1.

The following are the known complications of mumps EXCEPT

a. orchitis
b. pancreatitis
c. Aseptic meningitis
d. Bilateral arthritis

Ans: D

2. Mycobacterium leprae grow well in

a. Cat
b. Dog
c. Armadillo
d. Platypus

Ans: C

3. Consider the following statements about

Viruses :
a. Viruses may infect bacteria also.
b. Picorna virus are composed of only RNA and protein
c. Rabies virus belongs to rhabdovirus family.

ce
d. Epstein Barr virus causes infectious mononucleosis

Ans: D

4. Consider the following statements about rickettsial diseases:

a. These are transmitted by arthropod
ra
b. Eschar is not been in Rocky Mountain spotted fever.
c. Weil Felix reaction may be diagnostic.
d. Cephalosporins are the drug of choice
am

Which of these statements are correct ?

a. 1, 2 and 3
b. 2, 3 and 4
c. 1, 3 and 4
d. 1, 2 and 4
Ex

Ans: A

5. A 30 year old male presents with severe bladder irritation, persistent pyuria, microscopic hematuria and
absence of bacteria in usual smears and culture. What is the probable diagnosis?
a. Monilial infection
b. Lower urinary tract obstruction
c. Vesical calculus.
d. Genito urinary tuberculosis

Ans: D

6. Consider the following serological tests:

a. Treponoma Pallidum Immobilization Test (TPI)
b. T. Pallidum Haemagglutination Assay (TPHA)
c. Fluorescent Treponoma Antibodies Absorbed Test (FTA-ABS)
d. Venereal Disease Research Laboratory Test (VDRL)

Which of these are specific for diagnosing syphilis ?

a. 1 only
b. 2 and 4
 c. 3 and 4
d. 1, 2 and 3

Ans: D

7. Which one of the following parasites may cause Suppurative Cholangitis ?

a. Ankylostoma duodenale
b. Ascaris lumbricoides
c. Necator americanus
d. Trichuris trichura

Ans: B

8. Match List I (Nutrient excess or deficiency) with List II (Clinical effects) and select the correct answer
using the codes given below the Lists :
List I List II
(Nutrient excess (Clinical effects)
or deficiency)

A. Copper 1. Eczematous
dermatitis around

ce
nose and mouth

B. Iron 2. Diabetes mellitus

C. Zinc 3. Increased density

of bone
ra
D. Fluoride 4. Chronic liver
disease
am

Codes :
(a) A B C D
4 2 1 3
(b) A B C D
3 2 1 4
Ex

(c) A B C D
4 1 2 3
(d) A B C D
3 1 2 4

Ans: A

9. Low serum sodium with normal serum osmolality is a feature of

a. primary polydipsia
b. Diuretic use
c. Hyperlipidemia
d. Hypoaldosteronism

Ans: A

10. Dyslipidaemia with raised triglyceride and low HDL cholesterol is seen in all of the following concept
EXCEPT
a. Uncontrolled diabetes mellitus
b. Hypertensive on Beta blocker Therapy
c. Regular alcohol consumption
d. Obesity with BMI more than 30
Ans : C

11. Healing with calcification is a feature of

a. Cryptococcosis
b. Mucormycosis
c. Aspergillosis
d. Histoplasmosis

Ans: D

12. Name the target structure in skin involved in Acne vulgaris

a. Sevaceous glands
b. Bartholin glands
c. Sweat glands
d. Hair follicles

Ans : A

13. On radiological investigation Bamboo spine is typically seen in

a. ✁✂✄✁☎✆✝ ✝✞✟✠☎✡☛✁
b. Ankylosing spondylitis

ce
c. Psoriatic Arthritis
d. Gout

Ans : B ra
14. Consider the following statements regarding classic polyarteritis nodosa :
1. It is multi-system necrotising vasculitis
2. Small and medium vessels are involved
3. Pulmonary artery involvement is a characteristic feature
am

4. Up to 30% patients may test positive for Hepatitis B surface antigen.

Which of these statements are correct ?

a. 1 and 2
b. 2 and 3
c. 1,2 and 4
Ex

d. 2, 3 and 4

Ans : C

15. A patient on haloperidol for psychosis develops fever, altered sensorium and labile hypertension. Drug
useful in treating this patient is
a. Cefotaxime
b. Bromocriptine
c. Largectil
d. Propranolol

Ans : B

16. Which of the following types of schizophrenia carries a bad prognosis ?

a. Paranoid
b. Catatonic
c. Hebephrenic
d. Undifferentiated
Ans : C
17. A 30-year old male complains of infertility. He appears tall and has gynaecomastia. Genitalia appear
normal except for bilateral small testes. His chromosomal pattern is likely to be
a. 45 XO
b. 47 XXY
c. 47 XYY
d. 46 XY

