INICET May 2023

INICET May 2023 questions

1. Which of the following is not true about ante mortem drowning?

A. Cadaveric spasm in hand muscle
B. Froth on nose and mouth
C. Diatoms test positive
D. Washerman hand and finger

2. A man with alcoholic smell and congested conjunctiva is walking normally. What is the correct assessment?

A. Not drunk
B. Drunk but influenced by alcohol
C. Drunk but not influenced by alcohol
D. Drunk

3. The bitter taste of toxic substances is primarily due to which of the following?

A. Hydrogen ions
B. Alkaloids
C. Aldehyde
D. Amino acids

4. Identify the anatomical lines shown in the image.

A. Langers lines
B. Dermatomes
C. Hinderers line
D. Blaschko lines

5. What causes fetal heart rate acceleration?

A. Autonomic function of brainstem
B. Chemoreceptors
C. Aortic baroreceptor
D. Carotid baroreceptor

6. A South Indian farmer presents with a reddish nasal mass and typical histopathology. What is the most likely diagnosis?

A. Nasal polyp
B. Rhinophyma
C. Rhinoscleroma
D. Rhinosporidiosis

7. Windkessel effect is least likely to be seen in which of the following vessels?

A. Radial
B. Aorta
C. Abdominal
D. Renal

8. A 27-year-old female has a thyroid swelling compressing adjacent structures. Which symptom is least expected?

A. Superior vena cava syndrome
B. Dysphagia due to oesophagus compression
C. None of the above
D. Hoarseness of voice due to recurrent laryngeal nerve compression

9. Black foot disease with peripheral neuropathy is seen in poisoning with which metal?

A. Mercury
B. Cadmium
C. Arsenic
D. Lead

10. Cystic fibrosis is caused by a defect in which ion channel?

A. Na+
B. Ca2+
C. Cl-
D. K+

11. What is the correct sequence in the auditory pathway?

A. Eight nerve → cochlear nuclei → superior olivary nucleus → lateral lemniscus → inferior colliculus → medial geniculate body → auditory cortex
B. Cochlear nuclei → superior olivary nucleus → lateral lemniscus → inferior colliculus → medial geniculate body → auditory cortex → Eight nerve
C. Superior olivary nucleus → inferior colliculus → medial geniculate body → auditory cortex → Eight nerve → Cochlear nuclei → lateral lemniscus
D. Superior olivary nucleus → lateral lemniscus → inferior colliculus → medial geniculate body → auditory cortex → Eight nerve → Cochlear nuclei

12. Which of the following is an incorrect match between hormone and source?

A. Secretin - S cells of duodenum and jejunum
B. Gastrin - G cells from stomach
C. Motilin - M cells from duodenum and jejunum
D. CCK - I cells of duodenum and pancreas

13. Which of the following has the highest thermogenic effect?

A. Carbohydrates
B. All have same effect
C. Fat
D. Protein

14. A 14-year-old female can hear and recognize language sounds but not understand meaning. Audiometry and ABR are normal. What is the likely diagnosis?

A. Wernicke’s aphasia
B. Mixed transcortical aphasia
C. Auditory cortex lesion
D. Malingering

15. Arrange the parts of a sarcomere from periphery to center.
1. Z line 2. M line 3. A band 4. H zone

A. 2,3,4,1
B. 1,3,4,2
C. 4,2,3,1
D. 3,1,4,2

Q16. What is the reason for initial raise in BP while performing Valsalva maneuver?

A. Increase in Left ventricular volume
B. Increase in aortic pressure
C. Increase in Left ventricular pressure
D. Decrease in aortic pressure

Q17. Assertion: RMP depends on proteins and phosphate ions.
Reason: Diffusion potential can be calculated using Nernst equation. Choose the best statement:

A. Assertion true
B. Reason true
C. Both true, Reason is the explanation of assertion
D. Both true, Reason is not the explanation of assertion

Q18. CO poisoning causes which type of hypoxia?

A. Stagnant hypoxia
B. Anemic hypoxia
C. Hypoxic hypoxia
D. Histotoxic hypoxia

Q19. A 40-year-old obese man presents with sleep-related symptoms (daytime sleepiness, impaired concentration). ABG shows PaCO2=50 mm Hg, PaO2=66 mmhg. BMI = 44 kg/m2. Likely diagnosis?

A. Obstructive sleep apnea
B. Narcolepsy
C. Obesity hypoventilation syndrome
D. Central sleep apnea

Q20. Female with skin thickening and muscle weakness. Scl-70 positive. Biopsy shows perifascicular infiltration. Associated antibody?

A. Anti Jo1 antibody
B. Antinuclear antibody
C. Anti PM scl antibody
D. Anti centromere antibody

Q21. What is the possible cause of irreversible dementia?

A. Vitamin B12 deficiency
B. Hypothyroid
C. NPH
D. Lewy body

Q22. All of the following are tests done for Turner mosaic screening except?

A. GTT
B. Echo
C. Audiometry
D. ANA

Q23. Lack of CD40 in B cells leads to which immunological abnormality?

