| Post Name | Assistant Professor in General Medicine - Medical Education |
|---|---|
| Question Paper Code | 026/2024/OL |
| Category Code | 344/2023 |
| Date of Test | 20 March 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
A 65-year-old male patient is admitted to ICU with pyelonephritis and sepsis with a background history of dilated cardiomyopathy. He developed DIC and bleeding manifestations. Six units of fresh frozen plasma were transfused in view of active bleeding. After 3 hours of transfusion, he developed sudden onset shortness of breath. A beside CXR was done which revealed bilateral pulmonary inļ¬ltrates. The shortness of breath did not improve with intravenous diuretics. The most likely diagnosis is
Answer
D. Transfusion-related acute lung injury
2
A 27-year-old woman presents to the emergency department with complain of left leg swelling and pain of 1 day duration. Her past medical history is signiļ¬cant only for history of 3 ļ¬rst trimester spontaneous abortions. Doppler studies demonstrate a deep venous thrombosis in the femoral and iliac veins extending into the pelvis. Laboratory studies on admission prior to therapy show normal complete blood count, liver and kidney functions, normal prothrombin time and an activated partial thromboplastin 3 times upper limit of normal. Her pregnancy test is negative. ANA has come negative and IgG aCL is positive in high titres. A diagnosis of primary APS is kept, further test reports are awaited. How will you manage this patient ?
Answer
C. Low-molecular-weight heparin therapy followed by Warfarin with INR goal of 2.0-3.0 for life
3
A 10-year-old boy, case of thalassemia intermedia with history of Febrile Non Hemolytic Transfusion Reaction (FNHTR) after transfusion of PRBC in the past, presents with Hb of 4.5 g/dL and features of cardiopulmonary compromise. A decision to transfuse PRBC has been taken. Which product would be useful in this patient ?
Answer
C. Leucodepleted PRBC
4
What is the life span of platelet in the human body ?
Answer
B. 1 week
5
Which of the following is an oral direct thrombin inhibitor ?
Answer
A. Dabigatran
6
Which of the following is not a long-acting insulin ?
Answer
B. Lispro
7
Which of the following is not useful as a treatment strategy for adynamic bone disease associated with chronic kidney disease ?
Answer
A. Bisphosphonate therapy
8
An obese diabetic on metformin 1 gm twice a day presents with a recent history of acute coronary event and uncontrolled blood sugar levels. Which anti-diabetic drug is preferred as an add-on to metformin in this patient ?
Answer
A. Canagliļ¬ozin
9
Which of the following features is not consistent with a diagnosis of SIADH ?
Answer
D. Dehydration
10
Which of the following is not a manifestation of myxedema coma ?
Answer
B. Hyperventilation
11
Which one of the following is ECG hallmark of hypothermia ?
Answer
C. J waves
12
Austin Flint murmur mimics the murmur of
Answer
A. Mitral stenosis
13
A 21-year-old man is brought to the emergency for a syncopal episode that occurred while playing in a volleyball game. There is a prominent systolic ejection murmur along the left sternal border and at the apex on auscultation. ECG reveals features of left ventricular hypertrophy, left atrial enlargement, and septal Q waves. The resident examines him again and asks the patient to perform handgrip while auscultating his heart. Which of the following is most likely to occur to the intensity of the murmur ?
Answer
A. Decrease
14
Which one of the following is not a cause of soft ļ¬rst heart sound ?
Answer
B. Short P-R interval
15
A patient with orbital mucormycosis being treated with posaconazole develops hypokalemia. Which of the following is not a feature of hypokalemia in ECG ?
Answer
D. Shortening of the QT interval
16
Which of the following is not used for treatment of pulmonary hypertension ?
Answer
D. Beta blockers
17
Tropical pulmonary eosinophilia is characterized by all Except
Answer
B. Productive cough
18
A 60-year-old male is intubated and is being managed in ICU for community acquired pneumonia. The ventilatory parameters showed gradual improvement over 2 days. On the third day morning rounds, you notice that he is agitated, and the ventilator is giving an alarm. The parameters on the screen are shown below : BP : 160/90, PR : 130/min, RR : 26/min, Sp : 87%, peak inspiratory pressure : 50 cm of , plateau pressure : 22 cm of . Which among the following is the most likely reason for deterioration ?
Answer
B. Bronchospasm
19
CBNAAT (Xpert MTB/Rif) assay has lowest sensitivity in which of the following specimen ?
