FMGE Dec.

2017
1. Schwartz sign in- active otosclerosis
2. Boy with fever, lateral tonsil swelling leading to uvula deviation-
quincy/paratonsillar abscess
3. Treatment for nasopharyngeal carcinoma- radiotherapy
4. Recurrent laryngeal nerve doesn’t supply- cricothyroid
5. Damage to which of the following will not lead to- aspiration, stridor, vocal
cord bends ?(Options was Sup Laryngeal N, RLN etc)
6. Spontaneous or post trauma continuous watery nasal discharge- CSF
rhinorrhea ,allergic rhinitis, atrophic
7. Operation for atrophic rhinitis- young’s operation
8. MCC of facial nerve palsy is- idiopathic bells palsy
9. Most common site of laryngeal web is – anterior
10.Which nerve passes through cavernous sinus- 6th nerve (Name was given in
options)
11.Chronic upper airway obstruction by adenoids hypertrophy and tonsil will
lead to- cor pulmonale
12.Rathke’s pouch derivative- craniopharngioma
13.Ultimobranchial body derivative- parafollicular cells of thyroid
14.Action of superior rectus- elevation, intortion, adduction
15.Karyotype of down syndrome- 21
16.Gynaecomastia in newborn is MC related to transfer of which of the
following - materal estrogen, materal progesterone
17.MCC of primary amenorrhea- turner syndrome
18.Cause of secondary amenorrhea- pelvic radiation
19.Microsporum affects – skin and hair
20.WHO level for anemia in pregnancy- 11gm, 10gm
21.Floor of femoral triangle is formed by- pectineus
22.Uterine artery supply- arcuate>radial>basal>spiral
23.MC site of peripheral artery aneurysm- popliteal artery
24.Most cochlear toxic drug- kanamycin , others option are gentimicin,
amikacin, streptomycin
25.Alveolar ventilation is directly proportional to- surface area of alveoli
26.Thick Waxy alveolus membrane is seen in- ARDS, interstitial lung disease,
asthma , emphyema
27.Not a sign of placenta separation is- shortening of the cord
28.Early Amniocentesis is done at- 11-13 weeks
29.Screening for down syndrome in general population- USG or materal serum
makers
30.GFR is best measured by- aminohippuric acid, inulin, insulin
31.24 week gravid fundus height related at what level of abdomen- umbilicus
32.Identify skull marked suture- Pterion, asterion (IBQ)
33.Leukocyte rolling over endothelial cells of blood vessel is by- selection,
integrins ,PECAM 2
34.Acc to DSM V For diagnosis of schizophrenia symptoms should be present
for- 6months
35.Man with bulla on face and neck, flaccid bulla, spreading and nikolsky sign
positive- pemphigus vulgaris
36.Picture of a back showing many hypopigmented patches, which organism-
pityriasis (IBQ)
37.Term for lesbian is tribadism
38.Arterial supply to the lower part of esophagus- left gastric artery and
esophageal artery
39.Glucose 6 phosphate dehydrogenase deficiency causes- hemolytic anemia
40. Lateral lemniscus receives fibers from- both ears
41.Pre exposure rabies prophylaxis- 0, 7, 28 days
42.Site of heberden nodules- DIP
43.Man which 40 % surface burn, 50 kg, how much fluid in first 8 hr- 4L
44.Most common endometrial cancer- adenocaricoma
45.21 teeth present at what age- 5yr, 8 yr, 10 yr, 6years (ans)
46.Cattle truck sign on retina- CRAO
47.Crowding phenomenon- amblyopia
48.Which cancer is most commonly associated with renal transplant- skin (ans),
lymphoma
49.Pic of robotic surgery looks somewhat like laproscopy (IBQ)
50.Most common tumor in a HIV patient - Kaposi tumor
51.Man which Lepromatous leprosy who had undergone chemo develops
various nodules, type of hypersentivity- type 3
52.Cause of normal anion gap metabolic acidosis- diarrhea
53.Not a Cause of normal anion gap metabolic acidosis all except- renal tubular
acidosis
54.Man took some drug, develops swelling- TEN
55.Best test to evaluate adequate fluild resuscitation in a burn patient- urine
output
56.Liquefactive necrosis seen in- brain
57.Rise in JVP with inspiration is seen in- constrictive pericarditis
58.Radiological test for staging of endometrial carcinoma invasion is- MRI,
CT constast Plevis, TAS, TVS
59.Treatment for amblyopia – occlusion
60.For how long immunusuppresive therapy should be given post renal
transplant- lifelong(ans), 3 mo, 6mo, 9 mo
61.Location of lens in a spectacle- at nodal point, anterior, posterior
62.Internal hordeolum is caused by infection of which gland- mebonian glands
63.Name for lid lag sign- von graefe
64.Normally neonates are- hypermetrops
65.Normal pupil of newborn is- mid dilated, dilated, constricted, normal