A. Total lack of NK cells
B. Decreased IgG and increase in IgM
C. Lack of CD8 mediated cytotoxicity
D. Inability of neutrophil against infections

Q24. What is the correct order for cardiac auscultation on the left side, from superior to inferior?
a. Pulmonary b. Aortic c. Mitral

A. a > b > c
B. b > a > c
C. c > b > a
D. c > a > b

Q25. Match the following:
A) Caplan syndrome B) Asbetosis C) Mesothelioma D) Sarcoidosis
1. found first in coal worker 2. Crazy Pavement 3. Involves lower lobe 4. Pleural effusion seen

A. A-1, B-4, C-3, D-2
B. A-3, B-4, C-2, D-1
C. A-4, B-2, C-3, D-1
D. A-1, B-3, C-4, D-2

Q26. Which of the following statements is incorrect regarding CPR?

A. Chest compression rate 100-120/min
B. Ventilation 22-25/min
C. Depth of chest compression up to 5-6 cm
D. Allow adequate chest recoil

Q27. Chest Xray Showing diffuse consolidation. Nasopharyngeal swab shows rhinovirus, which antibiotics should be used?

A. Ceftriaxone
B. Ceftazidime + Azithromycin
C. Piptaz + Ciprofloxacin
D. Ceftriaxone + Levofloxacin

Q28. Clozapine-treated schizophrenia patient needs regular blood monitoring due to which side effect?

A. Agranulocytosis
B. Seizures
C. Myocarditis
D. Cerebral bleed

Q29. Pneumonia patient on ventilator with FiO2 90%, Spo2 100%, pCO2 48 mmHg, RR 14/min, pH 7.3, PEEP 12cm H20. What is the next step?

A. Increase PEEP
B. Decrease RR
C. Decrease FiO2
D. Increase tidal volume

Q30. Diabetic patient treated with oral drug showed reduced HbA1c and low glucagon with high GIP and GLP1. Likely drug?

A. Sitagliptin
B. Pramlintide
C. Liraglutide
D. Voglibose

A patient presented with complaints of pain in the flank region with hematuria. On investigation, X-ray shows multiple calcification (stones) in both kidneys. What is the probable diagnosis?

A. CKD
B. Parathyroid Adenoma
C. Polycystic kidney disease
D. Renal calculi

A female patient presented with vulvovaginal pruritis. On detailed history taking, it was found that she was on some antidiabetic drugs. Which antidiabetic drug can cause the above-mentioned side effect?

A. Canagliflozin
B. Linagliptin
C. Metformin
D. Liraglutide

A new monoclonal antibody approved for Retts syndrome is?

A. Trofinetide
B. L-carnitine
C. Folinic acid
D. Naltrexone

Which of the following ribs are fractured in the X-ray given below?

A. 1
B. 3
C. 6
D. 7

Keynotes trial 189 for pembrolizumab and nivolumab is done for?

A. Pembrolizumab with chemo given for NSCLC
B. Only Pembrolizumab for NSCLC
C. Nivolumab with chemo given for NSCLC
D. Only nivolumab for NSCLC

What is the name of the test performed in the image given below?

A. Allen test
B. Adson test
C. Barbeau test
D. Homans test

A man presents with a rash on his flank with itching for the past 2 weeks. The patient has tried several over-the-counter medications, including lotrimin and hydrocortisone, without any improvement. In physical examination, the rash is seen on his palms and the sole of one foot, but no oral lesions are found. What is the likely diagnosis?

A. Tinea corporis
B. Urticaria
C. Erythema multiforme
D. Viral exanthem

Which of the following is true about clinical therapeutic index?

A. It is only used for specific individual
B. Therapeutic index is ED50/LD50
C. Measures therapeutic index in a population vs individual
D. Dose in which efficacy and toxicity can be balanced in an individual

Match the following woods lamp findings:
1. Erythrasma
2. Pityriasis versicolor
3. Tinea capitis
4. Vitiligo

a. Yellow
b. Coral red fluorescence
c. Pink
d. Green
e. Milky white

A. 1-b, 2-a, 3-d, 4-e
B. 1-d, 2-a, 3-c, 4-e
C. 1-b, 2-d, 3-a, 4-c
D. 1-a, 2-c, 3-e, 4-d

What is the treatment for HER-2 positive trastuzumab resistant breast cancer?

A. Erlotinib
B. Lapatinib
C. Vemurafenib
D. Sorafenib

Which nomogram scale is used for vancomycin dosage?

A. Hallstead scale
B. Matzke scale
C. Salazar scale
D. Rumack Matthew nomogram

A patient on anti-PD1 immunotherapy (nivolumab) comes with pruritis, eczema, and urticarial rashes. Histopathological examination reveals a subepidermal blister and direct immunofluorescence of the lesions showed linear C3 and IgG on basement membrane. What is the diagnosis?

A. Pemphigus foliaceous
B. Bullous Pemphigoid
C. Dermatitis herpetiformis
D. Pemphigus vulgaris

Osimertinib is used in NSCLC with mutation due to

A. L858R mutation
B. T790M mutation
C. T890M mutation
D. M790T mutation

A 40 year male patient presented to the ER with a history of fall and C/O pain and swelling in right shoulder region. The x-ray of the patients suggests tear in which of the following ligament?

A. Coracoclavicular ligament
B. Acromioclavicular ligament
C. Both the above
D. Glenohumeral ligament

Match the following:
a. Beta 1 -
b. Beta 2 -
c. Beta 3 -

1. Mirabegron
2. Betaxolol
3. Isoprenaline

A. a-2, b-3, c-1
B. a-2, b-1, c-3
C. a-3, b-1, c-2
D. a-3, b-2, c-1

Non-scarring alopecia is associated with all except?