Ans : B

18. Consider the following diseases :

1. ✁✟✄✂✟✂✄✡✟✆✝ ✠✂✝✁✄✝✁
2. Cystic fibrosis
3. Sickle Cell anaemia
4. Haemaphilia A

Which of the following disorders are transmitted as autosomal recessive genetic disorders?
a. 1,2 and 4
b. 1 and 2
c. 2 and 3
d. 3 and 4

ce
Ans: C

19. A previously healthy factory worker was found unresponsive in his work place. He was afebrile,
✄✟✂☎✄✁☎✂☎✆ ✄✄☎✝✞✞✟✡✁✂☎✆ ✠☎✡✟✝✞ ✄✟✠ ✠✡☛✁✁☞ ✄☛☛ ✡✌✁☎ ✟✂✄✝ ☎☛✁✄☎ ☛✁✟✂ fields and hyperdynamic cardiovascular
findings. His ABG with 100% oxygen after intubation was
pH = 7.30
ra
pO2 = 580 mm Hg
pCO2 = 30 mm Hg
SaO2 = 50 %
am

What is the most likely diagnosis ?

a. Methemoglobinemia
b. Adult Respiratory Distress syndrome
c. Carbon monoxide poisoning
d. Organophosphorus poisoning
Ex

Ans: C

20. A patient is admitted with acute organophosphorous insecticide poisoning, develops ptosis, inability to
lift the head and difficulty in breathing on the third day. The most likely diagnosis is
a. hypokalemia
b. inflammatory polyneuropathy
c. intermediate syndrome
d. polymyositis

Ans: C

21. Hybridoma technique is used to obtain

a. purified antibodies
b. purified antigens
c. purified lymphocytes
d. purified macrophages

Ans: A

22. Which of the following diseases is associated with the HLA B 27 subtype?
 a. ✠✠✂✝✡✟✆✝ ✠✂✝✁✄ ✝✁
b. Myasthenia gravis
c. ✁✂✄✝✁☎✆✝ ✝✞✟✠☎✡☛✁
d. Psoriasis

Ans: C

23. Revised Trauma score by Champion include the following EXCEPT

a. Glasgow coma scale
b. Systolic blood pressure
c. Respiratory rate
d. Pulse rate

Ans: D

24. Match list I (Clinical Conditions) with List II (Nerves involved) and select the correct answer using the
codes given below the Lists:
List I ListII
(Clinical conditions) (Nerves involved )
A. Wrist drop 1. Ulnar nerve
B. Winging of Scapula 2. Radial nerve

ce
C. Pointing index 3. Long Thoracic
nerve
D. Claw hand 4. Median nerve

Codes :
(a) A B C D
ra
2 3 4 1
(b) A B C D
1 4 3 2
am

(c) A B C D
2 4 3 1
(d) A B C D
1 3 4 2

Ans : A
Ex

25. Repair of cleft lip is usually carried out

a. at birth
b. at 10 weeks of life
c. during 1½ to 2 years age
d. before the child starts going to school.

Ans : B

26. The treatment of choice in grade-4 subcapital fractured neck of femur in a fifty year old patient is
a. Pin-in-situ
b. Reduction
c. Hemi arthroplasty
d. Total hip replacement

Ans: C

27. Which one of the following is NOT a radiological feature of Osteoarthritis?

a. Widening of the joint space.
b. Osteophyte formation
c. Subchondral sclerosis
 d. Cyst formation

Ans : A

28. A dinner-fork deformity is classically seen in

a. Monteggia fracture
b. Fracture of the scaphoid
c. ✡☛☛✁✝✆ ✁☎✄☎✄✁☎✁
d. Smith fracture

Ans: C

29. Empyema necessitatis is defined as so when

a. pleural empyema is under pressure
b. pleural empyema has ruptured into the bronchus
c. pleural empyema has ruptured into the pericardium
d. pleural empyema has is showing extersion to the subcutaneous tissue

Ans : D

30. The following are true about bronchogenic carcinoma EXCEPT

ce
a. It is the commonest malignant tumour in men
b. One-Lung-Anaesthesia has improved results of surgery
c. Most lung cancers are unresectable at presentation
d. Small cell carcinoma carries better survival rate
ra
Ans : D

31. Consider the following statements :

Polycystic disease of the kidneys may present with
am

1. chronic renal failure.

