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NEET PG 2022 Question Paper With Solutions

Master NEET PG with 15 Years of Solved Question Papers (2012-2025) --NEET PG 2022 Question Paper With Solutions

This post was last modified on 25 May 2025



Paper => NEET PG 2022 PYQs

Ques No: 1

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Subject:
Anatomy

Topic:
Abdomen

Sub-Topic:

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The structure marked A in the image below gives rise to which of the fol owing structures?

O1:

Gastrosplenic ligament

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O2:

Lienorenal ligament

O3:

Falciform ligament

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O4:

Gastrophrenic ligament

Ans: 3

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Ques No: 2

Subject:
Anatomy

Topic:
Lower Limb

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Sub-Topic:

A patient underwent surgery for the varicose vein. He now complains of sensory loss over the
medial aspect of the leg and foot. Which of the fol owing nerves is most likely to be injured?

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O1:

Sural nerve



O2:

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Superficial peroneal nerve

O3:

Deep peroneal nerve

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O4:

Saphenous nerve

Ans: 4

Ques No: 3

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Subject:
Anatomy

Topic:
Histology

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Sub-Topic:

Identify the given structure?

O1:

Lymph node

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O2:

Glomerulus

O3:

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Spleen

O4:

Pancreatic islet cel s


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Ans: 4

Ques No: 4

Subject:
Anaesthesia

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Topic:
Oxygen Therapy and Airway

Sub-Topic:

Identify the mask in the image used for patients with COVID-19 injection.

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O1:

Venturi mask

O2:

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Hudson mask

O3:

Nebuliser

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O4:

Non-rebreathing mask

Ans: 4

Ques No: 5

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Subject:
Biochemistry

Topic:
Carbohydrate Metabolism

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Sub-Topic:

A patient from a Mediterranean country visits Africa, where he develops malaria. He is treated


with primaquine and later develops hemolytic anemia. Deficiency of an enzyme involved in
which of the fol owing pathways could be the cause?

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O1:

Glycolysis

O2:

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Gluconeogenesis

O3:

Hexose monophosphate (HMP) pathway

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O4:

Luebering-Rapoport pathway

Ans: 3

Ques No: 6

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Subject:
Dermatology

Topic:
Sexual y Transmitted Infections

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Sub-Topic:

A patient presents to you with multiple anogenital warts. The biopsy of these lesions showed
squamous atypia. Which of the fol owing human papil omavirus types are considered
high-risk?

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O1:

HPV 2

O2:

HPV 18

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O3:

HPV 6



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O4:

HPV 11

Ans: 2

Ques No: 7

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Subject:
ENT

Topic:
Ear

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Sub-Topic:

A 5-year-old child presents with reduced hearing for the past 2-3 months. The otoscopy finding
is given below. What is the most likely diagnosis?

O1:

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Myringitis bul osa

O2:

Serous otitis media

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O3:

Acute otitis media

O4:

Pneumo Tympanum

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Ans: 2

Ques No: 8

Subject:
ENT

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Topic:
Ear

Sub-Topic:

Identify the structure given in the image.

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O1:

Mal eus

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O2:

Incus

O3:

Stapes

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O4:

Vomer

Ans: 2

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Ques No: 9

Subject:
Forensic Medicine

Topic:
Toxicology - General

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Sub-Topic:

A 56-year-old man presents with fatigue, pal or, and abdominal pain. He reports memory loss
and reveals that he works at a battery recycling plant. On examination, a noticeable foot drop
in both lower extremities is seen. Laboratory testing shows elevated blood lead levels. Which

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enzyme is af ected in the given scenario?

O1:

Aminolevulinic acid (ALA) dehydratase

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O2:

Uroporphyrinogen III

O3:

Uroporphyrinogen I

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O4:

Pyruvate dehydrogenase



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Ans: 1

Ques No: 10

Subject:
Forensic Medicine

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Topic:
Toxicology - General

Sub-Topic:

A patient came with complaints of hair loss. His wife mentions that she has noticed some
behavioral changes. The doctor notices a loss of eyebrows on the lateral side. He then

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concludes by examining the nails. What is the type of poisoning in this case?

O1:

Thal ium

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O2:

Arsenic

O3:

Mercury

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O4:

Lead

Ans: 1

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Ques No: 11

Subject:
Medicine

Topic:
Neurology

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Sub-Topic:

The cerebrospinal fluid (CSF) specimen of a patient is shown below along with the
microscopy. The report shows mononuclear cytosis, elevated proteins, and low sugars. Which
of the fol owing is the likely etiology?

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O1:

Tuberculous meningitis

O2:

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Aseptic meningitis

O3:

Bacterial meningitis

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O4:

Chemical meningitis


Ans: 1

Ques No: 12

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Subject:
Medicine

Topic:
Neurology

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Sub-Topic:

A female patient presents to you with a unilateral headache. It is associated with nausea,
photophobia, and phonophobia. What is the drug of choice for acute management?

O1:

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Flunarizine

O2:

Sumatriptan

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O3:

Propranolol

O4:

Topiramate

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Ans: 2

Ques No: 13

Subject:
Medicine

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Topic:
Rheumatology / Connective Tissue Disorder

Sub-Topic:

A patient presents to you with fever, night sweats, ptosis, and bilateral facial nerve palsy.

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Investigations showed leukocytosis and bilateral hilar lymphadenopathy. Which of the
fol owing is the most likely diagnosis?

O1:

Sarcoidosis

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O2:

Tuberculosis

O3:

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Lymphoma

O4:

Hypersensitive pneumonitis

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Ans: 1

Ques No: 14

Subject:
Medicine

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Topic:
Cardiology

Sub-Topic:

A 25-year-old patient is undergoing tooth extraction for dental caries. Which of the fol owing
does not require prophylaxis against infective endocarditis?

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O1:



Prior history of endocarditis

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O2:

Atrial septal defect

O3:

Unrepaired cyanotic heart disease

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O4:

Prosthetic heart valves

Ans: 2

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Ques No: 15

Subject:
Medicine

Topic:
Liver

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Sub-Topic:

A patient presents to the emergency department with a history of ingestion of ten tablets of
paracetamol. He has developed oliguria and liver function tests show deranged values. Which
of the fol owing can be used in the management of this condition?

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O1:

N-acetylcysteine

O2:

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Dopamine

O3:

Ursodeoxycholic acid

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O4:

Furosemide

Ans: 1

Ques No: 16

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Subject:
Medicine

Topic:
Cardiology

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Sub-Topic:

A patient presents to you with an irregularly irregular pulse of 120/minutes and a pulse deficit
of 20. Which of the fol owing would be the jugular venous pressure (JVP) finding?

O1:

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Absent p wave

O2:

Absent a wave

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O3:

Cannon a wave

O4:

Raised JVP with normal waveform

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Ans: 2



Ques No: 17

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Subject:
Medicine

Topic:
GIT

Sub-Topic:

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A patient with a history of chronic liver disease presents with abdominal distension, jaundice,
and pruritis. Ascitic fluid analysis revealed a neutrophil count >650 per cubic mm. What is the
most likely diagnosis?

O1:

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Spontaneous bacterial peritonitis

O2:

Malignant ascites

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O3:

Tubercular ascites

O4:

Intestinal obstruction

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Ans: 1

Ques No: 18

Subject:
Medicine

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Topic:
GIT

Sub-Topic:

Laboratory investigations of a patient being evaluated for jaundice show elevated bilirubin and

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alkaline phosphatase levels. Levels of the remaining liver enzymes are normal. What is the
likely diagnosis?

O1:

Obstructive jaundice

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O2:

Hemolytic jaundice

O3:

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Hepatic jaundice

O4:

Prehepatic jaundice


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Ans: 1

Ques No: 19

Subject:
Medicine

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Topic:
Cardiology

Sub-Topic:

An 11-year-old child with a history of streptococcal pharyngitis presents you with fever and
arthralgia. There is no past history of rheumatic heart disease or features of carditis or valvular

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disease. How often is 6,00,000 IU of benzathine penicil in recommended for prophylaxis of
rheumatic heart disease?

O1:

Immediately

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O2:

Thrice weekly lifelong

O3:

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Once in three weeks for 5 years or til the age of 18, whichever is longer

O4:

Once in three weeks for 10 years or til the age of 25, whichever is longer

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Ans: 3

Ques No: 20

Subject:
Medicine

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Topic:
Endocrinology

Sub-Topic:

Which of the fol owing is not seen in MEN 2B syndrome?

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O1:

Megacolon

O2:

Parathyroid adenoma

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O3:

Mucosal neuroma

O4:

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Marfanoid habitus

Ans: 2

Ques No: 21

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Subject:
Medicine

Topic:
Cardiology

Sub-Topic:

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A patient with coronary artery disease presents to you with chest pain and palpitations. The
ECG is shown below. Which of the fol owing can be used in the management?



O1:

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Oral metoprolol

O2:

Oral amiodarone

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O3:

Intravenous amiodarone

O4:

Intravenous metoprolol

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Ans: 3

Ques No: 22

Subject:
Microbiology

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Topic:
Parasitology

Sub-Topic:

Microfilariae with sheathed tail and two nuclei at the tail is suggestive of?

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O1:

Wuchereria bancrofti

O2:

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Brugia malayi

O3:

Loa loa

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O4:

Onchocerca volvulus

Ans: 2

Ques No: 23

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:



A pregnant lady with 34 weeks of amenorrhea has the fol owing findings: LDH- 700 IU/L,
platelets ? 75,000/mm3, serum bilirubin- 1.5mg/dL, SGOT-200 U/L, SGPT-150U/L, and BP
-140/96 mm Hg. Her coagulation profile and renal function tests are normal. What is the

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diagnosis?
LDH- Lactate dehydrogenase
SGOT- Serum glutamic-oxaloacetic transaminase / AST- Asparate transaminase
SGPT- Serum glutamic pyruvic transaminase / ALT- Alanine transaminase

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O1:

HELLP syndrome

O2:

Acute fatty liver of pregnancy

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O3:

Viral hepatitis

O4:

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Intrahepatic cholestasis

Ans: 1

Ques No: 24

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

Sub-Topic:

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A woman at 26 weeks of gestation presents for routine evaluation. On examination, fundal
height corresponds to 24 weeks. Ultrasonography revealed decreased amniotic fluid. Which of
the fol owing conditions would have led to this presentation?

