FMGE Recall Questions - January 2024 PDF

FMGE Recall Questions JANUARY 2024 92% From Topics Covered 180+ Direct Questions 95+ MCQs from Quick Revision Program 85+ MCQs from Test & Discussion, Mock Exams Arise Content has, once again, proven to be THE GOLD STANDARD in FMGE. ARISE RECALL JAN 2024...

FMGE Recall Questions JANUARY 2024 92% From Topics Covered 180+ Direct Questions 95+ MCQs from Quick Revision Program 85+ MCQs from Test & Discussion, Mock Exams Arise Content has, once again, proven to be THE GOLD STANDARD in FMGE. ARISE RECALL JAN 2024 Anatomy 1. Identify the Marked structure in the given image A. Right atrium B. Left atrium C. Right ventricle D. Left atrium 2. Identify the muscle tendon forming the arrow marked boundary ? A. Extensor Pollicis Longus B. Extensor Pollicis Brevis C. Abductor Pollicis Longus D. Abductor Pollicis Brevis ARISE MEDICAL ACADEMY 1 ARISE RECALL JAN 2024 3. What is the vertebral level for the red colour plane shown in the image ? A. T12 B. L1 C. L2 D. L3 4. A newborn is having a congenital defect as shown in the picture. What is the developmental defect responsible ? A. Failure in closure defect of anterior neuropore at 4 wks intra uterine life B. Failure in closure defect of posterior neuropore at 6 wks intra uterine life C. Failure in closure defect of posterior neuropore at 4 wks intra uterine life D. Failure in closure defect of anterior neuropore at 6 wks intra uterine life ARISE MEDICAL ACADEMY 2 ARISE RECALL JAN 2024 5. Identify the blue arrow marked structure A. Flexor carpi ulnaris B. Flexor carpi radialis C. Palmaris longus D. Flexor carpi superficialis 6. Which muscle is attached to the arrow marked area of the bone A. Sartorius B. Adductor longus C. Psoas Major D. Gluteus medius ARISE MEDICAL ACADEMY 3 ARISE RECALL JAN 2024 7. Identify the shown congenital anomaly in which intestinal loops are present outside the abdominal cavity covered by amniotic membrane ? A. Gastroschisis B. Omphalocele C. Omphalocele with enteric cyst D. Umbilical hernia 8. Which structure is the maternal component of placenta ? A. Decidua Basalis B. Chorion frondosum C. Decidua capsularis D. Decidua parietalis 9. Which of the following structure forms the lateral boundary of Hesselbach’s triangle? A. Femoral vessels B. Inferior epigastric vessels C. Inguinal ligament D. Rectus Abdominis ARISE MEDICAL ACADEMY 4 ARISE RECALL JAN 2024 10. identify the type of joint marked by the arrow ? A. Synovial Joint B. Saddle Joint C. Pivot Joint D. Plane Joint 11. Match the following structures along with the markings A. a-Liver, b-Pancreas,c- Spleen B. a-Spleen, b- Pancrcas, c-Left kidney C. a- kidney, b- Pancreas, c. spleen D. a-Right kidney, b- Pancrcas, c-Left kidney 12. What is the landmark in which Common carotid artery is felt against C6 tubercle? A. Angle of mandible B. Suprasternal notch C. Laryngeal prominence D. Arch of Cricoid cartilage ARISE MEDICAL ACADEMY 5 ARISE RECALL JAN 2024 13. Dorsal mesentery of esophagus forms which component of diaphragm? A. Pleuroperitoneal membrane B. Crus of diaphragm C. Septum transversum D. From medial to Lateral part of diaphragm 14. For the conjoint tendon, all are true Except? A. Formed by the internal oblique aponeurosis &Transversus abdominis aponeurosis B. Forms the posterior wall of Inguinal canal C. Protects the superficial inguinal ring to maintain integrity of inguinal canal D. Runs parallel to the inguinal ligament Physiology 15. A patient presented with wheezing and shortness of breath and low FEV1. Which of the following conditions will have the same? A. Asthma b. Interstitial lung disease C. Idiopathic Pulmonary Fibrosis d. Silicosis 16. A 23 year old man comes to hospital. O/E BP — 150/90 mmhg, afebrile. On further evaluation Serum Renin found normal, he is diagnosed with conns syndrome. All are true about conns syndrome except — A. Metabolic alkalosis B. Metabolic acidosis C. Hypertension D. Low renin levels 17. Kinesin, dynein and myosin protein are example of A. Transcellular molecule. B. Intracellular molecule C. Molecular motor D. Cell adhesion molecule ARISE MEDICAL ACADEMY 6 ARISE RECALL JAN 2024 18. Voltage gated calcium channel present on T tubule is- A. Ryanodine receptor. B. Dihydropyridine receptor C. SERCA D. L- type of calcium channel 19. A mother comes to hospital with newborn baby, on examination surfactant not adequately found and collapse alveoli seen. What will be most probable diagnosis — A. Bronchial asthma B. Respiratory distress syndrome C. Pneumonia D. Pleural effusion 20. A Man