FMGE Dec 2021 Pyq PDF

FMGE Dec 2021 PYQs
Here is a valuable resource to strengthen your FMGE preparation - the FMGE Dec 2021
Previous Year Questions PDF. India's top medical faculty have carefully vetted these recall-
based questions to ensure the accuracy and relevance of all the questions.
You can use this PDF to elevate your exam preparations by identifying all the high-yield topics
that have been asked repeatedly over the past years.
Also, if you want to further improve your understanding of these topics, download the
PrepLadder app and get access to QBank 5.0 for detailed explanations of all correct and
incorrect options. QBank 5.0 is a treasure trove of MCQs based on the latest exam pattern,
especially clinical scenario-based questions.
In addition, you will get access to several other preparation resources including video lectures
and notes to stay ahead in your journey to success! Find the download link at the end.
Ques No: 1,QuesID : 801492

Subject: Dermatology
Topic: Papulosquamous Disorders
Sub-Topic:
Which of the following features are not associated with the condition shown in the image
below?
O1:
Wickham’s striae
O2:
Epidermal acanthosis
O3:
Munro microabscess
O4:
Colloid bodies
Ans: 3

Subject: Anatomy
Topic: Upper Limb
Sub-Topic:
A patient with leprosy presented with the deformity as shown below. Which nerve injury
causes the given condition?
O1:
Ulnar nerve
O2:
Radial nerve
O3:
Median nerve
O4:
Posterior interosseous nerve
Ans: 1

Topic: Skin Appendages and their Disorders
Sub-Topic:
Which of the following side effects are seen most commonly with isotretinoin (13-cis-retinoic
acid)?
O1:
Embryopathy
O2:
Ebstein’s anomaly
O3:
Neural tube defects
O4:
Discoloration of teeth
Ans: 1

Topic: Papulosquamous Disorders
Sub-Topic:
A patient presented with lesions, as shown in the image below, and later developed arthritis
also. What is the treatment of choice for a patient who presented with the following findings?
O1:
PUVA
O2:
Steroids
O3:
Methotrexate
O4:
Infliximab
Ans: 3

Subject: Anatomy
Topic: Lower Limb
Sub-Topic:
Identify the tarsal bone labeled in the image below.
O1:
Calcaneus
O2:
Cuboid
O3:
Navicular
O4:
Talus
Ans: 3

Topic: Cutaneous Infections
Sub-Topic:
A 7-year-old intellectually disabled boy was brought with large warty crusts on the trunk,
hands, and feet as shown below. Severe fissuring and scaling of the skin are present over the
soles. What is the possible diagnosis?
O1:
Scabies incognito
O2:
Animal scabies
O3:
Nodular scabies
O4:
Norwegian scabies
Ans: 4

Subject: Anatomy
Topic: General Embryology
Sub-Topic:
What is the embryological basis of the developmental defects shown in the image below?
O1:
Failure in closure of anterior neuropore of neural tube
O2:
Failure in closure of posterior neuropore of neural tube
O3:
Failure in closure of complete neural tube
O4:
Failure in closure of caudal neuropore of neural tube
Ans: 1

Subject: Anatomy
Sub-Topic:
A new born presented to the NICU with respiratory distress and meconium discharge from the
umbilicus. The condition occurs due to the patency of the which structure?
O1:
Mesonephric duct
O2:
Allantois
O3:
Urachus
O4:
Vitelline Fistula
Ans: 4

Subject: Anatomy
Topic: Lower Limb
Sub-Topic:
Which artery is being palpated in the image shown below?
O1:
Anterior tibial artery
O2:
Posterior tibial artery
O3:
Dorsalis pedis artery
O4:
Popliteal artery
Ans: 2

Subject: ENT
Topic: Pharynx
Sub-Topic:
Which of the following is part of trotter’s triad, seen in nasopharyngeal carcinoma?

O1:
Conductive hearing loss, ipsilateral temporoparietal neuralgia, Palatal paralysis
O2:
Sensorineural hearing loss, contralateral temporoparietal neuralgia, palatal paralysis
O3:
Sensorineural hearing loss, ipsilateral temporoparietal neuralgia, palatal paralysis
O4:
Conductive hearing loss, contralateral temporoparietal neuralgia, palatal paralysis
Ans: 1

Subject: Anaesthesia
Topic: Oxygen Therapy and Airway
Sub-Topic:
The mask given below works on which of the following principles?
O1:
Bohr effect
O2:
Boyle’s principle
O3:
Bernoulli principle
O4:
Mapleson’s circuit
Ans: 3
Subject: ENT
Topic: Ear
Sub-Topic:
A patient was diagnosed with ear wax and was subjected to syringing to remove the wax. She
developed a syncopal episode while doing the procedure when the tip of the syringe touched
the ear canal. Which of the nerves is responsible for this episode of syncope?
O1:
Auriculotemporal nerve
O2:
Arnold’s nerve
O3:
Glossopharyngeal nerve
O4:
Jacobson’s nerve
Ans: 2

Subject: Surgery
Topic: Others
Sub-Topic:
A 24-year-old male is brought to the ER after he was hit by a motorbike while he was crossing
the road. He sustained injuries over his abdomen visible over his abdomen with bruising. His
blood pressure is 88/60 and IV fluids are immediately instituted. A FAST was done and it was
positive. Which of the following is the next step in the management of this patient?
FAST: (focused assessment with sonography for trauma)
O1:
Abdominal CT scan
O2:
Abdominal MRI scan
O3:
Exploratory laparotomy
O4:
Diagnostic peritoneal lavage
Ans: 3

Subject: Anatomy
Sub-Topic:
Identify the structure marked in the diagram showing the development of ovarian follicles.
O1:
Primary follicle
O2:
Antral follicle
O3:
Primordial follicle
O4:
Corpus luteum
Ans: 2

Topic: Pre-Anaesthetic Evaluation
Sub-Topic:
During the pre-anesthetic evaluation of a patient, the oral

cavity examined is depicted in the image given below. The image shows__
O1:
Mallampati class IV
O2:
Mallampati Class II
O3:
Mallampati class III
O4:
Mallampati class I
Ans: 3

Subject: Anatomy
Topic: Thorax
Sub-Topic:
Match the auscultatory areas of the heart from image given below.
O1:
1-aortic, 2-pulmonary, 3-mitral, 4-tricuspid
O2:
1-aortic, 2-pulmonary, 3-tricuspid, 4-mitral
O3:
1-mitral, 2-pulmonary, 3-tricuspid, 4-mitral
O4:
1-aortic,2-tricuspid, 3-pulmonary, 4-mitral
Ans: 2

Topic: Miscellaneous
Sub-Topic:
While doing a subclavian venous catheterization, the patient suddenly desaturated and on
examination of the chest, there was hyper resonance in the apical area of the right lung. What
is the most likely diagnosis here?
O1:
Arterial puncture
O2:
Pneumothorax
O3:
Cardiac tamponade
O4:
Chylothorax
Ans: 1

Subject: Anatomy
Topic: Histology
Sub-Topic:
The image below shows the cross-section of the trachea. Identify the structure marked.
O1:
Trachealis muscle
O2:
Tracheal cartilage
O3:
Submucosal glands
O4:
Perichondrium
Ans: 1
Topic: Inhalational Anesthetic Agents
Sub-Topic:
Which of the following induction agents is most appropriate for apatient with cardiac disease?
O1:
Ketamine
O2:
Etomidate
O3:
Propofol
O4:
Thiopentone
Ans: 2

Subject: Anatomy
Topic: Introduction
Sub-Topic:
The vertical plane that divides the body into anterior and posterior parts is known as.
O1:
Coronal plane
O2:
Transverse plane
O3:
Axial plane
O4:
Median plane
Ans: 1

Subject: Surgery
Topic: Others
Sub-Topic:
What is the most common cause of death in the case of esophageal varices in a patient with
liver cirrhosis:
O1:
Hypovolemic shock
O2:
Cardiogenic shock
O3:
Obstructive shock
O4:
Distributive shock
Ans: 1

Subject: Surgery
Topic: Cardiothoracic Vascular Surgery
Sub-Topic:
A 32-year-old male chronic smoker presents with pain in the fingers for a few months. On
examination, gangrenous ulcers were present in the fingers as shown below. Investigations
showed blood glucose and lipid profile within normal limits. Which of the following is the most
likely diagnosis?
O1:
Buerger’s disease
O2:
Diabetic ulcers
O3:
Acute paronychia
O4:
Raynaud’s phenomenon
Ans: 1
Subject: ENT
Topic: Pharynx
Sub-Topic:
A worried mother brought her 6-year-old unimmunized child to the ER with complaints of fever,
cough and shortness of breath. On examination, a pseudo membrane was noted over the
tonsils which bleed on trying to remove and a bull-neck appearance of the neck. Which of the
following is the most likely diagnosis?
O1:
Infectious mononucleosis
O2:
Tonsillitis
O3:
Diphtheria
O4:
Candidiasis
Ans: 3

Subject: Ophthalmology
Topic: Orbit
Sub-Topic:
A 55-year-old woman presents with chronic mucopurulent discharge from her left eye and
swelling near the medial canthus. Which of the following is the treatment of choice in this
patient?
O1:
Dacryocystorhinostomy
O2:
Dacryocystectomy
O3:
Conjunctivo-cystorhinostomy
O4:
Balloon catheter dilation
Ans: 1

Subject: Anatomy
Topic: Histology
Sub-Topic:
The fallopian tube is lined by.

O1:
Simple columnar epithelium
O2:
Pseudostratified ciliated columnar epithelium
O3:
Ciliated columnar epithelium
O4:
Cuboidal epithelium with microvilli
Ans: 3

Subject: ENT
Topic: Nose and Paranasal Sinuses
Sub-Topic:
A 6-year-old boy fell from the bed and developed nose swelling and difficulty breathing.
Examination revealed smooth rounded swellings on either side of the septum through both
nares. On palpation, it was soft and fluctuant. What is the next best step in the management of
this patient?
O1:
Systemic antibiotics
O2:
Incision and drainage
O3:
High-resolution computerized tomography
O4:
Submucosal resection
Ans: 2

Topic: Orbit
Sub-Topic:
Which of the following surgeries use this instrument?

O1:
Evisceration
O2:
Enucleation
O3:
Cataract surgery
O4:
Dacryocystorhinostomy
Ans: 4

Subject: ENT
Topic: Ear
Sub-Topic:
A young lady presented to the ENT OPD with a history of sudden onset unilateral hearing
loss, tinnitus, and dizziness following an episode of acute otitis media two weeks back. Rinne
test and fistula test were positive. She had refused treatment then and currently came with
complaints of worsened hearing loss in the affected ear. On examination, the fistula test was
negative. What would be the most likely finding on the Rinne test in this scenario?
O1:
True positive
O2:
True negative
O3:
False positive
O4:
False negative
Ans: 4

Topic: Retina
Sub-Topic:
A 58-year-old man after his retirement party came with the complaint of sudden painless loss
of vision in his left eye for the past 2 hours. Fundoscopic examination shows a similar picture
given below. What is the most probable cause of this condition?
O1:
BRAO
O2:
BRVO
O3:
CRAO
O4:
CRVO
Ans: 3

Subject: Anatomy
Topic: Head and Neck
Sub-Topic:
Identify the structure marked a ‘c’.
O1:
Epiglottis
O2:
Hyoid bone
O3:
Thyroid cartilage
O4:
Cricoid cartilage
Ans: 1

Subject: ENT
Topic: Ear
Sub-Topic:
What is the Battle sign?

O1:
Mastoid ecchymosis
O2:
Periorbital hematoma
O3:
Bezold abscess
O4:
Perichondritis
Ans: 1

Topic: Optics
Sub-Topic:
A patient with a corneal scar has a visual acuity of 6/36, which improves to 6/18 with a
pinhole. The most likely reason or this is –
O1:
Glaucoma
O2:
Malingering
O3:
Irregular astigmatism
O4:
Cataract
Ans: 3

Subject: Anatomy
Topic: Neuro Anatomy
Sub-Topic:
At what level does the spinal cord end in infants?

