PG TEST PAPER

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PG TEST PAPER - 005

*Dated: 03-08-2020
*No. of Question: 50
*Time: 60 min
Sub: Medicine, Surgery, Microbiology, Pathology

Email *

Q1). All are the boundary of Gastrinoma triangle except- *

1 point

Option 3. Junction of pancreas body and neck

Option 1. Junction of cystic duct and CBD

Option 2. Junction of 2nd and 3rd part of duodenum

Option 4. Junction of Pancreas head and 2nd part of duodenum

Q2). Which of the following is not used as a marker in Neuroendocrine tumor- *

1 point

Option 4. CD56

Option 5. Cytokeratin 7

Option 3. Neuron-specific enolase

Option 1. Chromogranin A

Option 2. Synaptophysin

Q3). A 40 year female presented to Gynaecology and Obstetric OPD with painful lump in both breast for the past 2month. On examination the lump is of wallnut size, tender and occasionally greenish nipple discharge. Which of the following is true about the condition- *

1 point

Option 1. Most infrequent lesion of the breast

Option 2. Size increase during the postmenstrual phase of cycle

Option 3. Estrogen hormone have no role

Option 4. Pre-malignant lesion

Q4). Correct order of Gram staining is- *

1 point

Option 1. Carbol fuchsin --> Ethanol --> Gentian violet --> Iodine

Option 2. Carbol fuchsin--> Iodine --> Gentian violet --> Ethanol

Option 3. Gentian violet --> Ethanol --> Carbol fuchsin --> Iodine

Option 4. Gentian violet --> Iodine --> Ethanol --> Carbol fuchsin

Q5). Which of the following is a feature of Headache due to Raised Intracranial pressure? *

1 point

Option 1. Corticosteroid is recommended as a treatment

Option 2. Pulsatile in nature

Option 3. Throbbing in nature

Option 4. Increase on standing

Q6). Serum of person immunized with Hepatitis B vaccine contain- *

1 point

Option 1. HBsAg

Option 2. Anti HBsAg

Option 3. Anti HBeAg

Option 4. Anti HBcAg

Q7). Which of the following is not a feature of highly selective vagotomy- *

1 point

Option 1. Also known as parietal cell vagotomy

Option 2. Diarrhea less

Option 3. Dumping less

Option 4. Recurrence less

Q8). A 30 year old male, smoker, had sudden onset severe chest pain at 3 am. ECG showed ST segment elevation. Which of the following is correct statement about the condition- *

1 point

Option 1. Aspirin is useful

Option 2. Nitrate is the main treatment

Option 3. Vasospastic process most commonly involve left anterior descending coronary artery

Option 4. Calcium channel blockers are contraindicated

Q9). Following chromosomal abnormality is not seen in Down syndrome *

1 point

Option 1. Nondisjunctional of maternal chromosome

Option 2. Nondisjunctional of paternal chromosome

Option 3. Translocation between chromosome 21 and 14

Option 4. Disjunctional of maternal chromosome

Q10). A 18 year old female with the history of prolonged fever and abdominal discomfort was observed to have splenomegaly and leucopenia. In the course of the disease, she had an acute abdominal event and died. Which of the following is the likely finding on autopsy? *

1 point

Option 1. Transverse ulcers

Option 2. Longitudinal ulcers

Option 3. Pin-point ulcers

Option 4. Pseudopolyps

Q11). All of true about Renal artery stenosis except? *

1 point

Option 1. Atherosclerosis is the most common cause (60-90%)

Option 2. Angioplasty with or without stenting and surgical bypass is recommended

Option 3. Excision and grafting is the treatment of choice

Option 4. ARB can be used in unilateral renal artery related hypertension

Q12). Multiple sclerosis is not associated with- *

1 point

Option 1. Hydrocephalus

Option 2. Spinal cord involvement

Option 3. Optic neuritis

Option 4. Spasticity

Q13). Which of the following is not the indication of video-assisted thoracoscopic surgery (VATS)- *

1 point

Option 1. Mediastinal lymph node dissection

Option 2. Lung biopsy

Option 3. Recurrent pneumothorax

Option 4. Pneumonectomy/ Lobectomy

Option 5. Diagnosis and staging of thoracic malignancy

Q14). Which of the following statement is incorrect about Brain natriuretic peptide (BNP) *

1 point

Option 1. BNP level can be used in the diagnosis of heart failure

Option 2. BNP level also determine prognosis in heart failure

Option 3. Falsely low level seen in obese patient

Option 4. Falsely low level also seen in advance age

Q15). Which of the following is the function of suppressor T cells- *

1 point

Option 1. Prevent reactions against self-antigen

Option 2. Primary function is to suppress immune system

Option 3. Carry CD4 molecule on their surface

Option 4. Kill tumor cell

Option 5. Stimulate B lymphocytes

Q16). Which of the following statement about Choledochal cyst is incorrect- *

1 point

Option 1. Familial

Option 2. More common in female children as compare to male children

Option 3. Type I is the most common variant

Option 4. Premalignant condition

Q17). Which of the following beta-blocker is not recommended in patient with heart failure with reduced ejection fraction *