Answer
D. Pleural ļ¬uid
20
Among the 4 types of sleep study monitoring devices, which one is not portable ?
Answer
A. Type 1
21
Normal pressure hydrocephalus is characterized by all Except
Answer
D. Aphasia
22
An 80-year-old male under treatment for Parkinson's disease and on escitalopram develops lower limb cellulitis for which he was admitted and started on injectable linezolid. Twelve hours later he developed restlessness, anxiety, diaphoresis, hyperthermia, tremor, and muscle rigidity in the lower limbs. On examination he has hyperreļ¬exia, clonus and dilated pupils. What is the most likely diagnosis ?
Answer
C. Serotonin syndrome
23
An elderly male presents with history of frequent falls and diļ¬culty in looking downwards and laterally. The most likely diagnosis is
Answer
D. Progressive supranuclear palsy
24
Vitamin B12 deļ¬ciency may lead to all the following Except
Answer
B. Myopathy
25
A 15-year-old boy presents to the emergency following a seizure episode. Imaging reveals features of neurocysticercosis with viable cysts. Which of the following statements regarding management of neurocysticercosis is not correct ?
Answer
A. Adjunctive corticosteroids should be administered after initiating antiparasitic therapy
26
Very low CD4 count is associated with all, Except
Answer
A. Persistent generalized lymphadenopathy
27
Congenital non-haemolytic hyperbilirubinaemia includes all, Except
Answer
D. Choledochal cyst
28
All are causes of Haemochromatosis, Except
Answer
B. Biliary cirrhosis
29
Zollinger-Ellison syndrome is characterized by all Except
Answer
B. Constipation
30
All are features of Carcino tumor Except
Answer
Question Cancelled
31
Following are the causes of chronic liver disease Except
Answer
B. Hepatitis - E
32
Faecal incontinence is a feature of all Except
Answer
B. Diverticulosis
33
Toxic shock syndrome is produced by
Answer
A. Staphylococcus aureus
34
Causes of Dyspepsia are the following Except
Answer
B. Respiratory failure
35
H. Pylori eradication is indicated in all the following conditions Except
Answer
D. GERD
36
AIDS deļ¬ning diseases are the following Except
Answer
D. Acute primary infection
37
Diseases associated with Coeliac disease are the following Except
Answer
A. Peptic ulcer
38
Causes of protein losing enteropathy are the following Except
Answer
B. Cholecystitis
39
Pathogenic factors leading to the production of lithogenic bile are the following Except
Answer
A. Reduced cholesterol secretion
40
Complications of acute liver failure are the following Except
Answer
D. Hyperglycemia
41
Conditions not associated with auto immune hepatitis are
Answer
B. Sclerosing cholangitis
42
Inactivated killed whole cell vaccine are the following Except
Answer
B. Hepatitis B vaccine
43
Upper GI endoscopy is indicated in all the following Except
Answer
A. Severe shock
44
Causes of cirrhosis liver includes all the following Except
Answer
C. Aplastic anaemia
45
Aetiology of short bowel syndrome includes all Except
Answer
C. Coeliac disease
46
Petz-Jeghers syndrome is characterized by all Except
Answer
A. Autosomal recessive inheritance
47
Unexplained weight loss is seen in all Except
Answer
D. Cushing's syndrome
48
Acute phase reactant is the following Except
Answer
C. Transaminase
49
Infectious cause of eosinophilia includes all Except
Answer
A. Neisseria meningitidis
50
Causes of relative bradycardia include all Except
Answer
C. Pneumocystis jirovecii
51
Which one of the following oļ¬enses does not come under the six A's of professional misconduct of doctors ?
Answer
B. Authorship
52
Which among the following does not come under "Breach of Professional Secrecy" ?
Answer
B. Disclosing details of a patient by a doctor to his colleagues or assistants without consent
53
Which among the following does not come under medical negligence ?
Answer
C. Treating an infection with a seemingly less potent antibiotic
54
Which of the following actions is not liable under the Consumer Protection Act ?
Answer
C. Failure to cure a disease or a bad outcome that may follow if he had exercised reasonable care and skill
55
Which among the following is NOT a treatment modality in Paracetamol overdosage ?
Answer
D. Exchange transfusion
56
Which among the following is NOT an indicator of severe maternal morbidity ?
Answer
C. Unstable Angina
57
Which among the following is an advanced imaging modality for musculoskeletal disorders ?
