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Doctopia.in 9 AM Live Quiz

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

A patient presents with loss of sensation on the posterior 1/3 of the tongue and absent gag reflex. Which foramen of the skull base is likely involved in the compression of the nerve responsible?

a)

Foramen Ovale

b)

Jugular Foramen

c)

Hypoglossal Canal

d)

Stylomastoid Foramen

2.

The "Cruciate Anastomosis" at the back of the upper thigh maintains blood supply to the lower limb if the External Iliac artery is blocked. It is formed by the Medial and Lateral Circumflex Femoral arteries, the First Perforating artery, and the:

a)

Superior Gluteal Artery

b)

Inferior Gluteal Artery

c)

Obturator Artery

d)

Internal Pudendal Artery

3.

In the pulmonary circulation, Hypoxia causes:

a)

Vasodilation

b)

Vasoconstriction

c)

Bronchoconstriction

d)

No change in vessel diameter

4.

Which of the following conditions decreases the Diffusion Capacity of the Lung for Carbon Monoxide (DLCO)?

a)

Bronchial Asthma

b)

Pulmonary Hemorrhage

c)

Emphysema

d)

Polycythemia

5.

A child presents with failure to thrive, megaloblastic anemia, and crystals in the urine (orotic acid). Ammonia levels are normal. This distinguishes Orotic Aciduria from:

a)

Ornithine Transcarbamylase (OTC) Deficiency

b)

Carbamoyl Phosphate Synthetase I Deficiency

c)

Arginase Deficiency

d)

Citrullinemia

6.

The "Folate Trap" hypothesis explains why a deficiency of Vitamin B12 leads to a functional deficiency of Folate. This is because B12 is a cofactor for the enzyme:

a)

Methylenetetrahydrofolate Reductase (MTHFR)

b)

Methionine Synthase

c)

Cystathionine Beta-Synthase

d)

Thymidylate Synthase

7.

A patient presents with hemoptysis and renal failure. Lung biopsy shows intra-alveolar hemorrhage, and renal biopsy shows crescentic glomerulonephritis. Immunofluorescence shows a Linear deposition of IgG along the GBM. The diagnosis is:

a)

Granulomatosis with Polyangiitis (Wegener's)

b)

Goodpasture’s Syndrome

c)

Post-Streptococcal Glomerulonephritis

d)

IgA Nephropathy

8.

Which of the following thyroid tumors is associated with Psammoma Bodies and Orphan Annie Eye nuclei?

a)

Follicular Carcinoma

b)

Medullary Carcinoma

c)

Papillary Carcinoma

d)

Anaplastic Carcinoma

9.

Methicillin-Resistant Staphylococcus Aureus (MRSA) is resistant to all beta-lactams due to the mecA gene, which codes for an altered:

a)

Beta-lactamase enzyme

b)

Penicillin-Binding Protein (PBP2a)

c)

DNA Gyrase

d)

Porin channel

10.

Which is the best indicator of the efficacy of Moist Heat Sterilization (Autoclave)?

a)

Bacillus atrophaeus spores

b)

Geobacillus stearothermophilus spores

c)

Clostridium tetani spores

d)

Browne's tubes

11.

A patient on Warfarin develops skin necrosis shortly after starting therapy. This complication is due to the rapid drop in levels of:

a)

Factor VII

b)

Protein C

c)

Factor II

d)

Antithrombin III

12.

Which drug used in Diabetes Mellitus acts by inhibiting the SGLT-2 transporter in the proximal tubule, causing glycosuria?

a)

Exenatide

b)

Dapagliflozin

c)

Acarbose

d)

Repaglinide

13.

The Takayama Test is a microcrystalline confirmatory test used for the detection of:

a)

Semen

b)

Saliva

c)

Blood (Hemochromogen crystals)

d)

Urine

14.

A doctor performs a surgery rashly and negligently, resulting in the death of the patient. He is liable to be charged under which section of the Indian Penal Code (IPC)?

a)

Section 302

b)

Section 304

c)

Section 304A

d)

Section 338

15.

"Attributable Risk" (Risk Difference) helps in determining:

a)

The strength of association between risk factor and disease

b)

The impact of a prevention program on the community

c)

The diagnostic accuracy

d)

The incidence of disease

16.

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the NHM. The cash assistance is given to mothers primarily to promote:

a)

Family Planning

b)

Institutional Delivery

c)

Breastfeeding

d)

Immunization

17.

A patient presents with pulsatile tinnitus and a reddish mass behind the tympanic membrane ("Rising Sun" sign). The diagnosis is:

a)

Acoustic Neuroma

b)

Glomus Jugulare

c)

Cholesteatoma

d)

Otosclerosis

18.

Sympathetic Ophthalmia is an autoimmune reaction against:

a)

Retinal S-antigen (Uveal pigment)

b)

Lens protein

c)

Cornea

d)

Optic nerve myelin

19.

In Multiple Myeloma, the renal failure ("Myeloma Kidney") is primarily caused by:

a)

Amyloidosis

b)

Hypercalcemia

c)

Bence Jones proteins (Light chains) forming casts

d)

Uric acid nephropathy

20.