O1:

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Renal agenesis

O2:

Tracheoesophageal fistula

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O3:

Cardiac abnormalities

O4:

Ureteral stricture

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Ans: 1

Ques No: 25

Subject:
Gynaecology & Obstetrics

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Topic:
Obstetrics

Sub-Topic:

A type 1 diabetic mother is on magnesium sulfate infusion post ? cesarean section for

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preeclampsia. She develops delirium and is drowsy. She has a respiratory rate of 10/min,
random blood glucose level of 240 mg / dL, oliguria, and bilateral y absent knee reflex. What is
the cause of her condition?

O1:

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Magnesium sulfate toxicity

O2:

Diabetic ketoacidosis

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O3:

Eclampsia

O4:

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Diabetes insipidus

Ans: 1

Ques No: 26

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Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

Sub-Topic:

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Identify the type of hymen shown in the image.

O1:

Imperforate hymen

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O2:

Semilunar hymen

O3:

Septate hymen

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O4:

Annular hymen

Ans: 3

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Ques No: 27

Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

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Sub-Topic:

While discharging a patient who underwent a vesicovaginal fistula repair, which of the
fol owing would you recommend?

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O1:



Sexual abstinence for 3 months and avoid pregnancy for a year

O2:

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Sexual abstinence for 3 weeks and avoid pregnancy for 6 months

O3:

Sexual abstinence for 6 weeks and avoid pregnancy for a year

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O4:

Sexual abstinence for 6 months and avoid pregnancy for 6 years

Ans: 1

Ques No: 28

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Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

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Sub-Topic:

Which of the fol owing is an absolute contraindication for the insertion of the device shown in
the image below?

O1:

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Menstruation

O2:

Trophoblastic disease


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O3:

Immediately after delivery

O4:

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Ruptured condom during intercourse

Ans: 2

Ques No: 29

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Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

Sub-Topic:

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A 20 year old woman is evaluated for primary infertility. Hysterosalpingography was done and
reveals the finding shown below. What is the anomaly seen in the image?

O1:

Septate uterus

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O2:

Uterine didelphys

O3:

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Bicornuate uterus

O4:

Unicornuate uterus

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Ans: 1

Ques No: 30

Subject:
Gynaecology & Obstetrics


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Topic:
Obstetrics

Sub-Topic:

A pregnant woman with no other comorbid conditions develops preeclampsia. She enquires
about the cause of her condition. The doctor explains that it is due to the failure of the invasion

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of:

O1:

Spiral artery by vil ous trophoblasts

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O2:

Radial artery by cytotrophoblasts

O3:

Spiral artery by extravil ous trophoblasts

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O4:

Arcuate artery by extravil ous trophoblasts

Ans: 3

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Ques No: 31

Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

A woman with an obstetric score of G2P1 comes to the clinic at 14 weeks of gestation for her
antenatal checkup. A uterine artery doppler was suggested by the doctor. What would it
detect?

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O1:

Early onset preeclampsia

O2:

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Late ? onset preeclampsia

O3:

Fetal growth restriction

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O4:

Placenta accreta

Ans: 1

Ques No: 32

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

While conducting a delivery, you perform the maneuver shown below. Fol owing this, there is
incomplete separation of the placenta and massive hemorrhage. What is your next step in
management?


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O1:

Start oxytocin infusion and wait for spontaneous delivery of placenta

O2:

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Uterine massage

O3:

Arrange for blood and use Crede's method for placental delivery

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O4:

Manual removal of placenta

Ans: 4

Ques No: 33

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

A female patient col apses soon after delivery. There is profuse bleeding and features of
disseminated intravascular coagulation. Which of the fol owing is the most likely etiology?

O1:

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Amniotic fluid embolism

O2:

Uterine prolapse

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O3:

Peripartum cardiomyopathy

O4:

Rupture of the uterus

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Ans: 1

Ques No: 34

Subject:
Gynaecology & Obstetrics

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Topic:
Obstetrics

Sub-Topic:

You are examining a multigravida in the second stage of labor for the past two hours. On

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examination, contractions are adequate, the cervix is dilated with the head at station 0 with
molding 2+ and caput 2+. The sagittal suture is in the right occipitotransverse position. The
fetal heart rate is 140 beats / minute. Which of the fol owing is carried out for the management
of this patient?

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O1:

Midpelvic forceps

O2:

Vacuum -assisted delivery

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O3:

Wait for an hour for spontaneous labor

O4:

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Lower segment cesarean section

Ans: 4

Ques No: 35

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

Sub-Topic:

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A primigravida presents to the labor room at 40 weeks of gestation with lower abdominal pain.
She has been in labor for 3 hours. Which of the fol owing wil determine if she is in active
labor?

O1:

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Fetal head 5/5 palpable on abdominal examination

O2:

Two contractions lasting for 10 seconds in 10 minutes

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O3:

More than 5 cm cervical dilatation with complete ef acement

O4:

Rupture of membranes

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Ans: 3

Ques No: 36

Subject:
Gynaecology & Obstetrics

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Topic:
Obstetrics

Sub-Topic:

Identify the blue ? colored area shown in the image below

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O1:

Obstetric outlet

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O2:

Anatomical outlet

O3:

Pelvic inlet

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O4:

Midpelvis

Ans: 4

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Ques No: 37

Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

What wil be the level of the uterus on the second ? day post delivery?

O1:

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One finger breadth below umbilicus

O2:

Two finger breadths below umbilicus

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O3:

Three finger breadths below umbilicus

O4:

Four finger breadths below umbilicus

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Ans: 1

Ques No: 38


Subject:
Gynaecology & Obstetrics

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Topic:
Obstetrics

Sub-Topic:

A primigravida woman at 12 weeks of gestation comes to the antenatal clinic for nutritional

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advice. Which of the fol owing wil you recommend?

O1:

Additional 300 kcal in 2nd trimester

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O2:

Additional 300 kcal in 1st trimester

O3:

Additional 400 kcal in 3rd trimester

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O4:

Additional 300 kcal throughout the pregnancy

Ans: 1

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Ques No: 39

Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

A 40 year old G2P1 woman with 18 weeks of amenorrhea comes with a dilated cervix. The
cervical length is 15 mm. In spite of explaining the risks, she insisted on cerclage. Which of the
fol owing is a contraindication for cervical cerclage?

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O1:

Ruptured membranes

O2:

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Prolapse of membranes into the vagina

O3:

Fetal fibronectin positive

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O4:

Advanced maternal age

Ans: 2

Ques No: 40

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

A primigravida presents to the emergency room in the early stage of labor with adequate
uterine contractions. On per vaginal examination, a gynecoid pelvis is felt, the membranes are
ruptured, and the vertex is felt in the right occipito- posterior position. How wil you manage
this patient?

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O1:

Vacuum ? assisted delivery


O2:

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Cesarean section

O3:

Normal vaginal delivery

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O4:

Forceps delivery

Ans: 3

Ques No: 41

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

A pregnant patient, with a history of classical cesarean section in view of fetal growth
retardation in the previous pregnancy, presents to you. She is currently at 35 weeks of
gestation with breech presentation. What is the next step in management?

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O1:

Cesarean section at 37 weeks

O2:

Advice USG and visit after 2 weeks

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O3:

Internal podalic version fol owed by vaginal delivery

O4:

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External cephalic version at 36 weeks

Ans: 1

Ques No: 42

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

Sub-Topic:

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A primigravida at 22 weeks of gestation presents to you with profuse vaginal bleeding. Her
blood pressure and glucose levels are within normal limits. Placental implantation at which of
the fol owing sites can cause this?

O1:

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Internal OS

O2:

Fal opian tube

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O3:

Ovarian

O4:

Abdominal

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Ans: 1



Ques No: 43

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Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

Sub-Topic:

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A female patient presents to you with six weeks of amenorrhea, associated with abdominal
pain and vaginal bleeding with normal blood pressure. Investigations revealed beta ? hCG to
be 1400 mIU/mL. An ultrasound scan was done which showed a trilaminar endometrium with
normal adnexa. What is the next best step in the management of this patient ?

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O1:

Repeat beta ? hCG after 48 hours

O2:

Repeat ultrasound after 3 days

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O3:

Measurement of progesterone

O4:

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Laparoscopy

Ans: 1

Ques No: 44

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Subject:
Gynaecology & Obstetrics

Topic:
Gynecology

Sub-Topic:

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A 24 year old lactating female with an 18 month old child comes with a history of irregular,
heavy bleeding seeking contraceptive advice. Which is the contraceptive of choice?

O1:

Progestasert

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O2:

Copper ? T 380A

O3:

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Mala

O4:

Norethisterone enanthate ? depot injection

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Ans: 3

Ques No: 45

Subject:
Gynaecology & Obstetrics

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Topic:
Gynecology

Sub-Topic:

A 25 year old male patient is evaluated for primary infertility. Semen analysis shows
azoospermia. A testicular biopsy is done and the image is shown below. The shown finding is

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consistent with



O1:

Sertoli cel only syndrome

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O2:

Testicular atrophy

O3:

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Benign testicular neoplasm

O4:

Orchitis

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Ans: 1

Ques No: 46

Subject:
Gynaecology & Obstetrics

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Topic:
Obstetrics

Sub-Topic:

A 20 year old woman presented at 7 weeks of gestation, unwil ing to continue the pregnancy.
What are the drugs used for medical termination of pregnancy in this patient?

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O1:

Misoprostol and Medroxyprogesterone

O2:

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Misoprostol and Mifepristone

O3:

Mifepristone and Methotrexate

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O4:

Mifepristone and Medroxyprogesterone

Ans: 2

Ques No: 47

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Subject:
Gynaecology & Obstetrics

Topic:
Obstetrics

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Sub-Topic:

Testosterone helps in the development of various organs in the fetus. Which of the fol owing
stimulates its production?



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O1:

LH from maternal pituitary

O2:

hCG from placenta

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O3:

Inhibin from corpus luteum

O4:

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GnRH from fetal hypothalamus

Ans: 2

Ques No: 48

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Subject:
Ophthalmology

Topic:
Glaucoma

Sub-Topic:

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What is the diagnosis?

O1:

Intraocular foreign body

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O2:

Pseudoexfoliation syndrome

O3:

Ocular trauma

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O4:

Vossius ring

Ans: 2

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Ques No: 49

Subject:
Ophthalmology

Topic:
Uveitis

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Sub-Topic:



A patient presents with a history of penetrating injury to the eye. A diagnosis of sympathetic
ophthalmitis was confirmed. Which of the fol owing wil be seen?

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O1:

Acute anterior uveitis

O2:

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Pars planitis

O3:

Panuveitis

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O4:

Chronic anterior uveitis

Ans: 3

Ques No: 50

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Subject:
Ophthalmology

Topic:
Glaucoma

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Sub-Topic:

A diabetic patient presents to you with visual acuity of 6/9 in one eye. Further investigations
revealed preretinal hemorrhages with neovascularization at the optic disc. What is the next
step in management?

