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1)A man was brought to the emergency department after he fell into a manhole and injured his perineum. He was unable to pass urine and blood was seen at the tip of the urethra. A diagnosis of bulbar urethral injury was made. Where do you least expect the urine to get collected in this case? A. PerineumB. Anterior abdominal wallC. Medial portion of ThighD. Root of penis
2) What is the type of collagen seen in cartilage? A. Type 1 collagenB.Type 2 collagenC. Type 3 collageD. Type 4 collagen 3) Which of the following should be avoided by a patient of fish odour syndrome? A. BiotinB. CholineC. NiacinD. Pantothenic acid 4) Which of the following is true regarding an allosteric modifier? A. Desaturates the enzymeB. Causes the enzyme to work faster only.C. Binds to the catalytic siteD. Participates in feedback regulation 5) The relationship between the flow in a long narrow tube, the viscosity of the fluid, and the radius of the tube is expressed mathematically by___. A. Laplace lawB. Poiseuille's lawC. Fick lawD. Frank starling law 6) Golgi tendon organ, being sensory is classified under which subtype of sensory nerve fibres? A. IaB. IbC. IID. III 7) A patient has a history of multiple episodes of painful swelling of ankles and big toes which is relieved with NSAIDs. You would avoid all of the following drugs in her except? A. FurosemideB. High dose salicylatesC. CyclosporineD. Pyrazinamide 8) Ustekinumab is effective in all of the following conditions except? A. Rheumatoid arthritisB. Ulcerative colitisC. Psoriatic arthritisD. Crohn’s disease 9) The specimen obtained by performing incision and drainage of a breast abscess was sent for culture on nutrient agar. Microscopy of the isolated organism revealed gram-positive cocci arranged in clusters. Which of the following is a false statement regarding this organism? A. Pigment production occurs optimally at 35°C.B. Golden yellow pigmentation is due to β-caroteneC. Pigment production enhanced by adding milk in culture mediumD. Confluent growth present as ‘oil-paint appearance 10) A wildlife photographer presents with a blackish lesion at the site of a mite bite from a few days back. He also gives a history of fever and rash. What is the most likely diagnosis? A. AnthraxB. Scrub typhusC. Rocky Mountain FeverD. Epidemic typhus 11) Which of the following is not a marker for liver fibrosis? A. Procollagen peptide IIIB. Hyaluronic acidC. Tissue inhibitor of metalloproteinase 1D. Telopeptide 12) An anemic patient on evaluation showed macrocytes with hypersegmented neutrophils on peripheral smear. Serology revealed anti-parietal cell antibodies. Which of the following is most likely to be associated with her condition? A. Zollinger Ellison syndromeB. VIPomaC. Type A gastritisD. Type B gastritis 13) Which of the following constitutional article is not related to children? A. 21AB. 24C. 45D. 42 14) A college student who is addicted to intravenous heroin abruptly stopped abusing the drug during exams. Which of the following would you not expect as a part of withdrawal? A. LacrimationB. ConstipationC. Increasing salivationD. Yawning 15) A researcher is studying mutations in the rhodopsin gene which are responsible for some forms of autosomal dominant retinitis pigmentosa. On which chromosome is this gene located? A. 3qB. 3pC. 13pD. 13q 16) What is the most common cause of ophthalmia neonatorum in developed countries? A. ChlamydiaB. GonorrhoeaC. Chemical conjunctivitisD. Staphylococcus aureus 17) Bernoulli’s phenomenon explains the pathogenesis of which of the following conditions? A. Zenker’s diverticulumB. Nasal polypC. Deviated nasal septumD. Laryngomalacia 18) Which of the following is the most common complication of Caldwell Luc operation? A. BleedingB. Oroantral fistulaC. Infra orbital nerve injuryD. Orbital cellulitis 19) In a population of 10000, the prevalence of a disease is 20%. The sensitivity of a screening test is 95% and specificity is 80%. What is the positive predictive value of the test? A. 54.3%B. 45.7%C. 15.3%D. 98.5% 20) Rideal-Walker co-efficient is employed for the assessment of which of the following? A. Sufficiency of pasteurizationB. Effect of autoclavingC. Effect of dry heat sterilisationD. Power of disinfectant 21) What is the Child-Turcotte-Pugh class for the patient who has a serum bilirubin 2.5 mg/dl, serum albumin 3 g/dl, prothrombin time increased by 5 seconds (INR = 2), no encephalopathy, and mild ascites? A. Class AB. Class BC. Class CD. Class D 22) A chronic alcoholic male patient presented with abdominal distension, reduced urine output, and pedal edema. His serum creatinine was 1.6 mg/dL. What is