Most Updated & Thoroughly Revised Edition 2022 Covering all Recent Updates & Qs up to June 2022 Exams The Complete Compendium for FMG Students EXPLORE The(Next Leveljof Preparation Get FREE LMR Booklet E \ | | "For Foreign Medical Graduates Appearing \ for Indian Medical Registration J Special Features Includes 3 Most Recent Papers—June 2022, December 2021 & June 2021 2022-2021 New Pattern Model Qs with Explanations ese eer eu re erty Th 600 Most Recent Pattern/New Qs Added EDITION More than 12000 Practice Qs with Explanations Coy cre eM Fully Color reins Reeat om paneaom nN Deepak Marwah CBS Publishers & Distributors Pvt. Ltd. Siraj AnmadTessa UA TON SW A! 1G findings shown. (Most Recent Question June 2022) ryussseegererrerndllAddll LLL russe niet VELILELELELELELL ML ddebdedebdbbdhLbbLbbdbdbbbdbbll- 4. Ventricular fibrillation b. PSVT ¢. Ventricular tachycardia tial fibrillation 2. A patient complains of palpitations. On examination Irregularly irregular radial pulse is present and ECG shows absent P wave. Which of the following condition islikely? (Most Recent Question June 2022) 4 Atrial fibrillation b. PSVT «. Ventricular Tachycardia d, Ventricular Fibrillation 5. Necrolytic migratory erythema is seen in: (Most Recent Question June 2022) b. Glucagonoma 4. VIPoma 1. Comment on EC! 4. Insulinoma © Somatostatinoma . You saw a guy collapse in a case of roadside accident and started giving CPR. Rescue team has arrived. Which of the following is correct about your options? (Most Recent Question June 2022) 4% Continue five rounds of CPR @ 30:2 followed by ‘pplication of AED > Continue CPR while team applies AED Paddles & Stop CPR and let them apply paddles 4. Handover the patient and leave -b. Acute pericarditis 5, A young adult presents with gastric outlet obstruction and vomiting. Which of the following fluid will be used? (Most Recent Question June 2022) a. RL b. NS c. 5% Dextrose in water d, 20% Dextrose in water 6. Patient of chronic stable angina is having signs of heart failure. Which of the following drugs will increase longevity? (Most Recent Question June 2022) a, Nifedipine b. Digoxin ¢. Lisinopril 4, Torsemide 7. A male smoker patient who has difficulty in swallowing is most likely to develop which of the following? (Most Recent Question June 2022) a. Squamous cell cancer ». Adenocarcinoma _ ¢ Bronchoalveolar carcinoma Large cell cancer 8 Which of the following is seen in Hypoglossal nerve injury? (Most Recent Question June 2022) a. Tongue deviation to contralateral side b. Tongue deviation to same side ¢. Backward falling of tongue 4. Inability in tongue protrusion Dullness to percussion and decreased breath sounds near the base of left lung infra-scapular location is seen in which of the following conditions? (Most Recent Question June 2022) a. Cardiac tamponade . Chronic constrictive pericarditis ¢. Pulmonary embolism 4, Left sided pleural effusion 10, Hypotension 80/40 mm Hg, diminished/smooth heart sounds with absent y descent in JVP is seen in? 1 (Most Recent Question June 2022) a. Constrictive pericarditis 9. , Cardiac failure d. Cardiac tamponadeby i Qu be Sweating sits a rape Hypot : i: seen int (att Recent Question June 2 13, J wave is 2. Hypothermia by Heat stroke «High litade pulmonary edem= Wen ts with fever for past 3 days 14. A female patient presen and cannot touch neck to haga (Oost Recent Quest Opening pressure= increased ‘Appearance= White cloudy ells= Neutrophils predominantly seen CSP Sugar = 15 mg/dl Protein= 100 mg/dl. 1. Bacterial meningitis b. Tubercular meningitis Viral meningitis 4. Fungal meningitis 15, A person on a mountain at 5000 m is having headache, dizziness and cerebral edema, Which of the following is responsible for development of high-altitude cerebral edema? (Most Recent Question June 2022) . Desaturation Increased blood pressure © Altered mentation @. Retinal hemorrhage 16. Comment on ABG ‘Teport: and HCO,= 28 mEq/L? (Mos, 4 Respiratory alkalosis b, Respiratory acidosis © Metabolic acidosis sn paolo A family member jg volunteeri eee ring for Blood Sapa RA a st ddan Towing isnot tested fog, =stesion, (Me . i ! sad Hy oS ne eeion Hepatitis 4 ae Hepatitis ¢ chest, LP was done, and CSF tion June 2022) June 2022) 18, A 50-year-old patient 19. 20. 2. aT 23, 24, i headache and sweating pce Pa, left sided supra renal mac. Work tte would be done forconficmatinyy "of anh | Cost rey, AN a. Urinary Vanillylmandtic eit esi b, Blood SHIAA levels revels hy ¢. Urine Myoglobin % 4. Stool trypsin levels Young male 25 years of age pre is worse in the evening and sh morning. The patient complai Work up with ice pack test Diagnosis is? a. Huntington chorea b, Amyotrophic lateral sclerosis c. External Opthalmoplegia d. M. Gravis A 60-year-old man presents with 2-mor weakness and pallor. Per abdomen st ny splenomegaly. Peripheral blood shows i. leukocytosis and platelet 3 lacicu. mm, p ya metamyelocytes 15%, Promyeloblasts ang 45%. Which of the following is the desea oa Prov “ninth OWS relieg ah (Most Recon Que, A fa ey Pg, (Most Recent Question fn) a. ALL b. CLL 4 CML 4. AML A known hypertensive patient is brought to Bvt Palpitations and SOB. On examination BP = 2012 mm Hg with development of encephalopathy ld following can be given; EXCEPT? (Most Recent Question ne 22, a. IV Mannitol b. IV Nicardipine c. IV Esmolol d._ IV sodium nt The GCS of RTA patient is 10. Thisimplies (Most Recent Question Jue 22) a. Mild TBI b. Moderate TB! c. Severe TBI a. Patients dead 2 idism BT What is the treatment of Hyperthyrot a) trimester? (Most Recent Que a. PTU b, Carbimazole 4. Lugols odin ps tohavea ba gt via Phys Gynec jon . Methimazole ; ‘A 25-year-old male who is tryin years is found to haveazoospermi shows scattered pubic hair wi ism Diagnosis is? hypogonadism Dingell ue a. Klinefelter Syndrome b, Turner Syndrome c. Down syndrome 4, Edward syndromeof the following drug is best for urate lowering Fee eased Iyes'eyestromeity prevent real seo (Most Recent Question June 2022) gpacoiase ; [A patient presents with complaints of morning time = ve cough that is yellow that increases on turning ret left to right side. Which of the following lung (Gocasesis likely to be present? (Most Recent Question June 2022) b. Bronchiectasis 4. Pulmonary embolism sp, DOC for Legionnaires disease? (Most Recent Question June 2022) a Anthromycin b. Tigecydine ¢ Kenamycn Streptomycin 25. A female is washing clothes and her hands exhibit color anges from white to red in cold water. Which of the following drogs is best suited for this patient? (lost Recent Question June 2022) 2 ACE b. CCB Thizzides Alpha blockers 28, Achild came with profuse sweating and light headedness. ‘Wht does D indicate in ABCDE? (Most Recent Question June 2022) 2. Débydration b. Diarrhea c Disability @. Dementia ‘WA potient is identified as having a tumor in eum, leading to urinary SHIAA being elevated. Diagnosis is? 2 Carcinoid tumor (Most Recent Question Junte 2022) ‘. Neuroblastoma © leiomyoma 4 Chromaffinoma 31. A 70-year-old patient presents with sudden onset chest Pain. ECG shows which of the following? (Most Recent Question Dec 2021) SSS aan ere Jeb 32. Young patient developed sudden onset fever and agitated behavior for 2 days. No meningeal signs were noted. EEG shows periodic focal Temporal lobe spikes. CSF shows 40 cells with 90% lymphocytes and 10% neutrophils with normal CSF Sugar and slight elevation protein. Which of the following should be started in the patient? (Most Recent Question Dec 2021) 2. AIT B. Acy © Ceftriaxone 4. Amphotericin B 33. M.B.B'S student was asked to diagrammatically represent cardiac axis deviation in a patient. The cele Patient. The following (Most Recent Question Dec 2021) 34, An 18-year-old female patient with recurrent infections of respiratory tract. ECG was given? (Most Recent Question Dec 2021) 2. Wolf Parkinson white syndrome b. Atrial flutter Atrial fibrillation @. Sinus arrhythmia 35, Best treatment for unconscious middle aged in patient in the ambulance shall be which of the following? (fost Recent Question Dec 2021) ee wentprenaaestl toca re ttas peveitett a. Take toICU b. Start CPR and defibrillation ¢. Carotid sinus massaged. ObservationMedicin: eS | 644 | FMGE Solutions and ts with nausea dos ich of the © 36. A known a seam Tengen set Fr POO gy Dec 2020) falowingisteast seta OF 1g Ques to pisphosphonates yrmal Saline : mp wth fever and bros ‘examination ‘bdominal distention. OP sbiomina ane tenderness Is elicited. ascitic luld reve" © o cells/cu.mm. ‘Which is the next best step! av . (Most Recent Question ‘a. Mineralocorticoids € Glucocorticoids 137. CLD patient present Dec 2021) ‘a. Large volume paracentesis b. IV albumin plus midodrine : IV Octreotide d. IV cefitriaxont .d PR interval is seen “J = bia Pied Question Dec 2021) a. Hypokalemia b, Hyperkalemia &. Hyponatremia 4. Hypernatremia 39, A S-month-old child with diarchea was given potassium correction to patient, K value is not improving and floppiness in child is noted. Which of the following is responsible for this presentation? (Most Recent Question Dec 2021) ‘a. Magnesium deficiency. Calcium deficiency . Albumin deficiency d. Sodium deficiency 40. A 45-year-old male with HbAIC = 8% comes to ER with hemiplegia 8 hours prior to consult. NCCT head shows intracerebral bleed. BP = 198/110 mm Hg. Which of the following intervention is best scheduled for this patient? a tPA (Most Recent Question Dec 2021) b. IV Labetaol Sublingual nifedipine cH 3 Observation and monitoring A patient has presented with featu i tamponade. Which isa true finding? of santa (Most Recent 2 Puls pundonss ie Queton Dec 2021) b Kussmaul sign is always present © Tal A waves present 4. jugular veins colama sisi 230-619 mmanapeaeZab) What would be the me pele! ni ct, se Recent Question Deet021) — ‘microgram and decrease the tart ley a frotyroine 25 microgram and incre © Stat levothyroxine at 25 my a am icrogram and a, lecre Give Liothyronine ang Lev - 43. |. Comment on the ca 45, 46. 