(Paper) Sample Paper For Medical Exams : Solved Version With Few Explanations (Pg- 8)
Paper : Sample Paper For Medical Exams : Solved Version With Few Explanations
Page -8
176. The following are true for Bordetella perussis except.
1. It is a strict human pathogen.
2. It can be cultured from the patient during catarrhal stage.
3. It leads to invasion of the respiratory mucosa.
4. Infection can be prevented by a acellular vaccine.
Ans. 3
177. All of the following drugs are used for management of post partum haemorrhage except:
1. Misoprostol.
2. Oxytocin.
3. Prostaglandin.
4. Mifepristone (RU-486)
Ans.4
178. Laporatomy performed in a case of ovarian tumor revealed unilateral ovarian tumor with ascities positive for malignatn cells and positive pelvic lyjph nodes. All other structures were free of disease. what is stage of the disease:
1. Stage IIc.
2. Stage IIIa.
3. Stage IIIb.
4. Stage IIIc.
Ans. 4 [ Lymph nodes positive, ovarian carcinoma satging is an often confused & repeated topic]
179. B Lynch suture is applied on:
1. Cervix.
2. Uterus.
3. Fallopian tubes.
4. Ovaries.
Ans. 2 [ B- Lynch sutures are applied to uterus to control PPH. Ref Dewhurst 6th ed Page 321]
180. Pure gonadal dysgenesis will be diagnosed in the presence of::
1. Bilateral streak gonads.
2. Bilateral dysgenetic gonads.
3. One side streak and other dygenetic gonads.
4. One side streak and other normal looking gonad.
Ans 1
181 Cut-off value of cervical length at 24 weeks of gestation for prediction of preterm delivery is:
1. 0.5cm.
2. 1.5cm
3. 2.5cm
4. 3.5cm
Ans. ?
182. All of the following may be observed in a normal pregnancy except:
1. Fall in serum iron concentration falls.
2. Increase in serum iron building capacity.
3. Increase in blood viscosity increases.
4. Increase in blood oxygen carrying capacity.
Ans 3
183. A 50 Kg. man with severe metabolic acidosis has the following parameters:pH 7.05. pCO2 12mm Hg., pO2 108mm Hg. HCO3 5 meq/L. base excess-30 mEa/L. The approximate quantity of sodium bicarbonate that he should receive in half hour is:
1. 250mEq.
2. 350mEq.
3. 500mEq.
4. 750mEq.
Ans. 2 [Dr Bijender. To confirm]
184. Pyometra is a complication associated with all of the following conditions except:
1. Carcinoma of the vulva.
2. Carcinoma of the cervix.
3. Carcinoma of endometrium.
4. Pelvic radiotherapy.
Ans. 1
185. A hypertensive pregnant woman at 34 weeks comes with history of pain in abdomen, bleeding per vaginum and loss of fetal movements. On examinationthe uterus is contracted with increased uterine tone. Fetal heart sounds are absent. The most likely diagosis is:
1. Placenta praevia.
2. Hydramnios.
3. Premature labour.
4. Abruptio placenta.
Ans.4
186. Most common cause of first trimester abortion is:
1. Chjromosomal abnormalities.
2. Syphilis.
3. Rhesus isoimmunisation.
4. Cervical incompetence.
Ans.1
187. A 38 year old man is posted for extraction of last molar tooth under general anaesthesia as a day care case. He wishes to resume his work after 6 hours. which one of the following induction agents is preferred:
1. Thiopentone sodium
2. Ketamine.
3. Diazepam.
4. propofol
Ans 4
188. All of the follwing are mechanisms of action of emergency contraception except:
1. Delaying ovulation.
2. Inhibiting fertilization.
3. Preventing implantation of the fertilized egg.
4. Interrupting an early pregnancy.
Ans. 2
189. A 20 year old woman gives a history of sharp pain in the lower abdomen for 2-3 days every month approximately 2 weeks before the menses. The most probable etiology for her pain is:
1. Endometriosis.
2. Dysmenorrhea.
3. Pelvic tuberculosis.
4. Mittelschmerz.
Ans. 4
190. The blood gas parameters: pH 7.58, PCO2 23 mmHg PO2, 300 mmHg and oxygen saturation 60% are most consistent with:
1. Carbon monoxide poisoning.
2. Ventilatory malfunction.
3. Voluntary hyper ventilation.
4. Methyl alcohol poisoning.
Ans. 2
191. Sciatic nerve palsy may occur in the following injury:
1. Posterior dislocation of hip joint.
2. Fracture neck of femur.
3. Trochanteric fracture.
4. Anterior dislocation of hip.
Ans. 1
192. A 30 year old male was brought to the casualty following a road traffic accident. His physical examination revealed that his right lower limb was short, internally rotated, and flexed and adducted at the hip. The most likely diagnosis is:
1. Fracture neck of femur.
2. Trochanteric fracture.
3. Central Fracture dislocation of hip.
4. Posterior dislocation of hip.
Ans.4
193. Which one of the following tests will you adopt while examining a knee joint where you suspect an old tear of anterior cruciate ligament?
1. Posterior drawer test.
2. MC Murry test.
3. Lachman test.
4. Pivot shift test.
Ans.4 [Acute ACL tear - Lachman test , Old ACL tear - Pivot shift and Anterior Drawer test]
194. Type I Thyroplasty is for:
1. Vocal cord medialization.
2. Vocal cord laterlization.
3. Vocal Cord shortening.
4. Vocal cord lengthening.
Ans. 1 [ Type I or Isshiki Thyroplasty is for vocal cord medialization , Type II is for Lateralization.] [Dr Sujit. Trivendrum]
195. Carharts notch in audiogram is deepest frequency of:
1. 0.5KHz
2. 2 KHz.
3. 4 KHz.
4. 8 KHz.
Ans. 2
196. An eight-year-old boy had abdominal pain, fever with bloody diarrhea for 18 months. His height is 110 cms and weight is 14.5 kg. stool culture was negative for known enteropathogens. The sigmoidoscopy was normal. During the same period, child had an episode of renal colic and passed urinary gravel. The mantoux test was 5X 5 mm. The most probable diagnosis is:
1. Ulcerative colitis.
2. Crohn's disease.
3. Intestinal tuberculosis.
4. Strongyloidosis
Ans. 2? [ tuberculosis montoux negative?]
197. A 45 day old infant developed icterus and two days later symptoms and signs of acute liver failure appeared. Child was found to be positive for HBs Ag. The mother was also HBs Ag carrier. The mother's hepatitis B serological profile is likely to be:
1. HBs Ag positive only.
2. HBsAg and HBeAg positivity.
3. HBsAg and anti-Hbe antibody positivity.
4. Mother infected with mutant HBV.
Ans. 2
198. A 15 year old healthy boy with no major medical problem complaints that he breaks out with blocky areas of erthema that are pruritic over skin of his arm, leg and trunk every time within an hour of eating sea foods. The clinical features are suggestive of:
1. Localised immune-complex deposition.
2. Cell mediated hypersensitivity.
3. Locallized anaphylaxis.
4. Release of complement C3b.
Ans. 3 [ similiar to Prauznitz Kustner reaction]
199. A 2-month baby presents with history of jaundice, turmeric colored urine and pale stools since birth. Examination reveals liver span of 10 cms. Firm in consistency and spleen of 3 cms. The most specific investigation for establishing the diagnosis would be:
1. Liver function tests.
2. Ultrasound abdomen
3. Peroperative Cholangiogram.
4. Liver biopsy.
Ans. 4 [ robbins 5th Ed page 867 say that in neonatal hyperbillurubinemia clinical data + biopsy are used for diagnosis]
200. Transient myeloproliferative disorder of the new born is seen in association with:
1. Turner syndrome.
2. Down syndrome.
3. Neurofibromatosis.
4. Ataxia telangiectasia.
Ans. 2
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