This document contains 105 multiple choice questions covering various topics in medicine. The questions test knowledge in areas like pathophysiology, pharmacology, anatomy, clinical presentations and management. They range from single best answer questions to questions involving diagrams or short clinical vignettes.

1. BPKIHS 2012
1. A womans father has DMD. She has healthy brother n sisters. What is the
chance of getting DMD if she delivers male child?
A. 25
B. 50
C. 100
D.75
2. Dermatophtye causes all except,
A.Favus
BKerion
C .Piedra
D. M…
3. Spleenic artery if blocked, beside spleen which organ deprived of blood supply:
A. Fundus of stomach
B. Head of pancreas
C.
D.
4. Urine turns black on standing is seen in deficiency of which enzymes?
5. Ca cervix spread to Mckenrodts ligament stage?
A . 2a
B. 2b
C. 3a
D. 3b
6. Staging of Ca prostate which invn
AbdmlUsg
Trans rectal usg
Urethrocystoscopy
PSA
7. Coiled spring appearance in barium enema seen in
A. Volvulis
B. intususseption
C. Diverticulits
D. Ca colon
8. True abt hemochromatosis:
a. Diabetes mellitus mc presentation

2. b. Skin pigmentation due to iron deposition
c. Phlebotomy decreases arthralgia
d. Arthritis
9. Infant not responding to bronchodilator, pO2 30 mm hg,next step of
management
A. IV bicarbonate
B. Intubation and ventilation
C. IV aminophylline
D. Sodium Cromoglycate
10.A 60 year old male presents with intestinal obstruction of left colon in
emergency. What is ur mx
A. Hartmann procedure
B. Transverse colostomy
C. Iliocolostomy
11.Not so common symptom of typical antipsychotics:
A. Malignant hyperthermia
B. extra pyramidal side effect
12.Not true about PTSD
A. antecedent history of severe psychological trauma
B. Premorbid personality
C. Flashback common
D. Presents within 3 months of stressor event
13.Bullemianervosamkopt, which drug wont you recommend if she has
depression
A sertraline
B Fluxentine
C Napropen
D
14.Depressive patient on antidepressant develops painful penile erection. Which
drug?
A. Fluoxetine
B. Trazodone
15.Antagonist of Insulin:
A. Epinephrine
B. Gastrin

3. C. Somatostatin
D. Growth Hormone
16.Bacterial DNA doesnt get digested by itself as its ends are:
A. Acetylated
B. Methylated
17.Difference between the bird and airplane is:
A. Abstract
B. Judgement
C. Memory
D. Concentration
18.Medial longitudnal arch of foot mainly formed by:
A. Talus
B. Cuboid
C. Navicular
D. Cuneiform
19.Felon is
A. Infection of terminal pulp space
B. Infection of palmar space
20.Principle of ct scan
A. A. X ray
B. B. electron
C. C. Gamma ray
21.X ray of pneumothorax best visualised by:
A. Full inspiration
B. Full expiration
C. Left lateral
D. Right lateral
22.Inversion of foot
A. Adduction, supination, plantar flexion
B. Adduction, supination, dorsal flexion
C. Abduction,
23.A young doctor with motorcycle accident, # of humerus spiral groove. What is
not seen?
A. Wrist drop
B. Supination not affected
24.Malignanat hyperthermia by:
A halothane and succinylcholine

4. B. halothane and atracurium
25.Pregnanacy ma ureter dilatation
A. Left side common
B.Due to effect of oxytocin
C. Increased smooth muscle activity
26.What passes through lower triangle of axilla?
A. Radial nerve and profundabrachii artery
27.Amount of synovial fluid reqd for analysis:
A. 0.5ml
B. 1 ml
C. 2 ml
D. 10 ml
28.Drug of choice in herpes simplex keratitis
A. Gancyclovir
B. idoxuridine
29.What is the complication of Brachial plexus block by interscalene approach
A. Horner syndrome
B. Hematoma
30.Metabolic change in GOO?
A hypochloremin metabolic alkalosis
B hyperchloremic metabolic alkalosis
31.Sellaturcica best visualised by
A. AP
B. lateral
C. Open mouth
D. Towne’s View
32.Bupivacaine cannot be used in
A. Intravenous regional anesthesia
B. Nerve block
C. Spinal block
33.Cardiac output can be calculated by:

5. A. Arm plethysmography
B. Flow -
C. Electro-
34.Drug of choice in erythrasma
A. Erythromycin
B. Cefoperazone
C. Dapsone
D. Penicillin
35.Pulled elbow xray feature
A. A. Subluxation
B. B. dislocation
C. C. No fracture
36.Sternal angle: anatomical landmark, which is not:
A. boundary betn sup and inf mediastinum
B. Bifurcation of trachea
C. Azygos vein starts
37.Triple test doesnt include
A. Breast self-examination
B. Clinical examination
C. Mammography
D. FNAC
38.Wet dressing in acute eczema condy solution component
A. Boric acid
B. Pot permanganate
39.Type of collagen in articular cartilage
A. Type 1
B. 2
C. 3
D. 5
40.Looser's transformation zone seen in
41.Salt and Pepper dermatological features is seen in:
A. SLE
B. Sjogrens syndrome

6. C. Dermatositis
D. a
42.All of the following are radiosensitive tumor except:
A. Ewing Sarcoma
B. Lymphoma
C. Osteosarcoma
D. Seminoma
43.A 60 year old female, who had menopause 15 years back presents with ovarian
tumor. Which of the following is radiosensitive?
A. Krukenberg tumor
B. Granulosa cell tumor
C. Dysgerminoma
D.
44.Configuration of Carbon atom is mostly:
A. Cis
B. Trans
C.
D.
45.A surgeon during Sx, inadvertently injures ureter. To avoid the injury, he
should know the anatomy that:
A. Ureter crosses above int iliac artery
B. Ureter lies above the uterine artery
C. Lies 5 cm medial to common iliac artery.
D.
46.A child presents with abdominal pain and swelling: D/D
A. Wilm's tumor
47. Question on attributable risk
48.Structure not present in adductor canal:
A. Nerve to vastusmedialis
B. Femoral Nerve
C. Femoral Artery
D. Femoral Vein
49.Abductor of vocal cord

7. A. Posterior crico arytenoid
B. Lateral crico arytenoid
50.M/c shock in RTA?
A neurogenic
B hypovolemic
C septic
D anaphylactic
51.K channel deficeincy is found in?
A. Hypokalemic periodic paralysis
B
C
D
52.Salt and pepper dermatological feature is seen in:
53.Stellate abscess is seen in?
A. Syphilis
B. Chancroid
C. Lymphogranulomavenereum
D.
54.Treatment of pleomorphic adenoma:
A. Superficial parotidectomy
B. Radical parotidectomy
C. Enucleation
D.
55.Delta-Amino Levullinic Acid synthase catalyzes:
A. Synthesis of porphyrin.
B.
C.
D.
56.Osteoid osteoma not found in
A. Femur
B. Tibia
C. Skull
D. Vertebra

8. 57.Which of the following has not X linked transmission?
A. G6PD deficiency
B. LyschNyhan Syndrome
C. Von Gierke Disease
D. Fabry disease
58.Di Geogre Sequence has all except:
A. Thymichypoplaisa
B. Thyroid hypoplasia
C. Tetralogy of Fallot
D.
59.Which of the following is not present in superficial palmar arch?
A. Superficial palmar branch of ulnar artery
B. Arteriapollicis
C. Arteriaindicis
D. Metacarpal arteries
60.Wallenberg syndrome. Not seen
A. Loss of taste sensation in half of tongue
B. Loss of pain and sensation in half face
C. Loss of pain and sensation in half body
D.
61.Not present in subarachnoid hemorrhage
A. Sudden severe frontal headache
B. Hemiplegia
C. Neck stiffness
D.
62.A pt with gcs 8/10 with h/o fall has bleeding from nose. O2 saturation 80%. Bp
maintained. Mx:
A. Intubation and ventilation
B. Packing of nose
C. Urgent ct scan
D.
63.Reye's syndrome child. Due to which drug:
A. Aspirin