47. Patient has Palpitations 4 iaphoresis. Whi: ey identify? ich of the fotloyy et 4 a. Urinary Metanephri fe b. Urinary SHIAA ©. Urinary HVA levels d. Urinary Chromo, Receng My and Vii Sen ‘ ty, BFanin A ley, rels US Of this Presentay (Most Recent Que - a a. Raynaud phenomenon, c. Fournier gangrene A patient is having sudden exa fa \cerbati can't talk, On chest auscultation Drolet Sry noted. ABG report shows pH= 73, pee HCO, = 43 meq/L. Which of the follow’ 28 should be done in this child? sine (Most Recent Ques a. Intravenous soda bicarbonate a b. Ammonium chloride c. NIV d. Fluid resuscitation A young female complaints of fedling welsh blinking of eye, diplopia and having dyphga fy symptoms are increased at end of day. The mith Buerger a Aine dice diagnosis is? (Most Recent Question Dec, a. Patterson kelly b. Thyroid disease c. M. Gravis d, Scleroderma The following Barium swallow shows: 4 (Most Recent Question Da a. Diffuse esophageal spasm b. Achalasia cardia ©. Cancer Esophagus 4. Pulsion diverticulumiin of sites of auscultation of heart valves (Most Recent Question Dec 2021) correct PO ey 4 AePulmonic, B= Aortic C= Mitral area ,D aca h A= Aortic , B= Pulmonic , C= Tricuspid area, D= ‘Mitral area ¢ A=Pulmonic, B= Aortic, C= Tricuspid area, D= Mitral area \= Mitral, axea @.A young female patient presents with complaints of ‘rors headache of her life. NCCT head shows evidence of which of the following? (Most Recent Question Dec 2021) ae a = Aortic , C= Mitral area , D= Pulmonic & Encephalitis b. Meningitis ae eral 4. SDH : thas had RTA and his GCS= 9/15. There is no ‘ternal site of bleeding visible. IVF fluid resuscitation ‘was done, and patient is still hypotensive. Which of the following is least likely cause of this presentation? (Most Recent Question Dec 2021) b, Hemothorax 4. Retroperitoneal bleed ‘© Subdural hematoma © Splenic rupture 51. 52, 53. 54, 55. 56. 3 Medicine A 60-year-ol O-year-old man presents with complaints of early itll: Progressive pallor and chronic abdominal pain for © months. Hb = 10 gm%, DLC shows basophilia and Platelet count = 6 lacicu.mm. Bone marrow “spiration done shows band cells, myelocytes = 15% Metamyelocytes = 20% and mature blasts of 9%. Which of the following is responsible for this presentation? (Most Recent Question De a. 8:14) b. omy ny © (2:8) 4. (8:22) GH hormone levels is high but IGF-1 levels are low. Diagnosis is? (Most Recent Question Dec 2021) a. GH receptordefect _b. GH Levels deficiency © GHRH deficiency d._ GnRH deficiency Ayyoung male had no symptoms, but auscultation reveals wide fixed split $2. The clinical diagnosis is? (Most Recent Question Dec 2021) a. ASD b. vsD «TOF 4. BAV 45-year-old patient presents with fever, weight loss and occasional hemoptysis. Diagnosis is? (Most Recent Question Dec 2021) a. TB b. Bronchogenic carcinoma ©. Mesothelioma 4. Aspergillus ‘A 40-year-old man presents with shortness of breath. (On examination clubbing with bi-basiliar crepitations on auscultation is noted. Spirometry shows FEVI = 60% with FEVI/FVC ratio of 0.9 with no response to bronchodilator. Diagnosis? a. Chronic bronchitis (Most Recent Question Dec 2021) b. Bronchiectasis ¢. Pulmonary fibrosis 4. Bronchogenic carcinoma X-ray finding of COVID-19? (Most Recent Question Dec 2021) ‘a. Ground glass opacities along the periphery : b. Apical coin shadow ¢. Apical consolidation 4. Peripheral reticular opacities 645 QuestionsMedicine \ ct surgery YO" for nd the ch of skin a 57, While doing Prt lemon yellow OT cur due tot notice that a patien' wn Dec 2021) nce folowing tonev€ Pg Recent Quest FIGURE: Darken skin of person a. Vitamin BI2 deficiency b. Vitamin C deficiency . Camitine deficiency 4. Vitamin B1 deficiency ; 458. Patient of COPD is on Salmeterol and still has dyspnea on exertion. What drug will be given next? a. Systemic steroids (Most Recent Question Dec 2021) b. Roflumitast Tiotropium 4. Hydrocortisone 59. Baby tums blue at birth that resolves on crying. What should bedone next? (Most Recent Question Dec 2021) 2 Intubation , Oropharyngeal Airway © CPAP 4. Tracheostomy 60. In 2 patient with Myeloma definin Inap iB events, the next investigation tobe done for diagnosis is: FDG-PET-« ic F Bon CT Most Recent Question Dec 2021) «Serum electrophoresis 4. Somatostatin Rece i tor Scintigraphy 61. A Sol baiavoe Hecate =) is showing altered and sweatir warm atmosphere. What should be dong! e™elY (Most Recent Question Dec 2021) 2 Wash Limb with cold wat ter B.PutFestin ee a Pon fan © Inj Prochlorperazine 4. Put wet cloth immer Puton fan ed with 25° water on body and 62. Comment on diagnosis base, showing neurological deficits 5 °° then, apa at (Most Recent ‘4 “elon, fy a, Gullian barre syndrome b. Wallenberg syndrome c. Brown Sequard syndrome 4. Millard Gubler syndrome 63, Patient underwent surgery after fracuy femur, After $ days he developed wit wat breathlessness. Diagnosis is: ay (Most Recent’ a. Venous thrombo-embolism "Per b. Air embolism . Systemic embolism d. Fat embolism 64. Investigations for Pulmonary embolism: ‘ (Most Recent Question Deca) ‘b. CECT chest d. USG CARDIOLOGY 65. Which murmur is shown here? a. CTPA . Doppler (Most Recent Question De s, - oie a. Ejection systolic e Pan ole c. Early diastolic‘comment on the diagnosis in the patient with rapid X gd ¥ descent in JVP with following CXR (Most Recent Question Dec 2020) ‘a, Cardiac tamponade by Constritive pericarditis ¢, Dilated cardiomyopathy 4. Hypertrophic cardiomyopathy 7A Toyearold man presents with complaints of breathlessness and occasional episodes of chest pain, General physical examination shows a high volume pulse and BP of 150/70 mm Hg. On cardiovascular ‘examination the apex beat is displaced 1.5 cm lateral to mid clavicular line. On auscultation diastolic murmur is a. Aortic insufficiency ». Mitral insufficiency 68. The following image shows 3 Medicine, 64 Patient with previous history of MI three years ago now Presents with gradual increase in breathlessness on ca Bene led? (Recent Pattern Question 2018-19) (Recent Pattern Question 2017) ane b. Homan sign a. Cerebellum b. Basal ganglia ci d. Gordon reflex cc. Tectum d. Uncus * flex heim re «OPP he most common cranial nerve involved in 187. Unconscious proprioception is carried by? 1B Wie crt (Recent Pattern Question 2018-19) a. Dorsal column (Recent Pattern Question 2017) i pducens b. Trochlear D. Spinocerebellar pathways geil a. Facial «. Anterior spinothalamic tract Te the following isnot seen in Horner syndrome? d. Rubro-spinal pathway 116 Whi (Recent Pattern Question 2018-19) 188. In which of the following will EMG show decremental Mydriasis b. Ptosis response? (Recent Pattern Question 2017) "3 anhidrosis 4. Enopthalmos a. M. Gravis b. Lambert-Eaton syndrome _ pines burn in band is een in: (Recent Pattern Question 2018) © Guillain-Barré syndrome d. Botulinism 189. Most common cause of headache? een a. Tension headache (Recent Pattern Question 2016) Mononeuritis multiplex b. Cluster headache Diabetes melitas . Migraine re sopagnosiaiss (Recent Pattern Question 2018) 4. Raised intra-cranial tension 1 Insbility to read b. Inability to write 190. Which of the following is the correct Miller Fisher anesmia 4. Inability to recognize face syndrome triad? (Recent Pattern Question 2016) 1p. Wernick’s encephalopathy is due to deficiency of: (Recent Pattern Question 2018) Thiamine b. B Niacin 4B, 19 Whichof he following manifestation is seen in metabolic cecephalopathy? (Recent Pattern Question 2018) 2 Motor aphasia bs Sensory aphasia « Conduction aphasia Atomic aphasia UL Which of these is the best for management of methanol Peltoning? (Recent Pattern Question 2018) + Acamprosate b. Fomepizole « Disulfiam Naltrexone 12 Allar examples of upper motor neuron lesion; EXCEPT: (Recent Pattern Question 2018) 2 Prion disease b. Multiple sclerosis vn, guint hom cel diseased, Tuberous sclerosis ‘s the most common cause of meningitis in young, a. Global confusion, areflexia, ataxia b. Ophthalmoplegia, ataxia, areflexia c. Ophthalmoplegia, areflexia, aphasia 4. Global confusion, areflexia, aphasia 191, CT head of a patient shows? (Recent Pattern Question 2016) b. SAH 4, Intraparenchymal bleed a. Neurosarcoidosis c. TB meningitis staat ‘Recent Pattern Question 2017) 192. Treatment of post-lumbar puncture headache? 