2. haematuria and renal colic
3. hypertension
4. accidentally on routine examination of abdomen.
Which of these statements are correct?
a. 1 and 3
Ex

b. 2 and 4
c. 1,3 and 4
d. 1,2,3 and 4

Ans : A

32. Which one of the following is the serious complication of degenerative myopia in the eye.
a. Retinal detachment
b. Vitreous liquifaction
c. Myopic crescent
d. Posterior staphyloma

Ans : A
33. Which one of the following conditions does NOT cause pseudoexopthalamos?
a. High myopia
b. Lid retraction
c. Optic nerve glioma
d. Facial nerve paralysis

Ans : C/D
34. Horasness secondary to bronchogenic carcinoma is usually due to extension of the tumour into
a. Vocal cord
b. superior laryngeal nerve
c. left recurrent laryngeal nerve
d. right vagus nerve

Ans : C

35. Multiple perforations of tympanic membrane is a feature of

a. Trauma
b. Tuberculous otitis media
c. C.S.O.M.
d. Aspergellosis

Ans : B

36. The following are the clinical features of raised intracranial tension EXCEPT
a. Headache
b. Insomnia
c. Bradycardia
d. Papilloedema

ce
Ans : B
37. Which one of the following is NOT true regarding obstetric brachial plexus palsy ?
a. Upper roots are mostly affected
b. Results from traction on shoulder girdle
c. Good progress with immediate surgery
ra
d. Good prognosis with conservative management.

Ans C
am

38. Ramstedts operation is the surgical procedure for

a. congenital atresia of duodenum
b. Halus valgus
c. Congenital hypertrophic pyloric stenosis
d. Atresia of bile duct.
Ex

Ans : C

39. The commonest cause of bleeding per rectum in childern is

a. Rectal polyp
b. Intussusception
c. ✁
✁☎ ✁ ☛✆✝ ✠✂✌✁☎✄✂☎✁☛um
d. Haemorrhoids.

Ans : A

40. Consider the following statements

Before Elective Operation ECG may evaluate
1. heart rate
2. atrial fibrillations
3. heart-block
4. recent myocardial infarction
Which of these statements are correct?
a. 1,2 and 4
b. 2,3 and 4
c. 1 and 3
 d. 1,2,3 and 4

Ans : D

41. Which one of the following Odontomes is a locally invasive malignant tumour?
a. Odontogenic myxoma
b. Fibromatous epulis
c. Dentigerous cyst
d. Ameloblastome

Ans : D

42. Match List I (Cells) with List II (Tumours that develop from them) and select the correct answer using
the codes given below the Lists
List I List II
(Cells ) (Tumours that develop from them
A. leydig Cells 1. Carcinoid tumour
B. B Cells 2. Medullary
carcinoma
C. Parafollicular 3.Interstitial cell
Cells tumour

ce
D. Argentaffin 4.Insulinoma
cells
Codes :
(a) A B C D
1 4 2 3
(b) A B C D
ra
3 2 1 4
(c) A B C D
1 2 4 3
am

(d) A B C D
3 4 2 1
Ans : D

43. Match List I (Clinical signs) with List II (Clinical description) and select the correct answer using the
codes given below the Lists
Ex

List I List II
(Cells ) (Tumours that develop from them
A. ✄☛✄✟☎✁✆✝ ✝✂✂✟ 1. Supraclavicular
Node in visceral malignancy
B. ✁✁✝☎✆✝ ✝✂✂ ✟ 2. Refered Plain in
left shoulder in splenic trauma
C. ✁☛☛✁✟✆✝ ✝✂✂✟ 3.Shifting dullness
in flancks in splenic trauma
D. ✂☎✡✝✂✁☎✆✝ ✝✂✂✟ 4.Periumblical
discoloration in acute pancreatits.
Codes :
(a) A B C D
3 2 1 4
(b) A B C D
2 3 4 1
(c) A B C D
2 3 1 4
(d) A B C D
3 2 4 1
Ans : D
44. The ideal temperature of water to cool the burnt surface is
a. 15oC
b. 10oC
c. 8oC
d. 6oC

Ans : A

45.Oprtation of choice for Retro Caval Ureter is

a. Cutting and suturing IVC
b. Cutting and suturing ureter
c. Anderson-Hyenes pyeloplasty
d. Ureter cystoplasty

Ans : B

Directions :
The following 9 (Nine) items of two state☛✁✟✄✝ ✡✟✁ ☛✄✡✁ ☛✁✠ ✄✝ ✝✝✁☎✄✂✡✟ ✆ ✄ ✟✠ ✄ ✝✁ ✡✄ ✝✁☎ ☛✄✡✁ ☛✁✠ ✁✄ ✝✡✟
✆✁ ✂✡ ✁ ✄ ☎✁ ✄✡ ✁✄✄ mine these two statements carefully and de☎ ✂✠✁ ✂✁ ✄✝✁ ✝✝✁☎✄✂✡✟ ✆ ✄✟✠ ✄✝✁ ✁✄ ✝✡✟ ✆
are individually true and if so, whether the Reason is a correct explanation of the Assertion. Select your
answers to these items using the codes given below and mark your Answer sheet accordingly

