1.

Whichoneofthefollowinginfectionsismainlyresponsibleforrecurrentexacerbation
ofCOADinelderly?

(a) Rotavirus
(b) Mycobacteriumtuberculosis
(c) Staphylococcusaureus
(d) Haemophilusinfluenza

2.
Thefollowingdiseaseshaveautosomaldominantinheritanceexcept:

(a) Polycystickidneydisease
(b) PeutzJeghersyndrome
(c) Phenylketonuria
(d) VonWillebranddisease

3.
Ayoungfemalepresentswithrightheartfailure.Onexaminationshehasanelevated
JVPwithgiantawave,systolicmurmuratleftsternalborder,softdelayedP2withan
ejectionsound.TheECGshowsrightventricularhypertrophy.Sheislikelytohave:

(a) Pulmonarystenosis
(b) Tricuspidregurgitation
(c) Atrialseptaldefect
(d) Ventricularseptaldefect

4.
NocturnalhypoxaemiainCOPDisduetoallthefollowingexcept:

(a) Anincreaseinupperairwayresistancebecauseofmuscletone
(b) Stimulationofperipheralchemoreceptors
(c) ShallowbreathinginREMsleep,reducedventilation
(d) InhibitionofintercostalsandaccessorymusclesinREMsleep

5.
A50yearoldmalepresentedwithacuteonsetdyspnoea,orthopnoeaandpinkish
frothysputum.Theclinicaldiagnosisis:

(a) Acutebronchialasthma
(b) Acutepulmonaryoedema
(c) Acutepulmonaryembolism
(d) Pneumonia

6.
Pseudomembranouscolitisiscausedbywhichofthefollowingorganisms?

(a) Shigella
(b) E.coli
(c) Clostridiumperfringens
(d) Clostridiumdifficile

7.
Theventriculartachycardiacanrespondtoallofthefollowingexcept:

(a) DCCardioversion
(b) I.V.Amiodarone
(c) I.V.Lidocaine
(d) I.V.Digitalis

8.
Whichoneofthefollowingcardiacenzymesdoesnotremainelevatedformorethan
48hoursaftermyocardialinfarction?

(a) CreatininekinaseMB
(b) TroponinT
(c) Lacticdehydrogenase
(d) Aspartateaminotransferase

9.
Allthefollowingarehelpfulinthemanagementofacutepulmonaryoedemaexcept:

(a)
Administrationofhighflowhighconcentrationoxygen
(b)
UseofMorphine
(c)
Administrationofloopdiuretics
(d)
Makethepatientlieinsupineposition

10.
Allofthefollowingaggravateheartfailureexcept:

(a)IntercurrentInfection
(b)Arrhythmia
(c)Fluidrestriction
(d)Anaemia

11.
Thefollowingaretrueforhypertrophiedcardiomyopathyexcept:

(a) Systolicmurmurs
(b) Tripleapicalimpulse
(c) Diastolicmurmur
(d) Jerkycarotidpulse

12.
Shrinkinglungsinsystematiclupuserythematosisisattributedto:

(a) Fibrosingalveolitis
(b) Vasculiticinfarcts
(c) Pulmonaryemboli
(d) Diaphragmaticmyopathy

13.
Whichofthefollowingisalongeractinginsulin?
(a) Aspart
(b) Glulisine
(c) Lispro
(d) Glargine

14.
Whichoneofthefollowingisnotariskfactorforalcoholicliverdisease?

(a) Gender
(b) HepatitisC
(c) Qualityofalcohol
(d) Malnutrition

15.
Allofthefollowingaretrueaboutrenalcellcarcinomaexcept:

(a) SecondariesmorecommonthanPrimary
(b) Morecommoninmales
(c) Mainlyarisefromrenalmedulla
(d) Mostlyoccurinsixthandseventhdecade

16.
Whichoneofthefollowingisarenalcomplicationofsicklecellanaemia?

(a) Pyuria
(b) Acutepapillarynecrosis
(c) ReducedGFR
(d) Inabilitytoacidifyurine

17.
A65yearoldmalepresentswithflexedposture,slownessofgait,expressionlessface
andtremor46Hzinhand.Heismostlikelysufferingfrom:

(a) Alzheimersdisease
(b) Huntingtonsdisease
(c) Parkinsonsdisease
(d) Lathyrism

18.
A19yearoldfemalepresentswithahistoryofrepeatedfallsinthepastoneyear.A
diagnosisofepilepsyissupportedbyallofthefollowingexcept:

(a) occursonlyinthepresenceofthemother
(b) occurswhenwatchingtheTV
(c) acuteandchronichypocalcaemia
(d) aurabeforetheattack

19.
BellsPalsyis

(a) usuallybilateral
(b) usuallyassociatedwithnormalnerveconductionstudiesinearlystages
(c) presentingfeatureofacousticneuroma
(d) associatedwithherpeticvesiclesinipsilateralear

