Mock Paper - Medical PG Entrace by Dr Chaudhry : Paschim Vihar, New Delhi 110063 T: 1142316457, 9810571993
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For each of the following multiple choice questions, choose the most appropriate answer :

1. The active principle of white oleander is
A. Nicotine 
B. Nerin 
C. Abrine 
D. Pilocarpine 

2. Cross examination of prosecution witness is done by,
A. Prosecutor form Outside, 
B. Defense Lawyer,  
C. Public Prosecutor, 
D. Police. 

3. A case of murder with gunshot is reporte
A. A metal bullet is recovered from the body. Primary and Secondary markings on a metal bullet can be used for 
B. Identification of weapon 
C. To know the range of firing 
D. Severity of tissue damage 

4. 25 year old labourer 3 years back presented with penile ulcer not treate Later he presented with neurological symptoms for which he got treate Test to monitor response to treatment is –
A. RPR 
B. TPI 
C. FTA ABS 
D. VDRL 

5. Lightening flash can cause injury by all of the following, except:
A. Direct effect of electric current 
B. Expanded and repelled air 
C. Super Heated air 
D. Compressed air pushed in front of the current 

6. Hatter’s shakes are seen in which poisoning –
A. Lead 
B. Mercury 
C. Copper 
D. Arsenic 

7. A factory worker presents with excessive salivation, blue lines on gums, tremors, disturbed personality, insomnia and lose of appetite. The most likely poisoning is:
A. Arsenic 
B. Mercury 
C. Lead 
D. Phosphorus 

8. Article 377 of IPC deals with ?
A. Unnatural sexual offence 
B. Rape 
C. Incest 
D. Adultry 

9. Least toxic lead is
A. Carbonate, 
B. Arsenate 
C. Sulphide,  
D. Oxide, 

10. Aconite poisoning causes all except:
A. Chest pain 
B. Tingling and numbness 
C. Hypersalivation 
D. Increased BP 

Medicine
11. A patient with Hypertension, comes with severe unilateral headache and vomiting. On MRI, lateralized convex lesion seen. He has neck stiffness. The diagnosis is
A. Intracerebral Hemorrhage 
B. Subarachnoid Hemorrhage 
C. Meningitis 
D. meningoencephalites 

12. Most common type Spinocerebral Ataxia in India is
A. SCA 1 
B. SCA 2 
C. SCA 3 
D. SCA 4 

13. A fifty year old smoker presents with history of cough productive of mucoid sputum in every winter for last three years. The most likely diagnosis is:
A. Bronchial asthma. 
B. Bronchiectasis. 
C. Bronchogenic carcinoma. 
D. Chronic bronchitis 

14. The most common side effect of quinine is:
A. Coma. 
B. Deafness. 
C. Headache. 
D. Respiratory depression 

15. A lady had Meningioma with inflammatory edematous lesion. She was planned for surgery. Junior resident's mistake in writing pre-op notes is
A. Stop Steroids 
B. Wash head with shampoo 
C. Antibiotic Sensitivity 
D. Antiepileptic 

16. In a patient with history of muscle cramps and carpopedal spasm. Which of the following serum electrolyte level is most likely to be low:
A. Calcium. 
B. Chloride. 
C. Magnesium. 
D. Potassium 

17. A lady had breathlessness, arthralgia and granulomatous uveitis. Diagnosis is
A. Ocular Sarcoid 
B. HLA B27 related Uveitis 
C. Tuberculosis 
D. Behcets syndrome 

18. In a patient with high grade fever, rigors and tender hepatomegaly. The most likely diagnosis is:
A. Carcinoma of liver. 
B. Liver abscess. 
C. Malaria. 
D. Right heart failure 

19. A ten year old boy gives history of swelling of body starting from face and more on getting up in the morning. On examination his blood pressure is normal, pallor is absent and jugular venous pressure is not raised. Signs of ascites and bilateral pleural effusion are found. The first line of investigation in this case is:
A. Blood urea level. 
B. Chest X-ray. 
C. Echocardiography. 
D. Urine for albumin 

20. A neonate presents with bleeding from umbilical stump, rest of the examination is normal. Probable diagnosis is
A. Factor X deficiency 
B. von Willebrand Disease 
C. Glanzman Thromboasthenia 
D. Bernard Soulier Syndrome 

Surgery
Spa=There was 3 cm stone in renal pelvis and no Hydronephrosis. Most appropriate management is~Diarrhoea~Used in triage~Painful~Neurosurgery consultation~Located below the umbilicus and always in the midline~damage to respiratory centre~Do conservative treatment and leave him and hope for the spontaneous resolution~Liver~27%
21. Patient is tenderness in left iliac foss
A. There was 3 cm stone in renal pelvis and no Hydronephrosis. Most appropriate management is 
B. PCNL 
C. ESWL 
D. Diuretics 

