(Paper) Sample Paper For Medical Exams : Solved Version With Few Explanations (Pg- 3)

Paper : Sample Paper For Medical Exams : Solved Version With Few Explanations

Page -3

51. The following statements about meningococcal meningitis are true, except:

1. The source of infection is mainly clinical cases.
2. The disease is more common in dry and cold months of the year.
3. Chemoprophylaxis of close contacts of cases is recommended.
4. The vaccine is not effective in children below 2 years of age.

Ans. 1

52. The Protein Efficiency Ratio (PER) is defined as:

1. The gain in weight of young animals per unit weight of protein-consumed.
2. The product of digestibility coefficient and biological value.
3. The percentage of protein absorbed into the blood.
4. The percentage of nitrogen absorbed from the protein absorbed from the diet.

Ans. 1

53. The Vitamin A supplement administered in Prevention of nutritional blindness in children programme" contain:

1. 25,000 i.u./ml.
2. 1 lakh i.u./m.l.
3. 3 lakh i.u./m.l.
4. 5 lakh i.u./m.l.

Ans. 2

54. The syndromic management of urethral discharge includes treatment of:

1. Neisseria gonorrhoeae and herpes genitalis.
2. Chalamydia trachomatis and herpes genitalis.
3. Neisseria gonorrhoeae and Chlamydia trachomatis.
4. Syphilis and chancroid.

Ans. 3

55. Acantholysis is characteristic of:

1. Pemphigus vulgaris.
2. Pemphigoid.
3. Erythema multiforme.
4. Dermatitis hepetiformis.

Ans.1

56. Mummification refers to:

1. Hardening of muscles after death.
2. Colliquative putrifaction.
3. Saponification ofsubcutaneous fat.
4. Dessication of a dead body.

Ans. 4

 

57. A patient has been allegedly bitten by cobra snake. The venom in such a bite would be:

1. Musculotoxic.
2. Vasculotoxic.
3. Cardiotoxic.
4. Neurotoxic.

Ans. 4

58. All the following are related to legal responsibility of an insane person except.

1. Mc Naughten's rule
2. Durham's rule.
3. Curren's rule.
4. Rule of nine.

Ans. 4

 

59. All of the following infections are often associated with acute intravascular hemolysis except:

1. Clostridium tetani.
2. Bartonella bacilliformis.
3. Plasmodium falciparum.
4. Babesia microti.

Ans. 1

60. All of the following are the electrocardiographic features of severe hyperkalemia except.

1. Peaked T waves.
2. Presence of U waves.
3. Sine wave pattern.
4. Loss of P waves.

Ans. 2

61. The correct sequence of cell cycle is:

1. G0-G1-S-G2-M.
2 .G0-G1-G2-S-M.
3 .G0-M-G2-S-G1.
4 .G0-G1-S-M-G2.

Ans. 1

62. In suspected case of death due to poisoning where cadaveric rigidity is lasting longer than usual, it may be a case of poisoning due to:

1. Lead.
2. Arsenic.
3. Mercury.
4. Copper

Ans. 2 ?[putreficiation takes linger in arsenic poisonong but cadeveric rigidity?]

63. A 70 year old male patient presented with history of chest painand was diagnosed to have coronary artery disease. During routine evaluation, an ultrasound of the abdomen showed presence of gallabladder stones. There was no past history of biliary colic or jaundice. What is the best treatment advice for such a patient for his gallbladder stones.

1. Open cholecystectomy.
2. Laproscopic cholecystectomy.
3. No surgery for gallbladder stones.
4. ERCP and removal of gallbladder stones.

Ans. 3

64. Commonest cause of sporadic encephalitis is:

1. Japanese B Virus
2. Herpes Simplex Virus.
3. Human Immunadeficiency Virus.
4. Rubeola Virus.

Ans. 2

65. Raised serum level of lipoprotein (a) is a predictor of:

1. Cirrhosis of liver.
2. Rheumatic arthritis.
3. Atherosclerosis.
4. Cervical cancer.

Ans. 3

66. Haemorrhage secondary to heparin administration can be best corrected by administration of:

1. Vitamin K.
2. Whole blood.
3. Protamine.
4. Ascorbic acid.

Ans. 2

67. An anxius mother brought her 4 year old daughter to the pediatrician. The girl was passing loose bulky stools for the past 20 days. This was often associated with pain in abdomen. The pediatrician ordered the stool examination which showed the following organisms. Identify the organism:
<pic 67>

1. Entamoeba histolytica
2. Giardia lamblia
3. Cryptosporidium
4. E. Coli

Ans. 2

68. Which one of the following conditions may lead to exudative pleural effusion

1. Cirrhosis.
2. Nephrotic syndrome.
3. Congestive heart failure.
4. Bronchogenic carcinoma.

Ans. 4

69. Heat labile instruments for use in surgical procedures can be best sterilized by:

1. Absolute alcohol.
2. Ultra violet rays.
3. Cholorine releasing compounds.
4. Ethylene oxide gas.
Ans. 4

70. A 60 years old man is diagnosed to be suffering from Legionnaires disease after he returns home from attending a convention. He could have acquired it:

1. From a person suffering from the infection while traveling in the aeroplane.
2. From a chronic carrier in the convention center.
3. From inhalation of the aerosal in the air conditioned room at convention center.
4. By sharing an infected towel with a fellow delegate at the convention.

Ans. 3

71. In post-operative intensive careunit, five patients developed post-operative wound infection on the same day. The best method to prevent cross infection occuring in other patients in the same ward is to:

1. Give antibiotics to all other patients in the ward.
2. Fumigate the ward.
3. Disinfect the ward with sodium hypochlorite.
4. Practice proper hand washing.

Ans. 4

72. The earliest immunoglobulin to be synthesized by the fetus is:

1. IgA.
2. IgG.
3. IgE.
4. IgM.

Ans. 4

73. The following are true regarding Lyme's Disease, except:

1. It is transmitted by ixodes tick.
2. Erythema chronicum migrans may be a clinical feature.
3. Borrelia recurrentis is the aetiological agent.
4. Rodents act as natural hosts.

Ans. 3

74. A 55 year old lady presenting to out patent department (OPD) with postmenopausal bleding for 3 months has a 1x1 cm nodule on the anterior lib of cervix. The most appropriate investigation to be done subsequently is:

1. Pap smear.
2. Punch biopsy.
3. Endocervical curettage.
4. Coloposcopy.

Ans. 2

75. A hemodynamically stable nulliparous patient with ectopic preganancy has adnexal mass of 2.5 x 3 cms and Beta hCG titre of 1500 miu/ml. What modality of treatment is suitable for her:

1. Conservative management.
2. Medical Management.
3. Laparoscopic Surgery.
4. Laparotomy.

Ans. 2 [ Three Criteria have been mentioned for medical therapy of ectopic pregnancy
i) Hemodynamically stable patient
ii) Mass lessthan 4 cm in size
iii) Cardiac activity absent in ectopic mass
No mention is made in these criteria for HCG level. First two criteria are satisfied here and no mention of third. No shock present. So answers should be 2]

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