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O1:

Focal laser photocoagulation

O2:

Pan-retinal photocoagulation

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O3:

Grid laser photocoagulation

O4:

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Scleral buckling

Ans: 2

Ques No: 51

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Subject:
Ophthalmology

Topic:
Sclera

Sub-Topic:

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A 35-year-old woman is diagnosed with rheumatoid arthritis. What associated complications
are shown in the image?




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O1:

Scleromalacia perforans

O2:

Ciliary staphyloma

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O3:

Coloboma

O4:

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Malignant melanoma

Ans: 1

Ques No: 52

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Subject:
Ophthalmology

Topic:
Cornea

Sub-Topic:

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What is the indication of this procedure?

O1:

Keratoconus


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O2:

Vogt's limbal girdle

O3:

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Keratoglobus

O4:

Corneal dystrophy

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Ans: 1

Ques No: 53

Subject:
Ophthalmology

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Topic:
Retina

Sub-Topic:

A 3-year-old boy presents with mental retardation and an inability to walk. The fundoscopy
image is given below. What is the most likely diagnosis?

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O1:

Tay-Sachs disease

O2:

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Hunter disease

O3:

Hurler syndrome

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O4:

Gaucher disease

Ans: 1

Ques No: 54

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Subject:
Orthopaedics

Topic:
Orthopedics Oncology

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Sub-Topic:



What could be the diagnosis of a woman with this appearance on X-ray?

O1:

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A multiple brown tumor

O2:

Fibrous dysplasia

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O3:

Multiple enchondromas

O4:

Multiple exostoses

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Ans: 3

Ques No: 55

Subject:
Orthopaedics

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Topic:
Miscel aneous

Sub-Topic:

Which of the fol owing is true about the type of fixation shown in the image?

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O1:

Fracture tibia, ilizarov fixator

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O2:

Fracture tibia, spanning fixator

O3:

Fracture femur, spanning fixator

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O4:

Periarticular fracture of knee, spanning fixator

Ans: 4

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Ques No: 56

Subject:
Orthopaedics

Topic:
Spine + Pelvis + Lower Limb Traumatology

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Sub-Topic:

A male patient presented with a bone fracture fol owing a road traf ic accident. After 2 days he
developed dyspnea, petechiae involving the whole body, and a fal in oxygen saturation. What
is the likely diagnosis?

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O1:

Fat embolism

O2:

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Air embolism

O3:

Venous thromboembolism

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O4:

Pulmonary hypertension



Ans: 1

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Ques No: 57

Subject:
Orthopaedics

Topic:
Metabolic Disorders

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Sub-Topic:

An intrauterine scan at the 13th week of pregnancy showed a fetus with multiple long bone
fractures. What is commonly associated with this finding ?

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O1:

Achondroplasia

O2:

Osteogenesis imperfecta

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O3:

Cretinism

O4:

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Marfan syndrome

Ans: 2

Ques No: 58

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Subject:
Orthopaedics

Topic:
Pediatric Orthopedics

Sub-Topic:

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What is the most common complication of this condition, if left untreated ?



O1:

Malunion and stif ness

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O2:

Non-union and cubitus varus

O3:

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Cubitus valgus

O4:

Myositis ossificans

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Ans: 3

Ques No: 59

Subject:
Orthopaedics

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Topic:
Bone and Joint Infections

Sub-Topic:

A child with a history of recurrent respiratory infections presented with complaints of pain
around the knee and a high fever. X ? ray shows lytic and sclerotic bone. His peripheral blood

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smear is shown in the image below. Aspirate from the joint wil most likely show:




O1:

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Staphylococcus aureus

O2:

Escherichia

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O3:

Salmonel a

O4:

Streptococcus

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Ans: 3

Ques No: 60

Subject:
Orthopaedics

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Topic:
General + Upper Limb Traumatology

Sub-Topic:

A boy fal s on the left shoulder joint and presents to the emergency department with shoulder

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pain. His left elbow is flexed and is supported by the right hand. Which bone might be most
likely fractured?



O1:

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1

O2:

2

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O3:

3

O4:

4

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Ans: 1

Ques No: 61

Subject:
Orthopaedics

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Topic:
Spine + Pelvis + Lower Limb Traumatology

Sub-Topic:

An RTA patient presented to the emergency department with severe pain in the Ankle, an X

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ray was performed, given below. What is the best next step of management?

O1:

Neurovascular Assessment and Closed reduction and slab application

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O2:

Neurovascular Assessment and Closed reduction and cast application

O3:

Neurovascular Assessments and Immediate surgery

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O4:

Neurovascular Assessments and Immediate open reduction

Ans: 1

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Ques No: 62



Subject:
Anatomy

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Topic:
Histology

Sub-Topic:

Identify the cartilage given below?

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O1:

Non-articular hyaline cartilage

O2:

Articular hyaline cartilage

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O3:

Yel ow cartilage

O4:

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White fibrocartilage

Ans: 4

Ques No: 63

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Subject:
Pathology

Topic:
Cel Injury

Sub-Topic:

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Choose the correct statement regarding the telomerase theory of aging

O1:

Telomere stability is associated with aging

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O2:

Abnormal telomerase activation is associated with aging

O3:

Decreased telomere length is associated with aging

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O4:

Increased telomere length is associated with aging

Ans: 3

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Ques No: 64

Subject:
Anatomy

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Topic:
Head and Neck

Sub-Topic:

A patient presents with a unilateral throbbing headache, photophobia, and excessive
lacrimation. He also complains of hemifacial pain on the clenching of teeth. On examination,

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pupil ary reaction, light reflex, and accommodation reflex are normal. Which of the fol owing
marked nerves is involved in the above scenario?

O1:

1

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O2:

2

O3:

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3

O4:

4

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Ans: 3



Ques No: 65

Subject:
Anaesthesia

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Topic:
Neuromuscular Blockade

Sub-Topic:

The image given below shows neuromuscular monitoring of the patient after anesthesia. What

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is the most commonly used nerve for monitoring?

O1:

Ulnar nerve

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O2:

Median nerve

O3:

Radial nerve

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O4:

Metacarpal nerve

Ans: 1

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Ques No: 66

Subject:
Biochemistry

Topic:
Genetics

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Sub-Topic:

Which of the fol owing disorders fol ows autosomal recessive inheritance pattern?

O1:

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Huntington's disease


O2:

Treacher col ins syndrome

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O3:

Cystic fibrosis

O4:

Achondroplasia

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Ans: 3

Ques No: 67

Subject:
Biochemistry

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Topic:
Lipid Metabolism

Sub-Topic:

Which of the fol owing helps in the transport of fatty acids across the inner mitochondrial

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membrane?

O1:

Acyl carrier protein

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O2:

Carnitine

O3:

Lecithin-cholesterol acyltransferase

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O4:

Carnitine and albumin

Ans: 2

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Ques No: 68

Subject:
Biochemistry

Topic:
Genetics

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Sub-Topic:

A single mutation in a nucleotide base pair resulting in a termination codon is known as
________?

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O1:

Missense mutation

O2:

Nonsense mutation

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O3:

Stop mutation

O4:

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Silent mutation

Ans: 2

Ques No: 69

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Subject:
Biochemistry


Topic:
Introduction

Sub-Topic:

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DNA packing is done by which of the fol owing?

O1:

Histone

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O2:

Glycoprotein

O3:

Nucleic acid

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O4:

Adenine

Ans: 1

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Ques No: 70

Subject:
Biochemistry

Topic:
Carbohydrate Metabolism

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Sub-Topic:

An adolescent male patient presents to you with exercise intolerance. He gives a history of
developing cramps on exertion. Which of the fol owing enzyme deficiencies could be the
cause?

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O1:

Myophosphorylase

O2:

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Hexokinase

O3:

Glucose-6-phosphatase

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O4:

Hepatic glycogen phosphorylase

Ans: 1

Ques No: 71

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Subject:
Biochemistry

Topic:
Vitamins

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Sub-Topic:

Which of the fol owing enzyme activities can be estimated in red blood cel s to diagnose
vitamin B2 deficiency?

O1:

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Transketolase

O2:

Glutathione reductase

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O3:

Kynureninase



O4:

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Pyruvate dehydrogenase

Ans: 2

Ques No: 72

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Subject:
Biochemistry

Topic:
Vitamins

Sub-Topic:

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The fol owing is due to the deficiency of?

O1:

Vitamin C

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O2:

Vitamin A

O3:

Vitamin B

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O4:

Vitamin E

Ans: 2

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Ques No: 73

Subject:
Biochemistry

Topic:
Carbohydrate Metabolism

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Sub-Topic:

A child presents to you with anemia, thrombocytopenia, and bony pain. On examination,
hepatosplenomegaly was noticed. If light microscopy of bone marrow aspirate reveals
"crumpled tissue paper" appearance, what is the enzyme defect?

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O1:

Glucocerebrosidase

O2:

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Sphingomyelinase

O3:

Hexosaminidase

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O4:

Glucose6-phosphatase

Ans: 1

Ques No: 74

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Subject:
Biochemistry

Topic:
Oxidative Phosphorylation

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Sub-Topic:

The electron transport chain is a series of redox reactions that result in ATP synthesis. Which
of the fol owing is a cytochrome complex IV inhibitor?

O1:

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Cyanide

O2:

Carbon dioxide

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O3:

Oligomycin

O4:

Ouabain

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Ans: 1

Ques No: 75

Subject:
Dermatology

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Topic:
Cutaneous Infections

Sub-Topic:

A farmer presents to you with swel ing on foot and multiple discharging sinuses in the lower

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limb. Granules from the discharge were examined under the microscope, shown below. Which
of the fol owing is true regarding this condition?



O1:

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Both bacteria and fungi can be causative

O2:

Undergoes lymphatic spread

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O3:

There is lymphocyte accumulation

O4:

Involves only superficial tissues

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Ans: 1

Ques No: 76

Subject:
Dermatology

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Topic:
Cutaneous Infections

Sub-Topic:

A farmer presents you with a cauliflower-shaped mass on foot, which developed after a minor

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injury. Microscopy shows copper penny bodies. What is the most likely diagnosis?

O1:

Chromoblastomycosis

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O2:

Blastomycosis

O3:

Sporotrichosis

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O4:

Phaeohyphomycosis

Ans: 1

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Ques No: 77

Subject:
Dermatology

Topic:
Skin Appendages and their Disorders

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Sub-Topic:



Irregular pitting of nails with subungual hyperkeratosis is seen in ___________.

