MRB ASG 2023 Evening Session Questions

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*_Question 1_*
All of the following conditions predispose to face
presentation EXCEPT
(A) Anencephaly
(B) Tumours of neck
*(C) Hydrocephalus* (Correct Alternative)
(D) Contracted pelvis

*_Question No. 2_*

Expectant line of management recommended in
placenta previa are all the following EXCEPT when
(A) The vaginal bleeding is not excessive
(B) The fetus is alive
(C) Gestation less than 37 weeks
*(D) The patient is in labour*

*_Question No. 3_*

Methylene blue test is used for
*(A) Detecting micro organisms in milk* (Correct
Alternative)
(B) Detecting precancerous lesions in the mouth
(C) Testing adulteration of vegetable oil
(D) Testing for iodisation of salt

*_Question No. 4*_

Mydriatic drug which has selective alpha 1, agonist
action
(A) Cyclopentolate
(B) *Phenylephrine* (Correct Alternative)
(C) Apraclonidine
(D) Brimonidine

*_Question No. 5_*

Rigler's triad includes all EXCEPT
(A) Pneumobilia
(B) Intestinal obstruction.
(C) Atypical mineral shadow in abdominal radiograph
*(D) Jaundice* (Correct Alternative)

*_Question No. 6_*

Which of the following is true of super antigens?
(A) Activates B cells
(B) Binds to a heterodimer groove of MHC molecules
(C) Sensitive to proteases
*(D) Binds to the lateral aspect of TCR 3 chain*
(Correct Alternative)

*_Question No. 7_*

All of the following are vitamin K dependent clotting
factors EXCEPT
*(A) Factor XI* (Correct Alternative)
(B) Factor IX
(C) Factor VII
(D) Prothrombin
*_Question No. 8_*
All are components of Ranson's criteria on admission
EXCEPT
(A) Blood glucose > 200mg / d * L
*(B) Serum calcium < 2 mmol/L (* Correct Alternative)
(C) Age > 55 years
(D) Leucocytosis > 16 * 10 ^ 9 / L

*_Question No. 9._*

Inj Labetolol decreases systemic vascular resistance
by acting on
(A) Beta 1 receptors
(B) Beta 2 receptors
(C) Alpha 1 receptors
*(D) Alpha 1+ Beta 1+ Beta 2 receptors*
(Correct Alternative)

*_Question No. 10*_

Which of the following fungus is NOT cultivated in
media?
(A) Blastomyces Dermatitidis
(B) Histoplasma Capsulatum
*(C) Rhinosporidium Seeberi* (Correct Alternative)
(D) Coccidioides Immitis

*Question 11*
Damage to the cerebellum leads to all of the following
abnormalities EXCEPT
*(A) Hypertonia* (Correct Alternative)
(B) Ataxia
(C) Hypotonia
(D) Intention tremor

*Question No. 12*

Purpura fulminans occurs due to the deficiency of the
following EXCEPT
(A) Protein S
(B) Protein C
(C) Anti thrombin III
(D) *Anti plasmin* (Correct Alternative)

*Question No. 13*

Fresh water crayfish is the second intermediate host of
(A) Schistosoma Mansoni
(B) *Paragonimius Westermani* (Correct Alternative)
(C) Fasciola Hepatica
(D) Fasciolopsis Buski

*Question No. 14*

Human Chorionic Gonadotrophin value is very high in
all the following EXCEPT
(A) Invasive mole
(B) *Placental site Trophoblastic tumour* (Correct
Alternative)
(C) Chorio carcinoma
(D) Hydatidiform Mole

*Question No. 15*

Annulospiral ending of muscle spindle belongs to
which type of fiber?
(A) *A alpha* (Correct Alternative)
(B) A beta
(C) C
(D) A gamma

*Question No. 16*

In post menopausal women, endometrial thickness
should not exceed
(A) 6 mm
(B) 10 mm
(C) 5 mm
(D) *4 mm* (Correct Alternative)

*Question No. 17*

In periods of growth embryo is defined as
(A) 9-12 weeks
(B) 0-2 weeks
(C) *3-8 weeks* (Correct Alternative)
(D) 12-16 weeks