ce
Codes:
a. Both A and R are true and R is the correct explanation of A
b. Both A and R are true but R is NOT a correct explanation of A.
c. A is true but R is false.
d. A is false but R is true.
ra
46. Assertion (A):Splenectomised Patients
are at increased risk of septicaemia
Reason (R) : Splenectomised patients
am

frequently have an increase white cell and platelet counts

Ans: B

47. Assertion (A): Breast conserving

treatment is NOT applicable for lobular carcinoma of breast
Ex

Reason (R) : Lobular carcinoma is

multifocal in origin upsc questions 2003

Ans: A

48. Assertion (A): Secondary haemorrhage

occurs 7-14 days after operation.
Reason (R) : Haemorrhage is due to
the slipping of a ligature or dislodgement of a clot.

Ans : C

49. Assertion (A): Diabetic ulcer is a

trophic ulcer
Reason (R) : It is caused by
ischaemia and anaesthesia

Ans : A

50. Assertion (A): H. Pylori is the only

regimens promote healing and prevents relapse in peptic ulcer disease
 Reason (R) : H.Pylori is the only
etilogical factor in peptic ulcer.

Ans : C

51. Assertion (A): A person whe hears

voices talking to him even when no one is present is likely to be suffering from
schizophrenia.
Reason (R) : Primary delusions are
characteristic of schizophrenia

Ans B

52. Assertion (A): Acute gouty arthritis is a

common side effect of pyrazinamide therapy
Reason (R) : Pyrazinamide can cause
hyperucemia

Ans: A

53. Assertion (A): Hyper is not a feature of

ce
ACTH deficience (secondary adrenal insufficiency )
Reason (R) : ACTH increase
Potassium reabsorption by the distal renal tubule.

Ans :
ra
54. Assertion (A): In complete transposition
of the great arteries, compatibility with life requires that communication exists between
the pulmonary and systemic circulation.
am

Reason (R) : In complete transposition

of great arteries, the aorta arises from the right ventricle and the pulmonary artery arises
from the left ventricle.

Ans :
Ex

55. Calcium Channel Blocks are contraindicated in

a. Acute Left Ventricular Failure
b. Essential Hypertension
c. Peripheral Vascular Disease
d. Primary Pulmonary Hypertension

Ans: A

56. Which one of the following is NOT the feature of Atrial fibrillation?
a. Varying intensity of First Heart sound
b. Pulse deficit AI P PG
c. Disappearance of Presystolic accentuation of mid diastolic murmur.
d. ☎✡☛✂✟✁✟✄ ✄✆ ✟✄✌✁ ✡✟ ✁✂

Ans: D

57. Infective Endocarditis is a very rare feature of

a. Patent ductus arteriosus
b. Osteum Secondum Atrial septal defect
c. Tetralogy of Fallot
d. Ventricular septal defect
Ans: B

58. Match List I (Clinical signs) with List II (Cardiac disease) and select the correct answer using the codes
given below the Lists
List I List II
(Clinical signs) (Caradiac disease )
A. ✂☛☛✆✝ ✝✂✂✟ 1. Pericardial
effusion
B. ✟✄ ☎✄✆✝ ✝✂✂ ✟ 2. Hypertrophic
Cardiomyopathy
C. Double systolic 3.Junctional rhythm
impulse
D. Cannon waves 4. Aortic regurgitation
Codes :
(a) A B C D
4 2 1 3
(b) A B C D
3 1 2 4
(c) A B C D
4 1 2 3

ce
(d) A B C D
3 2 1 4

Ans : C ra
43. Match List I (Type of pulse ) with List II (Cardiac pathology) and select the correct answer using the
codes given below the Lists
List I List II
(Type of pulse) (Cardiac pathology)
am

A. Pulsus parvus 1. Aortic stenosis

B. Bisferiens pulse 2. Cardiac tamponade
C. Pulsus alternans 3.Aortic stenosis and
regurgitation
D. Pulsus paradoxus 4.left ventricular
failure
Ex

Codes :
(a) A B C D
1 4 3 2
(b) A B C D
1 3 4 2
(c) A B C D
2 4 3 1
(d) A B C D
2 3 4 1

Ans: B

60. Consider the following statements :

The features of severe asthma include
1. Central cyanosis.
2. disturbance of consciousness.
3. pulsus paradoxus.
4. heart rate less than 60/minute.
Which of these statements are correct ?
a. 2,3 and 4
b. 1,3 and 4
 c. 1,2 and 3
d. 1,2 and 4