20.
Whichofthefollowingregardinghaemophiliasisnotcorrect?

(a) HaemophiliaAiscommonerthanHaemophiliaB
(b) HaemophiliaisaXlinkedrecessivedisorder
(c) HaemophiliaBiscommonerthanHaemophiliaA
(d) Bleedingnormallyaffectsjoints

21.
WhichoneofthefollowingdiseasesisdeficientinGlycoproteinIIbIIIa(GpIIbIIIa)
plateletreceptor?

(a) VonWillebrandsdisease
(b) Glanzmannsdisease
(c) BernardSoulersyndrome
(d) Storagepooldisease


22.
WhichofthefollowingisnotfoundinsevereBetathalassemia?

(a) Hepatospleenomegaly
(b) Growthretardation
(c) Bonedeformities
(d) Haemoglobinlevelof7to8gmpercent

23.
Polycythemiamaybeseenwithallofthefollowingexcept:

(a) Heavysmokers
(b) Highaltitude
(c) Renalcellcarcinoma
(d) Congenitalheartdiseasewithlefttorightshunt

24.
Hypertensionandhypokalaemiaareobservedinwhichoneofthefollowing
conditions?

(a) Renalarterystenosis
(b) Cushingssyndrome
(c) Phaeochromocytoma
(d) Barterssyndrome

25.
InEndemicCretinism:

(a) Deafnessiscommon
(b) Treatmentwiththyroxineinearlyneonatalperiodresultsinnormal
neurologicaldevelopment
(c) Thyroidantibodiesarepresentinhightitres
(d) Treatmentofpregnantwomenwithantithyroiddrugsisanimportantcause

26.
Inastableinsulindependent(TypeI)DiabetesMellituspatient,anincreaseddailydose
ofinsulinislikelytoberequiredin:

(a) Chronicrenalfailure
(b) Thirdtrimesterofpregnancy
(c) Treatmentwithpropranolol
(d) Weightloss

27.
Pheochromocytomaischaracterisedbythefollowingfeaturesexcept:

(a) Itarisesfromthechromaffincellsofadrenalmedulla
(b) ItmaybeapartofmultipleendocrinalneoplasiatypeII
(c) Itmayleadtohypertensiveencephalopathyandcauseconvulsions
(d) Itisa5HTsecretingtumour

28.
FollowingarethehallmarksofCushingsdiseaseexcept:

(a) Thereisabilateraladrenalhyperplasiasecondarytoexcessivepituitary
ACTH
(b) Itgenerallyoccursfromanacidophilicpituitaryadenoma
(c) Manifestationsareattributedtogluconeogenesis
(d) Urinaryfreecortisoland17hydrosteroidsareelevated

29.
Galactorrhoeamaybecausedbytreatmentwith:

(a) Isoniazid
(b) Spironolactone
(c) Haloperidol
(d) Ketoconazole

30.
Antibodiesdiagnosticofsystemiclupuserythematosusare:
(a) dsDNAantibodies
(b) Anticentromereantibodies
(c) Antihistoneantibodies
(d) SCL70antibodies

31.
Hypogonadotrophichypogonadismistypicallyassociatedwith:

(a) Atrophyofthetesticularinterstitial(Leydig)cells
(b) Klinefelterssyndrome(XXY)
(c) IsolatedGnRHdeficiency(Kallmannssyndrome)
(d) Cryptorchidism

32.
Systemichypertensionmaybeseeninallofthefollowingconditionsexcept:

(a) Connssyndrome
(b) Polyarteritisnodosa
(c) Chronicglomerulonephritis
(d) Addisonsdisease

33.
Regardinghyperosmolarnonketoticdiabeticcoma,allthefollowingaretrueexcept:

(a) Itisseeninnoninsulindependentdiabetes
(b) Itisprecipitatedbyinfections
(c) Bloodureanitrogenmaybeelevated
(d) Thereislargeaniongap

34.
Allofthefollowingcanbeusedasmicrobialbioterrorismagentsexcept:

(a) Salmonella
(b) Plague
(c) Anthrax
(d) Botulism

35.
Whichoneofthefollowingisnotacharacteristicofrespiratoryacidosis?

(a) ElevatedarterialpCO2
(b) DecreasedplasmapH
(c) Boundingpulseandmentalstupor
(d) Rapidshallowbreathing

36.
Whichoneofthefollowingstatementsconcerningporphyricneuropathyiscorrect?

(a) Itissymmetricalandweaknessismoreproximalthandistal
(b) Itpredominantlyinvolvesthesensorysystem
(c) Itisassociatedwithinflammationofnerve
(d) ItcauseselevatedproteinconcentrationinCSF

