| Post Name | Assistant Surgeon/ Casuality Medical Officer, Medical Officer - Health Services Department |
|---|---|
| Department | Health Services Department/Municipal Common Service Category No : 527/2019 |
| Question Paper Code | 037/2023/OL |
| Category Code | 203/2022, 483/2022, 611/2022, 612/2022 |
| Date of Test | 24 May 2023 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Regarding allergic reactions, choose the wrong statement
Answer
A. Anaphylactoid reactions are mediated through IgE antibodies
2
Regarding adverse drug reaction in elderly, name the correct statement
Answer
D. All of the above
3
All are features of paracetamol poisoning, except
Answer
D. Metabolic alkalosis indicate severe poisoning
4
'Slapped cheek' rash is characteristic of
Answer
C. Parvovirus B19
5
Regarding scrub typhus, pick the wrong answer
Answer
B. Caused by spirochete organism
6
CNS manifestation seen in early HIV infection is
Answer
B. HIV encephalopathy
7
Hyponatremia is associated with all, except
Answer
C. Diabetes insipidus
8
Proximal renal tubular acidosis (Type 2) is associated with
Answer
A. Fanconi's syndrome
9
Regarding IgA nephropathy, wrong statement is
Answer
A. Hematuria is a late manifestation
10
Clinical features of cardiac tamponade include
Answer
A. Pulsus paradoxus
11
Bronchiectasis is caused by all except
Answer
B. Amyloidosis
12
CURB-65 score consist of all, except
Answer
A. Cardiac failure
13
Regarding thyroid disorders, pick out the wrong statement.
Answer
C. Carpel tunnel syndrome is common in patients with hyper thyroidism
14
Choose the wrong statement regarding diabetes mellitus.
Answer
B. Auto antibodies seen with Type II DM
15
Regarding Gastro Oesophagial Reļ¬ux Disease (GERD), name the true statements: i. Reļ¬ux is more common in asthma patients. ii. Asthma is more common in GERD patients. iii. Barrett's oesophagus is a risk factor for squamous cell carcinoma. iv. Potent acid suppression cause regression of Barrett's oesophagus.
Answer
B. i, ii
16
Charcot's triad is associated with all, except
Answer
D. Acute cholecystitis
17
All are true statements regarding heparin induced thrombocytopenia, except
Answer
D. None of the above
18
Drugs routinely used for secondary prevention of ischemic stroke include all, except
Answer
A. Thrombolytics
19
True statement regarding PNH are i. Type of hemolytic anemia. ii. Associated with extra vascular hemolysis. iii. Increased incidence of venous thrombosis. iv. Bone marrow failure can occur.
Answer
A. i, iii, iv
20
Regarding Reiter's disease, wrong statement is
Answer
B. Mainly seen in young females
21
A 45 year old lady with diagnosis of cervical cancer is taken up for radical hysterectomy with pelvic lymphadenectomy. Ureteric injury cannot occur
Answer
C. At pelviuretric junction
22
All are risk factors for candidal infection except
Answer
B. Menopause
23
A 27 year old nulliparous lady presents with lower abdominal pain, vomiting and discharge pervaginum. She also complains of spotting pervaginum for 2 days. Her LMP was 20 days back and she has not used any contraception. What is not a diļ¬erential diagnosis ?
Answer
C. Mittleschmerz pain
24
A 16 year old girl presents with history of absent breast development and primary amenorrhoea. On examination she has short stature and cardiac murmur. Most likely diagnosis would be
Answer
A. Turner syndrome
25
Which is not a cause for reduced or absent ovarian reserve ?
Answer
D. Polycystic ovary
26
A 34 year old multiparous lady presents with vaginal discharge for past 2 years and a PAP smear reveals HSIL. Best management option would be
Answer
A. Colposcopy and directed biopsy
27
Hysteroscopy can be used for all except
Answer
C. Cystectomy
28
Diabetogenic hormone of pregnancy. Choose the wrong option.
Answer
A. Human Chorionic Gonadotrophin
29
Indications for invasive hemodynamic monitoring in preeclampsia i. Renal failure ii. Pulmonary oedema iii. Oliguria not responding to diuretics iv. Acute hypertensive crisis.
Answer
B. i, ii, iii and iv are correct
30
Forceps delivery for after coming head in vaginal breech delivery i. Creates traction of head and not on neck. ii. Helps maintain extension of neck. iii. Prevents sudden compression and decompression. iv. Special forces like Piper's forceps are used.