Ans: C

61. A patient presents with breathlessness. He has bilateral basal crepitations. Lung functions tests reveal
decrease in total lung capacity (TLC) and vital capacity (VC) with normal FEV 1/VC ratio. The most likely
diagnosis is
a. chronic bronchitis
b. idiopathic pulmonary fibrosis
c. cystic fibrosis
d. allergic bronchopulmonary aspergillosis

Ans : B

62. An otherwise healthy young man presented with sudden onset of breathlessness which was increasing
rapidly. On examination, it was found that the left chest movement was grossly restricted, breath sounds were
absent and tympanitic on percussion. The most likely diagnosis is
a. Tension Pneumothorax
b. Simple Pneumothorax
c. Bronchial Asthma

ce
d. Cardiac Asthma

Ans : A

63. Which one of the following is NOT correct regarding Silicosis ?

ra
a. Egg shell calcification is seen on chest X-ray.
b. It is more marked in the lower zone
c. May lead to progressive massive fibrosis
d. The disease may progress even after the exposure has ceased.
am

Ans : B

64. Which one of the following organisms causes pneumonia which most commonly results in Pneumatocele
?
a. Klebsiella pneumoniae
Ex

b. Haemophilus influenza
c. Staphylococcus aureus
d. Streptococcus pneumoniae

Ans : C

65. Match List I (Respiratory sign) with List II (Clinical condition) and select the correct answer using the
codes given below the Lists
List I List II
(Respiratory sign) (Clinical conditions)
A. Localized wheeze 1. Pleural effusion
B. Shifting dullness 2. Empyema
C. Ellis curve 3.Hydropneumothorax
D. Intercostal 4. Bronchial tumour
tenderness
Codes :
(a) A B C D
2 1 3 4
(b) A B C D
4 3 1 2
(c) A B C D
 2 3 1 4
(d) A B C D
4 1 3 2
Ans : B

66. Which of the following is the primary site of production of Gastrin?

a. Pylorus
b. Antrum
c. Pancreas
d. Small intestine

Ans : B

67. Chronic Active Hepatits is most reliably distinguished from Chronic Persistant Hepatits by the presene of
a. extrahepatic manifestation
b. significant titre of antismooth muscle antibody
c. characteristic liver histology
d. Hepatitis B surface antigen

Ans : C

ce
68. Commonest early symptom of primary biliary cirrhosis is
a. Pruritus
b. jaundice
c. hepatomegaly
d. pale stools
ra
Ans : A

69. Which one of the following is NOT used as a criteria in the child-pugh classification of liver disease to
am

identify the risk categories?

a. Serum albumin
b. SGOT, SGPT ratio
c. Ascites
d. Prothrombin
Ex

Ans : B

70. Consider the following statements:

Cystic fibrosis of the pancreas
1. is an autosomal dominant disorder.
2. is estalibished by sweat sodium concentrations more than 80 mmol/L
3. may produce neonatal small bowel obstruction.
4. is associated with a dysfunction of all mucus secreting glands.
Which of these statements are correct ?
a. 2,3 and 4
b. 1,3 and 4
c. 1,2 and 3
d. 1,2 and 4
Ans : A

71. The persons working in dye industry are prone to develop malignancy of
a. Kidney
b. Urinary bladder
c. Prostate
d. Lung
Ans : B

72. Which one of the following is NOT true regarding Pseudobulbar palsy?
a. Emotional incontinence
b. Exaggerated jaw jerk
c. Dysathria
d. Flaccid tongue U P S C paper

Ans : B

73 Hypokalemia is caused by the following EXCEPT

a. ✁✝✝✂✟✂✆✝ ✝✞✟✠☎✡☛✁
b. ✡✟✟✆✝ ✝✞✟✠☎✡☛✁
c. ✄☎✄✄✁☎✆✝ ✝✞✟✠☎✡☛✁
d. ✠✠✂✝✡✟✆✝ ✠✂✝✁✄ ✝✁
Ans : D

74. Sensory Neural Deafness associated with herediatary nephritis is seen in (AI PP G)
a. ✄☎✡✟✂✆✝ ✝✞✟✠☎✡☛✁
b. ✁☎✂✁☎✆✝ ✠✂✝✁✄ ✝✁
c. ☛✡☎✂✂✝✄✆✝ ✝✞✟✠☎✡☛✁
☛✞✡☎✄✆✝ ✝✞✟✠☎✡☛✁

ce
d.

Ans : D

75. Metabolic acidosis with increased anion gap occurs in all of the following EXCEPT
a. Diabetic keto acidosis
ra
b. Lactic acidosis
c. Renal tubular acidosis
d. Methanol poisoning
am

Ans : C

76. The following conditions may present with both upper and lower motor neuron involvement EXCEPT
a. Subacute combined degeneration of spinal cord.
b. Friedre✂☎✝✆✝ ✄✄ ✄✄ ✂✄
c. Amyotrophic lateral sclerosis
✁☎✁✁☎✆✝ ✁✞✝✄☎✡✞✝✞
Ex

d.