ate 3 cones of ice-cream. After some time he starts felling more colder ear than central part of body. Which part of brain responsible thermo regulation A. Thalamus B. Hypothalamus C. Amygdala D. cerebellum 21. A person with history of RTA admitted in hospital. He is able to understand his friend talks. He is trying to speak something to his friend but he is unable to speak (non fluent aphasia). Which part of brain most likely to be injured in this case — A. Wernicke’s area B. Broca’s area C. Angular gyrus D. Arcuate fasciculus 22. cell membrane charge will be maintained by which of the following channels A. Na-K with primary active transport B. Gibbs donan equation C. Na-Cl pump D. Na-K with secondary active transport 23. Which of the following factor derived from Arterial blood Gas analysis A. Bicarbonate B. PO2 C. PCo2 D. pH ARISE MEDICAL ACADEMY 7 ARISE RECALL JAN 2024 24. A patient present in ER with hypotension. On auscultation dullness of heart sound and dilated neck veins diagnosed with cardiac tamponade. Which of the following finding can be seen on JVP. A. Rapid Y descent B. Absent Y descent C. Absent A wave D. Canon A wave - 25. In lumen of the venules which type of cells will be in the center? A. Lymphocytes B. Neutrophils C. Macrophage D. RBCs Biochemistry 26. Iron absorption is inhibited by which of the following? A. Indian gooseberry -Amla B. Lime juice C. Tea D. Sprouts 27. Which of the following Amino acid is responsible for the buffering(neutralize) of blood ? A. Histidine B. Valine C. Glycine D. Asparagine 28. Intracellular accumulation of cholesterol and cholesterol esters / fats seen in which of the following? 1. Tendon xanthomas 2. Primary familial hypercholesterolemia (receptor defect ) 3. Strawberry gallbladder 4. Niemann pick disease 5. Abetalipoproteinemia A. 1,2,3 B. 3,4,5 C. 1,2,5 D. 1,3,5 ARISE MEDICAL ACADEMY 8 ARISE RECALL JAN 2024 29. A patient presented with increased thickness in her palms and soles, on evaluation tyrosine transaminase was found to be deficient , identify the following condition ? A. Type 1 tyrosinemia B. Type 2 tyrosinemia C. Alkaptonuria D. Homocystinuria 30. You are posted as an intern in pediatric department where a mother brings her child with fatigue bleeding gums and joint pain along with bowing of legs and petechial hemorrhage under skin. What is the next step in management ? A. High doses of vitamin D B. High doses of vitamin C C. High dose of vitamin E D. High dose of vitamin A 31. During an antenatal checkup it was found that an expectant mother is on a strict vegetarian diet. Which of the following vitamin deficiency is most likely to be seen in her baby ? A. vitamin B1 B. vitamin B2 C. vitamin B9 D. vitamin B12 32. A patient presents with complaints of diarrhea on examination he has a combination of cheilitis ,stomatitis, glossitis , glove and stocking pattern of neuropathy and rashes over the sun exposed area around the neck. Upon further investigation. it is discovered that the individual has a diet deficient in a specific nutrient. Which vitamin deficiency is most likely responsible for this clinical presentation: A. Vitamin B12 deficiency B. Riboflavin deficiency C. Niacin deficiency D. Thiamine deficiency 33. Which deficiency leads to xerophthalmia and follicular hyperkeratosis ? A. Vitamin A B. Niacin C. Biotin D. Riboflavin ARISE MEDICAL ACADEMY 9 ARISE RECALL JAN 2024 34. Which of the following is a precursor of niacin:( niacin is involved in synthesis of which of the following ) A. Riboflavin B. Tryptophan C. Thiamine D. Pyridoxine 35. Lactulose is made up of? A. Galactose and Glucose B. Glucose and Fructose C. Galactose and Fructose D. Galactose and mannose 36. Which amino acids are essential for purine ring formation? A. Glutamate , Aspartate, Valine B. Glycine, Aspartate, Glutamine C. Leucine, Aspartate, Glutamate D. Lysine, Asparagine, Glutamine 37. If the RNA contains the coding sequence as CAAGGU, then what will be the sequence in DNA from where it is transcribed ? A. CAAGGT B. GTTCCA C.ACCTTG D. TGGAAC 38. Which of the following additive is used in the following tube? A. EDTA B. Na citrate C. K oxalate D. Fluoride ARISE MEDICAL ACADEMY 10 ARISE RECALL JAN 2024 39. Which of the following enzyme is being inhibited by statin drugs used for hypercholesterolemia ? A. HMG CoA Synthase B. HMG CoA Reductase C. 1 alpha hydroxylase D. 7 alpha hydroxylase 40. Which of the following is best suited homeostatic mechanism to counter hyperammonaemia in brain that help in ammonia transport from brain to liver