A. Alopecia areata
B. Androgenetic alopecia
C. Frontal fibrosing alopecia
D. Telogen effluvium

A 14-year-old male presents with a mushroom-like tumor in the distal femur for the past 2 years. Which of the following features suggests malignant transformation?

A. Cartilage thickness > 2 cm
B. Bone marrow is continuous with the parent bone
C. The cartilaginous growth goes towards the joint
D. Cartilage thickness > 1 cm

A 35-year-old male patient presents to surgery emergency with painful erection for the past 7 hours. He has a history of mood disorder and was recently prescribed a medication by the treating psychiatrist. Which is the likely offending drug?

A. Mirtazapine
B. Venlafaxine
C. Trazodone
D. Tianeptine

Abnormal accumulation of misfolded protein is seen in?

A. Creutzfeldt-Jakob disease
B. Nephritic syndrome
C. Sickle cell anemia
D. Megaloblastic anemia

A 24-year-old male presents with asymptomatic scaly lesions over the body with collarette scales. What is the likely diagnosis?

A. Lichen planus
B. Pityriasis Rosea
C. Seborrheic Dermatitis
D. Atopic Dermatitis

Identify the ECG given below?

A. Pericarditis
B. Viral myocarditis
C. Torsades de pointes
D. Cardiac tamponade

What should be done as an immediate measure for ongoing bleeding in a patient with pelvic bone fracture?

A. Rapid blood transfusion
B. External fixation
C. Internal definite fixation
D. Use Pelvic Binders

Statement 1 - A 59-year-old patient presents with flaccid bullae. Histopathology shows a suprabasal acantholytic split.
Statement 2 - The row of tombstones appearance is diagnostic of Pemphigus vulgaris.

A. Statements 1 & 2 are correct, 2 is not explaining 1
B. Statement 1 is incorrect
C. Statement 1 and 2 are incorrect
D. Statements 1 and 2 are correct and 2 is the correct explanation for 1

Which of the following describes aortic regurgitation murmur?

A. Ventricular contraction
B. Ejection systolic murmur
C. Diastolic murmur
D. Systolic murmur

A 60-year-old female presents with eczematous itching lesions. Biopsy revealed a subepidermal cleft with Direct Immunofluorescence showing Linear C3 & IgG deposition along the basement membrane zone. What is the likely diagnosis?

A. Pemphigus Vulgaris
B. Bullous Pemphigoid
C. Dermatitis herpetiformis
D. Pemphigus foliaceus

Which of the following structures is supplied by the superior gluteal nerve?

A. Gluteus maximus
B. Gluteus minimus
C. Piriformis
D. All of the above

SRY gene is present on?

A. Y chromosome short arm
B. Y chromosome long arm
C. X chromosome short arm
D. X chromosome long arm

All of the following are the causes of High output cardiac failure, except?

A. Cor pulmonale
B. Beri beri
C. Anemia
D. Systemic AV shunt

Which of the following is true about Subclinical acute myocarditis?

A. Palpitations
B. Elevated pro BNP, Trop T
C. Low LVEF on 2D CHO
D. Regional wall abnormalities on 2D ECHO

What is the mechanism of action of the muscle shown in the image below?

A. Retracts the scapula
B. Adduction of the shoulder
C. Extension of the shoulder
D. Medial rotation of the shoulder

What is the most common cause of menorrhagia in puberty?

A. Endometriosis
B. Anovulation
C. Malignancy
D. Primary amenorrhea

Match the following:
A) Glossopharyngeal nerve - 1) Shrugging of shoulder
B) Spinal accessory nerve - 2) Touch sensation from the posterior one-third of the tongue
C) Facial nerve - 3) Chewing
D) Mandibular nerve - 4) Taste from the anterior two-thirds of the tongue

A. A-2, B-1, C-4, D-3
B. A-2, B-3, C-4, D-1
C. A-4, B-1, C-2, D-3
D. A-3, B-1, C-4, D-2

Which of the following microorganisms will be resistant to meropenem and aminoglycosides but sensitive to piperacillin clavulanate and cotrimoxazole?

A. Burkholderia cepacia
B. Acinetobacter
C. Pseudomonas
D. Stenotrophomonas

A 30-year-old pregnant female diagnosed with fibroid presented with fever, mild leukocytosis, and pain at 28 weeks. What is the likely cause?

A. Red degeneration of fibroid
B. Fibroid torsion
C. Fibroid infection
D. Labor pain

A patient presents with abnormal sensations in the little finger and part of the ring finger with weakness on the palm side. Also, there is a loss of coordination in the fingers. What would be the site of injury?

A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Axillary nerve

What is the condition in which perinatal transmission is the least?

A. Hep B
B. HSV
C. Rubella
D. CMV

Which artery is involved in Lateral medullary syndrome?

A. Posterior inferior cerebellar artery
B. Anterior inferior cerebellar artery
C. Superior cerebellar artery
D. Inferior cerebellar artery

A patient complained of whitish discharge from the vagina and yellow staining on their clothes. There is no itching, no redness, and pH is acidic. What is the likely cause?

A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Increased normal vaginal discharge

A surgeon examined the case of hernia. Forcefully reduces the sac in the abdominal cavity, without actually pushing back the contents. Identify the type of hernia with the image given.

A. Incarcerated hernia
B. Reduction en masse
C. Sliding hernia
D. Maydl's hernia

Banana sign on USG is seen in which of the following conditions?

