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FMGE March 2008 MCQs

Hello Everyone,
If the results are correct I passed. This was surely a difficult exam. I think
this exam was twice difficult than PLAB which I passed in 2003.

I think less than 20 questions were repeated from previous exams.

There were some mistakes in the question paper. One of the questions was not even
complete they said they will give grace marks.

Loads of questions from Opthalmology. Biochemistry was also well covered. But not
many questions from SPM. Rare cases from Obs .

Here are some easy questions which i could remember.

1) LCAT activator, Lipoprotein

2) Moorens ulcer
a) UNDERMINED EDGE
b) Chlamidia

3)First symptom in pots paraplegia

4)Hiper calcemia is not seen in?


Skeletal metastasis

5)AuspitZ sign is seen in?

6)A 40 year old man with elevated mood?


mania

7)What is not common in Colles fracture?


non union

8) Man with fluid comig from the nose. What fracture?


Ans. Base of skull and para nasal sinuses

9) Terminal phalanges pulp space infection?

10)Roths spot is seen in?


SABE

11) Autoclaving?
a) 121 C 15Cu/m 15 minutes
b) 121 C 15Cu/INCH 11 minutes
Please correct me if I am wrong

12) BACTERIA MOST COMMOLY INVOLVED In VALVULAR HEART DISEASE?

13) Adrernaline is added to lignocaine injection for what ?


a) Pain relief
b)For longer action of anaesthetic

14) In sympathetic opthalmia what is involved?


ciliary body
iris
15) Coats disease what is correct?
bilateral
leucocoria

16) PH of tears?
7.0
7.5

17) Some strange opthalmological sign of conjuctivitis, in which condition it is


found?
I hope the answer is vernal conjunctivitis

18) A question on Eale's disease

19)Constant change of refractive power seen in which cataract?


Intumescent
insipient, the options of that order, not staight forward.

I think by the time we pass this exam they will make us opthalmology professors.

20)what is injured most commonly in abdominal hysterectomy?


ureter
urinary blader, atlast a repeat

21) What passes with aorta through the diaphram?


vagus
azygous vein

22)what is not advised in shoulder distocia?


pressing over the pubis
over the perineum

23)Viagra like medicine is given in which condition?


primary pulmonary hypertention
secondary pulmonary hypertention

24) The commonest cause of medistinal mass shadow?


left ventricular hypertrophy

25)A question on chedahi higashi syndrome?

26)A case on negligance, contributory negligence will give protection in?


Civil negligance
criminal negligance

27)Medial epicondyl fracture most common involvement of?


median nerve
ulnar nerve

28)Most important nerve in hand function called by some name


answer was median nerve

29)Raised ICP will cause what?


hypertention, bradicardia
hypertention tachycardia
hypotention tachycardia
hypotention bradycardia
30)Head injury what is not found?
confusion
loss of consiousness
and some thing else which i dont remember

31) Brain calcification is not found in which condition?


toxoplasmosis
herpes simplex
rubella

32)A baby of 9 months wont be?


sit with support
dry by day

33) Decreased LAP score is found in which condition?


PNH
ALL

34) Test used to detect old blood stain?


benzedene
acid elution
takayama

35)Kala Azar is transmitted by what?


sand fly

36)what is not seen in Multiple Myeloma?


lymphadenopathy
hypercalcemia

37)following is not given in hypertention?


halothane
ketamine

38)Type of excimer laser used in myopia?


SeF
YsI, not very clear of the options

39)Cause of appearance of coloured halos?


corneal congestion

40)Rate limiting Enzyme in Glycolysis?


phosphofructokinase and something else

41)Substrate leve phosphorelation is seen in which step?


SuccinylCoA to Succinate

42)hyperacute rejection of renal transplant is by which mechanism?