37.
Whichoneofthefollowingtestsisthemostsensitivefordetectingdiabetic
nephropathy?

(a) Serumcreatininelevel
(b) Creatinineclearance
(c) Microalbuminurea
(d) Ultrasonography
38.
MonitoringofantiretroviraltreatmentinacaseofHIVisbasedon:

(a) Lymphocytecount
(b) CDScount
(c) CD4Count
(d) Viralload

39.
Allofthefollowingareclinicalpresentationsofhypercalcemiaexcept:

(a) Polyuria
(b) Diarrhoea
(c) Abdominalpain
(d) Psychosis

40.
Whichoneofthefollowingisnotafeatureofmeasles(Rubeola)?

(a) Usuallyoccursinchildhood
(b) Incubationperiodisabout10days
(c) Kopliksspotsarecharacteristic
(d) Resolutionoccurswithscarring

41.
Mycoplasmapneumoniaecharacteristicallymayproducecomplicationsexcept:

(a) StevensJohnsonsyndrome
(b) Raynaudsphenomenon
(c) Rapidandseverehaemolysisduetocoldagglutinin
(d) Pericardialtamponade

42.
Chlamydialinfectioncanleadtoallofthefollowingdiseasesexcept:

(a) Trachoma
(b) Urethritis
(c) Atypicalpneumonia
(d) Appendicitis

43.
Forcedalkalinediuresisisindicatedin:

(a) Acutealcoholicintoxication
(b) Barbituratepoisoning
(c) Salicylatepoisoning
(d) Leadpoisoning

44.
WhichoneofthefollowingchemotherapeuticdrugsisMphasespecific?

(a) Hydroxyurea
(b) Methotrexate
(c) Vincristine
(d) Cyclophosphamide

45.
Gumhypertrophycanbeseenin:
(a) ALL
(b) CLL
(c) AML
(d) CML

46.
Polymorphonuclearleucocytosisisseeninwhichoneofthefollowing?

(a) Whoopingcough
(b) Typhoid
(c) Pneumococcalinfection
(d) Tuberculosis

47.
ThemostcommoninfectivecauseofretinaldiseasewithHIVinfectionis:

(a) Toxoplasmosis
(b) Cytomegalovirusinfection
(c) Cryptococcalinfection
(d) Parvovirusinfection

48.
Alzheimersdementiaisasyndromecharacterisedbyallofthefollowingfeatures
except:
(a) Itisusuallyprogressiveinnature.
(b) Itisassociatedwithseizures.
(c) Theconsciousnessofthepatientisnotclouded.
(d) Itismarkedbydisturbanceofhighermentalfunctions.

49.
Thefollowingareknowncausesofdementiathatcanbetreatedeffectivelywith
timelymedicalorsurgicalinterventionexcept:

(a) Subduralhaematoma
(b) VitaminB12deficiency
(c) Alzheimersdisease
(d) Thyroidhormonedeficiency

50.
Likelycausesoflaryngotracheobronchitisinatwoyearoldchildareallthefollowing
except:

(a)Coxsackievirus

(b)Parainfluenzavirustype1

(c)Respiratorysyncytialvirus

(d)InfluenzaAvirus

51.
Thedoseofzincfortreatmentofdiarrhoeainchildren(abovetheageof6months)is:

(a) 5mgperdayfor10days
(b) 10mgperdayfor10days
(c) 15mgperdayfor14days
(d) 20mgperdayfor14days

52.
AnewbornbabyisdefinedasveryLowBirthWeightbabyifthebirthweightis:

(a) Below1500gm
(b) Below1750gm
(c) Below2000gm
(d) Below2250gm

53.
Whichofthefollowingisnotadvisedforbreastabscessinalactatingmother?
(a) Administeranalgesics
(b) Stopbreastmilktoinfant
(c) Administerantibiotics
(d) Abscessmaybeincisedanddrained

54.
Theanticonvulsantdrugofchoiceforinfantilespasms(Westsyndrome)is:

(a) Phenytoinsodium
(b) Phenobarbitone
(c) Vigabatrin
(d) Carbamazepine

55.
Obesityinchildrenisdefinedas:

(a) BodyMassIndex(BMI)morethan85thpercentileforage
(b) BodyMassIndex(BMI)morethan90thpercentileforage
(c) BodyMassIndex(BMI)morethan95thpercentileforage
(d) BodyMassIndex(BMI)morethan97thpercentileforage

56.
Afourweek,termmalebabypresentswithjaundice.Histotalbilirubinis18mg%and
indirectis4mg%.Whatistheleasthelpfulinvestigation?

