CMS Examination-2017
Paper-I
1. Which of the following is NOT correct?
(a) Hepatitis A does not lead to massive hepatic necrosis
(b) Hepatitis B vaccination is part of universal childhood vaccination
(d) Hepatitis E carries very high mortality in pregnant women
2. Which of the following antihypertensive drugs is contraindicated in pregnancy?
(a) Hydralazine
(b) Amlodipine
(d) Ramipril
3. Which of the following least predisposes to infective endocarditis?
(a) Ventricular septal defect
(b) Atrial septal defect
(d) Tetralogy of Fallot
4. A 60 year old male with Marfan's syndrome comes to emergency department with
severe generalised tearing pain localised to chest anteriorly and inter scapular region,
sweating and weakness. On examination, his BP is 200/140 mm Hg. X ray chest
most likely diagnosis?
(a) Acute pulmonary embolism
(b) Dissection of aorta
(c) Acute myocardial infraction
5. A patient who is allergic to penicillin can be prescribed which of the following drugs
for prophylaxis of acute rheumatic fever?
(a) Ciprofloxacin
(b) Erythromycin
(d) Tetracycline
6. QT interval is prolonged in:
(a) Hypocalcaemia
(b) Hyperkalaemia
(d) Digoxin therapy
7. Differential cyanosis is seen in:
(a) Atrial septal defect with pulmonary arterial hypertension
(b) Ventricular septal defect with pulmonary arterial hypertension
(d) Fallot tetralogy
1
8. Wilson's disease is characterised by all EXCEPT:
(a) Increased urinary copper
(c) Deposition of copper in Descemet's membrane
(d) Increased serum ceruloplasmin
9. Following drugs are used for H.Pylori eradication EXCEPT:
(a) Amoxycillin
(c) Tetracycline
(d) Cephalexin
10. A 45 year old female comes to you with dysphagia. She is found to have anaemia and
koilonychia. Most likely diagnosis is:
(b) Boerhaave syndrome
(c) Carcinoma oesophagus
(d) Reflux oesophagitis
11. Chest tube insertion should be considered in a patient with parapneumonic effusion
(a) Loculated pleural effusion
(b) Positive Gram stain/culture of pleural fluid
(c) Pleural effusion is less than 10 mm thickness on decubitus
(d) Pleural fluid pH less than 7.20
dyspnoea, pleuritic pain and haemoptysis. Most likely diagnosis is:
(a) Pulmonary embolism
(b) Pneumonia
(c) Pulmonary oedema
13. A 55 year old male with a history of chronic obstructive pulmonary disease was
rushed to emergency department with increasing shortness of breath, fever and a
productive cough with yellow green sputum. He has difficulty in communicating
because of his inability to complete a sentence. Measurement of arterial blood gas
you interpret this?
(a) Respiratory acidosis, uncompensated
(b) Respiratory alkalosis, uncompensated
(c) Respiratory acidosis, partially compensated
14. A 40 years old woman presents with hematuria, ecchymoses and menorrhagia of six
months duration. What is the most likely diagnosis?
(a) Haemophilia A
(b) Haemophilia B
(d) Henoch Schonlein purpura
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15. Which of the following heavy metal poisoning strictly affects motor nerve ?
(a) Cadmium
(c) Lead
(d) Thallium
16. A patient develops skin necrosis 3 days after being started on warfarin for deep vein
thrombosis. What is the most likely cause?
(b) Protein C deficiency
(c) Disseminated intravascular coagulation
(d) Thrombotic thrombocytopaenic purpura
17. A 15 year old boy is brought to emergency with two days history of headache,
on his skin. Most likely organism causing his condition is:
(a) Haemophilus influenzae
(b) Listeria monocytogenes
(c) Neisseria meningitidis
18. A child presents with episode of hematuria soon after respiratory tract infection. What
is the most likely diagnosis?
(a) IgA nephropathy
(b) Wegener granulomatosis
(d) Churg Strauss syndrome
19. In microalbuminuria, 24 hours urinary albumin is:
(a) 8-10 mg
(b) 30-300 mg
(d) > 3000 mg
20. Following are complications of acute renal failure EXCEPT:
(a) Intravascular volume overload
(b) Hyponatraemia
(d) Metabolic alkalosis
21. Deficiency of which vitamin causes subacute combined degeneration of spinal cord?
(a) Vitamin B1
(b) Vitamin B6
(d) Vitamin B12
3
22. Obstructive lung function tests are seen in which of the following conditions?
(a) Obesity
(c) Pleural effusion
(d) Asthma
23. In which of the following conditions is there an increase in lung diffusion capacity?
(a) Emphysema
(c) Alveolar haemorrhage
(d) Pulmonary oedema
24. Which one of the following statements is correct?
(a) Omalizumab is an antileukotriene
(c) Omalizumab is a newer long acting anticholinergic agent
(d) Omalizumab is once a day long acting beta-2 agonistic
25. Widespread concave ST segment elevation and PR depression in most leads except
aVR lead favours the diagnosis of:
(b) Pericarditis
(c) Digoxin toxicity
(d) Hypertrophic obstructive cardiomyopathy
26. A known case of lepromatous leprosy was initiated on treatment. She developed
reactional state?
(a) Type 1 lepra reaction
(b) Type 2 lepra reaction
(c) Lucio's phenomenon
27. Which of the following is not true regarding congestive cardiac failure in the elderly?
(a) Incidence rises with age
(b) Common causes include coronary artery disease and hypertension
(c) Diastolic dysfunction is often present
28. Multidrug resistant tuberculosis is defined as:
(a) At least resistance to three or more antitubercular drugs
(b) At least resistance to Isoniazid, Streptomycin and Ethambutol
(c) At least resistance to Isoniazid and Rifampicin
4
29. Aortic stenosis is associated with:
(a) Pulsus paradoxus
(b) Pulsus parvus et tardus
(d) Pulsus bigeminus
30. Which of the following is associated with hypercoagulable state?
1. Protein C deficiency
2. Antiphospholipid syndrome
Select the correct answer using the code given below:
(a) 1 only
(b) 2 and 3 only
(c) 1 and 3 only
31. A 20 year old male walked into outpatient department with high grade fever, cough
and chest pain for one day. Chest X-ray showed consolidation of left upper zone. His
respiratory rate is 22/minute, pulse rate 96/minute, BP systolic 120 mmHg and blood
urea 18 mg/dl. What is his CURB score?
(b) 1
(c) 2
(d) 3
32. Which of the following conditions is an autosomal dominant disorder?
(b) Sickel cell disease
(c) Fanconi anaemia
(d) Marfan syndrome
33. Consider the following statements regarding the treatment of bronchial asthma:
2. Inhaled corticosteroids are contraindicated in acute severe asthma
3. Oral steroids may be necessary for severe acute asthma
4. Anticholinergic bronchodilators are muscarinic antagonists
5. Salmeterol and formoterol are highly selective and potent long acting 2
Which of the statements given above are true?
(a) 1, 4 and 5 only
(b) 3, 4 and 5 only
(c) 1, 2 and 5 only
34. Acute massive pulmonary embolism is manifested by the following EXCEPT:
(a) Reduced PaO2 and reduced PaCO2
(b) Pulmonary opacities in chest X ray
(c) SIQIIITIII with RBBB in ECG
5
35. The side effects of isoniazid include the following EXCEPT:
(a) Hepatitis
(c) Peripheral neuropathy
(d) Hyperuricaemia
36. A patient of COPD develops a large pneumothorax during a violent bout of coughing.
The most appropriate management would be:
2. Tube thoracostomy
3. Pleurodesis
Which of the above is/are correct?