the next line of management in this patient? A. MethylprednisoloneB. HeparinC. TorsemideD. Octreotide plus albumin 23) A patient with auditory hallucinations and persecutory delusions is diagnosed with schizophrenia. Which of the following is false regarding the neurotransmitters involved in its pathogenesis? A. NMDA receptor hypoactivity in the prefrontal cortexB. Decreased levels of nicotinic and muscarinic receptors in the hippocampusC. Increased GABA receptor binding in the cingulate cortexD. Dopaminergic hypoactivity in subcortical regions 24) Which of the following is not a feature of melancholia? A. Severe anhedoniaB. Weight lossC. Sleep onset insomniaD. Profound feeling of guilt over trivial events 25) A dermatologist can use the Goekerman regimen to treat which of the following conditions? A. Paraneoplastic pemphigusB. PsoriasisC. EczemaD. Lichen planus 26) A 5-year-old boy presents with headache, fever, and vomiting. He is diagnosed with herpangina. Which group of viruses causes the same? A. EnterovirusesB. RhinovirusesC. MyxovirusesD. Rhabdoviruses 27) The false statement about cystic masses of the neck is? A. Type 3 Branchial fistula has its internal orifice on cricopharynxgeusB. Cystic hygroma is filled with clear lymphC. Thyroglossal cyst moves upward on swallowing and tongue protrusionD. Fluctuation is positive in branchial cyst 28) A young girl presents with the complaints of continuous dribbling of urine. However, she also voids normally. Her parents tell you that she had never been totally dry since her birth. What is the most likely diagnosis? A. Ectopic ureterB. UreteroceleC. Congenital megaureterD. Vesicoureteric reflux 29) A patient with head and neck cancer was told by his oncologist that needs radiotherapy at a total dose of 70 Gy over a 7 week period for his tumor. He was scheduled to receive a dose of 1.8-2Gy per fraction, once daily over 5 days a week, for 7 weeks. What is this type of radiotherapy called as? A. Regular Fractionated radiotherapyB. Hyperfractionated radiotherapyC. Accelerated fractionation radiotherapyD. Brachytherapy 30) Obliteration of right cardiac border on chest X-Ray indicates pathology involving which of the following structures? A. Right lower lobeB. Right atriumC. Right middle lobeD. Right ventricle 31) An 11-month-old baby is brought with high-grade fever and persistent crying for the past 2 days. She has been refusing to stand or eat anything. Examination reveals erythema and swelling of the right hip. Joint arthrocentesis reveals purulent fluid and the presence of bacteria. What is the likely diagnosis? A. Holstein-Lewis arthritisB. Hawkin-Kennedy arthritisC. Tillaux-Chaput arthritisD. Tom Smith arthritis 32) A patient complains about difficulty doing chores due to morning stiffness of the joints. Investigations show elevated ESR, CRP, and positive Rheumatoid factor. Which of the following is not likely to be seen in this condition? A. HyperandrogenismB. Hip fracturesC. Keratoconjunctivitis siccaD. Congestive heart failure 33) A 50-year-old housewife with diabetic nephropathy and receiving dialysis weekly comes to your clinic with an accidental burn on her left hand. On examination, 2nd-degree burns are seen. Which of the following opioids should not be prescribed to her for analgesia? A. PethidineB. MethadoneC. FentanylD. Alfentanil 34) The best type of anesthesia for pre eclampsia is A. Spinal anesthesiaB. Epidural anesthesiaC. General anaesthesiaD. Caudal block 35) A 6-year-old boy presents to the ER with colicky abdominal pain. His mother tells you that he refuses to walk due to knee pain. On examination, palpable purpura is noted. What is the most likely diagnosis? A. Henoch Schonlein purpuraB. Hemolytic uremic syndromeC. Juvenile idiopathic arthritisD. Pseudo gout 36) A 10-year old child presented with recurrent pulmonary infections, and bulky greasy stools. Quantitative estimation of the stool fat was more than 10gm/day. Which of the following will be seen in this child? A. Protein losing enteropathyB. Distal intestinal obstructionC. HypernatremiaD. Rectal prolapse after treatment 37) The best time to identify the type of twin pregnancy on ultrasound is? A. 18-22 weeksB. 24-28 weeksC. 11-14 weeksD. 14-18 weeks 38) Fimbriectomy is also known as: A. Pomeroy techniqueB. Uchida's procedureC. Kroener’s procedureD. Irving’s procedure 39) Which of the following is an FDA-approved immunotherapy for non-small cell lung cancer (NSCLC)? a) Bevacizumabb) Nivolumabc) Rituximabd) Cetuximab 40) CRISPR-Cas9 technology is primarily used in a) Gene therapyb) Vaccine developmentc) Cancer treatmentd) Antibiotic resistance

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