| Post Name | Assistant Surgeon/ Casuality Medical Officer - Health Services |
|---|---|
| Question Paper Code | 159/2023 |
| Category Code | 002/2023 |
| Date of Test | 24 August 2023 |
| Medium of Question | ENGLISH |
| Exam Type | OMR Examination |
| Total Questions | 100 |
1
Most common cardiac involvement in Systemic Lupus Erythematous (SLE) is :
Answer
D. Pericarditis
2
Which of the following statement regarding malaria is not correct?
Answer
C. Severe hepatic dysfunction mimicking acute viral hepatitis will never occur in
malaria
3
Euvolemic hyponatremia is seen in all except :
Answer
C. Congestive cardiac failure
4
The following are the risk factors for Hepatocellular carcinoma except :
Answer
B. Acute Hepatitis B infection
5
Correct statement regarding Graves’ disease :
Answer
D. Radioactive iodine uptake study is characterised by normal or increased uptake
A 3
6
Janus kinase 2 mutation is not commonly associated with :
Answer
C. Chronic myeloid leukaemia
7
All statement given below are true with Von Willebrand disease except :
Answer
A. Prothrombin Time is prolonged
8
Hypertension associated with hypokalaemia is seen in :
Answer
D. Conns syndrome
9
In Rheumatic mitral stenosis loud first heart sound indicates :
Answer
A. Pliable mitral valve
10
A 20-year-old male presented with low grade fever, evening rise of temperature, dry cough
and left shoulder pain of three weeks duration. Later his pain subsided, and he developed
exertional dyspnoea and fullness left side. Likely clinical diagnosis from history is :
Answer
D. Left sided pleural effusion
11
cmyc oncogene expression is most commonly associated with:
Answer
C. Burkitt lymphoma
12
All are true in Kawasaki disease except :
Answer
C. Less common in Asian children
13
Most common site of Hypertensive intracerebral bleed is :
Answer
A. Putamen
14
All are features of multiple myeloma except :
Answer
B. Hypocalcaemia
15
All are true regarding Varicella vaccine except :
Answer
Question Cancelled
16
65 years old male stared on Anti Tuberculous drugs for pulmonary tuberculosis one month
back. He presented with severe knee joint pain. His blood uric acid level is 11 mg. Which
statement is most correct?
Answer
D. (A) and (B) are correct
17
Antifungal drug used for treating mucormycosis is :
Answer
A. Amphotericin B
18
All are causes of tachycardia except :
Answer
D. Obstructive jaundice
19
Clinical finding in systemic Hypertension :
Answer
D. (A) and (B)
20
Causes of neck stiffness :
Answer
B. Meningitis
21
Beta HCG is maximum at :
Answer
A. 10 weeks
22
Lambda sign is seen in :
Answer
B. DCDA twins
23
Which of the following is the component of Modified biophysical profile?
Answer
C. NST
24
Artificial rupture of membrane is contraindicated in :
Answer
D. Intra uterine fetal demise
159/2023 6 A
25
A 28 yr old primi gravida at 37 weeks of gestation was presented to the emergency
department with generalised tonic clonic seizures. No details of ANC was available. The
patient was adequately managed and she delivered a 2.8kg healthy male baby. After 4 hrs of
delivery the patient was noticed to have low urine output and on further evaluation was
noted to be drowsy with a respiratory rate of 7 and loss of patellar reflexes. Which of the
following most likely caused the patient’s current condition?
Answer
B. MgSO4
26
Which of the following is not seen in a normal pregnant female?
Answer
D. Decreased heart rate
27
Which of the following is the preferred choice of drug for hyperthyroidism in pregnancy?
Answer
B. PTU
28
A 16 yr old female comes to the OPD with complaints of swelling in the vulval area. On
examination there is bilateral swelling in the labia majora and clitoromegaly. The girl has
not attained menarche yet. On USG no uterus or tubes or ovaries could be made out. What is
the likely diagnosis?
Answer
A. Androgen insensitivity syndrome
29
A 48 yr old woman presented to you with complaints of severe pain during her menses
associated with increased bleeding for the past one year. On examination Uterus is bulky and
uniformly enlarged, but no focal masses were identified in the USG. The patient underwent a
hysterectomy, and HPR revealed the presence of endometrial glandular tissue in the
myometrium. What is the likely diagnosis?