66.Incubation period for hep B- 30-150days
67.Calcium RDA for Pregnant women- 1200 mg
68.Quintana fever is caused by- bartonella
69.Chickenpox rash- centripetal, centrifugal, variable
70.Route of spread of TB to kidney- hemotogenous
71.Why is esmolol short acting- blood esterase activity. Rapid renal clearance
72.Framingham heart study is- prospective cohort
73.What is incidence- new cases in a population
74.Culex is a vector for- JE
75.Cell migration is by – herpatin sulphate, heparin, dermatin sulphate
76.IQ for imbecile- 25-50
77.Intra-abdominal pressure during gynaecological procedure is – 5 to 10mg,
10 to 20 mg
78.Structure not visualized by hysteroscopy- cervical canal, tubal ostia, uterine
surface
79.Bull riders thumb which ligament damage- medial, radial, anterior, posterior
80.lab panel high PTH, HIGH ALP, low calcium, low PO4, dx is – VIT D
deficiency, osteoporosis, paget dx
81.Immediate effect on insulin on DKA type 1 pateint- high bicarb, glycosuria,
hyperkalemia, Increased pH
82.opportunistic screening for DM and HTN acc to NPCDCS…..- 30 yr(ans),
40 yr, 50 yr
83.cephalic index of 70-75- Aryans
84.choice of contracention in a patient with hx of gestational dm- low dose
OCP, DMPA, CuT, all of the above
85.choice of contraception in a lactating women- progesterone pill
86.false statement regarding gastrinoma is – acc with MEN1, most common
presentation is GOO, most common site is duodenum, it’s a relative silent
condition
 87.false statement regarding peutz jegher syndrome- assc. With mucosal, skin,
lip melanosis, it’s a AD disorder, has multiple polyp In intestine, often
surgery might be required for polyp bleeding, is malignant
88.false statement about crohs disease- intestion resection is curative
89.organism causing whipple dx( no T. whipple in option)- actinobacter, giardia
90.type 1 DM time of retinopathy development is -> 20 years
91.vaccine C/I in pregnancy- rubella(ans), BCG, YELLOW fever, OPV
92. female with curdy white discharge at presentation- candida
93.Presentating case of a infant with intussusception, MX- fluid resuscitation+
NG tube decompression+ antibiotic+ air enema, other option had surgey,
94. A 2 year old girl is vomiting continuously and is unable to breathe properly,
next mx will be- insert NG tube (Fistula)
95.Characteristic feature for kwashiokar- edema, pluckable hair
96.DOC for acute gout- naproxen, probenacid, allopurinol, febustat
97.Kwashiorkor liver- fatty liver
98.Marker for HCC- alpha fetoprotein
99.Follow up marker for colon cancer- CEA
100. Barium enema showing apple core sing- colon CA (IBQ)
101. Chance of mets to liver in colon ca in % is- less than 25, 25-50, 75%, 90%
102. Marker for NTD- acetyl choline esterase
103. X ray showing duodenum, which part is marked- 1, 2,3, 4 (IBQ)
104. H. pylori is a risk for- GIST, gastric adenocarcinoma
105. Which statement is true about carcinoid tumor- presentation is flushing
wheeze diarrhea, most common site is ileum, carcinoid syndrome presents after
liver mets, present at multiple sites.
106. Beta blocker ointment is used for- hemangioma
107. Pulsatile proptosis- cavernous fistula
108. Hemorrhagic fever in cows and cattle cause?
109. Most common site of esophageal CA- upper 1/3 rd, middle 1/3 rd, lower
1/3rd
110. PR interval corresponds to- artrial depolarization and AV nodal conduction
111. Not a component of tetralogy of fallot- normal postion of aorta
112. True state about flank breech- most commonly assc with congenital
anomaly, has hip extend and knee flexed, ECV done before 34 weeks
113. Which is not associated with pain in submusocal fibroids- torsion, large size,
assc with endometriosis, degeneration
114. Not a Tx for fibroids- GNRH antagonist, GNRH agonist, misoprostol,
mifepristone
115. MCC nerve injured of lower extremity in – sciatic, femoral, tibial, common
peroneal
116. Wernicke encephalopathy vitamin- B1
117. Image of sarcotopes scabrae(IBQ)
118. Triple anthrodesis not involves which joint?
119. Classification of gemfibrozal- it’s a fibrate derivative
120. Image of impetigo and honey color crust- impetigo
121. Statement true about respiration in children having pneumonia- RR more
than 50 in 2mo – 1 yr old
122. 3b inguinal hernia includes- pantaloons, femoral, direct, indirect
123. Spina ventosa is a tb of- pharynx
124. False statement about aminoglycoside- increased half life in cystic fibrosis
patient
125. True statement about amino caproic acid- irreversible inhibitor of
plasminogen