2 Listeria b. Strep pneumonia (Recent Pattern Question 2016) Ug ypnst meningitis d._ Group B streptococcus a. Codeine b. Dantrolene "hats seen in complete transection of spinal cord? . Caffeine d. Diazepam { Wsolbladder control (Recent Pattern Question 2017) 193, Best treatment for glioblastoma multiforme? ¢ sof temperature regulation (Recent Pattern Question 2016) lemianaesthesia a. Chemotherapy ». Radiation Hemiparesis c. Excision with radiation d. Stereotactic surgery a198. 199. 201. 202, ane 656 | FMGE Solu . rehling Fg pater QUE 2016) —— ee esse Exess | Tenn I oy BQ Eras ae ater Dv 195. ‘True about chores rbythiie orem 3195 Teese tt Sb Shwand uniform mover = c Se thing TET oi s ‘non: &. Semi-purposive an ure ee {painand tempera 196. wnlchratdamanlestno en 8) Lateral spinothalamic rat Ventral spinothalamic tact «. Lateral corticospinal pathway sath voluntary skilled : ds t0 oss o ee ve pevent Pattern Question 2016) moveme ‘a. Corticospinal tract b. Rubrospinal tract c Tectospinal tract . Lateral spinothalamic: patay sitioningis done for? pence (Recent Pattern Question 2016) . Relieve compression on back Perform rapid sequence intubation 4. Perform peritoneal lavage Kernohan-Woltman sign is? (Recent Pattern Question 2016) '. Medial displacement of midbrain b. Late displacement of midbrain ¢. Upper displacement of pons 4. Downward displacement of pons Which istrue about uncal herniatont (Recent Pattern Question 2016) & Sere intent b 4hnerveinslvement © 6th nerve involvement Rivastigmine s aa @. 7th nerve involvement ‘ en ‘i Alaheimers disease A lady cannot 55 following rater i cece? ng. Which ofthe 2 Brocis area We Paracel lobule — g. gnau 203, Nucleus ambiguus is located int a. Medlla ». Pon © Midbrain Lara 204, Wernick area istocaed gg ME be 2 Superior temporal pe EYTUS. Inf 205, Gael yras gg TO temporal gyrus ilasgow, + Angular. pit Seales 3 indicates 74S * Dea b Severe disability Brain death 206. 207. 208. 209. 210, 2u1. 212, 213, 214, 215, 216, Glasgow coma scale score of a. Withdrawal on flexion "4 c, Decerebrate posturing g, D&ort A patient after alcoholic q overnight with hanging aya" fell gt Night Palsy: Which of the faye’ deve? by ll dlinical manifestations "Wing bandh Sat a, Neuropraxia hag cc, Neurotmesis Nets, CSF glucose compared to blogs Ps concentration in blood? Blase i, « a, <30% b. 304, \ c. 60-80% a sosge A 32-year-old AIDS positive fens headaches and nuchal stiffness, qu Pay examination clear CSF was obi; ba pt Obtained igh Py With tee MB HAS posing i >100/cu.mm. India ink stain probable diagnosis is? ‘a. Candida meningitis b. Tubercular meningitis c. Cryptosporidium 4. Cryptococcus meningitis A man has acute onset of paraplegia with bilateral areflexia. Diagnosis is: ‘rma a. Acute transverse myelitis b. Subacute combined degenerative disorder ¢. Guillian Barre syndrome 4. Poliomyelitis Boxers present with: a. Epidural hemorrhage b. Subdural hemorrhage ¢. Sub arachnoid hemorthage 4. Intra ventricular hemorthage Allof the following are causes of primary headache EX a. Migraine b. Tension headache ¢. Cluster headache d. Sinusitis DOC for listeria meningitis: : a. Ampicillin Cetin ©. Cefotriaxone 4. Ciproflo DOC for Herpes simplex encephalitis: a. Acyclovir b. Inosine prabonex ¢. Intravenous immunoglobulins d. Amphotericin B SSPE is seen in? ee: a. Rubella b. pom c. Measles d. Chick Allare seen in Horner syndromes a. Ptosis b, Miost 08 thal © Hyperhidrosis 4. Enoggta pt offower motor neuron: Peripheral ganglia 4. Anterior horn cell ie eine ere OOK & peer ere b. Glioblastoma Multiforme "i 4. Ependymoma Mei cranial tension eas tot dr ension and tachycardia + gpetension and tachycardia peterson and bradjearda § saptenon nd recur blared incase whieh the fi au tobe affected first be via ba cs oS 1 Anadtraficacident patent inthe casualty is comatose 2h hunilatealy dilated pupil. The NCCT ofthe patient 1 Lesion peripherally present with concavo conrerborder. What isthe probable diagnosis? 1 Sab-dural hematoma $Epedur hematoma, «¢ Sab-arachnoid hemorthage Intra parenchymal bleeding 1m Extradural hemorrhage on NCCT is visualized ast 1 Hyperdensebiconvexb. Hypodense biconcave Hiperdense biconcave d. Hypodense biconvex 1. Thebmerged part of cerebral cortex ist a Insole b. Broadman area Copuscalosum 4. Piriform sulcus 10 Investigation of cholce for sub-arachnoid hemorthagels: a NCCT ‘b. MRI « CECT d. MRA 15, Weick’ aphasia is characterized by all; EXCEPT: 4 Nonflentspeech —_b. Poor comprehension «Poor repetition 4. Para-phasia| 1 Most common benign brain tumor? 2 Meningioma . Oligodendroglioma « Fpendymoma 4. Medulloblastoma 2. Levy bodes are seen in: 2 Patknsonism, . Alzheimer’ disease © Huntington chorea d. All of above ‘Lest chances of seizures are seen witht & Hypoglycemia b. Hypocalcemia wy { Hl emephalpathy a Neurocpsticercsis A patent presents with headache and nuchal rigidity. Puncture was performed and CSF shows normal Foten and normal glucose with clear CSF. Microscopic palaation ‘of CSF showed 50 lymphocytes/cu.mm with "phocytc pleoeytoss, What i the diagnosist © Bacterial meningitis. Viral meningitis © TBmeningitis 4. Aseptic meningitis 280. Which ofthe following snot seen tubercular ment 8 Evidence of old palmonary leslons o milly pattern 1 found on chest radiography ' Caltre of CSP Is dlagnoste tn aojoiy of ever and ‘emalas the gold standard © Itisseen most often in young ehldren but alo develops in adults A. Cerebrospinal ld reveals alow leukocyte count. 231, CSP finding In Gullan Baer syndrome ist 4 Normal cells with increased protein 'b, Increased protein wi normal els «. Normal els and normal protein 4. Increased cells with low sugar 232, Which s the earliest symptom of Parkinson's dlscaset a Tremors b, Rigilty «6 Brodykinesia 4. Chorea 233, Which ofthe following snot feature of Parkinsonism a Chorea b, Recurrent fll 6 Tremors 4, Freezing 234, Earliest feature of parkinsonism? a. Anosmia be Rigidity 6. Postural instability Freezing 235, Which of the following Is not the feature of upper motor neuron disease? . Hypotonia Weakness of muscles 236, Incorrect about LMN defect? a lac paralysis . Muscular hypertrophy Hypo-teflexia 4. Superficial reflex present 237, Right 12th nerve damage leads tot 4. Tongue deviation to left on protrusion 'b, Tongue deviation to right on protrusion . Nasal twang to voice 4. Scanning speech defects 238, Which ofthe following estsare helpful n diagnosing neural tube defect? 4 Acetylcholine esterase in the amniotic fluid ’. Alpha-ketoglatarate inthe amniotic Nuld «Glutamate in the amniotic Nuid A. Beta hydroxyl butyrate in the amniotic Auld 239, Protein deposited In Alzhelmer’s disease Ist a. Tauprotein ». Alpha synuclen protein ¢ Huntington protein, Protein 143.3 240, Unilateral ptosis isnot seen int 4, Myasthenia gravis. ‘Thyrold ophthalmopathy ¢ Marfan syndrome. Pancoast tumor 241. A patient after an accident was unconscious, On phylcal ‘examination there was unilateral papllary dilatation, Possible reason for the same ‘a Uncilheriation —_b, Tonallarhernation ¢ Cingulate herniation d.Transcalvaral herniation b, Spasticty 4. Superficial reflex absentis oss [FMGESolutions 2 in hemorrhage is ‘242, Moet common site of bral ternal capsule ‘a. Potamen Cerebellum a ‘Ventral pons ce for myasthenia gravis 243, Investigation of cho} a. Single fiber E.M.G b Murde OP iy «. Nerve conduction velod nm &. Anti-acetyicholine receptor antibody 244, CSF is absorbed by: 1. Choroid plexus 1b Sub-arachnoid granulations Dura matter Medicine | Pia matter ; 245, Incorrect about dementia pugilistica: : 1. Seen in boxers b. Difficulty in gait Decreased cognition. Nystagmus 6. sow cammmon ease of cerebro vascular accident a. Infection , Hemorrhage < Embolism 4. Aortic dissection 247. Korsakoff psychosis is seen in: a. Thiamine deficiency ’b. Riboflavin deficiency . Niacin deficiency 4. Cyanacobalamin deficiency 248. Two point discrimination test exhibits maximum sensitivity in? a. Shin b. Toes «: Finger pads 4. Soles 249. A patient presented with right sided hemiplegia while ‘on warfarin. Which of the following will be the initial investigation of choice? @. Chest X-ray b. CT-scan © MRI 4. PET-scan 250, Hemiballismus is due to lesion in? 4. Ipsilateral caudate nucleus b Contralateral sub-thalamie lesion © Contralateral Patamen 4. Ipsilateral sub-thalamc lesion 251. Pontine stroke is due to involvement of? 2. Basilir artery ». Middle cerebral anery & Middle meningeal artery ase, hii communica tery . Which vessel i a. Middle cerca Neurol of Wis Anterior cerebral artery © Posterior cerebral arte Internal arti artery 253, Duret hemorshage st & Traumatic cman mOtIE in conte-coup inj 5 irate 4: Petechial hemorthages in fan, =e Mennches 254. Which of the follow in encephalopathy; 8 IS not 5 _ a. Global confusion te oy . Ataxia Me 255. Broca’s aphasia is characte,” a. Non-fluent aphasia Sertted 256, Whe a the followingena Aa . ¢ following craniay in unruptured berry sneuryysyC ng a. 3rd nerve a = c. Sth nerve 4th nerye ~~ 257, Which of the following is nog Me and 9th nerve: USE fon in a Posilon ofuwle pay, «, Taste 258. Cranial Nerve 8 palsy causes; 2 Mra, a Loss ofgagreflex hye CEPE c. Motion sickness Tina, 259, A patient is unable to solve matin which part of his brain is damaged? a. Temporal lobe “ b. Frontal lobe c. Parietal lobe 4. Occipital lobe 260. Asymetrical Ptosis is seen in? a. Myasthenia gravis b. Thyroid myopathy . Drug induced myopathy d. Duchenne’s muscular dystrophy ete, 261. Cut off for T.1.A definition? a. 12 hours b. 24hours c. 48 hours d. 36hours 262. ‘What are nitrergic neurons: a, Postganglionic neurons releasing nitric oxide b. Iorder neurons releasing nitric oxide . Post ganglionic neurons releasing substance? 