Shrawan2070

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Shrawan2070

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1. Uterine receptor is ?
   1.   Alpha 1
   2.   Alpha 2
   3.   Beta 1
   4.   Beta 2
2. Regarding clofazimine which of the following is false ?
   1.   It is phenyl iminophenazine
   2.   Half life is 70 hrs
   3.   Should be taken in empty stomach
   4.   None of the above
3. Which of the following NSAID has headache as a side effect ?
   1.   Ibuprofen
   2.   Paracetamol
   3.   Piroxican
   4.   Mephanic acid
4. Benzodiazepam acts by ?
   1.   Facilitating GABA receptor
   2.   Inhibiting GABA receptor
   3.   Modulating micro receptor
   4.   GABA mimetic activity
5. An elderly male taking oral anti-hypertensive drug developed positive direct Coombs Test. It may be due to ?
   1.   Methyldopa
   2.   Labetalol
   3.   Clonidine
   4.   Captopril
6. A middle aged person has weakness of left side of body with fever and altered sensorium. On examination there is bilateral up going plantars. CT shows hypodense lesion on bilateral temporal lobe and frontal lobe. Most probable diagnosis is ?
   1.   Herpex simplex
   2.   Encephalitis
   3.   Embolic stroke
   4.   Multiple sclerosis
7. A patient presents with features of mils muscle weakness, erythematous lesions on periorbital area, chest and knuckles. What is the most probable diagnosis ?
   1.   Dermatomyositis
   2.   SLE
   3.   Psoriasis
   4.   Lichen Planus
8. CBC report of a patient is : Hb = 4.5 gm/dl, WBC= 2000 cells/cc, plateletes= 55000 cells/cc. Treatment of choice for this patient is ?
   1.   Whole blood Transfusion
   2.   FFP transfusion
   3.   Platelets transfusion
   4.   Bone marrow transplantation
9. The findings of hypotension, hypoglycemia, hyponatremia, hyperkalemia, pigmentation on lips and buccal mucosa and darker palmer creases are most consistent with the diagnosis of ?
   1.   Cushings syndrome
   2.   Conns syndrome
   3.   Addisons Disease
   4.   Liddles disease
10. A 40 years person came in medicine OPD with compain of SOB and chest pain. On examination there was systolic murmur which became prominent on standing. What is the most probable diagnosis ?
    1.   DCM
    2.   AS
    3.   AR
    4.   MVP
11. A 40 years male came in OPD with complain of multiple genital ulcers, oral ulcers , ELISA positive for HIV. Most probable diagnosis ?
    1.   Syphilis
    2.   Gonorrhoea
    3.   AIDS
    4.   Chancre
12. Which of the following is the most dangerous during pregnancy ?
    1.   Hep A
    2.   Hep B
    3.   Hep C
    4.   Hep E
13. Which of the following is the most common cause of impaired red cell production, worldwide ?
    1.   Iron deficiency anaemia
    2.   Megaloblastic
    3.   Thalassemia
    4.   Sickle cell
14. A 16 years girl come in medicine OPD with complain of Red Rose sports and 1 cm splenomegaly. The most probable diagnosis is ?
    1.   Enteric fever
    2.   Measles
    3.   Chronic Malaria
    4.   Chronic kalazar
15. A patient with Rheumatoid Arthritis develops discomfort and burning sensation in his right eye with lacrimation. What is the diagnosis ?
    1.   Keratitis
    2.   Uveitis
    3.   Scleritis
    4.   Conjunctivitis
16. A 20 years old healthy lady has weight gain of 10 kg in last 6 month, cold intolerance. She has also history of fatigue. In his investigation TSH is increased. The most probable diagnosis is ?
    1.   Primary hypothyroidism
    2.   Secondary hypothyroidism
    3.   Secondary hyperthyroidism
    4.   Subclinical hyperthyroidism
17. A patient with hunger pain in epigastric region come in medicine OPD. For confirmation of diagnosis endoscopic biopsy was done . Endoscopic biopsy will positive for which of the following organism ?
    1.   H. pylori
    2.   Campylobacter
    3.   E. coli
    4.   Salmonella
18. In which of the following disease dopaminergic neurons are damaged ?
    1.   Parkinsonism
    2.   Myasthenia gravis
    3.   Multiple sclerosis
    4.   GBS
19. A factory worker came in Medicine OPD who is newly diagnosed as a case of TB with X-ray features but sputum negative. You will treat the patient with which category of ATT ?