*Question No. 18*

The following are metaphyseal located bone tumours
EXCEPT
(A) Osteo Chondroma
(B) Osteoid Osteoma
(C) Osteosarcoma
*(D) Chondro Blastoma* (Correct Alternative)

*Question No. 19*

All are true about congenital glaucoma EXCEPT
(A) Haab striae in the cornea
*(B) Globe is enlarged* (Correct Alternative)
(C) Vogt striae in the comes
(D) Child has photophobia

*Question No. 20*

In a dashboard injury, the following fracture is common
(A) Anterior dislocation of Hip
(B) Floor of acetabulum fracture
(C) Pelvic fracture
(D) *Posterior Lip of acetabulum fracture* (Correct
Alternative).

Question No. 21
Which of the following statements is true about
measles?
(A) Reconstituted measles vaccine loses 50% of its
potency at 37°C after two hours
(B) A single dose of Vitamin-A should be given at
diagnosis
(C) Person to person transmission of vaccine strains
help in building herd immunity
(D) *Has only one serotype* (Correct Alternative)

*Question No. 22*

Lens plate of human embryo forms in the
(A) *4th week of intra uterine life* (Correct Alternative)
(B) 3rd week of intra uterine life
(C) 6th week of intra uterine life
(D) 8th week of intra uterine life
*Question No. 23*
The following agents are implicated in microvesicular
steatosis of liver EXCEPT
(A) *Alcohol* (Correct Alternative)
(B) Valproate
(C) Tetracycline
(D) Aspirin

*Question No. 24*

Merciful Anosmia is a clinical feature of
(A) Rhinitis Cascosa
(B) *Atrophic Rhinitis* (Correct Alternative)
(C) Rhinitis Sicca
(D) Allergic Rhinitis

Question No. 25
Malignant tumours in adolescents are the following
EXCEPT
(A) *Choriocarcinoma* (Correct Alternative)
(B) Dysgerminoma
(C) Embryonal tumour
(D) Granulosa cell tumour

*Question No. 26*

Small bland vegetations along Line of closure of heart

valves are seen in
(A) Libman-Sacks endocarditis
(B) Infective endocarditis
(C) Rheumatic heart disease
(D) *Non bacterial thrombotic endocarditis*(Correct
Alternative)

Question No. 27
Hoffa's fracture of distal femur occurs at
(A) Sagittal plane
(B) Transverse plane
(C) Oblique plane
(D) *Coronal plane* (Correct Alternative)

Question No. 28
Following are features of type I reversal lepra reaction
EXCEPT
(A) Occurs due to delayed type hyper sensitity reaction
(B)Occurs in both PB and MB spectrum
(C)Sudden onset of neuritis
*(D)Involvement of eyes,testis,kidneys*

*Question No. 29*

Commonest cause of acute community acquired
pneumonia
(A) Haemophilus influenza
(B) Staphylococcus aureus
(C) Klebsiella pneumoniae
(D) *Streptococcus pneumoniae* (Correct Alternative)

*Question No. 30*

Percentage of households with safe water in the home
or within 15 minutes walking distance is a
(A) Social indicator.
(B) *Environmental indicator* (Correct Alternative)
(C) Basic needs indicator
(D) Health policy indicator

*Question No. 31*

Which one of the following secondary centre's of
ossification appears just before birth?
(A) Lower end of tibia
(B) *Lower end of Femur* (Correct Alternative)
(C) Upper end of tibia
(D) Upper end of Femur

*Question No. 32*

"Pathological Grief" is a type of
(A) Anxiety disorder
(B) Depressive disorder
(C) Psychotic disorder
(D) *Adjustment disorder* (Correct Alternative)

*Question No. 33*

Which of the following conditions lead to scarring
alopecia?
(A) Alopecia Areata
(B) *Lichen plano pilaris* (Correct Alternative)
(C) Telogen effluvium
(D) Androgenetic Alopecia

*Question No. 34*

To find out whether there is a significant association
between two categorical variables
(A) Mc Nemar's test is used
(B) *Coefficient of correlation is calculated* (Correct
Alternative)
(C) Regression of coefficient is calculated
(D) Chi square test is done

*Question No. 35*

The drug of choice for prompt conversion of

paroxysmal Supra Ventricular Tachycardia to Sinus
rhythm is

(A) Esmolol

(B) Digoxin

(C) Propranolol

(D) *Adenosine* (Correct Alternative)

*Question No. 36*

Test to monitor treatment response in syphilis is

(A) *VDRL* (Correct Alternative)

(B) FTA ABS

(C) TPHA

(D) ELISA

*Question No. 37*

Which of the following snake bite does not produce

local swelling or pain?

