Post: Assistant Surgeon/ Casualty Medical Officer, Assistant Insurance Medical Officer
Department: Health Services, Insurance Medical Services
Category Code: 486/2016, 356/2017, 357/2017, 358/2018,423/2017,535/2017
Qualification: MBBS
Question Paper Code: 71/18
Date of Test: 30-06-2018
If you find mistakes, comment below
- Hassall’s corpuscles are present in:
- Spleen
- Thymus
- Tonsil
- Lymph node
- Which of the following is not supplied by oculomotor nerve?
- Levator palpebrae superioris
- Superior rectus
- Inferior oblique
- Lateral rectus
- Internal spermatic fascia is derived from:
- External oblique aponeurosis
- Internal oblique muscle
- Transversus abdominis muscle
- Transversalis fascia
- Which of the following arteries does not supply internal capsule?
- Anterior cerebral
- Middle cerebral
- Anterior choroidal
- Posterior choroidal
- Net energy yield from complete oxidation of one molecule of glucose when malate-aspartate shuttle is operating:
- 28
- 30
- 32
- 34
- All the following enzyme catalyzed reactions are examples of biotin independent carboxylations except:
- Malic enzyme
- Propionyl CoA carboxylase
- Carbamoyl phosphate synthase I
- Carbamoyl phosphate synthase II
- Rate limiting enzyme in fatty acid synthesis:
- Pyruvate carboxylase
- Acetyl CoA carboxylase
- Carnitine acyltransferase I
- Fatty acid synthase complex
- All the following are components of Garrod’s tetrad except:
- Albinism
- Alkaptonuria
- Phenylketonuria
- Essential pentosuria
- In Hemophilia which of the factor is deficient?
- Factor V111
- Factor V11
- Factor V1
- Factor X
- P wave in ECG is produced by:
- Ventricular depolarization
- Atrial depolarization
- Ventricular repolarization
- Atrial repolarization
- ADH facilitates water reabsorption in which part of renal tubule?
- Proximal convoluted tubule
- Ascending limb of loop of Henle
- Descending limb of loop of Henle
- Collecting duct
- Pancreatic secretion contains:
- Enteropeptidase
- Pepsin
- Trypsin
- Motilin
- ‘La Bandera’ is the method of torture by suspending a person:
- by head down
- by wrists
- by arms
- by ankles
- The special samples to be taken for chemical analysis during an exhumation process is:
- clothes
- earth
- viscera
- soft tissues
- As per the ‘Wallace Rule’ the head and neck covers about:
- 7% of body surface
- 8% of body surface
- 9% of body surface
- 10% of body surface
- Optic nerve toxicity is classically seen in poisoning with:
- barbiturates
- cocaine
- methyl alcohol
- zinc phosphide
- Which of the following viruses have a dsRNA as their nucleic acid?
- Rhabdoviruses
- Paramyxoviruses
- Retroviruses
- Reoviruses
- All of the following are acute phase reactants except:
- Serum amyloid A
- TNF-α
- CRP
- Haptoglobin
- Which of the following is the gold standard for HIV diagnosis?
- Western blot
- ELISA
- p24 antigen detection
- Viral RNA detection
- Which of the following are used for the disinfection of contact lens?
- Hydrogen peroxide
- Ethanol
- Isopropyl alcohol
- Chlorhexidine
- Which is NOT a feature of Atypical Meningioma?
- 4/ more mitosis per HPF
- Hypercellularity
- Sheet like growth of cells and necrosis
- Macronucleoli
- The IHC marker useful in diagnosis of Endometrial Stromal Sarcoma.
- CD 10
- CD 20
- EMA
- SMA
- Rheumatoid arthritis is characterised by all of the following except:
- Synovial hyperplasia with prominent lymphoplasmacytic infiltration
- Pannus formation
- Fibrin deposition
- Intraarticular loose body (rice body) formation
- Which of the following is a feature of Pilocytic Astrocytoma?