A. Omphalocele
B. Spina bifida
C. Anencephaly
D. Encephalocele

Arrange the neural columns in medial-to-lateral order:
1. Special somatic afferent
2. Special visceral efferent
3. General somatic efferent
4. General somatic afferent

A. GSE, SVE, GSA, SSA
B. SVE, GSA, GSE, SSA
C. SSA, GSE, SVE, GSA
D. GSA, SSA, SVE, GSE

What are clue cells?

A. Vaginal epithelial cells lined by bacteria
B. Cervical epithelial cells lined by bacteria
C. Uterine endothelial cells lined by bacteria
D. Abdominal cells lined by bacteria

Anterior relations of third part of duodenum are all except?

A. Superior mesenteric artery
B. Root of mesentery
C. Jejunum
D. Fundus of gallbladder

The patient presented with a Retroverted uterus, Dysmenorrhea, and dyspareunia. What is the next step of the investigation?

A. USG
B. Diagnostic Laparoscopy
C. Laparotomy
D. HSG

What is not an advantage of USG over mammography?

A. USG can be used to detect mammography undetectable tumors which are palpable
B. Can be used for guided biopsy
C. In young females with dense breasts
D. Can be used to differentiate solid vs cystic

A man keeps on dropping the cat feces as he goes around. Which of the following is the infective stage of the organism being transmitted through cat feces?

A. Tachyzoite
B. Bradyzoite
C. Oocyst
D. Gametocyte

A man has undergone renal transplant and is taking immunosuppressant drugs. On biopsy, there was the presence of budding cells with pseudohyphae. Identify the organism?

A. Invasive candidiasis
B. Invasive aspergillosis
C. Pneumocystis
D. Histoplasmosis

La belle indifference is seen in?

A. Conversion disorder
B. Cotard syndrome
C. Schizophrenia
D. Depression

Pompe disease is seen due to the deficiency of?

A. Lysosomal acid alpha glucosidase
B. β-hexosaminidase-A
C. β–galactocerebrosidase
D. β-glucocerebrosidase

An elderly male presented with meningitis, and the CSF sample was subjected to gram staining. Which of the following will be characteristics of the likely organism?

A. Motile at 22°C and non-motile at 37°C
B. No motility at 22°C and motile at 37°C
C. Motile at both 37°C and 22°C
D. Non-motile at both 37°C and 22°C

SCOFF criteria is used as a screening tool for which of the following disorders?

A. Eating disorder
B. Sexual disorder
C. Alcohol use disorder
D. Schizophrenia

Xanthurenic aciduria is seen in which vitamin deficiency?

A. Vitamin B6
B. Vitamin B12
C. Vitamin B5
D. Vitamin B7

Which of the following is true about lithium?

A. It can cause fine postural tremors at therapeutic dosage
B. It is not absorbed from the gut
C. It is not teratogenic
D. It is also used for treatment of absence seizures

In which of the following disorders are vaccines not contraindicated in the person suffering from that disease?

A. DiGeorge syndrome
B. Wiskott-Aldrich syndrome
C. Complement fixation disorders
D. Ataxia telangiectasia

BARTH syndrome is seen due to deficiency of?

A. Cardiolipin
B. Sphingomyelin
C. Glycolipids
D. Cerebroside

The given image shows blanching of vascularity after the phenylephrine use. What is the likely diagnosis?

A. Nodular episcleritis
B. Nodular scleritis
C. Nodular phlycten
D. Conjunctivitis

A patient tells the psychiatrist: "My brain is missing. What is the point of me eating anything? I am already dead". The patient has which type of delusion?

A. Delusion of misidentification
B. Nihilistic delusion
C. Bizarre delusion
D. Hypochondriacal delusion

DNA sequence is determined by?

A. Flow cytometry
B. FISH
C. RFLP
D. PCR

A 15-year-old girl with primary amenorrhea has pubic hair, prepubertal breasts, a blind vagina, clitoromegaly, and normal testosterone. Karyotype is 46 XY. What is the cause?

A. 17-hydroxylase deficiency
B. Swyer syndrome
C. 5-alpha reductase deficiency
D. Complete AIS

Least chances of perinatal transmission are seen in?

A. Hepatitis B
B. HSV
C. Rubella
D. CMV

Calculate Anion Gap. Na: 145 K: 4 Cl: 90 HCO3: 15

A. 35
B. 40
C. 28
D. 12

Which of the following lens is used in direct gonioscopy?

A. Goldmann
B. Koeppe
C. Zeiss
D. Richardson

Liver produces ketones but cannot use it due to the deficiency of which of the following enzyme?

A. Thiophorase
B. Alkaline phosphatase
C. Alanine transaminase
D. Thiolase

Identify the test for ketone bodies?

A. Rothera’s test
B. Benedict’s test
C. Fehling’s test
D. Biuret test

A person is bitten by a dog. The dog and the person are fully immunized. There is a small abrasion mark on the site of bite. What would you advise to the person?

A. Metronidazole
B. Ciprofloxacin
C. Amoxiclav
D. Observation

Identify the marked structure.

A. Canal of petit
B. Canal of hannover
C. Hyaloid canal
D. Pars plana

What is the wrong match?
a. Uterine Prolapse 1. Hysterectomy
b. Vault prolapse 2. Sacrospinous fixation
c. Rectocele 3. Posterior colpoperineorrhaphy
d. Cystocele 4. Colposuspension

A. a-1
B. b-2
C. c-3
D. d-4

Match the following
Organism Incubation Period
a. Syphilis 1. 6 Days
b. Chicken pox 2. 90 Days
c. SARS COVID 3. 16 Days
d. Hepatitis A 4. 28 Days

A. a-2, b-3, c-1, d-4
B. a-3, b-4, c-2, d-1
C. a-3, b-4, c-1, d-2
D. a-1, b-4, c-2, d-3

What is the cause of the absence of fructose in seminal fluid?

