DM
Speciality Medicine
Roll No.
11
Invigilators Signature
Instructions to Candidates
1.
This question booklet contains 150 objective SINGLE BEST RESPONSE Type Questions (MCQs) ; distributed in two
Sections viz Section A of 100 MCQs and Section B of 50 MCQs. Each MCQ is of one mark. There is no negative
marking.
2.
The question paper and OMR (Optical Mark Reader) Answer Sheet are issued separately at the start of the examination.
3.
Section A contains 100 questions covering all the subjects of I, II and III MBBS course. Section B contains
50 questions in the subject of Broad Speciality in which the candidate has done postgraduation (MD or MS).
4.
Candidate should check that correct question paper as per the speciality is received.
5.
Choice and sequence for attempting questions will be as per the convenience of the candidate.
6.
Candidate should carefully read the instructions printed on the Question Booklet and Answer Sheet and make correct
entries on the Answer Sheet. As Answer Sheets are designed to suit the OPTICAL MARK READER (OMR) SYSTEM,
special care should be taken to mark correct entries. Special care should be taken to fill QUESTION BOOKLET
VERSION and SERIAL NO. and Roll No. accurately. The correctness of entries has to be cross-checked by the
invigilators. The candidate must sign on the Answer Sheet and Question Booklet.
7.
Read each question carefully. Read the serial order of four options i.e. A, B, C & D of the MCQs carefully, including
those which are fill in the blank type of MCQs, while marking the answer.
8.
Determine the correct answer from out of the four available options given under each question.
9.
10.
11.
Use of whitener or any other material to erase/hide the circle once filled is not permitted.
12.
No mark shall be awarded for the particular question if the examinee has marked two or more answers to it or has done
overwriting or scratching etc. in the Answer Sheet.
13.
Rough work should be done only on the blank space provided on the Question Booklet. Rough work should not be
done on the Answer Sheet.
14.
Immediately after the prescribed examination time is over, the Answer Sheet and the Question Booklet is to be
returned to the invigilator after both the candidate and invigilator have signed.
15.
No candidate is allowed to leave the Examination Hall till the examination session is over.
P.T.O.
*11*
-2-
11
DM
Med.
*11*
11
-3-
SECTION A
1. All of the following structures are lined by simple Columnar Epithelium EXCEPT
A) Stomach
B) Small intestine
C) Gall Bladder
D) Trachea
B) Pseudounipolar neurons
C) Bipolar neurons
D) Multipolar neurons
B) Trapezoid body
C) Medial lemniscus
D) Spinal lemniscus
B) Popliteus
C) Semimembranosus
D) Semitendinosus
B) ACTH
6. In presence of ADH (Anti Diuretic Hormone), the greatest fraction of total filtered water
is reabsorbed in
A) proximal convoluted tubule
B) descending limb of loop of Henle
C) distal tubule
D) cortical collecting tubule
7. All of the following increase local tissue blood flow EXCEPT
DM
A) Nitric oxide
B) Lactic acid
C) Endothelin
D) Adenosine
Med.
*11*
-4-
11
B) Valine
C) Glutamic acid
D) Glutamine
B) Manganese
C) Copper
D) Molybdenum
B) Electrophoretic mobility
C) Catalytic activity
D) Km
D) Prolonged starvation
B) Bronchiectasis
C) Bronchial asthma
D) Pneumonia
14. Following factor causes defect in mucosal defence in pathogenesis of peptic ulcer disease
DM
A) Psychological stress
B) H. Pyelori infection
C) Cigarette smoking
D) Hyperparathyroidism
Med.
*11*
11
-5-
B) Malaria
C) Syphilis
D) Leprosy
16. The thyroid neoplasm diagnosed on the basis of nuclear features only is
A) Papillary carcinoma
B) Follicular carcinoma
C) Anaplastic carcinoma
D) Medullary carcinoma
B) Downs syndrome
C) Turners syndrome
D) Edwards syndrome
B) HBV
C) HCV
D) HEV
19. Which of the following is a rapid and inexpensive method for diagnosis in a women
presenting with painful genital blisters ?