(a) Stoolcolourexamination
(b) Thyroidfunctiontest
(c) Ultrasoundabdomen
(d) Bloodgrouptypeofmother

57.
WhichofthefollowingheartdiseasesiscommoninDownsyndrome?

(a) CommonAVcanal
(b) Myocarditis
(c) Pulmonaryvalvularstenosis
(d) Coarctationofaorta

58.
Atenyearoldchildpresentedwithdecreasedurineoutputandcolacolouredurinefor
fourdays.Shehadhypertensionandperiorbitalpuffiness.Mostusefultestwillbe:

(a) Ultrasoundabdomen(KUB)
(b) ThroatswabforGroupABetahaemolyticstreptococci
(c) Urineculture
(d) Urineroutineandmicroscopy

59.
Allofthefollowingfeaturescanbepresentinachondroplasiaexcept:

(a) Autosomaldominantinheritance
(b) Parentswithnormalheight
(c) Smallhead
(d) Shortlimbs

60.
WhichoneofthefollowingisnotapartoftheRevisedTraumaScore?

(a) Glasgowcomascale
(b) Systolicbloodpressure
(c) Pulserate
(d) Respiratoryrate

61.
Whichofthefollowingisnotassociatedwithcleftpalate?

(a)Otitismedia
(b)Speechproblems
(c)Detentionabnormalities
(d)Missingteethinlowerjaw

62.
WhichoneofthefollowingisnotcorrectregardingMeckelsdiverticulum?
(a) Itispresentatbirth
(b) Ithasectopicgastricmucosa
(c) Presentonthemesentericborder
(d) Technetiumscanisadiagnosticinvestigation

63.
Inamalignantmelanomaoftheskin,theinvasiontoepidermis,papillaryandreticular
dermisreferstoClarkslevel:

(a) II
(b) III
(c) IV
(d) V

64.
Whichoneofthefollowingtestsisdonetodetectsubclinicalinfectionintuberculosis
ofintestine?

(a) Xrayabdomen
(b) Interferongammareleaseassay
(c) Ultrasoundofabdomen
(d) Bariummealandfollowthrough

65.
Thequalityofboneformationintransplantedboneisbestimprovedby:

(a) Autogenouscorticalbonegraft
(b) Allogeniccancellousbonegraft
(c) Allogeniccompositebonegraft
(d) Autogenouscancellousbonegraft

66.
Followingarethecomplicationsofectopiavesicaeexcept:
(a) Vesicouretericreflux
(b) Hydronephrosis
(c) Carcinomaofurinarybladder
(d) Renalfailure

67.
Inacathetersized16F;16Fstandsfor:

(a) 16mmdiameteratthetipofcatheter
(b) 16inchdiameter
(c) 1.6inchcircumference
(d) 16mmcircumference

68.
Ayoungmanwithsteeringwheelinjuryonchestrevealspalpablemultiplefractureof
ribsandparadoxicalmovement.Xrayshowspulmonarycontusiononrightside
withoutpneumothoraxorhaemothorax.Thetreatmentofchoiceis:

(a) Stabilizationofchestwallwithsandbags
(b) Stabilizationwithtowelclips
(c) Tracheostomy/endotrachealtubeandmechanicalventilation
(d) Immediateoperativestabilization
69.
Thinningofcorneaoccursin:
(a)
(b)
(c)
(d)

Megalocornea
Bullouskeratopathy
Endothelialdystrophy
Keratoconus

70.
Atwoyearoldchildisfoundtohaveptosisofoneeyewithdefectiveelevationofthe
eye.Openingthemouthcauseselevationoftheptosedlid.Themostlikelyclinical
conditionis:

(a) Partialthirdnervepalsy
(b) Congenitalptosis
(c) Ocularmyasthenia
(d) CongenitalptosiswithMercusGunnphenomenon

71.
PulsatileTinnitusoccursinpatientswith:

(a) Otosclerosis
(b) Secretingotitismedia
(c) Palatalmyoderma
(d) Glomusjugulartumour

72.
FollowingarethespecificcausesofhypoxaemiafollowingthoracicspinalinjuryatT6
andaboveexcept:

(a) Intercostalnerveparalysis
(b) Ventilationperfusionmismatch
(c) Partialphrenicparalysis
(d) Abdominalwallparalysis

73.

InGastroschisis
(a) thecordisinsertedonthetopofthesac
(b) thegutliesoutsidetheabdomenwithoutacoveringsac
(c) thesaccoversthegutorliverlyingoutsidetheabdominalcavity
(d)Noneofthesestatementsistrue

74.
A2yearoldpreviouslyhealthychilddevelopssorethroat,stridorandincreasing
dyspnoeaandbecomesseverelyill,withinamatterofhours,withprostrationand
collapse.Themostlikelyclinicaldiagnosisis:
(a) Acutetonsillitis
(b) Acutepharyngitis
(c) Epiglottitis
(d) Acutelaryngotracheobronchitis

75.
Aninfantwithrecurrentabdominalcolic,apalpablemassontherightsideofthe
abdomenandpassageofbloodystoolsismostlikelytobesufferingfrom:
(a) Congenitalpyloricstenosis
(b) Intussusception
(c) Wilmstumour
(d) Amoebiasis

76.
Whichoneofthefollowingbronchialcarcinomashasthebestprognosis?

(a) Adenocarcinoma
(b) Adenosquamouscarcinoma
(c) Squamouscarcinoma
(d) Smallcellcarcinoma

77.
Thebonemostpronetoavascularnecrosisfollowingafractureis:

(a) Scaphoid
(b) Humerus
(c) Femur
(d) Talus
78.