126. TX for methanol poisoning- fomeprizole

127. Which is SERM-tamoxifen

128. TX of choice for post menopausal osteoporosis- raloxifene

129. Mummification requires- cold and dry, hot and dry, hot and humid

130. Not a Adverse reaction of morphine- mydriasis

131. Diameter of optic nerve head - 1.5mm indirectly asking about Optic DISC

132. Not a motor complex- actin, myosin, dynein, kinein

133. Migratory motor complex of GIT is seen in which condition- fasting,

134. Chronic use of which drug can cause symptoms similar to Paranoid
schizophrenia cause- amphetamine(ans), barb, opoid

135. True about intermittent claudication- pain during exercise (ans)

136. Sequence of hematopoiesis – yolksac>liver>marrow

137. Milkman delivers food to diff house and covers 3 diff villages Food
poisioning among the population is an example of – point source
138. Effect of erythropoietin deficiency on precursor cells- apoptosis,
decrease size

139. Blood supply of dorsum penis- internal pudental nerve

140. DOC for meningococcal prophylaxis in pregnancy- ceftriazone,

ampicillin, cephalosporin, rifampicin

141. Medulloblastoma is – malignant cerebellum tumor of child

142. Most common cancer leading to mortality worldwide- breast, lung,

skin

143. Sole efferent from cerebellum cortex- purkinje, globi

144. Which part of the eye is used in Biometric scan- iris

145. DNA fingerprinting blood which vial- EDTA, NaF

146. Lateral view of CXR showing azygous lobe(IBQ)

147. Not a component of superior mediasternum- arch of aorta, azygous

vein etc

148. Folinic acid used with- methotrexate

149. Thymidate synthase inhibitor – 5FU

150. Statement false about reduced osmolarity ORS- glucose 90

151. In triage black color code is for- unsalvageable

152. Sunburst sign in osteosarcoma is due- periosteal reaction

153. False statement about fibroadenoma of breast is- it is a risk for breast
cancer, surgery is size more than 5cm, surgery done on patients request

154. 5X risk for breast cancer is- papilloma with fibrovascular core ,
atypical ductal hyperplasia
155. Description about breast cancer histotype, central necrosis, which
type- comedo type, cribriform