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O1:

Lichen planus

O2:

Psoriasis

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O3:

Atopic dermatitis

O4:

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Alopecia areata

Ans: 2

Ques No: 78

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Subject:
Dermatology

Topic:
Skin Appendages and their Disorders

Sub-Topic:

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A 35-year-old woman presents to you with hair loss for the past three months. She tested
positive for COVID-19 eight months ago. What is the most likely diagnosis?



O1:

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Tinea capitis

O2:

Telogen ef luvium

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O3:

Trichotil omania

O4:

Female ? pattern androgenic alopecia

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Ans: 2

Ques No: 79

Subject:
ENT

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Topic:
Nose and Paranasal Sinuses

Sub-Topic:

A post-COVID patient, who is a known diabetic, develops unilateral facial pain and loosening

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of teeth. Which investigation would you do to confirm the diagnosis of this patient?

O1:

MRI

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O2:



Biopsy with histopathologic examination

O3:

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Serum ferritin

O4:

HbA1c

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Ans: 2

Ques No: 80

Subject:
ENT

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Topic:
Ear

Sub-Topic:

A patient presents with the complaint of inability to close the eye, drooling of saliva, and
deviation of the angle of the mouth. Which of the fol owing nerves is most likely to be af ected?

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O1:

Facial nerve

O2:

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Trigeminal nerve

O3:

Oculomotor nerve

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O4:

Glossopharyngeal nerve

Ans: 1

Ques No: 81

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Subject:
ENT

Topic:
Pharynx

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Sub-Topic:

An adult man in a restaurant suddenly begins choking on his food. He is conscious. The
fol owing procedure was performed. Identify the procedure.


O1:

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Heimlich's maneuver

O2:

Back slap

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O3:

Chest thrust

O4:

Blind insertion of finger

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Ans: 1

Ques No: 82

Subject:
Pathology

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Topic:
Hematology: Red Blood Cel s

Sub-Topic:

A child presents with recurrent chest infections and abdominal pain. There is a history of 1

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blood transfusion in the past. On examination, he had icterus and mild splenomegaly.
Electrophoresis shows increased HbA2, HbF, and S spike. What is the likely diagnosis?

O1:

Beta thalassemia

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O2:

HbC disease

O3:

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Sickle cel disease

O4:

Acute coronary disease

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Ans: 1

Ques No: 83

Subject:
ENT

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Topic:
Pharynx

Sub-Topic:

A patient presents with a firm, tender, slow-growing mass below the ear as shown in the image
below. What could be the diagnosis?

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O1:

Bezold abscess

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O2:

Parotid abscess

O3:

Upper cervical lymphadenopathy

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O4:

Osteoma of the mandible

Ans: 2

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Ques No: 84

Subject:
ENT

Topic:
Nose and Paranasal Sinuses

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Sub-Topic:

A patient comes with a history of asthma and sinusitis. On looking into his medical records,
you notice this has been attributed to Samter's triad. Which drug should be avoided in this
patient?

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O1:

Cotrimoxazole

O2:

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Co-amoxiclav

O3:

Aspirin

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O4:

Chloramphenicol

Ans: 3

Ques No: 85

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Subject:
Pathology


Topic:
Neoplasia

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Sub-Topic:

Why do neoplastic cel s utilize Warburg metabolism?

O1:

It decreases glucose utilization by neoplastic cel s

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O2:

It forms metabolic intermediates which are needed for cel growth and multiplication

O3:

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It provides more energy in the form of increased ATP production

O4:

In prevents apoptosis and makes the cancer immortal

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Ans: 2

Ques No: 86

Subject:
ENT

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Topic:
Ear

Sub-Topic:

A 70-year-old male patient presents with decreased hearing in higher frequencies. It was
noted that the basilar membrane was af ected. Which of the fol owing structures lie near the

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af ected structure?

O1:

Modiolus

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O2:

Stria vascularis

O3:

Oval window

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O4:

Helicotrema

Ans: 3

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Ques No: 87

Subject:
ENT

Topic:
Pharynx

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Sub-Topic:

A 20-year-old male patient presents with unilateral nasal obstruction and recurrent bleeding for
the past 1 year. Transnasal endoscopic results are shown below. A contrast ? enhanced CT
revealed a mass extending from the posterior choana to the nasopharynx. What is the most

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likely diagnosis?



O1:

Nasopharyngeal angiofibroma

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O2:

Antrochoanal polyp

O3:

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Rhinoscleroma

O4:

Concha bul osa

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Ans: 1

Ques No: 88

Subject:
Pathology

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Topic:
Hematology: Red Blood Cel s

Sub-Topic:

An elderly patient presents with anemia and hemoglobinuria. Investigations reveal increased
lactate dehydrogenase (LDH). The peripheral smear image is given below. Which of the

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fol owing physical examination findings can support the likely diagnosis?



O1:

Splenomegaly

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O2:

Frontal bossing

O3:

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Mechanical second heart sound

O4:

Goitre

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Ans: 1

Ques No: 89

Subject:
Pathology

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Topic:
Hematology: White Blood Cel s

Sub-Topic:

All of the fol owing statements are true regarding neutrophil extracel ular trapping (NET)
except that

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O1:

It is detected in blood during sepsis

O2:

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It is produced in response to bacterial infection

O3:

Mitochondrial DNA is seen

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O4:

It is chromatin with antibacterial enzymes

Ans: 3



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Ques No: 90

Subject:
Forensic Medicine

Topic:
Bal istics

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Sub-Topic:

Identify the gun that caused the wound and the range of the shot.

O1:

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Shotgun, intermediate range

O2:

Shotgun, close range

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O3:

Pistol, near shot

O4:

Pistol, close shot

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Ans: 3

Ques No: 91

Subject:
Pathology

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Topic:
Renal System

Sub-Topic:

A patient underwent cystoscopy, which showed multiple yel ow-white plaques in the trigone of

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the bladder. The histopathology image is given below. What is the diagnosis?



O1:

Interstitial cystitis

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O2:

Malakoplakia

O3:

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Polypoid cystitis

O4:

Acute cystitis

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Ans: 2

Ques No: 92

Subject:
Forensic Medicine

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Topic:
Forensic Traumatology

Sub-Topic:

Identify the type of wound from the image.


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O1:

Defense wounds

O2:

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Antemortem wound

O3:

Postmortem wound

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O4:

Hesitation cuts

Ans: 1

Ques No: 93

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Subject:
Pathology

Topic:
Cel Injury

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Sub-Topic:

Which of the fol owing measures are associated with an increased life span?

O1:

Moderate of regular exercise for 30 min

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O2:

Decrease stress

O3:

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Decreasing calorie intake by 30 percent

O4:

Pharmacological intervention with proton pump inhibitors


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Ans: 3

Ques No: 94

Subject:
Forensic Medicine

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Topic:
Court of Law

Sub-Topic:

A 45-year-old female patient is told about the benefits and complications of a hysterectomy,
and she agrees to the procedure. What kind of consent is this?

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O1:

Informed consent

O2:

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Implied consent

O3:

Opt-out

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O4:

Passive consent

Ans: 1

Ques No: 95

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Subject:
Pathology

Topic:
Respiratory System

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Sub-Topic:

A 56-year-old man was diagnosed with COVID-19 and was put on mechanical ventilation. He
passed away after a week. What is the likely post-mortem change seen in the lungs?

O1:

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Thick layer of fibrin lining the alveoli

O2:

Acute and chronic alveolar hemorrhage

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O3:

Perivascular cuf ing

O4:

Pulmonary artery hypertrophy with increased resistance

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Ans: 2

Ques No: 96

Subject:
Forensic Medicine

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Topic:
Asphyxial Deaths

Sub-Topic:

A dead body is brought for evaluation. On post-mortem examination, a ligature completely

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encircled the neck, horizontal, and below the thyroid level was seen. There was no dribbling of
saliva. What is the cause of death?

O1:



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Throttling

O2:

Ligature strangulation

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O3:

Gagging

O4:

Hanging

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Ans: 2

Ques No: 97

Subject:
Forensic Medicine

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Topic:
IPC Sections

Sub-Topic:

A surgeon returns home from a party after many pegs of alcohol and is cal ed to perform an

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emergency operation. During the operation, the assisting staf noticed the surgeon's
handshaking and the instruments fal ing. He eventual y nicks an artery, and the patient
col apses. Under which of the fol owing terms wil this incident be tried?

O1:

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Criminal negligence

O2:

Civil negligence not amounting to criminal negligence

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O3:

Therapeutic misadventure

O4:

Dichotomy

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Ans: 1

Ques No: 98

Subject:
Forensic Medicine

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Topic:
Court of Law

Sub-Topic:

During the court proceedings, the defense lawyer asks a leading question, which the

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prosecutor appeals against. The judge grants the appeal. Leading questions are not al owed in
al of the fol owing except?

O1:

Re-examination

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O2:

Cross-examination

O3:

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Examination in chief

O4:

Dying declaration


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Ans: 2

Ques No: 99

Subject:
Pathology

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Topic:
Hematology: Red Blood Cel s

Sub-Topic:

A female patient presented with fatigue and a history of piles. Routine complete blood count

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analysis showed hemoglobin of 9 g/dL, MCV 60fL, and RBC count of 5.2 mil ion. A peripheral
smear is given below. Which of the fol owing is the next best investigation for this patient?

O1:

HbA2 levels

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O2:

Serum ferritin levels

O3:

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Serum folate levels

O4:

Serum homocysteine levels

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Ans: 2

Ques No: 100

Subject:
Pathology

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Topic:
Hematology: White Blood Cel s

Sub-Topic:

A 56-year-old man presents with dragging pain in the abdomen. On examination, there is
massive splenomegaly. Peripheral smear shows leukocytesis with increased myelocytes,

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metamyelocytes and basophils. Which of the fol owing translocations is seen in this condition?

O1:



t(9;22)

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O2:

t(8;22)

O3:

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t(15;17)

O4:

t(8;14)

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Ans: 1

Ques No: 101

Subject:
Medicine

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Topic:
Endocrinology

Sub-Topic:

A patient with diabetes mel itus for the past 5 years presents with vomiting and abdominal
pain. She is non-compliant with medication and appears dehydrated. Investigations revealed a

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blood sugar value of 500 mg/dl and the presence of ketone bodies. What is the next best step
in management?