A) KOH mount
C) Tzanck smear
B) Enterovirus 70
C) Norwalk virus
D) Rhinovirus
B) Diagnosis of leprosy
C) Menieres disease
DM
A) Efficacy
B) Safety
C) Potency
*11*
11
-6-
B) COPD
C) Acute abdomen
25. Which of the following nutritional status indicators is used in monitoring the growth of
children in ICDS programme ?
A) Weight for age
26. Evaluation of health services comes under one of the following epidemiological
techniques
A) Non randomized experiments
B) Randomized controlled trials
C) Before and after studies without comparison
D) Natural experiments
27. An attribute or exposure, that is significantly associated with development of disease is
known as
A) Predisposing factor
B) Augmenting factor
C) Risk factor
D) Aetiological factor
28. As per IMNCI (Integrated Management of Neonatal and Childhood Illness), the minimum
recommended number of beds for an SNCU (Special Newborn Care Unit) at a district
hospital is
A) 3
B) 6
C) 12
D) 15
29. Which of the following is the most reliable criteria for determination of age from
Gustafsons method ?
DM
A) Attrition
B) Periodontosis
C) Root resorption
D) Root transparency
Med.
*11*
11
-7-
B) corpus delicti
C) mens rea
D) novus actus
31. All of the following are adverse prognostic factors in acute pancreatitis EXCEPT
A) PaO2 < 60 mm of Hg
C) Urea > 16 mmols/L
32. The Neoplastic lesions which are most common AIDS defining condition in HIV patient
are following EXCEPT
A) Kaposis Sarcoma
B) NHL
C) Invasive Cervical Carcinoma
D) Squamous Cell Carcinoma of Lungs
33. Hormone that remains stable with aging is
A) Insulin
34. The cardiac murmur which increases in length and duration with valsalva manoeuver is
due to
A) Mitral Regurgitation
C) HOCM
B) Rigidity
C) Ataxia
D) Paralysis
DM
A) Diabetic ketoacidodis
B) Starvation ketosis
C) Glue sniffing
*11*
-8-
11
B) Dobutamine
C) Adenosine
D) Adrenaline
B) Wilson disease
C) Parkinsonism
D) Thyrotoxicosis
B) LSD
C) Cocaine
D) Amphetamine
B) Carcinoid syndrome
C) SLE
D) Lymphoma
B) Carbimazole
C) Propylthiouracil
D) Radioactive iodine
B) Ovarian tumor
C) Carcinoma of breast
D) Hodgkins lymphoma
43. Repetition of words leading to paraphasic errors with frequent attempts at self correction
is present in
A) Brocas Aphasia
B) Wernickes Aphasia
C) Conduction Aphasia
D) Global Aphasia
Med.
*11*
-9-
11
B) Mid phase
C) Late phase
D) Preadolescent phase
47. Outbreaks of dermatitis and UTI are reported in healthy individuals after use of pools
and hot tubs, due to
A) Psuedomonas aeruginosa
B) Group A streptococci
C) Staphylococcus epidermidis
D) Staphylococcus aureus
48. Known risk factors for sudden infant death syndrome are all EXCEPT
A) Maternal smoking
C) Sleeping supine
D) Male gender
B) Confusion
C) Neuropsychiatric symptoms
B) High dose of B1
C) Nicotinamide
D) Carnitine
DM
A) Neurofibromatosis type I
B) Neurofibromatosis type II
C) Tuberous sclerosis
D) Xeroderma pigmentosum
Med.