ABO incampatibility
preformed antibodies
autoantibodies

43)The organ that is commonly involved in hyperacute rejection?


heart
kidney
liver

44)DOC pregnant woman with cerebral malaria?


quinine
chloroquine

44) cootton wool spots are most commonly seen in what?


diabetes
AIDs
hypertention

45) Heart failure cells are seen in what condition?

46) A Borrelia disease which I dont remeber is transmitted by what?


hard tick
soft tick

47)Which paranasal sinus opens in to upper nasal turbine?


frontal
sphenoid
ant ethmoid

48) Oculocardiac reflex is coomonly seen in what?


squint surgery
cataract surgery

For questions 1 - 48 please see my previous thread.

49) Sodium Fluoride Inhibits what (added to blood sample,inhibits erythrocytic


enzyme)?
Enolase

50)Deficiency of Sphyngomyeline causes what?


Nieman Picks Disease

51)Carrier of cholesterol from liver to tissue?


LDL

52)In starvation what does not take place?


Increase of insulin

53)Type of collagen found in Cartilage?


Type 1
Type 2
Type 3

54) Stain used for Corynebacterium Diptheri?


Mcfadeans
Alberts

55)Operation theatres are sterilized by?


Formaldehyde fumigation

56)Normal duration of action of Levonogestrol containing IUCD?


1 year
3 years
5 years
10 years

57)What is not usefull in hypercalcemia?


Calcitonin
Dialysis
Saline infusion

58)Milk ejection is facilitated by?


Oxytocin
prolactin

59) Erbs palsy what is involved?


C5 C6
C7 C8 T1

60)Type of squint seen in 6th nerve palsy?


Crossed
Uncrossed

61)Hyperaccussis is seen in which condition?


Otoschlerosis
Sensorinueral deafness

62)Ashleaf spots are seen in which condition?


Tuberous schlerosis

63)In Kartageners Syndrome what is not involved?


Bronchiectasis
Sinusitis
Situs Inversus
And some other nonsense which was the answer

64) Which of the following statement is false?


Granulamatous inflammation is found in chrons disease
Perianal lesions are common in Chrons disease
Strictures involving the colon are found in Ulcerative colitis
None of the above

65)Amino acid metabolism affected in marfans syndrome?

66) FNAC is usefull in all except?


Riedels thyroiditis
Follicular carcinoma
Medullary carcinoma
Pappilary carcinoma

67)Which is longest acting (not sure)?


Roxacurium
Mivacurium
Doxacurium was not given

68)Commonest complication involved in parenteral nutrition?


Air Embolism
And some others which I cant remember

69)Glycoside treatment is necessary in post infarct patient for what?


Ventricular ectopics
Atrial fibrillation

70)An upper motor neuron lesion of Fascial nerve will cause what?(Repeat.)
Cotralateral lower face paralysis
Ipsilateral lower face paralysis
71)Most common cervical carcinoma?
Squamous cell carcinoma
Adenocarcinoma

72) Glucose is not produced in muscle cells due to the lack of which enzyme?
Glucose 6 phosphatase
glukokinase

73)The drug that inhibits protein synthesis?


Streptomycin
Amoxycillin
Sulfonamide
Tetracycline

74) Ovarian artery is a branch of?


Abdominal aorta
Internal iliac

75) Hysterectomy is commonly indicated in postpartum for which of the following


condition?
Placenta accrete
Uteral rupture
Atonia

76) All are features of hyperthyroidism except?


Low apetite

77) Most usefull prognostic indicator in HIV?


T helper count
T helper to ___ ratio

78) In asthma or anaphylaxis which is the Ig Involved?


Ig E
Ig M
Ig G

79) Entero enteric fistula is found in?


Chrons disease
Ulcerative colitis

80)Increased Amylase is seen in all except?


Perforative ulcer
Acute Appenticitis
Acute Pancreatitis

81)Spike And Dome Pattern Is Seen In?


Grant mal
Petit mal

82)The Substance used to determine renal perfusion?


