1 - A 28 year old pregnant female 4 - A 20 year old male presented with
presented in third trimester with history fever, retrobulbar pain, extreme myalgias
of high grade fever since 02 days. Thin and bleeding from nose and gums for 02
films smeare is positive for plasmodium days. Laboratory report shows WBC 1000
flaciparum. The appropriate treatment × 10 /cmm and platelets 3000 × 10 9.
for this patient is : What is the diagnosis :
A. Quinine T A. Dengue fever T
B. Choloquine B. Malaria
C. Artemether C. Hepatitis
D. Halofantrine D. Enteric fever
E. Primaquine E. Meningococemia
2 - A 32 year old male patient taking anti 5 - Which of the is common feature of
- tuberculosis therapy since last 02 infecious mononucleosis :
months. Now presented with numbness
of feet since last 02 weeks. The vitamin to A. Severe Pharyngeal oedema T
be added in this therapy is : B. Arthritis
C. Agranulocytosis
A. B6 T D. Pericarditis
B. B1 E. Glomerulonephritis
C. B2
D. B3 6 - A 45 year old woman brought to
E. B12 emergency unconscious. On examination
her pulse was 60 beats/minute,
3 - A 20 year old lady presented with high temperature 94 °F, thyroid gland was
grade fever since 05 days. She also enlarged and ankle reflexes were
complains of headache, myalgia, delayed. How will you further investigate
diarrhoea & vomiting. On examination :
temprature 103 °F, pulse 80/min
respiratory rate 18 breath/min. The most A. Advise thyroid profile T
suitable investigation for diagnosis is : B. Advise for thyroid scan
C. Advise for CT Scan Brain
A. Blood Culture T D. Obtain blood culture
B. Stool Culture E. Obtained blood urea, creatinine
C. Urine Culture
D. Tyohidot
E. Widal test
7 - A 30 year pregnant woman attented
medical OPD with complaint of 10 - A 50 year old diabetic presented with
palpation, heat intolerance and non - healing ulcer on right foot.
hyperdefection, thyroid profile was Following feature is suggestive of
advised that reveal T3- T4- , TSH peripheral arterial disease :
thyrotoxicosis. Which thyroid drug is
preferable for her : A. Shinny and cold skin T
B. Wasting of calf muscles
A. Prophylthiouracil T C. Loss of ankle reflex
B. Carbimazole D. Loss of position sense
C. Propranolol E. Absence of vibration sense
D. Methimazol
E. Iodine 11 - A 30 years old diabetic presented
with fluctuating sugar level. He claimed
8 - A 30 year old man presents with that he always taking his medicine
recurrent flushing, diarrhoea and weight properly. What is the tool to assess his
loas. His examination is normal. sugar level :
Laboratory reveals elevated urine 5 -
hydroxyindoleacetic acid. Which of the A. HbA1C T
following is most likely diagnosis : B. Serum insulin level
C. C. Peptide level
A. Carcinoid syndrome T D. Serum trigylcerides
B. Alkaptonuria E. Urine for protein
C. Disseminated carcinomatosis
D. Malignant melanoma 12 - A 35 years old diabetic presented
E. Phenylketonurea with unconsciousness. His blood sugar
was 40 mg. You have started I/V glucose
9 - Regarding the diagnosis of adrenal but after 02 hour blood glucose level was
insufficiency, the following is the best 50 mg. What will be your next step of
option : treatment :
A. Serum cortisol level T A. Give glucagon injection T
B. Serum sodium level B. Continue same treatment
C. Serum potassium level C. Start oral glucose as well as I/V
D. CT Scan abdomen replacement
E. CT scan brain D. Start mannitol to treat cerebral edema
E. Start I/V adrenaline
13 - A 32 year old male presented with 17 - The most appropriate diagnostic test
weakness and pallar. Laboratory report for rheumatoid arthritis is :
shows Hb: 6.6 gm/dl, reticulocyte count
8.0 %. One of the following feature A. Anti CCP antibodies T
confirm itravascularhemolysis : B. ANA
C. Rheumatoid factor
A. Free plasma hemoglobin T D. Raised ESR
B. Hemoglobin E. Raised C - reactive protein
C. Decrease hepatoglobin
D. Methamoglobinemia 18 - A 40 year female on oral
E. Splenomegaly corticosteroids for acute excerbration of
lupus erythematosus. Which of the
14 - The best single test to confirm iron following is not adverse effect of long
deficiency anemia is : term steroid :
A. Plasma ferritin T A. Depression
B. Total iron binding capacity B. Moon like face
C. Plasma iron C. Osteomalacia
D. Plasma transferrin D. Peptic ulceration
E. Transferrin saturation less 16% E. Proximal myopathy
15 - A 22 year female presented with 19 - Drugs causing folate deficiency :
fever sweating at night and weight loss.