9. 64.After vasectomy, when is semen analysis done:
A. 2 wks
B. 4 wks
C. 8 wks
D.
65.Thrombotic nonbacterial endocarditis seen in:
A. Neoplastic disease
B. Congenital heart disease
C.
D.
66.A women with complaints of generalised fatigue presents with ecg of tall t
waves. What abnormality would you like to correct?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypocalcemia
67.A man presents with backache, x ray shows punched out appearance of
vertebra. Which of the following will not present?
A. Hypercalcemia
B. M protein
C.
D.
68.Which of the following is specific for osteoblastic activity in bone?
A. ALP
B. Osteonectin
C. Osteocalcin
D.
69.Function of Golgi Complex:
A. Packaging of synthesized proteins
B.
C.
D.
70.Elongation of F.A. chain takes place in:

10. A. Smooth Endoplasmic Reticulum
B. Mitochondria
C.
D.
71.Which of the following is feature of irreversible cell injury?
A. Cell swelling
B. Aggregation of mitochondrial matrix
C.Clumping of nuclear material
D.
72.All of the following are radiosensitive tumor except:
A. Ewing Sarcoma
B. Lymphoma
C. Osteosarcoma
D. Seminoma
73.A 60 year old female, who had menopause 15 years back presents with ovarian
tumor. Which of the following is radiosensitive?
A. Krukenberg tumor
B. Granulosa cell tumor
C. Dysgerminoma
D.
74.Configuration of Carbon atom is mostly:
A. Cis
B. Trans
C.
D.
75.A surgeon during Sx, inadvertently injures ureter. To avoid the injury, he
should know the anatomy that:
A. Ureter crosses above int iliac artery
B. Ureter lies above the uterine artery
C. Lies 5 cm medial to common iliac artery.
D.Ureter lies just below the bifurcation of common iliac artery
76.Which of the following not derived from 2nd branchial arch:
A. Anterior belly of digastric muscle

11. B. Stylopharyngeus
C. Stylohyoid
C. Stylothyroid
77.Structure not present in adductor canal:
A. Nerve to vastusmedialis
B. Femoral Nerve
C. Femoral Artery
D. Femoral Vein
78.An alcoholic male presents with steatorrhea, diagnosis of chronic pancreatitis
made. Which of the following enzyme abscence is causing steatorrhea?
A. Lipase
B. Amylase
C.
D.
79.Nelaton's line not related to?
A. Fracture neck of femur
B. lower end of femur
C. Intertrochanteric fracture of femur
80.RTA with fracture of radius in the spiral groove with radial nerve injury. Which
among the following is incorrect
A. Extension of elbow not possible
B. no wrist jerk
C
D
81.Crossed eye of ainfant,examination was normal. Diagnosis?
A. Pseudostrabismus
B. congenital esotropia
C
D
82.Flutamide in BPH acts by:
A. 5 alpha reductase inhibitor
B. Antagonist at testosterone receptor
C. LHRH antagonist

12. D.
83.Trauma to a child's eye with traumatic cataract. Treatment you would do
A Corneal repair
B. Corneal repair, Lens extraction
C. Corneal repair, Lens extraction, IOL implantation
D. Corneal repair, Lens extraction, IOL implantation, post vitrectomy
84.During examination, a newborn has large cataract. When would you like to
operate?
A. Immediately
B. 3 months
C. 6 months
D. 2 year
85.Question abt peptidoglycan. Which is not true?
A. More in G(+) than in G(-)
B. Linkage of N acetyl glucosamine with muramic acid
C. Digested by lysosomes
D.
86.True about hapten:
A. Immunogenic and Reagenic
B. Immunogenic but not reagenic
C. Reagenic but not immunogenic
D. Not immunogenic and reagenic
87.Fc portion of Ig question:
88.What is the cause of proximal bronchiectasis?
A. Kartagener syndrome
B.
C.
D.
89.A child presents with recurrent respiratory tract infection, failure to thrive.
What is the relevant investigation?
A. Sweat chloride test
B.
C.

