NEET PG 2023 Question Paper With Solutions

NEET PG 2023 PYQS

Here is a valuable resource to elevate your NEET PG preparation - the NEET PG 2023
Previous Year Questions PDF. These recal -based questions have been careful y vetted by

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India's leading medical faculty to ensure accuracy and relevance.
You can use this PDF to strengthen your exam preparations by identifying and working on the
high-yield topics that have been asked repeatedly over the past years.
Also, if you're looking to enhance your understanding further of these topics, download the
PrepLadder app and get access to QBank 5.0 for detailed explanations for al correct and

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incorrect options. You wil also get a ton of other excel ent preparation resources to help you
stay ahead in your journey to success! Find the download link at the end.
Ques No: 1

Subject: Microbiology

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Topic: Virology

Sub-Topic:
A patient hailing from Delhi presents with fever, arthralgia, and extensive petechial rash for 3

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days. Lab investigations revealed a hemoglobin of 9 g/ dL, a white blood cel count of 9000
cel s/mm3, a platelet count of 20000 cel s/mm3, and a prolonged bleeding time. The clotting
time was normal. What is the most likely diagnosis?

O1:

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Dengue

O2:
Malaria

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O3:
Scrub typhus

O4:
Typhoid

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Ans: 1
Ques No: 2

Subject: Mi crobiology

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Topic: Parasitology

Sub-Topic:
Which of the fol owing statements is true about Trichomonas vaginalis?

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O1:
It cannot be cultured

O2:

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Twitching motility is seen on wet saline mount

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O3:
Cysts are seen on wet saline mount of vaginal secretions

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O4:
It is not a sexual y transmitted infection

Ans: 2
Ques No: 3

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Subject: Microbiology

Topic: Parasitology

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Sub-Topic:
A lady from West Rajasthan presented with an ulcer surrounded by erythema on the right leg.
Microscopy of the biopsy from the edge of the ulcer showed organisms with dark staining
nuclei and kinetoplast. What is the most likely causative agent?

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O1:
Leishmania tropica

O2:
Babesia

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O3:
Trypanosoma

O4:

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Histoplasma

Ans: 1
Ques No: 4

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Subject: Microbiology

Topic: Virology

Sub-Topic:

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A child presents with a fever and a rash. Urine examination showed cel s with owl's eye
appearance. What is the most likely diagnosis?

O1:
Cytomegalovirus

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O2:
Epstein-Barr virus

O3:

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Herpes simplex virus

O4:
Toxoplasma gondi

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Ans: 1
Ques No: 5

Subject: Microbiology

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Topic: Parasitology

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Sub-Topic:
Infection with Clonorchis sinensis is associated with an increased risk of__?

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O1:
Cervical cancer

O2:
Cholangiocarcinoma

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O3:
Gastric carcinoma

O4:

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Bladder carcinoma

Ans: 2
Ques No: 6

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Subject: Microbiology

Topic: Mycology

Sub-Topic:

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A patient presented with complaints of persistent cough and weight loss. He had a history of
contact with multiple sexual partners. He was diagnosed as HIV positive 6 months back and is
poorly adherent to his medications. The fungal culture of sputum was negative. On Gomori
methamine silver staining, the cel s showed darkly stained crescent-shaped cysts. What is the
most likely causative organism?

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O1:
Paracoccidiodes brasiliensis

O2:

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Histoplasma capsulatum

O3:
Coccidiodes immitis

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O4:
Pneumocyst is jerovecii

Ans: 4
Ques No: 7

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Subject: Microbiology

Topic: Systemic Bacteriology

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Sub-Topic:
A sewage worker presented with abdominal pain, jaundice, conjunctival injection, and blood in
the urine for the past 5 days. Which of the fol owing is the investigation of choice?

O1:

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Widal test

O2:
Microscopic agglutination test

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O3:

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Weil-Felix reaction

O4:

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Paul-Bunnel test

Ans: 2
Ques No: 8

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Subject: Microbiology

Topic: Virology

Sub-Topic:

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Which of the fol owing laboratory test is used to diagnose rotavirus diarrhea?

O1:
Antigen detection in the stool sample

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O2:
Antigen detection in blood

O3:
Antibody detection in serum

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O4:
Light microscopy of stool specimen

Ans: 1

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Ques No: 9

Subject: Microbiology

Topic: Parasitology

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Sub-Topic:
A boy presented with a fever and chil s. Rapid test was positive for specific antigen HRP-2.
Which of the fol owing species of Plasmodium is the most likely causative agent?

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O1:
Plasmodium falciparum

O2:
Plasmodiu m malariae

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O3:
Plasmodium vivax

O4:

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Plasmodium ovale

Ans: 1
Ques No: 10

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Subject: Microbiology

Topic: Systemic Bacteriology

Sub-Topic:

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A child was brought with complaints of high fever, multiple seizures, headache, and neck

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rigidity. CSF analysis showed low glucose, high protein, and many polymorphs. The CSF
culture showed pleomorphic gram-negative bacil i. What is true about the causative organism?

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O1:
It is bacitracin sensitive.

O2:
Produces non-lactose fermenting colonies on MacConkey agar

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O3:
Exhibits satel itism around Staphylococcus aureus colonies

O4:

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It exhibits alpha hemolysis on sheep blood agar

Ans: 3
Ques No: 11

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Subject: Microbiology

Topic: Systemic Bacteriology

Sub-Topic:

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A man presents with a history of dysuria and urethral discharge after having unprotected
sexual intercourse. Gram-staining of the purulent discharge is seen in the fol owing image.
What is the treatment of choice for this infection?

O1:

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Erythromyci n

O2:
Azithromycin

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O3:
Ceftriaxone

O4:
Penicil in G

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Ans: 3

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Ques No: 12

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Subject: Radiology

Topic: Head & Neck Imaging

Sub-Topic:

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A 2-month-old infant is brought to the OPD with a parietal swel ing present since birth. The
X-ray image is given below. What could be the probable diagnosis?

O1:
Subgaleal hematoma

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O2:
Cephalhematoma

O3:

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Caput succedaneum

O4:
Enecephalo cele

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Ans: 2
Ques No: 13

Subject: Radiology

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Topic: Genitourinary Radiology

Sub-Topic:
A patient presented with abdominal pain and sterile pyuria, and the x-ray showed the fol owing
features. What is the likely diagnosis?

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O1:
Putty kidney

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O2:
Nephrocalcinosis

O3:
Staghorn calculus

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O4:
Psoas calcification

Ans: 1

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Ques No: 1 4

Subject: Anatomy

Topic: Pelvis and Perineum

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Sub-Topic:
A defect in which of the fol owing forms the structure marked below?

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O1:
Internal oblique

O2:
External oblique

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O3:
Parietal peritoneum

O4:

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Fascia transversalis

Ans: 4
Ques No: 1 5

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Subject: Anatomy

Topic: Head and Neck

Sub-Topic:

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A student had his jaw locked while yawning. Which of the fol owing muscles is attached to the
articular disc of the temporomandibular joint?

O1:
Lateral pterygoid

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O2:
Temporalis

O3:

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Medial pterygoid

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O4:
Masseter

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Ans: 1
Ques No: 16

Subject: Anatomy

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Topic: Histology

Sub-Topic:
The given histology image is of ?

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O1:
Leydig cel s of testis

O2:

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Pancreatic islet cel s

O3:
Hassal 's corpuscles

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O4:
Glomerulus

Ans: 4
Ques No: 1 7

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Subject: Anatomy

Topic: Thorax

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Sub-Topic:
A defect in which of the fol owing aortic arches causes the defect shown in the image?

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O1:

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4th right

O2:
4th left

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O3:
6th right

O4:
6th left

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Ans: 4
Ques No: 18

Subject: Anatomy

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Topic: General Embryology

Sub-Topic:
Which of the fol owing structures develops from the structure marked 4?

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O1:
Medial umbilical ligament

O2:

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Median umbilical ligament

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O3:
Meckel's diverticulum

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O4:
Ligamentum teres

Ans: 2

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Ques No: 19

Subject: Anatomy

Topic: Abdomen

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Sub-Topic:
A patient comes with abdominal pain, jaundice, and portal hypertension. Anastomosis
between which of the fol owing veins is seen?

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O1:
Left colic vein and middle colic veins

O2:
Esophageal veins and left gastric veins

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O3:
Superior rectal and phrenic veins

O4:

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Sigmoid and superior rectal veins

Ans: 2
Ques No: 20

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Subject: Biochemistry

Topic: Vitamins

Sub-Topic:

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Which of the fol owing clotting factors is needed for gamma-glutamyl carboxylase?

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O1:
Factors II, VIII, IX, X

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O2:
Factors II, VII, IX, and X

O3:
Factors II, VII, IX, XI

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O4:
Factors II, VIII, X, XI

Ans: 2

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Ques No: 21

Subject: Biochemistry

Topic: Vitamins

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Sub-Topic:
A patient presented with diarrhea, dermatitis, and dementia. Which of the fol owing vitamin
deficiencies would you suspect in this patient?

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O1:
Vitamin B3 deficiency

O2:
Vitamin B1 deficiency

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O3:
Vitamin B6 deficiency

O4:

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Vitamin B12 deficiency

Ans: 1
Ques No: 22

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Subject: Biochemistry

Topic: Carbohydrate Metabolism

Sub-Topic:

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A young bo y presents to the OPD with hypoglycemia and muscle cramps, on exertion or while
playing. Then he becomes normal after resting for a while. These episodes are recurrent after
a period of activity. He has decreased serum lactate and glucose levels. Which of the fol owing
diseases is he most likely to be suf ering from?

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O1:
McArdle disease

O2:
Hers disease

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O3:
Cori's disease

O4:

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Andersen disease

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Ans: 1
Ques No: 23

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Subject: Biochemistry

Topic: Vitamins

Sub-Topic:

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A family consumes only polished rice. Which of the fol owing combinations of vitamin
deficiency and enzymatic defect wil be present in this family?

O1:
Riboflavin-glutathione reductase

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O2:
Thiamine-transketolase

O3:

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Thiamine-transaminase

O4:
Riboflavin-transketolase

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Ans: 2
Ques No: 24

Subject: Biochemistry

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Topic: Vitamins

Sub-Topic:
A chronic alcoholic patient presented to the casualty with confusion, ataxia, and painful eye
movements. What could be the vitamin deficiency seen in this patient?

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O1:
Vitamin B deficiency

O2:

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Vitamin A deficiency

O3:
Vitamin D d eficiency

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O4:
Vitamin C deficiency

Ans: 1
Ques No: 25

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Subject: Biochemistry

Topic: Carbohydrate Metabolism

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Sub-Topic:
A 4-year-old child presents with easy fatigability. The mother also complains that the child has
increased hunger between meals, which is relieved after food. Liver examination revealed no
glycogen. The enzyme most likely deficient is?

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O1:

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Glycogen phosphorylase

O2:

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Glycogen synthase

O3:
Debranching enzyme

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O4:
Glucose 6 phosphatase

Ans: 2
Ques No: 26

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Subject: Biochemistry

Topic: Vitamins

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Sub-Topic:
A child was bought with pedal edema and cheilosis. Cardiomegaly was present. What is the
vitamin deficiency associated with this clinical presentation?