O1:
L1
O2:
L2
O3:
L3
O4:
L4
Ans: 3

Topic: Cornea
Sub-Topic:
An 18-year-old boy presents with a history of injury to the eye caused while climbing a tree 5
days ago, resulting in pain, photophobia, and redness of the eye for 2 days. Slit-lamp
examination reveals a lesion as shown below. Which among the following is a feature of this
condition?
O1:
Reverse hypopyon
O2:
Dendritic ulcer
O3:
Ring abscess
O4:
Satellite lesion
Ans: 4

Topic: Optics
Sub-Topic:
A 5-year-old female patient presented for her first complete eye examination after a school
vision screening found unequal visual acuity. Her parents have not noted any eye problems.
Visual acuity in the right eye was 20/20 and the left eye was 20/80. The rest of the
examination including the Fundus exam was unremarkable, what is the most probable
diagnosis?
O1:
Brain lesion
O2:
Retinoblastoma
O3:
Congenital cataract
O4:
Amblyopia
Ans: 4

Subject: Surgery
Topic: Cardiothoracic Vascular Surgery
Sub-Topic:
An 80-year-old man developed right-sided calf muscle pain and swelling. He was bedridden
following a right inter-trochanteric fracture. What is the most likely diagnosis?
O1:
Chronic osteomyelitis
O2:
Deep vein thrombosis
O3:
Compartment syndrome
O4:
Arterial claudication
Ans: 2

Subject: ENT
Sub-Topic:
Which of the following statements is true with respect to the Little’s area?
O1:
Keisselbach’s plexus is present in the Little’ area
O2:
It is situated at the postero-inferior part of the nasal septum
O3:
Least common site for epistaxis
O4:
Anastomoses of 7 major arteries occur here
Ans: 1

Topic: Community Ophthalmology
Sub-Topic:
Which is the most common cause of preventable childhood blindness?
O1:
Refractive error
O2:
Vitamin A deficiency
O3:
Retinopathy of prematurity
O4:
Injuries
Ans: 2

Subject: Surgery
Topic: Endocrine Surgery
Sub-Topic:
A 30-year-old lactating mother presents with pain in her left breast and a fever. On
examination of the affected side, there is localized erythema, warmth, and point tenderness,
the fluctuation test is positive. There is mild axillary lymphadenopathy on the affected side and
the contralateral breast is normal. Repeated aspirations under antibiotic cover done were
unsuccessful. A USG done showed fluid collection. What is the management plan for this
patient?
O1:
Incision and drainage
O2:
Broad spectrum antibiotics only
O3:
Breast conservation surgery
O4:
Punch biopsy
Ans: 1

Topic: Orbit
Sub-Topic:
Identify the condition shown in the image.
O1:
Entropion
O2:
Ectropion
O3:
Trichiasis
O4:
Ptosis
Ans: 1

Subject: Anatomy
Topic: Lower Limb
Sub-Topic:
The dermatome of the area marked in the given below image is.
O1:
L4
O2:
L5
O3:
S1
O4:
S2
Ans: 1

Subject: Surgery
Sub-Topic:
A 23-year-old woman presents to the surgery out-patient with a left-sided breast lump which
she noticed on a self-breast examination 3 weeks ago. She has no other complaints. On
palpation, the lump seems to be mobile and firm. Mammogram revealed a benign lesion. What
is the best next step in management?
O1:
Biopsy
O2:
Reassurance and follow-up
O3:
Surgical excision
O4:
Start Tamoxifen
Ans: 2

Topic: Retina
Sub-Topic:
A 7-year-old boy presented with a white pupillary reflex for which enucleation was done. The
histopathological examination of the specimen revealed Flexner Wintersteiner rosettes. What
could be the most probable diagnosis?
O1:
Retinoblastoma
O2:
Medulloblastoma
O3:
Rhabdomyosarcoma
O4:
Astrocytoma
Ans: 1

Subject: Anatomy
Topic: Abdomen
Sub-Topic:
The neurovascular plane of the abdominal wall lies

O1:
Between the internal oblique and external oblique
O2:
Deep to transversus abdominis
O3:
Between the internal oblique and rectus abdominis
O4:
Between the internal oblique and transversus abdominis
Ans: 4
Subject: ENT
Sub-Topic:
A 14-year-old male presented with recurrent epistaxis. There is no history of trauma

associated with it. He also complained of nasal obstruction and rhinorrhea. On examination,
there is a firm purplish mass on the posterior nasopharynx. What is the most probable
diagnosis?
O1:
Nasopharyngeal carcinoma
O2:
Rhabdomyosarcoma
O3:
Pyogenic granuloma
O4:
Juvenile nasopharyngeal angiofibroma
Ans: 4

Topic: Ocular Injuries
Sub-Topic:
An industrial worker was admitted to the hospital after an eye injury sustained while cutting
stone with a hammer and iron chisel. A foreign body was suspected to be impacted in his eye.
Which of the following is the best investigation for foreign body localization?
O1:
MRI
O2:
CT
O3:
X-ray
O4:
B mode scan
Ans: 2

Subject: Surgery
Topic: Head And Neck
Sub-Topic:
The false statement about cystic masses of the neck is:

O1:
Type 3 branchial fistula has its internal orifice on cricopharynxgeus
O2:
Cystic hygroma is filled with clear lymph
O3:
Thyroglossal cyst moves upwards on swallowing and tongue protrusion
O4:
Fluctuation is positive in branchial
Ans: 1

Topic: Squint / Strabismus
Sub-Topic:
Which of the following is the best line of treatment in a 3-year-old child presenting with a
recent onset of 15-degree accommodative esotropia?
O1:
Orthoptic exercise
O2:
Surgery
O3:
Relieving prism
O4:
Refractive correction
Ans: 4

Subject: Anatomy
Topic: Histology
Sub-Topic:
Given below is a histological section of the thyroid gland. Which of the following is secreted by
the cell marked ‘X’ in the image?
O1:
Thyroxine
O2:
Calcitonin
O3:
Parathromone
O4:
Serotonin
Ans: 2

Subject: ENT
Sub-Topic:
A 35 year old woman presents to you with complaints of difficulty in hearing in the right ear
which is slowly progressive. She also has tinnitus which is pulsatile in nature. On examination,
a reddish mass was seen behind the tympanic membrane and an audible bruit is heard over
the mastoid when auscultation with a stethoscope. Her Rinnie test was negative. Which of the
O1:
CSOM
O2:
ASOM
O3:
Mastoiditis
O4:
Glomus tumor
Ans: 4

Topic: Conjunctiva
Sub-Topic:
A contact lens user presents with the following clinical picture. He had watering, redness, and
foreign body sensation in the eye for the past 2 months. What is the most probable diagnosis?
O1:
Acute trachoma
O2:
Follicular conjunctivitis
O3:
Giant papillary conjunctivitis
O4:
Spring catarrh
Ans: 3

Subject: Surgery
Topic: Plastic Surgery
Sub-Topic:
What is the preferred management of the condition given in the image below?
O1:
Surgical excision
O2:
Radiotherapy
O3:
Antibiotics
O4:
Intralesional steroids
Ans: 1

Topic: Optics
Sub-Topic:
A worried mother brought her son for a vision examination when she noticed him reading a
book too closely. She says he also narrows his eyes while watching television. Examination
revealed myopia. Which of the following lenses should be prescribed to correct this child’s
vision?
O1:
Convex
O2:
Concave
O3:
Cylindrical
O4:
Concave + convex
Ans: 2

Subject: ENT
Topic: Pharynx
Sub-Topic:
A school-going child presents with a history of recurrent upper respiratory tract infections,
mouth breathing, and impaired hearing. On examination, a high arched palate is noted. What
is the management of this condition?
O1:
Tonsillectomy
O2:
Adenoidectomy
O3:
Adenoidectomy with grommet insertion
O4:
Myringotomy with grommet insertion
Ans: 3

Topic: Neuro Ophthalmology
Sub-Topic:
A 45-year-old man presents to the casualty with a sudden loss of vision and painful ocular
movements. On examination in the affected eye, a relative afferent pupillary defect is seen,
however the optic disk was normal. Visual field testing was done which revealed central
scotoma in the same eye. What is the most likely diagnosis?
O1:
Optic nerve glioma
O2:
Optic neuritis
O3:
Eale’s disease
O4:
Neuroretinitis
Ans: 2

Subject: Surgery
Topic: Urology
Sub-Topic:
A young girl presents with complaints of continuous dribbling of urine. However, she also voids
normally. Her parents tell you that she had never been totally dry since her birth. What is the
most likely diagnosis?
O1:
Ectopic ureter
O2:
Ureterocele
O3:
Congenital megaureter
O4:
Vesicoureteric reflux
Ans: 1

Subject: Pathology
Topic: Inflammation
Sub-Topic:
A patient who underwent surgery for a lipoma 5 weeks back, now presents with a scar at the
incision site that is limited to the original wound boundaries. What is the most likely diagnosis?
O1:
Keloid
O2:
Exuberant granulation
O3:
Hypertrophic scar
O4:
Granulation tissue
Ans: 3

Subject: Biochemistry
Topic: Vitamins
Sub-Topic:
Which of the following steps in the metabolism of vitamin D requires sunlight?

O1:
1,25 dihydroxy cholecalciferol to 7-dehydrocholesterol
O2:
7-dehydrocholesterol to cholecalciferol
O3:
Cholecalciferol to 25-hydroxycholecalciferol
O4:
25-hydroxycholecalciferol to 1,25 dihydroxycholecalciferol
Ans: 2

Subject: Pathology
Topic: Inflammation
Sub-Topic:
During wound healing, the cells that appear first due to chemotaxis, at the site of the wound
are
O1:
Neutrophils
O2:
Monocytes
O3:
Macrophages
O4:
Lymphocytes
Ans: 1

Subject: Pathology
Topic: Immunity
Sub-Topic:
A person was brought to the emergency department with facial swelling, itching, and
hypotension following a bee sting. The mentioned clinical features are due to the increase in
which immunoglobulin?
O1:
IgA-immunoglobulin A
O2:
IgE – Immunoglobulin E
O3:
IgM – Immunoglobulin M
O4:
IgG – immunoglobulin G
Ans: 2

Topic: Integrated Essentials
Sub-Topic:
Menke’s disease is due to a deficiency of:

O1:
Zinc
O2:
Copper
O3:
Iron
O4:
Magnesium
Ans: 2
Subject: Surgery
Topic: Urology
Sub-Topic:
1-month-old child is brought to the OPD for consultation regarding an empty scrotal sac. On
examination B/L inguinal masses are palpable. What is the next step of management for this
child?
O1:
Perform karyotyping
O2:
Surgical exploration within the next 2 weeks
O3:
Perform orchidopexy now
O4:
Wait and watch for spontaneous descent within the next 6 months
Ans: 4

Subject: Pathology
Topic: Immunity
Sub-Topic:
A Rh-negative mother delivered an Rh-positive baby and Coomb’s test was positive for the
baby. What is the mechanism of hypersensitivity seen in this scenario?
O1:
Antigen-dependent cellular cytotoxicity
O2:
Antibody-dependent cellular cytotoxicity
O3:
Antigen-antibody immune complex deposition
O4:
CD4-T cell-mediated cytokine release
Ans: 2

Topic: Carbohydrate Metabolism
Sub-Topic:
Classical galactosemia is due to a deficiency of which enzyme?

O1:
Aldose reductase
O2:
Galactokinase
O3:
Galactose-1-phosphate uridyl transferase
O4:
UDP galactose-4-epimerase
Ans: 3

Subject: Pathology
Topic: Inflammation
Sub-Topic:
Which of the following molecules helps in the adhesion of the leucocyte to the endothelium
during inflammation?
O1:
P-selectin
O2:
Platelet-activating factor
O3:
Selectins
O4:
Complement
Ans: 3

Sub-Topic:
Which of the following is not a function of glucagon?

O1:
Glycolysis
O2:
Gluconeogenesis
O3:
Glycogenolysis
O4:
Ketogenesis
Ans: 1

Topic: Vitamins
Sub-Topic:
A 34-year-old male was on maize as a staple diet for a prolonged period. He presented with
pain abdomen, loss of appetite, and diarrhoea. On examination, there was glossitis and a
pigmented rash in sun-exposed areas. A lesion over his neck was seen as shown in the image
below. What is the possible diagnosis?
O1:
Pellagra
O2:
Scurvy
O3:
Megaloblastic anemia
O4:
Beriberi
Ans: 1

Topic: Lipid Metabolism
Sub-Topic:
Cholesterol is synthesized primarily from:

O1:
Malonyl-CoA
O2:
Pyruvate
O3:
Oxaloacetate
O4:
Acetyl-CoA
Ans: 4

Topic: Genetics
Sub-Topic:
Which of the following enzymes is deficient in the autosomal recessive type of severe
combined immunodeficiency?
O1:
Ornithine transcarbamylase
O2:
Phosphomannose isomerase
O3:
Adenosine deaminase
O4:
Hypoxanthine-guanine phosphoribosyl transferase
Ans: 3

Subject: Forensic Medicine
Topic: Forensic Toxicology
Sub-Topic:
Which of the following options describes the symptoms seen classically in a patient bitten by
the snake shown in the image below?
O1:
Non-poisonous, dry bite
O2:
Severe edema, necrosis and bleeding
O3:
Severe muscle necrosis, rhabdomyolysis
O4:
Neurotoxicity and muscle paralysis
Ans: 4

Subject: Pathology
Topic: Genital System
Sub-Topic:
A 22-year-old woman was diagnosed with a large tumor in the right ovary and histopathology
shows it has origin from all three germ layers. Which of the following is the most likely tumor
she is having?
O1:
Dysgerminoma
O2:
Teratoma
O3:
Thecoma
O4:
Theca lutein cyst
Ans: 2

Subject: Pathology
Topic: Hematology: Red Blood Cells
Sub-Topic:
A 30-year-old male complained of fatigue for the past 1 year. Examination revealed massive
splenomegaly. His blood workup shows the following findings. Which of the following is the
● Anemia
● Total leucocyte count - 1,50,000/microL
● Peripheral blood smear
60% neutrophils-6%
Basophils-4%
Eosinophils
Myeloblasts, myelocytes, and metamyelocytes
Myeloid to erythroid ratio – 18:1
O1:
ALL
O2:
AML
O3:
CML
O4:
CLL
Ans: 3

Subject: Pathology
Topic: Hematology: Red Blood Cells
Sub-Topic:
An 18-year-old male presented to the outpatient department with gum bleeding and fever for
the past 2 months. General examination showed a pallor and the systemic examination was
unremarkable. Laboratory examination revealed Hb level-3 gm/dI, TLC-1500/microL, and
platelet count- 15000/micro. Peripheral smear shows macrocytes and the reticulocyte count is
0.5. Bone marrow examination revealed fatty streaks and absent megakaryocytes but no
immature cells. What is the likely diagnosis?
Hb-Hemoglobin
TLC-Total leucocyte counts
O1:
Idiopathic acquired aplastic anemia
O2:
Paroxysmal nocturnal hemoglobinuria
O3:
Myelodysplastic syndrome
O4:
Tuberculosis
Ans: 1

Topic: Medical Jurisprudence
Sub-Topic:
A patient was referred by a doctor to a radiologist for a CT scan and the doctor was given
money for the referral. What is this unethical act called?
O1:
Dichotomy
O2:
Medical maloccurence
O3:
Criminal negligence
O4:
Commission
Ans: 1

Subject: Surgery
Topic: Gastrointestinal Surgery
Sub-Topic:
A patient presents with repetitive episodes of heartburn and chest pain. What is the most
common condition that causes these symptoms?
O1:
Barrett's esophagus
O2:
Pneumonia
O3:
Myocardial infarction
O4:
Esophagitis
Ans: 4

Subject: Pathology
Topic: Immunity
Sub-Topic:
A 24-year-old female patient presented with malar rash, recurrent oral ulcers, and multiple
joint pain. She has no relevant past history and does not take any medication. On further
investigations, thrombocytopenia was seen and the Anti-Sm antibody was positive. Which of
the following is the most likely diagnosis for this patient?
O1:
Scleroderma
O2:
Sjogren’s syndrome
O3:
Rheumatoid arthritis
O4:
Systemic lupus erythematosus
Ans: 4

Topic: Sexual Jurisprudence
Sub-Topic:
A 24-year-old man presents with an excessive desire for sexual intercourse. What is this
called?
O1:
Satyriasis
O2:
Frotteurism
O3:
Nymphomania
O4:
Masochism
Ans: 1

Subject: Surgery
Sub-Topic:
A baby playing unsupervised was brought with complaints of difficulty in swallowing for the last
few hours. The x-ray image is given below. What is the diagnosis?
O1:
Foreign body in the trachea
O2:
Foreign body in the esophagus
O3:
Foreign body in lungs
O4:
Foreign body in pleura
Ans: 2

Sub-Topic:
Identify the plant shown in the image below.

