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Doctopia.in Jan 3 8pm

Total questions: 41

Worksheet time: 21mins

Name
Class
Date
1.

The Ureter is crossed anteriorly by the Gonadal vessels. However, at the level of the Ischial Spine, the Ureter itself crosses anterior to the:

a)

Internal Iliac Artery

b)

External Iliac Artery

c)

Common Iliac Artery bifurcation

d)

Obturator Nerve

2.

In a patient with a Pancoast Tumor (superior sulcus tumor of the lung), the involvement of the Stellate Ganglion results in:

a)

Hoarseness of voice

b)

Upper limb paresthesia

c)

Horner's Syndrome

d)

Superior Vena Cava Syndrome

3.

In the cardiac cycle, the "a wave" of the Jugular Venous Pulse (JVP) corresponds to:

a)

Atrial contraction

b)

Isovolumetric ventricular contraction

c)

Passive atrial filling

d)

Opening of the Tricuspid valve

4.

Which of the following gastrointestinal peptides is the potent stimulator of the Migrating Motor Complex (MMC) during the inter-digestive (fasting) phase?

a)

Gastrin

b)

Motilin

c)

Secretin

d)

CCK

5.

Congenital Adrenal Hyperplasia (CAH) due to 21-Hydroxylase Deficiency presents with:

a)

Hypertension and Hypokalemia

b)

Hypotension (Salt wasting) and Hyperkalemia

c)

Hypertension and Virilization

d)

Normotension and Hypokalemia

6.

The amino acid Tryptophan is the precursor for the synthesis of Niacin, Melatonin, and Serotonin. Which vitamin is the essential cofactor for the conversion of Tryptophan to Niacin?

a)

Vitamin B1

b)

Vitamin B2

c)

Vitamin B6 (Pyridoxine)

d)

Vitamin B12

7.

"Nutmeg Liver" is a gross feature of Chronic Venous Congestion (CVC). Histologically, this appears as:

a)

Centrilobular necrosis with peripheral fatty change

b)

Periportal necrosis with central fatty change

c)

Diffuse fibrosis

d)

Piecemeal necrosis

8.

Which specific marker is used to distinguish Small Cell Lung Carcinoma (SCLC) from Non-Small Cell Lung Carcinoma on immunohistochemistry?

a)

Cytokeratin

b)

Chromogranin / Synaptophysin

c)

TTF-1 alone

d)

p63

9.

A patient with high fever and lymphadenopathy has a history of a scratch from a kitten. The causative organism, Bartonella henselae, is best visualized using:

a)

Gram Stain

b)

Warthin-Starry Silver Stain

c)

Ziehl-Neelsen Stain

d)

Giemsa Stain

10.

Scrub Typhus, caused by Orientia tsutsugamushi, typically presents with an Eschar at the bite site. The vector is the:

a)

Hard Tick

b)

Soft Tick

c)

Trombiculid Mite (Chigger)

d)

Rat Flea

11.

Which anti-arrhythmic drug causes Pulmonary Fibrosis, Thyroid dysfunction (Hypo/Hyper), and Corneal micro-deposits as major side effects?

a)

Lidocaine

b)

Verapamil

c)

Amiodarone

d)

Digoxin

12.

Clozapine, an atypical antipsychotic, is unique because it reduces the risk of suicide but requires monitoring for Agranulocytosis. It is also noted for causing:

a)

Excessive drooling (Sialorrhea)

b)

Severe dry mouth

c)

Urinary retention

d)

Hyperprolactinemia

13.

"Lucid Interval" is characteristic of Extradural Hemorrhage. However, it can occasionally be seen in:

a)

Subdural Hemorrhage

b)

Insanity defense cases

c)

Organophosphate poisoning

d)

Hydrocephalus

14.

The "Pugilistic Attitude" (Boxer's posture) of a burnt body is due to:

a)

Attempt to fight off the fire

b)

Coagulation of muscle proteins causing flexion

c)

Rigor mortis

d)

Cadaveric spasm

15.

Type I Error (Alpha error) in statistics occurs when:

a)

We accept a False Null Hypothesis

b)

We reject a True Null Hypothesis

c)

Sample size is too small

d)

Measurement bias is present

16.

The Disability-Adjusted Life Year (DALY) is calculated as the sum of:

a)

Years of Life Lost (YLL) + Years Lived with Disability (YLD)

b)

Life Expectancy - Age at death

c)

Quality Adjusted Life Years (QALY) + YLL

d)

Incidence x Duration

17.

Nasal Myiasis (Maggots in the nose) is treated by instilling:

a)

Liquid Paraffin or Chloroform water

b)

Saline

c)

Antibiotic drops

d)

Steroid drops

18.

A patient presents with sudden painless loss of vision. Fundoscopy shows a "Blood and Thunder" appearance. The diagnosis is:

a)

Central Retinal Artery Occlusion (CRAO)

b)

Central Retinal Vein Occlusion (CRVO)

c)

Diabetic Retinopathy

d)

Vitreous Hemorrhage

19.