1 point

Option 1. Nebivolol

Option 2. Bisoprolol

Option 3. Carvedilol

Option 4. Metoprolol

Q18). True about Wandering spleen- *

1 point

Option 1. Chronic passive congestion of spleen

Option 2. Torsion of pedicle can cause infarction

Option 3. Splenectomy is the treatment of choice

Option 4. All of the above are correct

Q19). 40 year old male presented to emergency with breathlessness and chest pain of the past 10 days. On chest examination there is stony dullness and absent breath sound in the right infrascapular region. On pleural tap milky white fluid came out. Which of the following statement is incorrect regarding this condition. *

1 point

Option 1. Fat globule in pleural fluid stain positive with Sudan III

Option 2. Triglyceride in the pleural tap is >110 mg/dl

Option 3. Fat globule will get clear with alkali (ether)

Option 4. Tuberculosis is the most common cause for this condition

Q20). Charcoat's joint includes all of the following except- *

1 point

Option 1. Syringomyelia

Option 2. Leprosy

Option 3. Diabetes mellitus

Option 4. Arthrogryposis multiplex congentia

Q21). Which of the following is true about breast self-examination: *

1 point

Option 1. Improve survival

Option 2. Done after the age of 30 year

Option 3. Done about 7-8 day after the menstrual cycle

Option 4. Monthly BSE is recommended

Option 5. Done only in Standing position

Q22). All are antioxidant mechanisms that protect against oxygen-derived radicals except- *

1 point

Option 1. Myeloperoxidase

Option 2. Ceruloplasmin

Option 3. Catalase

Option 4. Glutathione peroxidase

Q23). A patient of asthma was on inhaled short acting beta-agonist. But there was no significant relief. After that he added low dose of inhaled steroid from last 5 day by MDI, but still not responding. What you will advise him for next line of treatment: *

1 point

Option 1. Add inhaled LABA

Option 2. Start oral corticosteroid

Option 3. Start parenteral coticosteroid

Option 4. Add Theophylline

Q24). Which of the following is correct statement about graft rejection in organ transplantation- *

1 point

Option 1. Highest mortality and morbidity seen in acute graft rejection

Option 2. Acute graft rejection is mediated by anti-HLA antibiodies

Option 3. Acute graft rejection predictor of chronic graft rejection

Option 4. Most common cause of graft failure is hyperacute graft rejection

Q25). Which of the following option is not used in the management of Hepatorenal syndrome- *

1 point

Option 1. Albumin + Terlipressin

Option 2. Albumin + Octreotide

Option 3. Albumin + Midodrine + Octreotide

Option 4. Liver transplantation

Q26). ANA centromere pattern is seen in- *

1 point

Option 1. SLE

Option 2. Diffuse systemic sclerosis

Option 3. Rheumatoid arthritis

Option 4. Localized systemic sclerosis

Q27). A 40 year old women came to the physician with a history of a slow growing painless mass in the right lateral side of the neck. On examination, the lump is firm and painless. Pathological examination reveals the presence of thyroid tissue. What is the most common cause of the given condition- *

1 point

Option 1. Anaplastic carcinoma of thyroid

Option 2. Medullary carcinoma of thyroid

Option 3. Papillary carcinoma of thyroid

Option 4. Follicular carcinoma of thyroid

Q28). All are true about Rheumatoid arthritis except- *

1 point

Option 1. It is basically IgM

Option 2. May be present normally and its prevalence increases with age

Option 3. Also found in Sjogren syndrome

Option 4. Its presence is diagnostic of rheumatoid arthritis

Q29). Which of the following is not an abdominal wall hernia- *

1 point

Option 1. Peterson hernia

Option 2. Richter hernia

Option 3. Litters hernia

Option 4. Spigelian hernia

Q30). The gene that is most frequently implicated in autoimmunity is- *

1 point

Option 1. FOXP3

Option 2. PTPN22

Option 3. NOD2

Option 4. AIRE

Q31). Which of the following statement is true about Extracorporeal shock wave lithotripsy (ESWL)- *

1 point

Option 1. Larger the stone more easy the ESWL and stone retrieval

Option 2. Cystine stone are easy to break

Option 3. Pregnancy is not contraindication to ESWL

Option 4. Stone clearance in renal pelvic and superior calyceal location is better than lower and middle calyceal

Q32). All of the following are coccobacilli except- *

1 point

Option 1. Burkholderia

Option 2. Acinetobacter

Option 3. Yersinia pesti

Option 4. Haemophillus influenza

Q33). Which of the following is not used in the management of Multiple sclerosis- *

1 point

Option 1. Corticosteroid is used in acute attack

Option 2. Intravenous Immunoglobulin is used in acute attack

Option 3. Interferon beta is used in relapsing cases

Option 4. Plasmapheresis is used in severe relapse cases unresponsive to steroid

Q34). A 45 year old female presented with fever of 1 month duration with headache and ataxia. Imaging reveals dilated ventricles and significant basal exudates. Which of the following is most likely seen in the CSF? *