Ans : D

✂✂✁ ✂✝✁ ☎✝✄☎✄☎✄✁☎✂✝✄✂☎ ✁✁✄✄ ✁☎✁ ✡✁ ✡☎✟✁☎✆✝ ✝✞✟✠☎✡☛✁ ✂✝

a. dilated pupil
b. ptosis
c. increased sweating
d. abducted eye

Ans : B

78. Which one of the following conditions is NOT true regarding Myotnic dystrophy?
a. Cardiac defects
b. cataract
c. frontal baldness
d. enlarged testis
Ans : D

79. Homonymous hemianopia may occur due to lesion involving

a. optic nerve
 b. optic chiasme
c. optic tract
d. bilateral foveal lesions

Ans: B

80. Uncontrolled action of which of the following enzymes plays a major etiological role in chronic myeloid
leukemia?
a. Tyrosinkinase
b. Cholinesterase
c. Galactokinase
d. Bradykinin

Ans: A

81. Which of the following blood group antigens serves as receptor for plasmodium vivax?
a. Duffy
b. ABO
c. Kell
d. Rh

ce
Ans: A

82. Consider the following statements:

Factor VIII (AHF) in involved in coagulation mechanism of haemostasis
1. Only in extrinsic pathway
2. Only in intrinsic pathway
ra
3. In common pathway
Which of these statements is/are correct?
a. 1 only
am

b. 2 only
c. 1 and 3
d. 2 and 3

Ans: B
Ex

83. Which of the following is not associated with hyperkalemia?

a. Tall T waves
b. Prolonged QRS interval
c. Short P.R. interval
d. Sine waves

Ans: C

84. Consider the following statements:

In nephrogenic diabetes insipidus the patient is likely to have
1. High vasopressin level.
2. Poor or no response to desmopressin.
3. Low plasma osmolality.
4. Elevated plasma glucose leve.
Which of these statements are correct?
a. 1,2 and 3
b. 2,3 and 4
c. 1 and 4
d. 1,2,3 and 4

Ans : N/A
85. Lympho granuloma venereum is best treated by
a. Doxycycline
b. Erythromycin
c. Azithromycin
d. Ciprofloxacin

Ans: C

86. Among the following groups, which combination is NOT useful for the treatment of hypertension?
a. Atenolol with amlodepine
b. Enalapril with Hydrochlorthiazide
c. Alpha methyl dopa with clonidine.
d. Amlodipine with lisinopril

Ans: C

87. Consider the following:

1. Metolazone
2. Amiloride
3. Triamterene

ce
4. Chlorthalidone
Which of these are the potassium spring diuretics?
a. 1,2 and 3
b. 1,2 and 4
c. 2 and 3
d. 1,3 and 4
ra
Ans: C
am

88. Which one of the following features may NOT be seen in hypothyroidism?
a. Cold intolerance
b. Deafness
c. Pericardial effusion
d. Pretibial myxoedema
Ans: D
Ex

89. Lactic acidosis is more likely to be caused by

a. Gliclazide
b. Acarbose
c. Metforbin
d. Pioglitazone

Ans: C

90. Consider the following statemtns:

In acromegaly, the patient is likely to have
1. impaired glucose tolerance
2. galactorrhoea
3. hypertension
4. suppression growth hormones with glucose
Which of these statements are correct?
a. 1,2 and 4
b. 2,3 and 4
c. 1,3 and 4
d. 1,2 and 3
Ans : D

91. Which of the following statements about antibodies is NTO correct?

a. Human -globulins consist of at least 25-30 different proteins
b. A typical immunoglobulin consists of 4 subunits
c. -globulins are formed predominantly by the liver
d. immunoglobulins have a molecular weight of approximately 1,50,000

Ans: C

92. A 35-year old pilot has been detected to have pulmonary tuberculosis, Which one of the following should
not be prescribed for him?
a. Isoniazed
b. Ethambutol
c. Pyrazinamide
d. Streptomycin

Ans: B

93. Which of the following antibodies if administered to a premature infant can cause grey baby syndrome?
a. Tetracycline

ce
b. Chloramphenicol
c. Clindamycin
d. Netilmycin

Ans: B
ra
94. A 50-year old patient wakes up with excruciating pain at the base of great toe with redness and swelling.
Which would be the most desirable drug?
a. Allopurinol
am

b. Probenecid
c. Suplhinpyrazone
d. Indomethacin

Ans:D
✁✂✁ ✄ ✝ ☎✝✂ ✡✟✁ ✡✁ ✄✝✁ ✁✡☛☛✡ ✟✂✟✂ ✠✂✝✁✄✝✁✝ ✂✝ ☎✆✂ ✠✁✌✁☛✡✞✁✠ ✡✞ ✂✟✄☎✄✁✄✁☎✂✟✁ ✂☎✡✟✄✝ ☎✁✄✄ ☎✠✁✠ ✁✁☛☛ ✄✁☎☛ ✠✝✡✟
Ex

✂☎✄ ✁✂ ✄ ✂✟✁✄ ✟✄✝ ✂✟ ☛✄✄✁☎ ☛✂✁✁ ✞

✝ ✄ ✂✝ ☞
a. Coronary heart disease
b. Hypertension
c. Diabetes
d. Malabsorption syndrome

Ans : ?