O1:

Intravenous fluids with long-acting insulin

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O2:

Intravenous fluids

O3:

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Intravenous insulin

O4:

Intravenous fluids with regular insulin

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Ans: 4

Ques No: 102

Subject:
Medicine

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Topic:
Infections

Sub-Topic:

A patient diagnosed to be retro-positive was started on highly active antiretroviral therapy
(HAART). Which of the fol owing can be used to monitor treatment ef icacy?

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O1:

CD4+ T cel count

O2:

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Viral load

O3:

p24 antigen

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O4:

Viral serotype

Ans: 2



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Ques No: 103

Subject:
Medicine

Topic:
Cardiology

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Sub-Topic:

A hypertensive patient who is non-compliant with medication presents to you with sudden
onset breathlessness. A chest x-ray was done, which is shown below. How wil you manage
this patient?

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O1:

Intravenous salbutamol

O2:

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Intravenous nitro-glycerine

O3:

Nebulization with salbutamol

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O4:

Oxygen and antibiotics

Ans: 2

Ques No: 104

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Subject:
Pediatrics


Topic:
Neonatology

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Sub-Topic:

A 1 day- old neonate has not passed urine since birth. What is the next step in management?

O1:

a.Continue breast feeding not observed

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O2:

Admit to NICU'

O3:

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Start artificial feeding

O4:

Start intravenous fluids

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Ans: 1

Ques No: 105

Subject:
Medicine

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Topic:
Cardiology

Sub-Topic:

A patient on anti-depressants presented to you with hypotension. An ECG was done, which
showed wide QRS complexes and right axis deviation. How wil you manage this patient?

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O1:

Antiarrhythmics

O2:

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Intravenous sodium bicarbonate

O3:

Propranolol

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O4:

Phenytoin

Ans: 2

Ques No: 106

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Subject:
Medicine

Topic:
Pulmonology

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Sub-Topic:

A 35-year-old female patient presents to you with fever, breathlessness, and cough with
expectoration. A CT scan was done which is shown below. What is the most likely diagnosis?



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O1:

Consolidation with air bronchogram

O2:

Mediastinal mass

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O3:

Pleural ef usion

O4:

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Diaphragmatic hernia

Ans: 1

Ques No: 107

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Subject:
Pediatrics

Topic:
Fluid and Electrolyte Disturbances

Sub-Topic:

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A 7 ? year old boy presented with abdominal pain, vomiting, oliguria, and periorbital puf iness
fol owing chemotherapy. Investigations reveal hyperuricemia, raised creatinine levels, and
hyperkalemia. What is the next best step in the management of this condition ?

O1:

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Hydration

O2:

Probenecid

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O3:

Allopurinol

O4:

Rasburicase

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Ans: 1

Ques No: 108

Subject:
Pediatrics

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Topic:
Pediatric Gastroenterology



Sub-Topic:

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A baby presented with abdominal pain. On examination, a mass is palpated in the right lumbar
region. A barium enema is done, and the image is given below. What is the likely diagnosis?

O1:

Intussusception

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O2:

Volvulus

O3:

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Duodenal atresia

O4:

Intestinal obstruction

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Ans: 1

Ques No: 109

Subject:
Medicine

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Topic:
Neurology

Sub-Topic:

A female patient with a negative urine pregnancy test presents to you with galactorrhea. An
MRI was done which revealed a large pituitary tumor. If the patient is not wil ing for surgery,

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which of the fol owing is the best drug for treatment?

O1:

Bromocriptine

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O2:

Promethazine

O3:

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Octreotide

O4:

Clozapine

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Ans: 1

Ques No: 110

Subject:
Medicine

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Topic:
Nephrology / Kidney Disease

Sub-Topic:

A woman presents to you with fever, arthralgia, ulcers, fatigue for the past six months, and
new-onset hematuria. Urine examination reveals RBC casts and proteinuria. What is the likely

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diagnosis?

O1:

Acute interstitial nephritis

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O2:

Poststreptococcal glomerulonephritis

O3:

Lupus nephritis

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O4:

IgA nephropathy

Ans: 3

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Ques No: 111

Subject:
Medicine

Topic:
Nephrology / Kidney Disease

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Sub-Topic:

A man on diuretics presents with weakness. An ECG was done which showed flat T waves
and prominent U waves. What is the most likely diagnosis?

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O1:

Hypokalaemia

O2:

Hyperkalaemia

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O3:

Hypomagnesemia

O4:

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Hypernatremia


Ans: 1

Ques No: 112

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Subject:
Medicine

Topic:
Nephrology / Kidney Disease

Sub-Topic:

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A male patient presents to the emergency department. The arterial blood gas report is as
fol ows: pH, 7.2; pCO2, 81 mmHg; and HCO3, 40meq/L. which of the fol owing is the most
likely diagnosis?

O1:

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Respiratory alkalosis

O2:

Metabolic acidosis

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O3:

Respiratory acidosis

O4:

Metabolic alkalosis

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Ans: 3

Ques No: 113

Subject:
Medicine

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Topic:
Pulmonology

Sub-Topic:

Multidrug-resistant (MDR) tuberculosis shows resistance to which of the fol owing drugs?

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O1:

Isoniazid, rifampicin, and fluoroquinolone

O2:

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Fluoroquinolones

O3:

Isoniazid and rifampicin

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O4:

Isoniazid, rifampicin, and kanamycin

Ans: 3

Ques No: 114

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Subject:
Medicine

Topic:
Liver

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Sub-Topic:

A patient presents to you with a fever, jaundice, and malaise. What is the most likely diagnosis
based on the serology reports given below?
Anti-HBc (IgM): Positive
HBsAg: Positive

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Anti-HBs: Negative
Anti-HCV antibodies: Negative

O1:

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Acute hepatitis B

O2:

Acute hepatitis C

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O3:

Chronic hepatitis B

O4:

Chronic hepatitis C

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Ans: 1

Ques No: 115

Subject:
Medicine

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Topic:
Liver

Sub-Topic:

A child presents to the emergency department with a history of ingestion of 10-20 ferrous

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sulphate tablets. Arterial blood gas revealed acidosis. Which of the fol owing can be used in
the management of this condition?

O1:

Deferoxamine

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O2:

Activated charcoal

O3:

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Dimercaprol

O4:

Penicil amine

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Ans: 1

Ques No: 116

Subject:
Microbiology

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Topic:
Immunology

Sub-Topic:

A photographer who recently returned from Africa presents to the emergency department with
abdominal pain, hepatomegaly, and hemorrhagic manifestations. He died despite treatment,

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and an autopsy revealed intranuclear Torres bodies in the liver. Which of the fol owing
vaccines with which strain could have prevented it?

O1:

17D

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O2:

Nakayama vaccine

O3:

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Weigl's vaccine



O4:

Jeryl Lynn strain

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Ans: 1

Ques No: 117

Subject:
Microbiology

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Topic:
Systemic Bacteriology

Sub-Topic:

A militant presents with rashes al over his body sparing the palms and soles. On examination,

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he was febrile and lice were noted. Which of the fol owing is responsible for his condition?

O1:

Rickettsia typhi

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O2:

Rickettsia prowazekii

O3:

Rickettsia akari

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O4:

Rickettsia conorii

Ans: 2

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Ques No: 118

Subject:
Microbiology

Topic:
Mycology

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Sub-Topic:

A patient presents with itching in the axil a. On microscopic examination of the skin scrapings,
a red pigment-producing fungus with pencil ? shaped macroconidia is seen. Which of the
fol owing is the most likely organism?

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O1:

Trichophyton violaceum

O2:

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Trichophyton rubrum


O3:

Trichophyton tonsurans

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O4:

Trichophyton schoenleini

Ans: 2

Ques No: 119

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Subject:
Microbiology

Topic:
Mycology

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Sub-Topic:

A female patient presents with complaints of thick white vaginal secretions. Which of the
fol owing can be used to identify the likely species of the causative agent?

O1:

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Birds seed agar

O2:

Brain heart infusion agar

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O3:

CHRO Magar

O4:

Sabouraud dextrose agar

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Ans: 3

Ques No: 120

Subject:
Microbiology

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Topic:
Mycology

Sub-Topic:

A 12-year-old boy presents with right upper quadrant pain, calf pain, conjunctival suf usion,

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icterus, and fever. Examination shows tender hepatomegaly. What is the most likely
diagnosis?

O1:

Chikungunya

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O2:

Leptospirosis

O3:

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Dengue hemorrhagic fever

O4:

Encephalopathy caused by hepatitis A

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Ans: 2

Ques No: 121

Subject:
Microbiology

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Topic:
Systemic Bacteriology


Sub-Topic:

A newly joined teacher develops rice water stools. The causative agent acts on which of the
fol owing receptors?

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O1:

GM 1 ganglioside receptor

O2:

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GM 2 ganglioside receptor

O3:

Sphingomyelin

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O4:

Cerebroganglioside

Ans: 1

Ques No: 122

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Subject:
Microbiology

Topic:
Systemic Bacteriology

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Sub-Topic:

Which of the fol owing is considered to be the best for the detection of Clostridium dif icile?

O1:

Aerobic culture of stool

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O2:

Glutamate dehydrogenase and toxin assay

O3:

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Glutamate dehydrogenase assay

O4:

None of the above

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Ans: 2

Ques No: 123

Subject:
Microbiology

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Topic:
Systemic Bacteriology

Sub-Topic:

A diabetic truck driver presents to you with cough and breathlessness. A diagnosis of
pneumonia was confirmed, and histopathological examination revealed dichotomous

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branching, as shown below. What is the likely causative agent?



O1:

Rhizopus

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O2:

Mucor

O3:

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Candida

O4:

Aspergil us

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Ans: 2

Ques No: 124

Subject:
Microbiology

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Topic:
Mycology

Sub-Topic:

A woman with recurrent diarrhea is prescribed a broad-spectrum antibiotic. Which of the
fol owing is not true regarding Clostridium dif icile infection?

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O1:

Oral fidaxomicin is used for treatment

O2:

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It is toxin mediated

O3:

IgM assay is used to confirm the diagnosis

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O4:

Pseudomembrane is a layer of inflammatory

Ans: 3

Ques No: 125

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Subject:
Pediatrics

Topic:
Pediatric Endocrinology

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Sub-Topic:



An 8-day old newborn was found to have a thyroid ? stimulating hormone level of more than
100 mIU/L. Which of the fol owing wil be the next best investigation?

