1) 38 y old pregnant female presented with jaundiced eyes &. yellowish skin. Most imp investigation for her is? A) S/Bilirubin B) Wbc level C) SGPT D) SGOT 2) All are true regarding moderate to severe asthma attack except? A) P02 LESS THAN 60MM B) PCO2 GREATER THAN 60MM EARLY ATTACK C) GIVE IV STEROIDS D) TRAIL OF BRONCHODILATORS 3) All statements related to stye infecttion of lower eyelid are true except? A) REFER TO OPHTHALAMOLGIST B) INFECTION OF LACRIMAL GLAND C) TOPICAL ABX D) SYSTEMIC ABX 4) In G6PD Deficiency, all drugs are contraindicated except? A) ASPIRIN B) NITROFURANTOIN C) GENTAMICIN D) CHOLARMPHENICOL 5) Most common side effect of cephalosporin is? A) DARK COLORED URINE B) ALLERGY C) GIT DISTURBANCE D) PHOTOSENSITIVITY 6) Photosensitivity is a side effect of all drugs except? A) INDERAL B) PROPRANOLOL C) LITHIUM D) CHLORPROMAZINE 7) Guidelines for CT Brain due to dementia. All are true except? A) YOUNGER THAN 60Y B) DUE TO HEAD TRAUMA INJURY C) PROGRESSIVE MEMORY LOSS LASTS FOR 3YEARS D) VOMITING DUE TO HIGH ICP 8) Most common cause of deafness in children is? A) CSOM B) ASOM C) BAROTRAUMA D) MENINGITIS 9) 7 years old child presented with discharge from right ear. Most common cause of otorrhea? A) OTITIS EXTERNA B) CSF OTORRHEA C) CSF RHINORHEA D) EUSTACHIAN TUBE DYSFUNCTION 10) About NSAIDs use, all are true except? A) HYPERKALEMIA B) INTERSTITIAL NEPHRITIS C) ACUTE TUBULAR NECROSIS D) ACUTE RENAL FAILURE 11) About laparoscopic cholecystectomy, the only point that wouldn’t be in favor of this procedure? A) PATIENTS RE-ADMISSIONS ARE FREQUENT B) HOSPITAL STAY IS REDUCED C) PATIENT CAN BE DISCHARGED IN A DAY OR TWO. D) COMMON COMPLICATION IS WOUND INFECTIONS 12) Acanthosis negricans has most common association of which of the following? (A) INSULIN RESISTANCE (B) TYPE 2 DM (C) HODGKIN LYMPHOMA (D) NEUROFIBROMATOSIS (13) 14 year old boy fall on right sided out stretched hand .HIs elbow was flexed . On examination thereradial pulse was absent .Best management? (A) INTERNAL FIXATION (B) OPEN REDUCTION (C) CLOSED REDUCTION (D) ILLIZORVE AND CLOSED FIXATION (14) Smith fracture involve which part of bone? (A) COMBINE FRACTURE OF BOTH RADIUS AND ULNA (B) PROXIMAL END OF RADIUS (C) DISTAL END OF RADIUS (D) PROXIMAL END OF ULNA (15) Premature baby presented brought by his mother with complain dyspnea ,respiratory distress and shortness of breath.Dx? (A) RDS (B) LUNG FIBROSIS (C) ACUTE ASTHMA (D) OBSTRUCTIVE LUNG DISEASE (16) 4 year old girl chest x-ray show multiple hyper lucent loops and compression of loops .Best management include? (A) ETT (B) VAC (C) THORACOSTOMY (D) THORACOTOMY (17) 9 Year old boy presented with complain of food regurgitation since birth & it increases with formula volume.What would be the cause? (A) INCREASE ACID REFLUX (B) HYPERTROPHY OF MUSCLES (C) DECRESE LOWER ESOPHAGEAL PRESSURE (D) SHORT BOWEL SYNDROM (18) Young child came with complain of seizures .Vaccine that should be avoid in this? (A) MEASLES VACCINE (B) INFLUENZA (C) DTP VACCINE (D) POLIO VACCINE (19) 4 days neborn presented with lethargy ,fever and neck stiffness.On csf examination both gram positive bacilli and gram positive cocci