4. 1" order neurons releasing calcitonin ge peptide 263. Stenosis of aqueduct of sylvius results int a, Enlargement of lateral ventricles b. Enlargement of fourth ventricle ¢. Enlargement of lateral and third ventic’ 4. Enlargement of lateral and fourth vent ENDOCRINOLOGY 264, A patient presents with head, gynecomastia and lactation. Whi a. Anterior pituitary (Most Recent b. Posterior pituitary ©. Hypothalamus 4, Adrenal gland i 1 Questane tikely diagnosis ofthis case? yon (Most Recent Question Dec 2020) 4 Cushing syndrome PCOD ¢ Acromegaly 4. Conn syndrome yA DM patient will develop which macrovascular {omplication after 20 years? (Most Recent Question Dec 2020) Retinopathy %. Neuropathy {Coronary artery disease d. Nephropathy Aasyearold recently divorced male is suffering from qalpitations, headache and diaphoretic episodes on recurrent basis. He has visited the psychiatrist multiple times. What should be the next best step for management ofthis case? (Most Recent Question Aug 2020) 4. He should vist psychologist instead of psychiatrist b Check for catecholamines levels to pheochromocytoma € Check for hyperthyroidism 4 Increase dose of anti-anxiety medication 45-year-old lady was diagnosed with ovarian tumor. She was lost to follow up but now the same patient has Presented with gross abdominal distention and the following testis being performed in the OPD by the physician, Comment on the finding being elicited? (Most Recent Question Aug 2020) rule out 269. A patient presents with complaints of palpitations. On ‘examination her heart rate is 110/min with Respiratory, Fate of 10 /min, She tells you that her mother has recently expired due to renal cell cancer, What investigation would you perform to manage this caset (Most Recent Question Aug 2020) a. Serum Hydroxy Indole Acetic Acid levels (H.I.A.A) b. Scrum Catecholamines © 24-hour Urine VMA (Vanillylmandelic acid) for 24hours 4, 24-hour fractionated Metanephrine levels. 270. A 35-year-old woman presented with complaints of Palpitations and weight loss. On examination sinus tachycardia is present, and the following lesion was noticed on the shin of the patient. What is the clinical diagnosis? (Most Recent Question Aug 2020) a. Hypothyroi b. Hyperthyroidism &. Filariasis 4. Milroy disease 271, Most common cause of fulminant diabetes ist a. Viruses (Most Recent Question 2019) b. Diabetic Ketoacidosis . Non-ketotic hyperosmolar coma 4. Autoimmunity 272, Most common joint involved in diabetes is seen is? (Most Recent Question 2019) a. Ankle b. Knee c. Shoulder d. Foot 273. Which type of Insulin is used to managea case of Diabetic ketoacidosis? (Most Recent Question 2019) a. Regular b. Lispro . Glargine 4. Aspart 274, Slow onset of action and lack of peak is seen witht (Most Recent Question 2019) b. Lispro 4. NPH a. Glargine c. Regular QuestionsMedicine |8 a ze ‘i [ce solutions mae 7s Most common eee in J ais proms a ent question 2019) a. Bitempe 7 bb. Anovltory eves ce. Amenorthea : Infertility for army medical: 0 276 An 18-year-old mo “pp Hoand HPAI -aphisFBS= meltusis seen in? (Recent Pattern Question 2018-19) a. Diabetic ketoacidosis Coxsackie Bvirus Non-Ketotic hyperosmolar coma Autoimmune panctestitis ; ara a nendy diagnosed case of sick clld with Type 1 Jin was given. Which of the diabetes mellitus (DM), ins following will increase? (Recent Patter Question 2018) a pH ’, Breathing rate «& Glucosuria 4. Urine osmolality 279, Al ofthe following syndromes are seen with obesiys EXCEPT: 2. Prader-Willisyndrome b. Cushing syndrome Laurence Moon-Bied! syndrome & Carcinoid syndrome 1260. Which of the following is associated with elevated alkaline phosphate, ow calcium with low phosphate? a. Paget disease (Recent Pater Question 2018) b, Osteoporosis ¢. Primary byperparathyroidism 4. Vitamin D deficiency 281. Which of the following leads to development of SIADH? (Recent Patern Question 2018) 2 Head rauma b. Pituitary adenoma Lithium 4. Allofthe above 28. White floingeninscendar tytn . Lin oe ‘Question 2017) ‘ 08 i wi Spars OupstatataD Wen visu mizoarmlitinenen a. Lyear fee (Recent Pattern Question 2017) . 1Oyears 4. 20years 285. 286. 287. 288. 289, 290, 291. 292. 293. 294, 295. |, Nephrognic DI occurs due tg a. Na-K ATPase efecin b san c. Aquaporin 1 é Ung Which is the gene involved j Aura» Diabetes mellitus? (Rega tre, a. CTLA-4 it Pattern «1 bree c. HNF-1 Alpha a a eg Whichis the mostcommon tumor yt 8 (Recent Pe a. Non-f ctoning dear ng b, Prolactinoma “hy c. ACTH producing adenoma d. Oncocytoma Which chromosome is responsi ponsi type of MODY? (Recent Pe ag, a. Chromosome 11 ——b. Chrome tin © Chromosome 13d. Goma? Which is nota diabeticpatient? (Recent Pattern a, EBS = 136 mg’ b hour i ¢, HbAIc=7% d. RBS> 210 mys Cause of death in diabetic ketoacidosis? (Recent Patter Queioe 5 a. Cerebral edema . Dehydration ¢, Electrolyte imbalance d. Centralpontsespass Hyperpigmentation is seen with exces of sts hormone? a. FSH LH « TSH 4, ACTH Female with blood sugar of 600 mgt and séeré 110 mEq, Insulin was given, what wll apps == sodium levels? ‘a Sodium increase _—_—b. Sodiumdeces Sodium unaffected 4. Relatvesian Which is most common type of Diabet a. Sensory polyneuropathy b. Auoranis . Radiculopathy 6 Moet ae Lady 45 years of age presents with de ae revel incensed testosterone andtenor Diagnosis ist Osteoporosis b. Rheumatoid arthritis PCOD A 4 Granulosa theca cel U0" agai Which ofthe following preset Tice ay a. Struma ovatii 4 Ga nt . Myasthenia gravis Tos Earliest finding in Dial a. Shrunken kidney is hallmark », Fibrin Caps leated Creatinine C8 oo 4. Urine albumin > 308/85" etic nep! A296 wr. hich of the following isa mineralocorticoid? 2, Cortisone b. Estrogen f Testosterone ._ Aldosterone Which ofthe following is NOT a steroid? oveaoeal b. Progesterone Relaxin 4. Testosterone J. Aldosterone is secreted by: A Piaitary b. Zona glomerulosa ¢ Zona fasciculata d. Adrenal medulla 4399, Glucose fever is related wit 2. Glucagonoma b. Parathyroid adenoma ¢ Insulinoma d. Addison disease 4300, Allare seen in Addison's disease; EXCEPT? sol. 302. 383. 305, Obesity in children is seen 306, 310, ‘2. Hyponatremia b. Hyperkalemia Hypotension d. Metabolic alkalosis In prolactinoma most common symptom other than ctorshea ist ‘2. Bitemporal hemianopia b, Amennorhea ¢ Thyroid dysfunction d. Headache ‘Turner syndrome presents with which heart defect? a. Patent ductus arteriosus b. Atrial septal defect Coarctation ofaorta Ventricular septal defect Rib notching is found in all the following; EXCEPT: a Neurofibromatosis _b. Coarctation of aorta . Taussig bing operation d. Hypoparathyroidism Allare true about Hyperthyroidism; EXCEPT: a Amiety b. Palpitations . Tachycardia 4. Weight gain a. Adrenal insufficiency », Pseudo-hypo-parathyroidism Prader Willi syndrome 4 Soto syndrome True about obesity? 4. Seen mostly in females b, Prevalence decrease upto 40 years of age «. No genetic predisposition 4. Smoking isa risk factor Which is the best indicator for short term control (2-3 weeks) of blood glucose? © Serum fructosamine b. HbAlc «. Blood sugar 4. Urine sugar Which of the following drugs used for Diabetes Mellitus ‘causes lactic acidosis: @ Phenformin b. Metformin © Glipizide 4. Pioglitazone Best drug tobe used in obese type 2 diabetes mellitus patient? @ Metformin. b. Glipizide © Pioglitazone d. Exenatide Post Prandial capillary glucose should be ‘mg/dl for adequate diabetes control: 2 <100 mg/dL b. <140 mg/d © <180 mgydL 4. <200 mg/dL. 311. Allare true about Diabetes insipidus; EXCEPT? n a. Low urine osmolality ¢ b, Dilutional hyponatremia 2 c. Water deprivation test is used for diagnosis Da 4. Polyuria o 312, Alllare correct about SIADH; EXCEPT: > a. Normal KFT b, Low uric acid Go «. Relative hypernatremia d, Normal BP with gain of water 313. Whipple's triad is useful for diagnosis of: a. Insulinoma b. Glucagonoma ¢. Somatostatinoma d. V.LPoma 314. Best test for diagnosis of Carcinoid tumor: 2. 