O1:

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Riboflavin

O2:
Thiamine

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O3:
Pyridoxine

O4:
Niacin

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Ans: 2
Ques No: 27

Subject: Biochemistry

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Topic: Vitamins

Sub-Topic:
A chronic al coholic patient is diagnosed with gouty arthritis. What biochemical changes wil be

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seen in this patient?

O1:
Decreased NADH/NAD+ ratio

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O2:
Increased urea and urate levels

O3:
Increased urate and lactate levels

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O4:
Increased level of alkaline phosphatase

Ans: 3

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Ques No: 28

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Subject: Biochemistry

Topic: Enzymes

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Sub-Topic:
A child presents with erythematous scaly patches in the perioral region, mucosal ulcers, and
impaired epithelial wound healing. The most likely mineral deficiency associated with this
condition is?

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O1:
Iron deficiency

O2:

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Zinc deficiency

O3:
Calcium deficiency

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O4:
Copper deficiency

Ans: 2
Ques No: 29

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Subject: Biochemistry

Topic: Vitamins

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Sub-Topic:
A patient presenting with bleeding gums and easy bruisability was diagnosed with scurvy. This
is due to

O1:

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Low calcium

O2:
Defective col agen formation

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O3:
Inhibition of clotting factors

O4:
Increased keratinization of epithelium

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Ans: 2
Ques No: 30

Subject: Biochemistry

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Topic: Introduction

Sub-Topic:
Which of the fol owing is seen in low insulin: glucagon ratio?

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O1:
Activation of lipoprotein lipase

O2:

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Activation of glycogen synthase

O3:

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Activation of phosphofructokinase 1

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O4:
Activation of hormone-sensitive lipase

Ans: 4

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Ques No: 31

Subject: Biochemistry

Topic: Amino Acids and Proteins Chemistry

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Sub-Topic:
An infant is brought by his parents with complaints that his urine turns black on standing.
Which of the fol owing metabolic disorders is likely?

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O1:
Phenylketonuria

O2:
Alkaptonuria

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O3:
Homocystinuria

O4:

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Maple syrup urine disease

Ans: 2
Ques No: 32

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Subject: Biochemistry

Topic: Vitamins

Sub-Topic:

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A child presents with thinning of hair and scaling of the scalp. On taking further history, it is
found that she consumes raw eggs in her diet regularly. The given manifestations are due to
the deficiency of which of the fol owing vitamins?

O1:

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Niacin

O2:
Pyridoxine

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O3:
Biotin

O4:
Thiamine

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Ans: 3
Ques No: 33

Subject: Biochemistry

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Topic: Lipid Metabolism

Sub-Topic:

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A child presents with mental retardation, bone pain, and inability to walk. On funduscopic
examination, a cherry red spot is seen. There is no organomegaly. What is the most likely
diagnosis?

O1:

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Tay-Sachs disease

O2:
Niemann-Pick disease

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O3:
Hurler syndrome

O4:
Gaucher disease

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Ans: 1
Ques No: 34

Subject: Ophthalmology

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Topic: Neuro Ophthalmology

Sub-Topic:
A female presents with loss of vision in the right halves of both eyes. Where is the lesion

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located in the optic pathway?

O1:
Left optic tract

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O2:
Optic radiation

O3:
Optic chiasma

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O4:
Right optic tract

Ans: 1

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Ques No: 3 5

Subject: Ophthalmology

Topic: Diseases of Lens

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Sub-Topic:
A 65-year-old diabetic woman presents with painless loss of vision. The ocular findings are
shown in the image below. What is the likely diagnosis and management for this patient?

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O1:
Zonular cataract and lensectomy

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O2:
Rosette cataract and sugar control

O3:
Sunflower cataract and lesion extraction

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O4:
Immature senile cataract and phacoemulsification with IOL

Ans: 4

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Ques No: 36

Subject: Ophthalmology

Topic: Sclera

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Sub-Topic:
A 5-year-old boy presents with a smal nodule on the sclera as shown in the image below.
What is the likely diagnosis?

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O1:

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Pterygium

O2:

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Pinguecula

O3:
Dermolipoma

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O4:
Dermoid

Ans: 4
Ques No: 37

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Subject: Ophthalmology

Topic: Cornea

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Sub-Topic:
The eye examination of a 20-year-old male shows a golden ring on the iris. What is the next
investigation to diagnose the condition?

O1:

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Alpha-1-antitrypsin

O2:
Alpha-fetoprotein

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O3:
Serum iron

O4:
Serum ceruloplasmin

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Ans: 4
Ques No: 38

Subject: Ophthalmology

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Topic: Cornea

Sub-Topic:
What is the dye and filter used to diagnose corneal ulcers?

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O1:
Lissamine dye green filter

O2:

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Lissamine dye cobalt blue filter

O3:
Fluorescein dye - visualized under green filter

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O4:
Fluorescein dye - visualized under cobalt blue filter

Ans: 4
Ques No: 39

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Subject: Surgery

Topic: Urology

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Sub-Topic:
A 55-year-old male presented with verrucous carcinoma around the glans of the penis.
Examination reveals that the inguinal lymph nodes are not enlarged. What is the appropriate
management for this patient?

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O1:
Total penectomy

O2:

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CO2 laser excision

O3:
Topical 5-fluorouracil

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O4:
Partial penectomy

Ans: 4
Ques No: 40

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Subject: Surgery

Topic: Others

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Sub-Topic:
Identify the procedure being performed in the image given below.

O1:
Intraosseou

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s cannula for pain relief

O2:
Bone marrow aspiration

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O3:
Intraosseous route access for giving IV fluids

O4:
Intraosseous abscess drainage

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Ans: 3
Ques No: 41

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Subject: Surgery

Topic: Urology

Sub-Topic:

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A diabetic patient presents with sudden-onset perineal pain. On examination, foul-smel ing
discharge, and necrotic tissue as seen in the image is noted. Which of the fol owing is true
about the given condition?

O1:

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Anti-gas gangrene serum indicated for al cases

O2:
Urinary diversion is the next step

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O3:
Bilateral orchidectomy must be done

O4:
Mixed aerobic and anaerobic infection

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Ans: 4
Ques No: 4 2

Subject: Surgery

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Topic: Gastrointestinal Surgery

Sub-Topic:
Which of the fol owing is the most common complication fol owing ligation of the first vessel

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during abdominoperineal resection for rectal carcinoma?
(APR Abdominoperineal resection)

O1:
Parasympathetic-bladder dysfunction and retrograde ejaculation.

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O2:
Sympathetic - - bladder dysfunction and impotence.

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O3:
Sympathetic- retrograde ejaculation and bladder dysfunction.

O4:
Sympathetic-Impotence and loss of cutaneous sensation in perineal region

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Ans: 3
Ques No: 43

Subject: Surgery

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Topic: Plastic Surgery

Sub-Topic:
A patient presents to the clinic with the lesion given in the image. He had a traumatic injury to

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the chest one year ago. What is the most likely diagnosis?

O1:
Hemangioma

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O2:
Hypertrophic scar

O3:
Keloid

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O4:
Neurofibro ma

Ans: 3

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Ques No: 44

Subject: Surgery

Topic: Gastrointestinal Surgery

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Sub-Topic:
A 45-year-old male underwent bilateral laparoscopic hernia repair for inguinal hernia.
Postoperatively, he complained of pain in the right thigh. Which of the fol owing nerve
entrapment leads to this symptom?

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O1:
Ilioinguinal nerve

O2:

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Iliohypogastric nerve

O3:
Femoral nerve

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O4:
Lateral cutaneous nerve of thigh

Ans: 4
Ques No: 45

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Subject: Surgery

Topic: Others

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Sub-Topic:
A patient was brought to the ER fol owing a road traf ic accident. On examination, the patient
opens his eyes to a painful stimulus, speaks inappropriately, and withdraws his limbs to a
painful stimulus. What is his GCS score?

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O1:
E2V2M3

O2:
E3V3M3

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O3:
E2V3M4

O4:

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E3V2M2

Ans: 3
Ques No: 4 6

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Subject: Surgery

Topic: Hepatobiliary Pancreatic Surgery

Sub-Topic:

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A patient presented with fever and abdominal pain with jaundice. Investigations showed the
given findings. Which of the fol owing statements is true regarding this condition?

O1:
Surgery is mandatory

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O2:
Fine-needle aspiration cytology is diagnostic

O3:

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Angioembolization is the treatment of choice

O4:

---

Echinococcus species is involved in etiology

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Ans: 4
Ques No: 47

Subject: Surgery

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Topic: Oncology

Sub-Topic:
A patient who is a known case of alcohol dependence syndrome presents with sudden and

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unintentional weight loss. What is the most likely diagnosis?
-ALP 240 IU/L
-S. Direct bilirubin - 1 mg/dL
-AST/ALT -0.5
-Alpha fetoprotein- 600 ng/mL

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O1:
Hepatic adenoma

O2:

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Cholangioca rcinoma

O3:
Hepatocel ular carcinoma

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O4:
Alcoholic hepatitis

Ans: 3
Ques No: 48

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Subject: Dermatology

Topic: Miscel aneous Disorders

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Sub-Topic:
A lady developed a skin reaction, as shown in the image, after using a hair dye. Which of the

---

fol owing chemicals is responsible for this condition?

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O1:
Pol en

O2:
Chromates

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O3:
Balsam of Peru

O4:

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p-Phenylen ediamine

Ans: 4
Ques No: 49

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Subject: Dermatology

Topic: Introduction to Dermatology

Sub-Topic:

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A female patient presented with acne that is not resolving on oral isotretinoin and antibiotics
therapy. Which of the fol owing is the next best investigation?

O1:
Look for dietary triggers.

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O2:

---

Evaluate for hyperandrogenism

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O3:
Check for antibiotic resistance

O4:
Look for drug triggers

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Ans: 2
Ques No: 50

Subject: Anaesthesia

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Topic: Cardiopulmonary Cerebral Resuscitation

Sub-Topic:
Identify the maneuver being performed in the given image.

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O1:
Head tilt, chi n lift

O2:

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Jaw thrust

O3:
Head extension

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O4:
d. In-line manual stabilization

Ans: 1
Ques No: 51

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Subject: Surgery

---

Topic: Hepatobiliary Pancreatic Surgery

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Sub-Topic:
A patient presented with features of chronic pancreatitis with recurrent attacks and has a 10
mm dilatation of the pancreatic duct with intraductal calculi present. Which of the fol owing is
the surgery of choice?

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O1:
Pancreaticoduodenectomy

O2:
Longitudinal pancreaticojejunostomy

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O3:
ERCP and sphincterotomy

O4:

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Coring of pancreas head

Ans: 2
Ques No: 52

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Subject: Dermatology

Topic: Sexual y Transmitted Infections

Sub-Topic:

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A young woman complains of a painless ulcer in the genital area. It is associated with
non-tender inguinal lymphadenopathy. What is the most likely diagnosis?