A. Congenital absence of seminal vesicle
B. Ejaculatory duct obstruction
C. Both of the above
D. None of the above

A peculiar organism has resistance to azithromycin, but is sensitive to ticarcillin, clavulanic acid, cotrimaxole. Identify the organism?

A. Stenotrophomonas
B. Mycoplasma
C. Pseudomonas
D. Staphylococcus

Identify the correct sequence of staining in dry eyes?
1. Fluorescein stain 2. Lissamine green 3. Rose Bengal stain

A. i, iii, ii
B. i, ii, iii
C. ii, i, ii
D. iii, ii, i

A 30-year-old male undergoes varicocele surgery to correct his left-sided varicocele. Following the procedure, the surgeon explains the postoperative changes to the patient. The patient asks, "Through which route does the venous drainage primarily occur after the surgery?" Which of the following is the correct response by the surgeon?

A. Cremasteric veins
B. Penile veins
C. Ectopic drainage in the iliac fossa
D. At the usual location

Which nerve is blocked in the image given below? at medial canthus

A. Anterior ethmoidal nerve
B. Nasociliary nerve
C. Supratrochlear nerve
D. Long ciliary nerve

A patient presents with dull aching pain and tortuous veins in both lower limbs. Which test would be appropriate for evaluating superficial femoral vein (SFJ) incompetence?

A. Fegan's test
B. Morrissey test
C. Modified Perthes test
D. Brodie Trendelenburg test

HRT leads to?

A. Decreased risk of breast cancer
B. Decreased risk of endometrial cancer
C. Increased risk of vertebral fracture
D. Decreased risk of colon cancer

What is the earliest change in glaucoma on perimetry?

A. Isopter contraction + baring of blind spot
B. Complete field loss
C. Tunnel vision defect
D. Complete vision loss

Which condition shown in the MRCP image is associated with a filling defect?

A. Stricture
B. Choledocholithiasis
C. Cholecystitis
D. Stones

What is the best cause of pure gonadal dysgenesis with XY karyotype which are present in 15-20% cases?

A. Point mutation
B. Deletion
C. Translocation
D. Non-sense mutation

Inheritance pattern:

A. AD
B. AR
C. XR
D. XD

Jak stat pathway is seen in which of the following?

A. Vasopressin
B. Calcitonin
C. Leptin
D. Aldosterone

A 24-year-old girl diagnosed with PCOS has excessive facial hair, infertility and BMI 40. What is the next step of management?

A. Metformin + Weight reduction + Clomiphene
B. Weight reduction + Metformin
C. Weight reduction + Ovulation induction
D. Metformin + Clomiphene

A woman presents with painless ulcers on the vulva, she gives a history of having multiple sexual partners and has had a stillbirth at 28 weeks in the past. What is the next best step of investigation?

A. VDRL
B. NAT
C. Vaginal swab and culture
D. PCR

Which of the following is an Anti-apoptotic gene?

A. BAK
B. MCL-I
C. BIN
D. NOX-Q

Most common appendix position:

A. Retrocecal
B. Preileal
C. Subcecal
D. Pelvic

What is the Interpretation of IDA?
a. Low serum ferritin b. Low transferrin saturation c. Low serum iron d. Increased TIBC

A. abcd
B. ab
C. cd
D. acd

All are the causes of non-immune hydrops except?

A. Thalassemia
B. Parvovirus
C. Cardiovascular causes
D. ABO incompatibility

CD 40 deficiency in a person signifies?

A. B cell absent
B. T cell absent
C. IgA increase
D. IgG increase

What is the incorrect statement?

A. Zygote is Bipotential at 8 weeks
B. DHT is necessary for the development of external genitals
C. MIS inhibits the formation of Mullerian duct
D. WD form male internal genitalia

History of a woman with skin feature like scleroderma was given. What is the most specific marker?

A. Anti centromere
B. Anti La
C. Anti Jo
D. Anti U1 Rnp

Which of the following is not a known complication associated with the procedure (CVP) done in the patient?

A. Aspiration
B. Refeeding
C. Pneumothorax
D. Dyshagia

In biostatistics, formula given below stands for:

A. Standard Deviation
B. Sample Variance
C. Sample Mean
D. Median

Which type of amyloidosis is seen in the patients going through dialysis?

A. A-beta
B. A-beta 2
C. aTTR
D. AL

Order of drawing blood in vacutainers should be in the following sequence to prevent contamination:

A. Red, Light blue, Violet, Grey
B. Blue, Violet, Red, Grey
C. Blue, Red, Violet, Grey
D. Grey, Blue, Red, Violet

A 53-year-old patient presents with a complaint of per rectal bleeding. The surgeon suspects a possible colorectal pathology and wants to determine the most appropriate investigation for this patient. Which of the following options would be the best choice?

A. Colonoscopy
B. CEA levels
C. CA-19-9 levels
D. CECT (Contrast-enhanced CT scan)

A 62-year-old patient presents with pain in the calf muscles while walking. The pain subsides with rest. Which of the following is not typically seen in intermittent claudication?