In Hypertrophic Obstructive Cardiomyopathy (HOCM), the intensity of the systolic murmur increases with:

a)

Squatting

b)

Handgrip

c)

Valsalva Maneuver

d)

Passive leg raising

20.

A patient with Wallenberg Syndrome (Lateral Medullary Syndrome) presents with crossed sensory loss. This is due to occlusion of the:

a)

Anterior Spinal Artery

b)

Posterior Inferior Cerebellar Artery (PICA)

c)

Anterior Inferior Cerebellar Artery (AICA)

d)

Basilar Artery

21.

The "Dawn Phenomenon" in Diabetes refers to:

a)

Hypoglycemia at night followed by rebound hyperglycemia

b)

Hyperglycemia in the early morning due to Growth Hormone/Cortisol surge

c)

Hyperglycemia after meals

d)

Insulin resistance due to obesity

22.

Reynaldo’s Pentad for Acute Cholangitis includes Charcot's Triad plus:

a)

Hypotension and Confusion

b)

Renal Failure and Shock

c)

Vomiting and Diarrhea

d)

Anemia and Weight loss

23.

The eFAST exam includes screening for Pneumothorax. The probe is placed:

a)

2nd Intercostal space, mid-clavicular line

b)

5th Intercostal space, mid-axillary line

c)

Subxiphoid

d)

Suprasternal

24.

On Cardiotocography (CTG), Early Decelerations are caused by:

a)

Fetal Head Compression

b)

Uteroplacental Insufficiency

c)

Cord Compression

d)

Fetal Acidosis

25.

The drug of choice for Chorioamnionitis during labor is:

a)

Metronidazole

b)

Ampicillin and Gentamicin

c)

Ceftriaxone

d)

Vancomycin

26.

Intussusception in children is diagnosed on ultrasound by the:

a)

Target Sign / Pseudo-kidney Sign

b)

Whirlpool Sign

c)

String Sign

d)

Double Bubble Sign

27.

A neonate with Blueberry Muffin rash, cataracts, and celery stalk metaphysis most likely has:

a)

Congenital Rubella

b)

Congenital Syphilis

c)

Congenital Toxoplasmosis

d)

Congenital CMV

28.

"Codman’s Triangle" and "Sunburst" appearance are seen in:

a)

Ewing’s Sarcoma

b)

Osteosarcoma

c)

Chondrosarcoma

d)

Giant Cell Tumor

29.

The nerve most commonly injured in Monteggia fracture-dislocation is the:

a)

Anterior Interosseous Nerve

b)

Posterior Interosseous Nerve

c)

Ulnar Nerve

d)

Median Nerve

30.

Malignant Acanthosis Nigricans is a paraneoplastic sign of:

a)

Gastric Adenocarcinoma

b)

Lung Cancer

c)

Lymphoma

d)

Melanoma

31.

Koebner Phenomenon is seen in Psoriasis, Lichen Planus, and:

a)

Vitiligo

b)

Pemphigus

c)

Acne

d)

Tinea

32.

SSRI Discontinuation Syndrome commonly presents with:

a)

"Electric shock" sensations

b)

Seizures

c)

Psychosis

d)

Severe hypertension

33.

The "Sail Sign" on chest X-ray in infants represents:

a)

Pneumonia

b)

Normal Thymus

c)

Enlarged Heart

d)

Collapsed Lung

34.

Osteoblastic skeletal metastases are characteristic of:

a)

Thyroid Cancer

b)

Renal Cell Carcinoma

c)

Prostate Cancer

d)

Lung Cancer

35.

The Mapleson A circuit is best for:

a)

Spontaneous Ventilation

b)

Controlled Ventilation

c)

Paediatric cases

d)

MRI

36.

In Carbon Monoxide poisoning, pulse oximetry typically shows:

a)

Very low saturation

b)

Falsely normal/high saturation

c)

Fluctuating saturation

d)

Zero saturation

37.

Pulsus alternans is a sign of:

a)

Cardiac Tamponade

b)

Severe Left Ventricular Failure

c)

Atrial Fibrillation

d)

Aortic Regurgitation

38.

Desmoid tumors are commonly associated with:

a)

Neurofibromatosis

b)

Familial Adenomatous Polyposis

c)

Li-Fraumeni Syndrome

d)

MEN Syndrome

39.

A sinusoidal fetal heart rate pattern on CTG indicates:

a)

Severe Fetal Anemia

b)

Fetal Sleep

c)

Cord Compression

d)

Maternal Fever

40.

Which diuretic is most associated with ototoxicity?

a)

Hydrochlorothiazide

b)

Furosemide

c)

Spironolactone

d)

Mannitol

41.

Any Feedback ?

4 lines