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O1:

Urine iodine excretion

O2:

Serum thyroid receptor antibody

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O3:

Radiotracer uptake with technetium

O4:

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Perchlorate secretion

Ans: 3

Ques No: 126

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Subject:
Pediatrics

Topic:
Pediatric Neurology

Sub-Topic:

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A 10-month old infant was brought with complaints of jerking movement of limbs towards the
body. On examination, there is a regression of developmental milestones.
Electroencephalogram shows hypsarrhythmia. Which of the fol owing is the drug of choice in
this condition ?

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O1:

Phenytoin

O2:

Adrenocorticotropic hormone

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O3:

Levetiracetam

O4:

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Phenobarbitone

Ans: 2

Ques No: 127

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Subject:
Pediatrics

Topic:
Infectious Diseases

Sub-Topic:

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A 2-month old infant born to an HIV- positive mother presents with recurrent diarrhea. What is
the next best step?

O1:

Test stool for giardia and give antibiotics

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O2:

Dried spot sample for HIV DNA PCR

O3:

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Antibody test for HIV



O4:

Aerobic culture

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Ans: 2

Ques No: 128

Subject:
Pediatrics

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Topic:
Inborn Errors of Metabolism

Sub-Topic:

An 8-year old child has dif iculty walking and getting up from a squatting position. A muscle

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biopsy was done and is as shown in the image. Which of the fol owing is true about this
condition?

O1:

Death occurs in 3rd decade

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O2:

Previous history of viral prodrome

O3:

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It is a mitochondrial storage disorder

O4:

d.Early treatment has excel ent prognosis

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Ans: 1

Ques No: 129

Subject:
Physiology

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Topic:
Nerve Muscle Physiology

Sub-Topic:

A person after sleeping overnight with the arm under his head now experiences paresis but no
numbness in the morning. Which of the fol owing is the best explanation for it?

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O1:

C fibers are more sensitive to pressure than A fibers

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O2:

A fibers are more sensitive to hypoxia than B fibers

O3:

A fibers are more susceptible to pressure changes than C fibers

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O4:

A fibers are more susceptible to hypoxia than C fibers

Ans: 3

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Ques No: 130

Subject:
Physiology

Topic:
Cardiovascular System

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Sub-Topic:

Which of the fol owing mechanisms is seen in the baroreceptor reflex?

O1:

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Feedforward

O2:

Positive feedback

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O3:

Negative feedback

O4:

Adaptive control regulation

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Ans: 3

Ques No: 131

Subject:
Physiology

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Topic:
General Physiology

Sub-Topic:

The image below depicts which of the fol owing types of cel -to-cel signaling?

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O1:

Paracrine

O2:

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Autocrine



O3:

Endocrine

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O4:

Merocrine

Ans: 1

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Ques No: 132

Subject:
Physiology

Topic:
Excretory System

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Sub-Topic:

Which of the fol owing statements is true regarding the given cystometrogram?

O1:

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Segment la is due to residual urine

O2:

Segment lb is due to Laplace law

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O3:

Micturition fails to happen in segment l

O4:

The dotted line represents that micturition has occurred

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Ans: 2

Ques No: 133

Subject:
Physiology

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Topic:
The Nervous System

Sub-Topic:



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In a patient, the hypothalamic thermostat was reset from point A to point C as shown below.
Which of the fol owing happens in stage A compared to stage B?

O1:

Shivering

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O2:

Sweating

O3:

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Increased blood flow to skin

O4:

Inhibition of chemical thermogenesis

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Ans: 3

Ques No: 134

Subject:
Physiology

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Topic:
The Nervous System

Sub-Topic:

A 65-year-old suf ered from a stroke 2 days ago. He now presents with involuntary, violent,
and flinging movements of the limbs on one side. What is the likely site of lesion in this

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patient?

O1:

Subthalamic nuclei

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O2:

Globus pal idus

O3:

Putamen

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O4:

Caudate nucleus

Ans: 1

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Ques No: 135

Subject:
Psychiatry

Topic:
Eating Disorders

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Sub-Topic:

A 16-year-old girl has intense cravings for food. She eats large amounts of food, which is
fol owed by self-induced vomiting. What is the probable diagnosis?

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O1:

Anorexia nervosa

O2:

Bulimia nervosa

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O3:

Atypical depression

O4:

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Binge eating disorder

Ans: 2

Ques No: 136

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Subject:
Psychiatry

Topic:
Mood Disorders

Sub-Topic:

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A woman, who is 4 days postpartum, presented with tearfulness, mood swings, and
occasional insomnia. What is the likely diagnosis?

O1:

Postpartum depression

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O2:

Postpartum blues

O3:

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Postpartum psychosis

O4:

Postpartum anxiety

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Ans: 2

Ques No: 137

Subject:
Radiology

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Topic:
Basics of Radiology

Sub-Topic:

Identify the image modality given below.


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O1:

Cerebral blood flow scan

O2:

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PET CT

O3:

Sestamibi scan

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O4:

Ful body MDCT

Ans: 2

Ques No: 138

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Subject:
Radiology

Topic:
Thoracic Radiology

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Sub-Topic:

A patient is brought to the casualty fol owing a road traf ic accident. On examination, the
patient is conscious, BP is 90/60 mm Hg, respiratory rate is 40 breaths per minute, and pulse
rate is 120 bpm. The X ray is shown below. What is the next step in management?


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O1:

Chest tube insertion

O2:

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Pericardiocentesis

O3:

Thoracotomy

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O4:

Pleurodesis

Ans: 1

Ques No: 139

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Subject:
Pediatrics

Topic:
Fluid and Electrolyte Disturbances

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Sub-Topic:

A child presented with a history of loose stools with an increase in frequency of 4 days. On
examination, he is drowsy, unable to feed, and skin on pinching goes back very slowly.
According to the integrated management of neonatal and childhood il ness (IMNCI), this child
wil be classified as having

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O1:

Mild dehydration

O2:

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Some dehydration

O3:

Severe dehydration

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O4:



Moderate dehydration

Ans: 3

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Ques No: 140

Subject:
Surgery

Topic:
Urology

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Sub-Topic:

A 6- year old boy came with a history of recurrent urinary tract infections. Imaging was done
and is shown below. What is the diagnosis?

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O1:

Vesicoureteric reflux

O2:

Urinary bladder diverticulum

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O3:

Urinary bladder hernia

O4:

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Vesicocolic fistula

Ans: 1

Ques No: 141

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Subject:
Surgery

Topic:
Endocrine Surgery

Sub-Topic:

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A 45-year-old female patient underwent a thyroidectomy. Three days after the surgery, she
developed perioral numbness. Which of the fol owing investigations need to be done for her?


O1:

Free T3, T4

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O2:

T3, T4, thyroid?stimulating hormone

O3:

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Radioiodine scan

O4:

Calcium, phosphate, and parathormone levels

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Ans: 4

Ques No: 142

Subject:
Pediatrics

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Topic:
Growth

Sub-Topic:

Which of the fol owing children are considered at risk babies ?
1. Baby with a birth weight of 2.5 kg

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2. Baby on artificial feeds
3. Baby of working mother / single parent
4. Baby with weight <85% of expected weight
5. Birth order of 3 or more

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O1:

2,3

O2:

1,2,3,4

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O3:

4,5

O4:

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1,4

Ans: 1

Ques No: 143

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Subject:
Surgery

Topic:
Others

Sub-Topic:

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A patient presented with blunt trauma to the abdomen. On evaluation, liver injury was noted,
for which primary repair was done. Coagulation function was monitored intraoperatively, using
the method shown below. What is the method used?



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O1:

Thromboeslastography

O2:

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Plethysmography

O3:

Sonography

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O4:

Elastography

Ans: 1

Ques No: 144

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Subject:
Pediatrics

Topic:
Pediatric Nephrology

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Sub-Topic:

Identify the condition:



O1:

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Bladder exstrophy

O2:

b.Omphalocele

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O3:

c.Persistent vitel ointestinal duct

O4:

Gastroschisis

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Ans: 1

Ques No: 145

Subject:
Surgery

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Topic:
Endocrine Surgery

Sub-Topic:

A 59-year-old lady presents with a progressive, painless lump in the breast. What is the cause

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for the fol owing skin change?

O1:

Infiltration of subdermal lymphatics

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O2:

Infiltration of the lactiferous duct

O3:

Involvement of Cooper's ligament

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O4:

Spread of the tumor to the anterior chest wal

Ans: 1

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Ques No: 146



Subject:
Pediatrics

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Topic:
Pediatric Respiratory Disorders

Sub-Topic:

A previously healthy child presented with acute ? onset dyspnea. A chest X ? ray shows
unilateral hyperinflation of the lungs. What is true for this patient ?

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O1:

Focal area of decreased air entry wil be suggestive of foreign body

O2:

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Flexible bronchoscopy used for removal

O3:

In complete obstruction bal and valve mechanism causes hyperinflation

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O4:

The child has developed acute laryngotracheobronchitis

Ans: 3

Ques No: 147

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Subject:
Surgery

Topic:
Others

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Sub-Topic:

A child had a history of stab injury on the anterior abdominal wal , and the image is shown
below. The child is hemodynamical y stable. Which wil be the next course of treatment?


O1:

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Emergency laparotomy

O2:

Observation

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O3:

Intravenous hydration

O4:

Wait and watch

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Ans: 1

Ques No: 148

Subject:
Pediatrics

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Topic:
Musculoskeletal Disorders in Children

Sub-Topic:

A male child presented with arthralgia and abdominal pain. On examination, there was

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palpable purpura over the lower limbs. There is a past history of upper respiratory tract
infection prior to the onset of presenting symptoms. Which of the fol owing is the treatment for
this condition?

O1:

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Azathioprine

O2:

Methotrexate

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O3:

Cyclosporine

O4:

Glucocorticoids

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Ans: 4

Ques No: 149

Subject:
Surgery

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Topic:
Cardiothoracic Vascular Surgery

Sub-Topic:

Which of the fol owing is most likely to be seen due to the rupture of a saccular aneurysm?

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O1:

Subdural hemorrhage

O2:

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Subarachnoid hemorrhage

O3:

Intracerebral hemorrhage

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O4:

Hydrocephalus

Ans: 2



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Ques No: 150

Subject:
Surgery

Topic:
Cardiothoracic Vascular Surgery

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Sub-Topic:

A patient presents with sudden?onset right leg pain. An investigation was done, and the
obtained image is shown below. What is the investigation?

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O1:

A digital subtraction angiography

O2:

Ultrasound doppler

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O3:

MR angiography

O4:

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Plethysmography

Ans: 2

Ques No: 151

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Subject:
Pediatrics

Topic:
Pediatric Nephrology

Sub-Topic:

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A 10 year old presents with edema and anasarca. A diagnosis of minimal change disease is
made. Which of the fol owing is true about this condition?