    1.   Cat I
    2.   Cat II
    3.   Cat III
    4.   Cat IV
20. A young male develops high grade intermittent fever. Peripheral Blood Smear would be most helpful in the diagnosis of ?
    1.   Malaria
    2.   Kalazar
    3.   Infectious mononucleosis
    4.   Enteric Fever
21. A 45 years patient has history of 25 years of alcohol consumption. Which of the following vitamin will be deficient in him ?
    1.   Thiamine
    2.   Riboflavin
    3.   Pyridoxine
    4.   Niacin
22. A 45 years male presented in emergency ward with left sided chest pain but no radiation to shoulder but aggravates on coughing and inspiration. He has past history of low grade fever. ECG shows STE in most of lead. The most probable diagnosis is ?
    1.   MI
    2.   Acute pericarditis
    3.   Aortic Dissection
    4.   Croactation of Aorta
23. A 45 years thin and lean patient come to Medicine OPD with compain of chest pain, fever and blood stained sputum. He is diagnosed as pulmonary Tuberculosis. What will be X-ray features of pulmonary T.B. ?
    1.   Apical lobe infiltrates
    2.   Peri hilar infiltrates
    3.   Peri bronchiolar infiltrates
    4.   Basal infiltrates
24. A patient came to Emergency ward with history of injection of OP poison 3 days ago. You find patient drowsy and he has difficulty in neck extension. There is also numbness on limbs. The most probable diagnosis is ?
    1.   Intermediate syndrome
    2.   OPIDN
    3.   Hyperkalemia
    4.   Hypocalcemia
25. A 65 years patient with history of high blood pressure suddenly lost his consciousness. He has no history of neck rigidity, kernings sign is also negative. He recovered quickly, the most probable diagnosis is ?
    1.   SAH
    2.   TIA
    3.   Epilepsy
    4.   Meningitis
26. Most common cause of acute nephritis is ?
    1.   Streptococcus epidermidis
    2.   Group A beta streptococci
    3.   Staphylococci
    4.   E. coli
27. A patient came to emergency with the complain of distention of abdomen. Clinically all of the following tests are done for ascitis except ?
    1.   Shifting dullness
    2.   Fluid thrill
    3.   Puddle sign
    4.   Manson Test
28. Choose a false statement regarding CO poisoning ?
    1.   CO has 250 times more affinity to HB than that of O2
    2.   It does not cause hypoxia.
    3.   CO poisoning is treated with 100% O2
    4.   CO poisoning leads to formation of carboxyhemoglobin.
29. A 35 years old female with G5P4L4 at 10 weeks of gestation complains of UV prolapse but uterus is inside the introitus. What is the treatment ?
    1.   Vaginal Hysterectomy
    2.   Termination of Pregnancy
    3.   Ring Pessary
    4.   Conservative management
30. A 30 years female came to Gyanaecology OPD with history of not conceiving for last 3 years. Investigation that should be done is ?
    1.   Tubal insufflation test
    2.   HSG
    3.   USG
    4.   Fern Test
31. HSG is best done at ...... of Menstruation ?
    1.   7-12 days
    2.   After 14 days
    3.   Just before
    4.   After 4 days
32. If twinning takes place at 4-8 days, its result would be ?
    1.   Diamniotic Dichorionic twins
    2.   Diamniotic Monochorionic twins
    3.   Monoamniotic Monochorionic twins
    4.   Conjoint twins
33. A 20 years old female came to Gynae OPD with unilateral ovarian mass. Which investigation is appropriate for her ?
    1.   b-hCG
    2.   AFP
    3.   CA-125
    4.   X-ray
34. Commonest cause of post menopausal bleed is ?
    1.   Ca endometrium
    2.   Sinile vaginitis
    3.   Fibroid
    4.   DUB
35. When sperm fertilizes ovum, what is formed ?
    1.   Zygote
    2.   Blastomere
    3.   Morula
    4.   Blastocyst
36. What is the most appropriate management of red degeneration in pregnancy ?
    1.   Conservative management
    2.   Myomectomy
    3.   Hysterectomy
    4.   Termination of pregnancy
37. A 45 years female with fibroid complains of heavy bleed. She passes colts in bleed. Which type of fibroid you suspect ?
    1.   Submucous
    2.   Intramural
    3.   Subserous
    4.   Cervical
38. A patient complains with fibroid complains of heavy bleed. She passes colts in bleed. Which type of fibroid you suspect ?
