(Paper) Sample Paper For Medical Exams : Solved Version With Few Explanations (Pg- 6)
Paper : Sample Paper For Medical Exams : Solved Version With Few Explanations
Page -6
126. The best treatment for cystic hygroma is:
1.Surgical excision.
2.Radiotherapy.
3.Sclerotherapy.
4.Chemotherapy.
Ans. 1
127. which of the following is most suggestive of neonatal small bowel obstruction:
1.Generalised abdominal distension.
2.Failure to pass meconeum in the first 24 hours.
3.Bilious vomiting.
4.Refusal of feeds.
Ans. 3
128. What is most characteristic of congenital hypertrophic pyloric stenosis:
1.Affects the first born female child.
2.The pylori tumour is best feld during feeding.
3.The patient is commonly marasmic.
4.Loss of appetite occurs early.
Ans. 2
129. What is the most appropriate operation for a solitary nodule in one lobe of thyroid:
1.Lobectomy.
2.Hemithyroidectomy.
3.Nodule removal.
4.Partial lobectectomy with 1 cm margin around nodule.
Ans. 2
130. All of the following may occur in Noonan's syndrome except:
1.Hypertrophic cardiomyopathy.
2.Crypto orchitis
3.Infertility in females.
4.Autosomal dominant transmission.
Ans. 3
131. SAFE strategy has been developed for the control of:
1.Onchocerciasis.
2.Trachoma.
3.Refractive error.
4.Ocular trauma.
Ans. 2 [ ref khurana:International trachoma Initiative sponsors a programme to control Trachoma-"SAFE" = Surgery, Antibiotics, Facewash & Environmental change]
132. The commonest cause of low vision in India is:
1.Uncorrected refractive errors.
2.Cataract.
3.Glaucoma.
4.Squint.
Ans. 1
133. Most important epidemiological tool used for assessing disability in children is:
1.Activities of Daily living (ADL) scale.
2.Wing's Handicaps, Behavior and Skills (HBS) Schedule.
3.Binet and Simon IQ tests.
4.Physical Quality of Life Index (PQLI)
Ans 1 ? [ Dr Bruno, see post in question forum]
134. Scope of family planning services include all of the following except:
1.Screening for cervical cancer.
2.Providing services for unmarried mothers.
3.Screening for HIV infection.
4.Providing adoption services.
Ans. 3
135. Class II exposure in animal bites includes the following:
1.Scratches without oozing of blood.
2.Licks on a fresh wound.
3.Scratch with oozing of blood on palm.
4.Bites from wild animals.
Ans. 2
136. Elemental iron and folic acid contest of iron & folic acid adult tablets supplied under the National Programme for Anaemia Prophylaxis are:
1. 60mg of elemental iron and 250 micrograms of folic acid.
2. 100 mg of elemental iron and 500 micrograms of folic acid.
3. 120 mg of elemental iron and 750 micrograms of folic acid.
4. 200 mg of elemental iron and 1000 micrograms of folic acid.
Ans. 2? [ Dr Ajay, The dosage has been changed to 100 mg of elemental iral and 500µG of folic acid for prophylaxis and double for treatment according to new CSSM manual issued by MOHFW, India ] To Confirm
137. Denominator while calculating the secondary attack rate includes:
1. All the people living in next fifty houses.
2. All the close contacts.
3. All susceptibles amongst close contact.
4. All susceptibles in the whole village.
Ans. 3
138. The response which is graded by an observer on an agree or disagree continuum is based on:
1.Visual analog scale.
2.Guttman Scale.
3.Likert Scale.
4.Adjectival scale.
Ans. 3? [Dr Bruno, for discussion see post in question forum]
139. For calculation of sample size for a prevalence study all of the following are necessary except:
1. Prevalence of the disease in population.
2. Power of the study.
3. Significance level.
4. Desired precision.
Ans. 3
140. Leprosy is considered a public health problem if the prevalence of leprosy is more than:
1. 1 per 10,000
2. 2 per 10,000
3. 5 per 10,000
4. 10 per 10,000
Ans. 1
141. In one single visit, a 9 month-old, unimmunized childcan begiven the following vaccination:
1.Only BCG.
2.BCG, DPT-1, OPV-1.
3.DPT-1, OPV-1, Measles.
4.BCG,DPT-1, OpV-1, Measles.
Ans. 4 [Acc to GHAi 5th ed page 167 two live viral vaccines
can be administered together if their route of administration is different. See
under heading of 'Some Practical Points' .]
[At the sme time it is mentioned in CPDT that two live viral vaccines cannot be
given together (except for those which are given in combination like MMR) and
their should be a minimum 30 days gap between them] Any other ref?
142. For controlling an outbreak of cholera, all of the following measures are recommended except:
1.Mass chemoprophylaxis.
2.Proper disposal of excreta.
3.Chlorination of Water.
4.Early detection and management of cases.
Ans.1
143. A child aged 24 months was brought to the Primary Health Centre with complaints of cough and fever for the past 2 days. On examination, the child weighed 11 Kg. respiratory rate was 38 per minute, chest indrawing was present. The most appropriate line of management for this patient is?
1Classify as pneumonia and refer urgently to secondary level hospital.
2.Classify as pneumonia, start antibiotic and advise to report after 2 days.
3.Classify as severe pneumonia, start antibiotics and refer urgently.
4.Classify as severe pneumonia and refer urgently.
Ans. 3 [ Ans on page 135 table no 5 park 16th edition, page 136 in park 17th edition; the book says that you administer first dose of antibiotic and then refer.]
144. A 5 year old boy has multiple asymptomatic oval and circular faintly hypopigmented macules with fine scalng on his face. The most probable clinical diagnosis is:
1.Pityriasis versicolor.
2.Indeterminate leprosy.
3.Pityriasis alba.
4.Acrofacial vitiligo.
Ans.3
145. A 40 year old male developed persistent oral ulcers followed by multiple flaccid bullae on trunk and extremities. Direct examination of a skin biopsy immunofluorescence showed intercellular igG deposits inthe epidermis. The most probable diagnosis is:
1.Pemphigus vulgaris.
2.Bullous Pemphigoid.
3.Bullous Lupus erythematosus.
4.Epidermolysis bullosa acquisita.
Ans.1
146. The test likely to help in diagnosis of a patient who presents with an itchy annular plaque on the face is
1. Gram Stain
2. KOH Mount
3. Tissue Smear
4. Woods Lamp Examination
Ans: 2
147. Blackening and tattooing of skin and clothing can be best demonstrated by
1. Luminol spray
2. Infra red photography
3. UV light
4. Magnifying lens
Ans 2
148 Post mortem lividity is unlikely to develop in a case of
1. Drowning in well
2. Drowning in fast flowing river
3. Post mortem submersion
4. Drowning in clorinated swimming pool
Ans 2
149 The following situations are associated with rise of temperature after death EXCEPT
1. Burns
2. Heat Strokes
3. Pontine Hemorrhage
4. Septicemia
Ans 1
150 Troponin T is preferable to CPK-MB in the diagnosis of acute MI in all of the following situations except
1. bed side diagnosis of MI
2. Post operatively after CABG
3. Reinfarction after 4 days
4. Small Infarcts
Ans 3
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