24-hour urinary SHLAA. b. 24-hour catecholamines c. 24-hour vaniylmandelic acid levels . 24-hour metanephrine levels 315. Which of the following is produced by carcinoid tumor? a GABA b. Serotonin c. Epinephrine d. Nor-epinephrine 316. Most reliable marker for hypothyroidism: a. T3 b. T4 TSH . Thyroxine binding globulin 317, Wolf Chaikoff effect is due to a. Iodine deficiency b. Excessive iodine . Iodine metabolism defect d. TPO enzyme deficiency 318. Which of the following is not a feature of thyrotoxicosis? a. Palpitation b. Anxiety c. Weight loss d. Menorrhagia 319. Proptosis not seen in? a. Grave's disease b. Sarcoidosis . Pituitary Apoplesy d. Myxedema 320, Allare true about Plummer Vinson syndrome; EXCEPT? a. Glos b, Lower esophageal web c. Anemi d. Premalignant condition 321. All of following are seen in GH deficiency; EXCEPT: a. Hyperglycemia b. Stunting ¢. Delayed bone aged. High pitched voice +322. Vitamin D deficiency has all; EXCEPT: a, Hypocalcemia b. Increased SAP . Increased PTH d. Hyperphosphatemia 323. Which of the following finding shall be seen in patient with hyper-parathyroidism? ‘a. Hypophosphatemia —_b._Hyperphosphatemia c. Hypermagnesemia _d. Hypomagnesemia 324. Allare features of hyper-parathyroidism; EXCEPT: a. Increase serum calcium , Decreased serum phosphate ¢. Diarthea 4. Nephrocalcinosisvo FMGE Solutions g SESoee , sas Seretory areas couse bY a EXCEPT ve Medullary thyroid tumor 'b. Carcinoid Tumor c. Celiac sprue 4. Glucagonoma Chorionic villus samp! a, Downs b. Trisomy 21 . Phenylketonuria 4. Gastro Congenital adren‘ ase deficiency presents with al a. Metabolic acidosis b. Hypokalemia c. Virilization d. Hypertension ee HEMATOLOGY 328. A 1-year-old boy fell down while playing with his sister and developed a big swelling on left knee joint. Which of the following isthe possible etiology of this presentation? (Most Recent Question Dec 2020) i : E ing is done for alls EXCEPT? a hyperplasia due to 11 beta hydroxy 327, Il; EXCEPT? 2. Von Willebrand disease b. Factor 8 level deficiency ¢. Glanzmann Thromboasthe 4 Pare—Hemophilia 329, 4. Blood coagulation fil b Vitamin Klevels ¢. LFT . PFA-100 330. ues Md child is suty ne i fs malar eminence pct? Ce proming, Pat here. The clinical diapmeet re, si "lan on (Most rat Ny a. Thalassemia b. Iron deficiency anemia . Sideroblastic anemia 4. Lead poisoning 331. Amyloid protein deposition seenina, recurrent hemodialysis is? Patieat deny ee (Most Recent Ques b. Acbeta2 ho c. A-Cal 4. AL 332, A young woman is having recurrent beadids © visual blurring episodes. Work up shows gost) = platelet count with normal WBC and BC == Possible diagnosis is? (Most Recent QuestnDe a. Polycythemia vera b. CML c. Essential thrombocytosis d. Myelofibrosis 333. A 50-year-old patient presented wil recurrent infection. Per abdomen eH hepato-splenomegaly. On peripheral ant With distorted N:C ratio were 0043 aga found to be MPO positive. What isthe a. CML (Most Recent b. AML. . CLL @. ALL cecil nee We we1 Medicine with difficulty in eating due to jaw 397, 4 eer ( ure re cd ceva Iymph nodes. Lymph I2-year-old piel has developed Acute ITP. oot and is m nts shove belo. What isthe clinica Hatt oes Tee Bi eceneof fy cc tes (Most Recent Question Dee 2020) count once sterolds were stopped. On current ‘ist Physical exami bit " nina treatment? (Most Recent Question Aug 2020) 8. Continue steroids as long they are effective '. Splenectomy i required Malt and watch a slteoltion wil occur in most cases of acute ITP in children 4. Rho Immunoglobulin IV ‘The coagulogram of this patient shows increased Prothrombin time, activated partial hromboplastintime With platelet count of 1.2 Laes/cu mm, (Most Recent Question. 2019) 338, The diagnosis is? Hodgkin ease $ latius mononucleosis «Kikuchi disease Bukit ymphoma 15. Gaemet on the diagnosis of peripheral smear shown (Most Recent Question Dec. 2020) } a VQ, 0 43 6g 9 Ce : ti ee C2080 = 339, Which ofthe following testis used for diagnosis of DIC? (Recent Pattern Question 2018-19) 4. Fibrin degradation products b, Activated partial thromboplastin time b. Falciparum malaria yx pilstodum vivax d. Heinz bodies “la dey cronc alcholic patent presented to the PD. The following findin W igs were noted in the patient, ¢. Prothrombin time ats the best investigation tobe done in this patent? 4. D-Dimerassay (Most Recent Question Aug 2020) 340. In sickle cell crisis ‘bone pain is due to: (Recent Pattern Question 2018) a. Boneinfrction —_—_—b. Osteoporosis c Osteomalacia d. Periosteal reaction ‘BM, A 35-year-old patient shows abnormal Schilling test, Antibiotics were given for 5 days which results in ‘normalization of Schilling test, What isthe diagnosis of the patient? (Recent Pattern Question 2018) a, Bacterial overgrowth syndrome '. Chronic pancreatitis 1 Pasa ascorbate level Is eB aay ¢ WCtanketlsesctity «. Mtophie gastits Thrombin tine 4. Meocecal TB Questions664 |FMGE Solutions disease: o eT isso wth se uo 216) AML b, NHL : 4. AML jltT cell eukernia 4. 1 amin defiency ch oottent . : b. Long tra a. Microcytic anemia zie ¢ Lossof proprioception Boeah i ph Medicin 344, Adult with | earrers pallor, hyper V>100 shows? ei spherocytosis b. Megaloblastie anemia Dimorphicanemia. Tale locytosis and anisocytosis is seen in? i ve Neeleeste nem ’. Iron deficiency anemia ‘c. Nutritional deficiency anemia a. Hereditary spherocytosis 346, 2-year-old child with ALL, which of the best prognosis? ‘a Agebetween 1 and 10 years b. TLC>I lac Petechiae (922) 347, Blood transfusion associated acute lang injury occurs due to? a. Nosocomial infections b. HLA mediated © Auto-immune disorder d. Genetic susceptibility 348, Thalassemia isan disorder? 2. Autosomal dominant. Autosomal recessive ¢ X-linked dominant d._X-linked recess 349, Low serum iron and low serum ferritin is seen in: a. Iron deficiency anemia. Chronic kidney disease © Sideroblasticanemia Fanconi anemia 350, Thrombocythemia i characterized by: 4. Platelet elevation b. Low platelets & Neutrophilia 4. Monocytosis 351. Schistocytes are seen in: 2 HUS b. TIP « Dic 4. Allofthe above 352. Correct about vitamin-K deficiency is? 4%. Associated thrombocytopenia wth prolonged bleeding b, Deficiency is rarely seen, except in infants © Factor X is first to be affected 4. Warfarin causes Vitamin K deficiency 353. Hemolytic anemia 53. Hemolytic 's assoctated with the following gall stones: 2. Pigmented b. Mixed © Cholesterol 4. None 354. pee yorker presents with shortness breath ers week. a ‘Withdrawn shows thick ‘& Sickle cell anemia © Meth-hemoglobinemia 4 G-6-Pedefciency 1¢ following has the 355. Allare true about cross, a. Mandatory inal eases ens loa, b- Recipient serum is testeq se tpeg XG, & Donor serum is tested ap dong” ching of day Mor 4. Involves visibl Bains rece, le agatutination Ping, 356. Bleeding time is increane ray in a. Dengue hemorthagie eye lEXCEpy, b. Von willebrand disease e Chronic liver disease Bernard soulier s 387. Blood is stored at blood a. +4 degree Celsius KA b. 4 degree Celsius c. +24 degree Celsius d. -60 degree Celsius 358, Which of following is a 1. Atite Inmphatie teakema b. Acute myeloid leukemia ¢. Chronic myeloid leukemia 4. Chronic lymphocytic leukemia 359. Which organism causes infection afer, a. H. Influenzae b. Staph au 1 eas ©. E.coli 4. Klebsiela 360. Drug of choice in chronic myeloid lakeaiz a, Imitanib mesylate b. Fludarabine . Cladribine 4. Pentostatin 361. Philadelphia chromosome refers: a. Long arm of chromosome 9 and lo xx; chromosome 22 b. Short arm of chromosome 9 and ser = chromosome 22 ¢. Short arm of chromosome 9 and long cremos=> d. Long arm of chromosome 9 and stot =! chromosome 2 362. Alll are seen in Thalassemia major; EXCEFT a. Mactocytic anemia. Transfusion pte" c. Hepato-splenomegaly d. Target ces 363. Which of the following is not a hyp 2. Pregnancy b Ml c. Abruptio-placentae Cirrhosis 364. Elective splenectomy is done in it D a. Hereditary spherocytosis b. ore ‘Aleem, c. Beta thalassemia a 365. Peep can edueto? ates © ALIA, 4. Thrombocytopenia 366. Hairy cell leukemia is a. Bell tumor b. Tcell tumor c. NK cell tumor 4d. AllofaboveGASRONEESTNAL TERT soaring school multiple kids eating from the same one bee simultaneously developed symptoms of cantee intake, jaundice and abdominal pain. Which of rer alowing {is the test to be done in themt the (Most Recent Question Dec 2020) b. IgG HAV a RM HAV b yMHBY @. IgG HBV yo Comment on the diagnosis (Most Recent Question Dec 2020) Portal gastropathy ——_b. ‘Pyloric stenosis ¢ Esophageal varices d._ Menetrier’s disease 449, A 60-year-old man has presented with chronic projectile vomiting and significant weight loss. Which of the following electrolyte abnormality is seen in this patient? (Most Recent Question Aug 2020) &. Hypokalemic hypochloremic Metabolic alkalosis with Hyponatremia b. Hypokalemic hypochloremic Metabolic alkalosis with Hypernatremia Hypokalemic hypochloremic Metabolic alkalosis with Hypercalcemia 4. Hypokalemic hypochloremic Metabolic alkalosis with Hypomagnesemia 37 A 35-year-old patient with ulcerative colitis develops Ulcer on the anterior compartment of the leg. Comment on the diagnosis of patient. (Most Recent Question Aug 2020) 4% Venous ulcer b. Erythema migrans © Erythema nodosum . Pyoderma gangrenosum Medicine | 371. 