O1:
Parthenium hysterophorus
O2:
Datura stramonium
O3:
Digitalis purpurea
O4:
Calotropis gigantea
Ans: 1

Subject: Pathology
Topic: Respiratory System
Sub-Topic:
A middle-aged man working in sandblasting developed hemoptysis, and a productive cough. A

chest x-ray is suggestive of tuberculosis. Which of the following is associated with the same?
O1:
Asbestosis
O2:
Silicosis
O3:
Anthracosis
O4:
Siderosis
Ans: 2

Topic: Forensic Thanatology
Sub-Topic:
In the case of drowning, the following finding is seen at autopsy. What is it called?
O1:
Cadaveric spasm
O2:
Cutis anserina
O3:
Rigor mortis
O4:
Washerwoman’s hands
Ans: 1

Topic: Amino Acid and Protein Metabolism
Sub-Topic:
Which of the following is considered a universal methyl group donor in various biochemical
reactions?
O1:
Glucose-6-phosphate
O2:
Acetyl CoA
O3:
S-AdenosylMethionine
O4:
S-Adenosyl Serine
Ans: 3

Topic: Forensic Thanatology
Sub-Topic:
Identify the odor produced by the change seen in the image below.
O1:
Odorless
O2:
Pungent
O3:
Putrid
O4:
Offensive
Ans: 1
Topic: Introduction
Sub-Topic:
Thermogenin protein is mainly found in…

O1:
Golgi complex
O2:
Endoplasmic reticulum
O3:
Mitochondria
O4:
Nucleus
Ans: 3

Subject: Surgery
Topic: Hepatobiliary Pancreatic Surgery
Sub-Topic:
A patient underwent laparoscopic cholecystectomy and was discharged after removing the
drain tube on the first postoperative day. On day two, the patient came back to the hospital
with complaints of increasing abdominal pain and was febrile on examination. On ultrasound
examination, there was a 5 x 5 cm collection in the subhepatic space. What is the most likely
cause of this condition?
O1:
Infection
O2:
Surgical site pain
O3:
Bile leak
O4:
Retained gallstones
Ans: 3

Subject: Pathology
Sub-Topic:
A 48-year-old patient presented with scrotal swelling. Investigations for testicular tumors
revealed that LDH was raised but AFP was within normal limits. Following orchidectomy, the
following histological picture was observed. Which of the following is the most likely diagnosis?
O1:
Yolk sac tumor
O2:
Teratoma
O3:
Seminoma
O4:
Embryonal carcinoma
Ans: 3

Topic: Forensic Traumatology
Sub-Topic:
Identify the post-mortem finding in a patient with a stab wound on the left side of the chest.
O1:
Cardiac tamponade
O2:
Fat necrosis
O3:
Hemothorax
O4:
Pulmonary embolism
Ans: 1

Topic: Vitamins
Sub-Topic:
A young boy presented with fissured tongue, lips, and lesions in the angle of the mouth as
shown below. On investigation, he had low RBC glutathione reductase activity. Which vitamin
is deficient here?
O1:
Vitamin B12
O2:
Vitamin B3
O3:
Biotin
O4:
Riboflavin
Ans: 4

Subject: Surgery
Sub-Topic:
A 40-year-old lady is found to have a gallbladder polyp of size 5 mm on abdominal USG with
no associated gallbladder stones. She appears to be healthy and is asymptomatic. How will
you manage this patient?
O1:
Regular follow-up every 2 months
O2:
Polypectomy
O3:
Laparoscopic cholecystectomy
O4:
Open cholecystectomy
Ans: 1

Subject: Surgery
Sub-Topic:
Which of the following is the most common side effect of cholecystectomy?

O1:
Acute kidney injury
O2:
Osteoporosis
O3:
Steatorrhea
O4:
Colorectal cancer
Ans: 3

Topic: Traces of Evidences
Sub-Topic:
Identify the test shown in the image below.

O1:
Barberio test
O2:
Florence test
O3:
Takayama test
O4:
Teichmann test
Ans: 4

Subject: Medicine
Topic: Hematology
Sub-Topic:
An elderly woman presented with symptoms of confusion, thirst, and abdominal pain. On
examination, she had pallor and thoracic spine tenderness. Her lab investigations showed the
following findings. An x-ray of her skull is shown below. What is the most likely diagnosis?
Hb – 6.9g/dL
WBC 4000/cm3 with normal differential count
Serum calcium 13 mg/dL
Creatinine 2.3mg/dL
Total protein 9g/dL
Albumin 2.4g/dL
Urinalysis: positive for Bence-Jones proteins
O1:
Metastatic breast cancer
O2:
Multiple myeloma
O3:
Primary hyperparathyroidism
O4:
Milk alkali syndrome
Ans: 2

Sub-Topic:
A 10 year old boy rapidly develops hypoglycemia after moderate activity. Blood examination
reveals raised levels of ketone bodies, lactic acid, and triglycerides. On examination, the liver
and kidneys are found to be enlarged. Which of the following would be seen in excess
amounts in the liver of this child?
O1:
Glucose-6-phosphate
O2:
Glucose-1-phosphate
O3:
Glucose-1,6-diphosphate
O4:
Glycosaminoglycans
Ans: 1

Subject: Surgery
Sub-Topic:
A young man presents to the emergency department with complaints of severe abdominal
pain and 3 episodes of vomiting in the past 9 hours. He says that the pain radiates to the back
and is partially relieved by bending forwards. The abdominal radiograph of the patient is given
below which shows a ‘colon cut-off sign’. What is the most likely diagnosis?
O1:
Acute hepatitis
O2:
Acute pancreatitis
O3:
Acute colitis
O4:
Intestinal obstruction
Ans: 2

Subject: Pathology
Topic: Liver, Biliary System and Pancreas
Sub-Topic:
What is the gene mutation seen in hemochromatosis?

O1:
HFE
O2:
PTEN
O3:
ATP7B gene
O4:
MRP2 protein
Ans: 1

Sub-Topic:
Which of the following is an abnormal method used for criminal abortion?

O1:
Dilatation and curettage
O2:
Mifepristone
O3:
Abortion stick
O4:
Vacuum aspiration
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
If all Extraocular muscles are paralyzed, where would you suspect the lesion?
O1:
Frontal eye field
O2:
Cerebral surface
O3:
Midbrain and Pons
O4:
Spinal cord
Ans: 3

Subject: Pathology
Topic: Miscellaneous
Sub-Topic:
A 24-year-old male was brought to the emergency department after suffering severe injuries in
a motorcycle accident. His blood pressure was 80/60 mm Hg. Ultrasound examination
revealed a ruptured spleen. Arterial blood gas analysis was suggestive of metabolic acidosis.
The patient most likely suffered from which of the following conditions?
O1:
Cardiogenic shock
O2:
Septic shock
O3:
Hypovolemic shock
O4:
Neurogenic shock
Ans: 3

Topic: Introduction
Sub-Topic:
Which of the following options is correct with respect to a fed state?

1. Insulin secretion is more
2. Glucagon secretion is less
3. Insulin secretions is less
4. Glucagon secretion is more
O1:
Only 1
O2:
Only 3
O3:
Option 1 and 2 are correct
O4:
Option 3 and 4 are correct
Ans: 3

Topic: Forensic Traumatology
Sub-Topic:
A lucid interval is classically associated with which of the following?

O1:
Subdural haemorrhage
O2:
Parenchymal haemorrhage
O3:
Extradural haemorrhage
O4:
Subarachnoid haemorrhage
Ans: 3

Subject: Pediatrics
Topic: Nutrition and Malnutrition
Sub-Topic:
Which of the following is an absolute contraindication for breastfeeding?

O1:
Alcoholic mother
O2:
Classic galactosemia for the infant
O3:
A mother with HIV infection
O4:
Infants born to an HbsAg-positive mother
Ans: 2

Subject: Surgery
Sub-Topic:
A patient presents with chronic small bowel diarrhea. Duodenal biopsy shows villous atrophy.
Anti-endomysial antibodies and IgA TTG antibodies are positive. What is the diagnosis?
O1:
Short bowel syndrome
O2:
Whipple’s disease
O3:
Tropical sprue
O4:
Celiac sprue
Ans: 4

Subject: Pathology
Topic: Immunity
Sub-Topic:
Which of the following conditions is associated with hypocalcemia, thymic hypoplasia, cardiac
abnormalities, and deletion of chromosome 22q11.2?
O1:
Williams syndrome
O2:
Pitt syndrome
O3:
Digeorge syndrome
O4:
Cri-du-chat syndrome
Ans: 3

Subject: Surgery
Topic: Urology
Sub-Topic:
The most common type of renal stones is

O1:
Calcium oxalate
O2:
Cystine
O3:
Triple phosphate
O4:
Uric acid
Ans: 1

Subject: Pediatrics
Sub-Topic:
Vitamin K supplementation is given to neonates to prevent__.

O1:
Breast milk jaundice
O2:
Hemorrhagic disease of the newborn
O3:
Keratomalacia
O4:
Scurvy
Ans: 2

Subject: Medicine
Topic: Cardiology
Sub-Topic:
An elderly obese man was brought to casualty with complaints of severe chest pain for the last
two hours. He has also had profuse sweating, pain in the left arm, nausea, and one episode of
vomiting. On examination, his pulse rate is 58 per minute and his blood pressure is 90/60 mm
of Hg. ECG was done and it shows the following finding. Cardiac biomarkers showed elevated
troponin levels. What is the most likely diagnosis?
O1:
Anterior wall
O2:
Inferior wall MI
O3:
Posterior wall MI
O4:
Pericarditis
Ans: 2

Subject: Pediatrics
Topic: Pediatric Cardiology
Sub-Topic:
Tetralogy of Fallot is most commonly associated with which of the following:

O1:
Klinefelters syndrome
O2:
Edwards syndrome
O3:
Downs syndrome
O4:
Turners’ syndrome
Ans: 3

Sub-Topic:
What is the upper limit of medical termination of pregnancy, according to the MTP act of
1971?
O1:
28 weeks
O2:
22 weeks
O3:
24 weeks
O4:
16 weeks
Ans: 3

Subject: Pathology
Sub-Topic:
All of the following are components of Meigs syndrome except:

O1:
Ascites
O2:
Right-sided hydrothorax
O3:
Fibromas of ovary
O4:
Dysgerminoma of ovary
Ans: 4

Subject: Medicine
Topic: Neurology
Sub-Topic:
A 54 year old man was brought to the casualty with fever, headache, and focal seizure. EEG
shows focal temporal lobe spikes. CSF sample analysis shows 50 cells with 90% lymphocytes
and 10% Neutrophils. What would be the drug of choice for this condition?
O1:
Valacyclovir
O2:
Acyclovir
O3:
Ganciclovir
O4:
Foscarnet
Ans: 2

Subject: Medicine
Topic: Cardiology
Sub-Topic:
What is the diagnosis if the axis is on the mark “?” from the diagram shown below?
O1:
Right axis deviation
O2:
Normal axis
O3:
Left axis deviation
O4:
Extreme axis deviation
Ans: 1

Subject: Surgery
Topic: Urology
Sub-Topic:
The Whitaker test is indicated for which of the following conditions?