is ? A. Glutamine B. Glycine C. Alpha keto glutarate D. Alanine 41. The enzyme helping in linking the glycolysis with hexose monophosphate shunt is ? A. Glucose 6 Phosphatase B. Glucose 6 Phosphate Dehydrogenase C. Trans-aldolase D. Hexokinase 42. A 3 year old male presented to OPD with intractable seizure, Lactic acidosis, hyperammonemia and encephalopathy who was eventually shifted to ICU for further management A. mitochondrial Encephalopathy B. urea cycle defect C. Glycolysis defect D. PDH complex deficiency 43. Marker enzyme of mitochondrial matrix is A. ATP synthase B. MAO C. Fatty acyl CoA synthase D. Citrate synthase 44. Which GLUT transporter present in skeletal muscle and adipose tissue is A.GLUT 1 B.GLUT 2 C.GLUT3 D.GLUT 4 45. Which of the following protein has the triple helical structure ? A. Albumin B. Collagen C. Myoglobulin D. Keratin ARISE MEDICAL ACADEMY 11 ARISE RECALL JAN 2024 46. Which of the following is wrong about collagen? a. Type I in ligaments and bone b. Type II in tendon c. Type II in perichondrium d. Type I in joint capsule Pathology 47. A 7-year-old boy presents with a history of recurrent bacterial and fungal infections, particularly involving the skin and respiratory tract. The patient’s parents report that he has had multiple abscesses and lymphadenitis. Dihydrorhodamine (DHR) test results show an abnormal pattern. What is the primary suspicion based on these findings? A. Chronic Granulomatous Disease B. SCID C. Sialyl Lewis X defect D. Leucocyte Adhesion Defect 48. A Adult male presents with features of massive splenomegaly. On examination his TLC was more than 85,000/mm3 with immature cells and shift to left with the presence of Philadelphia chromosome. Mutation associated with Philadelphia chromosome is ? A. Balanced Reciprocal translocation B. Inversion C. Deletion D. Insertion 49. A dwarf Female patient bought to the hospital with history of primary amenorrhea, webbed neck, widely placed nipple. What is the most common monosomy associated with this condition ? A. 47XXY B. 45XX C. 45X0 D. 46XY 50. Apoptotic bodies comprise of which of the following ? A) include cytoplasm + intranuclear +organelle B) cytoplasm + organelle C) organelle + intranuclear D) only organelle ARISE MEDICAL ACADEMY 12 ARISE RECALL JAN 2024 51. A Patient presented with fatigue, pallor. investigations shows hb-5.8gm/dl, low ferritin, high TIBC, low MCV, high RDW. Diagnosis is ? A. Iron Deficiency Anemia B. Megaloblastic anemia C. Anemia of Chronic Disease D. Sideroblastic anemia 52. A Patient presented with fatigue, lethargy, pallor, On evaluation HB- 5.6, biochemical analysis shows raised indirect bilirubin. complains of right index finger pain. Diagnosis is A. Sickle cell crisis B. Thalassemia C. Autoimmune hemolytic anemia D. Microangiopathic anemia 53. ABO incompatibility not occurring in pregnancy due to which antibody? A. lgM B. IgG C.IgA D. IgD 54. Multiple Endocrine Neoplasia -1 syndrome is associated with of the following ? A. Renal cell carcinoma B. Parotid tumor C. Pheochromocytoma D. Parathyroid tumor 55. ​which of the following statement is correct about NF-1 A. Having no other malignancy associated B. Autosomal Recessive disorder C. assosiated with optic pathway glioma D. associated with Av malformations 56. A farmer presents with a lesion in his shoulder , the histopathology of the lesion shows the following appearance , What will be the diagnosis ? ARISE MEDICAL ACADEMY 13 ARISE RECALL JAN 2024 A. Squamous Cell Carcinoma B. Basal Cell Carcinoma C. Moluscum contagiosum D. Verrucous carcinoma 57. A male Patient presented with infertility history of recurrent sinusitis and pulmonary infection , bronchiectasis and situs inversus. Identify the condition associated with these features A. Kartagener syndrome B. Kallaman syndrome C. Cystic fibrosis D. Klinefelter syndrome 58. A hypertensive Female patient presented with skin hyperpigmentation, On evaluation High ACTH levels even after giving high dose of dexamethasone. Diagnosis is ? A. Ectopic ACTH secreting tumor B. iatrogenic Cushing syndrome C. Hyperaldosteronism D. Pituitary Adenoma 59. Reiter syndrome is associated with A. HLA-D2 B. HLA-B27 C. HLA-DR3 D. HLA-DR4 60. Sequence of wound healing ? A. vasoconstriction - inflammation -Hypercoagulability - proliferation – remodelling B. Inflammation- hemostasis – proliferation - remodelling C. proliferation - remodelling -vasoconstriction - inflammation - Hypercoagulability D. remodelling -vasoconstriction - inflammation - Hypercoagulability- proliferation 