PAH
Inulin

83) Metabolic Disturbance in pyloric stenosis?


Hyperchloremic metabolic alkalosis
Hypochloremic metabolic alkalosis
84)The dangerous consequence of flial chest?
Pneumothorax
And something else which I cant remember.

85) The administration of which of the following drug require monitoring?


Digoxin
Lithium

86) In Multiple Myeloma following is found in urine?


Ig light chain
Ig heavy chain

87)Western blot test is used for the analysis of?


DNA
RNA
Protein

88) Pancreatic Proteases are invoved in the activation of?


Trypsin
Pepsinogen
Bile salts

89) Which of the following is not supplied by Superior mesenteric artery?


Descending Colon

90) A Biochemistry question regarding the Glutamine production in the brain?

91)A question on the usage of a diuretic in renal failure or CHF not sure?
Hypochlorothiazide
Frusemide

92) An Anatomy question concerning coronary artery branch and its area of
perfusion?

93) A Question concering Monteggio fracture?


Upper ulnar fracture and lower radial dislocation
Upper radial fracture and lower ulnar dislocation.

94) Hypothyroidism is diagnosed by which of the following?


Decreased T3
Increased TSH
Decreased T4

95) A hormone involved in the ferning of the endometrium? .


Eostrogen
Progestron

96) HCG Level increases to the maximum in what duration?


20 hours
48 hours
14 days
40 days(not sure about this option which is the answer)

97) The commonest uteral anomaly involved in infertility?

[snip]) A question concerning the characteristic of obstructive pulmonary


disease.?
Decreased FEV1/VC
99) Ileac crest involvement is common in which condition?
Reumatoid arthritis
Ankylosing spondylitis.

100) What causes dry mouth and urinary retention?


Opiate intoxication
Organophospurous intoxication

101) The minimum score in Glasgow coma scale?


0
3
1

102) What are the chances of missing a diagnosis of endometrial cancer after D and
C?
2%
10%
40%

103) Where is the centre of urination located in the brain?


Pons
Medulla
Basal ganglia
Cerebellum

104) Where on the retina, no visual sensation is perceived?


Centre of the optic disc

105) Dentritic ulcer is caused by which of the following?


Herpes simlex

106)Commonest cause of oesophagic perforation?


Iatrogenic

107)Ameobic abscess is commonly located in which part of liver?


Anterior superior
Posterior superior
Etc.

108)Protrution of tongue is by which of the following structures?


Hypoglossalis nerve
Styloglossus
Glossopharangeus

109)Commonest cause of schlerosing cholangitis?


Iatrogenic

110)Necrosis of the myocardium takes place in what duration after coronary artery
occlusion?
20 minutes
20 hours
48 hours

111) Austin flint murmer is seen in which of the following condition?

112)Large a waves are seen in, or what does large a waves in JVP represent?
113)Cryptococcal infection is treated by?
Cotrimaxosol

114)Best proposed theory of endometriosis?

115)Which of the following is not affected in mumps?


Tear glands
Testes
Ovaries

116)Commonest salivary gland where stones are found?(Repeat)


Submandibular
Parotid

117) peu de orange is

118)Malate shuttle is important in?(Repeat AIIMS 2001)


Glycolysis

119) Chaperones are important in?(Repeat AIIMS )


Protein folding

120) Asceptic necrosis takes place in which of the following fractures?


Fracture of olecranon
Fracture of femoral head was not given

121)When lot of specialists given lecture on a single topic what it is known as?

122)Most useful method of estimating the iron content of blood?


Serum Ferritin

123)Brown atrophy of the heart is caused which of the following?

124)Source of nitrogen atom in urea cycle?

125)Location of vena saphena magna in relation to malleolus?

126) Endometriosis can be present everywhere except?

127)Which of the following is most usefull for diagnosing typhoid in the first
week?
Blood culture

128)Drug used treat hypertensive crisis in pregnancy?


