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Kerala PSC Medical Officer MARMA – Indian Systems Medicine Previous Question Paper – 014/2026/OL

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Post NameMedical Officer MARMA - Indian Systems Medicine
Question Paper Code014/2026/OL
Category Code042/2025
Date of Test23 January 2026
Exam TypeOnline Examination
Total Questions100
1
The 'sprain' is an injury related to
Answer
C. Ligament
2
Which of the following test helps to diagnose 'rupture of Achilles tendon' ?
Answer
A. Thompson Test
3
Which quadriceps muscle crosses both the hip and knee joints ?
Answer
D. Rectus femoris
4
The deep fascia gives the following derivatives, except
Answer
D. Tendon
5
The most common cause of peripheral arterial disease is
Answer
C. Atherosclerosis
6
A condition where the cervical spine curves towards the front of the body instead of its normal curve backward is called
Answer
C. Cervical kyphosis
7
Which of the following embryonic structure leads to the growth of Sacrococcygeal teratoma ?
Answer
B. Primitive knot
8
Which of the following congenital anomaly is characterized by the fusion of two or more cervical vertebrae leads to reduced mobility and short neck ?
Answer
A. Klippel-Feil syndrome
9
What is the primary indicator for a total knee replacement ?
Answer
A. Disabling painful arthritis
10
Which of the following is the main symptom of Ankylosing Spondylitis ?
Answer
D. Morning stiffness lasting over 30 minutes
11
Myositis ossificans occurs most commonly after which of following fracture ?
Answer
A. Supracondylar fracture of Humerus bone
12
"Clawing of thumb and fingers and forearm wasting as a sequel to brachial artery damage". This condition is known as
Answer
D. Volkmann's Contracture
13
Growth plate damage leads to asymmetrical growth of bone and deformity in bone is known as
Answer
B. Blount's Disease
14
In neonates' clinical screening done by Barlow and Ortolani test for diagnosis of
Answer
A. Developmental Dysplasia of the Hip (DDH)
15
In treatment of clubfoot which of following option is/are correct ? (i) Ponseti method of serial casting (ii) Elevation of first ray, Gradual forefront abduction to 60 and finally dorsiflexion, usually following achillies tenotomy (iii) Surgical release
Answer
D. Statement (i), statement (ii) and statement (iii) are correct
16
In trauma patient according to ATLS (Advanced Trauma Life Support) system defines an order of priorities given by ABCD which stands for
Answer
C. Airway, Breathing, Circulation, Disability
17
According to Acharya Sushruta which kind of Bandhan should be done in cases of Bhagna ?
Answer
C. Sadharana
18
For healing of Bhagna how many months are required in cases of old age group patients as mentioned in Sushruta Samhita Chikitsa Sthana ?
Answer
C. Three months
19
Use of "Taila Droni" as one of the treatment mentioned by Acharya Sushruta for the management of which kind of Bhagna ?
Answer
B. Parshukaasthi (Fracture of ribs)
20
In case of Rotator cuff tear which of following statement is correct ? (i) It occur in older age group (ii) Twenty to forty per cent of 40-50 years old have symptomatic rotator cuff tear (iii) Subacromial decompression is important for pain relief following cuff repair
Answer
C. Statement (i) and statement (iii) are correct
21
Which of following statement is correct in context to De Quervain Disease ? (i) The disease is caused by tenosynovitis of abductor pollicis longus and extensor pollicis brevis (ii) Predominantly seen is teen aged girls (iii) Positive Finkelstein's test
Answer
D. Statement (i) and statement (iii) are correct
22
In cases of "Crush Syndrome" it sequesters many litres of fluid, reducing the effective intravascular volume that leads to
Answer
B. Renal failure
23
The pathological manifestation in congenital syphilis involved knee joints with symmetrical synovitis and boggy fluid distension without symptoms is known as
Answer
B. Clutton's joint
24
Which of following statement is correct in case of Ewing's Tumour ? (i) It arise from reticulum cells of medullary cavity of diaphysis of long bone (ii) X-Ray findings are onion like appearance of calcification (iii) This tumour mainly affects the patients between 40-60 years of age
Answer
D. Statement (i) and statement (ii) are correct
25
Which of following statement is correct in case of Greenstick fracture ? (i) Incomplete fracture mostly in children (ii) Most commonly long bone fracture in pediatric
Answer
C. Both statements (i) and (ii) are correct
26
In hand injury, Avascular Necrosis (AVN) is most common after fracture of _________ bone.
Answer
C. Scaphoid
27
"In dislocaction of the shoulder the patient is unable to touch the opposite shoulder with hands of affected side while arm is kept in contact by the side of the chest". The name of this test is
Answer
B. Dugas' test
28
Fracture of lower third of radius with inferior radioulnar dislocation is known as
Answer
C. Galeazzi Fracture
29
Thompson's test is positive in which of following diseases ?