(a) 1 and 2
(c) 1 and 3
(d) 2 only
37. Carbon dioxide tension (PaCO2) in arterial blood at sea level is:
(a) Less than 25 mm of Hg
(c) 35-45 mm of Hg
(d) 45-55 mm of Hg
38. The volume of fresh air entering the alveoli each minute is called as:
(a) Dead space
(c) Alveolar ventilation
(d) Ventilation perfusion
39. Exacerbations of bronchial asthma that occur with little or no warning are called:
(a) Brittle asthma
(c) Poorly controlled asthma
(d) Nocturnal asthma
40. Which of the following constituents of antacid can cause constipation?
(a) Magnesium hydroxide
(c) Calcium carbonate
(d) Sodium bicarbonate
41. "TIPS" procedure in the treatment of cirrhosis liver stands for:
(a) Transvenous intrahepatic portal shunt
(c) Transjugular intrahepatic portosystemic shunt
(d) Transjugular intrahepatic peritoneal shunt
6
42. The drug of choice in the treatment of oesophageal candidiasis is:
(b) Nystatin oral suspension
(c) IV amphotericin
(d) Griseofulvin
43. Which of the following statements is NOT true regarding neuroleptic malignant
(a) Caused by haloperidol
(b) Characterized by muscle rigidity and hyperthermia
(c) There is stimulation of central dopamine receptors in hypothalamus
(d) Treated by IV dantrolene
(a) Low molecular weight heparin
(b) NSAIDS
(c) Penicillin
(d) Trimethoprim
(a) Medical treatment for hypertension by antihypertensive drugs
(b) Angioplasty, with or without stenting
(c) Renal artery bypass surgery
(d) All of these
(a) Alzheimer disease
(b) Huntington chorea
(c) Parkinson disease
(d) Subdural haematoma
(a) Lateral medulla
(b) Medial medulla
(c) Pontomedullary junction
(d) Dorsal midbrain
(a) Elevated red cell mass
(b) Normal arterial oxygen saturation
(c) Splenomegaly
(d) Elevated plasma erythropoietin levels
(a) Non-specific interstitial pneumonia
(b) Acute interstitial pneumonia
(c) Cryptogenic organizing pneumonia
(d) Desquamative interstitial pneumonia
50. Which of the following is NOT true of Wilson disease?
(a) There is hepatolenticular degeneration
(b) Autosomal recessive transmission
(c) Serum ceruloplasmin is increased
51. A 55 year old patient on treatment for pulmonary tuberculosis with Rifampicin,
Isoniazid, Pyrazinamide and Ethambutol complain of pain in large and small joints.
Which one of the following investigations will you order?
(a) Serum creatinine
(c) SGOT/SGPT
(d) Serum uric acid
52. The following diseases can cause bullous lesions in the skin EXCEPT:
(a) Pemphigus
(c) Toxic epidermal necrolysis
(d) Pityriasis rosea
53. Which of the following disorder is autosomal recessive?
(a) Cystic fibrosis
(c) Myotonic dystrophy
(d) Huntington disease
54. Which one of the following is the most appropriate treatment for overdose aspirin
ingestion?
(b) Sodium bicarbonate
(c) Allopurinol
(d) N-acetyl-cysteine
55. Killer T cells which are responsible for defence against intracellular pathogen are
(a) CD 2
(b) CD 5
(c) CD 8
(d) CD 10
EXCEPT:
(a) Kawasaki disease
(b) Severe rheumatoid arthritis
(c) Guillain Barre syndrome
57. Which of the following does NOT cause small vessel vasculitis?
(a) Churg Strauss Syndrome
(b) Henoch-Schonlein purpura
(c) Kawasaki disease
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58. Most common cells in peripheral blood smear of chronic myeloid leukemia are:
(a) Myeloblasts
(b) Promyelocytes
(d) Neutrophils
59. Consider the following statements about infective endocarditis:
1. Modified Duke criteria are used for clinical diagnosis
2. Echocardiographic findings form one of the major Duke criteria
endocarditis
4. Presence of glomerulonephritis is a minor Duke criterion
Which of the statements given above are correct?
(a) 1, 2 and 3 only
(c) 3 and 4 only
(d) 1, 2, 3 and 4
60. A 16 year old had an acute episode of dyspnoea, wheezing and coughing during early
morning hours. The episode resolved spontaneously. What is the likely diagnosis?
(b) Asthma
(c) Panic attack
(d) Pneumonia
61. An elderly patient had cerebrovascular accident which was diagnosed as ischaemic in
1. Onset of symptoms to time of drug administration is 4.5 hours
2. Gastrointestinal bleeding in preceding 21 days
Select the correct answer using the code given below:
(a) 1 only
(c) Both 1 and 2
(d) Neither 1 nor 2
62. Consider the following insulin preparations:
1. Aspart
3. Detemir
4. Regular
Which of the above are considered short acting insulin?
(a) 1 and 2 only
(c) 1, 2 and 4 only
(d) 1, 2, 3 and 4
63. A middle aged male known smoker presented with recurrent sinusitis, haemoptysis,
haematuria, arthralgia and palpable purpura. What is the most likely diagnosis?
(b) Goodpasture syndrome
(c) Polyarteritis nodosa
(d) Systemic lupus erythematosus
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64. A patient presents with diarrhoea, steatorrhea and weight loss. Which of the following
diseases is LEAST possible?
(a) Whipple disease
(b) Tropical sprue
(c) Celiac disease
65. Consider the following statements regarding post-streptococcal glomerulonephritis
(PSGN) :
1. Immunosupressive therapy is effective
2. PSGN develops one to three weeks after streptococcal pharyngitis
4. The classic presentation is acute nephritis
Which of the statements given above are correct?
(a) 1, 2 and 3 only
(b) 2, 3 and 4 only
(d) 1, 2, 3 and 4
66. A patient with long term implantable cardioverter defibrillator device developed neck
and facial swelling, hoarseness of voice, nasal congestion, dysphagia and haemoptysis.
The facial swelling increased on supine position. This patient most likely developed:
(b) Intracardiac thrombosis
(c) Superior vena cava obstruction
(d) Pulmonary thromboembolism
67. A patient of AIDS developed ophthalmoplegia, ataxia and global confusion. He is
(a) Biotin
(b) Niacin
(c) Pyridoxine
(d) Thiamine
sputum production. He has had several episodes in the past. He also had digital
clubbing. He is a case of:
(a) Empyema
(b) Bronchiectasis
(d) Necrotising pneumonia
69. A chemical factory worker has acute onset dyspnoea with fever, chills, and malaise,
following a few hours of exposure to a new chemical. These symptoms resolve in four
to five days after removal from exposure. He is likely to have:
(b) Atypical pneumonia
(c) Cryptogenic organising pneumonia
(d) Non-specific interstitial pneumonia
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70. A 25 year old man presents with nausea, vomiting and diarrhoea with crampy
abdominal pain. He gives history of consumption of rice preparation in his last meal.
What is the likely organism causing the above complaints?
(a) Clostridium perfringens
(b) Bacillus cereus
(d) Campylobacter jejuni
71. A five year old child was diagnosed with nephrotic syndrome, 18 months back. He
was treated and successfully went into remission at that time. Following, the initial
episode, the child has had 3 relapses, each of which was successfully treated with oral
days for four weeks. What is the diagnosis?