O1:
Chancroid

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O2:
Syphilis

O3:

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Herpes genitalis

O4:
Granuloma i nguinale

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Ans: 2
Ques No: 53

Subject: Dermatology

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Topic: Miscel aneous Disorders

Sub-Topic:
Which of the fol owing is associated with the clinical condition shown in the image?

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O1:
Cataract

O2:
Glaucoma

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---

O3:
Malignant melanoma

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O4:
Basal cel carcinoma

Ans: 3
Ques No: 54

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Subject: Anaesthesia

Topic: Pre-Anaesthetic Evaluation

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Sub-Topic:
Which of the fol owing is the drug of choice for preoperative antibiotic prophylaxis in a patient
undergoing cardiac surgery?

O1:

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Penicil in G

O2:
Erythromycin

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O3:
Azithromyci n

O4:
Cefazolin

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Ans: 4

---

Ques No: 55

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Subject: ENT

Topic: Nose and Paranasal Sinuses

Sub-Topic:

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A 30-year-old male presents with nonaxial proptosis of the left eye. The patient gives a history
of a road traf ic accident 15 years back. The CT image is given below. What is the most likely
diagnosis?

---

O1:

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Frontal mucocele

O2:
Frontal meningioma

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O3:
Juvenile nasopharyngeal angiofibroma

O4:
Pseudotumor of orbit

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Ans: 1
Ques No: 56

Subject: Surgery

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Topic: Endocrine Surgery

Sub-Topic:
A woman presented with a BIRADS-5 breast lesion. Which of the fol owing is a good

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prognostic factor for this lesion?

O1:
BRCA-1 positive

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O2:
p53 positive

O3:
ER positive

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O4:
High Ki-67

Ans: 3

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Ques No: 57

Subject: ENT

Topic: La rynx

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Sub-Topic:
A 55-year-old patient comes with hoarseness of voice and dif iculty swal owing. The patient
was diagnosed with laryngeal carcinoma, and surgical management was done. The
post-operative image of the patient is given below. Which of the fol owing surgery was done on

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this patient?

---

O1:
Partial laryngectomy

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O2:
Percutaneous tracheostomy

O3:

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Standard tracheostomy

O4:
Total laryngectomy

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Ans: 4
Ques No: 58

Subject: Surgery

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Topic: Cardiothoracic Vascular Surgery

Sub-Topic:
A patient p resents with sudden onset of chest pain shooting to the neck and interscapular
region. X-ray shows widened mediastinum. BP is 110/90 mmHg in the right upper limb and

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160/100 mmHg in the left upper limb. What is the most likely diagnosis?

O1:
Acute coronary syndrome

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O2:
Acute pulmonary embolism

O3:
Acute aortic dissection

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O4:
Esophageal rupture

---

Ans: 3

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Ques No: 59

Subject: ENT

Topic: Ear

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Sub-Topic:
A female patient with hearing loss is examined and is found to be Rinne negative at 256 Hz
and 512 Hz, while Rinne positive at 1024 Hz. What is the expected air conduction and bone
conduction gap?

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O1:
30-45 dB

O2:

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15-30 dB

O3:
45-60 dB

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O4:
>60 dB

Ans: 1
Ques No: 60

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Subject: Surgery

Topic: Hepatobiliary Pancreatic Surgery

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Sub-Topic:
A patient presented with right hypochondriac pain. He had an episode of diarrhea 1 week
prior. CT scan of the abdomen reveals a liver abscess of around 25 ccs. What is the next step
in management?

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O1:
PAIR

O2:
Surgery

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O3:
Medical the rapy

O4:

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Percutaneous drainage

Ans: 3
Ques No: 61

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Subject: Orthopaedics

Topic: Pediatric Orthopedics

Sub-Topic:

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A child was brought with bony deformities, as shown in the radiograph below. It could be due

---

to the deficiency of which of the fol owing?

O1:

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Vitamin A

O2:
Vitamin D

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O3:
Vitamin K

O4:
Vitamin C

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Ans: 2
Ques No: 62

Subject: Surgery

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Topic: Neurosurgery

Sub-Topic:
A 50-year-old patient with a history of trauma one week back presents with confusion and

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---

ataxia. He is on treatment for alcohol dependence and his last intake was 2 weeks back. CT
scan reveals the fol owing finding. What is the diagnosis?

O1:

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Extradural hemorrhage

O2:
Subdural hemorrhage

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O3:
Intra-parenchymal hemorrhage

O4:
Subarachno id hemorrhage

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Ans: 2
Ques No: 63

Subject: Surgery

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Topic: Plastic Surgery

Sub-Topic:
Which of the fol owing is false about the given condition?

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O1:
Repeated radical surgery every 24 hours may be required to adequately manage this
condition

---

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O2:
This is a case of Meleney's gangrene

O3:

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The condition is caused by hemolytic streptococcus and may sometimes be polymicrobial

O4:
Hyperbaric oxygen has no role in the treatment of this condition

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Ans: 4
Ques No: 64

Subject: Pharmacology

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Topic: Antimicrobials : Anti Bacterial Drugs

Sub-Topic:
A bronchial asthma patient on inhalational steroids presented with white patchy lesions on the
tongue and buccal mucosa. What is the drug that can be used to treat this condition?

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O1:
Clotrimazole

O2:

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Griseofulvin

O3:
Terbinafine

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O4:
Flucytosine

Ans: 1
Ques No: 65

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Subject: Surgery

---

Topic: Gastrointestinal Surgery

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Sub-Topic:
A patient presents with a swel ing in the groin region and it is diagnosed as a direct inguinal
hernia. Weakness in which of the fol owing structures is most likely to cause this condition?

O1:

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Pectineal ligament

O2:
Conjoint tendon

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O3:
Reflected part of inguinal ligament

O4:
Lacunar ligament

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Ans: 2
Ques No: 66

Subject: Pharmacology

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Topic: General Pharmacology

Sub-Topic:
A pregnant woman with a history of bronchial asthma is in the third stage of labor. Which

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drugs should be avoided in managing postpartum hemorrhage in this mother?

O1:
Carboprost

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O2:
Oxytocin

O3:
Dinoprostone

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O4:
Methyl ergo metrine

Ans: 1

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Ques No: 67

Subject: Orthopaedics

Topic: Peripheral Nerve Injuries

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Sub-Topic:
In which of the fol owing nerve injuries is the instrument shown below used?

---

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O1:
Radial nerve

O2:
Median nerve

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O3:
Ulnar nerve

O4:

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Volkmann's i schemic contracture

Ans: 1
Ques No: 68

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Subject: Pharmacology

Topic: CVS Pharmacology

Sub-Topic:

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Name the drug that acts on both the marked areas.

---

O1:
Sacubitril

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O2:
Omapatrilat

O3:

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Losartan

O4:
Nesiritide

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Ans: 2
Ques No: 6 9

Subject: Orthopaedics

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Topic: Spine + Pelvis + Lower Limb Traumatology

Sub-Topic:
A patient presented with chronic knee pain but has no history of trauma. Identify the condition
shown in the radiograph below and the appropriate management.

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---

O1:
Patel ar avulsion fracture, TBW

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O2:
Bipartite fracture patel a, X-ray of other knees

O3:
Fracture of the upper pole of the patel a, Cylindrical cast

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O4:
Avulsion fracture, interfragmentary screw fixation

Ans: 2

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Ques No: 70

Subject: Surgery

Topic: Cardiothoracic Vascular Surgery

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Sub-Topic:
A construction worker came to the OPD complaining of white fingers. He has been working in
the cement and concrete industry and has been working on heavy machinery dril s, wood, and
furniture polishing for 20 years. What is the most likely etiology for this condition?

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O1:
Candidal inf ection of the fingers due to continuous exposure to water

O2:

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Exposure to thinners and paints

O3:
Continuous exposure to cement and concrete

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O4:
Continuous exposure to dril s and machines

Ans: 4
Ques No: 71

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Subject: Pharmacology

Topic: CVS Pharmacology

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Sub-Topic:

---

A patient with a previous history of myocardial infarction and ventricular arrhythmia is on
treatment for a few months. He developed fatigue, dyspnea, and weight gain. He had also
developed pulmonary fibrosis. Which of the fol owing drugs is responsible for the side ef ects

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mentioned above?

O1:
Amiodarone

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O2:
Atenolol

O3:
Aspirin

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O4:
Spironolactone

Ans: 1

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Ques No: 72

Subject: Surgery

Topic: Gastrointestinal Surgery

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Sub-Topic:
A 5-year-old child was admitted to the hospital for prolapsing rectal mass and painless rectal
bleeding. Histopathological examination reveals enlarged and inflamed glands fil ed with
mucin. What is the likely diagnosis?

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O1:
Adenoma

O2:

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Choristoma

O3:
Hamartoma

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O4:
Carcinoma

Ans: 3
Ques No: 7 3

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Subject: Pharmacology

Topic: Autacoids

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Sub-Topic:
A young female comes to the emergency department after consuming 100 aspirin tablets.
What should be the next step in management?

O1:

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N-acetyl cysteine to replenish glutathione stores

O2:
Pralidoxime

---

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O3:
Glucagon to control bradycardia and hypoglycemia

O4:

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Give sodium bicarbonate to alkalize urine

Ans: 4
Ques No: 74

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Subject: Pharmacology

Topic: CVS Pharmacology

Sub-Topic:

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A chronic smoker was on nicotine replacement therapy and clonidine tablets for smoking
de-addiction. He stopped taking clonidine tablets and now presents with a headache. What is
the reason behind this condition?

O1:

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Postural hypotension

O2:
Receptor upregulation

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O3:
Rebound hypertension

O4:
Receptor hypersensitivity

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Ans: 3
Ques No: 75

Subject: Surgery

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Topic: Plastic Surgery

Sub-Topic:
Identify the given condition.

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O1:
Venous ulcer

---

O2:

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Malignant ulcer

O3:
Arterial ulcer

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O4:
Trophic ulcer

Ans: 4
Ques No: 76

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Subject: Pharmacology

Topic: Autacoids

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Sub-Topic:
A patient with recurrent gout attacks was started on a therapy that inhibits uric acid synthesis.
His symptoms were reduced after therapy. Which drug was he started on?

O1:

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Probenecid

O2:
Colchicine

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O3:
Diclofenac

O4:
Allopurinol

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Ans: 4
Ques No: 77

Subject: Pharmacology

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Topic: Drugs Affecting Blood and Blood formation

Sub-Topic:
A patient wit h a malignancy is undergoing chemotherapy. The platelet counts were reduced

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after the previous cycle of chemotherapy. Which of the fol owing drugs can be used to treat
this patient?

O1:
Oprelvekin (IL-11)

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O2:
Filgrastim

O3:

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Erythropoietin

O4:
Amifostine

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Ans: 1
Ques No: 78

---

Subject: Pharmacology

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Topic: CVS Pharmacology

Sub-Topic:
The true statement among the fol owing is___

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O1:
The dose of telmisartan should be reduced in renal failure but not in hepatic failure.

O2:
The dose of irbesartan should be reduced in case of mild-moderate hepatic failure and renal

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failure.

O3:
The dose of candesartan should be reduced in mild-moderate liver failure but not in renal
failure.

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O4:
Losartan acts as a thromboxane A2 antagonist and inhibits platelet aggregation.