Answer
B. Achille's tendon rupture
30
Which of following statement is correct in case of March Fracture or Stress injury ? (i) It is stress injury typically seen in 2 nd metatarsal bone (ii) Mostly seen in month of March (iii) Patient complaints tender lump palpable
Answer
D. Statement (i) and statement (iii) are correct
31
Acute renal tubular necrosis is a consequence of which of the complications of fracture ?
Answer
C. Crush Syndrome
32
Osteoclasis is included as treatment of ____________ fracture.
Answer
A. Mal Union
33
Which type of brace is used for cervical spine injury ?
Answer
A. SOMI brace
34
Match the following in regards of implants used in the treatment of fractures. i. G.K. Nail a. Fracture of the shaft of the femur ii. Cobra plate b. Condylar fracture of the tibia iii. Steel wire c. Fracture of the patella iv. T plate d. Hip arthrodesis
Answer
C. i-a, ii-d, iii-c, iv-b
35
Which of these statement/s is/ are true for the Ilizarov method used in the treatment of fractures ? a. It is a type of internal fixator system b. It is not indicated for difficult non-union fractures c. It is a type of external fixator system d. It is useful in the management of leg lengthening
Answer
B. Both c and d
36
Which of the following statement/s is/are true for the stage of granulation tissue in the process of fracture healing ? a. This stage lasts up to 7 days b. Ischemic necrosis of the fracture occurs over a variable length c. Fracture is still mobile d. Fracture is clinically united
Answer
A. Only c
37
Match the following in regards of type of fracture and involved bone : i. Smith's Fracture a. Occurs at the cortico-cancellous junction of the distal end of the radius with dorsal tilt ii. Chauffeur Fracture b. Fatigue fracture of the shaft of the 2 nd and 3rd metatarsal iii. March Fracture c. Oblique fracture of styloid process of radius iv. Colles Fracture d. Occurring at the cortico cancellous junction of the distal end of the radius with ventral tilt
Answer
A. i-d, ii-c, iii-b, iv-a
38
Which of these is the most common cause of a pathological fracture ?
Answer
D. Osteoporosis
39
Seddon's classification is applicable for
Answer
C. Nerve injury
40
Initially, all sprains shall be treated in the sequence of
Answer
D. Rest, followed by ice therapy, followed by a compression bandage, followed by elevation
41
Patellar Tendon Bearing Orthrosis is used in
Answer
C. Fracture of the tibia
42
Complete the following verse as per Sushruta Samhita. उ�व�ािप कत� �यं __________ �चिक��सतम् ।
Answer
B. Baahu Bhagna (बाहु भ�)
43
Which of these is the best Bandha for Bhagna as per Sushruta Samhita ?
Answer
A. Sadharana
44
Which of these are Sandhimukta Lakshana as per Sushruta Samhita ?
Answer
Question Cancelled
45
According to Sushruta Samhita, match the following in regards to type of Asthi and its deformity: i. Nalakaasthi (नलका��थ) a. Vibhidhyante (िव�भ��ते) ii. Tarunaasthi (त�णा��थ) b. Sphutanti (�फु ट��त) iii. Kapalaasthi (कापाला��थ) c. Bhajyante (भ�य�ते) iv. Ruchakaasthi (�चका��थ) d. Namyante (न�य�ते)
Answer
D. i-c, ii-d, iii-a, iv-b
46
सवा� वव�थासु च शम� लाभ is the Lakshana of _________ as per Sushruta Samhita.
Answer
B. Kandabhagna
47
Complete the verse एत् तैलं सदा प�यं __________ सवकम� सु।
Answer
A. Bhagnanam (भ�ानां)
48
The cubitus varus deformity is often termed as
Answer
C. Gun stock deformity
49
Pauwel's classification is used for
Answer
B. Fracture of neck of the femur
50
Which of these is the type of Asandhi Bhagna as per Ashtanga Sangraha ?
Answer
A. Choornita
51
Which of the following is NOT included under Asthi according to Ayurveda ?
Answer
D. Ligaments
52
Which Marma is in knee joint ?
Answer
B. Janu
53
The Gate Control Theory of pain was proposed by
Answer
D. Melzack and Wall
54
The main purpose of orthotics is to
Answer
B. Enhance, support or correct musculoskeletal function
55
A Syme's amputation is performed at the level of
Answer
D. Ankle joint
56
In Ayurveda, Asthi Dhatu is predominantly composed of
Answer
C. Prithvi and Vayu Mahabhuta
57
The most common cause of compression neuropathy in the hand is
Answer
B. Carpal tunnel syndrome
58
Marma are classified based on effect of injury into
Answer
C. 5 types
59
Hridaya Marma belongs to which category ?