    1.   HSG
    2.   Three swab test
    3.   USG
    4.   MRI
39. Breech delivery is easy when ?
    1.   Breech lies posteriorly
    2.   Breech lies anteriorly
    3.   Breech lies laterally
    4.   None of the above
40. Elective CS is most successful in which of the following case ?
    1.   Obese female
    2.   Oligohydramnios
    3.   Fetus not engaged
    4.   Posterior fetal back
41. Double protection is provided by ?
    1.   Minipills
    2.   Emergency contraceptive
    3.   Sangini
    4.   Condom
42. A child with history of sore throat has dysphagia, nasal regurgitation and difficulty in eye movement. What is the diagnosis ?
    1.   Dphtheria
    2.   Bulbar polio
    3.   Enteric fever
    4.   Measles
43. Which of the following is used in pregnancy can prevent Neural Tube Defect ?
    1.   Folic acid
    2.   Pyridoxine
    3.   Niacin
    4.   Cobalamine
44. In a child 4 permanent molars have erupted. Most probable age of the child is ....years ?
    1.   6
    2.   9
    3.   12
    4.   17
45. When used during pregnancy, which of the following drug causes Neural Tube Defect ?
    1.   Valproate
    2.   Phenobarbitone
    3.   Diazepam
    4.   Streptomycin
46. Measles vaccine is given at .....months of age ?
    1.   7
    2.   9
    3.   12
    4.   24
47. Salt and pepper appearance is not seen in ?
    1.   HIV
    2.   Rubella
    3.   CMV
    4.   Syphilis
48. A child can say mama, baba, can wave bye, walk few steps. Age of the baby is ?
    1.   9 months
    2.   15 months
    3.   18 months
    4.   24 months
49. Which of the following is the most common determinants of survival in early life ?
    1.   Intra uterine infection
    2.   Low birth weight
    3.   Breast feeding
    4.   URTI
50. A child with muscle wasting, oedema, poor feed, dry sparse hair and skin changes came to pediatrics OPD. The diagnosis is ?
    1.   Marasmus
    2.   Kwashiorker
    3.   Nephrotic Syndrome
    4.   Healhy Baby
51. Which of the following is absent in Kwashiorker ?
    1.   Muscle wasting
    2.   Mental retardation
    3.   Diarrhoea
    4.   Oedema
52. A child sometimes becomes blue, especially on crying but has no features of CCF. The most probable diagnosis is ?
    1.   VSD
    2.   ASD
    3.   PDA
    4.   TOF
53. A baby born at 39 weeks of POG and weight of the baby was 2 kg then it is ?
    1.   Early for gestation age
    2.   Underweight for normal gestational age
    3.   Premature baby
    4.   Normal for gestational age
54. A boy comes with macules, papules, vesicles with history of similar lesion in 10 years old brother.
    1.   Measles
    2.   Varicella
    3.   Herpes
    4.   Infectious mononucleosis
55. A child has difficulty in walking and standing from sitting position. His elder brother with similar problem is now 18 years old. This is ?
    1.   Myopathy
    2.   Neuropathy
    3.   Central lesion
    4.   Polio
56. Most common cause of post operative restlessness is ?
    1.   Hypercarbia
    2.   Hypoxia
    3.   Hypotension
    4.   Wearing off of muscle relaxant
57. Ratio for chest compression and artificial respiration is ?
    1.   30:2
    2.   4:1
    3.   2:1
    4.   1:1
58. Anaesthetic agent causing uterine relaxation is ?
    1.   Ketamine
    2.   Propofol
    3.   Halothane
    4.   Midazolam
59. CVP line is opened in ?
    1.   Internal jugular artery
    2.   Subclavian artery
    3.   Subclavian vein
    4.   External Juglar vein
60. A baby is planned for major surgery. His/her mother is advised to stop Breast feeding to herr child. Breast feeding should be stopped how long before surgery ?
    1.   2 Hour
    2.   4 Hour
    3.   6 Hour
    4.   8 Hour
61. Diazepam is used as pre-anaesthetic medication for all except ?
    1.   To decrease anxiety
    2.   To sedate
    3.   As analgesia
    4.   For amnesia
62. What is most important in pre-operative assesment of a child with submandibular abscess ?
    1.   Airway
    2.   Cardiac problems
    3.   Investigations
    4.   X-ray
63. A patient in post operative ward develops headache which worsens on sitting. Diagnosis is ?
    1.   Hypotension
    2.   Meaningitis
    3.   PDDH
    4.   Subdural leakage of CSF
64. There is well defined erythematous plaque with silvery scales in extensor surface of a 25 years old male patient. What is the diagnosis ?