(A) Cobra

(B) Russel Viper

(C) *Krait* (Correct Alternative)

(D) Saw scaled Viper

*Question No. 38*

The following are the opportunistic infections reduced

by co-trimoxazole EXCEPT
(A) Toxoplasmosis

(B) Pneumocystis Jirovecii pneumonia

(C) Malaria

(D) *Neurocysticercosis*(Correct Alternative)

*Question 39*

The drug sildenafil citrate selectively inhibits

phosphodiesterase enzyme which acts via the second
messenger

(A) *cGMP* (Correct Alternative)

(B) cAMP

(C) GTP

(D) Inositol

*Question No. 40*

Sudden increase in ETCO 2 seen in all of the

conditions EXCEPT

(B) Thyroid Storm

(A) Malignant Hyperthermia

(C) Rebreathing

(D) *Pulmonary Embolism* (Correct Alternative)

*Question No. 41*

Brain Natriuretic Peptide (BNP) is a hormone secreted

by

(A) Left Atrium (Chosen Option)

(B) *Left Ventricle* (Correct Alternative)

(C) Right Atrium

(D) Right Ventricle

*Question No. 42*

Which of the following functional components does

NOT give rise to neuronal fibres in facial nerve?

(A) *General visceral afferent* (Correct Alternative)

(B) Special visceral efferent

(C) Special visceral afferent (Chosen Option)

(D) General visceral efferent

*Question No. 43*

Classical triad of congenital rubella syndrome includes

the following EXCEPT

(A) Deafness

(B) *Microcephaly* (Correct Alternative)

(C) Cataract

(D) Congenital heart defects

*Question No. 44*

"Structural motif anti parallel beta pleated sheet" is

seen in

(A) Keratin
(B) Myoglobin

(C) Collagen

(D) *Superoxide Dismutase* (Correct Alternative)

*Question No. 45*

The most common cause of primary hyper

parathyroidism is

(A) *Parathyroid Adenoma* (Correct Alternative)

(B) Parathyroid Carcinoma

(C) Diffuse Hyperplasia

(D) Nodular Hyperplasia

*Question No. 46*

Referred ear ache due to acute tonsillitis is via

(A) *IX cranial nerve* (Correct Alternative)

(B) C2 and C3 spinal nerve

(C) Xth cranial nerve

(D) Vth cranial nerve

*Question No. 47*

Dimeglio scoring system in club foot correction

measures

(A) Equinus, Varus, Cavus and Adduction

(B) Cavus, Varus, Abduction and Equinus

(C) Cavus, Valgus, Abduction and Equinus

(D)
*Adduction, Varus Derotation and Equinus* (Correct
Alternative)

*Question No. 48*

Post coital contraceptive agents are the following

EXCEPT

(A) RU 486
(B) *Nuva Ring* (Correct Alternative)

(C) CU-T IUCD

(D) LNG tablets

*Question No. 49*

Magnesium containing metallo enzymes are all of the

following EXCEPT

(A) Pyruvate kinase

(8) Hexokinase

(C) Enolase

(D) *Xanthine oxidase* (Correct Alternative)

*Question No. 50*

Hyperbaric oxygen therapy is one of the treatment

modalities in poisoning with

(A) Meth Hemoglobin

(B) *Carbon monoxide* (Correct Alternative)

(C) Sulph Hemoglobin

(D) Sulphonamides.

*Question No. 51*

Poncet disease is caused by which organism?