Answer
D. Sira Marma
60
Injury to Vishalyaghna Marma causes death
Answer
A. After removal of the foreign body
61
As per Susrutha Samhitha, 'Marutha nigraha' is the purvaroopa of
Answer
A. Vridhi
62
Amputation at the midfoot (Tarsometatarsal) region is termed as
Answer
B. Lisfranc amputation
63
Choose the most correct statement
Answer
C. Chandrardham and Kharjurapathraka are indicated in Parisravi bhagandara
64
Which of the following is NOT a feature of vridhi, according to susrutha ?
Answer
D. Tundikeri sadrisham
65
'Manaeradhasthaath koshascha granthiroopena lambathe'-select the context.
Answer
B. Parivarthika
66
Most common causative organism of Diabetic Carbuncle
Answer
A. Staphylococcus aureus
67
Edge of Meleney's ulcer
Answer
A. Undermined
68
__________ is specifically indicated in 'sthira mandaruja sopha'.
Answer
D. Vimlapanam
69
Choose the most suitable option (as per Susrutha) i. Asamsodhana and apathyaaharavihara are the nidana for asmari ii. Hritpida, arochaka and avipaka are symptoms of sarkaraasmari iii. Dourbalya, karshya and ushnavata are asmari upadrava iv. Agnikarma is contraindicated in asmari chikitsa
Answer
B. i, ii and iii are correct
70
According to Park's classification, intersphincteric fistula is classified as
Answer
A. Grade I
71
Select the correct statement regarding gastrointestinal endoscopy (i) Mallory weiss tears can be well diagnosed by endoscopy in the mucosa at the cardia which is often the cause of upper GIT bleeding (ii) Pyloric stenosis can be often diagnosed by endoscopy as it prevents passage of instrument through pylorus (iii) during endoscopy, oesopahgeal varices are seen as tortuous and sometimes bluish projection into lumen of lower oesophagus which may be continued into fundus of stomach (iv) Most commonest surgical position, the patient has to lie for gastrointestinal endoscopy is right lateral
Answer
D. Statement (i), (ii) and (iii) only are correct
72
Choose the correct option. (i) In the subpleural approach for the operation of hydatid cyst of liver, 6 th and 7th rib is resected (ii) In operation for neoplasms of liver, for a right hemi hepatectomy an abdomino thoracic approach is usually advised and for left hemi hepatectomy midline/left upper paramedian incision is preferred (iii) Mesentrico caval is a type of shunt operation/portal decompression employed in portal hypertension (iv) Among the major shunt operations for portal hypertension "portocaval shunt operation" can cause least incidence of portosystemic encephalopathy as complication
Answer
B. Statement (ii) and (iii) only are correct
73
Choose the incorrect statement (i) Mayos operation can be done in a case of paraumbilical hernia of adults (ii) Keel operation is done in incisional hernia (iii) Shouldice technique involves the operation for the management of umbilical hernia (iv) Cattell's operation is done in incisional hernia
Answer
D. Statement (iii) only is incorrect
74
Select the incorrect statement.
Answer
B. Lockhart mummery operation is done in case of urethral stricture
75
Choose the correct answer regarding gall bladder disease. (i) Area of hyperaesthesia between 9th and 11th ribs posteriorly on left side-boas sign, is diagnostic of acute colecystitis (ii) Positive murphys sign is diagnostic of acute cholecystitis (iii) 'Duct first method' and 'fundus first method' are the types of surgeries indicated in cholecystectomy (iv) 'Waltman walter's syndrome' is a post operative complication following cholecystectomy
Answer
B. Statement (ii), (iii) and (iv) are correct
76
Select the surgery which is not related with rectum/anal region ?
Answer
C. Mirault blair operation
77
Select the most suitable option. Presence of 'an acute angry lump at anal margin' on insection, is diagnostic of
Answer
C. ano rectal abscess
78
Select the incorrect statement. (i) Thrombosis of internal anal haemorrhoids is comparitively rare (ii) Gabriels two stage operation is related with fistula in ano (iii) On examination, a tightly closed puckered anus is mostly diagnostic of fissure in ano (iv) 'Bloody slime' is one among the commonest clinical feature presented in a case of carcinoma of rectum
Answer
D. None of the statements are incorrect
79
"Gulma ashteela pleehodarani cha asya thannimithaanyewa bhawanthi" is typically mentioned by susrutha in the context of
Answer
B. Vatika arshas
80
As per susrutha nidana sthana, Mamsashonitha prasooshana will result in formation of ________ colour pidaka, which can later convert to shataponaka bhagandara.