13. D.
90.Fuel used in the last hours of 48 hr starvation is:
A. Muscle glycogen
B. Acetoacetate
C. Amino acid
D.
91.Survival of graft in first 48 hrs is due to:
A. Ingrowth of capillaries in the graft
B. Plasmic imbibition
C.
D.
92.Drowning of body below neck. Which hormone secreted?
A. Brain natriuretic peptide
B. Atrial natriuretic peptide
C. Aldosterone
D.
93.Meningitis ko CSF sample ma capsular antigen postive:
A. Histoplasmacapsulatum
B. Cryptococcus neoformans
C. Candida albicans
D.
94.Not true about toxoplasma gondi:
A. Transplacental infection
B. Spread through cat faeces
C. Stool examination shows trophozoites
D.
95.Unsafe CSOM patient presents with high fever with chills and rigors, on fall of
temperature produces sweating. What is ur diagnosis?
A. Lateral Sinus Thrombosis
B. Cavernous Sinus Thrombosis
C. Brain Abscess
D.
96.A neonate presents with meningitis. On CSF examination, what is the finding?

14. A. Increased protein, Decreased glucose
B. Increased protein, Increased glucose
C. Decreased protein, Increased glucose
D. Decreased protein, Decreased glucose
97.A medical student develop TB. She is on ATT. Develops peripheral neuropathy.
Which of the following vitamin co-administration can prevent the conditon?
A. Pyridoxine
98.Developing MI was treated with thrombolytic therapy. What was the
pathological process going on?
A. Increased H+ ions
B.
C.
D.
99.Women on ATT and OCP gets pregnant. Which of the following drug is
responsible?
A. Rifampicin
B. Isoniazid
C.
D.
100. Oxytocin contracts:
A. Myoepithelial cells of breast
101. Which of the following not true about Lithium
A. Hemodialysis reqd if level more than 4 meq/L
B. diuretics decreses the plasma level
102. Which of the following drug prevents transmission of HIV from mother to
child?
A. Lamivudine
B. Stavudine
103. Which of the following produces schizophrenia like state?
A. Cannabis
B. Opium
C. Dhatura

15. 104. A 6 yr old child wakes up at middle of night, is unconsolable, sleeps and
doesn't remember the event next morning. What is Diagnosis?
A. Night Terror
B. Migraine
C. Psychiatric disorder
D.
105. Not true about methemoglobinemia:
A. Methylene blue is the Rx
B. O2 carrying capacity unchanged
C.
D.
106. Which of the following has perioperative cardiovascular complications?
A. History of MI
B. Unstable angina
C. Malignant arrhythmia
D.
107. Which of the following has gene ?expansion
A. Burkitt's Lymphoma
B. CML
C.
D.
108. A doctor who has negligence on treatment of assault case??
A. Res IpsaLoquitor
B. Novus actusinterviens
C. Medical malpractice
D.
109. In an incised wound, basal cell proliferation starts in:
A. 12 hrs
B. 18 hrs
C. 24 hrs
D.
110. Avulsion fracture is produced by:
A. Tearing or Shearing force

16. B.
111. True regarding extradural hematoma:
A. Rupture of middle meningeal artery
B. Burr hole and excavation of hematoma is the Rx of choice
C.
D.
112. Harm Reduction of "High Risk" strategy involves:
A. Prevention of sexually transmitted infections
B. Prevention of RTA due to Drug Abuse
C. Drug Trafficking
D.
113. Secondary survery in trauma involves:
A. Giving priority in care to those in need
B. Rule out major life threatening injury.
C. Systemic evaluation of injury
D.
114. Cyclical trend of disease is due to all of the following except:
A. Environmental condition
B. Buildup of susceptible
C. Variation in herd immunity
D. Antigenic shift
115. Obstructive Sleep Apnea is diagnosed when:
A. More than 30 episode, each lasting 10s or more in 6 hrs of sleep
B. More than 10 episode, each lasting 30s or more in 6 hrs of sleep
C.
D.
116. In iceberg phenomenon, the line differentiates between:
A. Diagnosed and Undiagnosed case
B. Apparent and Inapparent case
C. Symptomatic and Unsymptomatic case
D. Case and carrier
117. Vision 2020
A. Elimination of causes of preventable blindness by year 2020