96. A person working in hot environment who costumes more water without salt is likely to develop a
condition called
a. heat stroke
b. heat exhaustion
c. heat cramps
d. heat hyperpyrexia

Direction: The following 9 (nin✁✟ ✂✄✁☛✝ ☎✡✟✝✂✝✄ ✡✁ ✄ ✟✡ ✝✄✄✄✁☛✁✟✄✝✆ ✡✟✁ ☛✄✡✁ ☛✁✠ ✄ ✝ ✝✝✁☎✄✂✡✟ ✆ ✄ ✟✠ ✄ ✝✁ ✡✄ ✝✁☎
☛✄✡✁☛✁✠ ✄✝ ✁✄ ✝✡✟ ✆✁ ✂✡ ✁ ✄ ☎✁ ✄✡ ✁✄✄ ☛✂✟✁ ✄ ✝✁✝✁ ✄ ✟✡ ✝✄✄✄✁☛✁✟✄✝ ☎✄ ☎✁✁ ✁☛☛✞ ✄ ✟✠ ✠✁☎ ✂✠✁ ✂✁ ✄ ✝✁ ✝✝✁☎✄✂✡✟ ✆ ✄ ✟✠
✄ ✝✁ ✁✄✝✡✟ ✆ ✄ ☎✁ ✂✟✠✂✌✂✠ ✁✄☛☛✞ ✄☎✁✁ ✄ ✟✠ ✂✁ ✝✡✆ ✟✝✁✄✝✁☎ ✄✝✁ ✁✄ ✝✡✟ is a correct explanation of the Assertion.
Select your answers to these items the codes given below and mark your answer sheet accordingly:

Codes :
 a. Both A and R are true and R is the correct explanation of A.
b. Both A and R are true but R is NOT a correct explanation of A.
c. A is true but R is false
d. A is false but R is true.

Ans: C

97. Assertion (A):

✂✝✁ ✄✁☎☛ ☎✄✠✂☎✄✄✂✡✟✆ ☛✁✄✟✝ ✄✁☎☛✂✟✄✄✂✡✟ ✡✁ ✄☛☛ ✄☎✄✟✝☛✂✝✝✂✡✟✝ ✡✁ ✂✟✁✁☎✄✂✡✟✁

Reason (R):
It involves complete destruction of the infective agent.

Ans: A

98. Assertion (A) :

Abortion may be induced at twenty weeks of gestation without second medical opinion.

Reason (R) :

ce
The conditions for medical termination of pregnancy have been liberalized in India.

Ans: D

99. Assertion (A):

ra
All newborns should be screened for hypothyroidism at birth.

Reason (R) :
Treatment at birth for hypothyroidism can assure normal mental development.
am

Ans: A

100. Assertion (A):

The 23 valent pneumococcal vaccine is not recommended for routine use in children.
Ex

Reason (R):
Most pneumococcal strains are still susceptible to penicillin.

Ans: N/A

101. Assertion (A) :

Lumbar puncture is indicated in a child with fever and asymmetric flaccid limb weakness.

Reason (R) :
The diagnosis of Guillain Barre syndrome can be established by albuminocytologic dissociation on
CSF analysis.
Ans: B

102. Assertion (A):

Systemic estrogens as HRT are indicated in post-menopausal women with hypertriglycerdemia.

Reason (R):
The systemic estrogens induce the hepatic synthesis of lipoproteins.

Ans: N/A
103. Assertion (A):
Ferrous sulphate should not be given to pregnant women who are at high risk of PIH.

Reason (R):
Ferrous sulphate increases free radicals which induce serum lipid peroxide formation.

Ans: N/A

104. Assertion (A):

Supravaginal elongation of cervix occurs in uterovaginal prolapse.

Reason (R):
There is gaping genital hiatus but the ligamentous support of uterus is strong.

Ans: C

105. Assertion (A):

A child who has had an acute attack of poliomyelitis, should be administered oral polio vaccine.