(a) Nephrotic syndrome, infrequent relapses
(b) Nephrotic syndrome, frequent relapses
(c) Nephrotic syndrome, steroid dependent
72. A 7 year old girl presents to you with non-specific abdominal pain, mild abdominal
distension, and not growing well. The child weighs 14 kg and height is 95 cm. Systemic
examination is normal. The haemoglobin was 7.5 g/dL (microcytic hypochromic RBCs)
and has not responded to iron therapy. Which of the following will be the first
(a) Bone marrow aspiration
(b) Tissue transglutaminase antibodies
(c) Lower GI contrast examination
(d) Colonoscopy/sigmoidoscopy
(haemetemasis) for last 18 hours. On examination, PR-86/m, RR-16/m and BP-100/70
mmHg; and spleen is palpable 5 cm below costal margin. There is no other abnormality.
Liver function tests are normal. What is the next best step in management?
(a) Fluid resuscitation with crystalloids
(c) Intravenous propranolol
(d) Transdermal nitroglycerine
74. A seven year old girl presents in emergency room with hypertension, lethargy,
headache, seizures, and visual disturbances. Fundus examination reveals haemorrhages
this child?
(a) Sublingual nifedipine
(b) Intravenous labetalol infusion
(c) Intravenous minoxidil
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75. On routine newborn screening at day 3 of life, the baby was found to have TSH level
40mU/L. What should be the next step?
(a) Repeat thyroid profile within one week
(c) Repeat thyroid profile after four weeks
(d) Repeat thyroid profile/ start thyroxine, if the child has clinical features of
congenital hypothyroidism, otherwise wait and watch
76. A five year old girl is brought to you with history of fever for seven days associated
investigations will be most appropriate for making a diagnosis of dengue fever?
(a) Detection of NS1 antigen
(b) Platelet count
(c) IgG capture ELISA
77. An eight year old boy was diagnosed to have P.vivax malaria and was treated with
appropriate dosages of chloroquine. The fever subsided but recurred after 3 weeks.
Peripheral smear was again positive for P.vivax. This child should now be treated as a
case with
(b) Recrudescence
(c) Either relapse/recrudescence
(d) Fresh infection
78. A two day old neonate is brought with cyanosis, single second heart sound, and
overload and left ventricular hypertrophy. What is the most likely diagnosis?
(a) Tetrology of Fallot
(b) Tricuspid atresia
(c) Transposition of great arteries
79. A three year old girl is brought with complaint of not being able to ever stand or walk.
She achieved head control at one year of age. Examination reveals generalised hypotonia,
brisk knee jerk, and ankle clonus. What is the likely diagnosis?
(a) Cerebral palsy
(c) Congenital hypothyroidism
(d) Congenital myotonic dystrophy
80. A child presents with sensations of itching, burning and a probable foreign body
beneath the eyelids. Examination reveals photophobia, large oval follicles within the
(a) Epidemic keratoconjunctivitis
(b) Vernal conjunctivitis
(c) Trachomatous conjunctivitis
(d) Phlyctenular conjunctivitis
81. A seven year old boy presents with acute onset of mild intermittent pain in the right
groin and a limp. Abduction and internal rotation of the hip were restricted on the affected
side. There was no fever. Radiographs of the pelvis were normal. The most likely
diagnosis is :
(b) Legg Calve Perthes disease
(c) Slipped capital femoral epiphyses
(d) Osteochondritis dissecans
82. A child is brought with history of ingestion of an unknown substance. On examination
was the most likely substance ingested?
(a) Carbamates
(b) Phenothiazines
(c) Opioids
83. A term newborn presents with respiratory failure which is refractory to mechanical
ventilation, surfactant replacement therapy, glucocorticoid administration and extra
corporeal membrane oxygenation. The most likely diagnosis is:
(a) Surfactant Protein B deficiency
(c) Persistent tachypnea of infancy
(d) Lymphocytic interstitial pneumonitis
84. A child after snake bite develops petechiae and ecchymosis on the skin. In addition,
child develops bleeding from venipuncture site and oliguria. The most likely snake species
(a) Pit viper
(b) Cobra
(c) Mamba
(d) Python
movements. The child also has Sprengel anomaly, scoliosis, and fused cervical vertebrae.
The most likely diagnosis is:
(a) Atlantoaxial instability
(b) Klippel Feil syndrome
(d) Sandifer syndrome
86. A 10 year old boy presents with recurrent bouts of nasal congestion, itching, sneezing,
clear rhinorrhoea and conjunctival irritation. On examination he has conjunctival
hyperaemia, allergic gape and a transverse nasal crease. Which of the following drugs is
(a) Diphenhydramine
(b) Fluticasone
(c) Cetirizine
(d) Ipratropium bromide
87. A two year old child presents with partial albinism and susceptibility to infection.
Peripheral smear examination reveals giant peroxidise positive lysosomal granules in
granulocytes. Which of the following is most likely diagnosis?
(a) Angelman Syndrome
(c) Waardenburg Syndrome
(d) Chediak Higashi syndrome
88. A one year old child on exclusive milk feeds presents with constipation. On
examination there is no fecal impaction. What is the next step in management?
(b) Increasing intake of vegetables and cereals
(c) Colonic enemas using polyethylene glycol
(d) Milk of Magnesia
89. A six year old boy presents with generalized seizure disorder and hypo pigmented skin
diagnosis is:
(a) Tuberous sclerosis
(b) Sturge Weber disease
(c) PHACE Syndrome
90. Which of the following can cause bilateral sensorineural hearing loss?
(a) Histiocytosis
(b) Cholesteatoma
(c) Loop diuretics
91. The joint sitting of Parliament for transacting a legislative business is presided over by:
(a) The President of India
(b) The Vice President of India
(c) The Prime Minister of India
92. Recently, a massive coral bleaching has been reported in the `Great Barrier Reef'. It is
located near the coast of:
(a) Queensland
(b) Maldives
(d) Andaman
93. Who is the first Law Officer of the Government of India?
(a) Chief Justice of India
(b) Attorney General of India
(d) Union Law Minister
14
94. In the context of Genetic Engineering, scientists have developed a new
computational method called `Target Finder' which can predict where non- coding DNA
(a) Artificial induction of beneficial mutations so as to develop high-yielding varieties
(b) Finding new drug targets to treat some genetic diseases
(c) Rapid cloning of domesticated animals
(d) All of these
1. Gold
2. Platinum
3. Silver
Which of the above is/are found in e-waste?
(b) 3 only
(c) 1, 2 and 3
(d) None
96. "Boil a small quantity of khoya with some water, cool and add a few drops of iodine
which of the following?
(a) Fructose
(b) Gram flour
(c) Starch
97. Which of the following CANNOT be used as a biofertilizer in rice cultivation?
(a) Azolla
(b) Azospirillum
(c) Blue green algae
98. Groundwater in many areas in West Bengal has been contaminated leading to a
large number of cases of poisoning. What is the substance responsible for such cases?
(a) Arsenic
(b) Cyanide
(d) Lead
99. For acquiring ethanol for blending with petrol, the oil companies in India depend on:
(a) Cosmetic industry
(b) Food processing plants
(d) Sugar mills
15
100. Consider the following statements:
Targeted Delivery of Financial and Other Subsidies, Benefits and Services Act,
1. strengthen the Pradhan Mantri Jan Dhan Yojana
2. provide funds for the relief of farmers
Which of the statements given above is/are correct?