On examination she has palpable A. Anti malarials
painless cervical lymph nodes with B. Carbamazepine
normal chest examination. The most C. Folomic acid
appropriate examination would be : D. Pyrimethamine
E. Sodium valporate
A. Chest X - ray T
B. CT scan neck & mediastinum 20 - One of the antitubercular drug is
C. Full blood count responsible for hyper uricemia that leads
D. Lymph node biopsy to gouty arthritis :
E. Mantoux test
A. Ethambutol
16 - Criteria for diagnosis of rheumatoid B. Isoniazid
arthritis are : C. Pyrazinamide T
D. Rifampicin
A. Arthritis of 03 or more joints T E. Streptomycin
B. Morning stiffness < 30 minutes
C. Arthritis of foot joint
D. Asymmetrical and flitting arthritis
E. Arthritis of hand and feet
E. Multiple sclerosis
21 - A 17 year old patient presents with 25 - Intracerebral hemorrhage can occur
severe pruritis that is worse at night upon due to following except :
examination of the skin, areas of
excoriated papules are observed in the A. Anticoagulant therapy
interdigital area. Family members report B. Ateriovenous malformation
similar symptoms. The following is the C. Metabolic myopathies
most likely diagnosis is : D. Blood dyscrasia T
E. Thrombolytic therapy
A. Scabies T
B. Cutaneous larva migrans 26 - Regarding the causes of
C. Contact dermatitis polyneuropathy all are true except :
D. Dermatitis hepatoformis
E. Impetigo A. Gullian barre syndrome
B. Diphtheria
22 - In chronic myeloid leukemia common C. Paraproteinemia
sign is : D. Diabetes
E. Becker's muscular dystrophy T
A. Hepatomegaly
B. Lymph node adenopathy initially T 27 - Regarding depression :
C. Pallor and juandice
D. Massive splenomegaly A. An uncommon
E. Skin nodules B. It comprises sadness and helplessness
T
23 - Following may be the clinical C. It is not a medical problem
features of lower motor nervous lesion D. Depression is not treatable
except : E. Depression is not manageable
A. Flaccid paralysis 28 - Generalized seizure types include :.
B. Loss of reflexes
C. Increased muscle tone T A. Abence seizures
D. Atrophy of muscle supplied B. Myoclonic seizure
E. Muscular fsculoting C. Tonic clonic seizures
D. Tonic seizures
24 - The contraindication of lumbar E. All of above T
puncture include :
29 - Which of the following is not a
A. Meningitic modifiable risk factor of stroke :
B. Encephalitis
C. Subarebnoidhemorrhagic A. Age T
D. Space occuping lesion of brain ( brain B. Diabetes
tumor) T C. Hypertension
D. Hyperlipidemia
E. Obesity
30 - A 50 year old man history of ischemic 34 - The treatment of choice of non
heart disease present with right side alcoholic fatty liver disease is :
weakness with brief episodes of loss of A. Statins
consciousness. After regaining B. Vitamin E
concsciousness power was normal and C. Sillymarin
MRI brain was also normal. What is likely D. Metformin T
diagnosis : E. Vitamin B1
A. Epilepsy 35 - Night sweating in fever is most
B. Syncope characteristic of :
C. Extra pyramidal disease
D. Transiet ischemic attack T A. Lymphoma
E. Hypoglycemia with transmit B. Tuberculosis T
disturbance of consciousness C. Alcoholism
D. Thyrotoxicosis
31 - Indication for oral steroids in E. Anxiety
rheumatoid arthritis are :
36 - Following investigation is required to
A. Pericarditis manage diabetic ketoacidosis :
B. Non responser to DMARD's T
C. Necrotizing scleritis A. CT scan of paranasal sinusis
D. Pleural effusion B. MRI brain
E. Rheumatoid nodule C. Serum amylase
D. Serum ketone levels T
32 - weight gain is not associated with E. Serial ECG
use of :
37 - The risk factor for NSAID induced
A. Sitagliptin T ulcer are :
B. Insulin
C. Glargine A. Age > 55 years
D. Pioglitaxone B. Past history of cigarette smoking
E. Sulphonyl urea C. Past history of peptic ulcer
D. Constant use of inhaled corticosteroids
33 - Following drug is included in disease T
modifying anti rheumatic drugs : E. Past history of upper GI bleeding
A. Adlumimab T 38 - Most prevalent type of helminthiasis:
B. Eprisone
C. Infliximab A. Ankylostomaduodenaie
D. Lefunamide B. Ascariasis
E. Tetracycline C. Entrobiasis T
D. Nectoramericanus
E. Toxacariasis
39 - Which statements is suitable for 43 - A 15 year old school boy presented
suicide : with fever, headache and bilateral tender