Answer
B. Adenomyosis
30
Koilocytes are seen in :
Answer
D. HPV infection
31
A 65 year old lady presented with complaints of fatigue, weight loss and abdominal
distension for the past 3 months, it was associated with frequent and urinary urgency and
constipation. On pelvic examination a fixed irregular mass was felt in the right adnexa.
Which of the following might be elevated in this patient?
Answer
A. CA125
32
All are true regarding Bacterial vaginosis except :
Answer
D. Call exner body
33
What is the rate of fertilisation in ICSI?
Answer
A. 60%
34
Tumour marker of Endodermal sinus tumour is :
Answer
C. Alpha feto protein
35
Amylase is raised in all of the following conditions except :
Answer
D. Cystic fibrosis
36
Indications of Surgery in pseudocyst :
Answer
C. Thick walled pseudocyst
37
Regarding Ascitic fluid study in a case of abdominal tuberculosis all of the following
statements are true except :
Answer
Question Cancelled
38
As per Rutherford classification stage of ischaemic rest pain is category :
Answer
B. 4
39
Which is the false statement regarding compartment syndrome due to reperfusion?
Answer
Question Cancelled
40
E-thrombosis is seen in :
Answer
B. Individuals who sit with computers for long time
41
Conservative management of EDH can be done :
Answer
Question Cancelled
42
Which is the true statement regarding intra cranial haemorrhage?
Answer
Question Cancelled
43
45 year old male was brought to the casualty following blunt trauma chest with respiratory
distress and hypertension. Subcutaneous emphysema was present. Trachea shifted to (L) Air
entry reduced on (R) side and neck vein were distended :
Most probable diagnosis is
Answer
Question Cancelled
44
Which of the following statements are true regarding Paget’s disease of breast?
(i) Insitu Carcinoma of breast
(ii) Associated with large pale vacuolated cells in the malpighian layer
(iii) CEA Immonostaining is positive
(iv) Wide Local excision is recommended in those without underlying mass
Answer
Question Cancelled
45
Preventive measures and management of Frey’s Syndrome all include except :
Answer
B. Glossopharyngeal Neurectomy
46
Most Accepted theory regarding evolution of venous ulcers :
Answer
B. Ambulatory venous hypertension
47
Congenital venous anomalies are found in all except :
Answer
A. Paget Schroetter disease
48
Which is the false statement regarding molecular sub types of Carcinoma Breast?
Answer
C. Luminal B type is most common
49
HALE (Health-adjusted life expectancy) is based on life expectancy at birth but includes an
adjustment of which of the following parameter :
Answer
Question Cancelled
50
Listed below are all the methods of estimating the age standardized rates EXCEPT :
Answer
B. Estimating the specific death rates in the specific age categories
51
Attributable risk of an exposure refers to which of the following options?
Answer
A. To what an extent the disease under study can be attributed to an exposure
52
What does the predictive value reflect for a given screen test?
(i) The diagnostic power of the screening test
(ii) The more prevalent the disease is the more accurate the predictive value
(iii) The predictive value depends upon the sensitivity, specificity and disease prevalence
Answer
C. Option (i), (ii) and (iii)
53
Which of the following features of rash are suggestive of chicken pox infection?
(i) Centripetal
(ii) Palms and soles are seldom affected
(iii) Axilla affected
(iv) Rash mostly on flexor surface
Answer
D. All of the above
54
Which among these is the most frequently used method when a blinded trial is conducted?
Answer
B. Double blinded trial
55
For a cross – over type of randomized control trials which of the following is NOT true?
(i) The patient does not serve as his own control
(ii) Patients are randomly assigned to a study and control group
(iii) The study group receives the intervention in the first phase
(iv) The control group receives the intervention in the next phase
Answer
A. Only (i)
56
All are INCORRECT for a tuberculin positive skin reaction with an induration size
of 5 to 10 mm EXCEPT when it is seen in:
Answer
A. HIV positive person
57
The global plan target of tuberculosis elimination refers to all EXCEPT:
(i) Reach at least 90% of all with TB
(ii) Reach at least 90% of the key population
(iii) Achieve atleast 90% of treatment success
(iv) Achieve atleast 90% detection rates
Answer
B. Options (iv) only
58
The key interventions of the global health strategy for viral hepatitis are all EXCEPT:
Answer
B. Two dose hepatitis B vaccine for infants
59
As per Zareb regimen which of the following is the dosage schedule for post exposure
prophylaxis for rabies prevention?