(a) 1 only
(c) Both 1 and 2
(d) Neither 1 nor 2
101. The Pradhan Mantri Jan Dhan Yojna aims to promote:
(a) Financial inclusion
(c) Cashless financial transactions
(d) Financial literacy
102. The objective of the `'Paramparagat Krishi Vikas Yojana" is to promote:
(a) Conservation of groundwater
(c) Dryland farming
(d) Organic farming
103. Which among the following is a very water intensive crop?
(a) Grapes
(c) Sugarcane
(d) Wheat
104. Which of the following does nanoscience have applications?
1. Drug delivery
3. Food processing
4. Water purification
Select the correct answer using the code given below:
(a) 1 and 2 only
(c) 2, 3 and 4 only
(d) 1, 2, 3 and 4
105. Which of the following is/are the exclusive powers of the Lok Sabha as compared to
Rajya Sabha?
2. Passing a motion of no-confidence against the Council of Ministers
Select the correct answer using the code given below:
(a) 1 only
(b) 2 only
(d) Neither 1 nor 2
16
106. Who among the following do not participate in the election of the President of
India?
(b) Elected members of Vidhan Sabhas
(c) Elected members of Lok Sabha
(d) Elected members of Vidhan Parishads
107. There is a popular opposition to the use of `'plastic microbeads". In the
(a) Cosmetics
(b) Electronics
(c) Wooden furniture
(d) Synthetic textiles
1. In certain parts of India, the cultivation of opium is legally allowed.
2. Opium gum is mixed with cluster bean gum in fracking technology that is
used in the shale gas extraction.
Which of the statements given above is/are correct?
(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
109. There is a worldwide protest against the use of hydrofluorocarbons. In which of
(a) Air-conditioning machines
(b) Cooking gas cylinders
(c) Gas geysers
(d) Microwave ovens
1. Establishing or promoting in-situ conservation facilities for rare and
endangered organisms
2. Maintaining the worldwide network of gene banks for all the known
flora and fauna
(a) 1 only
(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
1. Sloth bear
2. Jaguar
3. Hoolock gibbon
Which of the above is/are found in India in their natural habitat?
(b) 2 and 3 only
(c) 1 and 3 only
(d) 1, 2 and 3
17
112. Consider the following statements:
1. Biodiversity is normally greater in the lower latitude as compared to higher
latitudes.
2. Along the mountain gradient, biodiversity is normally greater in the lower
Which of the statements given above is/are correct?
(a) 1 only
(b) 2 only
(c) Both 1 and 2
113. Aflatoxins are formed by:
(a)
Aspergillus flavus
(b)
(c)
Cryptococcus neoformans
(d)
Coccidioides schenckii
1. Munnar
2. Mandi
3. Krishna
Which of the above districts is/are well known for tea plantations?
(b) 2 and 3 only
(c) 1 and 2 only
(d) 1 only
115. `Fly ash' is emitted from:
(b) Motor vehicles
(c) Sewage treatment plants
(d) Thermal power plants
116. Calcium carbide is used
(b)
as
insecticide
(c) for fruit ripening
117. With reference to food additives, consider the following statements:
1. Benzoic acid and sorbic acid function as antimicrobial agents.
2. Citric acid is used to suppress browning of fruits and vegetables.
Which of the statements given above is/are correct?
(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
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118. With reference to the use of microorganisms in food processing, consider the
following statements:
1. Lactic acid bacteria can ferment any monosaccharide or polysaccharide
into lactic acid.
2. Baker's yeast is manufactured from single cell isolates of Saccharomyces
Which of the statements given above is/are correct?
(a) 1 only
(b) 2 only
(c) Both 1 and 2
119. Which of the following chemicals is/are used in food preservation?
1. Calcium propionate
2. Potassium metabisulphite
3. Lecithin
(a) 1 and 2 only
(b) 3 only
(c) 1, 2 and 3
(d) None of them is used in food preservation
(a) An initiative to help tobacco users to quit tobacco
(b) A mobile phone service that delivers audio messages on pregnancy, child
birth and child care
(c) An app to learn all the methods of cashless financial transactions
public
19
Paper-I
1. Which of the following is NOT correct?
(a) Hepatitis A does not lead to massive hepatic necrosis
(b) Hepatitis B vaccination is part of universal childhood vaccination
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(c) Hepatitis C is commonest cause of transfusion transmitted hepatitis(d) Hepatitis E carries very high mortality in pregnant women
2. Which of the following antihypertensive drugs is contraindicated in pregnancy?
(a) Hydralazine
(b) Amlodipine
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(c) Labetalol(d) Ramipril
3. Which of the following least predisposes to infective endocarditis?
(a) Ventricular septal defect
(b) Atrial septal defect
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(c) Patent ductus arteriosus(d) Tetralogy of Fallot
4. A 60 year old male with Marfan's syndrome comes to emergency department with
severe generalised tearing pain localised to chest anteriorly and inter scapular region,
sweating and weakness. On examination, his BP is 200/140 mm Hg. X ray chest
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shows widening of superior mediastinum. ECG shows sinus tachycardia. What is themost likely diagnosis?
(a) Acute pulmonary embolism
(b) Dissection of aorta
(c) Acute myocardial infraction
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(d) Acute pericarditis5. A patient who is allergic to penicillin can be prescribed which of the following drugs
for prophylaxis of acute rheumatic fever?
(a) Ciprofloxacin
(b) Erythromycin
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(c) Cotrimoxazole(d) Tetracycline
6. QT interval is prolonged in:
(a) Hypocalcaemia
(b) Hyperkalaemia
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(c) Hypermagnesaemia(d) Digoxin therapy
7. Differential cyanosis is seen in:
(a) Atrial septal defect with pulmonary arterial hypertension
(b) Ventricular septal defect with pulmonary arterial hypertension
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(c) Patent ductus arteriosuswith pulmonary arterial hypertension(d) Fallot tetralogy
1
8. Wilson's disease is characterised by all EXCEPT:
(a) Increased urinary copper
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(b) Increased hepatic copper(c) Deposition of copper in Descemet's membrane
(d) Increased serum ceruloplasmin
9. Following drugs are used for H.Pylori eradication EXCEPT:
(a) Amoxycillin
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(b) Bismuth subsalicylate(c) Tetracycline
(d) Cephalexin
10. A 45 year old female comes to you with dysphagia. She is found to have anaemia and
koilonychia. Most likely diagnosis is:
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(a) Plummer Vinson syndrome(b) Boerhaave syndrome
(c) Carcinoma oesophagus
(d) Reflux oesophagitis
11. Chest tube insertion should be considered in a patient with parapneumonic effusion
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include the following EXCEPT:(a) Loculated pleural effusion
(b) Positive Gram stain/culture of pleural fluid
(c) Pleural effusion is less than 10 mm thickness on decubitus
(d) Pleural fluid pH less than 7.20
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12. A patient underwent hip replacement surgery. On fourth post-operative day, he haddyspnoea, pleuritic pain and haemoptysis. Most likely diagnosis is:
(a) Pulmonary embolism
(b) Pneumonia
(c) Pulmonary oedema
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(d) Pericarditis13. A 55 year old male with a history of chronic obstructive pulmonary disease was
rushed to emergency department with increasing shortness of breath, fever and a
productive cough with yellow green sputum. He has difficulty in communicating
because of his inability to complete a sentence. Measurement of arterial blood gas
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shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How wouldyou interpret this?