43-year-old child presents with steatorrhea, weight loss 1d features of malabsorption, Which test Is done for confirmation of diagnosis? (Most Recent Question 2019) . Small intestinal mucosal biops b. Fecal elastase i © Benedict’ test for reducing substances 4. Rectal mucosal suction biopsy Which of the following is correct about cancer developing in Ulcerative colitis? 372. (Recent Pattern Question 2018-19) a, Not a premalignant condition b, Incidence dependant on smoking history ¢. Directly related to duration of disease 4. Increased risk in younger patients Initial treatment for management of mild to moderate Crohn's disease is: (Recent Pattern Question 2018) a. Mesalamine b. Infliximab © Budesonide 4, Sulfasalazine 374, Which of the following is true about carcinoid tumor? ‘. Occurs along structures derived from foregut b. Presentation is hypertension and diaphoresis. . Intestinal carcinoids are of high malignant potential . Best diagnosed by elevated urinary vanillyimandelic acid levels Carcinoid tumor leads to increase in levels of? a. S-Hydroxy tryptamine (Recent Patter Question 2017) . 5-Hydroxyindole acetic acid « Homovanillic acid 4. Vaniyl mandelic acid 376. Gastric cancer is caused by a, Squamous metaplasia (Recent Pattern Question 2016) b. Blood group 0 ¢. Intestinal metaplasia 4. Intestinal hyperplasia 377. Most common site of GIST? (Recent Pattern Question 2016) ‘a. Stomach b. Jejunum ¢ Team d. Colon 378. A lady presented with IDA and malabsorption. Most accurate test for diagnosis is? (Recent Pattern Question 2016) 1. Antiendomysial antibody b. Anti-tissue transglutaminase antibody ¢. Antiepidermal tissue transglutaminase antibody 4. Antimitochondrial antibody 379. A patient presents with sensory ataxia and patchy loss of papilla on tongue, the first investigation to be done is? a. B,,levels (Recent Pattern Question 2016) b. Punch biopsy of terminal ileum c. Brush biopsy of terminal ileum 4. Serum iron studies 373, 375. 665 no ion: Questitions cos. FMGESOI sew chron area FOF Sn Medicine ne done? 380, Al ear et inestiation 10D ie tate eri Mecent Pater Question 2. D-xylose absorption by Intestinal biopsy ; e. Tisse transglutaminase antibody 4. Schilling test agin presents with Hoss of tongue Pal ee 381. Paton Pent = 10 Recent Pater Ques a dist i gation to be performes cman be Bra tay c. Folic acid levels & Inia BOP 51 382. Cushing ulcer is seen in? (Recent Pattern Qu a. Stomach b. Duodenum Jejunum 4. team “as 383, Most common site of carcinoid tumor is a. Appendix beam «. Stomach 4. Rectum 384. A 45-year-old male is brought to casualty after a night party with complaints of epigastric pain, penetrating towards back. Which is the best for diagnosis? a. Serum lipase b. CPK-MB c. ALP @. Gamma- GGT 385. GERD is best diagnosed by? 2. 24-hour pH Monit b. Upper Gl endoscopy Barium meal follow through 4. Barium Swallow 386. Which cereal is not tobe given in celiac sprue? Wheat b. Maize © Corn . Rice aa pone col which i 7 i about malignancy? >. Low grade dysplasia S: High grade dysplasia d. Pleomorphism 388. Iron is absorbed from: 2. Duodenum with fast clearance b. Jejunum with fst clearance eum with low clearance 4. Bone marrow 389. DOC for enteric fev a. Ceftriaxone a. Barium enema = Pj b. Double contrast enema . Barium enema = Pseudo. 4. Double contrast enema =the, Which of the following isthe man sg 392. — this X-ray abdomen? Probate, a, Gas under diaphragm Peritonitis b. Multiple air fluid level- Adhesions and bis . Bird beak ~ Volvulus 4. Normal X-ray PA view Diagn 393. a. CBD dilatation on ERCP b. CBD dilatation on PTC ©. Cystic duct dilation on ERCP d. Cystic duct ectasia on ERCPR.D: H monitoring b, Upper G.l, endoscopy @. X-ray abdomen in management of which cancer: ssf ncer bs Liver cancer Moment Sotoncne Mt about Zenkers diverticulum? Killian triangle revious day food EI cfor 6 105 hour © Ceasound fopirin is VET avo oN ostedi pegursitation of i Premalignant yysphagia | 7 4 are tog of colon is seen in? ad ris disease b. Ulcerative colitis 7 Prem colts d. Amoebic colitis avo the followin not true about Crohn's disease? se Tecan involve stomach and duodenum also skip lesion : * layers of intestine are involved 4 Imsasion of lymph nodes seen ven picture is suggestive oft & Ulcerative colitis b. Crohns disease €. Diverticulosis, Intussusception ‘0. Which of the following is least likely to be seen with (Crohris disease: & Skip lesions b. Fistula © Toxic megacolon 4. Transmural involvement ‘1. lawhich ofthe following conditionssmokingis protective? a Ure colitis b. Crohn’s disease © 4. Alzheimer’s ‘2. Barrett’ esophagus causes which cancer: 4 Adenocarcinoma, Squamous cell CA © Carcinoid tumor d, Esophageal k phageal leiomyoma ‘©. H pylori causes alls EXCEPT: & Peptic ulcer b. Maltoma © Carcinoid tumor d. Gastric CA ‘01 Traveler diartheais caused) by? & Campylobacter b, Aeromonas © Actinobacillus 4. Cryptosporidium "Medicine HEPATOLOGY 405. Comment on this serological report of a hepat patient (Most Recent Question Aug 2020) IgG Anti WBE Haste HBeAg Anti HBS, a. Acute hepatitis B, High infectivity b. Chronic hepatitis B, High infectivity & Chronic hepatitis Blow infectivity 4. Previous infection with hepatitis B A 40-year-old patient came to OPD with symptoms of ‘excessive sleepiness and lethargy all the time. On physical examination the clinical features depicted in the images were seen, Per abdominal examination shows no free fluid in abdomen. Liver and spleen are not palpable. He tells of regular Alcohol consumption. Which is the most probable diagnosis? (Most Recent Question Aug 2020) . Hepatolenticular degeneration Decompensated Alcoholic Cirthosis . Portal Hypertension |. Budd Chiari Syndrome Prophylactic CNS radiation is given for which of the eos 407. following cancers? a. Liver cancer ’. Lung cancer . Prostate cancer 4. Breast cancer (Most Recent Question Aug 2020) g a 7 = = a o > co409. 410, au. ultiple episodes pre al re table awd Se tells that at —s i" nln a Question “Aug 2020) Liar ‘sinusoidal fibrosis a Non cihotic portal Fibrosis s-year-old boy has ar hematemess. splenomegaly is noted. boy had developed J procedure had been ‘What is the diagnosist a. Budd Chiari Syndrome vein thrombosis 4 ean rau tllowingisnotacomponent of 7 (Recent Pattern Question 2018-19) a oT b. Bilirubin a abana 4. Prothrombin time Albu : tic cause of portal HTN! Nota renee aie ecet Pattern i disease Budd Chiari syndrome. Banti © portal vein thrombosis. Pyelophlebitis jegaly is seen in: ea ‘Rewrn! Pattern Question 2018) b, Metabolic syndrome 4d. Nutmeg liver juestion 2018-19) a. Marasmus . Wilson disease 412, Which ofthe following is used for chelation of copper in Wilson disease? (Recent Pattern Question 2017) a Desferroxamine by & Trientine 4. Tetrathiomolybdate 413, Which is the best investigation for Wilson disease? (Recent Pattern Question 2017) a. KFring b. Urine copper . Serum copper . Liver copper 414, Steatosis is due to: (Recent Pattern Question 2016) a. Triglycerides b. LDL ¢ VLDL 4 Cholesterol 415, Central regulator of iron metabolism is: (Recent Pattern Question 2016) a a b. Ferritin ? © Ferroportin @ Hepcidin 416. In Wilson dis i, a Tale disease which ofthe following is usefult om b. Zine d. Sek 407, In hemochromatosis, all are seen; ExGy & Hippocampal sclerosis b Damage to. Pancreas © Hyperpigmentation of, 4. Restrictive, a 418, M on cardiomyopathy ow common chronic viel line a. Hepatitis A lnessis caused by, cHmuce —— Hostg 419. Palmar erythem, lepaitis D a Cosgulopainy ne lure is due to: 420. A man presented wit Diagnosis: a, Acute Cholecystit ¢. Choledocholithia NO) fovey in Sa 421. Fulminant liver diseq, evi coagulopathy developin ned ag ta a. 2weeks PINE Within hoy’ Sei c. 4 weeks Weekg eg, 422, Most common cause of Fujpr, © “°eks a. Hep B Maat ha, c. Hep D A Tec Pn, 423, Nest marker fr maternal cy? virust Tranter, a. HBcAg ray b c. HBeAg HBxag " 424, Spironolactone is most tach Rn AB Heyy 8 Cardiac Hypertrophy B.C ©. Exudative pleural effusion "ti asins 4. Renal artery stenosis 425, Raised Intra-abdominal Pressure t compartment syndrome is? '0 consider a. 0-12mm Hg ». stam iy c. >20mm Hg 4. >30mm ig 426. Trans-esophageal echocardio; is thoracic echocardiographying PS bets a. Evaluation of left ventricle +b. Evaluation of left atria thrombus ¢. Evaluation of Pericardial fluid d. Evaluation of commissural fusion 427. Select the best answer from the picture of temper charting of Patient with history of ‘constipation fore 2 weeks pa Tstwek 2rd wok Seed _[ Sm Poy oteiseases To [3[s [5 Te ][7 [alo fol sraiahatlichrhel aces Puts Temp. ; T7O} 108] 760] 10) t 150] 106] 140) 105] "130 3 120] 109] 110 10a Too} 104 ‘0 {100 and left Atal gpeiy Temperature t 70 | 9a e097 50 | 96, 40] 65 sapans Stoo a. Enteric fever b. Brucellosis ©. Relapsing fever 4. Hodgkin lymphomaren the Image shown below: ‘comme (Most Recent Question Dec 2020) a. Prayer sign b. Phalen sign «Tine sign 4. Schamroth sign 3, A47-year-ald female with joint pains has difficulty in svallowing dry food and has gritting sensation below ‘es. She has NCNC anemia with increased ESR, positive ANA, Anti Ro antibody. What is the diagnosis? 