61. Sample taken for diagnosis of infective endocarditis A. 2 sample 1 aerobic and 1 anaerobic B. 3 sample 1 aerobic and 2 anaerobic C. Only 2 anaerobic D. ​3 sample - 2 aerobic,1anaerobic ARISE MEDICAL ACADEMY 14 ARISE RECALL JAN 2024 62. Which of the following is used as a diagnostic test for CML ? A. FISH B. BMB C.LAP score D.Karyotyping 63. NETSs include all of the following except: A. Sepsis B. Phagocytosis C. Associated with SLE D. Arginine/citrulline involvement 64. A patient of Beta thalassemia is started with blood transfusion , after starting the transfusion the patient is complaining of fever , anxiety and features of hypotension , what is the next best step ? A. Stop the transfusion B. Stop the transfusion and restart when patient becomes normal C. Administer IV hydrocortisone. D. Wait and watch Microbiology 65. A 14-year-old boy from kerala presents with fever, headache, and drowsiness. His family reports that he had consume palm fruit recently. Considering the geographic location and exposure history, which virus should be considered in the differential diagnosis? A. Dengue virus B. Nipah virus C. Ebola virus D. Chikungunya virus 66. A 45-year-old HIV-positive patient presents with persistent headaches, confusion, and a gradual onset of fever. A lumbar puncture is performed, revealing an elevated opening pressure and a cerebrospinal fluid analysis showing a positive India ink stain. What is the most likely diagnosis? A. Bacterial meningitis B. Viral encephalitis C. Cryptococcus neoformans D. Tuberculous meningitis ARISE MEDICAL ACADEMY 15 ARISE RECALL JAN 2024 67. Reservoir for Kala azar is ? A. Humans B. Fox C. Dogs D. Pig 68. A 40 year old male is having a pet dog in his house. He presented to the hospital with pain in right upper abdomen. On evaluation, loculated collection was found in the liver. Which of the following is likely organism implicated in this pathology? A. Echinococcus granulosus B. Tenia solium C. Fasciola D. Entamoeba coli 69. A female presented with curdy white discharge on examination gram positive buddings yeasts are seen , the organism responsible is ? A. Candida albicans B. Trichomonas C. Gardnerella vaginalis D. Chlamydia 70. A patient of tuberculosis , is started on HRZE and underwent CBNAAT, the investigation will show which of the following ? A. Mycobacterium tuberculosis B. MTB + Rifampicin resistance C. MTB + Isoniazid resistance D. MTB + Ethambutol and rifampicin. 71. A Patient presented with history of acute rheumatic fever and infective endocarditis, Examination shows the presence of gram positive cocci in chains , the causative agent responsible will be ? ARISE MEDICAL ACADEMY 16 ARISE RECALL JAN 2024 A. Streptococcus viridans B. Streptococcus pyogenes C. Streptococcus pneumoniae D. Enterococcus 72. Control used for ethylene oxide sterilisation is ? A. Bacillus atrophaeus B. Geobacillus sterothermophilus C. Bacillus subtilis D. Bacillus Pumilis 73. A patient presented with formation of bulla’s , on gram staining it shows the presence of capsulated gram positive diplococci , Which one of the following organism is responsible ? A. Streptococcus pneumoniae B. Staphylococcus aureus C. Cyclospora D. Streptococcus pyogenus Pharmacology 74. A 2 month pregnant female presented with P. Vivax Malaria. Preferred drug used for the treatment in this case is : A. Quinine B. Chloroquine + Primaquine C. Artesunate Combination therapy D. Doxycycline 75. Which of the following adverse effect is least likely to be associated with the use of amiodarone? A. Hyperthyroidism B. Hypothyroidism C. Pulmonary fibrosis D. Gynecomastia 76. Patient with CHF was on thiazide diuretics and now presents with fatigue and hypokalemia. Which of the following agent inhibits loss of potassium: A. Furosemide B. Adenosine C. Amiloride D. Spiranolactone ARISE MEDICAL ACADEMY 17 ARISE RECALL JAN 2024 77. A patient was on anti tubercular drug Bedaquiline. Which of the following ECG changes will be seen: - A. QRS widening B. Increase in PR interval C. QT interval prolongation D. ST segment elevation 78. A 2 month old pregnant female presents with swelling in legs and diagnosed with Deep vein thrombosis, she require anti coagulation. Which of the following is Preferred drug in her ? A. Warfarin B. Apixaban C. Enoxaparin D. Aspirin 79. A alcoholic patient on therapy for certain illness developed flushing hypotension, nausea and vomiting. What is the diagnosis: A. Disulfiram like reaction B. Delerium tremens C. Hallucinosis D. Alcohol withdrawal 80. Which of the following