O1:

Light microscopy shows ef acement of podocytes

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O2:

Good response to steroids

O3:

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Most common in adults

O4:

Non selective proteinuria

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Ans: 2

Ques No: 152

Subject:
Surgery

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Topic:
Plastic Surgery

Sub-Topic:

A male patient presented with a 0.3 cm nodule on the left nasolabial fold. It was excised, and a

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pathological examination was done. What is the diagnosis?

O1:

Basal cel carcinoma

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O2:

Melanoma

O3:

Squamous cel carcinoma

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O4:

Nevus

Ans: 1

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Ques No: 153

Subject:
Pediatrics

Topic:
Pediatric Gastroenterology

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Sub-Topic:



A 10-year old child presents with diarrhea and weight loss. On examination, the height and
weight are lesser than expected. Laboratory investigations were positive for class II HLA-DQ2.

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Which of the fol owing wil you advise the child ?

O1:

Fat free diet

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O2:

Lactose free diet

O3:

Low carbohydrate diet

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O4:

Gluten free diet

Ans: 4

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Ques No: 154

Subject:
Surgery

Topic:
Head And Neck

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Sub-Topic:

A 45- year old patient complained of pain in one side of the neck. She is afraid of eating food
as it worsens the pain. Ultrasound imaging of the salivary glands is done and shown below.
What is the most likely diagnosis?

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O1:

Sialolithiasis

O2:

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Foreign body

O3:

Osteoma of the floor of the mouth

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O4:

Cervical lymphadenopathy

Ans: 1



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Ques No: 155

Subject:
Surgery

Topic:
Urology

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Sub-Topic:

A delayed intravenous urogram of a patient is given below. What is the likely diagnosis?

O1:

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Pelviureteric junction obstruction

O2:

Putty kidney

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O3:

Staghorn calculus

O4:

Cystic kidney

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Ans: 1

Ques No: 156

Subject:
Surgery

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Topic:
Others

Sub-Topic:

A young male patient with a history of a motor vehicle accident cannot pass urine. Blood is

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seen at the meatus. What is the most likely site of urethral injury?

O1:

Bulbar urethra

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O2:

Spongy urethra

O3:

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Membranous urethra

O4:

Penile urethra

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Ans: 3

Ques No: 157

Subject:
Pharmacology

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Topic:
Respiratory Pharmacology

Sub-Topic:

A male patient with chronic obstructive pulmonary disease (COPD) was prescribed
theophylline. He noticed that his urine output had increased the fol owing day. This action of

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the drug is mediated through which of the fol owing receptors?

O1:

. Interleukin ? 10

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O2:

Histone deacetylase

O3:

Adenosine A1

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O4:

Beta 2 adrenergic receptors

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Ans: 3

Ques No: 158

Subject:
Surgery

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Topic:
Endocrine Surgery

Sub-Topic:

A male patient presented with midline neck swel ing. He later developed cervical node
enlargement. The histopathology of the lesion is shown below. Which of the fol owing

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statements is false about this condition?

O1:

Excel ent prognosis is associated with this condition

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O2:

It spreads quickly via lymphatics

O3:

Nuclear characteristics are used for the identification

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O4:

Fine needle aspiration cytology (FNAC) is not diagnostic

Ans: 4

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Ques No: 159

Subject:
Pharmacology

Topic:
Endocrine Pharmacology

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Sub-Topic:

Which of the fol owing drugs is not likely to cause Pulmonary fibrosis?

O1:

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Metformin

O2:

Methotrexate

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O3:

Bleomycin

O4:



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Nitrofurantoin

Ans: 1

Ques No: 160

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Subject:
Surgery

Topic:
Urology

Sub-Topic:

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A 40-year-old man with a known case of hypertension presented with multiple episodes of
hematuria and loin pain. His elder brother passed away due to a stroke at the age of 40. The
ultrasound abdomen is shown below. What is the probable diagnosis?

O1:

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Renal cel carcinoma

O2:

Autosomal dominant polycystic kidney disease

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O3:

Tuberculosis of the kidney

O4:

Autosomal recessive polycystic kidney disease

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Ans: 2

Ques No: 161

Subject:
Surgery

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Topic:
Gastrointestinal Surgery

Sub-Topic:

A patient presents with acute?onset, severe abdominal pain. He is hemodynamical y stable. A

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chest X-ray is shown below. What is the next step in management?



O1:

Gastric lavage

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O2:

Chest tube insertion

O3:

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Tracheostomy

O4:

Resuscitation and laparotomy

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Ans: 4

Ques No: 162

Subject:
Pharmacology

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Topic:
Drugs Affecting Blood and Blood formation

Sub-Topic:

A patient with deep vein thrombosis was started on a new drug. After 2 days, he presented
with the given finding. Which of the fol owing drugs is implicated in causing the above

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condition?



O1:

Warfarin

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O2:

Heparin

O3:

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Dabigatran

O4:

Rivarox

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Ans: 1

Ques No: 163

Subject:
Surgery

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Topic:
Plastic Surgery

Sub-Topic:

Calculate the percentage of burns in a preschool child shown in the image below


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O1:

15-20%

O2:

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25-30%

O3:

35-40%

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O4:

10-15%

Ans: 2

Ques No: 164

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Subject:
Pharmacology

Topic:
Anticancer Drugs

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Sub-Topic:

A patient undergoing chemotherapy was given an antiemetic, after which he developed
symptoms like acute dystonia, bradykinesia, and tremors. Which of the fol owing drugs would
have caused these symptoms?

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O1:

Ondansetron

O2:

Metoclopramide

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O3:

Meclizine

O4:

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Scopolamine

Ans: 2

Ques No: 165

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Subject:
Pharmacology

Topic:
CVS Pharmacology

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Sub-Topic:

A young patient started to take a weight loss medication that acts by inhibiting fat absorption
from food. After a few weeks, she developed easy bruising and increased menstrual bleeding.
Deficiency of which of the fol owing vitamins is responsible for her condition?

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O1:

Vitamin E

O2:

Vitamin K

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O3:

Vitamin B6

O4:

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Vitamin D

Ans: 2

Ques No: 166

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Subject:
Surgery

Topic:
Head And Neck

Sub-Topic:

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A 32-year-old patient who is a chronic alcoholic presents with oral ulcers and a burning
sensation. A picture of the oral cavity is given below. What is the most likely diagnosis?

O1:

Leukoplakia

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O2:

Erythroplakia

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O3:

Submucosal fibrosis

O4:

Malakoplakia

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Ans: 1

Ques No: 167

Subject:
Pharmacology

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Topic:
Antimicrobials : Anti Bacterial Drugs

Sub-Topic:

A woman presenting with symptoms of urinary tract infection was prescribed a drug that

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causes tendon rupture and arthropathy. What is the mechanism of action of the drug?

O1:

DNA gyrase inhibition

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O2:

Ribosomal inhibition

O3:

Cel wal synthesis

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O4:

Inhibition of folic acid synthesis

Ans: 1

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Ques No: 168

Subject:
Surgery

Topic:
Cardiothoracic Vascular Surgery

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Sub-Topic:

A patient presents with a tender pulsatile mass, as shown in the image below. What wil be
done next for this patient?

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O1:

Ultrasound doppler

O2:

Needle aspiration

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O3:

CT angiogram with percutaneous management

O4:

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Intravenous antibiotics for 7 days

Ans: 1

Ques No: 169

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Subject:
Pharmacology

Topic:
CVS Pharmacology

Sub-Topic:

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A patient was brought to the emergency with a history of consumption of 8 tablets of digoxin.
On examination he was unstable and his heart rate was 56 bpm. ECG showed a 3rd-degree
heart block. What is the next step in the management of this patient?

O1:

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a.Antibody against digoxin

O2:

Lidocaine

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O3:

c.DC cardioversion

O4:

d.Phenytoin

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Ans: 1

Ques No: 170

Subject:
Pharmacology

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Topic:
Renal Pharmacology

Sub-Topic:

An elderly man, who is a known case of diabetic nephropathy, presented to the emergency

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with palpitations and chest discomfort. ECG showed tal T-waves. Laboratory investigations
showed elevated potassium levels. Which of the fol owing drugs wil cause the shift of
potassium back into the cel ?

O1:

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Epinephrine

O2:

b.Glucagon

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O3:

c.Atropine

O4:

d.Lactic acid

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Ans: 1

Ques No: 171


Subject:
Pharmacology

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Topic:
Endocrine Pharmacology

Sub-Topic:

A patient with a pituitary tumor that overproduced growth hormone underwent surgical removal

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of the tumor. The resection was found to be incomplete. What is the first-line treatment for this
patient?

O1:

Leuprolide

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O2:

Goserelin

O3:

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Nafarelin

O4:

Octreotide

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Ans: 4

Ques No: 172

Subject:
Pharmacology

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Topic:
Endocrine Pharmacology

Sub-Topic:

A middle-aged male patient presents with protrusion of the chin, excessive sweating, impaired
glucose tolerance, and enlargement of hands and feet. Which of the fol owing is a growth

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hormone receptor antagonist used to treat this condition?

O1:

Octreotide

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O2:

Pegvisomant

O3:

Cabergoline

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O4:

Olcegepant

Ans: 2

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Ques No: 173

Subject:
Surgery

Topic:
Urology

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Sub-Topic:

A patient presents with prostate carcinoma, which has now spread to the vertebra. What is the
route of spread to the lumbar vertebra?

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O1:

Prostatic venous plexus

O2:



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Transcoelomic spread

O3:

Inferior vesical vein

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O4:

Internal iliac vein

Ans: 1

Ques No: 174

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Subject:
Pharmacology

Topic:
Chemotherapy of Specific Microbial Diseases

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Sub-Topic:

A diabetic patient presented with rhinitis and facial swel ing. An intranasal biopsy revealed the
presence of broad-based aseptate hyphae with branching at right angle. Evidence of vascular
invasion was present. What wil be the drug of choice for this condition?

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O1:

Fluconazole

O2:

Amphotericin B

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O3:

Ketoconazole

O4:

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Griseofulvin

Ans: 2

Ques No: 175

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Subject:
Surgery

Topic:
Cardiothoracic Vascular Surgery

Sub-Topic:

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A male patient presents with impotence and bilateral resting pain. The fol owing finding is seen
in the legs. At which level has the pathology occurred?