Allofthefollowingstatementsaretrueofthekeloidsexcept:

(a) Itisrarelyseeninwhiteskinnedpersons
(b) Itismorecommonoverthesternum
(c) Truekeloiddoesnotspreadintonormaltissue
(d) Thematurationandstabilizationofthecollagenfibrilsisinhibited

79.
Whichoneofthefollowingisapalliativeshuntprocedurecreatedbetweentheleft
subclavianarteryandthepulmonaryarterytotreatcyanoticheartdisease?

(a) Gattsshunt
(b) Lienorenalshunt
(c) BlalockTaussigshunt
(d) Waterstonsshunt

80.
Whichisthemostimportantlocalfactorresponsibleforwoundhealing?

(a) Tissueoxygenation
(b) Absenceofforeignbody
(c) Absenceofinfection
(d) Absenceoftensioninwound

81.
Whichoneofthefollowingisnotametaboliccomplicationofpyloricstenosis?

(a) Alkalosis
(b) Hyponatremia
(c) Hypochloremia
(d) Hyperkalemia

82.
Whichoneofthefollowingisthecommonestcomplicationofbloodtransfusion?

(a) Hemolytictransfusionreaction
(b) TransmissionofHepatitisBinfection
(c) Transmissionofhumanimmunodeficiencyvirus(HIV)infection
(d) Coagulopathy

83.
TheAdvancedTraumaLifeSupportsystemdefinesanorderofprioritiesgivenby
ABCDinwhichAstandsforAirway,BforBreathing,CforCirculationandDforwhich
ofthefollowing?

(a) Diagnosis
(b) Disability
(c) Death
(d) Noneofthese

84.
A60yearoldfemalepresentswithgraduallyincreasingdysphagiatosolidsandlossof
weight.Themostlikelydiagnosisis:

(a) Strictureoesophagus
(b) Carcinomaoesophagus
(c) Achalasiacardia
(d) PlummerVinsonsyndrome

85.
SwanGanzcatheterisusedtomeasure:

(a) Portalvenouspressure
(b) Peripheralarterialbloodpressure
(c) Intracranialpressuremonitoring
(d) Pulmonarywedgepressure

86
IncaseofHIVandTBcombinedinfection,whichofthefollowingisthelineof
management?

(a)Antiretroviraltherapyshouldbeinitiatedfirstfortwoweeksfollowedby
antituberculartherapy.
(b)Bothantitubercularandantiretroviraltherapiesshouldbeinitiatedsimultaneously
(c)Antituberculartherapyshouldbeinitiatedfirstfortwoweeksfollowedby
antiretroviraltherapy
(d)Antituberculartherapyshouldbecompletedfirstandthenantiretroviraltherapy
shouldbeinitiated

87.
Syndromicmanagementofurethraldischargecomprisesof,inadditiontohealth
educationandpartnermanagement:

(a)TreatmentofgonorrhoeaandChlamydia
(b)TreatmentofKlebsiellagranulomatisandChlamydia
(c)TreatmentofTreponomapallidumandHaemophylusducreyi
(d)TreatmentofgonorrhoeaandTreponomapallidum

88.
Whichofthefollowingarethesourcesofinfectionofplague?

(a)Infectedfleas,casesofbubonicplagueandpoorenvironmentalstatus
(b)Infectedrodents,casesofsepticaemicplagueandpoorenvironmentalstatus
(c)Infectedrodents,casesofbubonicplague,septicaemicplagueandpoor
environmentalstatus
(d)Infectedrodents,fleasandcasesofpneumonicplague


89.
Innormalpregnancy,followingchangesoccurinmaternalbloodexcept:

(a) Erythrocytesedimentationrate(ESR)isincreased
(b) Maternalbloodvolumeincreasesby15%
(c) Erythrocytevolumeincreasesby1520%
(d) Absorptionofironisincreased
90.

Implantationoccurson

(a)4thdaypostfertilization

(b)6thdaypostfertilization

(c)8thdaypostfertilization

(d)10thdaypostfertilization

91.

According to Whites classification, a pregnant diabetic woman with proliferative

retinopathybelongsto

(a)classD

(b)classF

(c)classR

(d)classH

92.

Whichofthefollowinghighriskfactorsareassociatedwithpretermlabour?