(A) Streptococcus

(B) Shigella

(C) *Tuberculosis* (Correct Alternative)

(D) Staphylococcus

*Question No. 52*

Treponema infection can cause the following diseases

EXCEPT

(A) *Lyme's disease* (Correct Alternative)

(B) Pinta
(C) Yaws

(D) Syphilis

*Question No. 53*

Which of the following increases ionised serum

calcium?

(A) (B) Increased serum albumin

Respiratory Alkalosis

(C) Hyper phosphatemia

(D) *Acute* *Hypomagnesemia* (Correct Alternative)

*Question No. 54*

Auto immune thyroiditis may result in which of the

following types of thyroid malignancy?

(A) Follicular Carcinoma

(C) *Lymphoma* (Correct Alternative)

(B) Anaplastic Carcinoma

(D) Papillary Carcinoma

*Question No. 55*

Bipolar II disorder is

(A) Depression with artxiety

(B) *Depression with hypomania* (Correct Alternative)

(C) Mania and hypomania

(D) Depression with

Mania

*Question No. 56*

Which of the following drug is used in the

chemoprophylaxis of malaria?

(A) *Doxycycline* (Correct Alternative)

(B) Amoxicillin
(C) Ciprofloxacin

(D) Azithromycin

*Question No. 57*

All are features of trachoma EXCEPT

(A) *Shield ulcer* (Correct Alternative)

(B) Severe dry eye

(C) Herbert pits

(D) Superior fibro vascular pannus

*Question 58*

Which is an enriched medium?

(A) *Chocolate Agar* (Correct Alternative)

(B) Mac Conkey Agar

(C) Selenite F broth

(D) Peptone Water

*Question No. 59*

In Erb's paralysis the following deformity position is

present

(A) Shoulder abduction, elbow extension, forearm

supination

(B) Shoulder abduction, elbow flexion, forearm

supination

(C) *Shoulder adduction, elbow extension, forearm

pronation* (Correct Alternative)

(D) Shoulder adduction, elbow flexion, forearm

pronation

*Question No. 60*

After child birth the symptoms begins, lasts for

few weeks and usually resolves. Reassurance is
helpful.What is the mother likely to suffer?

(A) *Post partum blues* (Correct Alternative)

(B) Post partum mania

(C) Post partum psychosis

(D) Post partum depression

*Question No. 61*

Increase in ETCO2 is seen in all EXCEPT

(A) *Hypothyroidism* (Correct Alternative)

(B) Sepsis

(C) Hyperthermia

(D) Shivering

*Question No. 62*

The single most important prognostic index in

malignant Melanoma is

(A) *Lymphnode metastasis* (Correct Alternative)

(B) Old age

(C) Breslow's thickness

(D) Ulceration

*Question No. 63*

Central venous cannulation can be done through the

following veins EXCEPT

(A) Internal jugular vein

(B) Subclavian vein

(C) Femoral vein

(D) *Popliteal vein* (Correct Alternative)

*Question No. 64*

The most frequently implicated oncogene in

pancreatic ductal adeno carcinoma is

(A) *KRAS* (Correct Alternative)

(B) BRAF
(C) AKT 2

(D) MYC

*Question No. 65*

Types of corneal vascularisation include all EXCEPT

(A) Umbel type

(B) Arborescent type

(C) Brush type

(D) *Dichotomous branching type* (Correct

Alternative)

*Question No. 66*

The components of the biophysical profile include all
of the following EXCEPT
(A) Amniotic Fluid Volume
(B) *Fetal Measurements* (Correct Alternative)
(C) Fetal Breathing
(D) Fetal Tone
*Question No. 67*

All of the following statements regarding sub occipital

triangle are correct EXCEPT

(A) *Its floor is formed by anterior arch of atlas*

(Correct Alternative)

(B) Its roof is covered by semispinalis capitis and

longissimus capitis

(C) It is bounded inferiorly by obliqus capitis inferior

(D) It is bounded superolaterally by obliqus capitis

*Question No. 68*

The following are true about normal human

immunoglobulin (NHIg) EXCEPT

(A) *Live vaccines should not be given for 4 weeks

after NHIg* (Correct Alternative)

(B) Should contain atleast 90% intact IgG

(C) Obtained from a pool of atleast 1000 donors

(D) IgA concentration should be low

*Question No. 69*

Concurrent administration of the given drug with

ciprofloxacin precipitates CNS toxicity.

