| Post Name | Junior Consultant (General Medicine) (NCA- Muslim) - Health Services |
|---|---|
| Question Paper Code | 004/2022/OL |
| Category Code | 161/2020 |
| Date of Test | 5 March 2022 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
CADASIL is an inherited disorder due to mutation in
Answer
C. NOTCH 3
2
Drug of Choice in Paroxysmal hemicrania is
Answer
A. Indomethacin
3
Variant of GBS associated with ophthalmoplegia ataxia and areļ¬exia
Answer
C. Miller ļ¬sher syndrome
4
Which among the following degenerative brain disease is not tauopathy ?
Answer
C. Lewy Body disease
5
Periodic Lateralized Epileptiform discharges in EEG is seen in
Answer
A. HSV encephalitis
6
All of the following diseases are associated with massive splenomegaly Except
Answer
C. Splenic abscess
7
Smudge cells are seen in
Answer
A. CLL
8
All of the following drugs are used in the treatment of CML Except
Answer
B. Tofacitinib
9
Adverse prognostic genotypes in Acute Myeloid Leukemia are all Except
Answer
B. t(8, 21)
10
Most common type of Multiple Myeloma is
Answer
D. Ig G
11
Most Common granulomatous ILD is
Answer
A. Sarcoidosis
12
Infective cause of Bronchiectasis includes
Answer
C. All of the above
13
UIP pattern in HRCT is more common in ILD patients with which myositis auto antibody
Answer
B. Anti PL-12
14
Indication of a procedure more than Thoracocentesis in a case of pleural eļ¬usion includes all Except
Answer
C. Pleural ļ¬uid glucose more than 60 mg/dl
15
As per LUNG SAFE trial mortality of mild ARDS is
Answer
C. 34.9%
16
Features of a benign Adrenal mass are all Except
Answer
C. Tumor size less than 0.5 cm
17
Primary adrenal insuļ¬ciency is most commonly caused by
Answer
A. Autoimmune adrenalitis
18
McCune Albright syndrome triad includes
Answer
D. Thyrotoxicosis
19
Anti obesity drugs approved by USFDA since 2012 includes all Except
Answer
A. Metformin
20
Post prandial hypoglycemia is associated with which all Except
Answer
A. Glycogen storage disorders
21
5 year risk of rupture of Abdominal aortic aneurysms more than 5 cm is
Answer
C. 20-40%
22
As per WHO classiļ¬cation of Heart diseases in pregnancy, diseases where pregnancy is contraindicated (WHO IV) includes all Except
Answer
D. Aorta dilatation 45-50 mm in bicuspid aortic valve
23
Regarding bicuspid Aortic valve all are true Except
Answer
C. Autosomal recessive inheritance pattern
24
Thickened ventricular wall with ECG showing Low voltage complexes is a well recognised feature of which Cardiac disease
Answer
C. Amyloidosis
25
Intravenous antiplatelet agents used in Coronary artery disease includes all Except
Answer
C. Bivalirudia
26
Following are the features of gonococcal Arthritis Except
Answer
D. More common in men
27
Features of cat bites include all Except
Answer
C. Pasteurella multocide cause cat scratch disease
28
Drug treatment of plague include all Except
Answer
A. Macrolide
29
Regarding tetanus - correct statement include
Answer
A. Presynaptic inhibition
30
Antibacterial agents major target on protein synthesis include
Answer
C. Lincosamides
31
Causes of bone marrow suppression in patient with HIV infection include
Answer
D. All the above
32
Laboratory investigation in Rabies include
Answer
D. None of the above
33
Major manifestation of Aspergillosis include
Answer
D. All the above
34
Ivermectin - correct statement include
Answer
D. All of the above
35
Mechanism of hypoglycemia in Malaria include
Answer
D. All of the above
36
Liver involvement in systemic disease include
Answer
D. All of the above
37
Isolated elevation of Alkaline phosphatase include all Except
Answer
D. Osteosclerotic secondaries in brain
38
Indication of liver transplantation include
Answer
D. All of the above
39
Pigment gall stone is seen in
Answer
A. Cystic ļ¬brosis
40
Serological pattern of hepatitis B infection in the remote past include
Answer
D. All the above
41
NSAID induced mucosal injury of stomach is mainly by
Answer
A. āce prostaglandin production
42
