| Post Name | Assistant Insurance Medical Officer/ Assistant Surgeon/ Casuality Medical Officer- Insurance Medical Service, Health Services |
|---|---|
| Question Paper Code | 012/2021/OL |
| Category Code | 264/2020 |
| Date of Test | 26 October 2021 |
| Medium of Question | ENGLISH |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
How many pairs of spinal nerves are present ?
Answer
A. 31
2
Which of the following disorder follows autosomal recessive inheritance ?
Answer
B. Albinism
3
Which of the following is not a synovial joint ?
Answer
C. Inferior tibioļ¬bular
4
Which of the following nerves carry taste sensation from anterior 2 of tongue ? ļæ½ļæ½ 3
Answer
D. Chorda tympani
5
Active form of glucose involved in glycogen synthesis
Answer
B. UDP Glucose
6
An enzyme composed of both protein and RNA
Answer
A. Telomerase
7
Hyperuricemia not seen in
Answer
D. Xanthine oxidase deļ¬ciency
8
Find out the mismatch.
Answer
B. Western blotting-Detection of RNA
9
Hormone concerned with reabsorption of water in the renal tubule
Answer
A. ADH
10
Normal tidal volume
Answer
C. 500 ml
11
Hemophilia is caused by deļ¬ciency of which factor ?
Answer
D. Factor VIII
12
Gigantism is caused by hyper secretion of which hormone ?
Answer
B. Growth hormone
13
Bluish black discolouration of a bruise is due to the presence of
Answer
B. haemosiderin
14
The depth of a stab wound usually corresponds with the following dimension of the oļ¬ending weapon
Answer
A. length of the blade
15
Which of the following snake is having myotoxic venom ?
Answer
D. sea snake
16
Amanita phalloides is also known as
Answer
C. destroying angel
17
The type of hypersensitivity reaction in myasthenia gravis is
Answer
B. Type II
18
Causative agent of melioidosis
Answer
A. Burkholderia pseudomallei
19
Mechanism of direct transfer of free DNA
Answer
C. Transformation
20
Which of the following infect hair, skin and nails ?
Answer
A. Trichophyton
21
Red infarct is seen in
Answer
B. Lung
22
All of the following are germ cell tumors of testis except
Answer
A. Leydig cell tumor
23
Psammoma bodies are not found in
Answer
A. Leiomyoma
24
Which of the following is true regarding Metaplasia ?
Answer
D. Involves epithelial and mesenchymal tissues
25
Which NSAID among the following is a prodrug ?
Answer
B. Nabumetone
26
Monoclonal antibody used for the treatment of Bronchial asthma
Answer
A. Omalizumab
27
Sulfonylurea used for the treatment of Diabetes Mellitus having antiplatelet action
Answer
D. Gliclazide
28
Which among the following is a Noradrenergic and Speciļ¬c Serotonergic Antidepressant (NaSSA) ?
Answer
C. Mirtazapine
29
Sociogram is related to
Answer
B. Group discussion
30
The 3 tier structure of Panchayati Raj include all except
Answer
Question Cancelled
31
All are headquarters of WHO region except
Answer
D. South Africa
32
Handwashing is an example of
Answer
A. Precurrent disinfection
33
Blue-Yellow colour vision anomalies tested by i) Homgren Wools ii) Ishiharas isochromatic charts iii) Handy-Rand-Ritler iv) Pickford Nicholson anomaloscope
Answer
C. Only (iii and iv)
34
A patient complaining of defective vision and on fundoscopy shows bilateral disc oedema. What will do ļ¬rst ?
Answer
B. Check BP
35
Economic Blindness - following which statement is correct ?
Answer
A. Vision in better eye < 6/60 to 3/60
36
"Eye Banking" is
Answer
C. Collection, storage and distribution of cornea
37
Waters view for paranasal I sinus is
Answer
A. Occipitomental view
38
Which is the odd one ?
Answer
C. Killian's Dehiscence
39
Objective tinnitus seen in
Answer
D. Palatal myoclonus
40
Clinical triads to diagnose Quinsy include all except
Answer
B. Halitosis
41
Investigations done in Plummer Vinson syndrome include all except
Answer
C. Bone marrow
42
Deļ¬nition of FUO (PUO) includes i) Fever >38.3Ā° C on at least two occasions ii) Illness duration of ā„ 3 weeks iii) No known immunocompromised state iv) Diagnosis remain uncertain after a thorough history taking, physical examination and following obligatory investigations like ESR, CRP, LFT, ANA, Electrolytes, CXR, LDH etc.