42 Sjogren syndrome (Most Recent Question Dec 2020) Rheumatoid arthritis. « Serum sickness a SLE ‘OLA 30-year-old woman is suffering from progressive 4ysphagia. On examination she has thickening of oral ‘mucosa and leather like skin. She is also hypertensive and has limited exercise capacity due to lung fibrosis. ‘hich ofthe following is the possible diagnosis? (Most Recent Question Dec 2020) 4 PeutzJchgers syndrome 4 Post cricoid dysphagia © Achalasia cardia sn, £ Seetoderma * An obese woman presents with pain in both knee joints And'can hear sound of click from knee joint while te ‘What is the probable diagnosis? haa (Most Recent Question Dec 2020) © Reiter sy 1e a ae syaiom S Medicine| 432. A 30 year old female patient presented with pain in joints of hand with rash on dorsum of hand with extensive skin induration and skin tightening, Comment on the dlagosts, (Most Recent Question Aug 2020) 4, Rheumatoid arthritis b. Psoriatic arthritis ¢. Osteoarthritis 4d, Scleroderma A 60-year-old male patient presented with severe low back pain, Labs show a grossly elevated ESR, X-ray skull shows multiple unched out lesions. Which is the most Import t Investigation to be done for this case? (Most Recent Question Aug 2020) a, Serum acid phosphatase b. CT head with Contrast c. PET scan 4. Serum Electrophoresis ‘Most common pulmonary manifestation of SLE: a, Shrinking Lung syndrome b, Pleuritis (Most Recent Question 2019) ¢. Intra alveolar hemorthage. 4d, Interstitial inflammation 435, Which of the following cannot be diagnosed without positive ANA? (Most Recent Question 2019) a. SLE b. Sjogren Syndrome ¢. Drug induced lupus d. Scleroderma 436, Correct about Rheumatoid nodules? (Recent Pattern Question 2018-19) a, Tender, located on extensor surface and seen with arthritis b. Non-tender, located on extensor surface and seen with arthritis . Non-tender, located on flexor surface and seen with arthritis 4d, ‘Tender, located on flexor surface and seen with arthritis, 437. Which of the following Is the best Investigation for acute gout? (Recent Pattern Question 2018) a. Serum urle acid b. Uric acid in synovial fluid . Uricacid in urine Anti CCP antibodies 438. Which Is the drug of choice for acute gout? (Recent Pattern Question 2018) b. Probenecid 4d. Naproxen 434. a, Febuxstat c. Rofecoxib 660 | jons QuestMedicine | jestion 2017) is: (Recent Pattern Que Pulseless disease 15° a e Takayasu’s arteritis ‘b. Raynaud phenomenon © Coartation of nt aan 's julomat &. Wegener’ granulomatosis a oat Pattern’ Question 2016) b. CRP e oan i phospholipid Anti DNASe B a. Ant phowpholg smatoid arthritis (Recent Pattern Question 2016) 441, What is the effect of rheu a. Dig, normal & CxRisnormal i sion g Ena eanaowing abstract Aer low volume patter ; a ots ad aes of oral ler, Ato-antbodiesarenot b. SLE & pom 4. Calncdieae 443, Which antibody is incriminated in causing jonlein Purpura? nen mr b. IgG IgM 4 IgD 444, LE cells are seen in: e a SLE b. Dermatomyositis ¢ Sicklecellanemia Scleroderma 445. Wegener's granulomatosis is diagnosed by: a. PANCA b. ANCA © -m-ANCA a ANA 446. Antibody in Goodpasture syndrome: 2. Lupus anticoagulant —_b. Anti-GBM antibody © Anti-Ro antibody 4. Anti- mitochondrial antibody 447. Which of the following condition does not cause multiple painful ulcers on tongue? 2 TB b, Sarcoidosis c. Herpes 4. Behgets disease 448. Wrong about Duchenne muscular dystrophy is? a. Pseudo-hypertrophy of calf muscles b. Gower sign positive ¢ Death occurs due to pneumonia 4. Female is symptomatic ‘449. Gower's sign is seen in a Duchenne muscular dystro b, Congenital myopathy a © Gullian barre syndrome d. Allofthe above a Both lung and kidney ae j b. p-ANCAis positive Seen with inflaamatory bowel 4 Nongranulomatousvaseuine oe 452. Allare seen in rheu, a. Deformities M4 arthag,, b, Mononeuritis mutiple 8, c. Peri-articular Osteopy d, Sero-negative arthr, 453, Which of the followin a. Hypercalcemia c. Hyperphosphatemia ih pole 454, Sequela of theumaticheart digg )P°Phogy® a, Mitral stenosis sein as yt c. Tricuspid stenosis tse ey 455. Which of the following ig yoy "Prep rheumatic fever? 8 tjop a. Carditis «. Syndenham chorea gt 4c 456, Allare major criteria for cheunreo a. Pancarditis i Chee Bay, ¢. Deformingarthritis guy" 457, Allof the following ae Jones erie a Elevated ASO titers 6, Hig AER «. Increased PR interval. ariy tay 458. Which one of the following is not acy (Ro) SSA antibody ochted ig, a. Rheumatoid arthritis b. Si «. Sarcoidosis ee 459. Most specific test for SLE a. ss DNA b. ds- DNA c. Anti-Smith antibody d. Histone 460. Anti RO bodies are present in al; EXCEPT; a. SLE D. Sjogren syndone . Neonatal lupus 4d. Mixed connective tissue disorder Orosig itis, Bi Senin i" Arthrtig NOUS da, Ankylosing ei, 461. Which of the following statement is false about Huis syndrome: a. Xlinked b. MR «. Joint stiffness 4. Coarse facial ens 462. In Henoch schonlen purpura Ig and compe involved: a. IgG,C3 b. [gA,C3 c. IgA,C1 d. IgG,C1 “ 463. Which of these doesn’t present with gamlon” Vasculitis? : a. Polyarteritis nodosa —_b, ‘Wegener ©. Churg strauss syndrome 4. Microscopic polyangitis 464, Martel sign is seen in? a. Gout ©. Osteoarthritis eth 465. Lady presents with joint pain in DO” yas grade fever off and on. On examinati™ its b Ankle |, Rheumatoid d a sun exposed parts. Clinical diagno ido a SLE b. Rae ria C. Photo-dermatitis __& Porphv”singsheomatoid arthritis which will bescen? a0 i olongstiy gyndrome —b. Nephrolithiasis e Ma acd d. Secondary amyloidosis «Pah darthritisis seen with? Roe - b. HLA DR4 oo HLA ee d. HLAB27 iG Hs ea fo management of? « fosing Spondylitis ‘b. Rheumatoid arth » pais d. Rheumatic arthriitis RESPIRATORY SYSTEM “poser presents with occasional bouts of cough and 43. Aw ge shortness of breath. CXR was done followed reer choscopy: Which of the following is the likely a nat (Most Recent Question Dec 2020) 1 Pulmonary tuberculosis bb Hydatid yt « Bronchogenic carcinoma & Aspergillosis ‘72 Plearaleffusion was tapped and pleural fluid protein was found to be 2.4 gm% while serum protein was 6 gm%. Pleralfinid LDH is 50 U/L while serum LDH is 200 U/L. Whats the likely etiology of pleural fluid? (Most Recent Question Dec 2020) 2B ». CHF ¢ Rheumatoid arthritis d. Malignancy ‘41 On Post-operative day 2, routine X-ray of patient was paformed. The patient is not complaining of any repimatory distress and is comfortable in hospital bed. » auscultation bilateral equal air entry is heard. What isthe net step in the management of the patient? (Most Recent Question Aug 2020) Ss i ‘Wait and watch and give supplemental oxygen ifrequired Perform needle thoracotomy urgently © Do 2 thoracostomy with wide bore tube and under eter seal @ Perform elective intubation and positive pressure Ventilation 472, - Comment on the diagnosi 47. Medicine 67! A 30-year-old woman has presented with complaints of fever for 3 days with SOB. On examination bronchlal breathing is heard on right mammary area with normal air entry bilaterally. Comment on the diagnosts. (Most Recent Question Aug 2020) Questions a. Right lower lobe pneumonia bb. Right middle lobe pneumonia . Right sided hydropneumothorax 4. Right sided Hydrothorax of the Flow volume curve shown below (Most Recent Question Aug 2020) Explratory ‘Volume Flow (Us) Inspiratory a. COPD b, Interstitial lung disease c. Retrosternal Goiter 4. Tracheal stenosis ‘A 28-year-old pregnant female presents with prolonged labor. Which Arterial Blood gas abnormality is expected to be present in this case? (Most Recent Question Aug 2020) a. Respiratory acidosis b. Respiratory alkalosis, c. Metabolic acidosis 4. Metabolic alkalosis476. 477. 