Ans: 4

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Ques No: 79

Subject: Orthopaedics

Topic: Peripheral Nerve Injuries

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Sub-Topic:
A patient at the orthopedics OPD complains of troubled sleep at night due to numbness and
tingling sensation involving his lateral 3 digits. His symptoms are relieved as he lays his arms
hanging from the bed. Which of the fol owing options correctly describes his condition and the

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test used to assess it?

O1:
Guyon's canal syndrome, Froment's test

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O2:
Carpal tunnel syndrome, Froment's test

O3:
Guyon's can al syndrome, Durkan's test

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O4:
Carpal tunnel syndrome, Durkan's test

Ans: 4

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Ques No: 80

Subject: Orthopaedics

Topic: Metabolic Disorders

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Sub-Topic:
A child is brought to the orthopedics OPD with a deformity in the lower limb and
hyperpigmented skin lesions. The x-ray of her thigh is shown below. What is the most likely
diagnosis?

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---

O1:
Non-ossifying fibroma

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O2:
Fibrous dysplasia

O3:
Paget's disease

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O4:
Osteogenesis imperfecta

Ans: 2

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Ques No: 81

Subject: Psychiatry

Topic: Schizophrenia Spectrum and Other Psychotic Disorders

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Sub-Topic:
A schizoph renic patient was prescribed drug A after he did not respond to haloperidol and
thioridazine. He now presents with excessive salivation, an increase in blood glucose, and
hyperlipidemia. What is drug A?

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O1:
Ziprasidone

O2:

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Risperidone

O3:
Clozapine

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O4:
Aripiprazole

Ans: 3

---

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Ques No: 82

Subject: Orthopaedics

Topic: Orthopedics Oncology

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Sub-Topic:
The given image is an x-ray of a 22-year-old female. What is the probable diagnosis?

O1:

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Chondroblastoma

O2:
Osteochondroma

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O3:
Giant cel tumor

O4:
Aneurysmal bone cyst

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Ans: 3
Ques No: 8 3

Subject: Physiology

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Topic: Respiratory System

Sub-Topic:
Identify the marked region in the given spirometry.

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---

O1:
Functional residual capacity

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O2:
Tidal volume

O3:
Expiratory reserve volume

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O4:
Expiratory capacity

Ans: 1

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Ques No: 8 4

Subject: Surgery

Topic: Cardiothoracic Vascular Surgery

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Sub-Topic:
A patient with varicose veins complains of eczema over the same region. What is the stage of
the clinical classification according to the CEAP guidelines?
CEAP-Clinical-Aetiology-Anatomy- Pathophysiology classification of chronic venous disorders

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O1:
C2

O2:

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C3

O3:
C4a

---

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O4:
C4b

Ans: 3
Ques No: 85

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Subject: Surgery

Topic: Neurosurgery

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Sub-Topic:
A patient comes to the casualty with a severe headache. His BP was found to be 160/100
mmHg. CT scan revealed a subarachnoid hemorrhage. What is the next best step in the
management of this patient?

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O1:
Nimodipine

O2:
Angiography

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O3:
Surgery

O4:

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Fibrinolytic therapy

Ans: 2
Ques No: 86

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Subject: Physiology

Topic: General Physiology

Sub-Topic:

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A man was brought to the emergency after suddenly becoming unconscious while working in
the field. On examination, his temperature was 105 degrees Fahrenheit, and his skin turgor
was decrea sed. Which of the folowing would not be seen in the patient?

O1:

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Tachypnea

O2:
Hypotension

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O3:
Sweating

O4:
Red hot skin

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Ans: 3
Ques No: 87

Subject: Physiology

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Topic: Excretory System

Sub-Topic:

---

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Identify the correctly matched pair of substances with their renal clearance from the graph
below.

O1:
A-Glucose, B-PAH, C- Bicarbonate and D - Inulin

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O2:
A-Glucose, B- Bicarbonate, C-Inulin and D - PAH

O3:

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A-PAH, B-Inulin, C - Glucose and D - Bicarbonate

O4:
A - Inulin, B - Glucose, C - Bicarbonate and D - PAH

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Ans: 2
Ques No: 8 8

Subject: Surgery

--- Content provided by FirstRanker.com ---

Topic: Gastrointestinal Surgery

Sub-Topic:
A 20-year-old female patient consumed a cleaning product containing 90% sodium hydroxide.
She is having complete dysphagia. What is the best step in management?

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O1:
Esophagojejunostomy

O2:

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Stent placement

O3:

---

Feeding jejunostomy

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O4:
Gastrojejunostomy

Ans: 3

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Ques No: 89

Subject: Surgery

Topic: Endocrine Surgery

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Sub-Topic:
A 23-year-old male patient presents with midline swel ing in the neck. The swel ing moves with
deglutition and protrusion of the tongue. What is the likely diagnosis?

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O1:
Brachial cyst

O2:
Thyroglossal cyst

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O3:
Plunging ranula

O4:

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Dermoid cyst

Ans: 2
Ques No: 90

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Subject: Physiology

Topic: Nerve Muscle Physiology

Sub-Topic:

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Identify the true statement regarding the given nerve action potential curve?

---

O1:
The threshol d point is at A

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O2:
At point E, the nerve is more excitable

O3:

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Point C to D is due to the opening of Na+ and closure of K+ channels

O4:
Point B to D is a refractory period

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Ans: 4
Ques No: 91

Subject: Surgery

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Topic: Others

---

Sub-Topic:
A young patient is admitted with a history of fever for 5 days. BP is 90/60 mmHg, PR-120 bpm,
RR-24 breaths/ min, GCS score-10; laboratory tests show leucocytosis with neutrophilia and

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serum creatinine level of 2.6 mg/ dL. An intern doctor wants to calculate the qSOFA score to
predict prognosis and hospitalization duration. Which of the fol owing comprises the qSOFA
score?

O1:

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BP, RR and CBC

O2:
Creatinine, PR, BP

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O3:
RR, Body temperature, PR

O4:
SBP, RR, GCS score

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Ans: 4
Ques No: 92

Subject: Physiology

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Topic: General Physiology

Sub-Topic:
Identify the type of transport across the cel membrane given below?

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O1:
Simple dif usion

---

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O2:
Facilitated dif usion

O3:
Primary active transport

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O4:
Secondary active transport

Ans: 2

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Ques No: 93

Subject: Medicine

Topic: Cardiology

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Sub-Topic:
Identify the condition associated with the murmur in the image below.

O1:

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Mitral regurgitation

O2:
Aortic regurgitation

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O3:
Aortic stenosis

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O4:

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Mitral stenosis

Ans: 1
Ques No: 94

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Subject: Psychiatry

Topic: Mood Disorders

Sub-Topic:

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A woman, w ho 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: 95

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Subject: Psychiatry

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Topic: Neurotic, Stress-Related and Somatoform Disorders

Sub-Topic:
A 25-year-old female reported symptoms of anxiety, palpitations, sweating, breathlessness,
chest pain, and a feeling of impending doom. She recal s having experienced 5-6 similar

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episodes in the past 6 months, each episode lasting for about 20-30 minutes. What is the
likely diagnosis?

O1:
Depression

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O2:
Panic disorder

O3:

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Generalized anxiety disorder

O4:
Phobia

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Ans: 2
Ques No: 96

Subject: Medicine

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Topic: Rheumatology / Connective Tissue Disorder

Sub-Topic:
A young man came to the medical OPD with complaints of early morning backache and
stif ness, which improves on exercise, and persistent red eyes. On examination, lung

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expansion was less than 3 cm. X-ray is shown in the image given below.

---

What is the most probable diagnosis?

O1:

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Ankylosing spondylitis

O2:
Paget's disease

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O3:
Healed tube rculosis

O4:
Osteopetrosis

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Ans: 1
Ques No: 97

Subject: Medicine

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Topic: Nephrology / Kidney Disease

Sub-Topic:
A patient with hyperkalemia and elevated urea levels underwent dialysis. Towards the end of

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the session, she became drowsy and had a sudden seizure episode. On examination, the
patient was hypotensive. What is the treatment for this condition?

O1:

---

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Bumetanide

O2:
Ethacrynic acid

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O3:
Nesiritide

O4:
IV Mannitol

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Ans: 4
Ques No: 98

Subject: Medicine

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Topic: Endocrinology

Sub-Topic:
A female patient presents to the emergency department with severe restlessness, palpitations,

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and tremors. She is a known case of bronchial asthma. On examination, the neck looks
swol en. Blood pressure is elevated, and tachycardia is noted. ECG shows atrial fibril ation.
Which of the fol owing drugs is used for immediate management in this patient?

O1:

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Diltiazem

O2:
Propranolol

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O3:
Esmolol

O4:
Propylthiouracil

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Ans: 1
Ques No: 99

Subject: Ph ysiology

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Topic: Respiratory System

Sub-Topic:
A preterm baby who was delivered at 28 weeks developed respiratory distress syndrome.

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Which of the fol owing is true about surface tension and compliance in this baby?

O1:
Surface tension - decreased; Compliance - increased

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O2:
Surface tension - increased; Compliance - decreased

O3:
Both surface tension and compliance decreased

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O4:
Both surface tension and compliance increased

---

Ans: 2

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Ques No: 100

Subject: Psychiatry

Topic: Sexual Disorders

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Sub-Topic:
A middle-aged man complains of very early ejaculation during intercourse. What is the
non-pharmacological management that can be advised to the patient?

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O1:
Cognitive behavioral therapy

O2:
Exposure and response prevention therapy

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O3:
Squeeze technique

O4:

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Sensate focus therapy

Ans: 3
Ques No: 101

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Subject: Medicine

Topic: Liver

Sub-Topic:

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A 30-year-old male is found to be positive for HBsAg and HBeAg and is diagnosed with
chronic hepatitis B. The patient's viral load was 2x 100000 and SGPT is found to be doubled.
What is the appropriate management in this patient?
SGPT-Serum glutamate pyruvate transaminase

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O1:
Lamivudine for 30+ weeks

O2:
Tenofovir fo r> 40 weeks

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O3:
Pegylated interferon for 52 weeks

O4:

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Combined pegylated interferon with lamivudine

Ans: 2
Ques No: 102

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Subject: Medicine

Topic: Endocrinology

Sub-Topic:

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A 25-year-old male patient complained of palpitations, sweating, and restlessness. He has a
complaint of sweaty palms. Clinical findings are depicted in the image given below.

---

What is the diagnostic test done on this patient?

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O1:
Anti-thyroglobulin antibody

O2:
Anti-thyroid peroxidase antibody

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O3:
Thyroid receptor antibody

O4:

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Elevated ultrasensitive thyrotropin levels

Ans: 3
Ques No: 103

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Subject: Medicine

Topic: Oncology

Sub-Topic:

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A 50-year-old HIV patient presented with a painless lesion, as shown in the image.

---

What is the most likely diagnosis?