O1:

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Bilateral popliteal arteries

O2:

Bilateral internal iliac arteries

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O3:

Aortoiliac bifurcation

O4:

Bilateral femoral arteries

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Ans: 3

Ques No: 176

Subject:
Pharmacology

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Topic:
Antimicrobials : Anti Bacterial Drugs

Sub-Topic:

A tuberculosis patient on anti-tubercular treatment presents with a tingling sensation and

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paresthesia in the lower limbs. He is not a diabetic and occasional y consumes alcohol. Which
of the fol owing vitamins must be supplemented to this patient?

O1:

Vitamin B6

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O2:

Vitamin B12

O3:

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Vitamin B2

O4:

Vitamin B3


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Ans: 1

Ques No: 177

Subject:
Surgery

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Topic:
Urology

Sub-Topic:

An elderly male patient presented with a sudden onset of scrotal pain and discharge. Based

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on the image below, what is the likely diagnosis?

O1:

Torsion of testis

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O2:

Acute epididymo-orchitis

O3:

Scrotal carcinoma

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O4:

Fournier's gangrene

Ans: 4

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Ques No: 178

Subject:
Pharmacology

Topic:
ANS Pharmacology

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Sub-Topic:

An elderly woman received a botox injection for the treatment of wrinkles. Which of the
fol owing is the mechanism of action of botulinum toxin?

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O1:

Inhibits the release of acetylcholine


O2:

Release of noradrenaline at synaptic cleft

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O3:

Selectively and irreversibly inhibits nicotinic receptors

O4:

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Stimulates muscarinic and nicotinic receptors

Ans: 1

Ques No: 179

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Subject:
Surgery

Topic:
Others

Sub-Topic:

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Identify the fluid shown below on the basis of composition:
Na+ 131mmol/L
Cl- 111 mmol/L
Lactate 29 mmol/L
K+ 5 mmol/L

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Ca2+ 2 mmol/L
Total 279mOsm/L

O1:

Haemaccel

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O2:

Ringer lactate

O3:

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Isolyte

O4:

Isolyte M

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Ans: 2

Ques No: 180

Subject:
Pharmacology

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Topic:
CVS Pharmacology

Sub-Topic:

Which of the fol owing is a PCSK9 inhibitor?

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O1:

Evolocumab

O2:

Ezetimibe

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O3:

Bempedoic acid

O4:

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Clofibrate



Ans: 1

Ques No: 181

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Subject:
Surgery

Topic:
Others

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Sub-Topic:

The image below shows a pressure sore. Which stage does this belong to?

O1:

Stage 1

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O2:

Stage 2

O3:

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Stage 3

O4:

Stage 4

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Ans: 4

Ques No: 182

Subject:
Pharmacology

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Topic:
CNS Pharmacology

Sub-Topic:

An elderly man presents with rigidity and tremors. On examination, he has blank facial
expressions. Which of the fol owing drugs can be used to manage this condition?

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O1:

Clozapine

O2:

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Donepezil

O3:



Selegiline

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O4:

Haloperidol

Ans: 3

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Ques No: 183

Subject:
Surgery

Topic:
Gastrointestinal Surgery

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Sub-Topic:

Identify the most common site of an intraperitoneal abscess.

O1:

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Suprahepatic

O2:

Subhepatic

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O3:

Left lobe of liver

O4:

Left side below diaphragm

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Ans: 2

Ques No: 184

Subject:
Surgery

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Topic:
Gastrointestinal Surgery

Sub-Topic:

A man complained of recurrent discharge and pain due to lesions around the anus for 3 years.

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What is the diagnosis?


O1:

Pilonidal sinus

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O2:

Carbuncle

O3:

Boil

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O4:

Fistula in ano

Ans: 4

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Ques No: 185

Subject:
Surgery

Topic:
Others

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Sub-Topic:

According to triage, which of the fol owing categories of patients comes under green?

O1:

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Ambulatory patients

O2:

Medium risk patients

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O3:

High-risk patients

O4:

Dead patients

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Ans: 1

Ques No: 186

Subject:
PSM

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Topic:
Concept of Health and Disease

Sub-Topic:

The average life expectancy for a woman in Japan is 87 years. Due to recent advances in

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testing for cervical cancer, there is an increase in life expectancy by 15 years. The healthcare
utility value is 0.8. Which of the fol owing can be calculated from the parameters given?

O1:

HALE

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O2:

DALY

O3:

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DFLE

O4:

QALY

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Ans: 4



Ques No: 187

Subject:
PSM

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Topic:
Allied Health Disciplines

Sub-Topic:

You are working in a primary health center (PHC) situated in a high seismic zone. Which of the

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fol owing wil you do as part of preparedness for an emergency?
1.
Disaster preparedness by making sure al financial and other resources are available
2.
Increase public awareness through campaigns and loudspeakers

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3.
Conduct a simulation for the disaster and assess the response
4.
Fol ow instructions given over the phone or radio by higher of icials

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O1:

1,2,3,4

O2:

2,3,4

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O3:

1,2,3

O4:

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1,2,4

Ans: 3

Ques No: 188

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Subject:
PSM

Topic:
Communicable and Non-communicable Diseases

Sub-Topic:

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Although many animals are implicated in the spread of rabies, dogs are the most common
ones. Also, it usual y af ects children in developing countries. Knowing this, what is the most
cost-ef ective and logical way to reduce the incidence of rabies?

O1:

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Testing al the dogs for rabies

O2:

Reduce stray dog population and vaccinate al dogs

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O3:

Increase the laboratory facilities

O4:

Increase capacity of healthcare workers for surveil ance

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Ans: 2

Ques No: 189

Subject:
PSM

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Topic:
National Health Programs

Sub-Topic:



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Which of the fol owing steps is not included in the STEP approach of WHO?

O1:

Therapeutic assessment

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O2:

Physical assessment

O3:

Psychological assessment

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O4:

Behavioral assessment

Ans: 1

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Ques No: 190

Subject:
PSM

Topic:
National Health Programs

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Sub-Topic:

A male patient diagnosed with tuberculosis took complete treatment. Sputum examination was
done after the completion of the intensive and the continuation phases. It was found to be
negative. What is the status of the patient?

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O1:

Cured

O2:

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Treatment completed

O3:

Lost to fol ow up

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O4:

Treatment failed

Ans: 1

Ques No: 191

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Subject:
PSM

Topic:
Epidemiology

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Sub-Topic:

A cohort study was conducted with drinkers and non-drinkers of green tea to study its ef ect on
diabetes mel itus. The risk ratio was found to be 0.84. Which of the fol owing statements is
correct?

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O1:

Green tea reduces the risk of diabetes

O2:

Green tea increases the risk of diabetes

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O3:

Data insuf icient to establish causal association

O4:

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The value (0.85) tends to be close to 41, hence there is no ef ect

Ans: 1

Ques No: 192

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Subject:
PSM

Topic:
Health Care of The Community in India

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Sub-Topic:

Which statement refers best to the criteria for starting an urban community health center?

O1:

Caters to a population of 1-1.5 lakh

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O2:

Referral center for 2-3 primary health centers

O3:

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No sub-district and district hospitals present in the area

O4:

Should have a 100-bed facility in metro cities

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Ans: 4

Ques No: 193

Subject:
PSM

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Topic:
Allied Health Disciplines

Sub-Topic:

How is a broken vaccine vial disposed of, according to biomedical waste management?

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O1:

Puncture proof blue bin

O2:

White container

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O3:

Yel ow container

O4:

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Red container

Ans: 1

Ques No: 194

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Subject:
PSM

Topic:
National Health Programs

Sub-Topic:

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In an urban area in the state of Madhya Pradesh, a primigravida goes for institutional delivery
after being motivated by an ASHA worker. What are the benefits they wil receive (in terms of
money in rupees) under the Janani Suraksha Yojana?
ASHA-Accredited social health activist


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O1:

1000 for mother and 400 for ASHA

O2:

1400 for mother and 600 for ASHA

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O3:

600 for mother and 400 for ASHA

O4:

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400 for mother and 600 for ASHA

Ans: 1

Ques No: 195

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Subject:
PSM

Topic:
International Health

Sub-Topic:

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Which of the fol owing agencies provides seed and manure in applied nutrition programs in
schools?

O1:

CARE

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O2:

UNDP

O3:

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UNICEF

O4:

WHO

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Ans: 3

Ques No: 196

Subject:
PSM

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Topic:
Epidemiology

Sub-Topic:

Many children from a particular community coming to a hospital were detected to have acute
lymphoblastic leukemia (ALL). It was assumed that it is due to the presence of cytotoxic waste

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in the water of that community. If a case-control study has to be done to find whether the
chemical and ALL are associated, what wil be taken as the control?

O1:

Children from the area exposed, but unaf ected with the disease

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O2:

Children from the area not exposed and af ected with the disease

O3:

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Children coming to your OPD, who do not have the disease

O4:

All children with ALL irrespective of exposure status


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Ans: 1

Ques No: 197

Subject:
Dermatology

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Topic:
Integrated Essentials

Sub-Topic:

A patient presents with an anesthetic patch in the areas on the face, as shown in the image

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below. Which of the fol owing nerves is the most commonly involved in this condition?

O1:

Abducens nuclei

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O2:

Facial nerve

O3:

Optic nerve

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O4:

Trigeminal nerve

Ans: 2

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Ques No: 198

Subject:
PSM

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Topic:
Vaccines and Cold Chain

Sub-Topic:

An auxiliary nurse midwife has to conduct a vaccination camp in a vil age. She received 2
open vials, one of which is a pentavalent vaccine and the other is an MR vaccine. What can

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she do regarding the utilization of these vials?

O1:

Use MR vaccine and discard pentavalent vaccine

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O2:

Use both

O3:

Use pentavalent vaccine and discard MR vaccine

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O4:

Discard both

Ans: 3

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Ques No: 199,QuesID : 793324

Subject:
Dermatology

Topic:
Pigmentary Disorders

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Sub-Topic:

A female patient with a body mass index of 30 kg/m2 presents to you with a lesion on the
neck, as shown below. Which of the fol owing conditions is the most likely to be suf ering
from?

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O1:

Hypothyroidism

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O2:

Metabolic syndrome

O3:

Addision's disease

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O4:

Hyperparathyroidism

Ans: 2

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Ques No: 200,QuesID : 793342

Subject:
Microbiology

Topic:
Mycology

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Sub-Topic:

A patient with cervical lymphadenopathy and is found to be retropositive. A fungal culture
depicts a velvety growth with red dif usible pigment on the underside, as shown below. Which
is the most likely causative organism?

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O1:

Talaromyces marnef ei

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O2:

Blastomyces

O3:

Aspergil us

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O4:

Pneumocystis jirovecii

Ans: 1

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