- Monotonous population of small uniform tumor cells
- Endothelial proliferation
- Rosette formation
- Rosenthal fibres and eosinophilic granular bodies
- Antidepressant among the following is:
- Levomilnacipran
- Lacosamide
- Lorcaserin
- Lomitapide
- Heparin induced thrombocytopenia is treated with:
- Abciximab
- Atosiban
- Argatroban
- Aprepitant
- Ezetimibe is used to treat:
- Epilepsy
- Diabetes mellitus
- Diabetes insipidus
- Hyperlipidemia
- All are true about Quinupristin-Dalfopristin except:
- it is administered intravenously
- they are combined in 70/30 ratio
- dose adjustment not needed in renal failure
- can cause myalgia-arthralgia syndrome
- The Ottawa Charter is concerned with:
- Health Promotion
- Specific Protection
- Early Diagnosis and Treatment
- Rehabilitation
- Which of the criteria for judging causality is shown by Relative Risk?
- Temporal association
- Coherence of Association
- Strength of Association
- Specificity of Association
- Which is the drug recommended for treatment of Plasmodium Falciparum Malaria in the first trimester of Pregnancy?
- ACT
- Primaquine
- Lumefantrine
- Quinine
- All of the following are more in breast milk during the first month of lactation than cow’s milk except:
- Casein
- Linoleic acid
- Lactose
- Vitamin C
- Colour vision is tested using all the following methods except:
- Pelli Robson charts
- Hardy Rand Rittler charts
- Anomaloscope
- FM 100 test
- Magician’s forceps phenomenon is seen in:
- Accommodative esotropia
- Intermittent exotropia
- Duane’s retraction syndrome
- Double elevator palsy
- Teardrop sign in CT Scan Orbit is suggestive of:
- Blow in fracture
- Le Fort fracture
- Fracture roof of orbit
- Blow out fracture
- ‘Scrambled egg’ appearance in the fundus is typical of:
- Age related macular degeneration
- Cone dystrophy
- Best’s disease
- Diabetic maculopathy
- Thornwaldt’s cyst arises from persistence of:
- Rathke’s pouch
- Pharyngeal pouch
- Anterior pouch of von Troeltsch
- Luschka’s pouch
Question Error
- The non-syndromic hearing loss of DFNB1 is a type of:
- Autosomal dominant hearing loss
- Autosomal recessive hearing loss
- Mitochondrial disorder with hearing loss
- X linked hereditary hearing loss
- The Schaefer classification is used in:
- Laryngeal trauma
- Juvenile Nasopharyngeal Angiofibroma
- Nasopharyngeal carcinoma
- Subglottic stenosis
- Large Vestibular aqueduct is most commonly associated with:
- Alport’s syndrome
- Jervell and Lange Nielson Syndrome
- Pendred syndrome
- Usher syndrome
- OVLT is an organ concerned with the regulation of:
- Respiration
- Blood Pressure
- Temperature
- Hunger
- Definition of AIDS is CD4 cell count less than:
- 800
- 600
- 400
- 200
- Multifocal atrial tachycardia is commonly associated with:
- Ischemic heart Disease
- Respiratory Disease
- Hypokalemia
- Hyperkalemia
- The disease which produce macrocytic anaemia is:
- Multiple Myeloma
- Acromegaly
- Hypothyroidism
- Rheumatoid Arthritis
- Nihilistic delusion is associated with:
- Cotard’s syndrome
- Ekbom syndrome
- Capgras syndrome
- De Clerambault syndrome
- A 16 year old boy, on seeing sharp objects gets repeated urge to pick it up and stab others. He does not wish to carry it out and does not act on it. He has significant distress and tries to resist the urge. Most likely diagnosis is:
- Conduct disorder
- Hypomania
- Obsessive compulsive disorder
- Impulse control disorder
- The drug of abuse ‘ECSTASY’ is:
- Phencyclidine
- Cocaine
- MDMA
- LSD
- The neuropeptide transmitter implicated in narcolepsy is:
- Histamine
- Melatonin
- Acetyl Choline
- Hypocretin
- Lambda sign in obstetric ultrasound is indicative of:
- Hydrops foetalis
- Dichorionic diamniotic twins
- Monochorionic diamniotic twins
- Monochorionic monoamniotic twins
- Mc Roberts manoeuvre is considered as the first line treatment for:
- Breech delivery
- Transverse lie
- Shoulder dystocia
- Abruptio placenta
- The most common gynaecological cancer in India is:
- Endometrial cancer
- Ovarian cancer
- Cervical cancer
- Vulval cancer
- The hormone content in long acting reversible contraceptive device is:
- Levonorgestrel
- Oestrogen
- Testosterone
- Misoprostol
- The following statements in vitiligo are true except:
- An acquired pigment anomaly of skin
- Due to defect in Tyrosinase activity
- Progressive loss of melanocytes in skin
- Segmental distribution of skin lesions can occur.