Answer
D. All of the above (i, ii, iii, iv)
43
Raynaud's phenomenon is seen in Haemolytic Uremic Syndrome associated with the use of which of the following drug ?
Answer
B. Bleomicin
44
MRI ļ¬ndings of mesial temporal lobe epilepsy syndrome includes i) Small temporal lobe ii) Enlarged temporal horn iii) Small hippocampus with increased signal on T2 weighted sequences
Answer
D. All of the above (i, ii, iii)
45
Which of the following is not included in the classiļ¬cation criteria of newly presenting patients with symptoms of Rheumatoid Arthritis ?
Answer
A. X-ray of joints
46
Thyroid Acropachy is strongly associated with all of the following except
Answer
C. Microcytic Anemia
47
MODY 1 is due to genetic mutation in the following gene
Answer
B. HNF 4š¼
48
JAK inhibitor used in the treatment of Rheumatoid arthritis is
Answer
C. Tofacitinib
49
Commonest cause of Nephrotic Syndrome in Childhood is
Answer
A. Minimal Change Disease
50
MELD Scoring system uses all the following variables except
Answer
D. Albumin
51
Anti GQ1b antibodies are strongly associated with
Answer
C. Miller Fisher Syndrome
52
The imaging investigation of choice for diagnosis of diļ¬use axonal injury is
Answer
C. Magnetic Resonance Imaging (MRI)
53
Which of the following statements is incorrect about ļ¬bromuscular dysplasia ?
Answer
C. The proximal third of the renal artery is the site generally involved
54
The most characteristic sign of breast cancer on mammographic images
Answer
D. Clustered microcalciļ¬cation
55
Regarding imaging of multiple myeloma lesions, which of the following statements are correct ? i) Skull radiographs show punched out lytic lesions ii) Characteristically involves pedicles of vertebrae iii) Mandible is more commonly involved in myeloma than in metastases iv) Skeletal survey is better investigation than scintigraphy to visualise the lesions in multiple myeloma
Answer
A. Statements (i) and (iv)
56
On CT scan images typical lesions of hepatocellular carcinoma show peak contrast enhancement in
Answer
B. Hepatic arterial phase
57
What percentage of nerve trunk damage is required to clinically manifest with features of nerve damage ?
Answer
B. 30%
58
CDC recommended regime of acute proctitis includes
Answer
C. Ceftriaxone 500 mg im single does plus Doxycycline 100 mg orally 2 times/day for 7 days
59
Which of the following is not a potential side eļ¬ect of IVIG ?
Answer
B. Bone marrow suppression
60
Arao Perkin bodies are seen in (1) Androgenetic alopecia (2) Normal hair cycle (3) Trichothiodystrophy
Answer
D. Only (1) and (2)
61
A patient sustained an injury to the oral cavity, as a result of road traļ¬c accident. On examination, there was a lacerated wound of 5 Ć 2 centimeters, over the inner aspect of cheeck. Which type of needle would be ideal to suture such a wound.
Answer
C. Compound curvature needle
62
30 year old female diagnosed to have thymoma, underwent thymectomy and it was reported as stage 3 by Masoka thymoma Staging system. What does stage 3 of this staging mean ?
Answer
A. Macroscopic invasion of neighboring organs
63
A 28 year old male who was on treatment for acid peptic disease, underwent a follow up oesophagogastroduodenoscopy. During the procedure an iatrogenic perforation occurred in the cervical oesophagus. The best management option for this case would be
Answer
B. Conservative management
64
A 68 year old hypertensive, diabetic male was bedridden following a cerebral vascular accident. He developed a pressure sore after two months. Which is the most frequent site for developing such an ulcer ?
Answer
Question Cancelled
65
A nineteen year old male presented to the emergency department with the history of low grade fever, right lower quadrant pain, nausea, vomiting and anorexia. On palpation, deep tenderness was present in loin. Abdominal rigidity was absent even on deep palpation, but rigidity to quadratus lumborum was present and a clinical diagnosis of acute appendicitis was made. What is the most probable position of the appendix according to the above clinical scenario ?