17. 118. All of the following true about live vaccination except:
A. Dose is such that they can evoke immune response not disease
B. Risk of reversion to disease exists
C. Can induce mucosal IgA immunity
D. Immune response is via IgG
119. A compnany wants to sterilize disposable plastic syringe. What is the
method:
A. Ethylene Oxide Gas
B. Gamma radiation
C. UV radiation
D.
120. Immunogenicity of Rabies virus due to its which component??
121. Mean deviation is a measure of
A. Dispersion
122. Which of the following is not the major symptoms of depression:
A. Loss of Interest/Pleasure
B. Suicidal tendency
C. Low energy
D.
123. Ataxia, Intention tremor, Dysmetria feature of which diseased organ
A. Cerebellum
124. AVPU scale...for level of consciousness
125. Negri bodies are found in
A. Hippocampus
126. A pt presents with weakness of all 4 limbs (quadriparesis). What is the
investigation?
A. MRI
B. CT scan
127. A baby has upgoing Babinski reflex. Where is the lesion?
A. Brain stem
B. Pyramidal tract
C.
D

18. 128. A woman presents with hearing loss in left ear. AC>BC in left ear. Weber
test lateralized to right ear...What is diagnosis?
A. Multiple sclerosis
B. Basilar artery aneurysm
C. Acoustic neuroma
D. Meningioma
129. A young nonsmoker women presents with shortness of breath. She gives
the H/O similar episodes in her sister. What is the cause?
A. Deficiency of alpha 1 anti-trypsin
B. Deficiency of elastase
C.
D.
130. All of the following true about cardiac tamponade except:
A. Volume as less as ?400ml can cause
B. Peak 'x' wave in JVP
C.
D.
131. Not seen in brugada syndrome?
A. Young male
B narrow QRS
CProlong QT interval
D
132. Attitude changed in
A. Face presentation
B. Breech presentation
C. Vertex
D. Occiptio posterior
133. Smallest AP diameter in pelvis
A. Obstetric conjugate
B. True conjugate
C. Diagnoal conjugate
D. Interspinous diameter
134. Which of the following not a change in pregnancy?

19. A. Decreased BP
B. Increased HDL
C.
D.
135. Not seen in tumor lysis syndrome
A. Hpocalcemia
B. hypokalemia
C.
D.
136. child widchorioretinitis, microcephaly,intracerebral calcification:
A. Toxoplasma gondi
B. Primary syphilis
137. A child presents with recurrent fracture, decreased bone density.
Diagnosis?
A. Osteogenesisimperfecta
B. Osteopetrosis
138. Rolled out edge ulcer seen in:
A. Squamous Cell Carcinoma
139. Marjolin's ulcer is a type of
A. Squamous cell carcinoma
B. Basal cell carcinoma
140. Tumor marker of Medullary Ca of Thyroid
A. Calcitonin
141. Most common histological type of Ca Thyroid:
A. Papillary Ca
B. Medullary Ca
C. Follicular Ca
D. Anaplastic Ca
142. Dangerous carcinoma occuring in young female:
A. Vaginal adenocarcinoma
B. Sarcoma botyroides
C.
D.

20. 143. Which of the following is not cycloplegic?
A. Phenylephrine
B. Tropicamide
C. Cyclopentolate
D. Homatropine
144. Which of the following test not used to detect hearing in infants?
A. PTA
B. Electro acoustic emission
C. Stapedial reflex
D.
145.