*11*
-10-
11
B) Dermatitis Herpetiformis
C) Bullous Pemphigoid
D) Paraneoplastic Pemphigus
B) Psoriasis vulgaris
C) Pemphigus vulgaris
D) Pemphigus vegetan
55. Alcohol withdrawal associated with agitated confusion, tactile and visual hallucinations,
is called
A) Delirium tremens
B) Wernickes encephalopathy
C) Rum fits
56. The three types of auditory hallucinations commonly associated with Schizophrenia are
following EXCEPT
A) Audible thoughts
B) Third person hallucinations
C) Running commentary hallucinations
D) Haptic hallucinations
57. A 20 year old man, has a mental age of a 12 year old boy. What is his level of mental
retardation (MR) ?
DM
A) Profound MR
B) Mild MR
C) Severe MR
D) Moderate MR
Med.
*11*
11
-11-
B) Peripheral neuropathy
C) Raised ICT
D) Myasthenia gravis
59. Which one of the following are constituents of Lowenstein Jensens media EXCEPT ?
A) Agarose
B) Malachite green
C) Mineral salt
D) Asparagine
D) Spigellian hernia
DM
A) Ascending colon
B) Sigmoid colon
C) Transverse colon
D) Descending colon
Med.
*11*
-12-
11
B) Mobius sign
C) Rovsing sign
D) Psoas sign
65. Moderately increased risk of invasive breast carcinoma is associated with which of the
following lesions ?
A) Adenosis
B) Fibroadenoma
C) Atypical hyperplasia
D) Apocrine metaplasia
B) Dieulafoys disease
C) Boerhaave syndrome
D) Carcinoma oesophagus
B) Hepatoblastoma
C) Gastrinoma
D) Nephroblastoma
68. All of the following are known complication of ulcerative colitis EXCEPT
A) Stricture
B) Perforation
C) Toxic megacolon
D) Carcinoma
C) Fibroadenosis
D) Multiparity
B) Prelist briefing
C) Sign in
D) Time out
71. 22 yrs. old male having painful fluctuant mass in the midline between the gluteal folds,
per rectal examination normal. What will be diagnosis ?
DM
B) Perineal abscess
C) Gluteal abscess
D) Perirectal abscess
Med.
*11*
-13-
11
C) Hypoglycemia
D) Hyperglycemia
B) Transerverse colon
C) Sigmoid
D) Rectum
B) Plating
B) Paradiscal
C) Anterior
D) Posterior
B) Bartons fracture
C) Rolandos fracture
D) Smiths fracture
B) below 5 yrs.
C) below 7 yrs.
D) below 10 yrs.
DM
A) Flat
B) Non compliance
C) High compliance
D) Low compliance
Med.
*11*
-14-
11
B) U.R.T.I.
C) Trauma
D) Malignancy of nasopharynx
81. Bony partition dividing the posterior ethmoids from the sphenoid is in
A) coronal plane
B) axial plane
C) oblique plane
D) both B and C
D) Radioresistant tumors
B) Extradural haemorrhage
C) Subarachnoid haemorrhage
D) Intracerebral haemorrhage
B) Rheumatoid arthritis
C) Psoriatic arthritis
D) Reiters arthritis
B) Fibrous dysplasia
C) Osteomas
D) Epidermoid
DM
D) Pseudodislocation
Med.
*11*
11
-15-
88. In patients with possible cervical injury, the following should NOT be done
A) chin lift
B) hyperextension of neck
C) manual-in-line stabilisation
D) jaw thrust
89. The following are supraglottic airway devices EXCEPT
A) Laryngeal mask airway
B) Combitube
C) Double lumen tube
D) Proseal laryngeal mask airway
90. Methaemoglobinaemia is a unique systemic side effect seen with large doses of
A) Lignocaine
B) Ropivacaine
C) Prilocaine
D) Tetracaine
B) Isoflurane
C) Sevoflurane
D) Desflurane
B) 0.03
C) 0.3
D) 3
B) Ketamine
C) Midazolam
D) Rocuronium
DM
A) External hordeolum
B) Internal hordeolum
C) Chalazion
D) Squamous bleapharitis
Med.