Trousseau’s Sign (Carpopedal spasm) is elicited by inflating a BP cuff above systolic pressure. This is a sign of:

a)

Hypocalcemia (Tetany)

b)

Hypercalcemia

c)

Hypokalemia

d)

Hypernatremia

21.

A 25-year-old male presents with chronic low back pain and morning stiffness that improves with exercise. HLA-B27 is positive. The earliest radiological sign of Ankylosing Spondylitis is:

a)

Bamboo Spine

b)

Sacroiliitis (blurring of joint margins)

c)

Dagger Sign

d)

Squaring of vertebrae

22.

In the Couinaud Classification of liver segments, the Caudate Lobe is designated as:

a)

Segment I

b)

Segment IV

c)

Segment VIII

d)

Segment V

23.

"Runt of the Litter" (a small, firm, pale testis) is typically seen in:

a)

Undescended Testis (Cryptorchidism) after orchidopexy

b)

Varicocele

c)

Kallmann Syndrome

d)

Klinefelter Syndrome

24.

A primary amenorrhea patient presents with normal breast development but absent uterus and sparse pubic hair. Karyotype is 46,XY. The diagnosis is:

a)

Mullerian Agenesis (MRKH Syndrome)

b)

Androgen Insensitivity Syndrome (AIS)

c)

Turner Syndrome

d)

Swyer Syndrome

25.

Vasa Previa is best diagnosed clinically by the presence of:

a)

Painless bleeding

b)

Palpable pulsating vessels through the membrane

c)

Severe abdominal pain

d)

High floating head

26.

Cyanosis that does NOT improve with 100% Oxygen (Hyperoxia test) suggests:

a)

Severe Pneumonia

b)

Cyanotic Congenital Heart Disease (Right-to-Left shunt)

c)

Pulmonary Edema

d)

Asthma

27.

A newborn has a "Scaphoid Abdomen" and respiratory distress. Bowel sounds are heard in the chest. The diagnosis is:

a)

Necrotizing Enterocolitis

b)

Congenital Diaphragmatic Hernia (CDH)

c)

Esophageal Atresia

d)

Omphalocele

28.

"Fallen Leaf Sign" (cortical fragment fallen into a cystic cavity) is pathognomonic of:

a)

Simple Bone Cyst (Unicameral)

b)

Aneurysmal Bone Cyst

c)

Osteosarcoma

d)

Fibrous Dysplasia

29.

Brown-Séquard Syndrome (Hemisection of the spinal cord) results in:

a)

Contralateral loss of motor function

b)

Ipsilateral loss of Pain and Temperature

c)

Contralateral loss of Pain and Temperature

d)

Bilateral loss of Vibration

30.

"Wickham's Striae" are seen in Lichen Planus. The characteristic histological finding of Lichen Planus is:

a)

Munro Microabscesses

b)

Saw-tooth Rete Ridges

c)

Acantholysis

d)

Keratin Pearls

31.

Pellagra (Niacin deficiency) is characterized by the 3 D's. The skin rash typically presents as:

a)

Casal’s Necklace (photosensitive dermatosis)

b)

Erythema Nodosum

c)

Generalized exfoliative dermatitis

d)

Purpura

32.

Reaction Formation is a defense mechanism defined as:

a)

Redirecting emotions to a safer target

b)

Transforming unacceptable impulses into their opposite

c)

Justifying behavior with logical reasons

d)

Returning to an earlier stage of development

33.

Wernicke's Encephalopathy is characterized by the triad of Ophthalmoplegia, Ataxia, and Confusion. The specific ocular sign most commonly seen is:

a)

Nystagmus (Lateral Rectus Palsy)

b)

Ptosis

c)

Fixed dilated pupils

d)

Retinal hemorrhage

34.

The "Snowman" or "Figure of 8" appearance of the heart on Chest X-ray is seen in:

a)

Tetralogy of Fallot

b)

Transposition of Great Arteries

c)

Supracardiac Total Anomalous Pulmonary Venous Connection (TAPVC)

d)

Tricuspid Atresia

35.

Which inhalational anesthetic agent is known to cause Diffusion Hypoxia (Fink Effect) during recovery?

a)

Halothane

b)

Sevoflurane

c)

Nitrous Oxide (N2O)

d)

Isoflurane

36.

In a patient with Head Injury, Cushing’s Reflex (Response to raised ICP) presents as:

a)

Hypertension and Tachycardia

b)

Hypotension and Bradycardia

c)

Hypertension and Bradycardia

d)

Hypotension and Tachycardia

37.

"Splinter Hemorrhages" in the nails and "Osler’s Nodes" (painful pads on fingers) are signs of:

a)

Infective Endocarditis

b)

Rheumatoid Arthritis

c)

Psoriasis

d)

Iron Deficiency

38.

Charcot's Joint (Neuropathic Arthropathy) is most commonly caused by:

a)

Diabetes Mellitus

b)

Syphilis (Tabes Dorsalis)

c)

Syringomyelia

d)

Leprosy

39.

The Bishop Score uses 5 parameters. Which of the following is NOT a parameter?

a)

Cervical Dilation

b)

Cervical Effacement

c)

Fetal Heart Rate

d)

Station of the Head

40.

Any Feed back ?

4 lines