Answer
C. Retrocaecal
66
Meralgia paresthetica is due to aļ¬ection of
Answer
C. Lateral cutaneous nerve of thigh
67
Most common site of origin of adamantinoma
Answer
B. Mandible near molar teeth
68
MIC-2 mutation is associated with
Answer
A. Ewing's sarcoma
69
Type VI Rang's injury include
Answer
B. Perichondral ring injury
70
A child with Cerebral palsy, Walks with assistive mobility devices indoors and outdoors on level surfaces May be able to climb stairs using a railing May propel a manual wheelchair and need assistance for long distances on uneven surfaces. His percentage of permanent impairment in relation to whole body is
Answer
B. 51-60%
71
A person with head injury shows goal directed behavior with assistance. Inconsistent orientation to time and place. Retention span and recent memory are impaired. He consistently follows simple directions. Which stage of Rancho Los Amigos staging does he belongs to
Answer
A. Confused appropriate
72
Statement 1 - Therapeutic Ultrasound waves of higher frequency 3 MHz is used for superļ¬cial tissues. Statement 2 - Penetration of Ultrasound is directly proportional to frequency.
Answer
A. Statement 1 is correct
73
A Unilateral amputee of age 60 yrs. is a potential limited community ambulator and has the ability for ambulation and traverse environmental barriers such as curbs, stairs or uneven surfaces. What is the K level ?
Answer
B. K2
74
Which is not a component of Intraoperative RT ?
Answer
D. IO Proton RT
75
Which is a II generation alkylating agent ?
Answer
A. Temozolomide
76
Reese Ellsworth classiļ¬cation is for
Answer
A. Retinoblastoma
77
The location of the GE junction can be accurately deļ¬ned histologically as
Answer
A. squamo columnar junction
78
Patients with long standing severe reļ¬ux have how much risk of developing adeno carcinoma of esophagus
Answer
D. 44 fold
79
All of the following are oxidative cytochrome P450 enzymes that cause oxidative metabolism of volatile anaesthetics except
Answer
B. CYP3A4
80
All of the following videolaryngoscopes given below is not based on macintosh blade design except
Answer
C. Macgrath laryngoscope
81
Among the following recommendations of discharge from post anaesthesia care room, identify the incorrect statement.
Answer
A. A minimum mandatory stay is required
82
Identify the incorrect statement regarding local anaesthetics.
Answer
D. Ropivacaine diļ¬ers in structure from bupivacaine in the substitution of a butyl group in place of a propyl group in the piperidine ring
83
All the following conditions are risk factors for Leukemia except
Answer
C. Infantile Seborrheic Dermatitis
84
After initial steps of resuscitation of a term newborn (providing warmth, positioning airway, clearing secretions, dry and stimulating the baby) the heart rate of baby is 10 per minute and the baby is grasping. The next step of resuscitation is
Answer
D. Providing PPV and Monitor ššš2
85
All the following regarding Pertussis is correct except
Answer
D. Test for IgA and IgM Pertussis antibodies are reliable methods for serologic diagnosis
86
All the following are true regarding postoperative endocarditis except
Answer
B. Commonest organism causing early endocarditis S. viridans
87
All the following are goals of the program POSHAN abhiyan except
Answer
D. Reduce prevalence of Vitamin A deļ¬ciency of children 0 to 6 years @ 2% per annum
88
Site of brain abscess due to otogenic source is
Answer
A. Temporal lobe and cerebellum
89
Normal thyroid volume is approximately 1 ml at birth and increases with _________ and ______
Answer
D. age and body surface area
90
Craniopharyngioma
Answer
A. arise from Rathke's pouch
91
Antiphospholipid antibodies include all except
Answer
B. anti nuclear antibody
92
In a newborn preductal ššš2 of 85-95% after birth is obtained at
Answer
C. 10 minutes
93
All are clinical features of ante partum haemorrhage due to placenta previa except
Answer
C. Uterus tense and tender on palpation
94
Overlapping of fetal skull bones seen in intra uterine fetal demise is
Answer
B. Spaldings sign
95
Advantages of vasectomy are all except
Answer
B. Sterility is immediate
96
Diļ¬erential diagnosis is mass per vaginum are all except
Answer
C. Sarcoma uterus
97
Which of the following is not a characteristic feature of serotonin syndrome ?
Answer
C. Dry skin
98
Environmental risk factors for schizophrenia are all except
Answer
C. Sexual abuse
99
Hallucination is a disorder of
Answer
B. Perception
100
Which is the correct instruction to be given for taking a serum lithium test ?
Answer
D. None of the above
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