O1:
Hydronephrosis
O2:
Posterior urethral valve
O3:
Urethral atresia
O4:
Urethral stricture
Ans: 1

Subject: Pharmacology
Topic: Endocrine Pharmacology
Sub-Topic:
A 45 year old obese lady with diabetes was managed with oral hypoglycemic agents. She now
presents to the casualty with hypoglycemic agents. She now presents to the casualty with a
hypoglycemic episode. Which of the following drugs is most likely responsible for her
hypoglycemic episode?
O1:
Metformin
O2:
Pioglitazone
O3:
Sitagliptin
O4:
Glimepiride
Ans: 4

Subject: Medicine
Topic: Cardiology
Sub-Topic:
Identify the rhythm in the following ECG rhythm strip.
O1:
Atrial fibrillation
O2:
Atrial flutter
O3:
Normal sinus rhythm
O4:
AV block
Ans: 3

Sub-Topic:
A young teenage boy presents to the emergency with a history of drug abuse at a party a
couple of hours ago. Some of the symptoms were diaphoresis, headache, anxiety, and
hyperactivity. On examination, there was tachycardia and hypertension. Which of the following
substances might he have taken?
O1:
Alcohol
O2:
Cocaine
O3:
Opioid
O4:
Cannabis
Ans: 2

Topic: Vitamins
Sub-Topic:
Which of the following vitamins is wrongly matched with their associated enzymes?
O1:
Vitamin B1 (Thiamine): RBC Trans-ketolase
O2:
Vitamin B2 (Riboflavin): RBC glutathione reductase
O3:
Vitamin B9 (Folic acid): FIGLU excretion/Histidine load test
O4:
Vitamin C: Serum methylmalonate level
Ans: 4
Topic: ANS Pharmacology
Sub-Topic:
A patient presents to the emergency department with diarrhea, sweating, excessive

lacrimation, and salivation. His pulse rate is 55/min and his plasma cholinesterase level was
50U/mL. Which of the following can be used to treat this patient?
O1:
Neostigmine
O2:
Atropine
O3:
Epinephrine
O4:
Benztropine
Ans: 2

Subject: Medicine
Topic: Cardiology
Sub-Topic:
An intern observed that a patient was unresponsive, and an ECG which was performed
urgently showed an arrhythmia as below. DC shock was delivered but the arrhythmia
persisted, and the patient is still unresponsive. What is the next best step in the management
of this patient?
O1:
Synchronized cardioversion
O2:
Start CPR
O3:
Deliver another DC shock
O4:
1 mg epinephrine IV
Ans: 2

Subject: Pediatrics
Topic: Pediatric Nephrology
Sub-Topic:
An 8-year-old boy presented with dark-colored urine as shown below, oliguria, hypertension,
and facial puffiness for 3 days. The urine test is positive for albumin. He had a history of throat
infection 2 weeks back. On microscopic examination, enlarged, pale glomeruli and epithelial
humps are seen. Which of the following is the most likely diagnosis?
O1:
Post-staphylococcal glomerulonephritis
O2:
Post-streptococcal glomerulonephritis
O3:
Nephrotic syndrome
O4:
IgA nephropathy
Ans: 2
Subject: Surgery
Sub-Topic:
A 40-year-old male presents with diffuse abdominal pain. He has a known history of Crohn’s
disease. Physical examination reveals rigidity and guarding. On imaging ileal perforation
diagnosed. What is the next best step in the management of this patient?
O1:
Antibiotics and NPO
O2:
Upper GI endoscopy
O3:
Urgent surgical exploration with ileostomy
O4:
CT abdomen
Ans: 3

Subject: Medicine
Topic: Rheumatology / Connective Tissue Disorder
Sub-Topic:
Which drugs are not used for a patient diagnosed with sarcoidosis with multi-organ
involvement?
O1:
Fludrocortisone
O2:
Hydroxychloroquine
O3:
Methotrexate
O4:
Prednisone
Ans: 1

Topic: Anticancer Drugs
Sub-Topic:
A 66 year old man presented with difficulty in urination, back pain, and an elevated PSA blood
test. An x-ray revealed two radiolucent lesions in the bony pelvis and MRI revealed several
enlarged lymph nodes in the lower abdomen. Which of the following drugs can most likely be
used to treat the given condition?
O1:
Anastrozole
O2:
Desogestrel
O3:
Goserelin
O4:
Oxandrolone
Ans: 3

Sub-Topic:
Which of the following cycles is not present in muscle?

O1:
Glycogenolysis
O2:
Ketogenesis
O3:
Glycogenesis
O4:
Lipolysis
Ans: 2

Subject: Gynaecology & Obstetrics
Topic: Gynecology
Sub-Topic:
The usage of the given device in the picture is.

O1:
Hysterosalpingography
O2:
Measure the length of the uterus
O3:
Retraction
O4:
Menstrual regulation/aspiration
Ans: 4

Topic: Obstetrics
Sub-Topic:
While performing the USG assessment of a woman at 28 weeks of gestation, you note her
amniotic fluid index to be 12.8. When does this parameter reach its maximum value in a
normal pregnancy?
O1:
32 weeks of gestation
O2:
O3:
O4:
Ans: 3

Topic: Special Topics
Sub-Topic:
Which of the following medications is safe for pregnancy-induced hypertension?

O1:
Lisinopril
O2:
Propranolol
O3:
Alpha methyldopa
O4:
Losartan
Ans: 3

Subject: Pediatrics
Topic: Diseases of Immune System
Sub-Topic:
A 7-year-old boy has non-blanching rashes on the legs and buttocks as seen in the picture.
He also complains of joint pains, abdominal pain, vomiting, and blood in the stool. Lab
investigations revealed normal platelet count and urine analysis shows haematuria +++ and
proteinuria +. What is the diagnosis?
O1:
Systemic lupus erythematosus (SLE)
O2:
Henoch Schonlein purpura (HSP)
O3:
Immune thrombocytopenic purpura (ITP)
O4:
Polyarteritis nodosa (PAN)
Ans: 2

Sub-Topic:
The most important source of reducing equivalents for fatty acid synthesis in the liver is
O1:
Hexose monophosphate shunt pathway
O2:
Glycolysis
O3:
Tricarboxylic acid cycle
O4:
Uronic acid pathway
Ans: 1

Topic: Obstetrics
Sub-Topic:
A woman presented in her 8th week of pregnancy seeking MTP. The appropriate dosage of
misoprostol (administered by mucosal route) would be –
O1:
200 mcg
O2:
600 mcg
O3:
400 mcg
O4:
800 mcg
Ans: 4
Sub-Topic:
A 45 year old woman with lung adenocarcinoma comes for her chemotherapy treatment. She
has had multiple complaints of nausea and vomiting during her previous treatment visits.
Which of the following is used to prevent chemotherapy-induced emesis and vomiting?
O1:
Metoclopramide
O2:
Ropinirole
O3:
Domperidone
O4:
Palonosetron
Ans: 4

Subject: Medicine
Topic: Liver
Sub-Topic:
A 45 year old chronic alcoholic is brought to the hospital due to fever and abdominal pain. He
was diagnosed to have a cirrhotic liver 2 years back. The ascitic fluid shows a neutrophil count
of 360 cell/microliter. Which of the following is the drug of choice in this patient?
O1:
Cefotaxime
O2:
Metronidazole
O3:
Amoxicillin
O4:
Vancomycin
Ans: 1

Topic: Obstetrics
Sub-Topic:
A 24-year-old primi with a history of 3 months of amenorrhoea undergoes USG. The USG
done is suggestive of—
O1:
Ectopic pregnancy
O2:
Hydatidiform mole
O3:
Multiple renal cysts in the fetus
O4:
Oligohydramnios
Ans: 2

Sub-Topic:
A 5 year old girl was brought to the outpatient department by her mother saying she noted
some abnormality in her genital area. On examination there was presence of pubic and
axillary hair. Which of the following is the least likely diagnosis?
O1:
17-hydroxylase deficiency
O2:
21-hydroxylase deficiency
O3:
11 β-hydroxylase deficiency
O4:
None of the above
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
Tall and tented T waves, wide QRS, and absent P wave are features of:
O1:
Bundle branch block
O2:
Acute MI
O3:
Hyperkalemia
O4:
Ventricular ectopic
Ans: 3

Topic: Antimicrobials : Anti Bacterial Drugs
Sub-Topic:
What are the mechanisms of action of doxycycline?

O1:
Cell wall synthesis inhibitor
O2:
Protein synthesis inhibitor
O3:
DNA gyrase inhibitor
O4:
Leucyl-tRNA synthetase inhibitor
Ans: 2

Subject: Pediatrics
Topic: Neonatology
Sub-Topic:
A newborn baby presents with irritability and cyanosis which subsides on crying. On
examination, you are unable to pass a nasogastric tube and no mist formation is noted on the
laryngeal mirror test. Which of the following is the best next step in management?
O1:
Endotracheal intubation
O2:
Oro pharyngeal airway
O3:
Oxygen inhalation
O4:
Epinephrine nebulization
Ans: 2

Topic: Vitamins
Sub-Topic:
The deficiency of vitamin B2 (riboflavin) can be assessed by measuring the activity of :

O1:
Transketolase
O2:
Pyruvate dehydrogenase
O3:
Glutathione reductase
O4:
Isocitrate dehydrogenase
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
A patient comes with a blood pressure of 160/100 mmHg and left – sided facial paralysis and
weakness since 8 hrs. Her CT appears normal. What would be your next step?
O1:
Observation and monitoring
O2:
Intravenous labetalol
O3:
Intravenous thrombolysis
O4:
Oral Nifedipine
Ans: 1

Topic: Gynecology
Sub-Topic:
A patient with carcinoma endometrium is treated with pelvic external beam irradiation to the
whole pelvis. Which of the following organs is most radiosensitive in the pelvic region?
O1:
Ovary
O2:
Vagina
O3:
Bladder
O4:
Rectum
Ans: 1

Subject: Surgery
Topic: Urology
Sub-Topic:
A 34-year-old male presented with a painless mass in the right inguinal region. On
examination, there is a cough impulse on the index finger, and the swelling reaches done to
the scrotum and reduces completely by pressing it through the deep inguinal ring with a
gurgling sound. What is the likely diagnosis?
O1:
Femoral hernia
O2:
Direct inguinal hernia
O3:
Indirect inguinal hernia
O4:
Umbilical hernia
Ans: 3

Topic: CVS Pharmacology
Sub-Topic:
A patient presents to the casualty with a chronic dry cough with no fever or other associated
symptoms. He had recently been started on an antihypertensive for hypertension. Which
among the following is most likely responsible to cause these symptoms?
O1:
Bradykinin and renin
O2:
Angiotensin II and bradykinin
O3:
Only bradykinin
O4:
Histamine
Ans: 3

Topic: Vitamins
Sub-Topic:
A 34 year old woman who was on a diet consisting predominantly of packaged and reheated
meals presents with iron-deficiency anemia, painful and tender joints, and bleeding
manifestations. Which of the following antioxidant deficiency can lead to these symptoms?
O1:
Glutathione
O2:
β-carotene
O3:
Vitamin C
O4:
Zinc
Ans: 3

Topic: Gynecology
Sub-Topic:
Which of the following is not an indication of expectant management in unruptured ectopic

gestation?
O1:
Initial serum beta hCG level <200 mIU/mL
O2:
Gestational sac size >4 cm
O3:
Asymptomatic
O4:
Decreasing beta hCG measurement
Ans: 2

Topic: Gynecology
Sub-Topic:
Miss. Uma presents to you with complaints of mass descending per vaginum for the past 6
months. On examination, you notice a grade 3 uterovaginal prolapse and a decubitus ulcer
over the prolapse. Which of the following is a cause for this decubitus ulcer and treatment?
O1:
Malignancy and excision
O2:
Venous congestion and reduction of the prolapsed part into the vagina and daily packing with
glycerine and acriflavine
O3:
Infection and antibiotics
O4:
Trauma and dressing
Ans: 2

Subject: Pediatrics
Topic: Fluid and Electrolyte Disturbances
Sub-Topic:
A 10-month-old child undergoes treatment for diarrhea with hypokalemia but the child does
not respond to the treatment appropriately and on examination muscular weakness is noted,
what is the most likely cause of treatment failure?
O1:
Hypomagnesemia
O2:
Hyponatremia
O3:
Hypermagnesemia
O4:
Hypernatremia
Ans: 1

Topic: Obstetrics
Sub-Topic:
Cardiac output returns back to prepregnant levels by

O1:
2 days postpartum
O2:
5 days post-partum
O3:
7 days postpartum
O4:
10 days postpartum
Ans: 4

Subject: Medicine
Topic: Endocrinology
Sub-Topic:
A 40 year old female patient presents with cold intolerance, dry skin, constipation and on
examination slow ankle jerk with a TSH level of 15 IU/L and low T3, and T4. Of the following,
the next best step in the management of this patient is to:
O1:
Begin treatment with levothyroxine (LT4)
O2:
Measure thyroxine binding globulin (TBG)
O3:
Order a thyroid radionuclide uptake and scan
O4:
Order thyroid ultrasonography
Ans: 1

Subject: Microbiology
Topic: Mycology
Sub-Topic:
A 24 year old woman presents with pruritic hypopigmented macules and confluent patches
over the chest. Skin scraping and KOH preparation show an abundance of yeast-like cells and
short branch filaments like a ‘Spaghetti and meatball appearance’ as shown in the image
below. What is the most likely organism?
O1:
Malassezia
O2:
Trichophyton
O3:
Chlamydospores
O4:
Candida
Ans: 1

Topic: Obstetrics
Sub-Topic:
What does of folic acid is recommended for a woman who wants to become pregnant but has
a history of pregnancy complicated with a neural tube defect?
O1:
400 mcg/day
O2:
1 mg/day
O3:
2 mg/day
O4:
4 mg/day
Ans: 4

Subject: Psychiatry
Topic: Substance-Related and Addictive Disorders
Sub-Topic:
A patient stopped alcohol consumption for 3 days and presented with irritability, disorientation,
paranoid delusions, agitation, visual hallucinations, and altered sensorium. What is the likely
diagnosis in this case?
O1:
Delirium tremens
O2:
Wernicke’s encephalopathy
O3:
Korsakoff psychosis
O4:
Alcohol-induced psychosis
Ans: 1

Subject: Surgery
Topic: Urology
Sub-Topic:
A 50-year-old male patient presents with scrotal swelling. On examination, one can feel the
testis separate from the scrotal swelling and the swelling shows transillumination.
O1:
Spermatocele
O2:
Epididymal cyst
O3:
Secondary hydrocele
O4:
Primary hydrocele
Ans: 1

Topic: Parasitology
Sub-Topic:
A 55 year old man comes with complaints of fever and increasing fatigue for the past week.
On examination, he is febrile, hypotensive and tachycardic. The findings of microscopic
examination of his peripheral blood smear is given below. What is the causative agent?
O1:
Plasmodium vivax
O2:
Plasmodium falciparum
O3:
Plasmodium ovale
O4:
Plasmodium malariae
Ans: 2

