Arise Recall Jan 2024

FMGE
Recall Questions
JANUARY
2024
92% From Topics Covered
180+ Direct Questions
95+ MCQs from Quick Revision Program
85+ MCQs from Test & Discussion,
Mock Exams
Arise Content has,

once again,
proven to be
THE GOLD STANDARD

in FMGE.
ARISE RECALL JAN 2024
Anatomy
1. Identify the Marked structure in the given image
A. Right atrium
B. Left atrium
C. Right ventricle
D. Left atrium
2. Identify the muscle tendon forming the arrow marked boundary ?
A. Extensor Pollicis Longus

B. Extensor Pollicis Brevis
C. Abductor Pollicis Longus
D. Abductor Pollicis Brevis
ARISE MEDICAL ACADEMY 1

3. What is the vertebral level for the red colour plane shown in the image ?
A. T12
B. L1
C. L2
D. L3
4. A newborn is having a congenital defect as shown in the picture. What is the

developmental defect responsible ?
A. Failure in closure defect of anterior neuropore at 4 wks intra uterine life

B. Failure in closure defect of posterior neuropore at 6 wks intra uterine life
C. Failure in closure defect of posterior neuropore at 4 wks intra uterine life
D. Failure in closure defect of anterior neuropore at 6 wks intra uterine life

5. Identify the blue arrow marked structure
A. Flexor carpi ulnaris

B. Flexor carpi radialis
C. Palmaris longus
D. Flexor carpi superficialis
6. Which muscle is attached to the arrow marked area of the bone
A. Sartorius
B. Adductor longus
C. Psoas Major
D. Gluteus medius

7. Identify the shown congenital anomaly in which intestinal loops are present
outside the abdominal cavity covered by amniotic membrane ?
A. Gastroschisis
B. Omphalocele
C. Omphalocele with enteric cyst
D. Umbilical hernia
8. Which structure is the maternal component of placenta ?

A. Decidua Basalis
B. Chorion frondosum
C. Decidua capsularis
D. Decidua parietalis
9. Which of the following structure forms the lateral boundary of Hesselbach’s

triangle?
A. Femoral vessels
B. Inferior epigastric vessels
C. Inguinal ligament
D. Rectus Abdominis

10. identify the type of joint marked by the arrow ?
A. Synovial Joint
B. Saddle Joint
C. Pivot Joint
D. Plane Joint
11. Match the following structures along with the markings
A. a-Liver, b-Pancreas,c- Spleen

B. a-Spleen, b- Pancrcas, c-Left kidney
C. a- kidney, b- Pancreas, c. spleen
D. a-Right kidney, b- Pancrcas, c-Left kidney
12. What is the landmark in which Common carotid artery is felt against C6
tubercle?
A. Angle of mandible
B. Suprasternal notch
C. Laryngeal prominence
D. Arch of Cricoid cartilage

13. Dorsal mesentery of esophagus forms which component of diaphragm?
A. Pleuroperitoneal membrane
B. Crus of diaphragm
C. Septum transversum
D. From medial to Lateral part of diaphragm
14. For the conjoint tendon, all are true Except?

A. Formed by the internal oblique aponeurosis &Transversus abdominis aponeurosis
B. Forms the posterior wall of Inguinal canal
C. Protects the superficial inguinal ring to maintain integrity of inguinal canal
D. Runs parallel to the inguinal ligament
Physiology
15. A patient presented with wheezing and shortness of breath and low FEV1. Which
of the following conditions will have the same?
A. Asthma
b. Interstitial lung disease
C. Idiopathic Pulmonary Fibrosis
d. Silicosis
16. A 23 year old man comes to hospital. O/E BP — 150/90 mmhg, afebrile. On
further evaluation Serum Renin found normal, he is diagnosed with conns
syndrome. All are true about conns syndrome except —
A. Metabolic alkalosis
B. Metabolic acidosis
C. Hypertension
D. Low renin levels
17. Kinesin, dynein and myosin protein are example of
A. Transcellular molecule .
B. Intracellular molecule
C. Molecular motor
D. Cell adhesion molecule

18. Voltage gated calcium channel present on T tubule is-
A. Ryanodine receptor .
B. Dihydropyridine receptor
C. SERCA
D. L- type of calcium channel
19. A mother comes to hospital with newborn baby, on examination surfactant not
adequately found and collapse alveoli seen. What will be most probable diagnosis
—
A. Bronchial asthma
B. Respiratory distress syndrome
C. Pneumonia
D. Pleural effusion
20. A Man ate 3 cones of ice-cream. After some time he starts felling more colder ear
than central part of body. Which part of brain responsible thermo regulation
A. Thalamus
B. Hypothalamus
C. Amygdala
D. cerebellum
21. A person with history of RTA admitted in hospital. He is able to understand his
friend talks. He is trying to speak something to his friend but he is unable to
speak (non fluent aphasia). Which part of brain most likely to be injured in this
case —
A. Wernicke’s area
B. Broca’s area
C. Angular gyrus
D. Arcuate fasciculus
22. cell membrane charge will be maintained by which of the following channels
A. Na-K with primary active transport

B. Gibbs donan equation
C. Na-Cl pump
D. Na-K with secondary active transport
23. Which of the following factor derived from Arterial blood Gas analysis
A. Bicarbonate
B. PO2
C. PCo2
D. pH

24. A patient present in ER with hypotension. On auscultation dullness of heart

sound and dilated neck veins diagnosed with cardiac tamponade. Which of the
following finding can be seen on JVP.
A. Rapid Y descent
B. Absent Y descent
C. Absent A wave
D. Canon A wave -
25. In lumen of the venules which type of cells will be in the center?
A. Lymphocytes
B. Neutrophils
C. Macrophage
D. RBCs
Biochemistry
26. Iron absorption is inhibited by which of the following?

A. Indian gooseberry -Amla
B. Lime juice
C. Tea
D. Sprouts
27. Which of the following Amino acid is responsible for the buffering(neutralize) of
blood ?
A. Histidine
B. Valine
C. Glycine
D. Asparagine
28. Intracellular accumulation of cholesterol and cholesterol esters / fats seen in

which of the following?
1. Tendon xanthomas
2. Primary familial hypercholesterolemia (receptor defect )
3. Strawberry gallbladder
4. Niemann pick disease
5. Abetalipoproteinemia
A. 1,2,3
B. 3,4,5
C. 1,2,5
D. 1,3,5

29. A patient presented with increased thickness in her palms and soles, on
evaluation tyrosine transaminase was found to be deficient , identify the
following condition ?
A. Type 1 tyrosinemia
B. Type 2 tyrosinemia
C. Alkaptonuria
D. Homocystinuria
30. You are posted as an intern in pediatric department where a mother brings her
child with fatigue bleeding gums and joint pain along with bowing of legs and
petechial hemorrhage under skin. What is the next step in management ?
A. High doses of vitamin D
B. High doses of vitamin C
C. High dose of vitamin E
D. High dose of vitamin A
31. During an antenatal checkup it was found that an expectant mother is on a

strict vegetarian diet. Which of the following vitamin deficiency is most likely to
be seen in her baby ?
A. vitamin B1
B. vitamin B2
C. vitamin B9
D. vitamin B12
32. A patient presents with complaints of diarrhea on examination he has a

combination of cheilitis ,stomatitis, glossitis , glove and stocking pattern of
neuropathy and rashes over the sun exposed area around the neck. Upon further
investigation. it is discovered that the individual has a diet deficient in a specific
nutrient. Which vitamin deficiency is most likely responsible for this clinical
presentation:
A. Vitamin B12 deficiency

B. Riboflavin deficiency
C. Niacin deficiency
D. Thiamine deficiency
33. Which deficiency leads to xerophthalmia and follicular hyperkeratosis ?

A. Vitamin A
B. Niacin
C. Biotin
D. Riboflavin

34. Which of the following is a precursor of niacin:( niacin is involved in synthesis of

which of the following )
A. Riboflavin
B. Tryptophan
C. Thiamine
D. Pyridoxine
35. Lactulose is made up of?