Answer
C. Synovial imaging
58
Which among the following is true about teriparatide ?
Answer
Question Cancelled
59
Which among the following substances is a component of universal antidote ?
Answer
Question Cancelled
60
Which among the following is the most common chromosomal abnormality leading to spontaneous abortion ?
Answer
C. Monosomy X
61
Which of the following is NOT a radiological feature of osteoporosis ?
Answer
C. Increased width of cortex
62
Which among the following regarding Vitamin D metabolism is true ?
Answer
D. The recommended dietary allowance of Vitamin D for adults is 600 1u/day
63
Which among the following is the toxic subatnce present in Baking Powder ?
Answer
B. Tartaric acid
64
Which among the following is NOT a part of the management of Ecclampsia-Preecclampsia ?
Answer
C. Diuretics to treat edema
65
CAP sign on MRI is seen in
Answer
A. Ependymoma
66
Which among the following is true regarding Paget's disease ?
Answer
D. All of the above
67
Which among the following is wrong regarding heavy metals and antidotes ? Antidote Heavy metals
Answer
D. Desferroxamine Arsenic, cadmium
68
Which among the following is NOT a risk factor for placental abruption ?
Answer
B. Diabetes mellitus
69
Which is the best radiological modality for imaging breast implants ?
Answer
B. MRI
70
Which among the following is true regarding osteomyelitis ?
Answer
D. Staph aureus is the causative organism when osteomyelitis develops following nail puncture through a shoe
71
Informed consent does not involve understanding by the patient of
Answer
D. Lifesaving procedure in case of emergency
72
Which among the following is correct regarding oral fatal doses of poisons ?
Answer
B. Malathion 1g
73
Which among the following does not predispose to preterm labour ?
Answer
Question Cancelled
74
Which imaging technique is most useful for staging and follow up of lymphoma ?
Answer
D. PET scan
75
Which among the following is NOT a non-pharmacological modality in the management of osteoarthritis ?
Answer
Question Cancelled
76
Which of the following statements is incorrect regarding Asplenia ?
Answer
C. May have autosomal recessive inheritanec
77
GATA2 deļ¬ciency-false-statement is
Answer
C. Associated with NHL
78
Chronic granulomatous disease-incorrect statement
Answer
D. Prophylactic antibiotics are not recommended
79
False statement regarding Job's syndrome is
Answer
B. Decreased levels of serum IgG
80
All are true regarding HLH Except
Answer
C. Fibrinogen levels are characteristically elevated
81
False regarding Rheumatoid arthritis
Answer
D. Felty's syndrome occurs in early stages
82
False regarding Polyarteritis nodosa
Answer
B. Eosinophilia is common
83
Most common association of Cryoglubulinemia
Answer
B. Hepatitis C
84
False regarding IgG4 related disease
Answer
D. Females are more commonly aļ¬ected than males
85
Lofgren's syndrome-false statement is
Answer
C. Associated with poor prognosis
86
False regarding Kawasaki syndrome
Answer
D. Myocarditis is common
87
Response to ECF volume contraction are all Except
Answer
D. Increased ANP secretion
88
All are risk factors for osmotic demyelination Except
Answer
C. Hyperkalemia
89
True regarding glucocorticoid remediable hyperaldosteronism are all Except
Answer
Question Cancelled
90
Liddle's syndrome-all are true Except
Answer
D. Increased renin secretion
91
Typical ļ¬ndings in distal RTA include all Except
Answer
B. High urinary ammonium excretion
92
Causes of high cardiac output hypotension include all Except
Answer
D. Cardiogenic shock
93
Causes of decline in MAP after institution of mechanical ventilation include all Except
Answer
B. Increased catecholamine secretion
94
Type III respiratory failure-false statement
Answer
C. Non invasive ventialation is not useful in treatment
95
Mechanically ventilated patients may undergo spontaneous breathing trial if all are met Except
Answer
B. PEEP> 5 cm H2O
96
Ventialtor associated pneumonia-all are true Except
Answer
A. Occurs within 48 hours after initiating mechanical ventilation
97
Risk factors for failed extubation even after a successful spontaneous breathing trial include all Except
Answer
D. BMI < 30
98
Patient candidates for ECMO include all Except
Answer
C. Contraindication for systemic anticoagulation
99
Distributive shock-all are true Except
Answer
C. CVP and PCWP are increased
100
Not an example for obstructive shock
Answer
D. Severe burns
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