Subject: Medicine
Sub-Topic:
________ excreted in the urine are used as a screening test for pheochromocytoma.
O1:
Urinary metanephrines and VMA
O2:
Albumin
O3:
5-HIAA
O4:
Glucose
Ans: 1

Topic: Pharmacology in 12 Weeks
Sub-Topic:
A patient who is a known case of chronic obstructive pulmonary disease who is on inhaled
salmeterol therapy presents to the outpatient department with complaints that there is no
improvement. Which of the following drugs can be added to his regime?
O1:
Theophylline
O2:
Azithromycin
O3:
Oral glucocorticoids
O4:
Ipratropium
Ans: 4

Subject: Surgery
Topic: Urology
Sub-Topic:
A 33 year old man was referred to the surgery OPD from the infertility clinic. On inspection, the
scrotum appeared as in the image. On palpation, a bag of worms sensation was felt. What is
the most likely diagnosis?
O1:
Hydrocele
O2:
Varicocele
O3:
Testicular torsion
O4:
Epididymo Orchitis
Ans: 2

Subject: Psychiatry
Topic: Neurotic, Stress-Related and Somatoform Disorders
Sub-Topic:
A 20-year-old lady presents with sudden palpitations, sweating, breathlessness, and a feeling
like she is being choked. She had a history of a COVID-19 infection 1 year ago and fears she
might die because she was positive for COVID-19. Physical examination, ECG, and laboratory
workup were unremarkable. This is the first time she is experiencing an episode like this which
lasts normally for around 20 minutes. What is the most likely diagnosis?
O1:
Post-traumatic stress disorder
O2:
Bipolar disorder
O3:
Depression
O4:
Panic attack
Ans: 4

Topic: Mycology
Sub-Topic:
A patient presented with a black, foul-smelling discharge from the nose. On examination,
blackish necrotic mass filling the nasal cavity and eroding the septum and hard palate were
seen. What is the most important risk factor for this disease?
O1:
Hypothyroidism
O2:
Diabetes
O3:
Hypertension
O4:
Foreign body
Ans: 2

Subject: Surgery
Sub-Topic:
An elderly male patient presented with purulent discharge from an opening located in the
perianal region. The patient is put in a lithotomy position and the opening is located at the 11
o’clock position, 4cm from the anal margin. What will be the likely position of the internal
opening and where does the internal opening start?
O1:
12 o’clock and at external anal sphincter
O2:
11 o’clock and at internal anal sphincter
O3:
9 o’clock and at anal verge
O4:
6 o’clock and crypt of the dentate line
Ans: 4

Topic: Respiratory Pharmacology
Sub-Topic:
A patient who is a known case of chronic obstructive pulmonary disease who is on inhaled
salmeterol therapy presents to the outpatient department with complaints that there is no
improvement. Which of the following drugs can be added to his regime?
O1:
Theophylline
O2:
Azithromycin
O3:
Oral glucocorticoids
O4:
Ipratropium
Ans: 4

Subject: Surgery
Sub-Topic:
Pressure greater than __ mm of Hg causes pressure sores.

O1:
30
O2:
40
O3:
50
O4:
60
Ans: 1

Subject: Psychiatry
Topic: Schizophrenia Spectrum and Other Psychotic Disorders
Sub-Topic:
43-year-old presents to the emergency department accompanied by police. He came to the

police station accusing his daughter of wanting to kill him. The police on investigating the
family and the neighbors understood that it was a false accusation. His physical examination
is not remarkable. What is the most likely diagnosis here?
O1:
Delusional disorder
O2:
Illusions
O3:
Cotard syndrome
O4:
Hallucinations
Ans: 1

Topic: Virology
Sub-Topic:
A 3 year old male child was brought to your clinic with an erythematous rash on the cheek
which later spread downwards to involve his trunk and limbs. He has also had a low-grade
fever, headache, and mild upper respiratory tract infection for the past few days. The
suspected organism contains single-stranded DNA. What is the most likely diagnosis?
O1:
Scarlet fever
O2:
Erythema infectiosum
O3:
Exanthema subitum
O4:
Rubeola
Ans: 2

Topic: Renal Pharmacology
Sub-Topic:
A patient was brought to the hospital following a road traffic accident. The patient was
disoriented. CT head showed no evidence of hemorrhage, but features of cerebral edema and
raised intracranial pressure was seen. Which of the following drugs can be used for the initial
management of raised intracranial pressure?
O1:
Furosemide
O2:
Mannitol
O3:
Acetazolamide
O4:
Glycerol
Ans: 2

Topic: Virology
Sub-Topic:
Condyloma Accuminata is most commonly caused by.

O1:
HPV 31,33
O2:
HPV 6,11
O3:
HPV 16,18
O4:
HPV 16,11
Ans: 2
Sub-Topic:
A 30 year old man joins a pilgrimage to a shrine at a mountain peak. At the summit, he
develops tightness in the chest, associated with breathlessness and altered sensorium. Which
of the following can be given for symptomatic relief?
O1:
Mannitol
O2:
Digoxin
O3:
Diltiazem
O4:
Acetazolamide
Ans: 4

Subject: Psychiatry
Topic: Sexual Disorders
Sub-Topic:
A 30-year-old woman brought to the psychiatric OPD by her friend says her boss is in love
with her and stalks her. The woman’s friend refutes her claims. What is your diagnosis?
O1:
Megalomania
O2:
Delusion of reference
O3:
Delusion of control
O4:
Erotomania
Ans: 4

Topic: CNS Pharmacology
Sub-Topic:
The parents of a 9 year old girl have noticed their often staring blankly which is at times,
associated with chewing movements. There were also complaints of daydreaming and a
decline in school performance. During the episodes, she does not have a problem with
maintaining the posture nor were there generalized tonic and clonic movements. The EEG of
the child is given below. Which of the following is a first-line agent to treat this condition?
O1:
Carbamazepine
O2:
Phenytoin
O3:
Sodium valproate
O4:
Clonazepam
Ans: 3

Sub-Topic:
Which of the following drugs can cause gynecomastia?

O1:
Tamoxifen
O2:
Oxytocin
O3:
Spironolactone
O4:
Clomiphene citrate
Ans: 3

Subject: Radiology
Topic: Gastrointestinal Radiology
Sub-Topic:
The characteristic appearance of the esophagus on barium swallow, as shown in the image
below, is seen in which of the following conditions?
O1:
Diffuse oesophageal spasm
O2:
Esophageal carcinoma
O3:
Esophageal ulcer
O4:
Achalasia cardia
Ans: 1
Subject: Surgery
Topic: Urology
Sub-Topic:
A patient diagnosed with renal cell carcinoma is found to have a tumor that is 10 cm in size,
situated at the lower pole of the kidney with negative regional lymph nodes. Which of the
following is the preferred management for this patient?
O1:
Radical nephrectomy
O2:
Patrial nephrectomy
O3:
Radiotherapy
O4:
Chemotherapy
Ans: 1

Subject: Pediatrics
Topic: Pediatric Respiratory Disorders
Sub-Topic:
A 5-year-old male with known history of asthma developed sudden onset breathlessness and
wheezing. He was rushed to the emergency, where the preliminary assessment was done.
The pulse is 140/min, respiratory rate 28/min, and the FEV1 is 40% of the predicted value.
Which of the following is the best next step in treatment in this case?
O1:
A high concentration of oxygen should be given by a face mask + Salbutamol nebulization
O2:
High doses of SABA to be given by a nebulizer only
O3:
Sedatives should be added to alleviate anxiety
O4:
Nebulized anticholinergics to be added immediately as the mainstay of treatment
Ans: 1

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 60 year old man with a history of COPD presents with sudden onset increased shortness of
breath. His ABG analysis reveals pH – 7.24; pCO2 – 60 mm Hg, pO2 – 52 mmHg, HCO3 – 27
mmol/L. What is the most appropriate treatment form the following:
O1:
Endotracheal intubation
O2:
Invasive positive pressure ventilation
O3:
Non-invasive positive pressure ventilation (NIPPV)
O4:
Lung volume reduction surgery
Ans: 3

Subject: Pediatrics
Sub-Topic:
A child who was fed only on rice water presents with a swollen belly and dull face. His
appearance is of a fat have low serum protein and low albumin. What is the probable
diagnosis?
O1:
Kwashiorkor
O2:
Marasmus
O3:
Indian childhood cirrhosis
O4:
Kawasaki disease
Ans: 1

Topic: Gynecology
Sub-Topic:
Marsupialization is an ideal treatment of choice for condition X involving the female

reproductive tract, the lesion responsible for condition X is located at?
O1:
Perineal body
O2:
Bartholin gland
O3:
Vagina
O4:
Cervix
Ans: 2

Subject: Radiology
Topic: Thoracic Radiology
Sub-Topic:
Identify the heart chamber marked in the given CT image.
O1:
Right atrium
O2:
Right ventricle
O3:
Left ventricle
O4:
Left atrium
Ans: 4

Topic: Virology
Sub-Topic:
A 12 year old boy is brought to the OPD with complaints of fever, ear pain, and difficulty in
swallowing for 1 week. On examination, there is testicular swelling, and his jaw is shown
below. What is the most likely diagnosis?
O1:
Croup
O2:
Mumps
O3:
Infectious mononucleosis
O4:
Herpangina
Ans: 2

Topic: Gynecology
Sub-Topic:
During your internship, you notice the following instrument being used by the senior resident.
The uses of this instrument include all the following except—
O1:
To differentiate between chronic inversion and fibroid polyp
O2:
It is used to diagnose cervical stenosis
O3:
It is used in Fallopian tube recanalization
O4:
It is used to measure the uterine cavity and the cervical length
Ans: 3

Subject: Surgery
Topic: Urology
Sub-Topic:
A patient with a left-sided scrotal mass is being evaluated; the mass is found to be hard in
consistency with irregular margins with no reduction on lying down or on manipulation and no
cough impulse but with fullness in para-aortic lymph nodes. What is the most probable
diagnosis?
O1:
Hydrocele
O2:
Direct inguinal hernia
O3:
Indirect inguinal hernia
O4:
Metastasising testicular tumor
Ans: 4
Topic: Systemic Bacteriology
Sub-Topic:
A 45 year old man presents with fever, headache, photophobia, and neck rigidity for the last 2
days. He had undergone a heart transplant one year back and is on immunomodulatory drugs.
A lumbar puncture was taken in view of meningitis which showed reduced glucose, increased
protein, and increased leukocytes with predominant neutrophils. On microscopy, differential
motility was seen, non-motile at 37 degrees and tumbling motility at 25 degrees. What is the
most likely organism causing this?
O1:
Listeria
O2:
Streptococcus
O3:
Staphylococcus
O4:
Giardia lamblia
Ans: 1

Topic: Gynecology
Sub-Topic:
A 56-year-old multiparous woman presented with grade II/III uterine prolapse with cystocele.
She complains of passing urine on coughing and sneezing. What is the type of urinary
incontinence seen in this patient?
O1:
Overflow incontinence
O2:
Urge incontinence
O3:
Stress incontinence
O4:
Neurogenic bladder
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
A 30 year old man presented with excessive fatigability towards the end of the day that
improved with rest. He also gives a history of ptosis, difficult in speech and swallowing. What
is the most likely diagnosis?
O1:
Myasthenia gravis
O2:
Lambert-Eaton syndrome
O3:
Duchenne muscular dystrophy
O4:
Systemic lupus erythematosus
Ans: 1

Topic: CVS Pharmacology
Sub-Topic:
What is the mechanism of action of alteplase, a tissue plasminogen activator(tPA)?

O1:
Inhibits vit K dependent factors
O2:
Inhibits factor X
O3:
Promotes fibrinolysis
O4:
Activation of thrombin
Ans: 3

Subject: Surgery
Sub-Topic:
Best prognosis among the following breast cancer subtypes is for

O1:
Luminal A
O2:
Luminal B
O3:
ER negative
O4:
Basal like
Ans: 1

Sub-Topic:
A patient presented with complaints of fever for 3 days and general fatigue. On examination,
splinter hemorrhages were seen. Echocardiography revealed vegetations on the valves and
thus a blood culture as done. The organism in the culture was seen as cocci in chains that
showed alpha hemolysis on blood agar and was resistant to optochin and bile. Which of the
following bacteria is most commonly implicated in this condition?
O1:
Streptococcus pyogenes
O2:
Streptococcus sanguis
O3:
Enterococcus
O4:
Streptococcus agalactiae
Ans: 2

Subject: Medicine
Topic: Neurology
Sub-Topic:
A patient came to casualty complaining of a severe headache. On examination, there was no

focal neurological deficit. However, neck rigidity was present. The casualty medical officer
ordered an emergency CT which revealed the following finding. What is the likely diagnosis?
O1:
Subdural hemorrhage
O2:
Pituitary apoplexy
O3:
Subarachnoid hemorrhage
O4:
Pituitary carcinoma
Ans: 3

Subject: Radiology
Topic: Genitourinary Radiology
Sub-Topic:
What is the imaging modality being used and the diagnosis in the given below of the kidneys?
O1:
MRI of polycystic kidney disease
O2:
CT of polycystic kidney disease
O3:
MRI of Horseshoe kidney
O4:
CT of Horseshoe Kidney
Ans: 1