(A) *Theophylline* (Correct Alternative)

(B) Caffeine

(C) Antacids

(D) Warfarin

*Question No. 70*

In Modified mallampatti airway classification,

Visualization of soft palate and hard palate only is seen
in

(A) Class-IV

(B) Class-II

(C) *Class-III* (Correct Alternative)

(D) Class-l
*Question No. 71*

Figure of 8 sign or snowman sign in chest x-ray is

found in

(A) *Supracardiac type of TAPVC* (Correct Alternative)

(B) Ebstein Anomaly

(C) Tricuspid Atresia

(D) Tetrology of Fallot

*Question No. 72*

Hitzelberger's sign is seen in

(A) *Acoustic Neuroma* (Correct Alternative)

(B) Hyper mobile stapes foot plate

(C) Semicircular Canal Fistula

(D) Congenital Syphilis

*Question No. 73*

Severe acute malnutrition among children 6-59

months is defined by the following criteria EXCEPT

(A) Mid upper arm circumference < 11.5 cm

(B) Bipedal Edema

(C) *Weight for age < - 3SD*( Correct Alternative)

(D) Weight for height <- 3 SD

*Question No. 74*

A major renal tubular site of aldosterone action is on

the

(A) Distal tubule

(B) *Principal cells of cortical collecting tubule*

(Correct Alternative)

(C) Proximal tubule

(D) Loop of Henle

*Question No. 75*

The Antidote of choice for cyanide poisoning is

(A) *Hydroxycobalamin* (Correct Alternative)

(B) Thiamine

(C) Vitamin C

(D) Niacin

*Question No. 76*

Individuals with which of the following diseases are at

risk of tuberculosis?

(A) Byssinosis

(B) Berylliosis

(C) *Silicosis* (Correct Alternative)

(D) Coal worker's pneumoconiosis

*Question No. 77*

All of the following are correct about CPR quality

EXCEPT
(A) Minimise interruption in compression
(B) *Push at 60-80/min* (Correct Alternative)
(C) Push atleast 5 cm
(D) Push at 100-120/min

Question 78*
In which of the following conditions Corneal clouding /
opacities is NOT seen
(A) Tyrosinemia Type II
(B) *Gaucher disease* (Correct Alternative)
(C) Mucopolysaccharidoses
(D) Mucolipidoses

*Question No. 79*

Fetal cells are identified in maternal circulation by
(A)Direct Coomb's Test
(B) Amniocentesis and Cytology of Liquor Amnii
(C) Indirect Coomb's Test
(D) *Klei Hauer Test* (Correct Alternative)

*Question No. 80*

Radiation hazard is present in the following modalities
EXCEPT
(A) Radiography
(B) Fluoroscopy
(C) Computed tomography
(D) *Magnetic* *Resonance Imaging* (Correct
Alternative)

*Question No. 81*

A 12 year old boy noticed swelling in his lower thigh
after a trivial fall. Radiograph of his knee joint is
suggestive of
(A) Eosinophilic granuloma of the lower end of femur
(B) Ewing's sarcoma of the lower end of femur
(C) *Osteosarcoma of the lower end of femur* (Correct
Alternative)
(D) Osteomyelitis of the lower end of femur

*Question No. 82*

Which of the following is NOT a feature of
Autoimmune Lympho proliferative syndrome?
(A) Signalling protein regulates programmed
cell death in Lymphocytes
(B) *Massive accumulation of Auto reactive B-cells*
(Correct Alternative)
(C) Causes autoimmune mediated anemia,
thrombocytopenic purpura and neutropenia
(D)Commonly due to mutation in FAS gene

*Question No. 83*

Which is NOT correct about cardiac biomarkers?
(A) ESR and CRP elevated
(B) *Full blood count may reveal presence of
leukopenia which peaks on 1st day* (Correct
Alternative)
(C) Lipids should be measured within 24 hrs of
presentation
(D) Levels of Troponin T and I increases within 3-6 hrs
peaks at 36 hrs.