(a)Previoushistoryofpretermlabour

(b)Multiplepregnancy

(c)Bacterialvaginosis

(d)Allofthese

93.

An elderly patient gives history of 12 weeks amenorrhoea with vaginal bleeding and
the size of uterus is 16 weeks, with doughy feel and absence of internal
ballotment.Theclinicaldiagnosisis

(a) Fibroidwithpregnancy
(b) Ovariantumorwithpregnancy
(c) Hydatidiformmole
(d) Multiplepregnancy

94.

MonitoringofMgSO4therapyforeclampsiaisdoneusingallexcept:

(a) Urineoutput
(b) Kneejerks
(c) Fundusexamination
(d) Serummagnesiumlevels

95.

Foetaldistressisdiagnosedby

(a) earlyacceleration
(b) lateacceleration
(c) earlydeceleration
(d) latedeceleration

96.
OxytocinChallengetestisusedtoassessthe

(a) foetalwellbeing
(b) periodofgestation
(c) cervicalripening
(d) uterineresponsetoinduction

97.

Themostcommonlyusedmethodtodelivertheaftercomingheadofbreechis

(a) Lovsetsmanoeuvre
(b) BurnMarshalltechnique
(c) Pinardsmanoeuvre
(d) MauriceauSmellieviettechnique

98.

ApatientwithpreviousLSCSdoneforplacentapraeviahascomenowinsecondstage
oflabourwithheadat+2station.FHSis100/min.Youwill

(a) doLSCS
(b) applyforcepsanddeliver
(c) startpitocindripandaugmentlabour
(d) waitandwatch
99.

Duringspermatogenesismeioticdivisionoccursatwhichcellularlevel?

(a) Spermatocyte
(b) Spermatid
(c) Spermatogonia
(d) Spermatozoa

100.
Decontaminationofreusableinstrumentisdoneby:

(a) Soakingin1%hypochloritesolution
(b) Cleaningwithsoapandwater
(c) Boiling
(d) Steaming

101.
Thedrugofchoiceforthetreatmentofgalactorrhoeais

(a) Danazol
(b) Clomiphenecitrate
(c) Bromocriptine
(d) OestrogenorProgestogen

102.
Thefertilizationlifespanofthereleasedovumis

(a) 12hours
(b) 24hours
(c) 48hours
(d) 72hours

103.
Bacterialvaginosisiscausedby

(a) Staphylococcusaureus
(b) Gardenella
(c) Trichomonas
(d) Streptecoccus

104.
Maximumcardiacoutputduringpregnancyisat
(a)12weeks
(b)28weeks
(c)32weeks
(d)40weeks
105.
Whichoneofthefollowingisnotcorrectregardingnormalvaluesofsemenanalysisas
perWHO?

(a) pHintherangeof7.2to7.8
(b) Spermconcentration20X106/ml
(c) Motility60%ormoreprogressivelymotile
(d) Viability75%ormorelive


106.
WhatisthemostcommongenitalmalignancyseeninwomeninIndia?

(a) Carcinomacervix
(b) Endometrialcarcinoma
(c) Ovarianmalignancy
(d) Vulvalmalignancy

107.
A young woman of 28 years of age has to participate in a religious function on
22ndApril. She has a regular menstrual cycle and is expecting her menstrual period
aroundsametime,whichshewantstoavoid.Whatwillbethebestadvicetoher?

(a) Preponetheperiodbyproducingwithdrawalbleedingaweekearlier.
(b) Postpone the period by taking medroxy progesterone acetate everyday
from12thApril,tillthefunctionisover.
(c) Donothingandobserve.
(d) Takehighdosesoforalestrogensonthepreviousday.

108.
Themostcommoncausativeorganismresponsibleforsepticshockis

(a) E.coli
(b) Bacteroids
(c) Clostridium
(d) Klebsiella

109.
A30yearoldladyhasseveredysmenorrhoeaanddyspareunia.Onexamination,the
uterusis8weekssize,uniformlyenlargedandthereistendernessinposteriorfornix.
Whatisthemostprobablediagnosis?

(a)Fibroiduterus
(b)Dysfunctionaluterinebleeding
(c)Adenomyosis
(d)Endometrialcarcinoma

110.
Maximumdurationforwhichlactationalamenorrhoeacanpreventconceptionis:

(a)01month

(b)02months

(c)04months

(d)06months


111.
Whichofthefollowingisnotabarriermethodofcontraceptives?

(a)Diaphragm

(b)FemaleCondom

(c)CervicalCap

(d)Progestogencontainingintravaginalring

112.
CuT380Aintrauterinedeviceprovideseffectivecontraceptionfor:

(a)03years

(b)05years

(c)08years

(d)10years

113.
Aladywhoisusingoralcontraceptivepillscomeswithacomplaintofvaginaldischarge
and pruritus vulvae. On local examination, there is curdy white discharge from the
vagina.Whatisthemostlikelyclinicaldiagnosis?