Answer
B. i, iii and iv are correct
31
Oral contraceptive pills. Non contraceptive advantages include all except
Answer
D. Protect against STD
32
Causes for second trimester miscarriage include all except
Answer
A. Corpus luteal insuļ¬ciency
33
Drug used in management of postpartum haemorrhage
Answer
A. Misoprostol
34
Causes of spontaneous preterm labour in twin pregnancy is all except
Answer
D. Selective fetal growth restriction
35
All of the following are criterias in Ranson scoring system to predict severity of acute pancreatitis except
Answer
C. Serum amylase > 250 IU
36
Possible complications of pseudocyst of pancrease are all except
Answer
A. Loss of weight
37
Simple, speciļ¬c, widely used test to detect pancreatic exocrine insuļ¬ciency is
Answer
B. Faecal elastase
38
Histological variants of carcinoma breast with good prognosis include all except
Answer
C. Inļ¬ltrating duct carcinoma
39
The following statements are true regarding a branchial cyst except
Answer
B. It is lined by columnar epithelium
40
Myxomatous degeneration occurs in a lipoma which is situated in
Answer
D. Retroperitoneum
41
Following conditions are high risk lesions in oral malignancy except
Answer
A. Oral lichen planus
42
Histological grading of the tumor in carcinoma breast depends on the following factors except
Answer
D. Hormone receptor status
43
The ''Deadly dozen threats'' to life from chest injury includes all except
Answer
B. Fracture ribs
44
All of the following are correct regarding intussusception except
Answer
D. Common age group in children after 5 years
45
All of the following are indications for MRI in breast except
Answer
C. To assess the extent of low grade Ductal Carcinoma In Situ (DCIS)
46
All of the following are factors which can cause venous thrombosis except
Answer
A. A V ļ¬stula
47
All of the following are scolicidal agents used for the treatment of hydatid disease of liver except
Answer
Question Cancelled
48
The statements regarding compartment syndrome are all correct except
Answer
D. Presence of palpable pulse rules out compartment syndrome
49
Which of the following statement is/are correct about Accredited Social Health Activist (ASHA) ? i. One ASHA for 1000 population. ii. She will inform about births and deaths in her village to the Sub-Centre/PHC. iii. ASHA will provide emergency medical care for major ailments.
Answer
A. Only i and ii
50
Death of a women while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death is called
Answer
C. Pregnancy related death
51
Which of the following statement is wrong about temporary social group ?
Answer
D. The mob does not have a leader
52
District Early Intervention Centers (DEIC) are established under
Answer
D. Rashtriya Bal Swasthya Karyakram
53
The ideal statistical test to be applied to compare means of more than two diļ¬erent groups is
Answer
C. ANOVA
54
Which of the following statement is/are correct about disability rates ? i. Quality Adjusted Life Years (QALY) is a measure of disease burden including both the quality and quantity of life lived. ii. Health Adjusted Life Expectancy (HALE) is based on life expectancy at one year of age. iii. One DALY is equal to one year of healthy life lost.
Answer
B. Only i and iii
55
Presence of which bacteria among the following is regarded as important conļ¬rmatory evidence of recent fecal pollution of water ?
Answer
A. Faecal streptococci
56
Identify the true statement/statements. i. Case control studies do not distinguish between causes and associated factors. ii. Case control studies generally yields only estimate of relative risk. iii. Case control studies are inappropriate for rare diseases.
Answer
B. Only i and ii
57
Bradford Hill's criteria for judging causality includes all except
Answer
D. Sensitivity of association
58
Disinfection of water by chlorine is an example for
Answer
A. Precurrent disinfection
59
The criteria for declaring a CHC as First Referral Unit (FRU) includes all the following except
Answer
C. 24Ć7 Ambulance facility
60
The Hardy-Weinberg law is related to
Answer
B. Population genetics
61
Which among the following is an example for multiple dose (cumulative) rodenticide ?
Answer
A. Diphacinone
62
According to the Bio-Medical Waste Management Rules, 2016 expired or discarded medicines are included under _________ category.
Answer
D. Yellow
63
Which statement regarding phototherapy for neonatal jaundice is incorrect ?
Answer
C. In intensive phototherapy, light is kept as close as 2 feet from baby
64
Which statement regarding Transient Tachypnoea of Newborn is incorrect ?
Answer
D. Ground glass appearance is the characteristic X-ray abnormality
65
Identify the correct statement regarding enterobiasis (pin worm infestation)
Answer
B. Autoinoculation is an important way of infestation
66
Which is not a risk factor for Early Onset Sepsis in newborn ?
Answer
A. Lack of enteral feeding
67
Which is the correct indication to start chest compression in neonatal resuscitation ?
Answer
C. Baby having a heart rate < 60/minute after 30 seconds of eļ¬ective positive pressure ventilation
68
All the statements regarding febrile convulsions are correct except
Answer
B. Intermittent anticonvulsant therapy during febrile episodes up to 5-6 years is indicated in all children with previous history of febrile seizures.
69
All of the following features are consistent with the diagnosis of constitutional delay in growth and puberty in a child with short stature except
Answer
A. One of the parents is having short stature
70
Monoclonal antibody used in the treatment of Kawasaki disease is
Answer
D. Inļ¬iximab
71
Identify the correct statement regarding Down syndrome
Answer
D. If Mosaicism is the chromosomal anomaly in child, there is no additional risk in subsequent pregnancies apart from maternal age related risk
72
All of the statements regarding Central Precocious Puberty (CPP) are true except
Answer
A. As adults, children with CPP are likely to be taller
73
One week old baby, exclusively breast-fed, admitted with poor feeding and hypoglycemia. There is conjugated type of hyperbilirubinemia and hepatomegaly. Urine positive for reducing sugar (Benedict test). What is the most probable diagnosis ?