A. Galactose and Glucose
B. Glucose and Fructose
C. Galactose and Fructose
D. Galactose and mannose
36. Which amino acids are essential for purine ring formation?
A. Glutamate , Aspartate, Valine
B. Glycine, Aspartate, Glutamine
C. Leucine, Aspartate, Glutamate
D. Lysine, Asparagine, Glutamine
37. If the RNA contains the coding sequence as CAAGGU, then what will be the
sequence in DNA from where it is transcribed ?
A. CAAGGT
B. GTTCCA
C.ACCTTG
D. TGGAAC
38. Which of the following additive is used in the following tube?
A. EDTA
B. Na citrate
C. K oxalate
D. Fluoride

39. Which of the following enzyme is being inhibited by statin drugs used for
hypercholesterolemia ?
A. HMG CoA Synthase
B. HMG CoA Reductase
C. 1 alpha hydroxylase
D. 7 alpha hydroxylase
40. Which of the following is best suited homeostatic mechanism to counter

hyperammonaemia in brain that help in ammonia transport from brain to liver is ?
A. Glutamine
B. Glycine
C. Alpha keto glutarate
D. Alanine
41. The enzyme helping in linking the glycolysis with hexose monophosphate shunt is ?
A. Glucose 6 Phosphatase
B. Glucose 6 Phosphate Dehydrogenase
C. Trans-aldolase
D. Hexokinase
42. A 3 year old male presented to OPD with intractable seizure, Lactic acidosis,
hyperammonemia and encephalopathy who was eventually shifted to ICU for
further management
A. mitochondrial Encephalopathy
B. urea cycle defect
C. Glycolysis defect
D. PDH complex deficiency
43. Marker enzyme of mitochondrial matrix is

A. ATP synthase
B. MAO
C. Fatty acyl CoA synthase
D. Citrate synthase
44. Which GLUT transporter present in skeletal muscle and adipose tissue is
A.GLUT 1
B.GLUT 2
C.GLUT3
D.GLUT 4
45. Which of the following protein has the triple helical structure ?
A. Albumin
B. Collagen
C. Myoglobulin
D. Keratin

46. Which of the following is wrong about collagen?

a. Type I in ligaments and bone
b. Type II in tendon
c. Type II in perichondrium
d. Type I in joint capsule
Pathology
47. A 7-year-old boy presents with a history of recurrent bacterial and fungal
infections, particularly involving the skin and respiratory tract. The patient’s
parents report that he has had multiple abscesses and lymphadenitis.
Dihydrorhodamine (DHR) test results show an abnormal pattern. What is the
primary suspicion based on these findings?
A. Chronic Granulomatous Disease

B. SCID
C. Sialyl Lewis X defect
D. Leucocyte Adhesion Defect
48. A Adult male presents with features of massive splenomegaly. On examination

his TLC was more than 85,000/mm3 with immature cells and shift to left with
the presence of Philadelphia chromosome . Mutation associated with Philadelphia
chromosome is ?
A. Balanced Reciprocal translocation
B. Inversion
C. Deletion
D. Insertion
49. A dwarf Female patient bought to the hospital with history of primary
amenorrhea, webbed neck, widely placed nipple. What is the most common
monosomy associated with this condition ?
A. 47XXY
B. 45XX
C. 45X0
D. 46XY
50. Apoptotic bodies comprise of which of the following ?

A) include cytoplasm + intranuclear +organelle
B) cytoplasm + organelle
C) organelle + intranuclear
D) only organelle

51. A Patient presented with fatigue, pallor. investigations shows hb-5.8gm/dl, low
ferritin, high TIBC, low MCV, high RDW. Diagnosis is ?
A. Iron Deficiency Anemia
B. Megaloblastic anemia
C. Anemia of Chronic Disease
D. Sideroblastic anemia
52. A Patient presented with fatigue, lethargy, pallor, On evaluation HB- 5.6,
biochemical analysis shows raised indirect bilirubin. complains of right index finger
pain. Diagnosis is
A. Sickle cell crisis
B. Thalassemia
C. Autoimmune hemolytic anemia
D. Microangiopathic anemia
53. ABO incompatibility not occurring in pregnancy due to which antibody?
A. lgM
B. IgG
C.IgA
D. IgD
54. Multiple Endocrine Neoplasia -1 syndrome is associated with of the following ?

A. Renal cell carcinoma
B. Parotid tumor
C. Pheochromocytoma
D. Parathyroid tumor
55. which of the following statement is correct about NF-1

A. Having no other malignancy associated
B. Autosomal Recessive disorder
C. assosiated with optic pathway glioma
D . associated with Av malformations
56. A farmer presents with a lesion in his shoulder , the histopathology of the lesion
shows the following appearance , What will be the diagnosis ?

A. Squamous Cell Carcinoma

B. Basal Cell Carcinoma
C. Moluscum contagiosum
D. Verrucous carcinoma
57. A male Patient presented with infertility history of recurrent sinusitis and
pulmonary infection , bronchiectasis and situs inversus. Identify the condition
associated with these features
A. Kartagener syndrome
B. Kallaman syndrome
C. Cystic fibrosis
D. Klinefelter syndrome
58. A hypertensive Female patient presented with skin hyperpigmentation, On

evaluation High ACTH levels even after giving high dose of dexamethasone.
Diagnosis is ?
A. Ectopic ACTH secreting tumor
B. iatrogenic Cushing syndrome
C. Hyperaldosteronism
D. Pituitary Adenoma
59. Reiter syndrome is associated with

A. HLA-D2
B. HLA-B27
C. HLA-DR3
D. HLA-DR4
60. Sequence of wound healing ?

A. vasoconstriction - inflammation -Hypercoagulability - proliferation – remodelling
B. Inflammation- hemostasis – proliferation - remodelling
C. proliferation - remodelling -vasoconstriction - inflammation - Hypercoagulability
D. remodelling -vasoconstriction - inflammation - Hypercoagulability- proliferation
61. Sample taken for diagnosis of infective endocarditis

A. 2 sample 1 aerobic and 1 anaerobic
B. 3 sample 1 aerobic and 2 anaerobic
C. Only 2 anaerobic
D. 3 sample - 2 aerobic,1anaerobic

62. Which of the following is used as a diagnostic test for CML ?
A. FISH
B. BMB
C.LAP score
D.Karyotyping
63. NETSs include all of the following except:

A. Sepsis
B. Phagocytosis
C. Associated with SLE
D. Arginine/citrulline involvement
64. A patient of Beta thalassemia is started with blood transfusion , after starting
the transfusion the patient is complaining of fever , anxiety and features of
hypotension , what is the next best step ?
A. Stop the transfusion
B. Stop the transfusion and restart when patient becomes normal
C. Administer IV hydrocortisone.
D. Wait and watch
Microbiology
65. A 14-year-old boy from kerala presents with fever, headache, and drowsiness.
His family reports that he had consume palm fruit recently. Considering the
geographic location and exposure history, which virus should be considered in
the differential diagnosis?
A. Dengue virus
B. Nipah virus
C. Ebola virus
D. Chikungunya virus
66. A 45-year-old HIV-positive patient presents with persistent headaches, confusion,

and a gradual onset of fever. A lumbar puncture is performed, revealing an
elevated opening pressure and a cerebrospinal fluid analysis showing a positive
India ink stain. What is the most likely diagnosis?
A. Bacterial meningitis
B. Viral encephalitis
C. Cryptococcus neoformans
D. Tuberculous meningitis

67. Reservoir for Kala azar is ?
A. Humans
B. Fox
C. Dogs
D. Pig
68. A 40 year old male is having a pet dog in his house. He presented to the hospital
with pain in right upper abdomen. On evaluation, loculated collection was found
in the liver. Which of the following is likely organism implicated in this pathology?
A. Echinococcus granulosus
B. Tenia solium
C. Fasciola
D. Entamoeba coli
69. A female presented with curdy white discharge on examination gram positive
buddings yeasts are seen , the organism responsible is ?
A. Candida albicans
B. Trichomonas
C. Gardnerella vaginalis
D. Chlamydia
70. A patient of tuberculosis , is started on HRZE and underwent CBNAAT, the

investigation will show which of the following ?
A. Mycobacterium tuberculosis
B. MTB + Rifampicin resistance
C. MTB + Isoniazid resistance
D. MTB + Ethambutol and rifampicin.
71. A Patient presented with history of acute rheumatic fever and infective
endocarditis, Examination shows the presence of gram positive cocci in chains ,
the causative agent responsible will be ?

A. Streptococcus viridans
B. Streptococcus pyogenes
C. Streptococcus pneumoniae
D. Enterococcus
72. Control used for ethylene oxide sterilisation is ?