A. Rest pain at night in advanced stages
B. Pain gradually increases
C. Most common cause of atheroma
D. Level of occlusion cannot be decided based on symptoms

A child appeared with the following appearance can present with?

A. Pure red cell aplasia
B. Immunodeficiency
C. Lymphoproliferative disorder
D. Gingivostomatitis

Which of the following is NOT a recognized complication of massive blood transfusion?

A. Hypocalcemia
B. Hypokalemia
C. Hypothermia
D. Hypernatremia

A 45-year-old woman with early-stage breast cancer is discussing treatment options with her surgeon. Which of the following statements regarding breast conservation surgery is NOT true?

A. Wide local excision
B. Post-operative radiotherapy
C. Lymph node dissection
D. Axillary dissection

A 55-year-old female smoker presents with a breast lump and is seeking medical evaluation. On examination, a palpable mass is detected in the breast. The patient's smoking history is significant, with a 30-year smoking habit. Which of the following conditions is strongly associated with smoking in relation to breast health?

A. Ca breast
B. Fibroadenoma
C. Mondor disease
D. Duct ectasia

A 60-year-old man presents with generalised lymphadenopathy and raised WBC. His peripheral smear shows smudge cells. The next investigation should be

A. Cytogenic study
B. Bone marrow biopsy
C. Flow cytometry from peripheral blood
D. X-ray crystallography

Following ANA pattern on IF is seen, identify the pattern.

A. Nucleolar
B. Speckled
C. Centromeric
D. Diffuse

Which of the following is not a perianal approach for rectal prolapse?

A. Altemeir
B. Ripstein
C. Thiersch
D. Delorme

Which of the following cell is shown in the given image?

A. Hairy cell
B. Gaucher cell
C. Sickle cell
D. Target cell

A child with fever for 6 days, strawberry tongue, conjunctival congestion with peeling of skin. What will be the treatment option for this child?

A. IVIG
B. Aspirin + clopidogrel
C. LMWH
D. Warfarin

What is the anatomical variation of the gallbladder shown in the USG image?

A. Phrygian sign
B. Murphy sign
C. Claw sign
D. Omega sign

A 10-week-old baby came for vaccination. The baby had a previous history of inconsolable crying and fever (40°C) after vaccination at 6 weeks. What should be given now?

A. Don't give DT
B. Give DPT
C. Don’t give DPT
D. Defer for 1 month

A 45-year-old patient presents with complaints of dysuria and intermittent back pain. On examination, there are no palpable abdominal masses or tenderness. An X-ray image of the abdomen is shown. What is the most likely diagnosis?

A. PTH adenoma
B. Wilms' tumor
C. Renal cell carcinoma
D. Lipoma

Which of the following is used to detect abnormal gene sequences except?

A. FISH
B. RFLP analysis
C. Pyrosequencing
D. Flow cytometry

Identify the condition looking at the given image of swelling in the floor of the mouth?

A. Cystic hygroma
B. Ranula
C. Dermoid
D. Branchial cyst

Which marker is specific for alcohol disease?

A. SGPT
B. SGOT
C. GGT
D. ANP

Match the following:
a. Trisomy 13 1. huntington
b. Trisomy 18 2. Patau
c. Trinucleotide repeat sequence 3. sickle cell
d. Hb point mutation of glutamate to valine 4. Edward

A. a2-b4-c1-d3
B. b1-a3-d2-c4
C. a2-b1-c4-d3
D. a4-b1-c3-d2

Identify the given image of surgical instrument?

A. Mixter
B. Rampley
C. Kocher
D. Adson

Please match the following columns on Epidemiology Guidelines:
A. CARE 1. RCT
B. CONSORT 2. Case report
C. PRISMA 3. Observational study
D. STROBE/MOOSe 4. Systematic Review

A. A2-B4-C1-D3
B. A4-B1-C2-D3
C. A2-B1-C4-D3
D. A4-B1-C3-D2

What is the correct statement about thymoma?

A. Thymoma is the most common neoplasia of the thymus.
B. Thymoma is primarily located in the posterior mediastinum.
C. Chest X-ray is the investigation of choice for the diagnosis of thymoma.
D. Thymoma is typically asymptomatic and rarely causes any symptoms.

After lap cholecystectomy, what should be the urine output of the patient if the renal function of the patient is normal?

A. 0.1 CC/hr
B. 0.5 ml/min
C. 0.5-1.5 ml/kg/min
D. 1 ml/kg/min

A kid went to a temple with his grandmother and was constantly crying. On examination, he had excruciating pain, hypertension, increased heart rate, sweating profusely, priapism, and cold clammy skin. What should be the treatment given to the patient?

A. Adrenaline
B. Anti snake venom
C. Prazosin
D. Methylprednisolone

Which of the following conditions is associated with perineural invasion?

A. Adenoid cystic carcinoma
B. Pleomorphic adenoma
C. Mucoepidermoid tumor
D. Pancreatic cancer

Nadas minor criteria for congenital heart disease includes?

A. Diastolic murmur
B. Cyanosis
C. Systolic murmur grade-3
D. Abnormal 2nd heart sound

What is the baseline platelet count required for surgery?

A. 20,000 (10⁹/L)
B. 30,000 (10⁹/L)
C. 40,000 (10⁹/L)
D. 50,000 (10⁹/L)

Questions repeated from here onwards

What is the interpretation of IDA?

A. Low serum ferritin
B. Low transferrin saturation
C. All of the above
D. Increased TIBC

The correct sequence of the auditory pathway?