can result in acute liver failure? A. Organophosphate poisoning B. Morphine poisoning C. Belladona poisoning D. Amanita phalloides toxicity 81. Which of the following drug is absolutely contraindicated in pregnancy? a. Paracetamol b. Captopril c. Cefixime d. Azithromycin 82. A 53-year-old post menopausal lady presents with breast cancer. What will be the drug of choice for this patient A. Tamoxifen B. Methotrexate C. Vincristine D. Bleomycin 83. Which of the following anti diabetic agent increases loss of glucose in urine along with fluid removal : A. Empagliflozin B. Glipizide C. Exenatide D. Acarbose ARISE MEDICAL ACADEMY 18 ARISE RECALL JAN 2024 84. Which of the following is the site of action of Thiazide diuretics: A. Na+CI- co transporter B. Na-K-2Cl- co transporter C. eNa+ channel D. Aldosterone receptor 85. A pregnant female who is a known case of bronchial asthma presented to hospital with blood pressure of 210/110 mm Hg. Which of the following is the preferred drug for this patient? a) Nifedipine b) Propranolol c) Labetalol d) Verapamil 86. A 7-year-old child presents with history of generalised tonic clonic seizures What will be the treatment: A. Valproate followed by Levetiracetam. B. Ethosuximide C. Levetiracetam followed by gabapentin D. Carbamazepine followed by gabapentin 87. When A drug has bioavailability 30%. What does it mean: A. 70 percent of the drug undergoes first pass metabolism in Iiver B. The drug is 30 percent pure in its chemical composition. C. The drug is 30 percent potent in producing therapeutic effect D. 30% percent of the drug reaches the systemic circulation in unchanged form 88. A female is on her ATT therapy, which of the following ATT drug can cause ocular side effect of optic neuritis A. Isoniazid B. Rifampicin C. Pyrazinamide D. Ethambutol 89. An A 40-year-old obese female presented with Schizophrenia. Which of the following antipsychotic drug causes least weight gain? A) Risperidone B) Ziprasidone C) Olanzapine D) Clozapine ARISE MEDICAL ACADEMY 19 ARISE RECALL JAN 2024 90. Which of the following is the drug of choice for glaucoma in adults ? A. Latanoprost B. Pilocarpine C. Alpha2-selective agonist D. Timolol 91. A Patient with history of HIV is started on Anti Retro-viral Therapy with Lamivudine 300 mg, Tenofovir 150mg Dolutegravir 50 once daily at night. After few weeks of starting he was diagnosed with TB and was started on Anti- tubercular therapy. Which of the following dose adjustment will be required considering the new additional findings: A. No dose adjustment required B. Add Lamivudine 300 mg in morning C. Add Dolutegravir 50 mg in morning D. Add Tenofovir 150 mg in morning 92. A 30-year-old lady has unilateral ptosis and exhibits worsening of symptoms by evening. She was diagnosed with myasthenia gravis. What is the drug of choice for this case? A. Physostigmine B. Pyridostigmine C. Neostigmine D. Plasma exchange 93. Which of the following is drug of choice for treatment of Echinococcus granulosus? A. lvermectin B. Praziquantel C. Albendazole D. Diethylcarbamazine Forensic Medicine 94. A 22-year-old mentally ill pregnant female is brought for MTP. Consent in this case is to be taken from whom ? A. Legal guardian B. Doctor treating the patient C. Partner D. Self consent ARISE MEDICAL ACADEMY 20 ARISE RECALL JAN 2024 95. In case of autopsy of a alcohol abuse ,how will u presence the sample of blood in this case? A. Sodium fluoride B. Rectified sprit C. Sodium chloride D. Formalin 96. As per MTP act 2021, which of the following is a punishable offence A. MTP done at government authorized center B. Done by experienced RMP C. MTP done up to 24 weeks of pregnancy D. Non entry in MTP register & not sending monthly statements to DHS 97. A 22-week pregnant female comes for MTP on ground of contraceptive failure. When this MTP can be done ? A. opinion of two doctors will be needed B. opinion of one doctor will be needed C. After the permission the court D. MTP cannot be done in this case 98. A farmer comes to hospital with snakebite over dorsum of right foot. The patient was stable ,the Doctor treating the patient noted two fang marks on the dorsum of right foot with mild pain , swelling and bleeding at bite site. What will be the immediate first step of management A. Give poly snake antivenom B. Look for dead snake brought by relatives C. Use sling or splint for right lower limb (pressure ) immobilization D. Washing the wound 99. During measurement of barrel of a rifled firearm weapon caliber depends on which of the following