    1.   Psoriasis
    2.   Lichen Planus
    3.   Dermatitis
    4.   Bee sting
65. Which of the following is a thought disorder ?
    1.   Schizophrenia
    2.   Depression
    3.   OCD
    4.   BPD
66. A female at 6 months postpartum has tendency of pulling threads and does not recognizes family member. Most probable diagnosis is ?
    1.   Acute schizophrenia
    2.   Depression
    3.   Adjustment disorder
    4.   Delirium
67. At night time, a man has tendency to have flash back of all the events during the day. But he could not control himself from this event. The most probable diagnosis is ......?
    1.   Obsession
    2.   Depression
    3.   Compulsion
    4.   Schizophrenia
68. In emergency ward a patient with lobar pneumonia has altered sensorium and talks irrelevant. Diagnosis is ?
    1.   Acute schizophrenia
    2.   Delirium
    3.   Depression
    4.   BPD
69. Snellen's chart is read it.....meter of distance from patient ?
    1.   6
    2.   3
    3.   12
    4.   1.5
70. Most common primary intraocular tumor in child is ?
    1.   Retinoblastoma
    2.   Lymphoma
    3.   Melanoma
    4.   Lympho Sarcoma
71. A patient has history of injury over right eye with leaves of a tree. He has pain and lacrimation. On examination corneal epitthelial defect was found. The diagnosis is ?
    1.   Corneal FB
    2.   Fungal keratitis
    3.   Penetrating injury
    4.   Conjunctivitis
72. A 75 years old male on fundus examination has microaneurysm, dot and blot hemorrhage. The most probable diagnosis is ?
    1.   Hypertensive RP
    2.   Diabetic RP
    3.   Sickle cell RP
    4.   Papilloedema
73. Most common ocular side effect of steroid ?
    1.   Glaucoma
    2.   Keratitis
    3.   Corneal ulcer
    4.   None of the above
74. Immediate treatment in bilateral vocal cord tumor with respiratory distress ?
    1.   Tracheostomy
    2.   Bronchoscopy
    3.   Intubation
    4.   Vocal cord resection
75. Submandibular space infection is known as ?
    1.   Ludwigs angina
    2.   Vincents angina
    3.   Parapharyngeal abscess
    4.   Thyroiditis
76. A 60 years old man with history of LOC and unilateral ear discharge develops fever , headache and neck rigidity. Most probable diagnosis is ?
    1.   Mastoiditis
    2.   Petrosis
    3.   Meningitis
    4.   Encephalitis
77. What should not be done to an ear when there is foreign body ?
    1.   Remove with Jobsons probe
    2.   Forceps
    3.   Syringing
    4.   Remove with hook
78. A 35 years female is diagnosed as a case of Sensory neural hearing loss (SNHL). What is treatment of choice in bilateral severe SNHL ?