A. Cochlea → Spiral Ganglion → Cochlear Nerve → Superior Olivary N
B. Spiral Ganglion → Cochlea → Cochlear Nerve → Superior Olivary N
C. Spiral Ganglion → Cochlear Nerve → Cochlea → Superior Olivary N
D. Cochlea → Spiral Ganglion → Cochlear Nerve → Superior Olivary N

Absence or mutation of SRY gene results in?

A. Agenesis of testis
B. Undescended testis
C. Hydrocele testis
D. None of the above

Patient presented with following features: ipsilateral loss of pain and temperature sensation in the face, contralateral loss of pain and temperature sensation in the body, Horner's syndrome, dysphagia and hoarseness, ataxia and vertigo. Which artery is involved in syndrome based on above clinical features?

A. Posterior inferior cerebellar artery
B. Superior cerebellar artery
C. Basilar artery
D. Anterior inferior cerebellar artery

Match the position of appendix given in the image below.

A. A -Retrocecal; B - Preileal, C - Postileal, D - Pelvic; E- Subcecal
B. A- Retrocecal; B- Postileal; C - Preileal; D - Pelvic; E - Paracecal
C. A- Retrocecal; B- Postileal; C - Preileal; D - Subcecal; E - Pelvic
D. A- Retrocecal; B- Postileal; C - Preileal; D - Pelvic; E - Subcecal

A female was given morphine sulphate during labour for pain but she developed respiratory distress. Which of the following will be the correct antidote?

A. Naloxone
B. Atropine
C. Pralidoxime
D. Epinephrine

What is the likely diagnosis of the image given below? swelling at base floor of mouth

A. Ranula
B. Mucocele
C. Ludwig angina
D. Dermoid cyst

Match the incubation periods of the following diseases:
a. Syphilis, b. SARS, c. Hepatitis A, d. Chickenpox
1. 16 days 2. 90 days 3. 6 days 4. 28 days

A. a-3, b-4, c-2, d-1
B. a-2, b-3, c-1, d-4
C. a-4, b-3, c-1, d-2
D. a-2, b-3, c-4, d-1

Slapped cheek appearance is associated with which of the following?

A. Pure Red Cell Aplasia
B. Molluscum contagiosum
C. Herpes zoster
D. Kaposi sarcoma

Which test is not required for Turner mosaic syndrome?

A. Echo
B. Audiometry
C. Oral glucose tolerance test
D. ANA

What is the location of the SRY gene?

A. Short arm of Y chromosome
B. Long arm of Y chromosome
C. Short arm of X chromosome
D. Long arm of X chromosome

A patient has dyspareunia, and dysmenorrhea with adnexal tenderness. What is the first step of investigation?

A. Diagnostic laparoscopy
B. Transvaginal USG
C. Colposcopy
D. Pelvic Ultrasonography

What condition is associated with the sign seen on given USG?(banana)

A. Spina bifida
B. Rectal prolapse
C. Uterine prolapse
D. Cervical carcinoma

After delivering a baby boy, a 25-year-old mother developed acute PPH and hypovolemic shock, and major blood transformation occurred. All of the following are complications of blood transfusion except?

A. Hypocalcemia
B. Hypokalemia
C. Hypothermia
D. Hypomagnesemia

A child went to temple along with his grandmother. He developed altered sensorium, BP of 150/90 mm Hg, sweating, palpitations, priapism, and mouth secretion all at once. What drug can be given to this patient?

A. ASV
B. Adrenaline
C. Steroid
D. Prazosin

Which of the following is not transmitted perinatally?

A. CMV
B. Rubella
C. Mumps
D. Hepatitis B

What is the enzyme deficiency caused in Pompe’s disease?

A. Lysosomal acid alpha glucosidase
B. Glucose 6 phosphatase
C. Muscle phosphorylase
D. Phosphofructokinase

Which membrane channel is mainly affected in Cystic fibrosis?

A. Sodium
B. Chloride
C. Calcium
D. Potassium

Match the following:

a. Trisomy 13 1. Huntington disease

b. Trisomy 18 2. Patau syndrome

c. Trinucleotide repeat sequence 3. Sickle disease

d. Hb point mutation of glutamate to valine 4. Edward syndrome

A. a-2, b-4, c-1, d-3
B. b-1, a-3, d-2, c-4
C. a-2, b-1, c-4, d-3
D. a-4, b-1, c-3, d-2

What is true about lithium?

A. It can cause postural tremors at therapeutic dosage
B. It is not absorbed through gut
C. It is used for absent seizure treatment
D. Lithium is teratogenic

A patient presented with dizziness, cool clammy skin, pinpoint pupil with blue lips and fingernails suffering from respiratory depression. The patient was producing a pink frothy sputum on coughing. The drug used to reverse the effects is?

A. Naloxone
B. Atropine
C. Phentolamine
D. Physostigmine

A patient of schizophrenia is being treated with clozapine. For which rare but serious side effects should he be monitored?

A. Agranulocytosis
B. Renal bleed
C. Hepatomegaly
D. Seizures

What is the MOA of thalidomide?

A. Angiogenesis inhibitor
B. Inhibits leukotrienes
C. Prevents folic acid synthesis in bacteria
D. Inhibits factor Xa

A patient with schizophrenia is being treated with clozapine. The patient has to undergo regular blood monitoring because of which rare side effect?

A. Agranulocytosis
B. Myocarditis
C. Seizures
D. Cerebral bleed

Which of the following is a new drug approved for Rett syndrome?