Topic: Respiratory Pharmacology
Sub-Topic:
A pregnant lady was diagnosed with extensively drug-resistant TB. Which of the following
drugs is unsafe for this lady?
O1:
Amoxicillin
O2:
Clofazimine
O3:
Kanamycin
O4:
Linezolid
Ans: 3
Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 72-year-old man presented with weight loss, decreased appetite, and iron deficiency
anemia. Chest x-ray was done and given below. What is the diagnosis?
O1:
Lung metastasis
O2:
Bronchogenic carcinoma
O3:
Miliary tuberculosis
O4:
Mesothelioma
Ans: 1
Sub-Topic:
A 70-year-old woman was diagnosed with right leg cellulitis and was admitted to hospital for 3
days. She was prescribed clindamycin. Two days after her discharge, she developed diarrhea
and abdominal pain. Her temperature was 38.8 degrees. Her blood reports revealed a Hb
level of 12g/dI; WBC count of 18,000/mm3; CRP of 160 mg/I. What is the most probable
etiological agent?
O1:
Clostridium coli
O2:
Escherichia coli
O3:
Norovirus
O4:
Rotavirus
Ans: 1

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 55 year old construction factory worker presents with dyspnoea he has been working in this
industry for the past 25 years. Which is the most specific malignancy that we can expect in this
patient?
O1:
Adenocarcinoma of lung
O2:
Malignant mesothelioma
O3:
Small cell carcinoma of lung
O4:
Squamous cell carcinoma of lung
Ans: 2

Topic: Drugs Affecting Blood and Blood formation
Sub-Topic:
In patients with indications for warfarin usage, what is the recommended range of INR in a
patient with mechanical heart valves?
O1:
1.0-1.5
O2:
2.0-3.0
O3:
2.5-3.5
O4:
3.5-4.5
Ans: 3

Sub-Topic:
A patient has complaints of fever with a mild headache associated with some difficulty in
swallowing. A throat examination reveals swollen glands and a thick, whitish membrane over
his tonsils which bleeds on scraping the lesion. A sample is taken from the exudate and a
gram stain is done, which is as shown below. What is the organism associated with the
disease?
O1:
Parvovirus
O2:
HHV6
O3:
Corynebacterium diphtheria
O4:
Beta hemolytic streptococci
Ans: 3

Subject: PSM
Topic: Communicable and Non-communicable Diseases
Sub-Topic:
A patient from a North-Eastern state was diagnosed to have an infection with P. Falciparum
malaria. What is the most appropriate treatment for this patient?
O1:
Artemether plus lumefantrine
O2:
Sulfadoxine plus pyrimethamine
O3:
Chloroquine
O4:
Mefloquine
Ans: 1

Subject: Radiology
Topic: Thoracic Radiology
Sub-Topic:
In which condition is popcorn calcification seen?

O1:
Hodgkin’s lymphoma
O2:
Pulmonary hamartoma
O3:
Metastasis
O4:
Fungal ball
Ans: 2

Subject: Pediatrics
Topic: Pediatric Gastroenterology
Sub-Topic:
A 3-day-old male neonate who has not yet passed meconium developed abdominal
distension. There is no history of fever. On rectal examination, forceful expulsion of stool was
observed. A barium enema is performed, and the findings are shown in the image below.
Which of the following is the fold standard for the diagnosis of the above condition?
O1:
Ultrasonography
O2:
MRI abdomen
O3:
Rectal biopsy
O4:
Anorectal manometry
Ans: 3

Topic: Obstetrics
Sub-Topic:
A 22 year old primigravida at 10 weeks gestation comes to the ER with nausea, vomiting, and
abdominal pain. Nausea and vomiting began one day back and now the patient is unable to
tolerate fluids. She complains of pain in the right upper quadrant which started a few hours
back. On examination, her temperature is 100.2 F, the pulse is 119 bpm and her BP is 110/70
mm of Hg. She has swelling of her lower limbs up to the ankles bilaterally. Abdominal
examination shows a gravid uterus corresponding to 10 weeks of gestation and tenderness in
the right upper quadrant, with mild guarding and is diagnosed as acute appendicitis. What is
the next step of management?
Complete blood count
● Haemoglobin: 11g/dl
● Leukocytes: 13,000 cells/µl
● Platelets: 150,000 cells/µl
Liver function tests
● Aspartate transaminase (AST): 40U/L
● Alanine transaminase (ALT): 48U/L
Urinalysis
● Protein: negative
● Pus cells: 1-2/HPF
● Bacteria: none
USG abdomen:
Reveals a 7mm diameter, aperistaltic, non-compressible, dilated, blind-ending structure arising
from the base of the caecum.
O1:
Do appendicectomy
O2:
Wait till 2ndtrimester
O3:
Conservative management
O4:
Reassurance
Ans: 1

Sub-Topic:
A patient was diagnosed with TB and while testing for resistance he was found to be resistant
to Isoniazid, Rifampicin, Amikacin, and Ofloxacin. What is this type of TB called?
O1:
Poly-drug resistant TB
O2:
Multi drug sensitive TB
O3:
Extensively drug resistant TB
O4:
Rifampicin resistant TB
Ans: 3

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A 60 year old male patient comes to your clinic with an 8-month history of shortness of breath
and non-productive cough. He has smoked half a pack of cigarettes for the past 30 years. On
physical examination, clubbing is seen and fine crackles are heard on both sides during
inspiration. You perform pulmonary function tests and it shows an FVC of 78% and FEV1/FVC
ratio of 92%. You request a CT scan of the chest. What is the most probable diagnosis?
O1:
Bronchial asthma
O2:
Pulmonary fibrosis
O3:
Pulmonary tuberculosis
O4:
Chronic obstructive pulmonary disease
Ans: 2

Sub-Topic:
A 53 year old female was diagnosed with breast cancer. She was managed appropriately and
was advised to start chemotherapy. Further investigations were done that revealed she had
heart failure as well. Which of the following drugs would you avoid in this patent?
O1:
Methotrexate
O2:
Epirubicin
O3:
Cyclophosphamide
O4:
Cisplatin
Ans: 2

Topic: Gynecology
Sub-Topic:
Which filter is used in a colposcope?

O1:
Black
O2:
Red
O3:
Green
O4:
Yellow
Ans: 3

Subject: PSM
Topic: Concept of Health and Disease
Sub-Topic:
The best method of teaching an urban slum about ORS is –

O1:
Lecture
O2:
Roleplay
O3:
Flashcards
O4:
Demonstration
Ans: 4

Sub-Topic:
Which of the following stains is used for the diagnosis of mycobacterium tuberculosis
infection?
O1:
Gomori Methenamine silver
O2:
Perl’s Prussian blue
O3:
Ziehl-Neelsen stain
O4:
Masson-Fontana stain
Ans: 3

Topic: GIT Pharmacology
Sub-Topic:
Which of the following is the most common side effect of orlistat?

O1:
Acute kidney injury
O2:
Osteoporosis
O3:
Steatorrhea
O4:
Colorectal cancer
Ans: 3

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
What is the most commonly seen pattern in chest CT of patients affected with COVID-19?
O1:
Interlobular septal thickening
O2:
Air bronchograms
O3:
Ground glass opacity
O4:
Crazy paving pattern
Ans: 3

Topic: Gynecology
Sub-Topic:
Which serotype of HPV is responsible for Ca Cervix?

O1:
16,19,31,32
O2:
16,18,31,32
O3:
16,19,31,33
O4:
16,18,31,33
Ans: 4

Topic: General Microbiology
Sub-Topic:
E.coli can be grown best in which of the following media?

O1:
Chocolate agar
O2:
Thyer-Martin
O3:
SDA agar
O4:
Mac-Conkey agar
Ans: 4

Subject: Pediatrics
Topic: Pediatric Neurology
Sub-Topic:
In a child presenting with febrile seizures, which is the first-line drug used to control the
seizures?
O1:
Sodium valproate
O2:
Phenytoin
O3:
Midazolam
O4:
Phenobarbitone
Ans: 3
Topic: CNS Pharmacology
Sub-Topic:
A patient with symptoms of psychosis is prescribed aripiprazole. Which of the following best
describes this drug, when compared to other antipsychotic drugs?
O1:
No intrinsic activity, high affinity for D2 receptor, less extrapyramidal symptoms and more
weight gain
O2:
High intrinsic activity, no affinity for D2 receptor, more extrapyramidal symptoms and less
weight gain
O3:
Low intrinsic activity, high affinity for D2 receptor, less extrapyramidal symptoms and less
weight gain
O4:
High intrinsic activity, high affinity for D2 receptor, less extrapyramidal symptoms and less
weight gain
Ans: 3

Subject: Medicine
Topic: Hematology
Sub-Topic:
Following gastrectomy, the patient is most likely to have which of the following?
O1:
Folic acid deficiency
O2:
Vitamin B12 deficiency
O3:
Gastric ulcer
O4:
Constipation
Ans: 2

Sub-Topic:
A truck driver came with complaints of a painless indurated genital ulcer after unsafe
intercourse. Which of the following can be used to diagnose the condition in a low-resource
setting when an active ulcer is present?
O1:
Dark field microscopy
O2:
Fluorescent treponema antibody absorption
O3:
Venereal disease research laboratory test
O4:
Treponema pallidum immobilization test
Ans: 1

Subject: Medicine
Topic: Hematology
Sub-Topic:
A 68 year old male came to the physician with complaints of chronic back pain and easy
fatigability and past history of multiple urinary tract infections in the last 3 months. His ESR is
elevated and an x-ray of his skull is shown below. Which of the following investigations is
useful for diagnosis?
O1:
MRI brain
O2:
PET scan
O3:
Head CT scan with contrast
O4:
Serum electrophoresis
Ans: 4

Topic: Autacoids
Sub-Topic:
A 40 year old male presents with diffuse abdominal pain. He has a known history of chronic
NSAID’s usage. Physical examination reveals rigidity. X-ray abdomen is as shown below.
What is the diagnosis?
O1:
Intestinal obstruction
O2:
Pericarditis
O3:
Peptic ulcer perforation
O4:
Gallstones
Ans: 3

Subject: Pediatrics
Topic: Pediatric Endocrinology
Sub-Topic:
A 31-year-old lady with diabetes mellitus delivers a term neonate. Which of the following
problems may be associated with the baby born to this lady?
O1:
Hyperglycemia
O2:
Tetralogy of Fallot
O3:
Hypercalcemia
O4:
Hypoglycemia
Ans: 4

Topic: Obstetrics
Sub-Topic:
A woman with a history of infertility is on treatment with HMG. She presented the following
findings in the USG. What is the most likely diagnosis?
O1:
Ovarian hyperstimulation syndrome
O2:
Theca lutein cyst
O3:
PCOD
O4:
None
Ans: 1

Topic: Immunology
Sub-Topic:
One of the effector mechanisms in cell-mediated immunity involves identifying and lysing
target cells whose membrane surface antigens are bound by specific antibodies. NK cells are
one of the effector cells capable of this process. What other cells are capable of this process?
O1:
Natural killer (NK) cells only
O2:
Macrophages only
O3:
Neutrophils and eosinophils
O4:
Neutrophils only
Ans: 3

Subject: Medicine
Topic: Emergency Medicine
Sub-Topic:
A man was working in a field and he suddenly collapsed on a hot summer afternoon. On
examination there were no physical signs of dehydration but radial pulse was present. His
serum electrolytes level was normal. The doctor found that the body temperature was 106
degrees Fahrenheit. Which of the following should be given as first aid in this case?
O1:
Inject epinephrine immediately
O2:
Cover with hot damp sheets
O3:
Cover with cool damp sheets
O4:
Start CPR
Ans: 3

Subject: Pediatrics
Sub-Topic:
Which of the following statements is incorrect about colostrum?
O1:
It is the breastmilk that is seen in the initial 3-4 days
O2:
It is yellow in color
O3:
Contains large number of antibodies
O4:
Contains high amount of lactose and low amounts of protein
Ans: 4

Subject: Physiology
Topic: The Nervous System
Sub-Topic:
A patient presents with symptoms as shown in the image below:

1. shows the site of the lesion
2. has loss of proprioception, vibration, and discriminative touch on the same side, and
3. has loss of pain and temperature beginning one or two segments below the side of the
lesion on the contralateral side.
What is the most likely diagnosis?
O1:
Weber’s syndrome
O2:
Dejerine syndrome
O3:
Brown Sequrad syndrome
O4:
Wallenberg syndrome
Ans: 3

Sub-Topic:
A 21 year old girl who presented with multiple beefy-red painless ulcers over the vulval region
is diagnosed with granuloma inguinale. What is the causative organism?
O1:
Chlamydia trachomatis
O2:
Klebsiella granulomatis
O3:
Haemophilus ducreyi
O4:
Herpes simplex virus
Ans: 2

Subject: Medicine
Topic: Hematology
Sub-Topic:
A 50 year old man presents to you with features of anemia, fever, and recurrent nosebleeds.
On examination there is hepatosplenomegaly, Lab investigations revealed: Hb = 6g/dL, TLC
count = 40,000/cu.mm with 10% blasts and platelet count = 12,000/cu.mm. On further
investigation, t(8;21) was detected in the blasts. What is the diagnosis?
O1:
Acute lymphoblastic leukemia
O2:
Acute myeloblastic leukemia
O3:
Preleukemia
O4:
Aleukemic leukemia
Ans: 2

Topic: Gynecology
Sub-Topic:
Serial monitoring of serum beta hCG is required for which of the following conditions?
O1:
Downs syndrome
O2:
Pregnancy-associated with Neural tube defects
O3:
Molar pregnancy
O4:
Rh negative pregnancy
Ans: 3

Sub-Topic:
A farmer with a history of flea bite in a godown presents with the features of high fever, painful
inguinal lymphadenopathy, vomiting and diarrhea and hypotension. Smears prepared from the
discharge of these swellings revealed bacteria with bipolar staining. Which stain will help in the
diagnosis?
O1:
Neisser stain
O2:
Wayson’s stain
O3:
Albert’s stain
O4:
Mc fadyeans stain
Ans: 2

Subject: Medicine
Topic: Liver
Sub-Topic:
A 20 year old male presented with a 11 week history of yellow skin and sclerae but is
otherwise asymptomatic. He gives a history of viral infection of 10 days back. There is a
history of a similar episode of icterus 2 years back for a period of 2 weeks. On further
questioning, he adds that he used to have long basketball practice hours 2 years back and he
used to be physically drained during that period. The current serum bilirubin is 2.4 mg/dL,
unconjugated bilirubin 2.1 mg/dl, conjugated bilirubin is 0.3mg/dl. Serum AST and ALT levels
are normal. Which of the following is the most likely diagnosis?
O1:
Dubin-Johnson syndrome
O2:
Crigler-Najjar type 1 syndrome
O3:
Gilbert syndrome
O4:
Rotor syndrome
Ans: 3

Subject: Pediatrics
Topic: Musculoskeletal Disorders in Children
Sub-Topic:
Dystrophin protein is absent completely in which of the following diseases?