Hydralazine IV

129) Which of the following drug is not combined with Zidovudine?

130) Chyluria is not caused by which of the following?

131) Amount of Water Lost in Feacus daily?

132) Depth for water seal in latrine?


2cms,
4cms,
6cms,
8cms
133) IMR for Japan? -
3,
13,
23,
33

134)Best method of treating Hyperkalemia?

135) Natural reservoir of Chikkun gunya virus?


Monkey
Birds
Pig

136) A question on Dengue Fever?


137) post nivirapine therapy d vertical transmission of hiv is reduced by wat
percentage?
5 to 10
10 to 12
12 to 15
30
138) the best way to diagnose gall stones intraoperatively in cbd

139) wat is d time lag btw head and shoulder in dystocia.


10 sec 20 sec 30 sec or 40 sec

140)anesth of choice in asthamatics


a ketamine

141) mc location carcinoma tongue


a antr 1 third laterally
mid 1 third laterally
pstr 1 third laterally
dorsum

142) gland not innervated by facial nerve


a parotid
sublingual
submandibular

143) anatomical waste is put in


yellow bag
blue bag
red bag
black bag

144) board is set in which phase of trials in med


phase 3
phase 2
phase 1
phase 4

145) which of d followin r not included in phase 1 of clinical trials of med


cancer patients
old aged
healthy voluntee

146) SLE most definative indicator----- antiDs dna antibodies


anti phospholipid antibodies
anti smiths antibodies

147)hba1c indicates deficiency from -- 6 to 12 wks


--- 2 wk
3
2 wk

148)anderson disease ---- branching enzyme deficiency

149) best dig 4 avascular necrosis ---- bone scan


x ray
c t

150)false abt cancer oesophagus ----- caused by smoking and alcohol


upper 2 by 3 is sq cell ca
low 1 by 3 is adenocarcinoma

151)condition of penis not related to malignancy


hypospadia

136)cubital fossae petichae in dengue in cuf test 4 diag r minmal --- me


5,10,15,20

152)a ques on dhatura poisonin was asked....the usual syptioms were described

153)a ques on ipc section for custodial rape was asked

154) sec metastatic clacific occur in-- sarcoidosis, tb...

155)no of phc in india -----30000, 37000 , 20000 ,15000

156)contraindic in preg ------ enalpril

157)echinococcus in liver ---- up rt quad antrly


up rt quad pstrly
low lt quad antrly

158) who limit for hb in preg -- 11,7,9,10

159) man runs at 15 km per hour


energy spent --- 1000,500,600,800 k cal

160)nivirapine to child born to hiv affected mother within -- 24 , 36,48 , 72


hours

161)oedema plus a protein loss-- nephritic syndrome

162)antr fonta in baby closes by-- 18 mth,6, 3 or 9 mths

163) hypercalcemia all dec except---thiazides


i . v dilution
furosemide

164)bile duct investigation --------- HIDA SCAN

165)in urea cycle ammonia comes from --- ammonia and aspartic
glutamate and asparagine
ammonia plus glutamic acid
166)blind spot of marriotte---------- orra serrata
maculae
167)1 st sypmptom in eye after hiv infection--- papiledema
soft exud
hard exud
aneurysm

168)familia hypercholesteremia--- LDL RECEPTOR DEFICIENCY

169)subluxation of lens------- homocystinuria

170)heriditary spherocytosis causes---gall stones

171)a long ques on thalidomide was asked

172) contra india in renal artery stenosis--- ace inhibitors

173)sterile pyuria------ tb

174)d.o.c for chlamydia treatment--Doxycyclin

175)positive trendelberg sign seen in all except--- gluteus medius, maximus,


minimus

176)pseudo tb is like --- none, tb like , plague like disease

177)vitk dependent all except-- factor 7 ,9,2 10

178)methyl alcohol poison give---ethyl alcohol

179)B 12 def caused by all eceptt---gasterectomy, ileal resection etc.