A. Distance between 2 opposite lands B. Distance between 2 opposite grooves C. No of lead balls prepared from one pound of lead metal D. Ratio between length of cartilage & bullet ARISE MEDICAL ACADEMY 21 ARISE RECALL JAN 2024 100. How will you preserve a blood-stained handkerchief recovered from crime scene A. Stained area folded towards each other preserved in plastic bag B. Stained area folded towards opposite side preserved in plastic bag C. Dry over spirit lamp & preserve D. Stained area folded Preserved in paper bag 101. Increased secretion with diarrhea is noted in which poisoning A. Cannabis B. Cocaine C. Crack D. Ketamine 102. On examination to identify dried and old seminal fluid on a undergarment , which test is best test to be used? A. Precipitin test B. Acid phosphatease test C. Barberio test D. Floroscence test 103. The police found some bone in open space. How will you differentiate between human and animal bone ? a. Precipitin test b. Acid phosphatase level c. Phenolphthalein d. Barberio test 104. A woman was raped 2 years back. The accused has to be given death sentence, Who can give death sentence for such cases ? A. Session judge B. Both session and assistant session judge C. Assistant session judge D. Metropolitan magistrate 105. In air blast which organ is most commonly affected due to shockwave ? A. Lung B. Kidney C. Spleen D. intestine ARISE MEDICAL ACADEMY 22 ARISE RECALL JAN 2024 Community Medicine (PSM) 106. In immunization clinic, after giving pentavalent vaccine in which category you will dispose off syringe with fixed needle? a. Yellow b. Red c. White d. Blue 107. In population of 2,00,000 reported live births are 4000. Causes of maternal deaths are as follow: 2 deaths by ectopic pregnancy, 2 deaths by Puerperal sepsis , 2 deaths by abortion, 4 deaths by PPH, 2 deaths by electrocution with 5 still births Calculate the MMR ? A. 250/1 lakhs B. 500/ 1 Lakhs C. 20/1 Lakhs D. 25/1 Lakhs 108. A 30 year lady coming to clinic on 5th day of unprotected coitus, The best emergency contraceptive will be: A. LNG B. IUCD C. COCP D. Mifepristone 109. Total number of children born to a woman in comparison of other woman of same reproductive age is : A. TFR B. GFR C. GRR D. NRR 110. Male death per 1000 mid year population of male is defined as : A. CDR B. Specific mortality rate C. Proportional mortality rate D. Mid year population 111. What is the Strain used for the Injectable polio vaccine based on NIS : A. P1 B. P2 C. P3 D. P1,2,3 ARISE MEDICAL ACADEMY 23 ARISE RECALL JAN 2024 112. Given instrument is used to measure which of the following : A. Air temperature B. Air Humidity C. Cooling power of air D. Hot temperature 113. Which of the following is Correct feature of case control study : A. Used for rare disease B. Effect to cause C. Calculation of incidence D. Calculation of prevalence 114. All are included in GHI of children except: A. Undernourished population B. Child underweight C. Child mortality D. Infant Mortality Rate 115. What is ANMOL.: A. TV to ANM B. Tablet to ANM to work through application C. Distribution of OCP D. Using of digital Weight scale 116. NAVJAT SHISHU SURAKSHA YOJNA Is for whom: A. Newborn B. Lactating Mother C. Children D. Infant ARISE MEDICAL ACADEMY 24 ARISE RECALL JAN 2024 117. Under RKSK program for children of 9-18 years , the health check up conduction frequency is: A. Once every month B. Once every 3monthly C. once every 6 monthly D. once every Yearly 118. Under AMB programme, what is dose of anaemia treatment for 26 weeks pregnant lady with and no history of Iron and folic acid intake? A. 60 mg iron, 500mcg folic acid once/day B. 60 mg iron, 500mcg folic acid twice/day C. 60 mg iron, 500mcg folic acid once/week D. 60 mg iron, 500mcg folic acid twice/week 119. Arrange correct sequence of family cycle A. Formation- extension - completed extension – retraction-complete retraction- dissolution-extinction B. Retraction- Formation- extension — completed extension C. Formation- retraction-extension — completed extension D. Formation- extension - retraction- completed extension 120. Which of the following Method is used to kill mosquito larva: A. Mosquito nets B. Indoor spray C. Gambusia fish D. Repellents 121. A person presenting with complaints of Eschar formation and lymphadenopathy following a bite of mite on trunk. what will be the probable diagnosis ? A. Epidemic typhus B. Endemic typhus C. Scrub typhus D. Rocky Mountain Spotted Fever 122. The most common non communicable disease world wide is? A. Hypertension B. Atrio- ventricular septal defect C. cardiomyopathy D. Atrial fibrillation ARISE MEDICAL ACADEMY 25 ARISE RECALL JAN 2024 123. Leading Cause of blindness in children is : A. Vit A deficiency B. Refractive error C. Glaucoma D. Cataract 124. Rukmini is attending the village health nutrition and sanitation day awareness program. How frequently the programme is conducted? A. Anganwadi centres every fort nightly B. Anganwadi centres Once every month C. Sub centres by ANM once every month. D. Sub centres by ANM once every 6 month. 