found . Best mangement ? (A) GENTAMYCINE (B) CEFIPIME (C) AMPICILLINE (D) CEFTRAXONE (20) Female remarried and came at clinic with her new husband.She has history of sickle cell anemiic son from previous marriage.She want to know that which test should be done to confirm that her child would have sickle cell disease or not ? (A) CHROMOSOMAL TESTING OF FATHER (B) CHROMOSOMAL TESTING OF MOTHER (C) HEMOGLOBIN ELECTROPHORESIS OF FATHER (D) HEMOGLOBIN ELECTROPHORESIS OF MOTHER (21) Mother was bathing his baby accidentally she felt palpable mass in right flank .Next investigation that you will advise to confirm diagnosis? (A) DEXA SCAN (B) X-RAY ABDOMEN (C) USG (D) CT ABDOMEN (22) Idiopathic Juvenile arthrities involve multiple joints and his ANA was positive .Your Dx? (A) SYSTEMIC ARTHRITIES (B) OSTEOARTHRITIES (C) OLIGOARTHRITIES (D) RHEUMATOID ARTHRITIES (23) Young child presented with conjunctivitis, nasal discharge ,cough and rashes.Rashes started from head and spread to all over the body.what will be your Dx? (A) COXSACKIE VIRUS (B) EBV (C) RUBELLA (D) EBOLA (24) Child came with triade of cough ,fever, coryza and air trapping, First mangement that include? (A) BRONCHODILATPRS (B) STEROIDS (C) O2 inhalation (D) IV ANTIBIOTICS (25) During burn injury according to parkland formula 2nd half of the fluid is given during? (A) 2 HRS (B) 4 HRS (C) 8 HRS (D) 12HRS (26) Developmental screening tool that is used by parents is? (A) BRIGANCE 11 (B) WEIGHT CHART (C) AGE AND STAGE QUESTIONNAIRE (D) ONLY BY HEIGHT (27) 4 month old baby brought by his mother in well baby clinic for screening .Best parameter for him will be? (A) BMI (B) HEIGHT (C) HEAD CICUMFRENCE (D) FEMURE DIAMETER (28) Boy presented in emergency with complain of black colour vomiting due to excessive intake of neutrional supplement .Most likely the supplement is? (A) VITAMIN (B) ZINC (C) IRON (D) Mg (29) 28 y old young woman started vomiting 5 hours after having a family dinner at restaurant. Most causative organism is? (A) STAPH AUREUS (B) SHIGELLA (C) E COLI (D) H PYLORI (30) A girl brought by her mother, she is short statured, hypertensive with short neck & low hair line. Dx? (A) KLINEFELTER (B) HYPOTHYROIDISM (C) TURNER'S (D) ADDISON (31) 3y old baby presented in child OPD with c/o generalised body weakness. He has previous hx of iron supplement intake still his anema is not improved. Best diagnostic tool is? (A) Hb ELECTROPHORESIS (B) TIBC (C) S/FERRITIN (D) IRON LEVELS (32) 1y old baby brought by her mother with c/o mucoid vaginal discharge on & off. Best Tx for her? (A) GABHS (B) REASSURE (C) ADMIT (D) ORAL ABX (33) A child with family hx of immunocompromised brother develops rashes over his trunk. Now what will be the prophylaxis given to his brother? (A) IV ABX (B) VACCINATION (C) QUARANTINE (D) IVIG (34) Child with congenital heart disease is crying for last few hours and becomes cyanosed and irritated? Best management? (A) HIGH FLOW 02 (B) IV STERIODS (C) SEDATION (D) BREAST FEEDING (35) Identify 3 y old child milestone? (A) CLIMB THE STAIRS (B) KICK A BALL WITH ALTERNATE LEG (C) DRAW A SQUARE (D) SAYS 30 WORDS (36) Child came with his family in another city ,he is trying to make friends and he is sad for most of the time.Dx? (A) SCHIZOPHRENIA (B) MANIA (C) ADJUSTMENT DISORDER (D) DEPRESSION (37) For rheumatic fever best diagnostic investigation is? (A) BLOOD CULTURE (B) ASO TITER (C) STOOL ANTIGEN (D) STOOL CULTURE (38) Mother brought his 5 year old child with complain of bed wetting from last few months.Treatment that you will advise ? (A) REASSURE AT THIS AGE ENURESIS IS COMMON (B) IMPRAMINE (C) CLOMIPRAMINE (D) TAMSOLOSIN (39) Child is overweight and he is anxious about his health .Expected day of exercise in a week that you will advise? (A) 5 (B) 6 (C) 7 (D) 8 (40) Calculated maintinance fluid for child of 17kg/d is? (A) 1000 ml (B) 1350 ml (C) 1250 ml (D) 1150 ml (41) Baby is smiling and elevate his head at 45 degree and move it side to side .What will be the expected age of baby in months? (A) 3 MONTHS (B) 4 MONTHS (C) 5 MONTHS (D) 6 MONTHS (42) Female Pap smear result is negative .Time period after which you will advise her to repeat Pap smear ? (A) 3 MONTH (B) 6 MONTH (C) 12 MONTH (D) 18 MONTH (43) 57 Year old woman fell on outstretched hand while walking. On examination there is dinner fork deformity and tender radial head .Dx? (A) COMMUNIATED FRACTURE OF BOTH RADIUS AND ULNA (B) SMITH FRACTURE (C) COLLE,S FRACTURE (D) SCAPHOID FRACTURE (44) All are the complication of laparoscopic cholecystectomy except? (A) PNEUMOPERITONIUM (B) SHOULDER TIP PAIN (C) ASCITES (D) BILE LEAKAGE (45) Mother brought her 4 girl with complain of vaginal discharge. Most likely the cause is? (A) E COLI (B) GONORRHEA (C) FOREIGN BODY (D) TRACHOMATIS (46) Which describes the end of earliest inflammatory phase? (A) SCAR FORMATION (B) END OF ANGIOGENESIS (C) FORMATION OF COLLAGEN (D) FREE RADICAL FORMATION (47) Which factor is most common cause of precocious puberty? (A) OVARIAN CYST (B) ADENOMA (C) IDIOPATHIC (D) OVARIAN TUMOR (48) Mode of inheritance of polycystic kidney disease in adult and children is? (A) AUTOSOMAL DOMINANT AND RECESSIVE (B) AUTOSOMAL RECESSIVE AND DOMINANT (C) X-LINKED RECESSIVE (D) X-LINKED DOMINANT (49) 29 y old man suffering from deep laceration on anterior surface of the wrist and his median nerve is injured. Most common deformity would be? (A) OPPOSITION OF THUMB WITH OTHER FINGERS (B) WRIST DROP (C) CLAW HAND DEFORMITY (D) UNABLE TO EXTEND HIS LITTLE FINGER (50) 50 y old hypertensive woman presented with pain in left flank. His venography shows R kidney 14cm and L kidney is 7cm. There is renal artery stenosis on left side. Your next plan will be? (A) ARTERIOGRAM (B) RENOGRAM (C) BIOPSY (D) CT CONTRAST KUB Q(51) 5 year old girl presented with complain of pain and swelling in both lower limbs from last few months.ANA report is negative. After how much time you will advise screening of uveitis? (A) EVERY 3 MONTH (B) EVERY 6 MONTH (C) EVERY 9 MONTH (D) EVERY 12 MONTH Q(52) Patient is complain of generalised body swelling ,hematuria and proteinuria.What would be initil management? (A) LOW PROTEIN DIET (B) PREDNISOLON (C) LOW SALT DIET (D) HIGH SUPPLEMENTS Q(53) 5 year old boy presented with complain of fever and swelling of right knee joint.On examination there is reduced