156. Pyronardine belongs to- antimalarial, antifungal, antiviral,

antibacterial

157. Correct sequence about LP layers- skin>SC >

supraspinatous>interspinatpus> ligamentum flavum> epidural space

158. Not a cause of hemolytic anemia in neonate- breast feeding is a cause

159. Dx of gout is best done by analysis of- synovial fluid analysis

160. For stage 3 breast cancer which image modality is not done- dexa
bone scan, CT chest, CT abdomen, MRI

161. Protein in Lac operon coding region is present in - inducer, promoter

162. Which is not a cause of gynaecomastia- leprosy, TB, klinefilter

163. Large ovarian is not seen in - turners

164. True statement about bronchopulmonary segment is- its according to

the segmental bronchus, its surgically unresectable, artery is intersegmental

165. Ovary follicle reserve is done by- urine LH, antral follicle count,
endometrial biopsy

166. Drug for follicle induction is – clomifene citrate

167. GCS for dead- 3/15

168. Cause of SIADH- head trauma

169. Superior vena cava syndrome is commonly seen in- lung cancer

170. Anaerobic, branching bacteria, acid fast bacillia- nocardia ?? atypical

mycobacteria, clostrium

171. Germ tube test is done for- candida

172. Agar for non factitious bacteria- nutrient agar, blood agar

173. Anemia seen in rheumatoid arthritis- normocytic, normochromic

174. Thalassemia is pregnancy dx by- HBa2> 3.5 BY HPLC, NESTROFF

test

175. Indoor management for anorexia nervosa is done- depression

176. Not a component of carpal tunnel- ulnar nerve

177. Guyon canal which nerve- ulna

178. Second of extensor compartment of hand is

179. Prosopagnosia is – inability to recognize face

180. Schilling test would be negative if patient took antibiotic incase of-
overgrowth of bacteria

181. Period of viability is- 210, 220, 230, 240 days

182. ACLS sequence-early access>early CRP>defibrillator>ventilation

183. Fox Fordyce spots are- sebaceous glands

184. Hand foot mouth disease is caused by- Coxsackie virus

185. In catarrhal stage of typhoid – eosinophilia, high WBC, high

leukocyte, leukopenia

186. Pulmonary eosinophilia – filariasis, echinococcus

187. MCC of Neonatal sepsis – group B strep

188. Copy cat suicide seen in- adolescent

189. Obesity is not seen in- caral syndrome, moon biedal syndrome,
acromegaly
190. Gastric hypersecretion of acid is seen- bypass surgery, small bowel
resection, PPI THERAPY,