    1.   Cochlear implant
    2.   Hearing Aid
    3.   Surgery
    4.   None of the above
79. Most common cause of acute epiglottitis ?
    1.   Haemophilus infuenzae type b
    2.   Parainfluenza virus
    3.   Streptococcus
    4.   Pseudomonas
80. Chronic maxillary sinusitis recent treatment modality is ?
    1.   Caldwell Luc
    2.   FESS
    3.   Antral wash
    4.   None of the above
81. Association between nutrition and change in dietary habits can be shown by ?
    1.   Chi square
    2.   Pearsons index
    3.   Correlation co-efficient
    4.   None of the above
82. Diseases in Millenium Development Goal are ?
    1.   Malaria, TB, Typhoid
    2.   Measles, TB, Malaria
    3.   AIDS, TB, Malaria
    4.   AIDS, TB, Measles
83. Ability to find true positive in the population is known as ?
    1.   Sensitivity
    2.   Specificity
    3.   Positive predictive value
    4.   Negative Predictive Value
84. Numerator in neonatal mortality rate (NMR) is death upto ?
    1.   7 days
    2.   28 days
    3.   1 year
    4.   5 years
85. Target IMR in 1997-2017 ?
    1.   25
    2.   35
    3.   45
    4.   55
86. Measure of variance is ?
    1.   Mean
    2.   Median
    3.   Mode
    4.   Standard deviation
87. Sub health post present in every......?
    1.   Municipality
    2.   VDC
    3.   District
    4.   Electoral constituency
88. Best way of providing health education to the community people is ?
    1.   Symposium
    2.   Workshop
    3.   Group discussion
    4.   Pannel Discussion
89. Oedema aquosum is found in ?
    1.   Dry drowning
    2.   Wet drowning
    3.   Immersion syndrome
    4.   Hanging
90. What is the age at which a person can give consent in our country ?
    1.   12 years
    2.   16 years
    3.   22 years
    4.   24 years
91. Entry wound in left thumb with metallic lusture and exit in right foot is associated with ?
    1.   Gunshot wound
    2.   Electric burn
    3.   Lighting burn
    4.   Flame burn
92. Most common cause of death in ..... cervical vertebra fracture ?
    1.   Axis
    2.   Atlas
    3.   C5
    4.   C6
93. A hostile witness is who .... ?
    1.   Treatens the judge
    2.   Threatens the lawyer
    3.   Gives false evidence
    4.   Does not reach to the court
94. Which nerve is present in tracheo-oesophageal groove ?
    1.   Vagus
    2.   Recurrent Laryngeal Nerve
    3.   Superior Laryngeal
    4.   External Laryngeal
95. Chief flexor of hip is ......?
    1.   Ilio-Psoas
    2.   Rectus femoris
    3.   Gluteus maximus
    4.   Sartorious
96. Which of these does not come in the porta hepatis ?
    1.   Hepatic artery
    2.   Portal vein
    3.   Bile duct
    4.   Common Hepatic duct
97. A patient's blood culture shows green colonies with positive optochin test sensitivity who has orbital cellulitis. Most likely organism is ?
    1.   Pneumococcus
    2.   Pseudomonas
    3.   Staphylococcus
    4.   E. Coli
98. A patient with AIDS develops headache, neck rigidity. CSF examination can be alternatively done with ?
    1.   Giemsa stain
    2.   Methylene blue
    3.   India ink
    4.   10% KOH
99. A person comes in emergency with complain of diarrhea and vomiting for last 2 hour. He has taken food last night. Food poisoning with above symptoms after 24 hours is caused by .....?
    1.   Staphylococcus
    2.   Salmonella
    3.   C. perfringens
    4.   B. cereus
100. In PSGN, which type of hypersensitivity reaction is seen ?
     1.   Type I
     2.   Type II
     3.   Type III
     4.   Delayed
101. Most important electrolyte to maintain ECF osmolarity ?
     1.   Na+
     2.   K+
     3.   Ca++
     4.   Cl-
102. Which ot the following organ has no sympathetic supply ?
     1.   Brain
     2.   Spleen
     3.   Skin
     4.   Heart
103. Which of the following organ has no receptor for glucose ?
     1.   Liver
     2.   RBC
     3.   Adrenal Medulla
     4.   Skeletal Muscle
104. Which of the following is true ?
     1.   Contraction of both ventricle at same time
     2.   Right ventricle precedes left ventricle
     3.   Left ventricle precedes precedes right ventricle
     4.   Right ventricle precedes right atria
105. Which is responsible for enzymatic secretion of pancrease ?
     1.   CCK
     2.   Secretion
     3.   Gastrin
     4.   LDH
106. A 35 years has cervical LN enlargement. His FNAC shows caseous necrosis. It is most probably ?
     1.   TB lymphadenitis
     2.   Chronic lymphadenitis
     3.   Metastatic lymphadenitis
     4.   Acute lymphadenitis
107. A 35 years old man fall from roof of house and there is fracture of humerus but no extension of wrist. Nerve injured at fracture of lower 3rd of humerus is ?
     1.   Radial nerve
     2.   Median
     3.   PIN
     4.   Ulnar
108. Saturday night palsy is due to compression of which nerve ?
     1.   Radial nerve
     2.   Median
     3.   Axillary
     4.   Ulnar
109. A 20 years old boy fall on his wrist of left arm. Most common carpal bone fracture is ?
     1.   Hamate
     2.   Lunate
     3.   Scaphoid
     4.   Pisiform
110. Most common complication of TB spine of concern is ?
     1.   Cold abscess
     2.   Neurological involvement
     3.   Fracture of vertebrae
     4.   Non of the above
111. In ER a case of RTA came with fracture tibia with open would of size 5 cm x 3 cm and bone protruding outside the skin with massive blood loss. What will you do first ?