A. Bacillus atrophaeus
B. Geobacillus sterothermophilus
C. Bacillus subtilis
D. Bacillus Pumilis
73. A patient presented with formation of bulla’s , on gram staining it shows the
presence of capsulated gram positive diplococci , Which one of the following
organism is responsible ?
A. Streptococcus pneumoniae
B. Staphylococcus aureus
C. Cyclospora
D. Streptococcus pyogenus
Pharmacology
74. A 2 month pregnant female presented with P. Vivax Malaria. Preferred drug used
for the treatment in this case is :
A. Quinine
B. Chloroquine + Primaquine
C. Artesunate Combination therapy
D. Doxycycline
75. Which of the following adverse effect is least likely to be associated with the use
of amiodarone?
A. Hyperthyroidism
B. Hypothyroidism
C. Pulmonary fibrosis
D. Gynecomastia
76. Patient with CHF was on thiazide diuretics and now presents with fatigue and
hypokalemia. Which of the following agent inhibits loss of potassium:
A. Furosemide
B. Adenosine
C. Amiloride
D. Spiranolactone

77. A patient was on anti tubercular drug Bedaquiline. Which of the following ECG
changes will be seen: -
A. QRS widening
B. Increase in PR interval
C. QT interval prolongation
D. ST segment elevation
78. A 2 month old pregnant female presents with swelling in legs and diagnosed with
Deep vein thrombosis, she require anti coagulation. Which of the following is
Preferred drug in her ?
A. Warfarin
B. Apixaban
C. Enoxaparin
D. Aspirin
79. A alcoholic patient on therapy for certain illness developed flushing hypotension,
nausea and vomiting. What is the diagnosis:
A. Disulfiram like reaction
B. Delerium tremens
C. Hallucinosis
D. Alcohol withdrawal
80. Which of the following can result in acute liver failure?

A. Organophosphate poisoning
B. Morphine poisoning
C. Belladona poisoning
D. Amanita phalloides toxicity
81. Which of the following drug is absolutely contraindicated in pregnancy?

a. Paracetamol
b. Captopril
c. Cefixime
d. Azithromycin
82. A 53-year-old post menopausal lady presents with breast cancer. What will be
the drug of choice for this patient
A. Tamoxifen
B. Methotrexate
C. Vincristine
D. Bleomycin
83. Which of the following anti diabetic agent increases loss of glucose in urine
along with fluid removal :
A. Empagliflozin
B. Glipizide
C. Exenatide
D. Acarbose

84. Which of the following is the site of action of Thiazide diuretics:

A. Na+CI- co transporter
B. Na-K-2Cl- co transporter
C. eNa+ channel
D. Aldosterone receptor
85. A pregnant female who is a known case of bronchial asthma presented to
hospital with blood pressure of 210/110 mm Hg. Which of the following is the
preferred drug for this patient?
a) Nifedipine
b) Propranolol
c) Labetalol
d) Verapamil
86. A 7-year-old child presents with history of generalised tonic clonic seizures What
will be the treatment:
A. Valproate followed by Levetiracetam.

B. Ethosuximide
C. Levetiracetam followed by gabapentin
D. Carbamazepine followed by gabapentin
87. When A drug has bioavailability 30%. What does it mean:

A. 70 percent of the drug undergoes first pass metabolism in Iiver
B. The drug is 30 percent pure in its chemical composition.
C. The drug is 30 percent potent in producing therapeutic effect
D. 30% percent of the drug reaches the systemic circulation in unchanged form
88. A female is on her ATT therapy, which of the following ATT drug can cause
ocular side effect of optic neuritis
A. Isoniazid
B. Rifampicin
C. Pyrazinamide
D. Ethambutol
89. An A 40-year-old obese female presented with Schizophrenia. Which of the

following antipsychotic drug causes least weight gain?
A) Risperidone
B) Ziprasidone
C) Olanzapine
D) Clozapine

90. Which of the following is the drug of choice for glaucoma in adults ?
A. Latanoprost
B. Pilocarpine
C. Alpha2-selective agonist
D. Timolol
91. A Patient with history of HIV is started on Anti Retro-viral Therapy with
Lamivudine 300 mg, Tenofovir 150mg Dolutegravir 50 once daily at night. After
few weeks of starting he was diagnosed with TB and was started on Anti-
tubercular therapy . Which of the following dose adjustment will be required
considering the new additional findings:
A. No dose adjustment required

B. Add Lamivudine 300 mg in morning
C. Add Dolutegravir 50 mg in morning
D. Add Tenofovir 150 mg in morning
92. A 30-year-old lady has unilateral ptosis and exhibits worsening of symptoms by
evening. She was diagnosed with myasthenia gravis. What is the drug of choice
for this case?
A. Physostigmine
B. Pyridostigmine
C. Neostigmine
D. Plasma exchange
93. Which of the following is drug of choice for treatment of Echinococcus

granulosus?
A. lvermectin
B. Praziquantel
C. Albendazole
D. Diethylcarbamazine
Forensic Medicine
94. A 22-year-old mentally ill pregnant female is brought for MTP. Consent in this
case is to be taken from whom ?
A. Legal guardian
B. Doctor treating the patient
C. Partner
D. Self consent

95. In case of autopsy of a alcohol abuse ,how will u presence the sample of blood
in this case?
A. Sodium fluoride
B. Rectified sprit
C. Sodium chloride
D. Formalin
96. As per MTP act 2021, which of the following is a punishable offence
A. MTP done at government authorized center
B. Done by experienced RMP
C. MTP done up to 24 weeks of pregnancy
D. Non entry in MTP register & not sending monthly statements to DHS
97. A 22-week pregnant female comes for MTP on ground of contraceptive failure.
When this MTP can be done ?
A. opinion of two doctors will be needed
B. opinion of one doctor will be needed
C. After the permission the court
D. MTP cannot be done in this case
98. A farmer comes to hospital with snakebite over dorsum of right foot. The patient
was stable ,the Doctor treating the patient noted two fang marks on the dorsum
of right foot with mild pain , swelling and bleeding at bite site. What will be the
immediate first step of management
A. Give poly snake antivenom
B. Look for dead snake brought by relatives
C. Use sling or splint for right lower limb (pressure ) immobilization
D. Washing the wound
99. During measurement of barrel of a rifled firearm weapon caliber depends on which
of the following
A. Distance between 2 opposite lands
B. Distance between 2 opposite grooves
C. No of lead balls prepared from one pound of lead metal
D. Ratio between length of cartilage & bullet

100. How will you preserve a blood-stained handkerchief recovered from crime
scene
A. Stained area folded towards each other preserved in plastic bag

B. Stained area folded towards opposite side preserved in plastic bag
C. Dry over spirit lamp & preserve
D. Stained area folded Preserved in paper bag
101. Increased secretion with diarrhea is noted in which poisoning

A. Cannabis
B. Cocaine
C. Crack
D. Ketamine
102. On examination to identify dried and old seminal fluid on a undergarment ,

which test is best test to be used?
A. Precipitin test
B. Acid phosphatease test
C. Barberio test
D. Floroscence test
103. The police found some bone in open space. How will you differentiate
between human and animal bone ?
a. Precipitin test
b. Acid phosphatase level
c. Phenolphthalein
d. Barberio test
104. A woman was raped 2 years back. The accused has to be given death
sentence, Who can give death sentence for such cases ?
A. Session judge
B. Both session and assistant session judge
C. Assistant session judge
D. Metropolitan magistrate
105. In air blast which organ is most commonly affected due to shockwave ?
A. Lung
B. Kidney
C. Spleen
D. intestine

Community Medicine (PSM)
106. In immunization clinic, after giving pentavalent vaccine in which category you
will dispose off syringe with fixed needle?
a. Yellow
b. Red
c. White
d. Blue
107. In population of 2,00,000 reported live births are 4000. Causes of maternal
deaths are as follow: 2 deaths by ectopic pregnancy, 2 deaths by Puerperal sepsis
, 2 deaths by abortion, 4 deaths by PPH, 2 deaths by electrocution with 5 still
births Calculate the MMR ?
A. 250/1 lakhs
B. 500/ 1 Lakhs
C. 20/1 Lakhs
D. 25/1 Lakhs
108. A 30 year lady coming to clinic on 5th day of unprotected coitus, The best
emergency contraceptive will be:
A. LNG
B. IUCD
C. COCP
D. Mifepristone
109. Total number of children born to a woman in comparison of other woman of

same reproductive age is :
A. TFR
B. GFR
C. GRR
D. NRR
110. Male death per 1000 mid year population of male is defined as :
A. CDR
B. Specific mortality rate
C. Proportional mortality rate
D. Mid year population
111. What is the Strain used for the Injectable polio vaccine based on NIS :
A. P1
B. P2
C. P3
D. P1,2,3

112. Given instrument is used to measure which of the following :
A. Air temperature
B. Air Humidity
C. Cooling power of air
D. Hot temperature
113. Which of the following is Correct feature of case control study :

A. Used for rare disease
B. Effect to cause
C. Calculation of incidence
D. Calculation of prevalence
114. All are included in GHI of children except:

A. Undernourished population
B. Child underweight
C. Child mortality
D. Infant Mortality Rate
115. What is ANMOL.:

A. TV to ANM
B. Tablet to ANM to work through application
C. Distribution of OCP
D. Using of digital Weight scale
116. NAVJAT SHISHU SURAKSHA YOJNA Is for whom:

A. Newborn
B. Lactating Mother
C. Children
D. Infant

117. Under RKSK program for children of 9-18 years , the health check up
conduction frequency is:
A. Once every month
B. Once every 3monthly
C. once every 6 monthly
D. once every Yearly
118. Under AMB programme, what is dose of anaemia treatment for 26 weeks
pregnant lady with and no history of Iron and folic acid intake?
A. 60 mg iron, 500mcg folic acid once/day
B. 60 mg iron, 500mcg folic acid twice/day
C. 60 mg iron, 500mcg folic acid once/week
D. 60 mg iron, 500mcg folic acid twice/week
119. Arrange correct sequence of family cycle

A. Formation- extension - completed extension – retraction-complete retraction-
dissolution-extinction
B. Retraction- Formation- extension — completed extension
C. Formation- retraction-extension — completed extension
D. Formation- extension - retraction- completed extension
120. Which of the following Method is used to kill mosquito larva:

A. Mosquito nets
B. Indoor spray
C. Gambusia fish
D. Repellents
121. A person presenting with complaints of Eschar formation and

lymphadenopathy following a bite of mite on trunk . what will be the probable
diagnosis ?
A. Epidemic typhus
B. Endemic typhus
C. Scrub typhus
D. Rocky Mountain Spotted Fever
122. The most common non communicable disease world wide is?
A. Hypertension
B. Atrio- ventricular septal defect
C. cardiomyopathy
D. Atrial fibrillation

123. Leading Cause of blindness in children is :
A. Vit A deficiency
B. Refractive error
C. Glaucoma
D. Cataract
124. Rukmini is attending the village health nutrition and sanitation day awareness
program. How frequently the programme is conducted?
A. Anganwadi centres every fort nightly

B. Anganwadi centres Once every month
C. Sub centres by ANM once every month .
D. Sub centres by ANM once every 6 month.
125. In a local area Out of total live birth- of 15,000, out of which 225 children
dies in 1st 7 days 75 children died in next 7-28 days, calculate the Neonatal
mortality rate in the local area :
A. 25
B. 20
C. 20
D. 50
126. A sexually active female who is a wife of truck driver from low socioeconomic
status presents with Complaints of whitish discharge , what will you do for
screening of cancer cervix in this patient ?
A. Pap smear
B. USG
C. Biopsy
D. Ca 125
127. You are doing survey in an area to know vitamin A Deficiency problem. What
is criteria to declare it as major public health problem in the district if prevalence
of ?
A. Night Blindness is 0.02%
B. Bitot spot is 0.8%
C. Corneal xerosis is 0.001%
D. Corneal ulcer, keratomalacia , fundus changes is 0.001%
128. In a village expected death rate is 3/1000, but observed death rate is
6/1000, Calculate standardized mortality ratio in the village
A. 50
B. 250
C. 100
D. 200

129. After war, the residents of that area were shifted to other place, method for
huma excreta waste disposal in this case is
A. Chemical Closet
B. Septic tank
C. Deep trench latrine
D. Aqua Privy
130. Steps of disaster management is :
A. Impact- response- rehabilitation- mitigation .

B. response- Impact- - rehabilitation- mitigation
C. rehabilitation- mitigation- response- Impact
D. rehabilitation- response- Impact- mitigation
131. In triage which of the following has high priority :

A. Red
B. Yellow
C. Green
D. Black
132. The table shown below are Components of:
Fertility Mortality
Marriage Migration
Social Mobility
A. Demographic process
B. Demographic dividend
C. Demographic cycle
D. Demographic bonus
133. Bilirubin is which type of data:

A. Ordinal
B. Nominal
C. Continuous
D. Discrete
134. Junior resident has made a poster as given below, which was corrected by
senior resident . which point needs correction ?
A. Reduce sale of alcohol

B. Ban public smoking
C. Reduce salt intake in diet

D. Change PUFA to trans fat
a. A
b. B
c. C
d. D
135. Phases of demographic cycle with Birth rate is stable with Variation in death
rate:
A. Stage I
B. Early expanding
C. Late expanding.
D. Low stationary
a. Stage I + Stage II
b. Stage II + Stage III
c. Stage I + Stage IV
d. Stage II + Stage IV
136. Not included under JSY scheme:
A) Encouraging for hospital delivery

B) Abortion services
C) Vande mataram scheme
D) STD counselling
137. A lady on oral contraceptive pills ,she forget to take 2 pills in 3rd week, what
to do next:
A. Take missed pills in next 2 days
B. Reassurance / no action
C. Continue tablet with additional barrier method for 7 days
D. Precaution for 7 days , continue new pack without break
138. Denominator of Mid year population is:

A. CDR
B. MMR
C. IMR
D. CBR
139. Identify the Correct methods of communication :

1. Didactic – Democratic learning is active

2. Socratic- forcefully learning
3. Mass communication- cover maximum population
A. 1 and 2
B. only 3
C. only 1
D. 1 and 3
140. In First Referral Units which one of the following are the mandatory services
1. Paediatric superspecialist
2. Doctor services 24 x 7
3. Blood storage facilities for 24 x 7
4. Surgical intervention
a. 1 and 2
b. 2 and 3
c. 1 and 4
d. 2 and 4
141. A Survey was done on mentally retarded patients, it was found that when
exposed to environment IQ level improves. What would be the result of such
survey denoted ?
A. Positive eugenic
B. Negative eugenic
C. Positive Euthenics
D. Negative Euthenics
142. What type of questions are used in focused group discussion ? :

A. Open ended question
B. Closed ended question
C. Double barrelled
D. Single barrel
143. Which of the following is not included in MMR?

A) Death in 30th week due to RTA
B) Death due to Preeclampsia
C) Death due to ectopic pregnancy
D) Death on 14th day post partum

ENT
144. The arrow marked structure develops from which of the following ?
a. 1st Pharyngeal arch

b. 2nd Pharyngeal arch
C. 3rd Pharyngeal arch
d. Neuroectoderm
145. The arrow marked congenital anomaly develops due to Non fusion of ?
a. 1st & 2nd Pharyngeal arch incomplete closure

b. 2nd & 3rd Pharyngeal arch incomplete closure
c. 1st & 2nd Pharyngeal pouch incomplete closure
d. 3rd & 4th Pharyngeal pouch incomplete closure

146. A 30-year-old female presents with the following audiogram. Diagnosis?
A otosclerosis
B Meniere’s disease
C noise induced hearing loss
D presbycusis
147. A 50 year old male presented with Tinnitus, vertigo and fluctuating hearing
loss. His Audiogram given below . What is the most likely diagnosis?
A. BPPV
B. Vestibular neuronitis
C. Meniere’s disease
D. Noise induce hearing loss
148. A patient presents with merciful anosmia with wide roomy nasal cavity and
formation of crusts causing nasal obstruction. What is the most probable
diagnosis?
A) Atrophic rhinitis
B) Allergic rhinitis
C) Rhinitis medicamentosa
D)Rhinitis sicca

149. A patient presented with pain and hearing loss following slap in his ear, his
otoscopic findings reveals the presence of blood clots and irregular perforations
in the tympanic membrane , what is the next line in management following image
?
A) Aspirate and audiometry
B) Syringing and antibiotics with no ear drops
C) Give gentamycin and levofloxacn
D) Keep ear dry with systemic analgesics
150. A 10 year old child of 2 weeks post tonsillectomy ate a packet of chips 2-3
days after the surgery and now presents to the hospital with features of oral
bleeding on and off .What shall be the management as a medical officer ?
A) Iv Antibiotics with semisolid food for some days
B) Surgical exploration
C) Iv tranexamic acid with semisolid food for some days
D) Give analgesics
151. Which of the following is true regarding the image shown ?
A) Rhinolalia clausa
B) It has no crypts
C) It has definitive blood supply
D)It is not included in waldeyers ring
.
152. A 22 year old male with episodes of recurrent bleeding presents with the
following CT findings identify the reason behind the Bleeding episodes in this
benign tumor?

A) Lacks capsule
B) Tumor vessel lack contractility
C) Tumor invading the blood vessels
D) Tumor causing pressure symptoms
153. A 50 year old male presents with right sided conductive hearing loss and
features of cervical lymphadenopathy. Most probable diagnosis is ?
A) Nasopharyngeal malignancy
B) Nasopharyngeal Angiofibroma
C) Adenoid hypertrophy
D)Tuberculosis
154. which of the statement is correct regarding the image shown below ?
A) Most common cause of congenital stridor

B) Stridor Relieves with supine position
C) Wait and watch
D) presence of stridor from birth
155. Biology teacher after taking long vigorous classes since 6 years developed
hoarseness of voice . Which of the following condition associated with this ?