and enlarged parotid glands. After 10
A. Self infiliction days his right testes was swollen. The
B. Males attempt more suicide most likely diagnosis is :
C. Famales attempt more suicide T
D. It is leading cause of death word wide A. Gonococcal infection
E. No medical management available B. Mumps T
C. Sarcoidosis
40 - Hysteria is associated with the D. Sjogren syndrome
defence mechanism of : E. HIV
A. Acting out 44 - CT Scan brain have limited ability to
B. Denial image :
C. Identification
D. Reaction formation A. Cysts
E. Somatization T B. Tumors
C. Brain abscess
41 - One of the following is not D. Brain hemorrhage
transmitted by blood transfusion : E. Posterior fossa structures like
cerbellum brain stem T
A. Malaria
B. Hepatitis 45 - Regarding clinical features of
C. HIV transiet ischemic attack of anterior
D. Hepatitis E T circulation does not include :
E. Human T lymphotropic virus
A. Amaurosisfugax
42 - A 22 year old male presented with B. Aphasia
high grade fever and neck stiffness since C. Ataxia
last 4 days. The ideal fourth generation is D. Hemiparesis
cephalosporin to treat the condition is : E. Hemi sensory loss
A. Cefadroxil 46 - Malabsorption leading to iron
B. Cefepime T deficiency anemia in :
C. Cefixime
D. Cephalexin A. Coeliac disease T
E. Cefpodoxime B. Gastitis
C. Hyper chlorhydria
D. Hypochlorhydria in young
E. One to H2 blocker use
D. Severe hepatomegaly
E. Thrombocytopenia
47 - A 24 year old male presented with 52 - The treatment of ankylosing
diarrhoea since 02 days. The likely cause spondylitis in NSAIDS non responsive case
of diarrhoea is : is :
A. Salmonella A. Anti TNF therapy T
B. E. Coli T B. Corticosteroids
C. Clostridium defficile C. Gold salts
D. Giardia D. Lefunomide
E. Tuberculosis E. Methotrexate
48 - The features of myxedema coma 53 - Which of the following is treatment
include : of choice for patient with acromegaly :
A. Hyperthermia A. Radiotherapy
B. Increase tendon reflexes B. Radiosurgery
C. Ptosis C. Dopamine agonist (cabergoline)
D. Pericardial effusion T D. Growth hormone receptor antagonist
E. Convulsions are common (pegvisomant)
E. Transnasaltransphenoidal pituitary
49 - The most common type of vitiligo is : surgery T
A. Segmental vitiligo 54 - Management of ascites in cirrhosis of
B. Focal vitiligo liver include following measures Except :
C. Generalized vitiligo T
D. Mucosal vitiligo A. Sodium & water infusion T
E. Abdominal vitiligo B. Diuretic drugs use
C. Paracentesis
50 - The following gastrointestinal D. Peritoneo venous shunt
infection can lead to reactive arthritis : E. Trans juglar intrahepatic portosytemic
stent shunt (Tips)
A. Pseudomonas
B. Shingella, salmonella T 55 - A 19 year old college student a
C. Chlamydia trachomatis severe sore throat, cervical
D. Ureplasmaurealyticum lymphadenopathy and atypical
E. E. Coli lymphocytes on blood film. A hetrophil
antibody test is positive. What is most
51 - Extravascular hemolysis leads to : likely diagnosis :
A. Increased plasma hepatoglobin A. Infectious mononucleosis T
B. Lymph adenopathy B. Hyperthyroidism
C. Splenomegaly T C. ALL
D. AML D. Cytomegalovirus reactivation
E. Renal cell carcinoma E. Acute parvo virus B19 infection
56 - A 36 year old female presents with
diarrhoea and lower abdominal pain,
which has been on going for several
weeks. Her stools were initially loose
however the diarrhoea is now bloody and
there is evidence of mucous. A stool
sample contains trophozoites and
leukocytes. What is the likely organism
leading to this condition :
A. E. Histolytica T
B. G. Lambia
C. C. Defficile
D. Adenovirus
E. Salmonella
57 - A 30 year old woman presents with
fever, rash and cough and is pyrexial,
tachycardia and tachyponic. She had a
florid erythematous rash on her face,
trunks and arms, with scattered whitish
papular lesion on the buccal mucosa.
What is the most likely diagnosis :
A. Meningococcaemia
B. Rubella
C. Parvo virus B19
D. Secondary syphilis
E. Measles T
58 - A 29 years old woman gives birth at
36 weeks of pregnancy to a baby with a
hypoplastic left eye. Which infection is
the mother during the first trimester of
pregnancy is likely to be responsible :
A. Chicken pox
B. Secondary syphilis
C. Rubella vaccination T