Non pancreatic causes of hyper amylaseuria include
Answer
A. Diabetic ketoacidosis
43
Hyper phosphatemia and hypocalcemia is seen in
Answer
D. All the above
44
Urinary eosinophelia is seen in
Answer
A. Athero embolic disease
45
Non-dietary risk factor for nephorolithiasis
Answer
D. All the above
46
Treatment of incontinence with incomplete bladder employing in elderly include
Answer
A. š¼ adrenergic antogonist
47
Features of Lepromatous leprosy include
Answer
D. All of the above
48
Most common presentation of extra-pulmonary TB in HIV +ve infected patient include
Answer
A. Lympnode TB
49
Most common clinical presentation of Wegener's granulomatosis include
Answer
D. ENT involvement
50
Most common abnormalities of liver function in patient with sarcoidosis include
Answer
B. āce alkaline phosphatase
51
Hyperkalemia is caused by poisoning with the following Except
Answer
D. Theophylline
52
In poisoning with tricyclic antidepressants which of the following statement/statements is/are true i) Sodium bicarbonate is used to treat ventricular arrhythmias. ii) Amiodarone is used to treat ventricular arrhythmias. iii) Ibutilide is used to treat ventricular arrhythmias.
Answer
D. i only
53
In Lead poisoning which of the following statement/statements is/are true i) Common symptoms are colicky abdominal pain, constipation, headache and irritability. ii) Motor neuropathy can occur in lead poisoning. iii) Serum is used to assay lead level in the body.
Answer
B. i and ii only
54
Regarding Krait bite envenomation all the following are true Except
Answer
C. Neostigmine is eļ¬ective to treat neuroparalysis
55
Regarding Arsenic poisoning all the following are true Except
Answer
B. Beau's lines are found in nails
56
Preferred agent for treatment of eclamptic seizures
Answer
C. Magnesium sulfate
57
Regarding Valvular Heart Diseases in pregnancy which of the following statement/statements is/are true i) Mitral stenosis is the valvular disease most likely to cause death during pregnancy. ii) Pregnancy reduces the risk of cardiac failure in women with chronic mitral regurgitation or aortic regurgitation. iii) For women with mitral or aortic regurgitation and LV Ejection Fraction < 30% pregnancy should be avoided.
Answer
A. i, ii, iii
58
Which of the following statement/statements is/are true i) Asymptomatic bacteriuria in pregnancy is not associated with an adverse outcome of pregnancy. ii) All pregnant women should be screened with a urine culture for asymptomatic bacteriuria at ļ¬rst antenatal visit. iii) Pregnant women with recurrent urinary tract infections should be considered for daily antibiotic suppressive treatment throughout the remainder of pregnancy.
Answer
A. i, ii, iii
59
In Gestational Diabetes the following complications are seen in fetus Except
Answer
C. Anemia
60
Acute fatty liver of pregnancy is characterized by all Except
Answer
D. Hyperglycemia
61
Which of the following statement/statements is/are true regarding Osteoporosis ? i) Glucocorticoids are the most common cause of drug induced osteoporosis. ii) A T score of >-2.5 in the lumbar spine is deļ¬ned as osteoporosis. iii) In perimenopausal women spine bone density measurements performed by DXA is the most sensitive indicator of bone loss.
Answer
C. i and iii
62
In Paget's disease the following statement/statements is/are true i) The principal abnormality is the decreased number and activity of osteoclasts. ii) Blood Alkaline Phosphatase (ALP) levels are increased. iii) Most common presenting symptom is pain.
Answer
C. ii and iii
63
Hypercalcemia is caused by all Except
Answer
D. Phenytoin
64
Williams' syndrome is characterized by all Except
Answer
C. Hypocalcemia
65
Which of the following statement/statements is/are true regarding Primary Hyperparathyroidism ? i) Solitary Adeomas of Parathyroid are most common cause of primary hyperparathyroidism. ii) Hypercalcemia and hyperphosphatemia are seen. iii) Serum Calcium level >1mg/dL above normal value is an indication for surgery.