(a) Respiratory acidosis, uncompensated
(b) Respiratory alkalosis, uncompensated
(c) Respiratory acidosis, partially compensated
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(d) Respiratory alkalosis, partially compensated14. A 40 years old woman presents with hematuria, ecchymoses and menorrhagia of six
months duration. What is the most likely diagnosis?
(a) Haemophilia A
(b) Haemophilia B
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(c) Idiopathic thrombocytopaenic purpura(d) Henoch Schonlein purpura
2
15. Which of the following heavy metal poisoning strictly affects motor nerve ?
(a) Cadmium
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(b) Mercury(c) Lead
(d) Thallium
16. A patient develops skin necrosis 3 days after being started on warfarin for deep vein
thrombosis. What is the most likely cause?
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(a) Antiphospholipid antibody syndrome(b) Protein C deficiency
(c) Disseminated intravascular coagulation
(d) Thrombotic thrombocytopaenic purpura
17. A 15 year old boy is brought to emergency with two days history of headache,
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vomiting and altered sensorium. His BP is 70 mmHg systolic and he has ecchymoseson his skin. Most likely organism causing his condition is:
(a) Haemophilus influenzae
(b) Listeria monocytogenes
(c) Neisseria meningitidis
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(d) Streptococcus pneumoniae18. A child presents with episode of hematuria soon after respiratory tract infection. What
is the most likely diagnosis?
(a) IgA nephropathy
(b) Wegener granulomatosis
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(c) Post streptococcal glomerulonephritis(d) Churg Strauss syndrome
19. In microalbuminuria, 24 hours urinary albumin is:
(a) 8-10 mg
(b) 30-300 mg
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(c) 300-3000 mg(d) > 3000 mg
20. Following are complications of acute renal failure EXCEPT:
(a) Intravascular volume overload
(b) Hyponatraemia
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(c) Hyperkalaemia(d) Metabolic alkalosis
21. Deficiency of which vitamin causes subacute combined degeneration of spinal cord?
(a) Vitamin B1
(b) Vitamin B6
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(c) Vitamin B2(d) Vitamin B12
3
22. Obstructive lung function tests are seen in which of the following conditions?
(a) Obesity
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(b) Kyphoscoliosis(c) Pleural effusion
(d) Asthma
23. In which of the following conditions is there an increase in lung diffusion capacity?
(a) Emphysema
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(b) Idiopathic pulmonary fibrosis(c) Alveolar haemorrhage
(d) Pulmonary oedema
24. Which one of the following statements is correct?
(a) Omalizumab is an antileukotriene
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(b) Omalizumab is a blocking antibody that neutralises circulating IgE(c) Omalizumab is a newer long acting anticholinergic agent
(d) Omalizumab is once a day long acting beta-2 agonistic
25. Widespread concave ST segment elevation and PR depression in most leads except
aVR lead favours the diagnosis of:
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(a) Acute myocardial infarction(b) Pericarditis
(c) Digoxin toxicity
(d) Hypertrophic obstructive cardiomyopathy
26. A known case of lepromatous leprosy was initiated on treatment. She developed
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painful erythmatous papules with fever and lymphadenopathy. What is the likelyreactional state?
(a) Type 1 lepra reaction
(b) Type 2 lepra reaction
(c) Lucio's phenomenon
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(d) Lupus pernio27. Which of the following is not true regarding congestive cardiac failure in the elderly?
(a) Incidence rises with age
(b) Common causes include coronary artery disease and hypertension
(c) Diastolic dysfunction is often present
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(d) Loop diuretics are usually well tolerated28. Multidrug resistant tuberculosis is defined as:
(a) At least resistance to three or more antitubercular drugs
(b) At least resistance to Isoniazid, Streptomycin and Ethambutol
(c) At least resistance to Isoniazid and Rifampicin
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(d) At least resistance to Streptomycin and Rifampicin4
29. Aortic stenosis is associated with:
(a) Pulsus paradoxus
(b) Pulsus parvus et tardus
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(c) Pulsus alternates bisferens(d) Pulsus bigeminus
30. Which of the following is associated with hypercoagulable state?
1. Protein C deficiency
2. Antiphospholipid syndrome
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3. HomocysteinemiaSelect the correct answer using the code given below:
(a) 1 only
(b) 2 and 3 only
(c) 1 and 3 only
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(d) 1, 2 and 331. A 20 year old male walked into outpatient department with high grade fever, cough
and chest pain for one day. Chest X-ray showed consolidation of left upper zone. His
respiratory rate is 22/minute, pulse rate 96/minute, BP systolic 120 mmHg and blood
urea 18 mg/dl. What is his CURB score?
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(a) 0(b) 1
(c) 2
(d) 3
32. Which of the following conditions is an autosomal dominant disorder?
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(a) G-6PD deficiency(b) Sickel cell disease
(c) Fanconi anaemia
(d) Marfan syndrome
33. Consider the following statements regarding the treatment of bronchial asthma:
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1. Tablets of 2 adrenoceptor agonist are better than aerosol therapy2. Inhaled corticosteroids are contraindicated in acute severe asthma
3. Oral steroids may be necessary for severe acute asthma
4. Anticholinergic bronchodilators are muscarinic antagonists
5. Salmeterol and formoterol are highly selective and potent long acting 2
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adrenoceptor agonistsWhich of the statements given above are true?
(a) 1, 4 and 5 only
(b) 3, 4 and 5 only
(c) 1, 2 and 5 only
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(d) 1, 2 and 3 only34. Acute massive pulmonary embolism is manifested by the following EXCEPT:
(a) Reduced PaO2 and reduced PaCO2
(b) Pulmonary opacities in chest X ray
(c) SIQIIITIII with RBBB in ECG
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(d) Reduced cardiac output and acute right heart failure5
35. The side effects of isoniazid include the following EXCEPT:
(a) Hepatitis
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(b) Rash(c) Peripheral neuropathy
(d) Hyperuricaemia
36. A patient of COPD develops a large pneumothorax during a violent bout of coughing.
The most appropriate management would be:
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1. Simple aspiration2. Tube thoracostomy
3. Pleurodesis
Which of the above is/are correct?