(a)Trichomonalvaginitis

(b)Monilialvaginitis

(c)Gardnellavaginitis

(d)Atrophicvaginitis

114.
Thecombinedoralcontraceptivepillsdecreasetheriskofthefollowingexcept:

(a)Endomentrialcancer

(b)OvarianCancer

(c)BreastCancer

(d)EctopicPregnancy

115.
In comparison to conventional vasectomy, which of the following statements is not
trueaboutNoscalpeltechniqueofvasectomy?

(a) Noscalpelvasectomyisequallyeffective
(b) Lesstissueinjuryleadstolessbleeding
(c) Thepeopleappeartobelessapprehensiveaboutit
(d) Vascanbeeasilyidentified


116.
Followingarethemethodsofemergencycontraceptionexcept:

(a)Intrauterinedevicesinsertedwithin7daysofunprotectedsex
(b)Yuzperegimen
(c)SingletabletofMalaD
(d)Levonorgestrelonlyregimen

117.
WhichoneofthefollowingisthemostsensitiveindicatorforassessingMaternaland
ChildHealthServices?

(a)Infantmortalityrate
(b)Perinatalmortalityrate
(c)Stillbirthrate
(d)Postneonatalmortalityrate

118.
Essentialobstetriccareincludes:

(a)Earlyregistrationinfirst1216weeks
(b)Antenatalcheckups
(c)Providingtetanusimmunisationandironfolicacidtablets
(d)Allofthese

119.
Bloodstoragefacilityisavailableat:

(a)Villagelevel
(b)Subcentrelevel
(c)CHClevel
(d)PHClevel

120.
Unmetneedsofcontraceptioncoversallthefollowinggroupsexcept:

(a)Allwomenwhoaresexuallyactive,arenotusingcontraceptionandwantmore
children.
(b)Allwomenwhoaresexuallyactiveandarenotusingcontraception,eitherdonot
wantmorechildrenorwanttopostponethenextbirth
(c)Pregnantmarriedwomenwhosepregnanciesareunwanted
(d)Womenwhohaverecentlydeliveredandareinlactationalamenorrhoea


121.
EmergencyobstetriccarefacilityoffirstReferralUnitincludesthefollowing:

(a)24hourdeliveryservicesnormalandassisted
(b)Safeabortionservices
(c)Bloodstorageandtransfusionfacility
(d)Allofthese

122.
WhoistheimplementingworkeratthegrassrootlevelunderJananiSurakshaYojana?

(a)HealthCareWorkerfemale
(b)AnganwadiWorker
(c)AccreditedSocialHealthActivist
(d)TrainedBirthAttendant

123.
Ininductionofovulationclomiphenecitrateactsas:

(a)Gonadotropin
(b)Progesterone
(c)Antiprogesterone
(d)Antiestrogen

124.
WHOrecommendedstrategyforcontroloftrachomaisidentifiedbywhichoneofthe
followingabbreviations?

(a) SAFE
(b) STOP
(c) VISION2020
(d) BEAT

125.
Oneofthefollowingisnotariskfactorforcommoncancers:

(a)Tobaccochewing
(b)Alcoholconsumption
(c)Obesity
(d)Mentalstress


126.
Allofthefollowingaretrueaboutepiduralanalgesiainlabourexcept:

(a)Itisthemosteffectiveformoflabouranalgesia
(b)ItaimsatachievingT10sensorylevel
(c)Itcanbeextendedtoprovidesurgicalanaesthesiaforcaesareansection
(d)Itshouldnotbegiveninearlylabour

127.

ThePhysicalQualityofLifeIndexconsolidatestheindicators:

(a) Infantmortality,lifeexpectancyatageoneandliteracy
(b) Infantmortality,percapitacaloricconsumptionandliteracy
(c) Perinatalmortality,lifeexpectancyatbirthandpercapitacaloric
consumption
(d) Neonatalmortality,lifeexpectancyatbirthandpercapitacaloric
consumption

128.
Inwhichoneofthefollowingdiseases,carrierstatusisnotanimportantsourceof
transmission?

(a) Typhoid
(b) Poliomyolitis
(c) Diphtheria
(d) Measles

129.
Inwhichoneofthefollowing,typhoidbacillicanlivelongest?

(a) Icecream
(b) Soilirrigatedwithsewage
(c) Water
(d) Sweets

130.
Followingisnotameasureofhealthpromotion:

(a) Immunisation
(b) Healtheducation
(c) Environmentalmodifications
(d) Nutritionalintervention