O1:

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Basal cel carcinoma

O2:
Kaposi sarcoma

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O3:
Malignant melanoma

O4:
Squamous cel carcinoma

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Ans: 2
Ques No: 104

Subject: Physiology

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Topic: Nerve Muscle Physiology

Sub-Topic:
A patient came to the hospital after a road traf ic accident. He had severe muscle injury, and

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his serum K+ level was found to be 5.5 mEq/L. What wil happen to the resting membrane
potential in this patient?

O1:
No change

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O2:

---

Becomes more negative

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O3:
Becomes more positive

O4:
First becomes more positive then negative

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Ans: 3
Ques No: 105

Subject: Pediatrics

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Topic: Pediatric Respiratory Disorders

Sub-Topic:
A newborn presented with chest retractions, dyspnea, and lethargy. The pediatrician

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diagnosed the baby with respiratory distress syndrome. This occurs due to the deficiency of:

O1:
Dipalmitoyl inositol

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O2:
Lecithin

O3:
Sphingomyelin

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O4:
Dipalmitoylphosphatidylethanolamine

Ans: 2

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Ques No: 106

Subject: Medicine

Topic: Neurology

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Sub-Topic:
A patient is brought to the OPD by his wife, complaining about dif iculty expressing emotions
and not parti cipating in daily activities. On examination, resting tremors and rigidity are noted.
Given the possible diagnosis, which part of the brain is af ected in this patient?

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O1:
Basal ganglia

O2:

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Hippocampus

O3:
Cerebel um

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O4:
Premotor cortex

Ans: 1
Ques No: 107

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Subject: Medicine

---

Topic: Infections

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Sub-Topic:
A 45-year-old HIV-positive male complained of persistent cough and weight loss. He has skin
lesions that appear as umbilicated papules and nodules predominantly on the face, trunk, and
upper extremities. Chest x-ray showed multiple bilateral nodular infiltrates. His sputum
CBNAAT for tuberculosis was negative, and he has a low CD4 count. What is the probable

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diagnosis?

O1:
HIV with disseminated histoplasmosis

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O2:
HIV with disseminated cryptococcosis

O3:
HIV with mol uscum contagiosum

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O4:
HIV with tuberculosis

Ans: 1

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Ques No: 108

Subject: Physiology

Topic: The Nervous System

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Sub-Topic:
A patient met with a road traf ic accident and developed a cervical spine injury. The fracture
fragment had pierced the lateral aspect of the dorsal column tract. Which of the fol owing
findings is seen in this patient?

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O1:
Absence of ipsilateral lower limb proprioception

O2:

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Absence of fine motor movement of fingers

O3:
Absence of i psilateral arm proprioception

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O4:
Absence of contralateral lower limb proprioception

Ans: 3
Ques No: 109

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Subject: Medicine

Topic: Neurology

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Sub-Topic:
A male patient presented to the emergency room with seizures. He has a history of fever,
headache, and confusion. An MRI brain was done, and it showed inflammation involving the
bitemporal lobe. What is the most likely aetiology for this presentation?

---

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O1:
Cytomegalovirus

O2:
Toxoplasma gondi

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O3:
Herpes simplex virus

O4:

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Mycobacterium tuberculosis

Ans: 3
Ques No: 110

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Subject: Physiology

Topic: Cardiovascular System

Sub-Topic:

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Identify the true statement regarding the point marked(Red) on the myocardial action potential
curve?

O1:
Due to the opening of Na+ and closure of fast K+ channels

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O2:
Due to the slow but prolonged opening of Ca2+ channels

O3:

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Due to the closure of Na+ and opening of the slow K+ channel

O4:
Due to Na+/K+ ATPase

---

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Ans: 2
Ques No: 111

Subject: Medicine

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Topic: Cardiology

Sub-Topic:
A male patient presents with sensory loss and weakness of limbs for 3 months. He also has

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angular stomatitis. On examination, there is loss of proprioception, vibration sensations, UMN
type of lower limb weakness, and absent ankle reflex. What is the most probable diagnosis?

O1:
Extradural cord compression

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O2:
Amyotrophic lateral sclerosis

O3:

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Multiple sclerosis

O4:
Subacute co mbined degeneration of cord

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Ans: 4
Ques No: 112

Subject: Pediatrics

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Topic: Fluid and Electrolyte Disturbances

Sub-Topic:
A 10-year-old child weighing 30 kg presents with a history of loose stools for 2 days. On
examination, there is severe dehydration. Laboratory investigations are as fol ows. What is the

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initial management as per ISPAD guidelines?
RBS
550mg/dL
pH
7.01

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---

Na+
158mEq/L
Urine glucose
3+

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O1:
Manage ABC, NS 20 mL/kg and start insulin after 1 hour

O2:

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Manage ABC, NS 20 mL/kg along with insulin 0.1 IU/kg/hr

O3:
Manage ABC, NS 10 mL/kg along with insulin 0.1 IU/kg/hr

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O4:
Manage ABC, NS 10 mL/kg and start insulin after 1 hour

Ans: 1
Ques No: 113

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Subject: Pediatrics

Topic: Growth

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Sub-Topic:
Which of the fol owing is the best sign to indicate adequate growth in an infant with a birth
weight of 2.8 kg?

O1:

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Increase in length of 25 centimetres in the first year

O2:
Weight gain of 300 grams per month til 1 year

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O3:
Anterior fontanel e closure by 6 months of age

O4:
Weight under the 75th percentile and height under the 25th percentile

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Ans: 1
Ques No: 11 4

Subject: Medicine

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Topic: Cardiology

Sub-Topic:
A 40-year-old female patient came with complaints of chest pain, palpitation, and shortness of

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breath. On examination, a mid-diastolic murmur was heard, and a prominent 'a' wave was
found on JVP. What is the most likely diagnosis?

O1:
Mitral stenosis

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O2:
Tricuspid stenosis

O3:

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---

Mitral regurgitation

O4:
Tricuspid regurgitation

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Ans: 2
Ques No: 115

Subject: Pediatrics

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Topic: Infectious Diseases

Sub-Topic:
A 3-month-old baby complains of deafness, cataract, and patent ductus arteriosus. Which of

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the fol owing is the most likely diagnosis?

O1:
Congenital herpes simplex virus infection

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O2:
Congenital toxoplasmosis

O3:
Congenital cytomegalovirus infection

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O4:
Congenital rubel a syndrome

Ans: 4

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Ques No: 116

Subject: PSM

Topic: Nutrition and Health

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Sub-Topic:
In a vil age, it is observed that several farmers have crossed gait and use a stick for support to
stand up and walk. Due to poor yield from farms, they consume meals containing rice and
pulses only. Supplementing their diet with which of the fol owing vitamins could have

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prevented th is?

O1:
Vitamin A

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O2:
Vitamin D

O3:
Vitamin C

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O4:
Vitamin B

Ans: 3

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Ques No: 117

Subject: PSM

Topic: Epidemiology

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---

Sub-Topic:
Research is being conducted to find the association between aniline dye exposure and
bladder cancer in workers who have worked in the industry for >20 years. Two groups were
formed: one directly involved with dye handling and the other group consisting of of ice clerks

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not directly exposed to the dye. Years of occupation were noted from records. What type of
study is being performed?

O1:
Retrospective cohort study

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O2:
Prospective cohort study

O3:

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Case-control study

O4:
Intervention and response

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Ans: 1
Ques No: 118

Subject: Pediatrics

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Topic: Pediatric Respiratory Disorders

Sub-Topic:
Chloride level in sweat is used in the diagnosis of which disease?

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O1:
Phenylketonuria

O2:
Cystic fibrosis

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O3:
Gaucher's disease

O4:

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Osteogene sis imperfecta

Ans: 2
Ques No: 119

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Subject: Pediatrics

Topic: Infectious Diseases

Sub-Topic:

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A child presents with fever and a rash spreading from the face, behind cheeks, and buccal
mucosa to other body parts. On examination, Koplik's spot is present. What is the likely
diagnosis?

O1:

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Measles

O2:
Rubel a

---

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O3:
Varicel a

O4:
Mumps

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Ans: 1
Ques No: 120

Subject: PSM

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Topic: Concept of Health and Disease

Sub-Topic:
The blood pressure of a population was tracked from childhood to adulthood. It was observed

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that those who had lower BP in childhood had low BP in adulthood, while those who had
higher BP in childhood had high BP in adulthood. This can be best described as

O1:
Rule of halves

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O2:
Tracking of blood pressure

O3:

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STEPwise approach

O4:
Primordial approach

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Ans: 2
Ques No: 121

Subject: Pediatrics

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Topic: Infectious Diseases

Sub-Topic:
A 3-week-old infant presents with a cough and sore throat. The mother reports that the infant
develops a paroxysm of cough folowed by apnea. The total leucocyte count is >50,000

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cel s/L. Which of the fol owing drugs wil you prescribe for this patient?

O1:
Azithromycin

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O2:
Amoxicil in

O3:
Cotrimoxazole

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O4:
Clarithromycin

Ans: 1

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Ques No: 122

Subject: PSM

---

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Topic: Health Care of The Community in India

Sub-Topic:
A 30-week primigravida complaints of reduced vision at night. She has been avoiding papaya,
mango, and other fruits throughout her pregnancy as she thinks they could be abortifacients. It

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is the primary duty of which of the fol owing workers to provide counseling and information to
the patient?

O1:
ANM

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O2:
AWW

O3:

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Trained birth attendant

O4:
ASHA

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Ans: 4
Ques No: 123

Subject: ENT

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Topic: Pharynx

Sub-Topic:
Identify the structure marked in the image.

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O1:
Fossa of Ro
senmul er

O2:

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Tubal tonsil

O3:
Opening of the Eustachian tube

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O4:
Adenoid

---

Ans: 1
Ques No: 124

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Subject: PSM

Topic: Communicable and Non-communicable Diseases

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Sub-Topic:
A 22-year-old female comes to the STI clinic with minimal vaginal discharge. On speculum
examination, erosions are seen on the cervix. Which of the fol owing kit should be given to this
patient?

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O1:
Green

O2:
Red

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O3:
Grey

O4:

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Yel ow

Ans: 3
Ques No: 125

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Subject: PSM

Topic: Concept of Health and Disease

Sub-Topic:

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The years of potential life lost could be attributed to,

O1:
Years lost to morbidity

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O2:
Years lost due to premature death

O3:
Years lost to disability

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O4:
Years lost to poor quality of life

Ans: 2

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Ques No: 126

Subject: ENT

Topic: Pharynx

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Sub-Topic:
The instrument shown in the image is not used for which of the fol owing?

---

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O1:
Airway toileting

O2:
Upper airway examination

--- Content provided by FirstRanker.com ---

O3:
Acute nasopharyngeal obstruction

O4:

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Prolonged mechanical ventilation

Ans: 2
Ques No: 127

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Subject: PSM

Topic: Vaccines and Cold Chain

Sub-Topic:

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In a 10-year-old school child, which of the fol owing vaccines is given as a part of the school
immunizatio n program?

O1:
Measles vaccine

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O2:
Rotavirus vaccine

O3:

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TT/Td vaccine

O4:
Hepatitis B vaccine

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Ans: 3
Ques No: 128

Subject: ENT

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Topic: Pharynx

---

Sub-Topic:
A 10-year-old child presents with throat pain, fever, and ear pain. He is diagnosed with
recurrent tonsil itis. Which nerve is responsible for the ear pain in this patient?