22. Early complication of Ileostomy
A. Diarrhoea 
B. Obstruction 
C. Necrosis 
D. Prolapse 

23. Damage control surgery include
A. Used in triage 
B. Surgery avoided to controlled major damage 
C. Minor disability rectiied irst then posted for surgery 
D. Controlled major hemorrhage than disability 

24. External Hemorrhoids, distal to dentate line is
A. Painful 
B. Skin Tag is not seen in these cases 
C. May turn malignant 
D. ligation is done as management 

25. The first priority in management of a case of head injury with open fracture of shaft of femur is
A. Neurosurgery consultation 
B. Give IV fluids 
C. Intubation 
D. Splintage of fracture 

26. True about Epigastric Hernia is
A. Located below the umbilicus and always in the midline 
B. Located above the umbilicus and always in the midline 
C. Located above the midline and on either side 
D. Can be seen anywhere on abdomen 

27. A motor cyclist after multiple trauma is having hypoventilation. The cause is
A. damage to respiratory centre 
B. damage to respiratory apparatus 
C. both 
D. None of the Above 

28. A patient of Crohn's Disease, underwent resection anastomosis. Now presents on 7th post-op day with anastomotic site leak from a fistula. Everyday leakage volume adds up to 150-200ml. There is no intra-abdominal collection and the patient is stable without any complains. What will be the next line of management?
A. Do conservative treatment and leave him and hope for the spontaneous resolution 
B. Perform Laparotomy and check for leakage site and healthy margins 
C. Perform Laparotomy and completely exteriorize the fistula 
D. Perform Laparotomy and place lateral drains and leave 

29. A guy driving a car fast suddenly slams on the brakes. He was wearing a seat belt. The most likely organ affected is :
A. Liver 
B. Spleen 
C. Mesentery 
D. Kidney 

30. A child is having circumferential burns over both his thighs , buttocks , face and scalp . Calculate the surface area of the burnt are
A. 27% 
B. 10% 
C. 37% 
D. 45% 

Paediatrics
pa=When vitamin D levels return to normal~CT scan~Receipt of antenatal steroids~Child has pneumonia ~Kimura disease ~Pincer grasp not developed by 9 months~Kimura disease~There is numbness. There is pain on passive extension of fingers. He is not allowing you to touch the arm. Pulse was present. What will you do?~Gaucher's disease~Dexamethasone
31. In a child with rickets with deformity, when should a decision to undertake corrective surgery be undertaken?
A. When vitamin D levels return to normal 
B. when growth plate healing is seen radiographically 
C. when bone speciic alkaline phosphatase is normal 
D. when serum calcium is normal 

32. A preterm baby has developed seizures on day 2 of life. The best investigation is :
A. CT scan 
B. Transcranial USG 
C. MRI 
D. blood glucose 

33. Which of the following will favor the diagnosis of RDS in new born?
A. Receipt of antenatal steroids 
B. Air bronchogram in chest X-ray 
C. Manifests after 6 hours 
D. Occurs after term gestation 

34. A 6-week baby presents with cough and cold for the past 3 days. Respiratory rate is 48/min. On examination, patient is febrile with wheezing but no chest in drawing. Which of the following is not true?
A. Child has pneumonia  
B. Antibiotics are not required  
C. Wheezing to be treated 
D. Fever to be treated 

35. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is
A. Kimura disease  
B. Kawasaki disease  
C. Scarlet fever 
D. Rosie-Dorfman syndrome 

36. Which of the following is considered a developmental delay?
A. Pincer grasp not developed by 9 months 
B. Moving up and downstairs by 21/2 years 
C. Not able to sit at 9 months 
D. Two word syllable at 1 ˝ years 

37. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is
A. Kimura disease 
B. Kawasaki disease  
C. Scarlet fever 
D. Rosie-Dorfman syndrome 

38. A child was taken for CECT Chest and contrast was injected; child had swelling which gradually increase
A. There is numbness. There is pain on passive extension of fingers. He is not allowing you to touch the arm. Pulse was present. What will you do? 
B. High Dose Prednisolone 
C. Arterial Thrombectomy 
D. Immediate Fasciotomy 

39. Enzyme replacement therapy is available for
A. Gaucher's disease 
B. Pompe disease 
C. San Philipo disease 
D. Fabry's disease 

40. Child with croup, well hydrated, feeding well, consolable. T/t is
A. Dexamethasone 
B. Racemic epinephrine 
C. Antibiotics 
D. Nasal washing for inluenza and RSV 

Preclinical & Paraclinical Subjects
Clinical Subjects

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