     1.   ABC
     2.   Bone replaced back
     3.   Wound lavage and dressing
     4.   Only slintage
112. Not seen in compartment syndrome of forearm ?
     1.   Feeble pulse
     2.   Stretch pain
     3.   Paresthesia
     4.   Pallor
113. There is sudden breathlessness after fall in a 25 years old patient. He has decreased chest movement, decreased breath sound, tympanic on percussion on left side. Trachea deviated to opposite side. On chest X-ray there is left sede lung contusion of size 6.3 cm x 3 cm. What is the most probable diagnosis ?
     1.   Tension Pneumothorax
     2.   Pericardial Effusion
     3.   Pneumothorax
     4.   Hemothorax
114. Earliest symptoms in acute apendicitis is ?
     1.   Leukocytosis
     2.   Nausea
     3.   Vomiting
     4.   Epigastric pain
115. 1 year old child has sudden pain abdomen with drawing up of legs and screaming . After sometimes the child becomes completely normal. USG shows target sign positive. What is the diagnosis ?
     1.   Intussusception
     2.   Meckels Diverticulum
     3.   Hirchsprung Disease
     4.   Diarrhoea
116. Post thyroidectomy patient suddenly developed dyspnoea. On opening dressing of surgical site, there is swelling in wound. What is your management plan ?
     1.   Laryngoscopy and intubation
     2.   Open sutures
     3.   Return to OT
     4.   Tracheostomy
117. Most common cause of bleeding PR in 2 years old child is ?
     1.   Rectal polyp
     2.   Hemorrhoids
     3.   Anal fissure
     4.   Mucosal prolapse
118. There is mobile mass on right lobe of thyroid. Which investigation will you send ?
     1.   USG
     2.   FNAC
     3.   Radioisotope imaging
     4.   TFT
119. Swelling arising from right lobe of thyroid. FNAC shows papilla with nuclear halo. Most probable diagnosis is ?
     1.   Papillary ca
     2.   Medullary ca
     3.   Fillicular ca
     4.   Anaplastic ca
120. A 60 years old patient come to Surgery OPD with complain of Bleeding per rectum. You will not allow him to go without performing which of the following clinical test ?
     1.   USG
     2.   Occult blood
     3.   MRI
     4.   PR examination
121. A 50 years diabetic with multiple discharging sinuses at nape of neck. Probable diagnosis is ?
     1.   Furuncle
     2.   Carbuncle
     3.   Actinomycosis
     4.   Abscess
122. A child has been brought with swelling in inguinal region which is reducible. Diagnosis is ?
     1.   Umbilical hernia
     2.   Direct inguinal hernia
     3.   Indirect Inguinal hernia
     4.   Incarcerated
123. All are essential amino acids except ?
     1.   Tyrosine
     2.   Valine
     3.   Tryptophan
     4.   Lysine
124. Which is the most essential fatty acid ?
     1.   Omega 3 fatty acid
     2.   Linolenic acid
     3.   Linoleic acid
     4.   Arachidonic acid
125. Neoplastic cells derive energy by ?
     1.   Increased mitochondrial activity
     2.   High rate of glycolysis
     3.   Krebs's cycle
     4.   HMP shunt
126. Paraneoplastic syndrome is seen in ?
     1.   Small cell carcinoma of lung
     2.   Anaplastic carcinoma of lung
     3.   Adenocarcinoma lung
     4.   Squamous cell carcinoma
127. Sildenafil is used in ?
     1.   Malignant hypertension
     2.   Pulmonary hypertension
     3.   Headache
     4.   Left ventricular failure
128. A child is brought to the hospital with a history of fall on outstretched hand followed by pain, swelling, deformity and inability to move the affected elbow. Which is the most common artery injured in such injuries ?
     1.   Radial
     2.   Branchial
     3.   Ulnar
     4.   Axillary
129. In anterior dislocation of shoulder, the nerve involved is ?
     1.   Musculocutaneous
     2.   Axillary
     3.   Radial
     4.   Ulnar
130. The anaesthetic agent contraindicated in Hypertension is ?
     1.   Propofol
     2.   Ketamine
     3.   Thiopentone
     4.   Diazepam
131. A. G3P2 lady with 38 weeks of gestation was admitted in labor room. She is having labor pain since last 2 hours. Her cervix was 3 cm dilated and 2 cm in thickness, soft in consistency and was lying anteriorly. The fetal head is in -1 station. The fetal HR was 150/min. ( 5 questions are related to above condition)
     