A) Vocal polyp
B) Vocal nodule
C) Vocal carcinoma
D) Reinke’s edema
156. A Diabetic patient with HbA1c of 10 presents with excruciating ear pain, blood
stained ear discharge and facial nerve involvement . Diagnosis is ?
A) Diffuse otitis externa
B) Necrotising otitis externa
C) Squamous cell cancer of external ear
D) Granular myringitis
157. Delphian nodes are :

a) Level 5 & 6
b) Level 1 & 2
C) Level 5
d) Level 6
158. Identify the prosthesis ?
a) Blom singer ( Tracheo esophageal )

B) Grommet
C) Montogmery
159. Identify the Xray view shown here ?

a) Waters view
b ) Schullers view
c) Townes view
d ) Cadwell view
160. All of the following structure are preserved in radial neck dissection except :
a. Internal jugular vein
b. Sternocleidomastoid muscle
c. Sub Mandibular gland
d. Spinal accessory nerve
Ophthalmology
161. What is the sequence of arrangement from near to far of the shown recti
muscles attached towards limbus ?
a. Medial rectus, Inferior rectus, Lateral rectus, Superior rectus

b. Superior rectus lateral rectus, Inferior rectus Medial rectus
c. Medial rectus, Lateral rectus, Inferior rectus, Superior rectus
d. Medial rectus, Superior rectus, Lateral rectus, Inferior rectus

162. A farmer presents with itching and foreign body sensation of eye, On
examination Shield ulcer was seen which of the following condition is commonly
associated with which of the following findings?
a. Trachoma
b. Spring catarrh
c. Autoimmune
d. Tuberculosis
163. Which of the following Cataract seen in blunt trauma is?

a. Rosette cataract
b. Wilson disease
c. Myotonic dystrophy
d. Diabetes mellitus
164. Identify the instrument is given below.
a. Lim’s forceps
b. mc pherson forceps
c. corneal and scleral tears reparing forces
d. suture tying forceps
165. A Diabteic patient is evaluated with ETDRS chart for diabetic retinopathy and
is classified as NPDR type. Which of the following is not seen in case of severe
NPDR:
a. Severe retinal hemorrhage in at least four quadrant
b. Significant venous beading in at least 2 or more quadrant
c. Cotton wool spots
d. Moderate IRMA at least 1 quadrant

166. A 1.5 years old child presents to the optholmologist , presence of white eye
refelx USG findings shows intraocular mass with calcification and family history
suggests that his father had the same and undergone enucleation of one eye .
Whats the probable diagnosis?
a. Retinoblastoma
b. Exudative Retinal Detachment
c. Pediatric Tuberculosis
d. Retinopathy of Prematurity
167. In which disease aqueous flares keratic precipitate is seen :

a. Toxoplasma uveitis
b. Irido cyclitis
c. Posterior uveitis
d. Intermediate uveitis
168. A 72 year old patient had cataract surgery for posterior capsualr catarct
,after surgery there is flowerpetal appearance on fundus fluorescence
angiography, the most likely conditions associated with the person is :
a. Cystoid Macular Edema
b. Posterior capsular opacification
c. Central Serous Retinopathy
d. Scotoma
169. A patient presented with unilateral right complete anopia. Where is the lesion
present:
a. Optic chiasma
b. Optic track
c. Optic nerve
d. Optic radiation
170. A patient posted for cataract surgery and is having blepheritis , What is the
most important step to be taken to prevent endophthalmitis in this patient
before surgery :
a. Trimming the eye lashes
b. 5% Betadine iodine
c. Intra-viteral Antibiotics
d. Antibiotics after surgery

171. A 9-year-old boy presents with high accommodativ, convergence-to-

accommodation (AC/A) ratio esotropia (diagnosed when he was 2 years old)
as mother would like a second opinion. She is concerned about whether he still
needs his glasses. He appears to be orthotropic in his glasses. How would you
counsel the mother?
A. Proceed with strabismus surgery with posterior fixation sutures e bilateral

medial rectus muscle recessions.
B. If the child is orthotropic in bifocals and tolerates spectacle change in
management recommended.
C. Promptly discontinue his glasses as he is older now.
D. Convergence exercises.
172. A 60 yrs old patient presents with double vision and photophobia what will be
diagnosis : ( excess)
a. Senile cataract
b. Secondary cataract
c. Intumescent cataract
d. Immature cataract
173. In DCR Which of the following Bones are removed?
a. Frontal
b. Lacrimal
c. Maxillary + Ethmoidal
d. Lacrimal + Ethmoidal
174. A 70 year female presented with diminshed vision, Finchams test shows
scattered coloured halos that breaks and fuse again ,what will be the probable
diagnosis is:
a) Senile cataract
b) OAG
c) Mucopurulent conjunctivitis
d) ACG

175. A patient presented impaired vision and pain increasing on eye movements
,Which of the following structure is involvement is responsible for the clinical
findings ?
a) OpticNerve
b) Retina
c) Optic Chiasma
d) Optic Tract
176. Which of the following is true about malignant glaucoma?
a)anterior chamber is normal

b)pilocarpine is doc
c) obstruction to aqueous humor
d) misdirected aqueous
177. A 3 yrs old child presented with cataract what will be next step of
management of choice:
a. Remove the Cataract , do goniotomy and give spectacles.

b. Remove the Cataract and do anterior capsulotomy
c. Remove the Cataract by Pheco-aspiration and do primary posterior
capsulotomy
d. Remove the Cataract by surgery do primary posterior capsulotomy
Paediatrics
178. Jaundice due to biliary atresia should be suspected when jaundice persists
beyond what age?
a. 2 weeks
b. 2 months
c. 2 years
d. 2 days
179. During neonatal resuscitation. In which of the following situations,

epinephrine should be administered?
a. HR < 60 bpm with PPV for 30 sec

b. HR < 60 bpm with chest compression and ventilation for 30 sec
c. HR < 60 bpm with chest compression and ventilation for 60 sec
d. HR < 60 bpm with PPV for 60 sec

180. A 4 day neonate is presented with Pustualr lesions on erythematous

background started from the trunk noted from day 2 of life onwards.baby
appears otherwise normal.what will be the most likely diagnosis ?
a. Erythema toxicum
b. Pustular melanosis
c. Mongolian spots
d. Neonatal acne
181. A child feel anxious when someone playing with him leaves at which age the
child develops this mile stone ?
a. 4 months
b. 6 months
c. 9 months
d. 12 months
182. A child laughs on seeing food, he can Transfer objects from one hand to
anaothe and can take that object and put into his mouth at what age these
milestones develop ?
a. 4 months
b. 6 months
c. 7 months
d. 12 months
183. A child with diarrhea presents with sunken eyes, eager to drink on offering
and abdominal skin pich goes back slowly. As per IMCNI classification what
should be the color coding?
a. Pink
b. Green
c. Yellow
d. Black
184. A 5 day old baby was brought to the emergency with bilious vomiting and
abdominal distension. On abdominal x-ray, multiple air fluid levels are seen,no gas
under diaphragm was visibe. Baby is otherwise stable. His brother has a history of
cystic fibrosis. What should be immediate treatment in this baby?
a. Temporary colostomy and definitive surgery later
b. Immediate laparotomy
c. Gastrograffin enema
d. Manometry

Obstetrics and Gynaecology
185. A female present to a gynecologist with genital infection.in which of the

following conditions male partner treatment is also required?
a. Candida albicans
b. Bacterial vaginosis
c. Trichomoniasis
d. Herpes
186. AMSEL criteria is used for

a. Trichomonas
b. Candidiasis
c. Bacterial vaginosis
d. Gonorrhea
187. An 80 year old elderly women and complains of involuntary urine voiding
during stenous physical activity, what will be the diagnosis ?
a. Stress incontinence
b. Urge incontinence
c. Neurogenic incontinence
d. Urinary tract infection
188. A pateint is undergoing labour, A shoulder dystocia was suspected Mcroberts

manouver was performed and is failed ,what is the next step in management?
a. Suprapubic pressure
b. Zavanelli maneuver
c. Internal rotation of head
d. Release of Post arm by extraction
189. A pregnant woman after lunch feeling like fainting while lying down but it’s
better when she lies laterally , sitting turning to the side.
a. IVC compression
b. SVC compression
c. Increase intracranial pressure
d. Hypertension