Reason (R):
There is no cross-immunity between the different types of polio viruses.

ce
Ans: B

106. Match List I (Health Planning

committees) with List II (Main Recommendations/Important Results) and select the correct answer
using the codes given below the lists:
ra
List I List II
A. Shrivastav 1. Malaria workers to
am

Committee to look after FP

Work also

B. Chadah 2. Integration of
Committee services from the
highest to the
Ex

lowest levels

C. Kartar Singh 3. Led to creation

of Health Guides

D. Jungal Wallah 4. Led to creation

of multipurpose
worker.

Codes :

a. A B C D
3 4 1 2

b. A B C D
3 1 4 2

c. A B C D
2 1 4 3

d. A B C D
 2 4 1 3

Ans: C

107. The poverty line limit for rural areas is

the purchasing capacity for a daily intake of 2400 calories per person. Which one of the following
calorie limits is for urban areas ?

a. 1900
b. 2100
c. 2400
d. 2800

Ans: B

108. Which of the following is/ are used as

operational indicators in antileprosy activity ?

a) Incidence
b) 2100
c) 2400

ce
d) 2800

Ans: D

109. With increased plan outlays for

National AIDS Control Programme,
ra
The secondary dividends of these interventions shall directly benefit.

a) RCH Programme
am

b) MCH Services
c) Immunization Programme
d) National Tuberculosis Control Programme

Ans: N/A
Ex

110. Under the National Programme for

Control of Blindness, to define blindness, the visual acuity should be less than
a. 3/60
b. 6/60
c. 1/60
d. 6/24

Ans: A

111. Match List I (Organization/Agency)

with List II (Programme) and select the correct answer using the codes below the Lists :

List I List II

A. USAID 1. Blindness Control

B. Colombo Plan 2. Agriculture and

Industry

C. SIDA 3. Tuberculosis
Control
D. DANDIA 4. Technical
Cooperation
Mission

Codes :

a. A B C D
4 2 3 1

b. A B C D
1 3 2 4

c. A B C D
4 3 2 1

d. A B C D
1 2 3 4

Ans: A

ce
112. In respect of type 1 error in the field of medical statistics, which one of the following is not correct?

a. It is also called alpha error.

b. It is often assigned a value of 0.05 in studies.
c. It is equal to 1minus the beta error.
d. It is used to determine sample size.
ra
Ans: B
am

113. The decadal exercise of census operation is done over a period of time but population count is assumed
to be one existing on

a. January 1st
b. March 1st
c. April 1st
Ex

d. March 31st

Ans: B

114. Match list 1 (Disease) with list 2

(Vector) and select the correct answer using the codes given below the lists:

List 1. List 2.

a. Scabies 1. Soft Tick

b. Fish Tapeworm 2. Cyclops
infestation.
c. Relapsing Fever. 3. Sarcoptes
d. Kyasanur Forest 4. Hard Tick
disease.

Codes:

a. A B C D
3 2 1 4
b. A B C D
4 1 2 3

c. A B C D
3 1 2 4

d. A B C D
4 2 1 3

Ans: A

115. Effect of pyrethrum on mosquitoes is described as

a. Residual
b. Repellent
c. Knock down
d. Contact

Ans: D

ce
116. A screening test applied to detect diabetes in population over 40 years of age should satisfy the following
criteria, EXPECT for

a. validity ra
b. Reproducibility

c. Feasibility
am

d. Ingenuity

Ans: D/C

117. Which one of the following is NOT the cause of wide pulse pressure?
Ex

a. Severe aortic regurgitation

b. Severe mitral regurgitation

c. Severe tricuspid

d. Severe anemia

Ans: C

118. A 5-year old boy, a known patient of bronchial asthma, presents with cough, wheezing and
breathlessness. Examination shows respiratory rate 48/minute, pulsus paradoxus and bilateral rhonchi. The
most appropriate immediate treatment is

a. intravenous theophylline and corticosteroids

b. intravenous theophylline and nebulized salbutamol

c. nebulized salbutamol and ipratropium

d. nebulized salbutamol and intravenous corticosteroids

Ans. D

119. What is the correct sequence of the following while resuscitating an infant with Foreign Body Airway
Obstruction?

1. Chest thrust
2. Tongue-jaw lift
3. Back blows

Select the correct sequence from the codes given below:

Codes:

a. 1, 3, 2

b. 3, 2, 1

ce
c. 3, 1, 2

d. 2, 1, 3

Ans. C
ra
120. Regarding simple febrile seizure, which one of the following statements is NOT correct?

a. It is usually seen in children between 6 months and 6 years of age.

am

b. The seizure usually lasts for less than 15 minutes.

c. Rectal diazepam given at the onset of febrile illness can reduce the incidence of recurrent febrile seizure.

d. Oral phenobarbitone is usually prescribed after the first episode of seizure to prevent recurrences.
Ex

Ans: N/A
Ex
am
ra
ce