     131. Calculate the Bishop's score in the given case ?
     1.   8
     2.   9
     3.   10
     4.   11
132. The patient is in .....stage of labour ?
     1.   First
     2.   Second
     3.   Third
     4.   Labour is not yet started
133. All of the following are features of labour pain EXCEPT ?
     1.   Painful uterine contraction at regular interval
     2.   Formation of bag of water
     3.   Show
     4.   Usually relieved by enem and administration of a sedative
134. In Partograph the X-axis denotes ?
     1.   Time in hours
     2.   Cervical dilatation
     3.   Descent of head
     4.   BP and pulse
135. All of the followings are true about the active management of third stage of labour EXCEPT ?
     1.   IV Oxytocin given
     2.   IM Oxytocin, uterine massage done
     3.   IM Methergin 0.2 mg is given
     4.   Active cord traction
136. B. A young lady who had undergone multiple curettage for incomplete abortion comes with complain of amenorrhoea of 3 months. (5 questions are related with above condition)
     
     136. The most probable diagnosis is ?
     1.   Asherman syndrome
     2.   DUB
     3.   Premature menopause
     4.   Missed abortion
137. Investigation that you will perform
     1.   Hysterotomy
     2.   X-ray
     3.   USG
     4.   Hysteroscopy
138. Treatment involves
     1.   IUD
     2.   Adenolysis
     3.   Estrogen support
     4.   All of the above
139. Cause of the above condition is ?
     1.   Incomplete curettage
     2.   Excessive curettage
     3.   Drug used
     4.   None of the above
140. Complication in subsequent pregnancy ?
     1.   Uterine malformation
     2.   Birth defects
     3.   Preterm labour
     4.   Spontaneous abortion
141. C. A young fatty 35 years married woman came to surgery OPD with known case of Gallstone and mucocele. (5 questions are related to above condition)
     
     141. Which of the following is true ?
     1.   Venous drainage into portal vein
     2.   Cystic artery branch of left hepatic
     3.   Capacity of GB 150-200 ml
     4.   90% of the gall stones are radio opaque
142. Most common type of gall stone is ?
     1.   Cholesterol
     2.   Oxalate
     3.   Brown pigmented
     4.   Black pigmented
143. Investigation that you will perform ?
     1.   USG
     2.   HIDA Scan
     3.   ERCP
     4.   CBC
144. Treatment of choice of the above condition is ?
     1.   Laparotomy
     2.   Laproscopic cholecystectomy
     3.   Open with Kochers incision
     4.   None of the above
145. Which is the cause of mucocele ?
     1.   Persistent obstruction
     2.   Chemical irritation
     3.   Bacterial infection
     4.   Pancreatic reflux
146. D. A young boy playing football a week ago falls on ground. He has pain on leg at that time. After a week he came to emergency with pain, redness over shin with fever. (5 questions are related to above condition )
     
     146. Most probable diagnosis of the above case is ?
     1.   Acute pyogenic Osteomyelitis
     2.   Septic Arthritis
     3.   Traumatic Arthritis
     4.   Synovitis
147. Investigation that you want to perform first ?
     1.   CBC
     2.   Blood culture
     3.   X-ray
     4.   MRI
148. Treatment
     1.   Analgesics and IV Antibiotics
     2.   Amputation
     3.   Antibiotic
     4.   Analgesic
149. If this condition is not treated what condition may develop ?
     1.   Chronic Osteomyelitis
     2.   Recovers after long time
     3.   Osteoporosis
     4.   Pathological Fracture
150. What long term complication will arise ?
     1.   Weakness
     2.   Stiffness
     3.   Sepsis
     4.   Gangrene
151. E. A child has history of oliguria, his BP=190/100, there is facial and periorbital edema. ( 5 questions are related to above condition)
     
     151. Most probable diagnosis is ?
     1.   Nephritic syndrome
     2.   PSGN
     3.   Nephrotic syndrome
     4.   Acute renal failure
152. The other investigations are ?
     1.   Urine R/E and ASO
     2.   CBC and ASO
     3.   Blood urea and creatinine
     4.   Serum sodium and calcium
153. Which of the following is not the treatment ?
     1.   Frusemide
     2.   Fluid and salt restriction
     3.   Penicillin
     4.   Steroids
154. Most common due to which organism ?
     1.   Staphylococcus
     2.   Streptococcus
     3.   E.coli
     4.   Pneumococcus
155. All are common cause of seizures EXCEPT ?
     1.   Hypertension
     2.   Hypoglycemia
     3.   Hyponatremia
     4.   High fever
156. A. 5 years old child came with loose stool and vomiting .( 5 questions are related to above condition)
     