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O1:
Tympanic branch of the glossopharyngeal nerve

O2:

--- Content provided by FirstRanker.com ---

Greater auricular nerve

O3:
Auriculotemporal nerve

--- Content provided by FirstRanker.com ---

O4:
Auricular branch of the vagus nerve

Ans: 1
Ques No: 129

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Subject: PSM

Topic: International Health

--- Content provided by FirstRanker.com ---

Sub-Topic:
Which of the fol owing statements is true about cancer treatment according to the Colombo
plan?

O1:

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Help with PET scan units for diagnosis of cancer

O2:
Human resource strengthening

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O3:
Setting up chemotherapy units

O4:
Setting up cobalt therapy units

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Ans: 4
Ques No: 1 30

Subject: PSM

--- Content provided by FirstRanker.com ---

Topic: Nutrition and Health

Sub-Topic:
A poor farmer with a history of successive crop failure develops progressive spastic

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paraparesis, signs of upper motor neuron paralysis, and gait instability. Name the toxin
responsible for this condition.

O1:
Aflatoxin

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O2:
Beta-oxalyl-amino-alanine

O3:

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Ergot alkaloids

---

O4:
Fusarium toxin

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Ans: 2
Ques No: 131

Subject: PSM

--- Content provided by FirstRanker.com ---

Topic: Vaccines and Cold Chain

Sub-Topic:
A young male came to the hospital with a clean-cut wound without any bleeding. The patient
received a ful course of tetanus vaccination 10 years ago. What is the best management for

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this patient?

O1:
Human tetanus immunoglobulin and ful course of vaccine

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O2:
Human tetanus immunoglobulin only

O3:
Single-dose tetanus toxoid

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O4:
Ful course tetanus toxoid

Ans: 3

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Ques No: 132

Subject: PSM

Topic: Environment and Health

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Sub-Topic:
How is water col ected for bacteriological examination during a disease outbreak?

O1:

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Col ect water from already leaking taps

O2:
Before col e cting, let water flow for at least 1 minute

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O3:
Water sample container is kept close to the tap avoid spil age

O4:
Col ect from a gentle stream of water to avoid splashing

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Ans: 4
Ques No: 133

Subject: PSM

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Topic: Communicable and Non-communicable Diseases

Sub-Topic:
A boys' hostel has an outbreak of fever cases with headache, followed by the development of

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pleomorphic rashes sparing palms and soles. What is the next best step in the management of

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suspected cases?
VZIG-Varicel a zoster immunoglobulin

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O1:
Isolate for 6 days after giving acyclovir, fol owed by VZIG within 72 hours of exposure.

O2:
Isolate for 12 days after giving acyclovir, fol owed by VZIG within 48 hours of exposure

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O3:
Isolate for 6 days

O4:

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Only give VZIG

Ans: 3
Ques No: 134

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Subject: Medicine

Topic: Neurology

Sub-Topic:

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A patient who is a known case of hypertension on multiple anti-hypertensive medications
came to OPD. His ECG finding is given below. Which of the fol owing drugs is responsible for
the ECG finding?

O1:

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Prazosin

O2:
Metoprolol

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O3:
Hydrochlorothiazide

O4:
Spironolactone

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Ans: 4

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Ques No: 135

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Subject: Medicine

Topic: Neurology

Sub-Topic:

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A 78-year-old woman presents with a progressive decline in daily activity. She gives a history
of convulsions and visual hal ucinations. She does not talk to anyone and keeps looking at the
sky. Pathological examination shows the presence of Lewy bodies within the neurons. What is
the most probable diagnosis?

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O1:
Parkinson's disease

O2:
Prion disease

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O3:
Huntington's chorea

O4:

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Alzheimer's disease

Ans: 1
Ques No: 136

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Subject: Medicine

Topic: Neurology

Sub-Topic:

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A patient came to the medical OPD with complaints of polyuria. He has a history of undergoing
total hypophysectomy. His Na+ levels are found to be 155 mEq/ L, urine osmolarity was 200
mOsm/L. What is the definitive management in this patient?

O1:

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DDAVP for 2 weeks and then discontinue

O2:
DDAVP sup plementation for lifelong

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O3:
Upsetting of receptors so no treatment is required

O4:
Thiazides for 2 weeks

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Ans: 2
Ques No: 137

Subject: Medicine

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Topic: Pulmonology

Sub-Topic:
A 65-year-old chronic smoker came to the medicine outpatient department with complaints of

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upper chest discomfort and drooping of an eyelid. He also complained of pain radiating to the
upper arm and a tingling sensation in the 4th and 5th digits of his left hand. The chest X-ray is
given below.
Which of the fol owing is the most likely diagnosis?

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O1:
Pancoast tumour

O2:

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Upper lobe pneumonia

O3:
Superior ve na cava obstruction

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O4:
Aspergil oma

Ans: 1
Ques No: 138

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Subject: Medicine

Topic: Rheumatology / Connective Tissue Disorder

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Sub-Topic:
A chronic alcoholic patient presents with acute pain and swelling of the left great toe. There is
no history of trauma. Synovial fluid analysis shows raised leukocytes. Lab investigations show
normal serum uric acid levels. What is the most likely diagnosis?

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O1:
Pseudogout

O2:
Acute gout

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O3:
Reactive arthritis

O4:

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Septic arthritis

Ans: 2
Ques No: 139

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Subject: Psychiatry

Topic: Substance-Related and Addictive Disorders

Sub-Topic:

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A chronic alcoholic is brought to the emergency department with confusion, ataxia, and painful
eye movements. The 6th cranial nerve is also involved. What is the likely diagnosis?

O1:
Wernicke's encephalopathy

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O2:
Korsakof psychosis

O3:

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Delirium tremens

O4:
De Clerambault syndrome

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Ans: 1
Ques No: 140

Subject: Pharmacology

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Topic: General Pharmacology

Sub-Topic:
A patient gi ven digoxin started having side efects like nausea and vomiting. The serum
concentration of digoxin was 4 mg/dL. The plasma therapeutic range is 1 mg/dL. If the half-life

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of digoxin is 40 hours, how long should one wait before resuming the treatment?

O1:
40 hours

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O2:
80 hours

O3:
120 hours

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O4:
140-180 hours

Ans: 2

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Ques No: 141

Subject: Pharmacology

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Topic: ANS Pharmacology

Sub-Topic:
A patient comes to the casualty with organophosphate poisoning. He was started on atropine
infusion and pralidoxime. After 2 hours, the patient had a sudden rise in temperature. What is

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the likely cause of fever?

O1:
Atropine toxicity

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O2:
A side ef ect of pralidoxime

O3:
Due to organophosphate poisoning

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O4:
Idiopathic

Ans: 1

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Ques No: 142

Subject: Gynaecology & Obstetrics

Topic: Obstetrics

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Sub-Topic:
A partogram of a woman who is in labor is shown below. Oxytocin infusion is already given.
How wil you manage the condition?

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O1:
Forceps-assisted delivery

O2:

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Vacuum-a ssisted delivery

O3:
Oxytocin infusion

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O4:
Cesarean section

Ans: 4
Ques No: 143

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Subject: Pharmacology

Topic: CVS Pharmacology

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Sub-Topic:
The mechanism of action of tissue plasminogen activator is

O1:
Inhibit extrinsic pathway

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---

O2:
Inhibits platelet aggregation

O3:

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Enhance fibrin degradation

O4:
Inhibit clot formation

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Ans: 3
Ques No: 144

Subject: Gynaecology & Obstetrics

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Topic: Obstetrics

Sub-Topic:
A woman presents to you at 36 weeks of gestation with complaints of breathlessness and
excessive abdominal distension. Fetal movements are normal. On examination, fetal parts are

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not easily felt and fetal heartbeat is heard but it is muf led. Her symphysis fundal height is 41
cm. Her abdomen is tense but not tender. What is the most likely diagnosis?

O1:
Abruptio placenta

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O2:
Hydrocephalus of fetus

O3:

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Polyhydramnios

O4:
Fetal-maternal ascites

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Ans: 3
Ques No: 145

Subject: Gynaecology & Obstetrics

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Topic: Gyne cology

Sub-Topic:
For which of the fol owing procedures in the given OT list, can you preferably do a
hysteroscopy?

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O1:
Tubal ligation

O2:

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Asherman syndrome

O3:
Endocervical polyp

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O4:
Subserosal fibroid

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Ans: 2
Ques No: 146

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Subject: Gynaecology & Obstetrics

Topic: Obstetrics

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Sub-Topic:
A primigravida presents to you with anemia early in her pregnancy. She is 7 weeks pregnant
as seen on ultrasound. Her hemoglobin level is 9 g/dL. When should the iron supplements be
started for her?

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O1:
10 to 12 weeks

O2:
8 to 10 weeks

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O3:
After 14 weeks

O4:

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After 20 weeks

Ans: 2
Ques No: 147

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

Sub-Topic:

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A 23-year-old woman accompanied by her mother-in-law comes to the infertility clinic. She has
been having regular intercourse for 6 months but is not able to conceive. What is the next best
step?

O1:

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Semen analysis for husband

O2:
Reassure a nd review the couple after 6 months

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O3:
Hysterolaparoscopy

O4:
Diagnostic hysteroscopy

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Ans: 2
Ques No: 148

Subject: Anaesthesia

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Topic: Cardiopulmonary Cerebral Resuscitation

Sub-Topic:
During resuscitation, when is the given position indicated?

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O1:
Unconsciousness with pulse and breathing absent

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O2:
Unconsciousness with pulse present and breathing absent

O3:
Unconsciousness with pulse and breathing present

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O4:
Unconsciousness with pulse absent and breathing present

Ans: 3

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Ques No: 1 49

Subject: Gynaecology & Obstetrics

Topic: Gynecology

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Sub-Topic:
A 50-year-old woman presents with foul-smel ing bloody discharge per vagina mixed with
mucous. On examination, a necrotizing growth is seen in the cervix with lateral parametrium
involvement. What is the management for this patient?

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O1:
Chemotherapy

O2:

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Brachytherapy

O3:
Chemoradiation

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O4:
Surgery

Ans: 3
Ques No: 150

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

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Sub-Topic:
A 28-year-old woman with a history of multiple sexual partners presents with lower abdominal
pain for 1 month. She experiences minimal discharge and complaints of intermenstrual
bleeding. What is the most likely cause?

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O1:
Herpes simplex

O2:
Genital tuberculosis

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O3:
Candida

O4:

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Neisseria gonorrhoea

Ans: 2
Ques No: 151

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

Sub-Topic:

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A woman is set to undergo a complete laparoscopic hysterectomy. She wants to know if there
are any disadvantages to this procedure. What are the disadvantages of laproscopis
over-open surgery?

O1:

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Prolonged recovery time

O2:
Not knowing the extent of thermal burns

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O3:
Increased bleeding

O4:
Increased pain

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Ans: 2
Ques No: 152

Subject: Gynaecology & Obstetrics

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Topic: Obstetrics

Sub-Topic:

---

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A 27-year-old pregnant G3P2L2 woman presents to you at 36+6 weeks. Ultrasound is done
and shows the fetus is in a transverse lie. The liquor is adequate, the placenta is normal, and
she has no risk factors. Both her previous deliveries were normal vaginal deliveries. How wil
you manage this patient?