125. In a local area Out of total live birth- of 15,000, out of which 225 children dies in 1st 7 days 75 children died in next 7-28 days, calculate the Neonatal mortality rate in the local area : A. 25 B. 20 C. 20 D. 50 126. A sexually active female who is a wife of truck driver from low socioeconomic status presents with Complaints of whitish discharge , what will you do for screening of cancer cervix in this patient ? A. Pap smear B. USG C. Biopsy D. Ca 125 127. You are doing survey in an area to know vitamin A Deficiency problem. What is criteria to declare it as major public health problem in the district if prevalence of ? A. Night Blindness is 0.02% B. Bitot spot is 0.8% C. Corneal xerosis is 0.001% D. Corneal ulcer, keratomalacia , fundus changes is 0.001% 128. In a village expected death rate is 3/1000, but observed death rate is 6/1000, Calculate standardized mortality ratio in the village A. 50 B. 250 C. 100 D. 200 ARISE MEDICAL ACADEMY 26 ARISE RECALL JAN 2024 129. After war, the residents of that area were shifted to other place, method for huma excreta waste disposal in this case is A. Chemical Closet B. Septic tank C. Deep trench latrine D. Aqua Privy 130. Steps of disaster management is : A. Impact- response- rehabilitation- mitigation. B. response- Impact- - rehabilitation- mitigation C. rehabilitation- mitigation- response- Impact D. rehabilitation- response- Impact- mitigation 131. In triage which of the following has high priority : A. Red B. Yellow C. Green D. Black 132. The table shown below are Components of: Fertility Mortality Marriage Migration Social Mobility A. Demographic process B. Demographic dividend C. Demographic cycle D. Demographic bonus 133. Bilirubin is which type of data: A. Ordinal B. Nominal C. Continuous D. Discrete 134. Junior resident has made a poster as given below, which was corrected by senior resident. which point needs correction ? A. Reduce sale of alcohol B. Ban public smoking C. Reduce salt intake in diet ARISE MEDICAL ACADEMY 27 ARISE RECALL JAN 2024 D. Change PUFA to trans fat a. A b. B c. C d. D 135. Phases of demographic cycle with Birth rate is stable with Variation in death rate: A. Stage I B. Early expanding C. Late expanding. D. Low stationary a. Stage I + Stage II b. Stage II + Stage III c. Stage I + Stage IV d. Stage II + Stage IV 136. Not included under JSY scheme: A) Encouraging for hospital delivery B) Abortion services C) Vande mataram scheme D) STD counselling 137. A lady on oral contraceptive pills ,she forget to take 2 pills in 3rd week, what to do next: A. Take missed pills in next 2 days B. Reassurance / no action C. Continue tablet with additional barrier method for 7 days D. Precaution for 7 days , continue new pack without break 138. Denominator of Mid year population is: A. CDR B. MMR C. IMR D. CBR 139. Identify the Correct methods of communication : 1. Didactic – Democratic learning is active ARISE MEDICAL ACADEMY 28 ARISE RECALL JAN 2024 2. Socratic- forcefully learning 3. Mass communication- cover maximum population A. 1 and 2 B. only 3 C. only 1 D. 1 and 3 140. In First Referral Units which one of the following are the mandatory services 1. Paediatric superspecialist 2. Doctor services 24 x 7 3. Blood storage facilities for 24 x 7 4. Surgical intervention a. 1 and 2 b. 2 and 3 c. 1 and 4 d. 2 and 4 141. A Survey was done on mentally retarded patients, it was found that when exposed to environment IQ level improves. What would be the result of such survey denoted ? A. Positive eugenic B. Negative eugenic C. Positive Euthenics D. Negative Euthenics 142. What type of questions are used in focused group discussion ? : A. Open ended question B. Closed ended question C. Double barrelled D. Single barrel 143. Which of the following is not included in MMR? A) Death in 30th week due to RTA B) Death due to Preeclampsia C) Death due to ectopic pregnancy D) Death on 14th day post partum ARISE MEDICAL ACADEMY 29 ARISE RECALL JAN 2024 ENT 144. The arrow marked structure develops from which of the