Answer
C. Galactosemia
74
Newborn baby is identiļ¬ed as having hydrocephalus. CT scan showed intracranial calciļ¬cation. Ophthalmologic evaluation showed chorioretinitis. Most probable diagnosis is
Answer
B. Congenital toxoplasmosis
75
All are true regarding bioterrorism except
Answer
B. Agents like salmonella species belong to category A bioterrorism agent
76
Management of neuropathic pain involves all except
Answer
D. Diclofenac
77
All the following are included in ACLS algorithm except
Answer
B. Vasopressin is a useful agent in drug therapy
78
Which of the following statements is true about grievous hurt ?
Answer
C. Fracture or dislocation of bone or tooth is considered grievous hurt
79
Which is true regarding Rigor Mortis ?
Answer
B. Established Rigor Mortis usually persists for 24 hours
80
As per Disability Act of 1995, 3% of vacancies in government sector are reserved for disability due to
Answer
A. Blindness
81
In supracondylar fracture of humerus in children which of the following are/is true ?
Answer
D. All are true
82
Regarding aneurismal bone cyst which of the following is not correct ?
Answer
A. It is an epiphyseal tumor
83
Clubfoot deformity in a newborn i. Foot is in valgus ii. Heel is in varus iii. Ankle in equinus iv. Navicular bone subluxates medially and plantar ward. Which one is correct ?
Answer
C. Only ii, iii and iv are correct
84
In chronic osteomyelitis i. Presence of sequestrum is diagnostic. ii. Deep culture is more useful than sinus culture. iii. Involucrum is not formed. iv. Eving's sarcoma is a diļ¬erential diagnosis.
Answer
B. i, ii and iv are correct
85
Myringotomy done for acute otitis media is
Answer
C. Radial incision in anteroinferior quadrant
86
Kiesselbach's plexus is seen in
Answer
C. Little's area
87
Ludwig's angina is
Answer
B. Submandibular cellulitis
88
Isshiki's type 1 thyroplasty is _________ of vocal cord.
Answer
D. Medialisation
89
Acute iridocyclitis include all below except
Answer
C. Deposits in Bowman's membrane
90
'Champagne cork' appearance of optic disc seen in
Answer
C. Chronic papilloedema
91
Which of the following statement is/are correct about retinal artery occlusion ? I. Occurs in cardiovascular disease. II. 'Cattle trucking' appearance of retinal veins. III. 'Splashed tomato' appearance of fundus.
Answer
B. Only I and II
92
Which of the following is not associated with primary open angle glaucoma ?
Answer
B. Eclipse sign
93
The following statements about Staphylococcal Scalded Skin Syndrome (SSSS) is/are correct. i. It is characterised by balla and peeling of large sheets of skin. ii. Blister ļ¬uid yields staphylococurs on culture. iii. Balla is subepidermal. iv. SSSS is more common in neonates.
Answer
B. Only i and iv
94
A 40 year old patient presented with recurrent history of blistering and erosions on trunk, limbs and face for the last two months with associated oral erosions. The diļ¬erential diagnosis includes all except
Answer
B. Epidermolysis bullosa simplex
95
About Stevens Johnson Syndrome (SJS) the false statement is
Answer
A. It is a severe skin reaction induced only by drugs
96
A Hansens disease the true option is
Answer
C. Majority exposed to mycobacterium leprae can mount a protective eļ¬ective immune response
97
Mr. X, a 45 year old man is suļ¬ering from mental illness for the past 27 years. He occasionally goes for menial jobs in his neighbourhood on compulsion by his parents. He remains unmarried as parents ļ¬nd him incapable of carrying out family responsibilities. He spends most of the time conļ¬ned to his room where he is found muttering and smiling to himself. He is fearful of being spied upon by intelligence agencies and has covered the glass panes of his room with paper. He believes his thoughts are being recorded by his neighbours using mobile towers. He was given adequate treatment trials with Chlorpromazine ļ¬rst and then with Haloperidol. The recommended next best treatment option would be
Answer
B. Clozapine
98
A 23 year old two-wheeler workshop mechanic was taken in to custody by police on charges of trying to assault people waiting at the nearby bus stop. He told the police that the people were laughing at him and sending messages over phone to the district collector to have his workshop closed down. On the second day in remand, he developed severe irritability and was brought to casualty. He had fever, diarrhoea, abdominal cramps, rhinorrhoea, lacrimation, yawning and pupillary dilatation. He was abusive towards hospital staļ¬. His blood pressure was 170/110. Pulse rate was 110/minute. The most probable diagnosis is
Answer
C. Opioid withdrawal state
99
Which of the following statements is correct with respect to Mental Health Care Act (MHCA) ?
Answer
A. Patients after having appointed a nominated representative to oversee their treatment, can change the nominated representative
100
Which among the following statements about Narcolepsy is true ?
Answer
C. Cataplexy is often associated with Narcolepsy
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