Answer
C. i and iii
66
The inital investigation of choice for suspected subarachnoid hemorrhage is
Answer
A. Plain CT
67
All are risk factors for contrast nephropathy Except
Answer
A. Age > 60 years
68
Gold standard imaging test to diagnose Pulmonary Embolism
Answer
A. CT Pulmonary Angiography
69
Mc Connell's sign is seen in
Answer
A. Pulmonary Embolism
70
An example of Stochastic eļ¬ect after radiation exposure is
Answer
D. Carcinogenesis
71
Functions of State Medical Councils include all Except
Answer
D. Prescribe standards of medical education
72
Routine clinical examination of a patient by a Doctor is under
Answer
A. Implied consent
73
The following statement/statements is/are true regarding rights of a Registered Medical Practitioner i) Right to choose patient. ii) Right to possess and supply dangerous drugs to his patient. iii) Right to recovery of fees.
Answer
A. i, ii, iii
74
For medical termination of pregnancy opinion of a single Doctor is required if period of pregnancy is less than
Answer
A. 12 weeks
75
Post Marketing Surveillance is also called as
Answer
B. Phase 4 trial
76
Which of the following cells secrete interferon gamma ?
Answer
A. Th1 T cells
77
All of the following diseases are associated with inļ¬ammasome overactivity Except
Answer
B. Crohn's disease
78
Which of the following cytokine promotes wound healing ?
Answer
C. IL-24
79
Delayed hypersensitivity reactions play a major role in the following diseases Except
Answer
D. Pemphigus Vulgaris
80
Which of the following monoclonal antibody is used in the treatment of Multiple Sclerosis ?
Answer
A. Natalizumab
81
Which of the following is a very rare neurological manifestation of SLE ?
Answer
B. Aseptic Meningitis
82
All of the following drugs may be used for the treatment of rheumatoid arthritis ļ¬are during pregnancy Except
Answer
C. Leļ¬unomide
83
Systemic Sclerosis speciļ¬c autoantibodies associated with pulmonary artery hypertension includes all of the following Except
Answer
D. Ku
84
Most commonly involved artery in Takayasu Arteritis is
Answer
A. Subclavian
85
Cutaneous manifestation of Dermatomyositis include i) Gottron sign ii) V sign iii) Shawl sign
Answer
D. All of the above
86
Which of the following solution can be ideally used for the correction of hypovolemia with hypernatremia ?
Answer
A. 5% dextrose
87
Sites of extrapontine myelinolysis include all of the following Except
Answer
C. Corpus callosum
88
Features of thyrotoxic periodic paralysis include i) Hypokalemia ii) Hypophosphatemia iii) Hypomagnesemia iv) High dose propranalol rapidly reverses the abnormalities
Answer
D. All of the above
89
Hypocalcemia with hyperparathyroidism is seen in
Answer
D. Pseudohypoparathyroidism
90
All of the following are causes of high anion gap metabolic acidosis Except
Answer
C. Acetazolamide
91
Non invasive ventilation is contraindicated in all of the following conditions Except
Answer
B. Respiratory acidosis
92
Decreased right atrial pressure, decreased pulmonary artery systolic pressure, increased cardiac index and decreased systemic vascular resistance is seen in
Answer
B. Septic shock
93
Most common cause of sudden cardiac death is
Answer
C. Coronary heart disease
94
Second tier therapies for refractory elevated intracranial pressure include all of the following Except
Answer
C. Hyperventilation
95
Mild motor or cranial nerve deļ¬cit, somnolence and confusion are features of
Answer
B. Grade 3 SAH
96
Post transplant lymphoproliferative disease is a complication of
Answer
B. Belatacept
97
Contraindication for IV recombinant tissue plasminogen activator includes all of the following Except
Answer
C. CT Brain showing oedema of >1/3 of the MCA territory
98
Clinical features of tension pneumothorax includes all of the following Except
Answer
D. Mediastinal shift to ipsilateral side
99
Drug of choice for the treatment of serum sickness following anti snake venom administration is
Answer
A. Systemic glucocorticoides
100
Tap test is useful to diagnose
Answer
B. Scorpion sting
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