191. Colipase enzyme secreted in- pancreatic, bile

192. Action of Antiport transport- one molecule enters and one leaves the
cell

193. Site of gluconeogenesis- liver

194. Neonatal lupus antibody- SSA anti ro

195. Ion responsible for Exocytosis – calcium

196. Kid with inspiratory stridor, lung clear, site of obstruction-

supraglottic, glottis, trachea, bronchus

197. Treatment for hyperkalemia- salbutamol, infusion of Ca,

hemodialysis, all of the following

198. Dopamine in kidney, action- mesenchyme cell contraction

199. Source of energy in 100 meter sprinter- Creatinine Phosphate

200. Creatine is made up of- glucine+ methionine+arginine

201. cAMP is derived from - ATP

202. burning sensation of hand is seen in which condition- syringomelia

203. MRI showing 4th ventricle (IBQ)

204. Cause of hemorrhagic conjunctivitis- enterovirus

205. Carbonic anhydrase inhibitor used in glaucoma

206. Which vitamin required for collagen- vit C

207. Which kidney stone goes against normal physiological PH of urine-
uric acid

208. Regulator of VIT d syntheses by PTH- Ca

209. Lange Hansen classification is used in- ankle

210. Which fetal diameter at LOA – submentovertical, BPD

211. P53 inhibitor acts in which stage of cell cycle- G1-S inhibitor

212. Best disinfectant is- glutaldehyde 2%, alcohol 70-80%, povidine

iodine

213. Glutaldehyde not used for- ET tube, thermometer, bronchoscope,

cystoscope

214. Recurrent laryngeal papillatosis cause- HPV 6,11

215. Only Vaccine given to adult- DT

216. Which b antagonist which as tocolytic- ritodrine

217. Test done prior CE CT- renal function test

218. Tx for cachexia- megesterol acetate, cryptoheptadine

219. Disturbed appetite and increased BMR- anorexia, marasmus

220. Associated with rheumatic heart disease- mccallum plaque

221. Cell derived from macrophage- epitheloid

222. Fetal intrapartum monitor- electrocardiogram, fetal pulse monitor,

fetal scalp monitor, electronic monitor

223. Burnt airway first line mx- tracheaostomy, elective intubation

224. Chancroid CA- hemophilus ducreyi

225. Ranolazine is not C/I when used which- diltiazem

226. Which route of fentanyl not give- SC, intrathecal, IM, intradermal
(IBQ)

227. SGLT 1 function- glucose

228. Not a absolute C/I for OCP- breast cancer, liver disease, smoker and
age 35, congenital hyperlipidemia

229. Dendritic ulcer picture, associated with- decreased corneal sensation

230. Metabolic encephalopathy- transcortical sensory aphasia, broca,

anomic,

231. Human Malignant hyperthermia is due to- ca channel defect, T tubule

defect

232. Uveitis keratine precipitate site- corneal endothelium

233. Liver tumor common in female with use of OCP- hepatic adenoma

234. Hypervirulent klebseilla pneumonia causes- endophthalmitis

235. COAD doesn’t consist of- acute asthma

236. Intermittent dysphagia is seen in which conditions- sczhatski ring

237. Muscle stretch receptor responsible agent - muscle spindle, meisnner,

meckel

238. Chorion component in early stages of pregnancy- extraembryonic

somatic mesoderm+trophoplast

239. Indolent murmur site – left parasternal

240. Not a cause of upper motor neuron disease - alpha motor in polio

241. Not a time restraint strategy- aim, goal, objective

242. Neisseria meningitis infection is common in- C5-C9 def

243. MOA of live vaccine- b and t cell

244. High muscle to wall thickness- resp bronchiole, terminal bronchiole,

bronchus

245. Coracoid process is – atavistic epiphysis, aberrant, pressure

246. Bone pain in sickle crisis is due to- bone and bone marrow infarction

247. Delayed onset of puberty in female age- 13 yr, 14 yr, 16 yr

248. Cremastric reflex nerve- genitofemoral nerve

249. 3’ to 5’ primer endonuclease function

250. Regarding Primary amenorrhea which statement is true- no known

case and clinical investigation

251. Not a derivative of tyrosine- melatonin

252. Which cavity should be opened first is suspicion of hanging-

cranial(Ans), thoracic, abdominal, any

253. 4 cm breast mass, mobile axillary lymph node, which stage of breast
cancer- 3b, 2a, 2b, 3c

254. 72 year man old underwent TURP for BPH under GA, after one hour
he develops vomiting and seizure. Cause of his symptoms- due to anesthesia
side affect, water intoxication(Ans)?

255. Man with gross hematuria, excretory urogram shows 1.5 cm filling
defect in renal pelvis. What should be the next investigation? Urine
cytology, ultrasound, cystoscopy?
256. Glycemic index of glucose? 1 (Ans), 0.5, 1.5, 2
257. P value should be less than for a research to be valid? .5, 1, 0.05
258. Role of ASHA worker ? screening test/immunization/eye testing
/eligible for ANM member
259. Common site of Carcinoid tumor? Ileum, Appendix, Rectum, Lungs
260. Gamma carboxylation occurs at which end-glutamic acid
261. Enzyme increased in strenuous exercise--creatinine kinase/ALT
262. Erythropoietein role on RBC synthesis?
263. Skin over parotid supplied by?
264. Hormone acting on mesangial cell? ANP
265. Short acting synthetic Opiod? Remifentanyl
266. Shilling test is positive for ? Vit B-12
267. First seen in tularemia is? Lymphandenopathy/fever/ulcer/chills?
268. Classical presentation case of ADHD?
269. In establishing Causal Association, most essential criterion is:
Consistency of relationship/Temporal relationship/Duration of
relationship/Strength of relationship
270. Chemoprophylaxis in neonatal meningitis? Cipro/rifam
271. Mother 1000 and ASHA worker 200 under JSY is Rural/urban Lpw
performing states or High performing states
272. Step at waste generation- segregation
273. Respired Lung to body wt ratio? 1/70, 1/35…
274. Innocent murmur best heard at ?
275. MC location of esophageal ca? middle 1/3rd , Lower 1/3rd
276. Excessive vomiting. Type of Acid Base Disorder?
277. Best parameter for fetal age? LMP
278. Under mental illness act-1947 punishment years-- 2years
279. Dense Bodies in Smooth Muscle is Z Line
280. LOX forms leukotrienes
281. Benefits measured in Monetary terms- cost benefit analysis
282. Schistoma hematobium – blood fluke
283. Fetal Biophysical profile doesn’t include? Fetal electronic monitoring
284. Multifactorial inheritance- DM
285. Which hormone is increased in MEN 1/zollinger Ellison syndrome?
Gastrin
286. Febuxostat inhibits which enzyme/ Used in T/t for ?
287. Amenorrhea is present in which eating disorder? Anorexia
nervosa/bullima etc
288. Puerperial Pyrexia Temp? 100.4
289. DNA polymerase 1 Function?
290. Person with fracture pelvis developed anuria after sometime. Cause
? rectum injury/bladder injury/post urethral injury/ant. Urethral injury
291. Nernst Equation value of a cell in an electrochemical reaction? 0.693