*11*
-16-
11
95. The cataract developing after a concussion injury to the eye is called as a
A) Snow storm cataract
D) Coronary cataract
B) Gonorrhea
D) Inflammatory changes
97. All the following are tests for screening of cancer cervix EXCEPT
A) Cytology
B) Colposcopy
C) Speculoscopy
D) Cryosurgery
98. Active management of III stage of labour includes all of the following EXCEPT
A) Uterotonic within one minute of delivery
B) Massage of the uterus
C) Controlled cord traction
D) Immediate clamping and cutting of the cord
99. All the following side effects are associated with clomiphene citrate EXCEPT
A) Visual disturbances
B) Postural hypotension
C) Hot flushes
D) Alopecia
100. Preconceptional use of following agent leads to reduced incidence of neural tube defects
A) Calcium
B) Iron
C) Folic acid
D) Vitamin A
SPACE FOR ROUGH WORK
DM
Med.
*11*
-17-
11
SECTION B
MEDICINE
101. Most common renal manifestations of leprosy is
A) Minimal change glomerulonephritis
B) Diffuse proliferative glomerulonephritis
C) Mesangioproliferative glomerulonephritis
D) Crescentric glomerulonephritis
102. All of the following are true of pyrazinamide EXCEPT
A) It crosses blood brain barrier
B) It is a must in short course chemotherapy
C) It is contra indicated in pregnancy
D) It kills slowly replicating intracellular organisms
103. Conjugated hyperbilirubinemia is found in
A) Gilberts syndrome
B) Crigler Najjar syndrome Type I
C) Crigler Najjar syndrome Type II
D) Dubin Johnson syndrome
104. CA 125 is elevated in
A) Ovarian non seminomatous germ cell tumor
B) Ovarian epithelial tumors
C) Colorectal cancer
D) Medullary carcinoma of thyroid
105. Class II antiarrhythmic drugs will
A) Prolong the plateau phase of action potential
B) Block slow calcium channels
C) Reduce SA node depolarisation
D) Prolong cardiac action potential duration
DM
Med.
*11*
-18-
11
106. Non-Caseating granulomas in all the layers of the intestine are characteristic of
A) Whipples disease
B) Crohns disease
C) Ulcerative colitis
D) Mycobacterium avium intracellulare infection
107. TADALAFIL, used for the treatment of Erectile Dysfunction acts by
A) Inhibiting serotonin uptake
B) Inhibiting phosphodiesterase 5
B) Pefloxacin
C) Minocycline
D) Clarithromycin
B) after load
C) cardiac index
D) stroke work
B) Xerophthalmia
C) Hyperostosis
112. Primary Platelet Plug disorder due to defects of platelet Adhesion is seen in
A) Glanzmanns thrombasthenia
B) Scotts syndrome
D) Uremia
113. Study of alteration in chromatin and histone proteins and methylation of DNA sequences
is known as
DM
A) Metagenomics
B) Epigenomics
C) Metabolomics
D) Proteomics
Med.
*11*
-19-
11
B) Laryngitis
C) Laryngeal edema
D) Tracheal tumor
B) Salmonella paratyphi
C) Shigella flexneri
D) Chlamydia trachomatis
B) Howel-Jolly bodies
C) Prickle cells
D) Basophilic stippling
117. In Nelsons disease, all of the following statements are true EXCEPT
A) Occurs after bilateral Adrenalectomy
B) Presence of pituitary microadenoma
C) Very high levels of ACTH
D) Very high levels of cortisol
118. Treatment of choice of thoracic actinomycosis is
A) Amphotericin B
B) Intraconazole
C) Co-trimoxazole
D) Penicillin
B) Ataxia
C) Hyperreflexia
B) membranoproliferative glomerulonephritis
D) membranous glomerulopathy
DM
A) Parathyroid Adenoma
B) Pheochromocytoma
C) Foregut carcinoid
*11*
11
-20-
122. Which of the following cytogenetic abnormality differentiates Hypocellular MDS from
aplastic anaemia ?