1 point

Option 1. Lymphocytosis, Low glucose, Low protein

Option 2. Lymphocytosis, High glucose, Low protein

Option 3. Lymphocytosis, High glucose, High protein

Option 4. Lymphocytosis, Low glucose, High protein

Q35). Which of the following feature favours emphysema rather than interstitial fibrosis- *

1 point

Option 1. Decreased RV

Option 2. Decreased TLC

Option 3. Decreased FEV1/FEV6

Option 4. Decreased DC

Q36). Incorrect statement about Li-Fraumeni syndrome is *

1 point

Option 1. Autosomal recessive

Option 2. Also known as SBLA syndrome

Option 3. Mutation of TP53 tumor suppressor gene

Option 4. Chompret criteria is used for diagnosis

Q37). A 20 year old male presented with jaundice and tiredness. On investigation his AST was 160IU/L, ALT was 140IU/L and bilirubin was 4.0mg/dl. Serum ceruloplasmin levels were found to be low. Which of the following minerals is used in the treatment of this condition? *

1 point

Option 1. Copper

Option 2. Zinc

Option 3. Calcium

Option 4. Magnesium

Q38). Which of the following histological statement is false about Ulcerative colitis (UC)- *

1 point

Option 1. Basal plasmacytosis is the earliest histological feature in UC

Option 2. Crypt architectural distortion is the main feature of UC

Option 3. Crptitis and crypt abscesses can be seen

Option 4. Granuloma is commonly seen.

Q39). Defective phagolysosome formation is a feature of- *

1 point

Option 1. Chronic granulomatous disease

Option 2. Chediak Higashi syndrome

Option 3. Fanconi syndrome

Option 4. Ataxia telangiectasia

Q40). Incorrect statement about Haemophilus ducreyi-

1 point

Option 1. Gram negative but appear as Gram positive

Option 2. Leads to chancroid also called soft sore

Option 3. Painful ulcer and lymphadenopathy

Option 4. Best temperature for isolation is 37-45

Clear selection

Q41). Which of the following is true regarding cardiac arrest management according to AHA guidelines for Cardiopulmonary resuscitation and Emergency cardiovascular care- *

1 point

Option 1. Monophasic shock is given with 120-200 joules

Option 2. Biphasic shock is given with 360 joules

Option 3. IV cannula is secured for administration of drugs

Option 4. Monophasic is preferred over biphasic defibrillators

Option 5. Compression- ventilation ratio is 2:30

Q42). Which of the following is the largest protozoa- *

1 point

Option 1. Entamoeba histolytica

Option 2. Balantidum coli

Option 3. Plasmodium

Option 4. Giardia lamblia

Q43). Which of the following candida show highest level of resistance to fluconazole- *

1 point

Option 1. Candida albican

Option 2. Candida parapsilosis

Option 3. Candida glabrata

Option 4. Candida krusei

Q44). Which of the following is not a feature of Crohns disease- *

1 point

Option 1. Transmural inflammation

Option 2. More common in smoker

Option 3. More p-ANCA positivity

Option 4. TNF-alpha inhibitor play role as treatment

Q45). Which of the following statement is incorrect about blood component *

1 point

Option 1. 1 unit of fresh frozen plasma (FFP) - increase coagulation factors by 5%

Option 2. 1 unit of random donor platelet (RDP) - increase platelet count by 5000/ul

Option 3. 1 unit of single donor platelet (SDP) - increase platelet count by 40000/ul

Option 4. 1 unit of packed red blood cell (PRBC) - increase hematocrit by 3%

Q46). Which of the following test detects drug resistance against both Rifampicin and Isoniazid- *

1 point

Option 1. GeneXpert

Option 2. MTBDR

Option 3. MTBDR Plus

Option 4. TB Gold

Q47). Which is a carcinoma arising from the follicular epithelium of thyroid- *

1 point

Option 1. Papillary

Option 2. Follicular

Option 3. Anaplastic

Option 4. All of the above

Q48). Cervical LN biopsy showing starry sky appearance. Which of the following translocation is responsible- *

1 point

Option 1. T [11,18]

Option 2. T [2,8]

Option 3. T [8,14]

Option 4. T [8,22]

Q49). Carbon dioxide is used in laproscopy for creating pneumoperitoneum in place of air because *

1 point

Option 1. Less absorbed from peritoneal surface

Option 2. Slowly cleared from the body

Option 3. Less risk of gas embolism

Option 4. Less solubility in blood

Q50). Which of the following statement is incorrect about Beta-galactomannan assay- *

1 point

Option 1. Used for diagnosing only Invasive aspergillosis

Option 2. Used both for the diagnose of Candidiasis and Aspergillosis

Option 3. False positive result seen if patient is on Beta lactam antibiotics

Option 4. Its sensitivity is higher than 1,3 Beta D- glucan

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