Hyperthropy of timb ©) Scoliosis 156. Bennett's # dislocation (©) Pseudoarihrosls of which metacarpal ? OF Allofthese (A) Fourth 153. Commonest site of Skeletal Cee Tuberculosis, (C) Second (A) Tibia ‘ Orr (8) Radius 187, Pointings index is seen in which (C) Humerus nerve palsy? oNertebra (A) Ulnar {By Median : 154, Which of he following Tumour arises from epiphysis ? 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Malignant glaucoma is seen in : (B) - Retained products (A) Malignancy “(©) Trauma After s for cataract or Sa (0), Bleeding disorders glaucoma (C) Trauma 174, In which of the following conditions (D) _ Thrombosis: the medical treatment of Ectopic 171. The Regimen that is followed in Procgeniey es contcellcicated a expectant management of placenta (A) Sacsize3cm prawvias (B) Bloodin pelvis 70 ml (A) Liley’s f uO} Presence of fetal heart activity (8) Cride's . (D) Previous ectopic pregnane (©) AMfacatee and Johnson peuey (0) Brandt-Andress . 175, The following is always an indication 172. A32weeks pregnantwomen present of LSCS except : with mild contraction and on * \{A3 Abruptio placenta xXamination her vitals are stable, % ® (8), Untreated stage | Ca cervix Placenta praevia type Ill is present, best managementis : (C)_ Active primary genital harpes (A) Bed rest + Dexamethasone (D) Type lV placenta praevia UB)Bied rest + Nifedipine + Dexe- 476. in which stage of Ca cervix hydra.” methasone . nephrosis is seen : (C) Bed rest + Sedation i s oa (A) Stage 2A (D) ‘Immediate cesarean section (B) Stage 3A ) Stag 173. Most common cause of Postpartum hemorrhageis : (O)-Stage 38 (A) Abterine atony (D) Stage 4A SA- 1A/34 (28) Contd. : . ion DMPA is 477. Staging of cervical cancer is based 181. To’ avoid contraception on given: (A) Chest X-ray (A) Monthly (8) MRI Rezo Monny , {97 Clneal examinetion (Cc) 6Monthly (0) CT Scan (0) Yearly ing |UCD which has 478. Which is the strongest support of 182: Amongthe following uterus ? life spar for 10 years ? (A) ‘Levator ani Gy Cu T3B0A (8): Perinneal body (B) Cut 200 (C) Nova (> Macendrot ligament ; (D) Muttioad (0) Round ligament : 3 483. Ideal contraceptive for lactating 179. Whatis the most common secondary * mother ; AY Barrier method {B) Combined OCP change in fibroid ? JAY Hyaline degeneration (B) Cystic degeneration ; (C) Lactational amenorrhea (C) Red degeneration ©) 2 (D) Progesterone only Pill (D) Fatty degeneration re se Hei PMY 184. ‘Best investigation to assess tubal 180. All are associated with increase risk patency : of fibroid uterus except: (A) Rubin's test AY High ft det (8) HSG (8) Familyhistory (C) Laparatomy (©) Nulliparity (9) Laparoscopic chromoper- (D) Smoking tubetion © sA-1A/34 (27) (Tum over) 185, According to WHO the minimum normal sperm countin appear pale and on performing aHb% (&) tomntien frat itwas found tobe 69%. What line of (8-20 milion / ml (©) 40milion /m! management should you give? (A) Continue with oral iron she is taking (©) 60mition mi (®) Start with intravenous iron 186. A known case of hea disease eae, Gellvered by NVO sollewdng which Start with intravenous FCM there occurs PPH, Which of the 9” farang torblood wansusion following drugs is contraindicated in 189. All can be used to lower to child HIV this caso? spread Except UAT” Methylergometrine (A) Elective sos (B, Onytocin 8) Ont ART (0) Misoprostol (©) Misoprost Omitting ergometrine (0) Carboprost Nevirapine toneonate 187. Which ofthe folowing eictateatre 469, caudal Regression Syndroniémay of HELLP syndrome ? be found in babies of mother having (A) Hemolysis (A) Cardiac disease \2F Eosinophiia (8) Thyroid disease (©) Elevated liver enzyme iabetes (D) Thrombocytopenia ‘Anemia SA-1A/34 (28) Contd. 191. As per A. S. A. classfication, on ctherwise healthy patientwith curent emoking history belongs to W ASA-I Ley ASA=I © ASA (0) ASA-NM. (192; While visual structures on maximal mouth ‘opening, i the tip of the epiglottis is hen, which of the following grades as per the Mallampati Score, will be assigned to A) Sradeo (8) , Grade 1 (C) Grade 2 (0) Grade 3 498: ‘STOP-BANG’ Questionnaire is used foassess @) PONY. (8) Post-operative pain (Oy Bleep Apnoea (0) P.0.C.D. SA-1A/34 e type 4194, The correct capacity of oxygen cylinder is one of the following (A) 170litres (©) 240Kitres (of succinyl choline include all the following except: (A) Hyperkalemia (8) Increased intra ocular pressure (C) Postoperative myalgia {0} Fosciculationin young children and elderly patients 196, Delusion isa disorder of:

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