478, 479, 480. phyleal xa mm Hg and temp 0! noticed on right side seas performed. What is the best management of this caset a. Thoracotomy b. Thoracostomy . «¢. Elective intubation and PPV ‘luid resuscitation x Soyer ‘man who works ina glass factory presents swith complaints of progressive shortness of breath on exertion, He is predisposed to development of which of (Most Recent Question Aug 2020) the following? ; a. Histoplasmosis . Tuberculosis «. Mesothelioma 4. Pleural calcification All are true about Allergic Bronchopulmonary asper- gilloma; EXCEPT? — (Recent Pattern Question 2018-19) a. Distal bronchiectasis b. Increased in bronchial gland secretions © Increased Ig E d. Seen in asthmatics On putting @ Subclavian vein catheter, a patient has developed sudden onset severe respiratory distress. Clinical diagnosis ist (Recent Pattern Question 2018-19) a. Pneumothorax b. Sepsis < ARDS d. Nosocomial pneumonia ‘Which is correct about transudative pleural effusion? (Recent Pattern Question 2018) 4. Pleural fluid protein to serum protein ratio <0,5 b. Pleural fluid LDH to Serum LDH >0.6 ¢. Pleural Fluid LDH more than 2/3 of limit for serum LDH nae ieee 4. Pleura fluid sugar to blood su igar ratio >0,5 ‘Which of the following i seen in COAD?. @ Chronic bronchitis (Recent P, Boller eae ter Question 2018) © Desquamative pneumonitis 4. Chemical pneumonitis 481, A 26-year-old paticnt pres tuberculosis. On examinay the following parameters fluid; EXCEPT? a, Gene XPERT c. Albumin ' AD year malnourished chiyg p VDA oss, tachypnea. CXR of the pang is the best treatment? (Ree “UIs sho, fo solecent Pay eb ter > mH ‘ , ion hay. ton, nance 482. a. ATT b. AULT plus steroids ¢, Chloramphenicol 4. Clarithromycin + amoxicillin 483, Leukostasis syndrome affects which orga (Recent Pattern Quesin y a. Liver b. Spleen ~ «. Kidney 4. Lung 484. Drainage of hemothorax is done best space? (Recent Patter Quesios ns a. 2ndintercostal space. Snd paravertebl pe ¢. Sth midaxillary spaced. 7th midaxillryspax 5. Shock lung synonym is used for? (Recent Pattern Question 26 a. COPD , Alveolar proteins . ARDS 4. HMD Pneumatocele is caused by? (Recent Pattera Quon a. Staphylococcus aureus b. Streptococcus pyogenes c. Hemophilus parainfluenzae d. My Nh yneumoniae al ccyatied is treated by? . ymonia 10 487, Hospital acquired pneu ea se a, Azithromycin b. Doxycydl m c. Levofloxacin a. Vancom ath 488. A patient develops fracture of shalt, 2! he develops respiratory distress am o petechiae. Probable diagnosis is? patent (recent Patter ee remaltir™ , Ja 2. Hypostatc pneumonia bP isn . Crush syndromeresents with severe abdominal pain and awe ¢ me tenderness. X-ray abdomen shows? oan eboun A eemath (Recent Pattern Question 2016) J perforation >. DU perfor infection anaerobic Inte i 4 entonel rupture of amoebic liver abscess pict breathing is seen in? Fla chest b Uremia « High altitude 4 Lesion in the brain ‘61, Whichis the best testo be done for Pulmonary embolism? 2 DDimer Assay b MR « Ventilation perfusion scan 4 CT with IV contrast ‘92. Which of the following patients will not be able to respond to increased carbon dioxide levels? 1 Nacaic over-dosage b. Obesity. « Pulmonary edema 4. Type 1 respiratory failure 3, ln HIV positive patient with pneumocystis jiroveci infection, which of the following is used for prevention? 4% Azithromycin b. Acyclovir © Levofloxacin @ Sulfomethoxazole and trimethoprim ‘t Pop-com calcification is seen with? @ Pulmonary Hamartoma Aspergillosis © Broncho- Alveolar cancer wt : Pulmonary Embolism RDS is characterised by all; EXCEPT? + Decreased surfactant _ ‘transudate & Decreased lung compliance # PAO FiO, ratio <200 5, % Medicine 496. A 45-year-old with trauma presents after 4 hours with cheek swelling and urine not passed. On examination crepitus is palpated with periorbital swelling. What is your diagnosis? a. Renal shut down b. Lung laceration c. Gas gangrene d. Base of skull fracture 497. Allare true about Aspirin sensitive asthma; EXCEPT? ‘a, Nasal polyposis b. Treatment with inhaled corticosteroids €. Rhinosinusiis a. Increased prostaglandins 498, Ina patient with COPD, best management option is? a. Quit smoking b. Bronchodilators c. Low flow oxygen a. Mucolytics 499. Ina patient with smoking history, which is important? a. Duration of smoking b. Number of smoking ¢. Brand of Cigarette a. Filter of cigarette 500. Hyperventilation leads to? a. Increased CO, b, Decreased CO, . Increased DL.., d. Decreased PO, ‘501, What is the diagnosis of CXR shown? a. Viral pneumonia b. Bacterial pneumonia . Fungal pneumonia 4. TB 673 Questsil. Left pleural effusion 1a, Right pleural effusion 5 a Hung consolidation « Left ung consolidation Sear rb ddenopathy 503, Female patient with bilates eae agian? and joint pan, ACE eels ae eevate b. Silicosis Sarcoidosis ‘ z Hedgkin lymphoma 4. Non Hodgkin’ lymphoma 504. Mesothelioma is most commonly caused by? a. Asbestosis b, Silicosis cc. Anthracosis 4. Coal workers pneumoconiosis 505, Partial pressure of oxygen in alveoli: $2. 2. 60mm Hg b. 103mm Hg . 136mm Hg d. 160mm Hg 506. Which of the following is given in the maintenance of severe persistent asthma: a. Steroid b. Leukotriene agonist 513. Ipratomium bromide d. Long-acting beta2 agonist 507. Oxygen (30-50%) is not given in: a. COPD b. Pneumonia 514. ©. Minimal pleural effusion 4. Severe asthma oe oe following is. ae to chronic smokin, -acinar emphysem: © Ineguarenpinsems d, Minedeeee eS. . Mottling of lungs is seen in? ney 2 Sil . poy e histoplasmosis fe |. Nocardi 510. . ia Which is correct regarding the CXiR2 516, 517, 4 Pleural thickenin © Hliscurve ® 5. Segmental cll 518, YPertranslucency Diagnosis on CXR is? a. Congenital diaphra b. Bochdaleehernia ha c. Pneumothorax 4, Pneumo-mediastinum CURB 65 criteria includes al, EXCEpy, a. Age is always more than or equal a6 b. Respiratory rate more than 30/min &. Systolic blood pressure is more than d. BUN level is more than 57 mmol/L ‘Most common type of emphysema a. Panacinar emphysema b, Ireguar ¢. Centriacinar emphysemad. Parasept enna Emphysema presents with all EXCEPT: a. Cyanosis b. Barrel shaped chest ¢. Associated with smoking 4. Type 1 respiratory failure In case of Pulmonary embolism, Right vat hypokinesia and decreased urine output, wish therapy is most helpful: a. Thrombolytic b, LMW hepa c. Warfarin d. Heparin aw: Best treatment for massive pulmonary enbol® a. Intravenous tissue plasminogen activo" b. Heparin ¢. Pulmonary thromboembolectomy 4. Low molecular weight heparin + watt What is the full form of ARIA? a. Allergic rhinitis induced asthma b. Allergic thinitis and its impact on 7, aa ¢. Allergy sheumatology immunology 4. Acetlycholine receptor inducing <*" 90 mm Hy Pneumatocele is commonly caused ot a. Streptococcus pneumoniab. Hee ¢. Serratia marcescensglove sign is seen int si gayle rts K maeumoeysts cain Tuberculosis A. Bronchocele con, Aspergillosis can present with all Oh, Lung cavity fk Earinfection, {Normal component in sputum 4. Rhinocerebral involvement gor Allerg broncho- pulmonary Aspergillosis presents with O° all EXCEPT: osinophiluria Fh Occurs in asthmatis, ¢ Brownish plugs in sputum d. Central bronchi 522. Central bronchiect isis is seen with: see Otic adenomatoid malformation bk Ont fibrosis 6. Broncho carcinoma $23. 10C for Bronchiectasis: ‘a. HRCT scan, b. Spiral cr «. Bronchoscopy 4. Pulmonary angiography 24, Miliary shadow on X-ray is seen in all; EXCEPT: xCEPTS d. Tuberculosis ‘a Tuberculosis b. Loefiter’s pneumonia Klebsiella Varicella pneumonia 525, TBeauses alls EXCEPT: 4. Conjunctivitis b. Uveitis c lymphadenopathy —_d._Addison disease 526, Congenital tuberculosis affects which organ the most a. Brin b. Liver «. Kidney d, Lungs S27, Which drugs are not used in severe persistent Asthma: 4. Short acting beta 2 agonist . Oral corticosteroids © Long acting beta 2 agonist 4. Inhaled high dose Steroids 528. Most common cause of community acquired pneumonia? & Pneumococcus b, Streptococcus pyogenes «. Staph. Aureus d. Mycoplasma 529. Unipolar flagellated organsim that causes pneumonia 4 Pseudomonas b, Mycoplasma © Aeromonas 4. Klebsiella pneumonia S30. Which of the following is not true in obstructive lung disease? a Fev,t b Ticy « Fvct & Reduced timed vital capacity Which of the following Is the common cause of ‘espiratory failure Type 2? «Copp © ARDS u b. Acute asthma d. Pneumonia S Medicine 675 582, A65-year-old lady suddenly dies 7 daysafter asurgery of 4 femur fracture suddenly des while having lunch tn the ward, What would be the most likely cause: = 4, Calf vein thrombosis wn b. Pulmonary embotism o €. Myocardial infarction >, 4, Choking on food og 3. A 65-year-old woman after total knee implant surgery ‘complains of calf pain and swelling in the leg from last 2 days, Later she complains of breathlessness and dies suddenly in the ward. Probable cause? 8, Pulmonary embolism b, Myocardial infarction ©. Stroke d, ARDS 534, Westermark sign is seen In: a, Pulmonary embolism b, Pulmonary sequestration ¢, Pulmonary alveolar proteinosis, 4, Pneumothorax 535, Mean pulmonary artery pressure a. 15mm Hg b. 8mm Hg ©. 25mm Hg 4.10 mm Hg, 536, What is not correct about smoking? a. Nicotine causes increase in blood sugar . It reduces anxiety due to release of beta endorphins ¢. Acts psychostimulant 4. Acts on alpha 2 beta 4 nicotinic receptor 537, A 65-year-old man presented with hemoptysis and stage 3 clubbing. The probable diagnosis of the patient is? a, Non small cell lung Ca b, Small cell cancer of lung ©. Tuberculosi d. Sarcoidosis 538, The following CXR shows a, Metastasis to lungs €. Pneumatocele b. Pneumothorax . Bronchial adenoma