A. Trofinetide
B. Ambien
C. Lunesta
D. GHB opioids

An ICU patient is suffering from Rhinovirus infection. How do we treat the patient?

A. Piperacillin + Tazobactam + Azithromycin
B. Cephalosporin + Ganciclovir
C. Clarithromycin
D. Amantadine

A child appeared with the following appearance. Which of the following options can present with this condition?

A. Pure red cell aplasia
B. Immunodeficiency
C. Lymphoproliferative disorder
D. BK Nephropathy

CD 40 marker is absent in the person. Which of the following would be seen?

A. Absent T cells
B. Absent B cells
C. Absent NK cells
D. Absent Macrophages

Which of the following techniques can detect alteration in DNA sequence?

A. Flow cytometry
B. Pyrosequencing
C. FISH
D. RFLP analysis

What is the order of bands in a Sarcomere?

A. Z-M-A-H
B. Z-H-M-A
C. Z-A-H-M
D. Z-H-A-M

SRY gene is present on?

A. Y-chromosome short arm
B. Y-chromosome long arm
C. X-chromosome short arm
D. X-chromosome long arm

What is the order of the band in Sarcomere from the periphery to center?

A. Z-M-A-H
B. Z-H-M-A
C. Z-A-H-M
D. Z-H-A-M

In which of the following disorders, vaccines are not contraindicated in the person suffering from that disease?

A. Digeorge syndrome
B. Wiskott Aldrich syndrome
C. Complement fixation disorders
D. Ataxia telangiectasia

What is the interpretation of the given pedigree chart?

A. Incomplete penetrance
B. Autosomal dominant
C. Autosomal recessive
D. Pseudo dominance

Identify the correct statement regarding Amyloidosis?

A. Beta pleated sheets
B. Secondary amyloidosis is AL
C. Amyloidosis is called so because of deposition of complex carbohydrate’s
D. All of the above

A surgeon examined a case of hernia, he was able to retract the hernial sac on examination and not the content. Identify the type of hernia with the image given?

A. Incarcerated hernia
B. Reduction en masse
C. Sliding hernia
D. Maydl's

A 52-year-old female patient presents with HER-2 positive breast cancer that has become resistant to trastuzumab treatment. The oncologist is considering the next line of treatment for the patient. Which of the following options would be the most appropriate choice?

A. Lapatinib
B. Sorafenib
C. Vemurafenib
D. Erlotinib

A 35-year-old patient with a history of dysentery for 6 weeks complains of pain in the right upper abdomen. On ultrasound, a hypoechoic hyperdense lesion is seen in the liver. Identify the condition based on the given image?

A. Amoebic liver abscess
B. Pyogenic liver abscess
C. Hydatid cyst
D. Hemangioma

Black foot is seen in which of the following?

A. Arsenic
B. Cadmium
C. Copper
D. Mercury

Match the following columns:

A. Caplan syndrome 1. Pleural effusion without shift
B. Mesothelioma 2. Crazy Paving
C. Silicosis 3. Lower lobe involved
D. Asbestosis 4. Described in coal workers

A. A2-B4-C1-D3
B. A4-B1-C2-D3
C. A2-B1-C4-D3
D. A4-B1-C3-D2

Choose the appropriate incubation period from the list below:

a. Chickenpox 1. 10 days
b. Hepatitis A 2. 21 days
c. SARS 3. 90 days
d. Syphilis 4. 50 days

A. a2-b4-c1-d3
B. b1-a3-d2-c4
C. a2-b1-c4-d3
D. A4-b1-c2-d3

Match the following columns on Epidemiology Guidelines:

A. CARE 1. RCT
B. CONSORT 2. Case report
C. PRISMA 3. Observational study
D. STROBE/MOOSE 4. Systematic Review

A. A2-B4-C1-D3
B. A4-B1-C2-D3
C. A2-B1-C4-D3
D. A4-B1-C3-D2

Which of the following is the least likely for perinatal transmission?

A. HSV
B. Rubella
C. Hepatitis B
D. CMV

Order of drawing blood in vacutainers should be in the following sequence to prevent contamination?

A. Red, Light blue, Violet, Grey
B. Blue, Violet, Red, Grey
C. Blue, Red, Violet, Grey
D. Grey, Blue, Red, Violet

In biostatistics, formula given below stands for ? (σ) = √[ Σ(x - μ)² / N ]

A. Standard Deviation
B. Sample Variance
C. Sample Mean
D. Median

Black foot disease with peripheral neuropathy is seen in which metal poisoning?

A. Arsenic
B. Lead
C. Mercury
D. Cadmium

Least chance of perinatal transmission?

A. Hepatitis A
B. HSV
C. Rubella
D. CMV

Banana sign seen in?

A. Spina bifida
B. NCC
C. Omphalocele
D. Anencephaly

Pompe disease is seen due to the deficiency of?

A. Lysosomal acid alpha glucosidase
B. β-hexosaminidase-A
C. β–galactocerebrosidase
D. β-glucocerebrosidase

Causes of non-immune hydrops fetalis, are all except?

A. ABO incompatibility
B. CCF
C. Parvovirus infection
D. Chromosomal anomalies

A 10-week-old child comes for vaccination, with previous history of inconsolable cry & fever after getting vaccinated at 6 weeks. What should be done next?

A. Give DPT vaccination
B. Give DT
C. Administer antibiotics
D. Defer for 1 month