- Characteristic primary lesion in Acne vulgaris is:
- Pustules
- Papules
- Nodules
- Comedones
- Nail changes which can occur in Lichen planus are the following except:
- Longitudinal grooves
- Longitudinal melanonychia
- Pterygium inversum unguis
- Trachyonychia
- Necrolytic acral erythema is a specific feature of infection with:
- Epstein - Barr virus
- Hepatitis C virus
- Herpes simplex virus
- Human immunodeficiency virus
- The Amsterdam criteria II is used for assessing:
- Gastrointestinal stromal tumour
- Pendred’s Syndrome
- Choledochal Cyst
- Lynch Syndrome
- The Boaris operation is indicated in:
- Carcinoma of Kidney
- Cholangiocarcinoma
- Injury to ureter
- Injury to common bile duct
- In the management of deep vein thrombosis with oral anticoagulants, the INR must be maintained between:
- 1.5 to 2.5
- 2.5 to 3.5
- 3.5 to 4.5
- > 4.5
- The Vitamin deficiency is normally seen after Gastrectomy:
- Vit. B12
- Vit. B6
- Vit. B1
- Vit. D
- The least constraint knee joint prosthesis among the following is:
- CR type of knee
- PS type of knee
- TC3 knee
- Hinged knee
- “Liftoff test” is used to test the functional status of which muscle?
- Supraspinatus
- Infraspinatus
- Teres major
- Subscapularis
- All are features of synovial sarcoma except:
- Usually seen in the age group of less than 50 years.
- More common at extra articular site.
- Originate from synovial lining.
- Knee and foot are commonly involved.
- A joint is innervated by the articular branch of the nerve, which supply the muscle which moves the joint. This law is known as:
- Wolff’s law
- Blount’s law
- Hilton’s law
- Cushing’s law
- Choose the best sequence of Rehabilitation measures for a Spastic Diplegic child with crouch gait.
- Antispastic Drugs, Dorsiflexor strengthening, Articulated AFOs
- Antispastic Drugs, Quadriceps strengthening, Calcaneal osteotomy and static AFO
- Antispastic Drugs, Tendo Achilles lengthening, Articulated AFO
- Botulinum toxin injection to Gastronemius, static AFO and Dorsiflexor strengthening
- One of the following is not a poor prognostic factor for Brachial plexus injury:
- Positive SNAP in NCV with absent sensation
- Serratus Anterior Paralysis
- Horner’s Syndrome
- Partial involvement of Myotomes
- One of the following Rehab professional is not part of the Rehabilitation Team for an Amputee:
- Physiatrist
- Prosthetist
- Speech therapist
- Occupational therapist
- One of the following is an important Component of Person’s with Disabilities Act.
- All Public Buildings must be made Disabled Friendly
- Person’s with 20% Disability are considered for income tax exemption
- 3% of all education seats are reserved for Learning Disability only
- 30% of employees in Govt. Institutions are reserved for Locomotor Disability.
- Polyoma virus is associated with the aetiology of the following cancer:
- Hepatocellular Carcinoma
- Merckel cell carcinoma
- Castlemans Disease
- Anogenital cancer
- The following is not true about “BLEOMYCIN”:
- Bleomycin is cell cycle specific and its main effects mediates in S phase.
- Dose limiting toxicity of Bleomycin is pulmonary toxicity.
- 60%-70% of Bleomycin is execrated unchanged in urine
- Bleomycin is absorbed rapidly after in injections.
- Following not included in MEN 2B:
- Pheochromocytoma
- Hyperparathyroidism
- Mega colon
- Skeletal abnormality
- The following statements regards Carcinoma Oropharynx is true:
- The epithelial covering on nasopharyngeal side is respiratory epithelium
- 20-25% of tonsilar tumours are lymphomas
- Surgery is the treatment of choice in BOT lesions
- Medical pterigoid involvement is T3b.