passive movement.Most important test that you will advise for him? (A) BLOOD CULTURE (B) ASPIRATION OF JOINT (C) X-RAY OF JOINT (D) URINE COMPLETE Q(54) 39 year old multigravida woman complaining of urinary incontinance and pelvic muscle weakness.Best mangemnt would be? (A) KEGEL EXERCISE (B) OXYBUTINON (C) SCOPOLAMINE (D) TAMSOLIN Q(55) Major congenital anomaly of genital system in male is ? (A) PHIMOSIS (B) CRYPTORCHIDISM (C) RENAL AGENSIS (D) URETHERAL DIVERTICULUM Q(56) Child fall on out stretched right hand .On examination pulses were intact but there was mild swelling and redness of right forearm.Best mangement is? (A) INTERNAL FIXATION (B) EXTERNAL FIXATION (C) CLOSED REDUCTION WITH CAST (D) OPEN REDUCTION AND CAST Q(57) 15 year old boy presented with eczema, upper respiratory tract infection and thrombocytopenia.His sister has same symptoms.Dx? (A) RENAL AGENSIS (B) LARGE VESSEL VASCULITIES (C) KAWASAKI DISEASE (D) WISKOT ALDRICH Q(58) After suffering from head injury due to road traffic accident young man develop polyuria ,poldypsia.His urine osmolality was decreased and serum osmolality was raised.What will be definative diagnosis? (A) CENTRAL DI (B) NEPHROGENIC DI (C) MEDULLA OBLONGATA INJURY (D) HYPOTHALAMUS INJURY Q(59) Mother brought his one year old child for vaccination.Which vaccination you will give him? (A) IPV, MMR (B) OPV, MMR (C) OPV,PCV,VARICELLA,MMR (D) OPV,PCV,MCV,MMR Q(60) 2 Year old girl was victim of sexual assault.At which position hymen tear will present most commonly? (A) 2 O,CLOCK (B) 4 O,CLOCK (C) 6 O,CLOCK (D) 8 O,CLOCK Q(61) Which of the following condition that does not cause hypokalaemia? (A) METABOLIC ACIDOSIS (B) ACUTE TUBULAR NECROSIS (C) DIARRHEA (D) FUROSEMIDE Q(62) Which investigation is best diagnostic tool for maxillary sinusitis? (A) USG (B) X RAY (C) MRI (D) CT SCAN Q(63) Baby with 350 bpm and sweating brought by his mother .What will be best management for him? (A) AMIODARONE (B) DIGOXEN (C) CARDIOVERSION (D) VERAPAMIL Q(64) Clonidine decrease the effect of which drug? (A) LEVO DOPA (B) AMITRIPTYLINE (C) BENZODIAZPINE (D) BARBITURATES Q(65) Multigravida female at 36th week of his pregnancy brought in gynae emergency with complain of eclamptic fits.Your mangement include? (A) DIAZEPAM (B) MG SULPHATE (C) DORMICUM (D) BARBITURATES Q(66) Risk factors that causes colon cancerin males? (A) RED MEAT DIET,GARDENER SYNDROM (B) SMOKING, HIGH ALCOHOL INTAKE,LOW FAT (C) HIGH FAT, LOW ALCOHO; INTAKE,SMOKING (D)INACTIVITY Q(67) Baby is catching furniture, say dada ,baba and uses pincer grasp .Expected age of baby? (A) 3 MONTH (B) 6 MONTH (C) 9 MONTH (D) 12 MONTH Q(68) Mode of transmission that is difficult to prevent? (A) AIR BORNE (B) VACTOR BORNE (C) AIR DROPLETS (D) PERSON TO PERSON Q(69) Blood culture picture show gram negative rod shape colony that grow on charcoal free culture medium.Most probably the organism is? (A) STAPH UREUS (B) KLEBSIELLA (C) MYCOPLASMA (D) CHLYMADIA Q(70) 100% pure O2 is given for prolong time period cause all of the following except? (A) CHEST PAIN (B) DEPRESSION (C) OCULAR TOXICITY (D) SEIZURE Q(71) 7 year old child presented with c/o vomiting, jaundice & heaptosplenomegaly. Most causative viral etiology is? (A) Hep E (B) Hep D (C) Hep B (D) Hep A Q(72) Most common cause of otorrhea is? (A) ASOM (B) EUSTACHIAN TUBE DYSFUNCTION (C) CSOM (D) OTOSCLEROSIS Q(73) Best food choice for Group of tourists while travelling is? (A) COOKED FOOD (B) RAW EGGS (C) BOILED WATER (D) UNPASTERISED MILK Q(74) Child suddenly died while playing football. Dx? (A) PDA (B) VSD (C) HOCM (D) MITRAL STENOSIS Q(75) 16 y old boy presented to surgical emergency with c/o R Inguinal mass , pain & vomiting. On exam, mass is tender with reddish skin over scrotum and his cremastric reflex is intact. Dx? (A) TORSION APPENDICULAR TESTES (B) TESTICULAR TORSION (C) OBSTRUCTED HERNIA (D) TESTICULAR HEMATOMA Q(76) Painkiller that is contraindicated in acute cholecystitis? (A) MORPHINE (B) NAPROXEN (C) PETHIDINE (D) ACETAMINOPHEN Q(77) Patient presented in MER in comatose state due to intoxication of unknown substance. His gag reflex is absent. Ist Line of management? (A) IV FLUMAZENIL (B) NALOXONE (C) INTUBATION (D) IV DIAZEPAM Q(78) Primigravida presented in Emergency with c/o perfuse vaginal bleed , abdominal pain & vomiting. Most probable dx? (A) PRE-ECLAMPSIA (B) ECTOPIC PREGNANCY (C) VASA PREVIA (D) OVARIAN TORSION Q(79) Most alarming symptom of CO poisoning? (A) HYPOTENSION (B) SEIZURE (C) CYANOSIS (D) ARRYTHMIA Q(80) Young female presented in medical OPD with c/o multiple cystic nodules & scars on face? Best management is? (A) DOXYCYCLINE (B) RETINIODS (C) VIBRAMYCIN (D) ERYTHROMYCIN Q(81) Maximum dosage of ibuprofen that is given per day? (A) 400 mg (B) 800 mg (C) 1600 mg (D) 3200 mg Q(82) Young boy presented in ENT outdoor with complain of fever and sore throat from last few days.Best mangement will be? (A) CEFTRIAXONE (B) CEFIPIME (C) SIMPL GURGLES WITH MOUTHWASH (D) PARACETAMOL AND PHYRANGEAL SWAB Q(83) 65 year old man is bed ridden from last 3-4 months .An ulcer about 3+3 cm with lose of dermis and epidermis develop on his lower back .The stage of above mention ulcer will be? (A) I (B) II (C) III (D) IV Q(84) 38 year old man presented in medical outdoor with complain of generalised body swelling, puffiness of eyelids.On examination there is pitting edema of grade1.The space where free fluid will be accumulated? (A) ARTERIOLE (B) VENULES (C) INTERSTITIAL SPACE (D) CAPPILLARIES Q(85) Child brought by her mother in peadiatric OPD with c/o generalised body weakness and muscle wasting. O/E, edema was not present. Your Dx? (A) MUSCLE WASTING SYNDROME (B) DUCHENNE MUSCLE DYSTROPHY (C) MARASMUS (D) KWASHIRKOR Q(86) All antihypertensive drugs are safe in pregnancy except? (A) CAPTOPRIL (B) HYDRALAZINE (C) METHYLDOPA (D) MGSO4 Q(87) 71 y old man undergoing surgery for his brain tumour. He is already on aspirin. According to anesthesia protocol for how much time surgery can be delayed? (A) 1 DAY (B) 1 WEEK (C) 2 DAYS (D) 2 WEEKS Q(88) 3.5 month old baby presented with low grade fever and bilateral wheezing. On CXR, hyperinflation is present. Your Dx? (A) EPIGLOTITIS (B) ASTHMA (C) CROUP (D) LTB Q(89) Which of the drug combination is considered as safe to have? (A) FUROSEMIDE+GENTAMICIN (B) WARFARIN+PRORANOLOL (C) DIGOXIN+AMIODARONE (D) ALCOHOL+METRONIDAZOLE Q(90) Gestational diabetes labelled at which week? (A) 24-28WKS (B) 20-22WKS (C) 30-32WKS (D) 12-14WKS Q(91) In anesthesised pt, which of the following indicates hemolytic transfusion reaction? A) BLEEDING & HYPOTENSION B) TACHYCARDIA & CYANOSIS C) FEVER & OLIGURIA D) SHAKING CHILLS & SPASM Q(92) Multigravida develops tingling sensation of R hand. O/E, her tinel test is positive. Describe the position in which you will apply splint? A) DORSIFLEXION B) EXTENSION C) ABDUCTION D) ADDUCTION Q(93) 34 y male presented in SER due to abdominal pain for last 8 hours that is diffuse and comes in wave like pattern and also associated with vomiting. Your dx? A) SAIO B) AC. APPENDICITIS C) CHOLELITHIASIS D) AC. PANCREATITIS Q(94) All of the following conditions cause weight loss except? A) AIDS B) CANCER C) NEPHRITIC SYNDROME D) KWASHIRKOR Q(95) A city with total of 1500 population, no. of 105 births, 5 are stillbirths, 4 died at very first month of their life, 2 die before age of 1 year. What is the perinatal mortality? A)6 B)8 C)9 D)5 Q(96) 43 y old lady presented in SER with R abdominal pain, fever, nausea & vomiting. O/E, there is tenderness present in R hypochondrium. Her cbc report shows increased TLC count with raised ALP & HIGH serum bilirubin levels. DX? A) DU PERF B) ACUTE APPENDICITIS C) ACUTE PANCREATITIS D) ACUTE CHOLECYSTITIS Q(97) Which of the following is not true about hypokalaemia? A) TALL T WAVE B) ST SEGMENT CHANGES C) PR CHANGES D) HPYEROSMOLAR NON KETOTIC Q(98) A patient has given nasal decongestant for his stuffy nose. which of the following is a side effect of it? A) REBOUND PHENOMENA B) NASAL SEPTAL PERFORATION C) RHINITIS SICCA D) CATARRH Q(99) What is the normal level of daily caloric intake of a person? A) 35KCAL/KG B) 20KCAL/KG C) 25KCAL/KG D) 45KCAL/KG Q(100) What is the most harmful injury to the chest that can danger the person’s life? A) PNEUMOTHORAX B) AORTA RUPTURE C) FLAIL SEGMENT D) CARDIAC INJURY Q(101) 15 y old boy presented with bilateral knee joint pain for the last 15 days. His ANA is positive. What is the dx? A) OLIGOARTHRITIS B) POLYARTHRITIS C) SYSTEMIC ARTHRITIS D) RHEUMATOID ARTHRITIS Q(102) Baby came with palor appearance. O/E, his spleen is enlarged & head is prominent. Her report shows RBS 6. MCV below 69, RDW is 13. Dx? A) IRON DEFICIENCY ANEMIA B) THALASEMIA BETA C) SCA D) THALASEMIA A Q(103) How many days per week a child should do exercise? A) 5 B) 3 C) 4 D) 7 Q(104) Patient came in Emergency with Left upper thigh swelling. He has previous hx of atrial fibrillation. What is the definitive management? A) THROMBOLYSIS B) THROMBOEMBOLECTOMY OF FEMORAL VEIN C) SURGICAL EXPLORATION D) HEPARIN Q(105) Patient has hx of paraplegia after road traffic accident 2 yrs ago. Now suddenly he develops SOB, Chest pain. O/E, there is swelling upto L femoral vein region. Best management? A) IVC FILTER B) ENOXAPARIN C) THROMBOLYTICS D) SURGICAL EXPLORATION Q(106) Patient came for elective cholecystectomy. He has hx of acute MI 2weeks ago. What will you do? A) IMMEDIATE OPERATE B) DELAY IT FOR 6 WKS C) DELAY IT FOR 6 MONTHS D) CONSERVATIVE 5/5 - (7 votes)