Answer
D. 4 doses multisite regimen with 2 doses to be given on day 0, and one dose on day 7
and 21
A 13 159/2023
60
All are hormonal contraceptives except:
Answer
A. Centchroman
61
WHO definition of perinatal mortality rate in nations with less well – established vital
records is which of the following?
Answer
B. Late foetal deaths (28 weeks of gestation and more) plus early neonatal deaths
(first week of life) in one year/Live births in the same year × 1000
62
Disaster cycle includes all of the following EXCEPT:
Answer
D. Disaster elimination
63
A 5 year old boy was brought with complaints of growth of pubic hair. O/E – Child tall for his
age with deepening of voice. Apart from presence of pubic hair, there was increase in
testicular size both sides and increased penile length. Which among the following is/are NOT
likely in this child?
Answer
C. Adrenocortical tumor
64
A 6 day old term neonate presented with jaundice. The serum bilirubin was – Total –
14mg/dL with Direct fraction – 6 mg/dL. Blood group of Baby – A+, Mother – O+. Which
among the following makes this a case of pathological jaundice?
Answer
B. Conjugate bilirubin value
65
3 month old infant presented with history of cough and nasal discharge for 5 days and 1st
episode of breathlessness for past 2 days. O/E Active and playful child, RR – 55/mt, chest
hyperinflated, BS equal with B/L expiratory wheeze and crackles. Liver palpable 4 cms below
costal margin, span 5 cms, soft. What is the most common etiological agent for this condition?
Answer
C. Respiratory Syncytial virus
66
During the initial steps of resuscitation of a neonate with birth asphyxia, when there is a
failure of expansion of chest with bag and mask ventilation, what is the first corrective step
to be tried?
Answer
A. Readjust mask
67
Which among the following conditions is NOT associated with short stature?
Answer
D. Beckwith Wiedemann syndrome
A 15 159/2023
68
3 month old baby, born of second degree consanguineous marriage was brought with c/o
feeding difficulty and poor weight gain. O/E – Thin and floppy infant with large protruding
tongue, taccycardia and taccypnea +, cardiomegaly ejection systolic murmur at upper
Lt. sternal border. Hepatomegaly +
Which among the following is a most likely cause?
Answer
A. Infantile Pompe Disease
69
A 1 month old baby with C/O non bilious vomiting since 2nd week of life. O/E – Thin,
emaciated and dehydrated. Abdomen – distended with visible peristalsis in upper abdomen.
USG abdomen clinched the diagnosis.
What is the most appropriate step to be taken next?
Answer
D. Both
70
Which among the following is a criterion for severe acute malnutrition (SAM)?
Answer
C. Weight for length/height < – 3 SD
71
A 3 year old girl was diagnosed to have oligoarticular Rheumatoid arthritis. She was found to
be ANA Positive. Which organ is to be urgently evaluated and frequently followed up to avoid
complications?
Answer
A. Eye
72
1½ year old child with fever and skin rash for past 6 days. O/E – Child irritable,
b/I conjunctival congestion, cheilitis with oral mucosal congestion. Lt posterior cervical lymph
node enlarged, slightly tender. Generalized maculopapular rashes present.
No hepatosplenomegaly. Initial investigations revealed marked increase in acute phase
reactants. What is the most important investigation you will order next?
Answer
B. ECHO
73
Which among the following is the most common congenital heart disease seen in children
with Down Syndrome?
Answer
A. Endocardial cushion defect
74
A newborn was brought with C/O not passing meconium within 24 hours. Which among the
following conditions could lead to delayed passage of meconium?
Answer
D. All of the above
75
A recently married woman was found hanged in her bedroom. Which of the following
statement/s in this regard is/are correct?
(i) The magistrate should hold the inquest
(ii) The police inspector can hold the inquest, if so delegated by the magistrate and can
send the body for postmortem
(iii) The autopsy should be conducted by team of doctors and should be videographed
Answer
C. Only (i) and (iii)
76
A person sustained head injury in fall from a tree by his left side of the head – the parietal
eminence hitting the ground. Pick up the correct choice of response that substantiates the
above history
Answer
D. All of the above
A 17 159/2023
77
A dead body was seen in pugilistic attitude and with surface burns. Which of the following
is/are crucial in arriving at burns as the cause of death here?
(i) Heat changes of the hairs
(ii) Assessment of vital changes
(iii) Spectroscopic examination of blood
Answer
A. Only (ii) and (iii)
78
The following conditions except ——————— have clinical manifestations similar to acute
alcoholic intoxication.