O1:
Becker’s Muscular Dystrophy
O2:
Duchenne muscular dystrophy
O3:
Myasthenia gravis
O4:
Lambert Eaton myasthenic syndrome
Ans: 2

Topic: Virology
Sub-Topic:
A 13 year old girl has had 4 episodes of meningitis over the last 4 years, with the disease
lasting a few days at a time, leaving slowly resolving neurological symptoms such as visual
and memory loss. A CSF cytology shows lymphocytic pleocytosis and a diagnosis of
Mollaret’s meningitis is made. Which organism is implicated here?
O1:
Measles virus
O2:
Mumps virus
O3:
Herpes simplex virus
O4:
Rubella virus
Ans: 3

Subject: Physiology
Topic: Gastrointestinal System
Sub-Topic:
Following complete ileal and partial jejunal resection, the patient is most likely to have—
O1:
Folic acid deficiency
O2:
Vitamin B12 deficiency
O3:
Gastric ulcer
O4:
Constipation
Ans: 2

Subject: Medicine
Topic: Hematology
Sub-Topic:
A 7 month old child presents with Hb 6.3 with a history of repeated blood transfusions.
Investigations show MCV-70fl, MCH-normal, MCHC-normal, and peripheral smear showed a
hypochromic microcytic picture. Which of the following investigations should be done next in
this child?
O1:
Serum iron
O2:
Direct coomb’s test
O3:
Osmotic fragility test
O4:
Hb electrophoresis
Ans: 4

Subject: Physiology
Topic: Endocrine and Reproductive System
Sub-Topic:
A mother complains of cramps in her breasts while breastfeeding her child. Which hormone is
responsible for this?
O1:
Progesterone
O2:
Estrogen
O3:
Prolactin
O4:
Oxytocin
Ans: 4

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A patient was admitted to the ICU 48 hours after the fracture of the femur. The saturation of
oxygen in the rebreathing unit was 100% but his SpO2 remained at 60%. The patient is in a
state of confusion. Chest radiograph showed lung fields to be clear. What is the most likely
diagnosis?
O1:
Pulmonary embolism
O2:
Fat embolism
O3:
ARDS
O4:
Occult pneumothorax
Ans: 2

Subject: Physiology
Topic: Respiratory System
Sub-Topic:
Which of the following conditions will shift the oxygen-Hb dissociation curve to the left?
O1:
Hypoxia
O2:
Hypercarbia
O3:
Alkalosis
O4:
Increase in 2,3-DPG
Ans: 3

Subject: Pediatrics
Topic: Pediatric Cardiology
Sub-Topic:
A 6-year-old child was brought to her pediatrician for routine well-child care. Her physical
examination is normal except for a systolic murmur and a widely split-second heart sound that
does not vary with respiration. She has no family history of heart disease. Which among the
O1:
Total anomalous pulmonary venous connection
O2:
Ventricular septal defect
O3:
Atrial septal defect
O4:
Pulmonic stenosis
Ans: 3

Subject: PSM
Sub-Topic:
The number of maternal deaths per 100,000 live births is called—

O1:
Maternal mortality rate
O2:
Maternal mortality ratio
O3:
Infant mortality rate
O4:
Perinatal mortality rate
Ans: 2

Subject: Physiology
Topic: General Physiology
Sub-Topic:
Which of the following cell organelles is associated with killing bacteria and viruses?
O1:
Peroxisomes
O2:
Lysosomes
O3:
Golgi complex
O4:
Ribosomes
Ans: 2

Subject: Medicine
Topic: Pulmonology
Sub-Topic:
A resident is evaluating a patient, who presented with acute onset of chest pain and dyspnea,
for pulmonary embolism. Which of the following imaging tests should be performed to confirm
this diagnosis?
O1:
Doppler echocardiography
O2:
CT pulmonary angiography
O3:
Ventilation perfusion scan of lungs
O4:
MR pulmonary angiography
Ans: 2

Subject: Pediatrics
Topic: Growth
Sub-Topic:
A child is brought to the pediatrician with short stature. On evaluation, growth hormone levels
are found to be high and insulin-like growth factor (IGF-1) levels are low. Which among the
following could be the abnormality here?
O1:
GH deficiency
O2:
GHRH deficiency
O3:
GH receptor anomaly
O4:
IGF-1 deficiency
Ans: 3

Subject: PSM
Topic: Nutrition and Health
Sub-Topic:
An 8-month-old baby on examination shows signs of vitamin A deficiency. What is the dose of
vitamin A to be administered to the baby?
O1:
25,000 IU IM
O2:
25,000 IU orally
O3:
100,000 IU orally
O4:
100,000 IU IM
Ans: 3

Subject: Orthopaedics
Topic: Spine + Pelvis + Lower Limb Traumatology
Sub-Topic:
A young male who had a road traffic accident is brought to the emergency department. His left
leg is shortened, internally rotated, and adducted. On examination, femoral artery pulsation is
not felt. A plain radiograph of his was taken which is shown below. What is your diagnosis?
O1:
Intertrochanteric fracture of the femur
O2:
Fracture neck of femur with injury to femoral vessels
O3:
Anterior dislocation of hip with femoral artery injury
O4:
Posterior dislocation of hip
Ans: 4

Topic: Gynecology
Sub-Topic:
A 27 year old woman presented with a malodorous discharge in the vagina which started a
week earlier. On examination, Whiff’s test positive and the gram stain shows the presence of
clue cells. This infection is commonly treated with which of the following?
O1:
Metronidazole
O2:
Nystatin pessary
O3:
Tetracycline
O4:
Azithromycin
Ans: 1
Subject: Radiology
Topic: Gastrointestinal Radiology
Sub-Topic:
Identify the investigation shown below which is the investigation of choice in distal bowel
tumors.
O1:
Enteroclysis
O2:
Barium meal
O3:
Barium meal follow-through
O4:
Barium enema
Ans: 1

Subject: Medicine
Topic: Rheumatology / Connective Tissue Disorder
Sub-Topic:
A patient presents with severe pain and swelling in his knee joint for 10 days. He also
complains of pain and discomfort during urination. He says that he had diarrhoea one mother
ago and he has been unwell since then. What is the most likely diagnosis?
O1:
Reactive arthritis
O2:
Enteropathic arthritis
O3:
Rheumatoid arthritis
O4:
Psoriatic arthritis
Ans: 1

Subject: PSM
Topic: Preventive Medicine in Obstetrics, Pediatrics and Geriatrics
Sub-Topic:
The pregnancy test kit launched by the government is called:

O1:
NISHCHAY
O2:
NIKSHAY
O3:
NIKUSTH
O4:
AXSHYA
Ans: 1

Subject: PSM
Sub-Topic:
Which of the following indicators is the best to know the overall burden of disease?
O1:
Quality-adjusted life years (QALY)
O2:
Health adjusted life expectancy (HALE)
O3:
Disability adjusted life years (DALY)
O4:
Disability-free life expectancy (DFLE)
Ans: 3
Topic: Gynecology
Sub-Topic:
A 14-year-old girl presented with cyclical abdominal pain and a midline hypogastric lump. She
has not achieved menarche yet. The per vaginal examination is shown below and a bluish
swelling is seen along with it. What is the likely cause of her condition?
O1:
Bartholin cyst
O2:
Transverse vaginal septum
O3:
Imperforate hymen
O4:
Endometrioma
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
A 20 year old male was brought for psychiatric evaluation for intellectual disability. On
examination, his IQ was 45. He has a long face, large ears, large testis and a cardiac murmur
and A history of poor intellectual function is present in the paternal family. What is his
diagnosis?
O1:
Cushing’s syndrome
O2:
Rett syndrome
O3:
Fragile X syndrome
O4:
William syndrome
Ans: 3

Sub-Topic:
Identify the diagnosis.
O1:
Syndactyly
O2:
Symphalangism
O3:
Polydactyly
O4:
Brachydactyly
Ans: 1

Subject: PSM
Topic: Environment and Health
Sub-Topic:
To avoid overcrowding, what is the maximum number of people allowed to live in a house with
2 rooms?
O1:
2 people
O2:
3 people
O3:
4 people
O4:
5 people
Ans: 3

Subject: Medicine
Topic: Neurology
Sub-Topic:
Treatment of Grade I Meningioma?
O1:
Reassurance
O2:
Surgical excision
O3:
Chemotherapy
O4:
Radiotherapy
Ans: 2

Topic: Gynecology
Sub-Topic:
Which of the following statements is incorrect regarding vasectomy?

O1:
The procedure is done under local anaesthesia
O2:
Sterility is achieved 3 weeks after the procedure
O3:
A no-scalpel technique is being widely used now
O4:
The vas deferens is the structure that is divided in the procedure
Ans: 2

Sub-Topic:
A 9-year-old boy is brought to the hospital with complaints of pain and limping. The symptoms
started 6 months back and gradually worsened. The child appears to be healthy with normal
height and weight. On examination, there is mild wasting on the right side, abduction
(especially in flexion), and internal rotation is limited due to pain. Which of the following is the
O1:
DDH (developmental dysplasia of hip)
O2:
Slipped capital femoral epiphysis
O3:
Perthes disease
O4:
Congenital coxa vara
Ans: 3

Subject: PSM
Topic: Epidemiology
Sub-Topic:
A study to determine the association between maternal smoking histories from pregnant
women during their antenatal visits and then subsequently assessing the birth weight of their
babies soon after delivery. What type of study is this?
O1:
Prospective cohort
O2:
Retrospective cohort
O3:
Case control
O4:
Cross sectional
Ans: 1

Subject: PSM
Sub-Topic:
Highest sodium content is present in which of the following foods:

O1:
Sugar cane
O2:
Barley
O3:
Canned soup
O4:
Fresh fruit juices
Ans: 3

Sub-Topic:
A 74-year-old man presented with low back pain that was radiating to his legs. On
examination of the spine, a palpable step was felt in the lumbosacral region. The x-ray of the
spine is given below. What is the likely diagnosis?
O1:
Spondylolysis
O2:
Spondylolisthesis
O3:
Disk prolapse
O4:
Spondylosis
Ans: 2

Subject: PSM
Topic: Allied Health Disciplines
Sub-Topic:
In controlled tipping, thee amount of land required for the trench method to be practiced for a
population of 10,000 is:
O1:
4 acres
O2:
5 acres
O3:
2 acres
O4:
1 acre
Ans: 4

Subject: PSM
Topic: Health Care of The Community in India
Sub-Topic:
The minimum requirements of a health worker job are given: should be a woman, a resident of
the village, 25 to 45 years old, and have a formal education till 10 th standard. What is the
health worker called?
O1:
Anganwadi worker
O2:
Nurse
O3:
Midwife
O4:
ASHA worker
Ans: 4

Topic: General + Upper Limb Traumatology
Sub-Topic:
What is the type of splint shown in the image called as?

O1:
Wrist splint
O2:
Cock-up splint
O3:
Knuckle bender splint
O4:
Dynamic finger splint
Ans: 2

Subject: PSM
Sub-Topic:
A diabetic patient comes to you for advice regarding his diet. You advise him to include foods
with a low glycemic index in the diet. Which of the following would you advise him for the
same?
O1:
Corn flakes
O2:
Brown rice
O3:
Sucrose
O4:
Papaya
Ans: 4
Subject: PSM
Topic: Biostatistics
Sub-Topic:
During your rural posting, you are asked to educate a small, uneducated village about the
importance of routine antenatal care for pregnant mothers. You want to deliver some statistical
data to emphasize its importance. Which of the following is the best way to do so?
O1:
Pictogram
O2:
Line diagram
O3:
Histogram
O4:
Frequency polygon
Ans: 1

Sub-Topic:
A patient sustained a fracture as depicted in the image, following a fall from height. What is
this fracture known as?
O1:
Open book fracture
O2:
Chauffeur fracture
O3:
Malgaigne fracture
O4:
Bucket handle fracture
Ans: 1

Subject: PSM
Sub-Topic:
Re-infection with which of the following will lead to catastrophic symptoms even in the
presence of antibodies?
O1:
Dengue
O2:
Yellow fever
O3:
Japanese encephalitis
O4:
Zika
Ans: 1

Subject: PSM
Sub-Topic:
A 20 year old female with a history of recent sexual intercourse presents to the Suraksha clinic
of the local primary health center with complaints of vaginal discharge and lower abdominal
pain. Based on the syndromic management of sexually transmitted infections, which of the
following kits will you prescribe to treat this patient?
O1:
Blue
O2:
Red
O3:
Black
O4:
Yellow
Ans: 4

Subject: PSM
Topic: Health Education and Communication
Sub-Topic:
When information is used to spread a particular systemized doctrine or a political viewpoint to

instill it in the minds of the people, what is it called?
O1:
Health doctrine
O2:
Health propaganda
O3:
Health education
O4:
Health information
Ans: 2

Subject: PSM
Sub-Topic:
Which of the following is used to reduce the selection bias in a clinical trial?
O1:
Selecting the population
O2:
Intervention
O3:
Randomization
O4:
Written informed consent
Ans: 3

Sub-Topic:
While examining a patient with a right forearm fracture, you ask him to make a fist. The
following finding is notes during this procedure. What is the sign called as?
O1:
Froment’s sign
O2:
Pointing index sign
O3:
Benediction sign
O4:
Policeman tip deformity
Ans: 2

Subject: PSM
Topic: Preventive Medicine in Obstetrics, Pediatrics and Geriatrics
Sub-Topic:
According to WHO, what is the minimum number of antenatal visits?