(a) 1 and 2
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(b) 2 and 3(c) 1 and 3
(d) 2 only
37. Carbon dioxide tension (PaCO2) in arterial blood at sea level is:
(a) Less than 25 mm of Hg
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(b) 25-35 mm of Hg(c) 35-45 mm of Hg
(d) 45-55 mm of Hg
38. The volume of fresh air entering the alveoli each minute is called as:
(a) Dead space
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(b) Diffusing capacity(c) Alveolar ventilation
(d) Ventilation perfusion
39. Exacerbations of bronchial asthma that occur with little or no warning are called:
(a) Brittle asthma
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(b) Acute severe asthma(c) Poorly controlled asthma
(d) Nocturnal asthma
40. Which of the following constituents of antacid can cause constipation?
(a) Magnesium hydroxide
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(b) Aluminium hydroxide(c) Calcium carbonate
(d) Sodium bicarbonate
41. "TIPS" procedure in the treatment of cirrhosis liver stands for:
(a) Transvenous intrahepatic portal shunt
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(b) Transvenous intraabdominal portal shunt(c) Transjugular intrahepatic portosystemic shunt
(d) Transjugular intrahepatic peritoneal shunt
6
42. The drug of choice in the treatment of oesophageal candidiasis is:
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(a) Fluconazole(b) Nystatin oral suspension
(c) IV amphotericin
(d) Griseofulvin
43. Which of the following statements is NOT true regarding neuroleptic malignant
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syndrome?(a) Caused by haloperidol
(b) Characterized by muscle rigidity and hyperthermia
(c) There is stimulation of central dopamine receptors in hypothalamus
(d) Treated by IV dantrolene
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44. Type IV renal tubular acidosis may be caused by all of the following EXCEPT:(a) Low molecular weight heparin
(b) NSAIDS
(c) Penicillin
(d) Trimethoprim
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45. Treatment options available for management of renal artery stenosis is/are:(a) Medical treatment for hypertension by antihypertensive drugs
(b) Angioplasty, with or without stenting
(c) Renal artery bypass surgery
(d) All of these
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46. A reversible cause of dementia is:(a) Alzheimer disease
(b) Huntington chorea
(c) Parkinson disease
(d) Subdural haematoma
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47. In Wallenberg syndrome, where is the site of lesion?(a) Lateral medulla
(b) Medial medulla
(c) Pontomedullary junction
(d) Dorsal midbrain
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48. The following are features of polycythaemia vera EXCEPT:(a) Elevated red cell mass
(b) Normal arterial oxygen saturation
(c) Splenomegaly
(d) Elevated plasma erythropoietin levels
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49. Which of the following conditions is associated with cigarette smoking?(a) Non-specific interstitial pneumonia
(b) Acute interstitial pneumonia
(c) Cryptogenic organizing pneumonia
(d) Desquamative interstitial pneumonia
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750. Which of the following is NOT true of Wilson disease?
(a) There is hepatolenticular degeneration
(b) Autosomal recessive transmission
(c) Serum ceruloplasmin is increased
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(d) Urinary copper is increased51. A 55 year old patient on treatment for pulmonary tuberculosis with Rifampicin,
Isoniazid, Pyrazinamide and Ethambutol complain of pain in large and small joints.
Which one of the following investigations will you order?
(a) Serum creatinine
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(b) Serum amylase(c) SGOT/SGPT
(d) Serum uric acid
52. The following diseases can cause bullous lesions in the skin EXCEPT:
(a) Pemphigus
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(b) Impetigo(c) Toxic epidermal necrolysis
(d) Pityriasis rosea
53. Which of the following disorder is autosomal recessive?
(a) Cystic fibrosis
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(b) Nail-patella syndrome(c) Myotonic dystrophy
(d) Huntington disease
54. Which one of the following is the most appropriate treatment for overdose aspirin
ingestion?
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(a) Acetazolamide(b) Sodium bicarbonate
(c) Allopurinol
(d) N-acetyl-cysteine
55. Killer T cells which are responsible for defence against intracellular pathogen are
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expressed by which of the following CD phenotypes?(a) CD 2
(b) CD 5
(c) CD 8
(d) CD 10
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56. Intravenous immunoglobulin therapy is approved in the following conditionsEXCEPT:
(a) Kawasaki disease
(b) Severe rheumatoid arthritis
(c) Guillain Barre syndrome
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(d) Dermatomyositis57. Which of the following does NOT cause small vessel vasculitis?
(a) Churg Strauss Syndrome
(b) Henoch-Schonlein purpura
(c) Kawasaki disease
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(d) Granulomatosis with polyangiitis8
58. Most common cells in peripheral blood smear of chronic myeloid leukemia are:
(a) Myeloblasts
(b) Promyelocytes
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(c) Metamyelocytes(d) Neutrophils
59. Consider the following statements about infective endocarditis:
1. Modified Duke criteria are used for clinical diagnosis
2. Echocardiographic findings form one of the major Duke criteria
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3. Presence of one major and two minor criteria is considered as diagnostic ofendocarditis
4. Presence of glomerulonephritis is a minor Duke criterion
Which of the statements given above are correct?
(a) 1, 2 and 3 only
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(b) 1, 2 and 4 only(c) 3 and 4 only
(d) 1, 2, 3 and 4
60. A 16 year old had an acute episode of dyspnoea, wheezing and coughing during early
morning hours. The episode resolved spontaneously. What is the likely diagnosis?
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(a) Pulmonary oedema(b) Asthma
(c) Panic attack
(d) Pneumonia
61. An elderly patient had cerebrovascular accident which was diagnosed as ischaemic in
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nature. Which of the following is a contraindication for thrombolysis?1. Onset of symptoms to time of drug administration is 4.5 hours
2. Gastrointestinal bleeding in preceding 21 days
Select the correct answer using the code given below:
(a) 1 only
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(b) 2 only(c) Both 1 and 2
(d) Neither 1 nor 2
62. Consider the following insulin preparations:
1. Aspart
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2. Glulisine3. Detemir
4. Regular
Which of the above are considered short acting insulin?
(a) 1 and 2 only
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(b) 3 and 4 only(c) 1, 2 and 4 only
(d) 1, 2, 3 and 4
63. A middle aged male known smoker presented with recurrent sinusitis, haemoptysis,
haematuria, arthralgia and palpable purpura. What is the most likely diagnosis?
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(a) Wegener granulomatosis(b) Goodpasture syndrome
(c) Polyarteritis nodosa
(d) Systemic lupus erythematosus
9
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64. A patient presents with diarrhoea, steatorrhea and weight loss. Which of the following
diseases is LEAST possible?
(a) Whipple disease
(b) Tropical sprue
(c) Celiac disease
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(d) Menetrier disease65. Consider the following statements regarding post-streptococcal glomerulonephritis
(PSGN) :
1. Immunosupressive therapy is effective
2. PSGN develops one to three weeks after streptococcal pharyngitis
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3. PSGN develops two to six weeks after impetigo4. The classic presentation is acute nephritis
Which of the statements given above are correct?
(a) 1, 2 and 3 only
(b) 2, 3 and 4 only
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(c) 1 and 4 only(d) 1, 2, 3 and 4
66. A patient with long term implantable cardioverter defibrillator device developed neck
and facial swelling, hoarseness of voice, nasal congestion, dysphagia and haemoptysis.
The facial swelling increased on supine position. This patient most likely developed:
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(a) Cardiac tamponade(b) Intracardiac thrombosis
(c) Superior vena cava obstruction
(d) Pulmonary thromboembolism
67. A patient of AIDS developed ophthalmoplegia, ataxia and global confusion. He is
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likely to have the deficiency of:(a) Biotin
(b) Niacin
(c) Pyridoxine
(d) Thiamine
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68. An elderly male presents with persistent productive cough with large volume purulentsputum production. He has had several episodes in the past. He also had digital
clubbing. He is a case of:
(a) Empyema
(b) Bronchiectasis
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(c) Bronchopneumonia(d) Necrotising pneumonia
69. A chemical factory worker has acute onset dyspnoea with fever, chills, and malaise,
following a few hours of exposure to a new chemical. These symptoms resolve in four
to five days after removal from exposure. He is likely to have:
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(a) Hypersensitivity pneumonitis(b) Atypical pneumonia
(c) Cryptogenic organising pneumonia
(d) Non-specific interstitial pneumonia
10
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70. A 25 year old man presents with nausea, vomiting and diarrhoea with crampy
abdominal pain. He gives history of consumption of rice preparation in his last meal.