Answer
A. aruna
81
Consider following statements in context to agni karma (अि� कम� ) as per Sushruta Samhita 1. Kshara (�ार) is considered superior than agni (अि�) 2. Diseases which are not curable by use of agni (अि�) can be cured by kshara (�ार) 3. Jambavaoushta (जा�बवौ�) is used for agni karma (अि� कम� ) in tvak (�वक) Which option is correct answer ?
Answer
B. Statements 1, 2 and 3 are incorrect
82
Match column A with B considering agni karma sthan (अि� कम� �थान) and tool (साधन) used for agni karma (अि� कम� ). A B 1. Pippali (िप�पली) i. Mamsa gata roga (माँस गत रोग) 2. Louha (लौह) ii. Asthi gata roga (अ��थ गत रोग) 3. Kshodra (�ाै�) iii. Tvak gata roga (�वक गत रोग)
Answer
C. 1-iii, 2-i, 3-ii
83
Which ritu (ऋतु) is suitable for agni karma (अि� कम� ) ?
Answer
D. Varsha (वषा�)
84
When you have to perform agni karma (अि� कम� ) which type of anna (अ�)will be allowed to patient before agni karma (अि� कम� ) in case of sarvavyadhiritushu (सवा� या�ध�रतुषु) ?
Answer
C. Picchila anna (िप��छल अ�)
85
Consider following statements in context to principles of electro surgery 1. Electrosurgical units (ESUs) work by converting electrical frequencies from low (50-60 Hz) to high frequencies ranging from 500 000 to 3 000 000 Hz 2. When current pass through a conductor at high frequencies, energy is converted to heat which is used to cut or coagulate tissue. Which option is correct answer ?
Answer
C. Both statements are correct
86
According to Sushruta Samhita for - 'nripa (नृप), aadhya (आ�), baal (बाल), sthavir (�थिवर), bhiru (भी�), durbala (द ुब�ल), naaree (नारी) and sukumar (सुकुमार), parama sukumar (परम सुकुमार) method of raktamokshana (र� मो�ण) is
Answer
B. Jalouka (जलौका)
87
"त�, ���छते तनुव�पटलसू�ावन�देन_________" This reference of Sushruta Samhita is quoted in context to
Answer
D. Both Shringa and Alabu (�ृंग और अलाबू दोन�)
88
Consider following statements in context to Shiravedha (�शरावेध)according to Sushruta Samhita Sharir Sthana siravyadhvidhhi adhyaya (सु�ुत संिहत शारीर �थान �शरा�यधिव�ध अ�याय) 1. Shiravedha (�शरावेध) is indicated in case of Vamit, virikta, asthapita, anuvasita, aakshepaka, pakshaghata (विमत, िव�र�, आ�थािपत, अनुवा�सत, आ�ेपक, प�ाघात) 2. It is indicated to perform Shiravedha (�शरावेध) in avedhya shira (अवे�य �शरा) in case of visha-upasarga and aatayaika avasth (िवषोपसग� एवं आ�य�यक अव�था) Which option is correct answer ?
Answer
C. Statement 1 is incorrect but 2 is in correct
89
According to Sushruta Samhita what is the correct sequence of using tools of rakta mokshana (र� मो�ण के साधन) according to sthan (�थान) for dushta rakta nirharna (द ु� र� िनह� रण) starting from deepest to superficial ?
Answer
A. Shira vedha, Vishana, Tumbi, Jalouka (�शरा वेध, िवषाण, तु�बी, जलौका)
90
Which substance (present in saliva of leech) is responsible for anticoagulation effect ?
Answer
D. Hirudin
91
According to Acharya Susrutha ''�थूलाणु सम िवषम पा�ल"condition which karna bandhana is advised ?
Answer
A. Vyayojima
92
Taila advised for Abhyanga in karnapali for Karnapali Vardhana by Acharya Susrutha
Answer
C. Sathawari aswagandhaadi tailam
93
According to Acharya Susrutha Sukshma Ghana Vastra antha, Mrudu Charma antha are used for practising which shastra karma ?
Answer
C. Seevana
94
Dysphagia for solids progressing to liquids is typical of
Answer
B. Oesophageal carcinoma
95
Most common site of gastric carcinoma is
Answer
D. Antrum
96
Congenital hypertrophic pyloric stenosis presents with
Answer
B. Non-bilious projectile vomiting
97
Most common cause of acute pancreatitis is
Answer
B. Gallstones
98
Carcinoma pancreas most commonly arises in the
Answer
C. Head
99
Crohn's disease most commonly involves
Answer
C. Ileum
100
Most common cause of small bowel obstruction in adults is
Answer
B. Adhesions

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