A) monosomy 7
B) deletion 7q
C) deletion 5q
D) deletion 17p
123. All the following are associated with secondary haemochromatosis EXCEPT
A) Sideroblastic anaemia
B) Thalassemia major
C) Hereditory spherocytosis
D) Paroxysmal Nocturnal Haemoglobinuria (PNH)
124. Causes of chloride responsive alkalosis are following EXCEPT
A) Recurrent vomiting
C) Overdose of diuretics
D) Barters syndrome
125. Which of the following crystals may give rise to Pseudo-neuropathic arthropathy
resembling Charcots joint ?
A) Hydroxyapatite
B) Calcium oxalate
C) Calcium pyrophosphate dihydrate
D) Monosodium urate hydroxyapatite
126. Following hormonal levels are increased in small cell carcinoma of lung EXCEPT
A) ACTH
B) Arginine vasopressin
C) Growth hormone
Med.
*11*
-21-
11
C) Septic shock
B) Tuberous sclerosis
C) Huntingtons disease
D) Schizophrenia
131. Which of the following drug is used for irritable bowel syndrome of the constipating
type ?
A) Lubiprostone
B) Cholestyramine
C) Loperamide
D) Rifaximin
132. MELD (Model for End-stage Liver Disease) score includes all EXCEPT
A) Sr.creatinine
B) Transaminase
C) Albumin
D) Alkaline phosphatase
B) Salicylates
C) Primaquine
D) Nitrofurantoin
DM
A) Uncontrolled D.M.
B) Liver cirrlosis
C) Kidney failure
D) Chronic alcoholism
Med.
*11*
-22-
11
C) Temporal arteritis
D) PAN
B) Conns syndrome
C) Renovascular hypertension
D) Liddle syndrome
B) Arch of aorta
C) Descending aorta
D) Abdominal aorta
139. The most common type of lesion seen on kidney biopsy in patients of HIV associated
nephropathy is
A) Membranous glomerulonephritis
B) Focal segmental glomerulosclerosis
C) MPGN
D) Minimal change disease
140. An elevated serum anti-GMCSF titer is highly sensitive and specific for diagnosis of
A) Pulmonary alveolar proteinosis
B) Pulmonary lymphangioliomatosis
C) Pulmonary Langerhans Histiocytosis
D) Cryptogenic organising pnemonia
141. The recommended goal for treatment of raised Intracranial Pressure (ICP) is to maintain
A) ICP < 30 mm / Hg and CPP > 40 mm / Hg
B) ICP < 40 mm / Hg and CPP > 80 mm / Hg
C) ICP < 10 mm / Hg and CPP > 50 mm / Hg
D) ICP < 20 mm / Hg and CPP > 60 mm / Hg
DM
Med.
*11*
11
-23-
142. High densities of cannobinoid receptor are found in all of following EXCEPT
A) Cerebral cortex
B) Basal ganglia
C) Cerebellum
D) Hippocampus
143. Which of the following vitamins has been shown to lower the risk of developing gout ?
A) Vit. A
B) Vit. C
C) Niacin
D) Vit. D
B) Constrictive pericarditis
C) Restrictive cardiomyopathy
145. In coronary artery disease the fractional flow reserve value that indicates benefit from
revascularisation therapy is
A) < 0.5
B) < 1
C) < 0.75
D) < 1.5
146. A patient presents with uveitis and renal disease then all of following are possible EXCEPT
A) Sarcoidosis
B) Sjogrens syndrome
C) Polyarteritis nodosa
D) Behcets disease
147. The most useful autoimmune marker for diagnosis of primary sclerosing cholangitis is
A) Anti-SM antibody
B) Antimitochondrial antibody
C) ANA
D) P-ANCA
B) Dysgraphia
C) Finger anomia
D) Dressing apraxia
149. Which of the following is not the cause of pure red cell aplasia ?
A) Thymoma
B) Rheumatoid arthritis
C) Erythropoietin
B) Dapsone
C) IV Y-globulins
D) Methotrexate
SPACE FOR ROUGH WORK
DM
Med.
*11*
-24-
11
DM
Med.