What is the likely organism causing the above complaints?
(a) Clostridium perfringens
(b) Bacillus cereus
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(c) Staphylococcus aureus(d) Campylobacter jejuni
71. A five year old child was diagnosed with nephrotic syndrome, 18 months back. He
was treated and successfully went into remission at that time. Following, the initial
episode, the child has had 3 relapses, each of which was successfully treated with oral
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prednisolone (60mg/m2/24h) until remission, followed by 40mg/m2 single dose, alternatedays for four weeks. What is the diagnosis?
(a) Nephrotic syndrome, infrequent relapses
(b) Nephrotic syndrome, frequent relapses
(c) Nephrotic syndrome, steroid dependent
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(d) Nephrotic syndrome, steroid resistant72. A 7 year old girl presents to you with non-specific abdominal pain, mild abdominal
distension, and not growing well. The child weighs 14 kg and height is 95 cm. Systemic
examination is normal. The haemoglobin was 7.5 g/dL (microcytic hypochromic RBCs)
and has not responded to iron therapy. Which of the following will be the first
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investigation you will like to do for diagnosing the condition?(a) Bone marrow aspiration
(b) Tissue transglutaminase antibodies
(c) Lower GI contrast examination
(d) Colonoscopy/sigmoidoscopy
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73. A seven year old boy weighing 20 kg presented with bleeding from upper GI tract(haemetemasis) for last 18 hours. On examination, PR-86/m, RR-16/m and BP-100/70
mmHg; and spleen is palpable 5 cm below costal margin. There is no other abnormality.
Liver function tests are normal. What is the next best step in management?
(a) Fluid resuscitation with crystalloids
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(b) Intravenous vasopressin(c) Intravenous propranolol
(d) Transdermal nitroglycerine
74. A seven year old girl presents in emergency room with hypertension, lethargy,
headache, seizures, and visual disturbances. Fundus examination reveals haemorrhages
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and exudates. Which of the following treatment regimen will be the most appropriate forthis child?
(a) Sublingual nifedipine
(b) Intravenous labetalol infusion
(c) Intravenous minoxidil
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(d) Furosemide11
75. On routine newborn screening at day 3 of life, the baby was found to have TSH level
40mU/L. What should be the next step?
(a) Repeat thyroid profile within one week
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(b) Start child on thyroxine immediately(c) Repeat thyroid profile after four weeks
(d) Repeat thyroid profile/ start thyroxine, if the child has clinical features of
congenital hypothyroidism, otherwise wait and watch
76. A five year old girl is brought to you with history of fever for seven days associated
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with rash, anorexia, myalgia and petechial haemorrhages. Which of the followinginvestigations will be most appropriate for making a diagnosis of dengue fever?
(a) Detection of NS1 antigen
(b) Platelet count
(c) IgG capture ELISA
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(d) Detection of IgM antibodies for dengue77. An eight year old boy was diagnosed to have P.vivax malaria and was treated with
appropriate dosages of chloroquine. The fever subsided but recurred after 3 weeks.
Peripheral smear was again positive for P.vivax. This child should now be treated as a
case with
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(a) Relapse(b) Recrudescence
(c) Either relapse/recrudescence
(d) Fresh infection
78. A two day old neonate is brought with cyanosis, single second heart sound, and
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pansystolic murmur on the left sternal border. ECG reveals left axis deviation, right atrialoverload and left ventricular hypertrophy. What is the most likely diagnosis?
(a) Tetrology of Fallot
(b) Tricuspid atresia
(c) Transposition of great arteries
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(d) Total anomalous pulmonary venous connection79. A three year old girl is brought with complaint of not being able to ever stand or walk.
She achieved head control at one year of age. Examination reveals generalised hypotonia,
brisk knee jerk, and ankle clonus. What is the likely diagnosis?
(a) Cerebral palsy
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(b) Spinal muscular atrophy(c) Congenital hypothyroidism
(d) Congenital myotonic dystrophy
80. A child presents with sensations of itching, burning and a probable foreign body
beneath the eyelids. Examination reveals photophobia, large oval follicles within the
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conjunctiva and preauricular adenopathy. The most likely diagnosis is:(a) Epidemic keratoconjunctivitis
(b) Vernal conjunctivitis
(c) Trachomatous conjunctivitis
(d) Phlyctenular conjunctivitis
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1281. A seven year old boy presents with acute onset of mild intermittent pain in the right
groin and a limp. Abduction and internal rotation of the hip were restricted on the affected
side. There was no fever. Radiographs of the pelvis were normal. The most likely
diagnosis is :
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(a) Transient monoarticular synovitis(b) Legg Calve Perthes disease
(c) Slipped capital femoral epiphyses
(d) Osteochondritis dissecans
82. A child is brought with history of ingestion of an unknown substance. On examination
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child has excess salivation, lacrimation, miosis, gastrointestinal cramps and emesis. Whatwas the most likely substance ingested?
(a) Carbamates
(b) Phenothiazines
(c) Opioids
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(d) Tricyclic antidepressants83. A term newborn presents with respiratory failure which is refractory to mechanical
ventilation, surfactant replacement therapy, glucocorticoid administration and extra
corporeal membrane oxygenation. The most likely diagnosis is:
(a) Surfactant Protein B deficiency
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(b) Primary ciliary dyskinesia(c) Persistent tachypnea of infancy
(d) Lymphocytic interstitial pneumonitis
84. A child after snake bite develops petechiae and ecchymosis on the skin. In addition,
child develops bleeding from venipuncture site and oliguria. The most likely snake species
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is:(a) Pit viper
(b) Cobra
(c) Mamba
(d) Python
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85. A six year old boy presents with short neck, low hairline and restriction of neckmovements. The child also has Sprengel anomaly, scoliosis, and fused cervical vertebrae.
The most likely diagnosis is:
(a) Atlantoaxial instability
(b) Klippel Feil syndrome
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(c) Noonan syndrome(d) Sandifer syndrome
86. A 10 year old boy presents with recurrent bouts of nasal congestion, itching, sneezing,
clear rhinorrhoea and conjunctival irritation. On examination he has conjunctival
hyperaemia, allergic gape and a transverse nasal crease. Which of the following drugs is
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preferred for management of this child?(a) Diphenhydramine
(b) Fluticasone
(c) Cetirizine
(d) Ipratropium bromide
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1387. A two year old child presents with partial albinism and susceptibility to infection.
Peripheral smear examination reveals giant peroxidise positive lysosomal granules in
granulocytes. Which of the following is most likely diagnosis?
(a) Angelman Syndrome
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(b) Hermansky Pudlak Syndrome(c) Waardenburg Syndrome
(d) Chediak Higashi syndrome
88. A one year old child on exclusive milk feeds presents with constipation. On
examination there is no fecal impaction. What is the next step in management?
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(a) Oral lactulose(b) Increasing intake of vegetables and cereals
(c) Colonic enemas using polyethylene glycol
(d) Milk of Magnesia
89. A six year old boy presents with generalized seizure disorder and hypo pigmented skin
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lesions. On examination he has tiny red nodules over the nose and cheeks. The most likelydiagnosis is:
(a) Tuberous sclerosis
(b) Sturge Weber disease
(c) PHACE Syndrome
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(d) Neurofibromatosis90. Which of the following can cause bilateral sensorineural hearing loss?