131.
WhichofthefollowingdiseasesaresubjecttoInternationalHealthregulations?

(a) Cholera
(b) HepatitisB
(c) HIV/AIDS
(d) Noneofthese

132.
Whichoneofthefollowingisnotacontrolmeasureforepidemicofhumanplague?

(a) Vaccination
(b) Chemoprophylaxis
(c) Disinfection
(d) Rodentcontrol

133.
Whichoneofthefollowingiscorrectlymatchedinrelationtoavailablehuman
resources?

(a) CommunityHealthCentreMedicalSpecialistinPaediatrics
(b) HealthSubcentreMedicalSpecialistinGeneralMedicine
(c) PrimaryHealthCentreGynaecologist
(d) ICDSCentreMedicalOfficer

134.
Thefirststepinconductinganepidemicinvestigationis:

(a) Determiningthenumberofcases
(b) Determiningthepopulationatrise
(c) Verifyingthediagnosis
(d) Calculatingtheincubationperiod

135.
Acholeracasediffersfromthecaseoffoodpoisoningonfollowingpointsexcept:

(a) Incubationperiodincholeraislongeri.e.,2to5days
(b) Frequenteffortlesspurging
(c) Ricewaterystools
(d) Fever,fastpulseandheadache

136.
Samplingtechniquewhichselectseveryfifthpersonfromacommunityiscalled:

(a) Simplerandomsampling
(b) Systematicsampling
(c) Stratifiedsampling
(d) Clustersampling

137.
HumoralImmunityiseffectiveagainstwhichofthefollowing?

(a) Mycobacteriumleprae
(b) Candidaalbicans
(c) Mycobacteriumtuberculosis
(d) Clostridiumtetani

138.
Ifthespecificityofthetestwas80%andthesensitivityremainsthesameina
populationwith50%prevalence,thepositivepredictivevalueofthetestwillbe:

(a) 90%
(b) 80%
(c) 70%
(d) 60%

139.
Prevalenceofadiseaseaffects:

(a) Sensitivityofatest
(b) Specificityofatest
(c) Positivepredictivevalueofatest
(d) Dependabilityofatest

140.
Thenumberofdaughtersanewborngirlwillbearduringherlifetimeassumingfixed
agespecificfertilityandmortalityratesisreferredtoas:

(a) GrossReproductionRate
(b) NetReproductionRate
(c) GeneralFertilityRate
(d) AgeSpecificFertilityRate

141.
Allofthefollowingstatementsaretrueofcasecontrolstudiesexcept:

(a) Requiresrelativelyfewsubjects
(b) Suitabletoinvestigaterarediseases
(c) Attritionproblemofstudypopulationispresent
(d) Matchingremovesconfoundingbias

142.
ASHApostedatvillagelevelunderNationalHealthMissionshouldmeetthefollowing
qualificationsexcept:

(a)Sheshouldberesidinginthesamevillage
(b)Sheshouldbeunmarried
(c)Sheshouldbeabletocommunicatewithvillagersinthelocallanguage
(d)Sheshouldbeliterate

143.
CSFexaminationinacaseoftubercularmeningitisshowsallofthefollowingexcept:

(a)Elevatedproteinlevels
(b)Raisedsugarlevel
(c)Lowchloridelevel
(d)Lymphocytosis

144.
AllofthefollowingareJonesmajorcriteriaforrheumaticfeverexcept:

(a)Arthralgia
(b)Carditis
(c)Subcutaneousnodule
(d)Chorea

145.
Athreeyearoldchildcandoallofthefollowingexcept:

(a)Shecanusehandsandfeetsimultaneously
(b)Shecancopyasquare
(c)Shecanthrowaballwithoutlosingbalance
(d)Shecanridebicycle

146.
Whichofthefollowingisanabsolutecontraindicationforpertussisvaccine?

(a)Feverof390C
(b)Cerebralpalsy
(c)Historyofseizure
(d)Progressiveneurologicaldisease

147.
Whatisthedoseofparacetamolinchildren?

(a)5mg/kgofbodyweight
(b)15mg/kgofbodyweight
(c)25mg/kgofbodyweight
(d)30mg/kgofbodyweight

148.
Themodeofinheritanceofhereditaryelliptocytosisis:

(a)Autosomaldominant
(b)Autosomalrecessive
(c)Xlinkedrecessive
(d)Xlinkeddominant

149.
Whatisthecorrectamountoffluidforthetreatmentofseveredehydrationinatwo
yearoldbaby?

(a)30ml/kginfirsthalfhourand70ml/kginnexttwoandhalfhours
(b)50ml/kginfirsthalfhourand50ml/kginnexttwoandhalfhours
(c)30ml/kginfirsthourand70ml/kginnext5hours
(d)50ml/kginfirsthourand50ml/kginnext5hours

150.
Allofthefollowingarecausesofneonatalthrombocytopeniaexcept:

(a)Alloimmunethrombocytopenia
(b)Autoimmunethrombocytopenia
(c)Disseminatedintravascularcoagulation
(d)Maternalhypothyroidism