1. A girl with 10th percentile for height being examined by physician.

At what time after menarche

spinal length stops?
a. 24 months
b. 36 months
c. 8 months
2 In a population people who have respiratory tract infection are 117 out of total 1000 per year
Total days of disability 2.5 days
Total days absent from work 1.6 days
They asked about disability prevalence per year in that area

I forgot options but were like 73.5, 292.3 and two more like that but exact figures I forgot
3 A male with asthma having 2 to 3 attacks per week, drug u will choose for him?
a. Ipratropium bromide
b. corticosteroid
c. Salbutamol
d. Salmetrol
4 a person planning to go to an area with ochronosis for one weak, chances of him to get the
disease?
a. High
b. Very high
c. Minimum
d. Nill

5. a pregnant lady with features of hyperthyroidism ( they told palpitations tachycardia), on palpation
multiple enlargement of thyroid gland, they given labs that showd depressed TSH but no t3 t4 levels
were mentioned. Asked about next best investigation?

a. FNAC
b. Radio iodine uptake scan
c. ..
d. ..

6. best initial drug for depression?

a. SSRI
b. MOAI
c. ..
d. ..

7.a question describing a patient with all the features of mania. Which of the following disorders have
most common association with this disorder?

a. bipolar disorder
b. grandiosity mood disorder

8. a senerio with a pt having enlarged thyroid, on examination a nodule palpable, but pt euthyroid.

All thyroid blood investigations were normal range. A picture of ultrasound showing hypodense area in
throid gland. Next investigation?

a. Radioiodine scan
b. Fnac

9. A pt with long history of hyperthyroidism, wht is the investigation to detect the long term
complication of hyperthyroidism?

a. Liver ultrasound
b. Bone scan
c. CT brain

10. patient woke up in morning with sticky eyes, on examination there was mucopurulent discharge,
wht do u think it is?

a. Viral
b. Bacterial
c. Allergic

11.hemabat is contraindicated in?

a. Maternal diabetes
b. Maternal hypertension

12. a long scenario about a person clinically normal with no complain, on routine labs having increasesd
Hb, with normal RBC count, increased WBC, increased platelets,elevated ALP, they asked about the
mechanism of underlying disease?

a. Bone matrix expansion due to secondary malignancy

b. Proliferation of pluripotent stem cells
c. Idiopathic increase in erythropitin
d. Abnormality of hemoglobin to effectively carry O2 ( something like that)

13. mechanism of diarrhea in giardiasis?

a. Coating of intestinal wall

b. Malabsorption of water
c. Increased water secretion

14. A 10 years old child brought to clinic by his mother with h/o diarrhea for( I think it was 8 month),
stool sometimes contain blood also. Also has abd pain sometimes. Mother says he has lost weight. On
examination abdomen was soft non tender.There was a long list of labs showing, Hb 8mg/dl MCV low,
Albumin 2.3, crp >15. Esr was nt mentioned. What drug would u start?

a. 5-ASA
b. Corticosteroids
c. Metronidazole
d. ..

15. a patient says that he suddenly develops palpitations, breathlessness, tremors that stop in next few
minutes on its own. There is history of multiple attacks like this that subside without intervention.
Recently patient has started getting anxious due to attacks. Dx?

a. GAD
b. Panic attacks
c. Depression
d. malingering

16. a child bought by a mother having bouts of sever abdominal pain that cause child to bring his legs to
fold to abdomen, setteles after sometime, now again he had this attack with vomiting, on examination
child is distressed with pain and there is a mass in epigastrium. Investigation that u will do?

a. Chest x ray
b. Ultrasound
c. Barium meal
d. Ct abdomen

17. a patient with pain at floor of mouth while chewing, initial investigation?

a. X ray
b. Ultrasound
c. Ct scan

18. best investigation to diagnose lymph node spread and metastatic lesion in bronchial carcinoma?

a. X ray
b. MRI
c. PET scan
d. Ultrasound

19. senerio about a woman having recurrent attacks of cholecystitis (they did not mention dx), invest?

a. X ray
b. Ultrasound
c. Ct
20. a pt with generalized abd pain radiating to back, positive Cullen sign and grey turner sign, they
mentioned high amylase, high lipase, dx?

a. Cholecyctitis
b. Acute pancreatitis
c. Hyperamylysemia ( something like this)

21. regarding regular breast examination

a. A mirror

22.a male of 20 years of age. What should u tell him about regular eye evaluation?

b. Every year
c. atleast twice till 25 years
d. Altleast once till 30 years
e. When some syptoms

23.a young male sanding in a row, felt dizzy, yawning and fell down, remained unconscious gfor 4
minutes. Now absolutely ok. Dx?

a. TIA
b. Fainting
c. Silent heart attack

24. a large abcess on arm, wht to do?

a. Oral antibiotics
b. IV antibiotics
c. Antibiotibs and incision drainage
d. Corticosteroids

25. pt with conductive hearing loss, and ear pain on examination, Dx?

a. Otitis externa
b. Otosclerosis
c. Otitis media
d. Labrynthitis

26. a pt with thrombosed external hamorrhide, treatment?

a. Evacuation of hematoma
b. Antibiotics
c. Sitz bath

27. an old man with atrial fibrillation, develops bloody diarrhea, with abdominal pain, Dx?
 a. Ischemic colitis

28. a 48 yr old person feeling fatigue and numbness in both hands and feet, BP 150/ 90 mmhg, rest of
vitals stable. What investigation should be done to reach dx?

a. fasting blood sugar level

I forgot rest of 3 options, I answerd FBS

29. angle of scoliosis when a pt should be refferd to orthopedic?

a. 5 degree
b. 10
c. 15
d. 20

30. a patient with ataxia dementia and urinary incontinence, Ct was given. Dx?

a. Neurodegenerative disease
b. Normal pressure hydrocephalous
c. Multiple infarcts

31. a girl with painful eye movements, forgot full secerio, they asked about dx?

a. Optic neuritis

32. a senerio about a pt having multiple rashes developed on whole body, except face. History of sexual
contact 8 weeks ago. Dx?

I just remember 2 options

a. Donoveniasis
b. Syphillus

33. a 52 yr old complains of varicose vein, not causing any problem but she says that they r not
recovering with compression stockings, leg elevations, she avois prolong sandings. They have wrsed
after her last preg. What to tell her?

a. No further treatment
b. Sclerotherapy for large caliber veins
c. Laser effective for saphenous vericode
d. ..