(a) Histiocytosis
(b) Cholesteatoma
(c) Loop diuretics
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(d) Glomus tumors91. The joint sitting of Parliament for transacting a legislative business is presided over by:
(a) The President of India
(b) The Vice President of India
(c) The Prime Minister of India
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(d) The Speaker of Lok Sabha92. Recently, a massive coral bleaching has been reported in the `Great Barrier Reef'. It is
located near the coast of:
(a) Queensland
(b) Maldives
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(c) Hawaii(d) Andaman
93. Who is the first Law Officer of the Government of India?
(a) Chief Justice of India
(b) Attorney General of India
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(c) Law Secretary(d) Union Law Minister
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94. In the context of Genetic Engineering, scientists have developed a new
computational method called `Target Finder' which can predict where non- coding DNA
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interacts with genes. Which of the following is a likely advantage of this?(a) Artificial induction of beneficial mutations so as to develop high-yielding varieties
(b) Finding new drug targets to treat some genetic diseases
(c) Rapid cloning of domesticated animals
(d) All of these
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95. Consider the following:1. Gold
2. Platinum
3. Silver
Which of the above is/are found in e-waste?
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(a) 1 and 2 only(b) 3 only
(c) 1, 2 and 3
(d) None
96. "Boil a small quantity of khoya with some water, cool and add a few drops of iodine
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solution and see the formation of blue colour". This is the test to find the presence ofwhich of the following?
(a) Fructose
(b) Gram flour
(c) Starch
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(d) Urea97. Which of the following CANNOT be used as a biofertilizer in rice cultivation?
(a) Azolla
(b) Azospirillum
(c) Blue green algae
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(d) Rhizobium98. Groundwater in many areas in West Bengal has been contaminated leading to a
large number of cases of poisoning. What is the substance responsible for such cases?
(a) Arsenic
(b) Cyanide
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(c) Polonium(d) Lead
99. For acquiring ethanol for blending with petrol, the oil companies in India depend on:
(a) Cosmetic industry
(b) Food processing plants
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(c) Fertilizer factories(d) Sugar mills
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100. Consider the following statements:
Targeted Delivery of Financial and Other Subsidies, Benefits and Services Act,
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2016 aims to1. strengthen the Pradhan Mantri Jan Dhan Yojana
2. provide funds for the relief of farmers
Which of the statements given above is/are correct?
(a) 1 only
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(b) 2 only(c) Both 1 and 2
(d) Neither 1 nor 2
101. The Pradhan Mantri Jan Dhan Yojna aims to promote:
(a) Financial inclusion
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(b) Collateral security in housing for rural and urban poor(c) Cashless financial transactions
(d) Financial literacy
102. The objective of the `'Paramparagat Krishi Vikas Yojana" is to promote:
(a) Conservation of groundwater
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(b) Cultivation of wild varieties of cereal crops(c) Dryland farming
(d) Organic farming
103. Which among the following is a very water intensive crop?
(a) Grapes
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(b) Finger millet(c) Sugarcane
(d) Wheat
104. Which of the following does nanoscience have applications?
1. Drug delivery
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2. Electronics3. Food processing
4. Water purification
Select the correct answer using the code given below:
(a) 1 and 2 only
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(b) 1 and 3 only(c) 2, 3 and 4 only
(d) 1, 2, 3 and 4
105. Which of the following is/are the exclusive powers of the Lok Sabha as compared to
Rajya Sabha?
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1. Introducing money bills2. Passing a motion of no-confidence against the Council of Ministers
Select the correct answer using the code given below:
(a) 1 only
(b) 2 only
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(c) Both 1 and 2(d) Neither 1 nor 2
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106. Who among the following do not participate in the election of the President of
India?
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(a) Elected members of Rajya Sabha(b) Elected members of Vidhan Sabhas
(c) Elected members of Lok Sabha
(d) Elected members of Vidhan Parishads
107. There is a popular opposition to the use of `'plastic microbeads". In the
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manufacture of which of the following are they used?(a) Cosmetics
(b) Electronics
(c) Wooden furniture
(d) Synthetic textiles
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108. Consider the following statements:1. In certain parts of India, the cultivation of opium is legally allowed.
2. Opium gum is mixed with cluster bean gum in fracking technology that is
used in the shale gas extraction.
Which of the statements given above is/are correct?
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(a) 1 only(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
109. There is a worldwide protest against the use of hydrofluorocarbons. In which of
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the following household things are they used?(a) Air-conditioning machines
(b) Cooking gas cylinders
(c) Gas geysers
(d) Microwave ovens
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110. What is/are the objectives of Cartagena Protocol on Biosafety?1. Establishing or promoting in-situ conservation facilities for rare and
endangered organisms
2. Maintaining the worldwide network of gene banks for all the known
flora and fauna
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Select the correct answer using the code given below:(a) 1 only
(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
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111. Consider the following animals:1. Sloth bear
2. Jaguar
3. Hoolock gibbon
Which of the above is/are found in India in their natural habitat?
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(a) 1 only(b) 2 and 3 only
(c) 1 and 3 only
(d) 1, 2 and 3
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112. Consider the following statements:
1. Biodiversity is normally greater in the lower latitude as compared to higher
latitudes.
2. Along the mountain gradient, biodiversity is normally greater in the lower
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altitudes as compared to higher altitudes.Which of the statements given above is/are correct?
(a) 1 only
(b) 2 only
(c) Both 1 and 2
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(d) Neither 1 nor 2113. Aflatoxins are formed by:
(a)
Aspergillus flavus
(b)
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Candida albicans(c)
Cryptococcus neoformans
(d)
Coccidioides schenckii
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114. Consider the following districts:1. Munnar
2. Mandi
3. Krishna
Which of the above districts is/are well known for tea plantations?
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(a) 3 only(b) 2 and 3 only
(c) 1 and 2 only
(d) 1 only
115. `Fly ash' is emitted from:
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(a) Brick kilns(b) Motor vehicles
(c) Sewage treatment plants
(d) Thermal power plants
116. Calcium carbide is used
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(a) as rodent killer(b)
as
insecticide
(c) for fruit ripening
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(d) for lowering soil salinity117. With reference to food additives, consider the following statements:
1. Benzoic acid and sorbic acid function as antimicrobial agents.
2. Citric acid is used to suppress browning of fruits and vegetables.
Which of the statements given above is/are correct?
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(a) 1 only(b) 2 only
(c) Both 1 and 2
(d) Neither 1 nor 2
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118. With reference to the use of microorganisms in food processing, consider the
following statements:
1. Lactic acid bacteria can ferment any monosaccharide or polysaccharide
into lactic acid.
2. Baker's yeast is manufactured from single cell isolates of Saccharomyces
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cerevisiae.Which of the statements given above is/are correct?
(a) 1 only
(b) 2 only
(c) Both 1 and 2
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(d) Neither 1 nor 2119. Which of the following chemicals is/are used in food preservation?
1. Calcium propionate
2. Potassium metabisulphite
3. Lecithin
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Select the correct answer using the code given below:(a) 1 and 2 only
(b) 3 only
(c) 1, 2 and 3
(d) None of them is used in food preservation
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120. What is `M-cessation', sometimes seen in news?(a) An initiative to help tobacco users to quit tobacco
(b) A mobile phone service that delivers audio messages on pregnancy, child
birth and child care
(c) An app to learn all the methods of cashless financial transactions
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(d) A government initiative to eradicate the availability of narcotics to generalpublic
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