190. In a previously pregnant female you decided to increase the folic acid dose to
the therapeutic dose, In which of the following conditions you will do the same ?
a. Previous history of Premature birth
b. preeclampsia
c. previous low birth weight child / impared glucose tolerance ( diabetes )
d. sickle cell anemia
191. Primigravida came to emergency depertment at 1 pm with 5cm dilatation with

membrane present and good uterine contractions, when PV repeated at 4pm she
is 6 cm dilated +2, what is the next step to do?
a. Wait and watch for spontaneous delivery
b. ARM + Oxytocin and check after 2 hrs
c. Cesarian section
d. ARM + Oxytocin and check after 4 hrs
192. What is the correct sequence of lactation:

a. Mammogenesis – lactogenesis – galactokinesis – galactopoiesis
b. Mammogenesis – lactogenesis – galactopoiesis – galactokinesis
c. Lactogenesis – Mammogenesis - galactopoiesis – galactokinesis
d. galactokinesis - Mammogenesis – lactogenesis – galactopoiesis
193. An adolescent female presents with delayed puberty with primary amenorrhea
with short stature on further evaluation she is found to have absence of Y
chromosome but the presence of X chromosome in karyotyping. which of the
following is also seen in this condition ?
a. Webbed neck
b. Cubitus varus
c. Tricuspid mitral valve
d. Normal height
194. A 20 weeks pregnant female has low lying placenta covering partially the os
what will be your next appropriate management?
a. Do USG again at 32 and look for the placenta location
b. Reassess with MRI at 32 weeks
c. Do USG at 38 weeks and if possible do normal vaginal delivery
d. Do USG at 39 weeks and if still persists do elective CS
195. What is the gold standard Investigation of endometriosis?

a. Laparoscopy
b. MRI
c. USG
d. Histopathexamination

196. Most common organ infected with genital tuberculosis:

a. Ovary
b. Fallopian tube
c. Cervix
d. Endometrium
197. A 38 weeks GA female after delivering the baby becomes hypotensive and
becomes unresponsive on evluation the fundus of the uterus is extending outside
the vaginal opening, in this stage along with the placentia still attached what is
the next step in management ?
a. Manul removal of the placenta and reposition the uterus

b. Arrange for blood transfusion
c. Manual reposition of the uterus in anatomical position
d. Administration of uterotonics
198. A G2P1 with previous C- section with 38 weeks of GA came for delivery, You
opted for vaginal birth after C section, which of the following has the least risk
in case the previous C- section is of ?
a. Transverse incision
b. Breech presentation
C. Classical C section
d. Horizontal incision
199. In Rh negative pregnant female after performing chorionic sampling dose of

anti – D?
A. 150 microgram
B. 50 microgram
C. 100 microgram
D. 300 microgram
200. What is the ideal time to check for Nuchal translucency to diagnose
aneuploidy ?
a. 11 – 13 weeks
b. 18 – 22 weeks
c. 24-28 weeks
d. 6-9 weeks

201. What is the reference point in POP Q classification of uterine prolapse ?

a. Hymen
b. Ischial spine
c. Anterior fornix
d. Posterior fornix
202. which of the following statements are correct about gestational trophoblastic
disease ?
a) Complete mole is made up of 69xxx

b) Partial mole is composed of diploidy
c) GTN includes partial mole, complete mole and choriocarcinoma
d) It will never be invasive
203. According to WHO 2021 Which of the following is not true about the normal
sperm analysis ?
a) sperm per ejaculation of 14 million
b) Total motility of sperms 35%
C) sperms with normal morpholgy 4%
d) Progressive motility of 30%
204. In case of Diabetes in pregnancy screening amount of glucose used is ?

a. 50 mg
b. 75 mg
c. 100 mg
d. 150 mg
205. A patient is in labor was supposed to undergo Cesarian Section , accidentally

was given oxytocin , now her SPO2 is decreased to 93%. What is the next best
management in this condition
a. Stop oxytocin
b. Proceed with CS
c. Give only oxygen
d. Do Arterial blood gas analysis

General Surgery
206. All of the following are seen in refeeding syndrome except ?

a) Hypophatemia
b) Hypokalemia
c) Hyperkalemia
d) Hypocalcemia
207. A patient is diagnosed with Squamous cell carcinoma which not involving the
lymph nodes , what is the next line of management ?
a. Radiotherapy
b. Wide local excision with flap repair
c. Wide local excision with frozen border
d. Skin grafting
208. Patient after road traffic accident was brought to the emergency. His
pulse rate was 50 beats per minute, Blood pressure was 80/ 60 mm of Hg. On
evaluation his ECG was normal, eFast was negative and chest X-Ray was normal.
This status of patient could be best classified under which type of shock?
A. Hemorrhagic shock
B. Cardiogenic shock
C. Neurogenic shock
D. Anaphelactic shock
209. A patient was brought to the emergency after a RTA. Signs of seat belt
abdominal trauma were present on the anterior abdominal wall. What should we
be more concerned about in this patient? ( signs of peritonitis )
A. head of pancreas
B. Liver and Spleen injury
C. Spleen injury
D. Hollow viscus injury

210. Following image on CT scan is suggestive of?
a. Extradural hematoma
b. Intracranial hematoma
c. Subdural hematoma
d. Sub arachoid hemorrhage
211. A 15 year old boy Which of the following is the most likely pathology in the
given x-ray image?
a. Lung collapse
b. Pneumothorax
c. Pneumonia
d. Pleural effusion
212. A patient presented in the hospital complaining that on walking a certain

distance,he fell pain in his calf region because of which he cannot walk any
further and has to take rest.as per Boyd’s grading it is classified as which of the
following grades?
a. Grade I
b. Grade II
c. Grade III
d. Grade IV

213. A patient is on bed rest after cholecystectomy, She developed fever and
respiratory distress after 3 days later. Which of the following pathology best
explain the patients condition?
a. Pulmonary fibrosis
b. Pulmonary embolism
c. Respiratory distress syndrome
d. Pneumonia
214. A 24 year old girl presented in the OPD with a 2X3 cm mobile ruberry lump
inside the breast. HPE image is given below. Which of the following is the most
likely diagnosis?
a. Phyllodes tumour
b. Fibroadenoma
c. Lobular carcinoma
d. Plasma cell mastitis
215. A patient presented to the surgical department with a slowing increasing

swelling in front and below the ear lobule. Which of the following surgery is most
likely done in this patient?
a. Superficial parotidectomy
b. Enucleation
c. Wide excision with primary repair
d. Wide excision with reconstruction at a later stage
216. Identify the following in the image given below?
a. Sloping edge
b. Rolled out and beaded edge
c. Everted edge
d. Punched out syphilitic ulcer

217. A RTA Patient presented with crushed limb after trauma , as a result of
crushing injury and myonecrosis , amputation was performed. 3 days later he
developed redness,swelling over the site and on examination presence of soft
tissue necrosis and crepitus were noted . Most likely diagnosis in this patient ?
a. Necrotising fasciitis
b. Gas gangrene
c. Amputation neuroma
d. Wet gangrene
218. Which out of the following have maximum chances of graft versus host
rejection?
a. Kidney
b. Intestine
c. Lung
d. Heart
219. A New born baby was having difficulty in breathing and on evaluation their
were multiple air fluid levels noted in the left hemithorax. What will be the most
likely diagnosis?
a. Necrotising enterocolitis
b. Congenital diaphragmatic hernia
c. Respiratory distress syndrome
d. Esophageal atresia
220. Promial dislocation of squamocolumnar junction is seen in case of ?

a. Achalasia cardia
b. Sliding hiatus hernia
c. Rolling hiatus hernia
d. GERD
221. A Chronic alcoholic male presented to the emergency with sudden onset of
epigastric pain radiating to the back,which is aggravated in lying down position.
serum amylase and lipase are raised. What is the likely diagnosis?
a. Acute cholecystitis
b. Acute pancreatitis
c. Liver abscess
d. Peptic ulcer disease

222. A 45-year-old male presents to the emergency department with severe

abdominal pain radiating to the back. Laboratory investigations reveal elevated
serum amylase and lipase levels. Which of the following should be avoided in
management of this condition ?
a. Nil per oral to avoid pancreatic stimulation
b. Administration of 5% dextrose
c. Parenteral nutrition preferred for 2-3 days over the nil per oral (NPO) approach.
d. Early initiation of oral feedings
223. Which of the following is a common complication of ERCP?