*Question No. 84*

Chronic Asbestos exposure is implicated in the

causation of

(A) Pleural carcinoma

(B) Sarcoma lung

(C) Carcinoma lung

(D) *Pleural* *mesothelioma* (Correct Alternative)

*Question No. 85*

Commonest brain tumour in children of 0-14 years is

(A) Craniopharyngioma

(B) Meningioma

(C) *Pilocytic Astrocytoma* (Correct Alternative)

(D) Glioblastoma

*Question No 86*

Wiscott Aldrich Syndrome is characterised by the

following EXCEPT

(A) *X linked dominant* inheritance (Correct

Alternative)

(B) Thrombocytopenia

(C) Eczema

(D) X linked recessive inheritance

*Question No. 87*

Which of the following drug can arrest hair growth?

(A) Ciclosporine

(B) *Efflornithine* (Correct Alternative)

(C) Diazoxide

(D) Minoxidil

*Question No. 88*

Induction Agents implicated in Allergic reaction during

Anaesthesia are all EXCEPT

(A) *Ketamine* (Correct Alternative)

(B) Etomidate

(C) Thiopentone Sodium

(D) Propofol

*Question No. 89*

Wind swept deformity is seen in

(A) Osteoporosis
(B) Scurvy

(C) *Rickets* (Correct Alternative)

(D) Achondroplasia

*Question No. 90*

Which of the following snake bite will cause minimal or

no local envenoming?

(A) Cobra

(B) Sawscale Viper

(C) Russel Viper

(D) *Krait* (Correct Alternative)

*Question No. 91*

Caseation necrosis with Langhans type giant cells is a

feature of

(A) Sarcoidosis
(B) Wegener's granulomatosis

(C) *Tuberculosis* (Correct Alternative)

(D) Rheumatoid granulomas

*Question No. 92*

All the following statements about Hypospadias are

true EXCEPT

(A) Hooded prepuce is frequently seen

(B) Circumcision is contra indicated before correction

of hypospadias

(C) *Circumcision is indicated before correction of

hypospadias* (Correct Alternative)

(D)Chordee is present in most of the patients

*Question No. 93**

Choose the WRONG answer about gastro esophageal

reflux disease
(A) Reflux is normally followed by esophageal
peristaltic waves that efficiently clears gullet, alkaline
saliva neutralizes residual acid

(B) Occasional episodes are common in healthy

individuals

(C) *GERD affects approximately 50% of general

population* (Correct Alternative)

(D) GERD develops when the esophageal mucosa is

exposed to gastro duodenal content

*Question No. 94*

Choose the 'FALSE' statement regarding "Hidradenitis

Suppurativa" from the choices given below:

(A) *It predominantly affects the eccrine sweat glands*

(Correct Alternative)

(B) Has genetic predisposition

(C) Women are affected more than men

(D) It is common in axilla and groin

*Question No. 95*

Silicosis is closely associated with

(A) Malaria

(B) Leprosy

(C) *Tuberculosis* (Correct Alternative)

(D) Sarcoidosis

*Question No. 96*

"Visual hallucinations" is usually present in which of
the following dementia?
(A) Fronto temporal dementia
(B) *Lewy-body dementia* (Correct Alternative)
(C) Alcohol induced dementia
(D) Alzheimer's Disease

*Question No. 97*

Lymphatics from glans penis drain into
(A) Pre sacral lymph nodes
(B) Para aortic lymph nodes
(C) Superficial inguinal lymph nodes
(D) *Deep inguinal lymph nodes* (Correct Alternative)
*Question No. 98*
Caldwell-Luc operation is contra indicated in
(A) Dental cyst
(B) Oro antral fistula
(C) *Age below 17 years* (Correct Alternative)
(D) Vidian neurectomy

*Question No. 99*

'Goodsalls' Rule' is applicable for classification of
which of the following diseases?
(A) Haemorrhoids
(B) *Anal Fistula* (Correct Alternative)
(C) Low rectal cancers
(D) Rectal prolapse

*Question No. 100*

Which crystalloid solution has more potassium?
(A) Plasmalyte
(B) Lactate Ringer solution
(C) *Isolyte M* (Correct Alternative)
(D) Dextrose 5% Ringer Lactate

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