     156. What would you like to know to treat the patient ?
     
     1.   Blood stool or not
     2.   Frequency of loose stool
     3.   Frequency of vomit
     4.   Breastfeeding or not
157. If non bloody, most common cause ?
     1.   E. coli
     2.   Cholera
     3.   Food poisoning
     4.   Rotavirus
158. Which of the following statement is true about zinc ?
     1.   Zinc given for 10-14 days
     2.   Given as long as diarrhea persists
     3.   Only for children less than 6 months
     4.   Same dose for all ages
159. Most important determining factors in measuring IV fluid ?
     1.   Urine output
     2.   Child thirsty
     3.   Dry tongue
     4.   Skin goes back slowly
160. Treatment of Shigella dysentry ?
     1.   Azithromycin
     2.   Cefixime
     3.   Amoxicillin
     4.   Chloramphenicol
161. G. A lady comes in gynae OPD with excessive vomiting and amenorrhoea for 16 weeks ? Uterine height is at umbilicus. ( 5 questions are related to above condition)
     
     161. What is an unlikely cause of large for GA ?
     1.   H. mole
     2.   Multiple pregnancy
     3.   IUFD
     4.   Mistaken date
162. What examination will you prefer for diagnosis of above case ?
     1.   BP and weight
     2.   Auscultation
     3.   Palpation of fetal parts
     4.   USG
163. In a normal pregnancy, calcium is presented from ?
     1.   18 weeks
     2.   20 weeks
     3.   16 weeks
     4.   12 weeks
164. What is the minimum number of ANC visits according to WHO ?
     1.   3
     2.   4
     3.   5
     4.   6
165. The commonest presentation in twin pregnancy is ?
     1.   First vertex, second vertex
     2.   First vertex, second breech
     3.   First breech, second Vertex
     4.   First breech, second breech
166. A. 45 years worker came to hospital with history of fever and cough for a month. (5 questions are related to above condition)
     
     166. What is the most probable diagnosis ?
     1.   Pulmonary TB
     2.   Malaria
     3.   Kalazar
     4.   None of the above
167. How will you collect sample for sputum ?
     1.   Morning sample
     2.   Evening sample
     3.   When cough arises
     4.   When patient wants
168. What investigation is not done ?
     1.   Mantoux
     2.   Widal test
     3.   Chest X-ray
     4.   Sputum for AFB
169. What is the treatment for it ?
     1.   Cat I
     2.   Cat II
     3.   Cat III
     4.   Pyridoxine
170. Red Colour urine is seen in ATT due to which drug ?
     1.   Isoniazide
     2.   Pyrazinamide
     3.   Rifampicin
     4.   Streptomycin
171. I. A 55 years old patient has sudden severe pain in lower limb with absent pulse below knee ? (5 questions are related to above condition)
     
     171. Most probable diagnosis is ?
     1.   Acute popliteal artery emboli
     2.   DVT
     3.   Cellulitis
     4.   Vericose Vein
172. Important investigation that you will want to perform ?
     1.   Angiograph of lower limbs
     2.   MRI
     3.   CT
     4.   Duplex ultrasound
173. What is your immediate management ?
     1.   Thromboembolectomy
     2.   Heparin
     3.   Warfarin
     4.   Aspirin
174. Common source of emboli ?
     1.   Right atrium
     2.   Left atrium
     3.   Right ventricle
     4.   Left ventricle
175. Investigation to detect source ?
     1.   Popliteal angiography
     2.   X-ray
     3.   ECHO
     4.   CT scan
176. J. A patient brought with cold periphery, sweating from body , miosis, lacrimation, muscle fasciculation and paralysis with wheezes all over chest ?(5 questions are related to above condition)
     
     176. What is the diagnosis ?
     1.   Morphine poisoning
     2.   OP poisoning
     3.   Mercury poisoning
     4.   CO2 poisoning
177. Drug of choice is ?
     1.   Atropine
     2.   Pralodoxime
     3.   Dopamine
     4.   Nitroglycerine
178. Most specific investigation ?
     1.   Drug level
     2.   USG abdomen
     3.   Blood Culture
     4.   Cholinesterase
179. Which effect not controlled by above drug ?
     1.   Sweating
     2.   Pinpoint Pupil
     3.   Muscle fasiculation
     4.   Lacrimation
180. Which drug would you use for this ?
     1.   Steroid
     2.   Dopamine
     3.   Pralidoxime
     4.   Antibiotics