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O1:
Cesarean section

O2:
External cephalic version

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O3:
Expectant management

O4:

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Induction of labor

Ans: 2
Ques No: 153

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

Sub-Topic:

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A female presents to you with 6 weeks of amenorrhea complaining of bleeding per vagina and
slight abdominal pain. The urine pregnancy test is positive and hCG level is 2800 IU/L. A mass
is seen on the left adnexa measuring 3 x 2.5 cm. She is hemodynamical y stable. How wil you
manage this patient?
hCG-Human chorionic gonadotropin

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O1:
Oral methotrexate

O2:

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Single-dose methotrexate injection

O3:
Serial meth otrexate + leucovorin rescue

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O4:
Salpingectomy

Ans: 2
Ques No: 154

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

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Sub-Topic:
A 24-year-old woman who is being treated for infertility with human menopausal gonadotropin
came with complaints of sudden abdominal pain, nausea, vomiting, and breathlessness. The
finding of the ultrasound is shown below. What is the most likely diagnosis?

---

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O1:
Ovarian hyperstimulation syndrome

O2:

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Polycystic ovarian syndrome

O3:
Theca lutein cysts

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O4:
Granulosa cel tumor

Ans: 1
Ques No: 155

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Subject: Gynaecology & Obstetrics

Topic: Gyne cology

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Sub-Topic:
During a hysteroscopic removal of a submucosal fibroid, a fluid deficit of 2000 mL is estimated
in a patient. What is the immediate complication of this?

O1:

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Acute tubular necrosis

O2:
DIC

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O3:
Pulmonary edema

O4:
Thromboembolism

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Ans: 3

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Ques No: 156

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

Sub-Topic:

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A woman comes with complaints of pain and swel ing in the perineal area. She also has
complaints of dif iculty in walking and sitting. She gives a history of multiple sexual partners.
On examination, a tender swel ing is seen with redness on the labia, as shown in the image
given below. What is the most likely diagnosis?

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O1:
Chlamydial infection

O2:
Bartholin abscess

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O3:
Genital Tub erculosis

O4:

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Herpes infection

Ans: 2
Ques No: 157

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Subject: Gynaecology & Obstetrics

Topic: Gynecology

Sub-Topic:

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A 54-year-old woman was diagnosed with advanced cervical cancer. She has a 14-year-old
daughter. What advice would you give her daughter?

O1:

---

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Advise HPV vaccine

O2:
Screen for BRCA mutation

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O3:
Screen for PTEN mutation

O4:
Perform cervical biopsy

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Ans: 1
Ques No: 158

Subject: Gynaecology & Obstetrics

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Topic: Gynecology

Sub-Topic:
A 17-year-old girl is seen for primary amenorrhea. There is no development of breasts or hair

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in the pubic or axil ary region. Her height is 155 cm, and her weight is 48 kg. She has bilateral
inguinal masses. The uterus, fal opian tube, and Ovary are absent on ultrasound examination.
What is the most likely diagnosis?

O1:

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Complete androgen insensitivity syndrome

O2:
Hypergonadotropic hypogonadism

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O3:
Turner syndrome

O4:
Polycystic ovary syndrome

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Ans: 2
Ques No: 159

Subject: Surgery

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Topic: Onco logy

Sub-Topic:
A 54-year-old woman presents with cervical cancer stage 2A. It is decided to give neoadjuvant

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chemotherapy. What does neoadjuvant chemotherapy mean?

O1:
Chemotherapy is given along with radiation.

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O2:
Chemotherapy is given during surgery.

O3:
Chemotherapy is given before radical surgery to reduce the bulk of the tumor

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O4:
Chemotherapy is given after radical surgery for micrometastases

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Ans: 3

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Ques No: 160

Subject: Gynaecology & Obstetrics

Topic: Gynecology

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Sub-Topic:
A 16-year-old girl presents with cyclical pelvic pain every month. She has not achieved
menarche yet. On examination, a suprapubic bulge can be seen in the lower abdomen. PR
examination reveals a bulging swel ing in the anterior aspect. What is the most likely

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diagnosis?

O1:
Transverse vaginal septum above the vagina

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O2:
Vaginal atresia

O3:
Imperforate hymen

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O4:
Cervical agenesis

Ans: 3

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Ques No: 161

Subject: Gynaecology & Obstetrics

Topic: Obstetrics

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Sub-Topic:
A pregnant woman comes to the clinic. She already has twins by normal delivery. Which of the
fol owing is the correct representation of her obstetric score?

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O1:
G3P2

O2:
G3P1

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O3:
G2P1

O4:

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G2P2

Ans: 3
Ques No: 1
62

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Subject: Surgery

Topic: Gastrointestinal Surgery

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Sub-Topic:
A patient presents with sudden onset of hematemesis. He has been taking aspirin for his
arthritis and drinks alcohol occasional y. He gives a history of occasional abdominal pain. On

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examination, there is no abdominal mass or tenderness. What is the likely diagnosis?

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O1:
Mal ory-Weiss tear

O2:

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Esophagitis

O3:
Peptic ulcer

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O4:
Esophageal varices

Ans: 3
Ques No: 163

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Subject: Gynaecology & Obstetrics

Topic: Obstetrics

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Sub-Topic:
A woman presents to you at 36 weeks of gestation with complaints of feeling lightheadedness
and dizziness when she lies on her back. She says she feels alright if she lies on her side or
when walks. What is the most likely reason behind this?
IVC- inferior vena cava

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O1:
Increased intracranial pressure

O2:

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IVC compression

O3:
Heavy meals

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O4:
Excessive venous pooling at the feet

Ans: 2
Ques No: 1 64

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Subject: Surgery

Topic: Oncology

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Sub-Topic:
A 40-year-old male patient presents with a swel ing that has been slowly growing in the past 2
years. On examination, it was variable in consistency and ful y mobile. What is the most likely
diagnosis?

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O1:
Dermoid cyst

---

O2:

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Parotid tumor

O3:
Sebaceous cyst

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O4:
Cervical lymph node

Ans: 2
Ques No: 165

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Subject: Radiology

Topic: Radiotherapy

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Sub-Topic:
A woman with endometrial carcinoma is undergoing radiotherapy. Which of the fol owing is
true?

O1:

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Intensity is i nversely proportional to the square of the distance from the source

O2:
Smal blood vessels are most radioresistant

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O3:
Rapidly proliferating cel s are most radioresistant

O4:
Smal intestinal mucosa is most radio-resistant

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Ans: 1
Ques No: 166

Subject: Forensic Medicine

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Topic: Forensic Toxicology

Sub-Topic:

---

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A child before playing consumed fruit from the garden. After some time he developed a high
fever, confusion, photophobia, and unable to urinate. What are the likely causative agent and
the appropriate antidote used in this case?

O1:

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Datura, Pralidoxime

O2:
Datura, Physostigmine

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O3:
Yel ow oleander, Pralidoxime

O4:
Yel ow oleander, Physostigmine

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Ans: 2
Ques No: 167

Subject: Radiology

--- Content provided by FirstRanker.com ---

Topic: Thoracic Radiology

Sub-Topic:
A patient presents with a history of fever and cough for the past 3-5 days. His examination

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findings reveal crepitations. Chest X-ray is given below. What is the probable diagnosis?

O1:
Apical segment of Right lower lobe consolidation

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O2:
Right middle lobe consolidation

O3:
Posterior segment of right lower lobe consolidation

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---

O4:
Loculated pleural ef usion

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Ans: 2
Ques No: 168

Subject: Anatomy

--- Content provided by FirstRanker.com ---

Topic: Lower Limb

Sub-Topic:
Injury at which of the fol owing marked sites causes failure of dorsiflexion?

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O1:
3

O2:
2

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O3:
1

O4:

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4

Ans: 1
Ques No: 1
69

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Subject: Anatomy

Topic: Head and Neck

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Sub-Topic:
A patient presents with swel ing under the left ear lobule and complains of pain. Which of the
fol owing structures is the likely cause of the pain?

---

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O1:
Facial nerve

O2:
Greater auricular nerve

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O3:
Auriculotemporal nerve

O4:

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Investing layer of deep cervical fascia

Ans: 2
Ques No: 170

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Subject: Biochemistry

Topic: Lipid Metabolism

Sub-Topic:

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A child presents with bone pain and hepatosplenomegaly. A trephine biopsy and aspirate
show the fol owing finding. Which of the fol owing is the most likely enzyme deficient in this
condition?

O1:

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Hexosamini dase

O2:
Glucocerebrosidase

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O3:
Sphingomyelinase

O4:
Alpha 1,4-glucosidase

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Ans: 2
Ques No: 171

Subject: Forensic Medicine

--- Content provided by FirstRanker.com ---

Topic: Forensic Thanatology

---

Sub-Topic:
The method of autopsy carried out en masse to remove from tongue to prostate is.

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O1:
Virchow technique

O2:

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Rokitansky technique

O3:
Ghon technique

--- Content provided by FirstRanker.com ---

O4:
Letul e technique

Ans: 4
Ques No: 172

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Subject: Forensic Medicine

Topic: Forensic Thanatology

--- Content provided by FirstRanker.com ---

Sub-Topic:
A 42-year-old HIV-positive patient died, and his body was brought for post-mortem. The
method of autopsy to be done is___

O1:

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Ghon technique

O2:
Letul e technique

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O3:
Virchow technique

O4:
Rokitansky technique

--- Content provided by FirstRanker.com ---

Ans: 4
Ques No: 1 73

Subject: Microbiology

--- Content provided by FirstRanker.com ---

Topic: Virology

Sub-Topic:
A patient presented with a high fever, altered sensorium, headache, neck rigidity, and

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seizures. He was diagnosed with HSV encephalitis. Which of the fol owing tests can be used
to confirm the diagnosis?

O1:
IgM in CSF

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O2:
Tzanck smear of CSF

O3:

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CSF PCR for viral DNA

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O4:
CSF culture on chick embryo lines

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Ans: 3
Ques No: 174

Subject: Microbiology

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Topic: Parasitology

Sub-Topic:
In a patient presented with a fever and a positive filarial antigen test, what is the next
appropriate method of management?

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O1:
Bone marrow biopsy

O2:

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DEC provocation test

O3:
Detection of microfilariae in the blood smear

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O4:
Ultrasound of the scrotum

Ans: 3
Ques No: 175

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Subject: Forensic Medicine

Topic: Sexual Jurisprudence

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Sub-Topic:
A 10-year-old male child came to the casualty with dif iculty in walking and pain in the perianal
region. On subjecting the specimen from the perianal region to a test, it produces yel ow
needle-shaped rhombic crystals with picric acid. What is the test done?

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O1:
Barberio te st

O2:
Florence test

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O3:
Teichmann test

O4:

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Acid phosphatase test

Ans: 1
Ques No: 176

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Subject: Ophthalmology

Topic: Optics

Sub-Topic:

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Which of the fol owing refractive errors is associated with the image given below?