- Inhalation anaesthetic agent which causes greatest magnitude of Carbon Monoxide production:
- Desflurane
- Sevoflurane
- Isoflurane
- Halothane
- Concerning Dexmedetomidine choose the incorrect statement:
- Dexmedetomidine is the S - enantiomer of medetomidine
- Delirium in ICU is significantly lower when used for sedation
- Induces sedation through GABA system
- Pharmacokinetics is not influenced by renal impairment
- The most common side effect of neuraxial opioid is:
- Sedation
- Respiratory depression
- Urinary retention
- Pruritis
- Factors which cause exaggerated bradycardia (heart rate less than 40-50 beats/min) following spinal anaesthesia include all except:
- Baseline heart rate less than 60 beats/min
- Male gender
- Older age
- Non emergency surgery
- What is the osmolality of low osmolality WHO Oral rehydration solution?
- 245 mOsm/L
- 275 mOsm/L
- 375 mOsm/L
- 350 mOsm/L
- Peak incidence of acute Appendicitis is in the age of:
- < 1 Year
- 1 - 3 Years
- 5 - 10 Years
- 12 - 18 Years
- Which of the following is the most reliable test for diagnosis of acute Pancreatitis?
- Serum Amylase
- Serum Lipase
- Leucocytosis
- Hypercalcemia
- Splenectomy is indicated in the following conditions except:
- Hereditary spherocytosis
- Hereditary stomatocytosis
- Thalassemia
- Hypersplenism
- Ken river is a tributary of:
- Godavari
- Kaveri
- Yamuna
- Brahmaputra
- Indira Gandhi Institute of Development Research (IGIDR) established by:
- Mumbai University
- Reserve Bank of India
- U.P. Government
- IHRD Ministry
- NABARD was established by the recommendation of:
- A.M. Khusro Committee
- Y.B. Chavan Committee
- N.K.P. Salve Committee
- Shivaraman Committee
- In 1980 Indira Gandhi Nationalised how many Banks?
- 6
- 8
- 14
- 18
- Thusharagiri waterfalls is situated in:
- Wayanad
- Kozhikode
- Pathanamthitta
- Idukki
- The place where Paliyam Sathyagraha held is now in which district?
- Thrissur
- Kottayam
- Ernakulam
- Kollam
- The Travancore Constitutional Reform Committee was chaired by:
- A.J. John
- Sir C.P. Ramaswami Iyer
- P.G.N. Unnithan
- C. Kesavan
- Name the person who resigned Presidentship of Indian National Congress in 1939.
- Mahatma Gandhi
- Subash Chandra Bose
- Jawahar Lal Nehru
- Pattabhi Sita Ramayya
- Which of the following Gandhian movement was withdrawn after Chouri-Choura incident?
- Civil Disobedience Movement
- Quit India Movement
- Ahmedabad Mill Strike
- Non-Cooperation Movement
- Which one of the following is written by Jyothi Rao Phule?
- Sivaji’s Life
- Vedic Home of the Aryans
- Prabhudha Bharath
- Viveka Vardhini
- The Advaitha Ashram at Aluva was founded by:
- Brahmananda Sivayogi
- Sri Sankaracharya
- Chattampi Swamikal
- Sri Narayanaguru
- Ezhava Memorial was submitted to:
- Srimoolam Tirunal
- Visakam Tirunal
- Sethu Lakshmi bai
- Chithira Tirunal Balaramavarma
- The Social-Reformer who met Mahatma Gandhi at Neyyattinkara?
- Poikayil Yohannan
- Ramakrishna Pilla
- Vaikunda Swami
- Sahodaran Ayyappan
- Name the person who is related with Kalyanadayini Sabha?
- Vagbhadanandha
- Ayyankali
- K.P. Karuppan
- Thycaud Ayya
- Which is not related with K.P. Kesava Menon?
- Malabar Home Rule League
- Mathrubhoomi
- Ceylon High Commissioner
- Andhra Governor
- The drillship deputed to study the secrets of lost Continent Zealand is:
- Discoverer 534
- Jodies Resolution
- Enterprise
- Deep Water KG 1
- Saturn’s largest moon:
- Lapetus
- Callisto
- Titan
- Atlas
- Kevin Durant is related with:
- Basket Ball
- VolleyBall
- Cycling
- Swimming
- Who penned the memoir ‘Advice and Dissent; My Life in Public Service’?
- Jacob Thomas
- Y.V. Reddy
- Shashi Tharoor
- T.P. Senkumar
- Phulpur Loksabha Constituency is in:
- Bihar
- West Bengal
- Maharashtra
- Uttar Pradesh
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