Answer
Question Cancelled
79
A few bones of a human being were recovered from a hidden place. The sex was identified
from the characteristic features those given just below :
(i) Skull –The upper edge of the orbit was sharp.
(ii) Sternum – The manubrium sterni was longer than half the length of the mesosternum.
(iii) Femur – The colodiaphyseal angle was less obtuse.
Which one of the following traits does correspond to the biological sex identified from the
above features?
Answer
B. Wide and shallow greater sciatic notch
80
Which of the following statements regarding consent is correct?
Answer
Question Cancelled
81
A 40 year old man presented with backache. X-ray showed destruction of D12 and L1
vertebrae, and shows intervertebral disc space narrowing. The most probable diagnosis is :
Answer
B. Tuberculosis of Spine
82
A 10 year old boy has flexion deformity of (Rt) elbow, angulation and shortening of ulna,
restriction of extension, Supination and pronation. He had an injury 3 weeks back at school.
How will you manage this clinical condition?
Answer
A. Osteotomy of ulna c radial head repositioning
83
A 75 year old lady came with inability to walk. She has severe osteoarthritis of knee. The
surgeon, explained about Total Knee Arthroplasty and the risk of foot drop. The deformity
most often associated with foot drop is
Answer
D. Valgus and flexion contracture
84
In the correction of club foot, manipulative casting technique is now a days commonly used.
In the process of correction which statement is true :
Answer
A. To begin – the pronation twist is corrected
85
A sixty-three-year-old gentleman presents to the ENT OPD with right sided earache of two
weeks duration which has been progressing and is severe during night hours. He has been a
diabetic for more than twenty years. Examination of the ear showed a small granulation on
the floor of external auditory canal with minimal discharge in the canal. The tympanic
membranes were grossly normal. Hearing was normal by tuning fork tests. What drug would
you start for this patient empirically?
Answer
A. Ciprofloxacin
86
A forty-five-year-old lady is brought to the casualty with severe vertigo and vomiting of one
day duration. She has a history of left ear discharge of ten years duration. Examination of
ear showed a perforation in the pars flaccida with yellowish debris. The fistula test was
positive on the left side with nystagmus beating to the left side. What would be her preferred
position to lie down in bed?
Answer
C. With her left ear down
87
A fifty-year-old gentleman was brought to the ENT casualty with severe pain on right side of
face and dimness of vision. He was a diabetic for the past twenty years. Examination showed
conjunctival chemosis and mild proptosis on the right side. The nasal cavity showed black
eschar on the lateral wall with purulent discharge. Her random blood sugar level was
415 mg% and HbAlc was 10.3. What is the drug of choice for the condition?
Answer
D. Liposomal Amphotericin B
88
During total thyroidectomy for papillary carcinoma thyroid in a thirty-six-year-old lady, the
recurrent laryngeal nerve of right side was sacrificed for oncological safety. The next day, the
patient complained of breathy voice. A fiberoptic laryngoscopy on the second post-operative
day showed vocal cord paralysis of the right side. What would be the positions of the right
and left vocal cords in this patient, on phonation?
Answer
C. Right paramedian, left median
89
All are causes for secondary angle closure glaucoma except :
Answer
D. Pseudoexfoliation glaucoma
90
Characteristic feature on slit lamp examination in a case of granulomatous uveitis :
Answer
C. Mutton fat Keratic precipitates
91
Cherry red spot at the macula is seen in :
Answer
A. Central retinal artery occlusion
92
Hall mark of Proliferative Diabetic retinopathy is :
Answer
D. Neovascularisation
93
Which among the following is toxin mediated streptococcal disease?
Answer
A. Scarlet fever
94
Munro’s micro abscess is seen in :
Answer
D. Psoriasis
A 21 159/2023
95
Which clinical type of leprosy does occur with leonine facies?
Answer
A. Lepromatous leprosy
96
Necrolytic migratory erythema is associated with :
Answer
B. Glucogonoma
97
Which of the following is the current law in relation to admission of mentally ill patients in
India?
Answer
C. Mental Health Care Act
98
The following are motor disorder symptoms EXCEPT :
Answer
D. Illusions
99
The following is a feature of depressive disorders :
Answer
A. Anhedonia
100
The following is correctly matched :
Answer
C. Eugene Bleuler – Schizophrenia
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