O1:
8
O2:
4
O3:
12
O4:
14
Ans: 1
Subject: PSM
Sub-Topic:
For a population of 10,000, what does a sex ratio of more than 1000 mean?
O1:
Males are less than 500
O2:
Females are less than 500
O3:
Males are less than 5000
O4:
Females are less than 5000
Ans: 3

Subject: PSM
Sub-Topic:
You are a doctor in a village. A 1 year old child who is not taking feeds presents with fever and
cough for 2 days. On examination, he is calm, with a respiratory rate of 51 breaths/min, and
stridor is present. According to IMNCI (integrated management of neonatal and childhood
illnesses). How is he classified?
O1:
Pneumonia
O2:
Cough and cold
O3:
Severe pneumonia
O4:
ARDS
Ans: 3

Subject: PSM
Topic: Family Planning and Contraceptives
Sub-Topic:
Which of the following is an absolute contraindication for the device shown in the image
below?
O1:
Anemia
O2:
Vaginal bleeding
O3:
Uterine malformations
O4:
Uterine fibroids
Ans: 2

Topic: Orthopedics Oncology
Sub-Topic:
A 30-year-old male patient presented with complaints of a gradually progressive swelling

around his wrist joint for 3 months. Given below is the image of the swelling and the X-ray film.
What is the most likely diagnosis?
O1:
Ewing’s sarcoma
O2:
Osteosarcoma
O3:
Osteoclastoma
O4:
Osteochondroma
Ans: 3

Sub-Topic:
A patient was diagnosed with supraspinatus tendinitis. What degree of movement of the
shoulder would be painful for this patient?
O1:
0-60 degree
O2:
60-120 degree
O3:
More than 120 degree
O4:
None of the above
Ans: 2
Subject: PSM
Topic: Demography and Health
Sub-Topic:
A couple has given birth to their first child. Based on the nuclear family cycle, which phase is
the family entering into?
O1:
Extension
O2:
Complete extension
O3:
Contraction
O4:
Completed contraction
Ans: 1

Subject: PSM
Sub-Topic:
Lung malignancy is most commonly associated with?

O1:
Asbestosis
O2:
Silicosis
O3:
Bagassosis
O4:
Byssinosis
Ans: 1

Subject: PSM
Topic: Social Sciences and Health
Sub-Topic:
Which of the following is responsible for maintaining the births and deaths in India?
O1:
Sample registration system
O2:
Census
O3:
Death certificate
O4:
Lay reporting
Ans: 1

Subject: PSM
Sub-Topic:
According to the biomedical waste disposal guidelines, the used cotton swabs should be
disposed of in the __ coloured bag.
O1:
Yellow
O2:
Red
O3:
Blue
O4:
Transparent
Ans: 1

Subject: PSM
Sub-Topic:
A patient presents to an ESI hospital for treatment. Under the ESI Act, he/she is treated under
which benefit?
O1:
Sickness benefit
O2:
Medical benefit
O3:
Maternity benefit
O4:
Dependent’s benefit
Ans: 2

Subject: PSM
Topic: Demography and Health
Sub-Topic:
When quarantine was introduced in the 14 th century for plague, how many days were people
who were suspected to have the infection quarantined for?
O1:
14 days
O2:
35 days
O3:
40 days
O4:
28 days
Ans: 3

Subject: PSM
Sub-Topic:
In a normal curve, what is the percentage of the distribution that falls within one standard
deviation of the mean?
O1:
68%
O2:
34%
O3:
99%
O4:
95%
Ans: 1

Subject: PSM
Sub-Topic:
If Bajra is mixed with black seeds, what is used to separate them?

O1:
20% salt water
O2:
Normal saline
O3:
10% salt water
O4:
Water
Ans: 1

Subject: ENT
Topic: Ear
Sub-Topic:
Which of the following are the objective tests for the hearing?
A. BERA (Brainstem evoked response audiometry)
B. OAE (Otoacoustic emission)
C. PTA (Pure tone audiometry)
D. Tympanometry
O1:
A, B and D
O2:
A, B and C
O3:
B, C and D
O4:
A, B, C and D
Ans: 1

Subject: Anatomy
Topic: Thorax
Sub-Topic:
Identify the arrow marked chamber.
O1:
Right atrium
O2:
Left atrium
O3:
Right ventricle
O4:
Left ventricle
Ans: 2

Subject: Anatomy
Topic: Upper Limb
Sub-Topic:
Biceps brachi functions as which type of muscle for lifting forearm ?

O1:
Synergistic
O2:
Fixator
O3:
Antagonist
O4:
Primary mover
Ans: 4

Subject: Anatomy
Topic: Lower Limb
Sub-Topic:
In knee flexion, lateral dislocation of patella is prevented by

O1:
Vastus medialis
O2:
Patellar ligament
O3:
Gracilis
O4:
Rectus femoris
Ans: 1

Topic: Cardiopulmonary Cerebral Resuscitation
Sub-Topic:
An unresponsive patient in ambulance on attachment of monitors showed following rhythm.

What should be done immediately?
O1:
Check for pulse and breathing
O2:
Chest compressions and defibrillation
O3:
Put the patient in left lateral position
O4:
Cardioversion
Ans: 2

Topic: Cardiopulmonary Cerebral Resuscitation
Sub-Topic:
A 23 year old female was having fever from last 1 week. On monitor following rhythm was
seen. Diagnosis?
O1:
Atrial fibrillation
O2:
Atrial flutter
O3:
Supra ventricular tachyarrhythmia
O4:
Ventricular tachyarrhythmia
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
DASH diet includes the following food except ?

O1:
Rich in potassium.
O2:
Rich in calcium
O3:
Rich in sodium
O4:
Rich in magnesium
Ans: 3

Topic: Introduction
Sub-Topic:
The subcellular organelle which is associated with killing of viruses and bacteria is ?
O1:
Peroxisome
O2:
Mitochondria
O3:
Lysosome
O4:
Golgi apparatus
Ans: 3

Topic: Carbohydrate Chemistry
Sub-Topic:
Enzyme deficient in Gaucher disease :

O1:
Betagalacto cerebrosidase
O2:
Betaglucocerebrosidase
O3:
Glucose-6-phosphate
O4:
Alpha glucocerebrosidase
Ans: 2

Subject: ENT
Topic: Larynx
Sub-Topic:
Diphtheria patient develops right vocal fold palsy. What will be the management?
O1:
Wait and watch
O2:
Gelfoam injection
O3:
Thyroplasty type 1
O4:
Fat injection
Ans: 1

Sub-Topic:
After 72 hours of Cessation of alcohol, which of the following withdrawal symptoms can be
withdrawal symptoms can be seen in alcoholic patients?
O1:
Seizures
O2:
Delirium tremens
O3:
TremorsTremors
O4:
Hallucinations
Ans: 2

Subject: Medicine
Topic: Cardiology
Sub-Topic:
A patient has presented with features of cardiac tamponade. Which of the following is a true
finding?
O1:
Pulsus Paradoxsus is always present
O2:
Kussmaul sign is always present
O3:
Tall A wave is present
O4:
Jugular veins column is visibly distended without pulsations
Ans: 4

Subject: Pediatrics
Topic: Neonatology
Sub-Topic:
Which is correct about ABO and Rh incompatibility leading to Erythroblastosis fetalis?

O1:
Cytotoxic
O2:
Cell mediated Hypersensitivity
O3:
Antigen-antibody reaction
O4:
Immune complex
Ans: 1

Subject: Medicine
Topic: Cardiology
Sub-Topic:
Young male had no symptoms, but auscultation reveals wide fixed split S2. The clinical
diagnosis is?
O1:
ASD
O2:
VSD
O3:
TOF
O4:
BAV
Ans: 1

Subject: Medicine
Sub-Topic:
Rhino-cerebral Mucor mycosis is associated with?

O1:
Diabetic ketoacidosis
O2:
Pregnancy
O3:
Antibiotics
O4:
Inhaled steroids
Ans: 1

Topic: Virology
Sub-Topic:
Reinfection with which of the following virus can lead to more severe disease with
complications?
O1:
Dengue
O2:
Rabies
O3:
Measles
O4:
Mumps
Ans: 1

Subject: PSM
Sub-Topic:
A patient is resistant to Isoniazid, Rifampicin, Ofloxacin and Kanamycin. What type of

resistance is being shown by the patient?
O1:
Multidrug resistance
O2:
Extensively drug resistant
O3:
Rifampicin resistant
O4:
Extremely drug resistant
Ans: 2

Subject: PSM
Topic: Health Education and Communication
Sub-Topic:
As a Medical Officer of a PHC, you want to talk and discuss health related issue with
Antenatal mothers. How many members will you include in focal group discussion
O1:
4-6
O2:
3-5
O3:
6-12
O4:
12-15
Ans: 3

Subject: PSM
Sub-Topic:
A couple brought their son to doctor. They were worried because their son likes to eat foods
from multinational companies. What will we call this shift from consumption of traditional
natural food to western fast foods?
O1:
Food transition
O2:
Social pathology
O3:
Acculturation
O4:
Demographic change
Ans: 3

Subject: Medicine
Sub-Topic:
A 65 YRS old male presented with weakness, lethargy, excessive cold intolerance, and slow
ankle jerk. On TFT, TSH was 16 Mu/L (Normal 0.4 - 4.0 mu / l and T4 – 0. 3 ng/dl (normal 0.6
- 1.6 ng / dl) and T3 – 70 pg /dl. What would be the most appropriate management?
O1:
Start levothyroxine at 100 micrograms and decrease the dose gradually
O2:
Start levothyroxine at 25 micrograms and increase the dose gradually
O3:
Start levothyroxine at 25 micrograms and decrease the dose gradually
O4:
Give T3 and T4 drugs simultaneously
Ans: 2

Subject: Surgery
Sub-Topic:
A patient presented with symptoms of dysphagia, retrosternal pain, and regurgitation with
coughing after meals. What is the diagnosis?
O1:
Brown Patterson Kelly syndrome
O2:
Achalasia
O3:
Esophageal diverticula
O4:
Reflux esophagitis
Ans: 3

Subject: Surgery
Sub-Topic:
A 40-year-old patient presented with a passage of mucus and blood in the stool. On
sigmoidoscopy, the inflammation was seen, mainly in the rectum. On biopsy, crypt abscess
was detected. What is the most probable diagnosis?
O1:
Ulcerative colitis
O2:
Irritable bowel syndrome
O3:
Crohn disease
O4:
Pseudomembranous colitis
Ans: 1

Sub-Topic:
Cholesterol is synthesized from?
O1:
Acetyl coA
O2:
Malonyl coA
O3:
Phenylalanine
O4:
Oxaloacetate
Ans: 1
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FMGE Dec 2021 PYQs

Ques No: 1,QuesID : 801492

Ques No: 2,QuesID : 801490

Ques No: 3,QuesID : 801495

Ques No: 4,QuesID : 801501

Ques No: 5,QuesID : 801503

Identify the tarsal bone labeled in the image below.

Ques No: 6,QuesID : 801507

Ques No: 7,QuesID : 801505

Ques No: 8,QuesID : 801509

Ques No: 9,QuesID : 801513

Which artery is being palpated in the image shown below?

Ques No: 10,QuesID : 801511

Which of the following is part of trotter’s triad, seen in nasopharyngeal carcinoma?

Ques No: 11,QuesID : 801523

The mask given below works on which of the following principles?

Ques No: 13,QuesID : 801520

Ques No: 14,QuesID : 801517

Ques No: 15,QuesID : 801531

During the pre-anesthetic evaluation of a patient, the oral

Ques No: 16,QuesID : 801529

Ques No: 17,QuesID : 801533

Ques No: 18,QuesID : 801541

Ques No: 20,QuesID : 801547

Ques No: 21,QuesID : 801522

Ques No: 22,QuesID : 801539

Ques No: 24,QuesID : 801551

Ques No: 25,QuesID : 801555

The fallopian tube is lined by.

Ques No: 26,QuesID : 801578

Ques No: 27,QuesID : 801576

Which of the following surgeries use this instrument?

Ques No: 28,QuesID : 801588

Ques No: 29,QuesID : 801584

Ques No: 30,QuesID : 801564

Ques No: 31,QuesID : 801594

What is the Battle sign?

Ques No: 32,QuesID : 801590

Ques No: 33,QuesID : 801592

At what level does the spinal cord end in infants?

Ques No: 34,QuesID : 801598

Ques No: 35,QuesID : 801602

Ques No: 36,QuesID : 801568

Ques No: 37,QuesID : 801593

Ques No: 38,QuesID : 801606

Ques No: 39,QuesID : 801582

Ques No: 40,QuesID : 801610

Identify the condition shown in the image.

Ques No: 41,QuesID : 801600

Ques No: 42,QuesID : 801608

Ques No: 43,QuesID : 801616

Ques No: 44,QuesID : 801604

The neurovascular plane of the abdominal wall lies

A 14-year-old male presented with recurrent epistaxis. There is no history of trauma

Ques No: 46,QuesID : 801622

Ques No: 47,QuesID : 801618

The false statement about cystic masses of the neck is:

Ques No: 48,QuesID : 801628

Ques No: 49,QuesID : 801624

Ques No: 50,QuesID : 801632