a. Hemorrhage
b. Acute pancreatitis
c. Duodenal perforation
d. Cholangitis
224. A patient was diagnosed with PL2 hernia. What is the most likely hernia the
patient is likely having ?
a. Primary direct hernia
b. Recurrent direct hernia
c. Primary indirect hernia
d. Recurrent indirect hernia
225. 70 year old patient was operated with the middle laparotomy incision for
adenocarcinoma of colon. He came to the hospital after 1 year with hernitation
through the mid line incision with a defect size of 12cm. what should be the
treatment in this patient?
a. Separate the hernia and suture repair of primary site

b. Push the hernia back and do mesh repair
c. Abdominal binder
d. Tissue Repair
226. A patient was recently operated where laprotomy was done. Patient developed
a complication after the operation. What would be the surest sign of would
dehiscence in this patient? ( instead of deh burst mentioned )
a. Severe abdominal pain
b. Serosanguinous discharge from the wound
c. Hypotension
d. Bleeding from the wound site

227. 3 days back urinary catheterization was done. But due to some reason
catheter had to be taken out . few days later he presented with the following
image?
a. Fournier’s gangrene
b. Gas gangrene
c. Cellulitis
d. Erysipelas
228. A 75 year old male presented to the OPD with complaint of difficulty in
swallowing initially for solids and later for liquids . There is history of significant
weight loss. What is the gold standard investigation in this patient?
a. Esophageal endoscopy
b. Manometry
c. CECT
d. Barium study
229. Breast caneer surgery has been done in a patient 10 years back. Now she
presented with swelling of the upper limb with bluish coloured raised cutaneous
lesions in the upper limb. What can be the likely diagnosis?
a. Lymphagiosarcoma
b. lymphangioma
c. Kaposi’s sarcoma
d. lymphedema
230. A chronic smoker male presented to the hospital with fever, malaise and
lethargic symptoms, he also complained of hemoptysis in the early morning. He
has lost 10kg weight in the last 2 months. Chest x-ray image is given below.what
is the most likely diagnosis in this patient ?

a. Miliary tuberculosis
b. Fungal ball aspergilloma
c. Metastasis to lungs
d. Pneumonia
231. Which appendicular carcinoma is most commonly associated with

pseudomyxoma peritonei?
a. Mucinous cystadenoma
b. Adenoma
c. Carcinoid tumor
d. Serous cystadenoma
232. A neonate is diagnosed with gastroschisis. What is the immediate management

for this condition?
a. Immediate Surgical wall closure and repair
b. Wait for it to resolve slowly
c. Slowly putting it inside silo bag
d. Surgical excision
232. A patient is posted for major surgery what is the ideal INR value that he can
be taken for surgery ?
a. 1.5
b. 1.5-2
c. 2-2.5
d. 2.5-3

Medicine
233. Old man has recurrent fainting episodes. ECG shows P waves at 75 beates per
minutes , qRS complexes duration is at 35 bpm. The clinical diagnosis is
a. Electrical alternans
b. Second degree AV block
c. First degree AV block
d. Stokes Adam syndrome
234. A Lady presented with mitral stenosis develops sudden onset respiratory
difficulty, limb edema and pain in calves. Clinical diagnosis is ?
a. Pulmonary embolism
b. Pulmonary edema
c. Cerebral embolism
d. Paradoxical Embolism
235. A Patient presents to the multispeciality hospital with sudden onset chest
pain for last 1 hour with ECG showing ST elevation in lead II, Ill and aVF. Which is
the best treatment for this case of MI?
a. Alteplase
b. Streptokinase
c. Primary angioplasty
d. Dabigatran
236. Lady presents with complaints of dizziness. ECG was done. Best treatment is?

a. Adenosine
b. Amiodarone
c. Beta-blocker
d. Valsalva maneuver
237. 52-year-old Lady develops sudden onset face deviation with slurring of
speech and inability to raise right arm. The symptoms spontaneously begin to
reduce and get completely resolved over the next 48 hours. She has a mid-
diastolic murmur on auscultation in the left side of heart and irregular heart
rhythm. Diagnosis is
a. Transient Ischemic attack
b. Thrombo-embolic Stroke
c. Cardio embolic stroke
d. Paradoxical embolism
238. In a normal person ,when there is deep inhalation the systolic BP decreases
by 20 mmHg , The phenomenon is not seen in which of the following condition ?
a. Cardiac Tamponade
b. Constrictive pericarditis
c. Cor pulmonale
d. RCM
239. The patient was having the following hand movements , which of the following
movements can be seen in this condition ?
a. Thyrotoxicosis
b. Hypercarbia
c. Hypoxia
d. Anxiety neurosis
240. A chronic smoker patient with hyperpigmentation, weight gain and other
features of hypercortisolism symptoms and ACTH levels remain elevated after
high dose dexamethasone is seen in which of the following ?
a. Ectopic ACTH secreting tumor
b. Pituitary tumor
c. Adrenal tumor
d. Exogenous

241. A female presented with Unilateral pulsatile headache with photophobia and
is exaggerated on skipping of meals, what is the most likely diagnosis ?
a. Migraine
b. Tension headache
c. Cluster headache
d. Malingering
242. A 22 year-old patient has fever with severe SOB and red currant jelly sputum.
On examination he has altered sensorium with RR is 40/ min. Labs show serum
creatinine= 1.9 mg/dl Which is correct about its management?
a. OPD management with oral drugs
b. IPD management with IV drugs
c. ICU management with IV drugs
d. ICU management with oral drugs
243. A smoker presented with copious yellow sputum which was more in the
morning and increases significantly on postural change , what will be the
probable diagnosis ?
a. Asthma
b. Pneumonia
c. Bronchiectasis
d. Lung cancer
244. Patient has problems in doing heel to shin test and repeatedly misses, and he
has rapid movements in his hands, the Site of lesion is?
a. Cerebellum
b. Caudate
c. Globus pallidus
d. pyramidal tract
245. A 20-year-old female patient presents with petechiae , bleeding and has
spleen palpable till umbilicus. WBC count is 85,000/cu.mm with immature WBC
seen in peripheral blood smear. Diagnosis is?
a. AML
b. CML
C. CLL
d. ALL

246. A patient presents with migratory polyarthritis and diagnosed with acute
rheumatic fever what is the drug of choice
a. Furosemide
b. Digoxin
c. Aspirin
d. Amiodarone
247. The presence of which of the following rules out the transudative cause of
Pleural effusion is?
a. low cellular content
b. High fibrin in pleural fluid
c. Low specific gravity in pleural fluid
d. Low protein in pleural fluid
248. A patient had features of resting tremors, bradykinesia and postural

instability. He became bed ridden and died due to respiratory failure. Brain biopsy
is likely to show which of the following?
a. Lewy bodies
b. Hirano bodies
c. Guarneri bodies
d. Negri bodies
249. A 6 year old child with previous history of GTCS presented with episode of
convulsions since 45 minutes. What will be the appropriate management for this
patient?
a. Lorazepam followed by Levetiracetam
b. Valproate followed by Gabapentin
c. Carbamazepine followed by Gabapentin
d. Valproate followed by Levetiracetam

250. A wife is complaining that his husband is not taking medications for his
diabetes regularly and not maintaining his blood glucose from long time, which of
the following marker is best for long duration glucose analysis
a) RBS
b) FBS
c) PPBS
d) HbA1C
251. A 86 year old male patient with fasting sugar of 140 and PPBS of >200
.On examination vitals are stable HbA1c is done. What is cut off in % used for
determining controlled diabetes?
a. 6
b. 6.5
c. 7.0
d. 7.5
252. Seizures are seen in what percentage of RTA patients with brain contusion/
Loss of consciousness?( Severe RTA with penetration )
a. Development of seizures in 75%
b. Development of seizures in 45 %
c. Development of seizures is always seen
d. Development of seizures is never seen
45 cases will develop
253. Lung cancer patient is having hyperpigmentation of palmar and sole creases.
Which of the following is responsible for this presentation?
a. Melanin
b. C- Peptide
c. Neuropeptide Y
d. MSH
254. Drug of choice for the ventricular tachycardia?

a. Amiodarone
b. Adenosine
c. Propranaol
d. Ivabradine

Anaesthesia
255. A patient with RTA presented with severe maxillofacial trauma has respiratory
distress. Immediate step in management to secure airway:
a. Oropharyngeal intubation
b. Tracheostomy
c. Cricothyroidotomy
d. nasopharyngeal intubation
256. Which of the following agents has blood gas partition coefficient similar to
nitrous oxide
a. Isoflurane
b. Desflurane
c. Sevoflurane
d. Halothane

257. A patient was given 0.5% bupivacaine, for supraclavicular brachial plexus block
and suddenly developed hypotension and arrhythmias. Which of the following is
the 1st line of management ?
a. Invasive ventilation
b. Intra lipid infusion
c. Soda Bicarbonate
d. CPCR
258. During the Epidural procedure, all these structures are pierced Except?
a. Supraspinous ligament
b. Interspinous ligament
c. Ligamentum flavum
d. Arachnoid Membrane
259. Which of the following is Contraindication for use of BIPAP ?