O1:
Presbyopia

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O2:
Astigmatism

O3:

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Hypermetropia

O4:
Myopia

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Ans: 2
Ques No: 177

Subject: Pathology

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Topic: Gen etics

Sub-Topic:
Which of the fol owing is true regarding the Mendelian mode of inheritance?

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O1:
Every 10th patient has a Y-linked disorder

O2:
1/3rd of Mendelian disorders is autosomal recessive

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O3:
Every 5th patient has an X-linked recessive disorder

O4:

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2/3 rd of Mendelian disorders are autosomal dominant

Ans: 4
Ques No: 178

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Subject: Forensic Medicine

Topic: Forensic Toxicology

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Sub-Topic:
A patient was brought to casualty with seizures. He had multiple episodes and was taking
herbal medicines for the same. He was conscious in between the episodes. During the
episodes, he had arching of his back. What is the likely cause?

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O1:
Strychnine

O2:
Ricinus

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O3:
Nerium odorum

O4:

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Datura

Ans: 1
Ques No: 179

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Subject: Ophthalmology

Topic: Glaucoma

Sub-Topic:

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An infant is brought with complaints of excessive watering of the eyes and photophobia. The
image is given below. What is the likely diagnosis?

O1:
Congenital

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glaucoma

O2:
Congenital cataract

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O3:
Mucopolysaccharidosis

O4:

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Ophthalmia neonatorum

Ans: 1
Ques No: 180

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Subject: Ophthalmology

Topic: Optics

Sub-Topic:

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A 60-year-old patient complains of decreased distant vision but now he does not use
spectacles for near vision. The image of his ocular examination is given below. What is this
type of refractive error cal ed?

O1:

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Index myopia

O2:
Axial myopia

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O3:
Curvatural myopia

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O4:
Positional myopia

Ans: 1
Ques No: 181

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Subject: Pediatrics

Topic: Pediatric Respiratory Disorders

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Sub-Topic:
A child is brought to the hospital with respiratory distress and biphasic stridor. The radiograph
is shown below. What is the diagnosis?

O1:

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Acute epiglo
ttitis

O2:
Acute laryngotracheobronchitis

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O3:
Foreign body aspiration

O4:

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Laryngomalacia

Ans: 2
Ques No: 182

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Subject: Pathology

Topic: Hematology: Red Blood Cel s

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Sub-Topic:
A child presents with intermittent jaundice and splenomegaly. There is a history of similar
complaints in the elder brother. Peripheral smear shows the following finding. How wil you
investigate this condition?

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O1:
Osmotic fragility test - Hereditary spherocytosis

O2:
Coombs te st - AIHA

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O3:
G6PD deficiency - Genetic testing

O4:

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Paroxysmal nocturnal hemoglobinuria - Flow cytometry

Ans: 1
Ques No: 183

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Subject: Pediatrics

Topic: Pediatric Gastroenterology

Sub-Topic:

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A 3-month-old baby presents with jaundice and clay-coloured stools. Lab investigation reveals
that the baby has conjugated hyperbilirubinemia. The liver biopsy shows periductal

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proliferation. What is the most likely diagnosis?

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O1:
Crigler-Naj ar syndrome

O2:
Rotor syndrome

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O3:
Dubin-Johnson syndrome

O4:

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Biliary atresia

Ans: 4
Ques No: 184

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Subject: Forensic Medicine

Topic: Sexual Jurisprudence

Sub-Topic:

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Section 314 IPC deals with

O1:
Causing miscarriage with the consent of the mother

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O2:
Causing miscarriage without the consent of the mother

O3:
Death of the mother by act done with intent to cause miscarriage

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O4:
Causing the death of the quick unborn child by an act amounting to culpable homicide

Ans: 3

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Ques No: 185

Subject: Pathology

Topic: He matology: White Blood Cels

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Sub-Topic:
An African child is found to have a mass in the jaw. A biopsy of the mass was done, and it
appears as shown in the image below. The child also had a translocation of t(8;14). What is
the probable diagnosis?

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O1:
Acute myeloid leukemia

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O2:
Fol icular lymphoma

O3:
Multiple myeloma

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O4:
Burkitt lymphoma

Ans: 4

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Ques No: 186

Subject: Pediatrics

Topic: Infectious Diseases

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Sub-Topic:
An infant presents with hepatosplenomegaly and thrombocytopenia. Neuroimaging with CT
shows peri ventricular calcifications. What is the most likely diagnosis?

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O1:
Congenital rubel a syndrome

O2:
Congenital herpes simplex virus infection

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O3:
Congenital toxoplasmosis

O4:

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Congenital cytomegalovirus infection

Ans: 4
Ques No: 187

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Subject: Forensic Medicine

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Topic: Forensic Thanatology

Sub-Topic:

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The temperature of a body of a deceased person is found to be 39 degrees Celsius. Which of
the fol owing is the most probable reason?

O1:
Cyanide poisoning

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O2:
Septicemia

O3:

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Corrosive poisoning

O4:
Intra-abdominal hemorrhage

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Ans: 2
Ques No: 188

Subject: Pathology

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Topic: Renal System

Sub-Topic:
A child presented to the hospital with cola-colored urine, hypertension, and puf iness of eyes.
Laboratory investigations were done, and creatinine was 2.5 mg/dL.

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Treatment was started, and despite treatment, the patient did not improve for the next 3
weeks. The creatinine value increased to 4.5 mg/dL. Which among the fol owing electron
microscopic findings wil be seen in this patient?

O1:

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Subendothelial deposits

O2:
Subepithelial deposits

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O3:
Crescent fo rmation

O4:
Mesangial deposits

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Ans: 2
Ques No: 189

Subject: PSM

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Topic: Communicable and Non-communicable Diseases

Sub-Topic:
A 35-year-old homeless man presented with a 1-month history of fever, cough, and weight

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loss. Both sputum smears turned out to be negative, but the chest x-ray ordered was
suggestive of tuberculosis. According to the recent NTEP guidelines, which is the next best
line of management?

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O1:

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Repeat sputum smears

O2:
Ask for CBNAAT

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O3:
Ask for line probe assay

O4:
Wait until TB culture results to start ATT

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Ans: 2
Ques No: 190

Subject: Forensic Medicine

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Topic: Forensic Toxicology

Sub-Topic:
A farmer was sleeping in the field, and he felt a sting on his leg. He saw something moving

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away quickly. He then got drowsy and was taken to the hospital. He developed pain around
the site and continued to bleed profusely from the wound site. The wound became red with
blisters. Which of the fol owing is the most likely cause?

O1:

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Viper

O2:
Cobra

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O3:
Wasp bite

O4:
Scorpion

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Ans: 1
Ques No: 191

Subject: Pa thology

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Topic: Blood Banking and Transfusion Medicine

Sub-Topic:
A patient was transfused 4 units of blood 2 hours ago, and now she complains of chest

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discomfort. X-ray shows bilateral fissural thickening. Which of the fol owing is the most
probable cause?

O1:
ABO incompatibility reactions

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O2:
Fluid overload

O3:

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Hypocalcemia

O4:

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Graft-versus-host disease

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Ans: 2
Ques No: 192

Subject: PSM

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Topic: Epidemiology

Sub-Topic:
Which of the fol owing is the sensitive indicator to assess the availability, utilization, and

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ef ectiveness of healthcare in a community?

O1:
Infant mortality rate

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O2:
Maternal mortality rate

O3:
Immunization coverage

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O4:
Disability-adjusted life years

Ans: 1

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Ques No: 193

Subject: Pathology

Topic: Renal System

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Sub-Topic:
A 48-year-old man presents with complaints of facial puf iness, frothy urine, and hypertension.
He gives a history of infection with hepatitis B. Urine examination reveals microscopic
hematuria. The histopathological image of the kidney biopsy shows a spike and dome pattern.

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What is the diagnosis of this condition?

O1:
Minimal cha nge disease

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O2:
Membranous nephropathy

O3:
FSGS

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O4:
PSGN-associated disease

Ans: 2

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Ques No: 194

Subject: Pathology

Topic: CVS, Blood Vessels and Vasculitis

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Sub-Topic:

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A 5-year-old child is brought with fever, fatigue, and left ventricular dysfunction. An
endomyocardial biopsy is shown below. What is the probable diagnosis?

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O1:
Acute rheumatic fever

O2:

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Chagas disease

O3:
Pyogenic myocarditis

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O4:
Lymphocytic myocarditis

Ans: 4
Ques No: 195

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Subject: Pathology

Topic: Respiratory System

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Sub-Topic:
An elderly male is known as a smoker presented with chronic cough, significant weight loss,
and fatigue. Serum calcium level is raised. A lung biopsy was done, and it showed large
atypical cel s with hyperchromasia. What is the probable diagnosis?

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O1:
Large cel neuroendocrine tumor

O2:
Smal cel carcinoma

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O3:
Adenocarcinoma

O4:

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Squamous cel carcinoma

Ans: 4
Ques No: 196

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Subject: Pathology

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Topic: Hematology: White Blood Cel s

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Sub-Topic:
An elderly male went for a medical examination. Laboratory investigations showed a marked
elevation of lymphocytes with marked leukocytosis. The peripheral smear of the patient is
given below. What is the appropriate next step for this patient?

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O1:
Stem cel transplantation

O2:
Bone marrow biopsy

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O3:
Flow cytometry

O4:

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Start high-dose chemotherapy

Ans: 3
Ques No: 1 97

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Subject: Pathology

Topic: Platelets and Blood Transfusion

Sub-Topic:

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A 25-year-old male presented with low hemoglobin, platelet count of 25,000/mL, gum
bleeding, and raised PT & aPTT. The image of his peripheral smear is given below. What is
the likely diagnosis?

O1:

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AML with t(8;21)

O2:
AML with inv(16)

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O3:
AML with t(15;17)

O4:

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AML with t(11;22)

Ans: 3
Ques No: 198

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Subject: Pathology

Topic: Platelet and Bleeding Disorders

Sub-Topic:

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A young patient presents with a large retroperitoneal hemorrhage. He also gives a frequent
history of intermittent swel ing of knees on strenuous exercise. There is no history of any
mucosal ble eding. Which among the folowing clotting factors is responsible for the condition
mentioned above?

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O1:
Factors VIII and IX

O2:
Factors XI and XII

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O3:
Von Wil ebrand factor

O4:

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Lupus anticoagulant

Ans: 1
Ques No: 199

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Subject: Pathology

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Topic: Respiratory System

Sub-Topic:

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A chronic smoker who worked in a cement factory for 20 years developed mesothelioma. The
association is likely to be due to ________.

O1:
Silicosis

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O2:
Asbestosis

O3:

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Coal workers' pneumoconiosis

O4:
Bagassosis

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Ans: 2
Ques No: 200

Subject: PSM

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Topic: Nutrition and Health

Sub-Topic:
The average daily dietary nutrient intake level suf icient to meet the nutrient requirements of
nearly al (97-98%) healthy individuals in a particular life stage and gender group is known as?

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O1:
Adequate intake

O2:

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Dietary goal

O3:
Estimated average requirement

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O4:
Recommended dietary al owance

Ans: 4

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