180)conditions leading to breast cancer are all except --


ans- breast feeding

181) Some options were given, you have to find out in which one you find
dystrophic calcification, a Pathology question?

182) A question regarding the Possiblity of Vertical HIV Transfer If no profilaxis


is given?

183) A question concerning the volume of the anterior chamber of the eye or
similar question?

184) Sommering is a type of what cataract? After cataract

185) A question on Angle closer glaucoma? Cant recollect exact question.

186) A question about GI outlet obstruction syndrome.

187) The causes of Megaloblastic anemia are all except

188) An easy question regarding the prognosis of esophageal carcinoma, what is


false?
Good Prognosis.

189) which of the following is not a cause of Intestinal perforation?


Typhoid
Surgery

190) Which of the following is autosomal recessive disease?

191) Hypertention leads to what complication?

192) Anderson is a type of? Cant recollect the exact question.

193) Heart Failure cells are found in which disease?

194) Crushmans Spiral are seen in?

195) Reids Index is seen in?

196) Psammoma bodies are seen in?

197) A patient with hypertention, proteinuria, hematuria. Your Diagnosis?


Acute Glomerulonephritis
Nephrotic syndrome
Nephritic syndrome.

198) Significant bacteriuria is said when--?

199) Which of the following appears first in diapetic retinopathy?


Neovascularisation
Spasm of arterioles

200) Commonest cause of ectopic pregnancy?

201) Commonest carcinoma causing bony metastasis?


Lung cancer
Clear cell carcinoma
Pheochromocytoma

202) Dose of warfarins is managed by?


INR

203) DOC Of PIH?

204) Which of the following is false about phenytoin?

205) A question on the ingradients of ORS?

206)What is not found in Horners Syndrome?


Miosis
Hyperhydrosis
Enophthalmos
Ptosis

207)Iron content of blood is estimated using?


TIBC
Ferritin
HB
Transferrin

208) An Incomplete question from endocrinology involving Hypothyroidism and


Diabetes.(Grace marks given)
209) Most common peripheral artery to be affected in Berger’s Disease?

210) Another question, options didn’t make any sense (grace mark probably given)

211) P O2 remains the same. P Co2 is Increased -What type of condition is it?

212) If haemoglobin is saturated with CO, the hypoxia involved is?


Hystotoxic
Anaemic
Hypoxic

213) Red Infarct is seen in which of the following organs?


Heart
Intestine
Liver

214) Which of the following does not passes through sinus cavernosus?

215) Which of the following drug can be used for anaerobic Infections?

216) Which of the following drug is not given by oral route?


Streptomycin
Amoxicillin
Tetracyclin

217) A question on tumor markers?


CEA

218) There was a question involving neurofibrillay tangles?


Alzeimers disease.

219) Which of the following is most life threatening immediately?


Flial chest
Cardiac tamponade
Tention pneumothorax

220) ECG changes in atrial fibrillation does not involve?


Prominant p wave.
221) Sun flower Cataract is seen in which of the following conditions?
Chalcosis

222) Drug Of choice in Petit mal Seizures?


Ethosuximide

223) A patient with varicose veins, the question was concerning tropical changes
of the leg?

224) A question concerning the inguinal hernia? Its anatomical boundaries.

225) A question regarding cohort studies.

226) DOC in Manic Depressive illness?


Lithium

227) Zollinger Ellison syndrome or intractable ulcers are treated by which of the
following drug?
Omeprazol.
228) Investigation of choice in a patient with Pulmonary embolism?
V/P Mismatch.
229) Which is the largest of the following tumors?
Serous cystadenoma
Mucinous cystadenoma.

For questions 1 to 228, please see my previous threads.

229) What is the percentage of aged population in India?

2%
5%
10%
20%

230) Which of the following tumors grows to the largest size?

Mucinous cystadenoma
Serous cystadenoma

That's it. All the best.

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