A. Obstructive sleep apnea
B. Unconscious Patient
C. High Co2
D. Low pO2 levels

Orthopaedics
260. In a patient with localized bone pain, exaggerated in night, relieve on aspirin,
what’s the most likely condition the patient is suffering from ?
a) Rheumatoid arthritis
b) Osteoarthritis
c) Fibromyalgia
d) Osteoid osteoma
261. 8 years old, sustained fracture around elbow 2 years back, difficulty hanging
school bag, deformity as shown, diagnosis?
a. Nonunion of Supracondylar fracture

b. Malunion of Supracondylar fracture
c. Malunion Lateral condylar fracture
d. Nonunion Posterior dislocation

262.Identify the given image ;
a. Dislocation of elbow
b. Dislocation of Radial head
c. olecranon fracture
d. Fracture of radial head
262. A 35-year-old man presents with injury to his left hip after a RTA. O/E there
is flexion, abduction and external rotation deformity of hip. What is the probable
diagnosis?
a. Posterior dislocation of hip
b. Anterior dislocation of hip
c. Fracture neck of femur
d. Intertrochanteric fracture of femur
263. Which is not seen in the ‘terrible triad of elbow’?

a. Elbow dislocation
b. Fracture of coronoid process
c. Fracture radial head
d. Fracture of olecranon
Psychiatry
264. A patient believes that his feelings and thoughts are being influenced by an
external agency, The diagnosis is ?:
A. Delusion of nihilism
B. Delusion of reference
C. Delusion of Influence
D. Othello syndrome

265. A patient admitted in hospital for palpitations thinking he has MI . On

discharge, he said that he is not willing to go home and there is a additional
history that 10 days back, thieves came there and robbed him in the gun point
from then he became very anxious. His family members said he was normal before.
The best possible diagnosis is:
A. Acute stress disorder
B. Schizophrenia
C. Avoidant personality disorder
D. Delirium
266. A patient of schizophrenia was started on anti-psychotic drug Haloperidol.

She develops one sided neck stiffness and altered body tone. What is the Next
step in management ?
A. Increase dose of Haloperidol
B. Add Benztropine
C. Switch to Clozapine
D. Add Carbamazepine
267. A person consumed unknown substance, goes into tachycardia and is seeing
red halos while listening to FM radio. Which of the following substance abuse can
cause this ?
A. Cannabis
B. Cocaine
C. Heroin
D. LSD
268. A 6 year old boy is having tapping movement. He was having lack of
attention. He seems to be irritated, disturbing to others and restless most of the
time. What should be the drug to be given ?
A. Methylphenidate
B. Atomoxetine
C. Guanfacine
D. Clozapine
269. A 20 year old boy is suffering with depression and mania. On history taking, it
was found that he was very agitated before. Which prophylactic medicine can be
given to avoid further attacks?
A. Phenytoin
B. Levodopa and pregabalin
C. Valproate and pregabalin
D. Pregabalin

270. A chronic female smoker asked the physician what will be the effects of
smoking during pregnancy?
A. Less risk of IUGR
B. No risk of preterm
C. High risk of miscarriage
D. Fetal alcohol syndrome
Dermatology
271. A patient suffered from garden injury over the finger and presented to the
hospital with multiple reddish streaks extending from forearm to the arm. What
can be the likely route of spread of infection?
a. Lymphangitis
b. abscess
c. folliculitis
d. cellulitis
272. A 45-year-old patient presents with an itchy, flat-topped, polygonal,

violaceous papules on the inner wrists and flexor surfaces of the forearms. The
lesions have a characteristic shiny surface and are arranged in a linear pattern.
The patient denies any recent medication treatment?
A. Topical steroids
B. Dapsone
C. Antifungal
D. Systemic steroid
273. Which of the following condition will show the presence of inguinal bubo ?
A) Granuloma inguinale
B) Gonorrhoea
C) Chancroid
D) Donovanosis

274. A patient presented with the following presentation, what is the colour seen
in wood lamps examination ?
a) Coral red
b) Green
c) White
d) Black
275. What is the management for the following condition in pregnancy ?
a. Surgical excision
b. Imiqnimode
c. Cryotheraphy
d. podophlyllin resin 5%
276. A patient presented with multiple hypopigmentary patches with everted edges
along with hypoanesthesia nd thickening of ulnar nerve , the features are seen in
which type of leprosy
a) BL
b) BT
c) Lepromatous
d) Tuberculoid

Radiology
277. Which of the following active substance is used in PET scan

a. Technicium 99 MDP
b. Technicium 99 Pertechnate
c. Fluorine deoxy glucose
d. I-131
278. Which of the following is the most radioresistant phase of cell cycle ?
a. G2M
b. S
c. G1
d. M
279. what is the investigation of choice for Ovarian torsion is ?
a. Usg+Doppler
b. USG
c. Xray
d. USG + DSA

280. External beam Radio Therapy / Teletherapy uses which of the following
component:
a. Co-60
b. Co-59
c. Strontium
d. Phosphorous
281. A patient was admitted in the hospital for a long period of time following
which she developed pain and swelling in her leg. Which of the following next
step in diagnosing the condition?
a. DSA(Digital subtraction angiography)
b. Duplex imaging
c. MRI
d. Angiography
282. Identify the following image
a. Membranous urethra Stricture
b. Prostatic hyperlasia sia
c. Bulbar Stricture
d. Normal urethrogram


THE FUTURE BELONGS TO
THOSE WHO BELIEVE IN THE
BEAUTY OF THEIR DREAMS.
ELEANOR ROOSEVELT
ARISE-Chennai ARISE-Delhi
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arisemedicalacademychennai@gmail.com arisemedicalacademy.delhi@gmail.com
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THE GOLD STANDARD

1. Identify the Marked structure in the given image

2. Identify the muscle tendon forming the arrow marked boundary ?

A. Extensor Pollicis Longus

ARISE MEDICAL ACADEMY 1

4. A newborn is having a congenital defect as shown in the picture. What is the

A. Failure in closure defect of anterior neuropore at 4 wks intra uterine life

ARISE MEDICAL ACADEMY 2

5. Identify the blue arrow marked structure

A. Flexor carpi ulnaris

6. Which muscle is attached to the arrow marked area of the bone

ARISE MEDICAL ACADEMY 3

8. Which structure is the maternal component of placenta ?

9. Which of the following structure forms the lateral boundary of Hesselbach’s

ARISE MEDICAL ACADEMY 4

11. Match the following structures along with the markings

A. a-Liver, b-Pancreas,c- Spleen

ARISE MEDICAL ACADEMY 5

14. For the conjoint tendon, all are true Except?

17. Kinesin, dynein and myosin protein are example of

ARISE MEDICAL ACADEMY 6

A. Na-K with primary active transport

ARISE MEDICAL ACADEMY 7

24. A patient present in ER with hypotension. On auscultation dullness of heart

26. Iron absorption is inhibited by which of the following?

28. Intracellular accumulation of cholesterol and cholesterol esters / fats seen in

ARISE MEDICAL ACADEMY 8

31. During an antenatal checkup it was found that an expectant mother is on a

32. A patient presents with complaints of diarrhea on examination he has a

A. Vitamin B12 deficiency

33. Which deficiency leads to xerophthalmia and follicular hyperkeratosis ?

ARISE MEDICAL ACADEMY 9

34. Which of the following is a precursor of niacin:( niacin is involved in synthesis of

35. Lactulose is made up of?

38. Which of the following additive is used in the following tube?

ARISE MEDICAL ACADEMY 10

40. Which of the following is best suited homeostatic mechanism to counter

43. Marker enzyme of mitochondrial matrix is

ARISE MEDICAL ACADEMY 11

46. Which of the following is wrong about collagen?

A. Chronic Granulomatous Disease

48. A Adult male presents with features of massive splenomegaly. On examination

50. Apoptotic bodies comprise of which of the following ?

ARISE MEDICAL ACADEMY 12

53. ABO incompatibility not occurring in pregnancy due to which antibody?

54. Multiple Endocrine Neoplasia -1 syndrome is associated with of the following ?

55. ​which of the following statement is correct about NF-1

ARISE MEDICAL ACADEMY 13

A. Squamous Cell Carcinoma

58. A hypertensive Female patient presented with skin hyperpigmentation, On

59. Reiter syndrome is associated with

60. Sequence of wound healing ?

61. Sample taken for diagnosis of infective endocarditis

ARISE MEDICAL ACADEMY 14

63. NETSs include all of the following except:

66. A 45-year-old HIV-positive patient presents with persistent headaches, confusion,

ARISE MEDICAL ACADEMY 15

67. Reservoir for Kala azar is ?

55. which of the following statement is correct about NF-1