following ? a. 1st Pharyngeal arch b. 2nd Pharyngeal arch C. 3rd Pharyngeal arch d. Neuroectoderm 145. The arrow marked congenital anomaly develops due to Non fusion of ? a. 1st & 2nd Pharyngeal arch incomplete closure b. 2nd & 3rd Pharyngeal arch incomplete closure c. 1st & 2nd Pharyngeal pouch incomplete closure d. 3rd & 4th Pharyngeal pouch incomplete closure ARISE MEDICAL ACADEMY 30 ARISE RECALL JAN 2024 146. A 30-year-old female presents with the following audiogram. Diagnosis? A otosclerosis B Meniere’s disease C noise induced hearing loss D presbycusis 147. A 50 year old male presented with Tinnitus, vertigo and fluctuating hearing loss. His Audiogram given below. What is the most likely diagnosis? A. BPPV B. Vestibular neuronitis C. Meniere’s disease D. Noise induce hearing loss 148. A patient presents with merciful anosmia with wide roomy nasal cavity and formation of crusts causing nasal obstruction. What is the most probable diagnosis? A) Atrophic rhinitis B) Allergic rhinitis C) Rhinitis medicamentosa D)Rhinitis sicca ARISE MEDICAL ACADEMY 31 ARISE RECALL JAN 2024 149. A patient presented with pain and hearing loss following slap in his ear, his otoscopic findings reveals the presence of blood clots and irregular perforations in the tympanic membrane , what is the next line in management following image ? A) Aspirate and audiometry B) Syringing and antibiotics with no ear drops C) Give gentamycin and levofloxacn D) Keep ear dry with systemic analgesics 150. A 10 year old child of 2 weeks post tonsillectomy ate a packet of chips 2-3 days after the surgery and now presents to the hospital with features of oral bleeding on and off.What shall be the management as a medical officer ? A) Iv Antibiotics with semisolid food for some days B) Surgical exploration C) Iv tranexamic acid with semisolid food for some days D) Give analgesics 151. Which of the following is true regarding the image shown ? A) Rhinolalia clausa B) It has no crypts C) It has definitive blood supply D)It is not included in waldeyers ring. 152. A 22 year old male with episodes of recurrent bleeding presents with the following CT findings identify the reason behind the Bleeding episodes in this benign tumor? ARISE MEDICAL ACADEMY 32 ARISE RECALL JAN 2024 A) Lacks capsule B) Tumor vessel lack contractility C) Tumor invading the blood vessels D) Tumor causing pressure symptoms 153. A 50 year old male presents with right sided conductive hearing loss and features of cervical lymphadenopathy. Most probable diagnosis is ? A) Nasopharyngeal malignancy B) Nasopharyngeal Angiofibroma C) Adenoid hypertrophy D)Tuberculosis 154. which of the statement is correct regarding the image shown below ? A) Most common cause of congenital stridor B) Stridor Relieves with supine position C) Wait and watch D) presence of stridor from birth 155. Biology teacher after taking long vigorous classes since 6 years developed hoarseness of voice. Which of the following condition associated with this ? ARISE MEDICAL ACADEMY 33 ARISE RECALL JAN 2024 A) Vocal polyp B) Vocal nodule C) Vocal carcinoma D) Reinke’s edema 156. A Diabetic patient with HbA1c of 10 presents with excruciating ear pain, blood stained ear discharge and facial nerve involvement. Diagnosis is ? A) Diffuse otitis externa B) Necrotising otitis externa C) Squamous cell cancer of external ear D) Granular myringitis 157. Delphian nodes are : a) Level 5 & 6 b) Level 1 & 2 C) Level 5 d) Level 6 158. Identify the prosthesis ? a) Blom singer ( Tracheo esophageal ) B) Grommet C) Montogmery 159. Identify the Xray view shown here ? ARISE MEDICAL ACADEMY 34 ARISE RECALL JAN 2024 a) Waters view b ) Schullers view c) Townes view d ) Cadwell view 160. All of the following structure are preserved in radial neck dissection except : a. Internal jugular vein b. Sternocleidomastoid muscle c. Sub Mandibular gland d. Spinal accessory nerve Ophthalmology 161. What is the sequence of arrangement from near to far of the shown recti muscles attached towards limbus ? a. Medial rectus, Inferior rectus, Lateral rectus, Superior rectus b. Superior rectus lateral rectus, Inferior rectus Medial rectus c. Medial rectus, Lateral rectus, Inferior rectus, Superior rectus d. Medial rectus, Superior rectus, Lateral rectus, Inferior rectus ARISE MEDICAL ACADEMY 35 ARISE RECALL JAN 2024 162. A farmer presents with itching and foreign body sensation of eye, On examination Shield ulcer was seen which of the following condition is commonly associated with which of the following findings? a. Trachoma b. Spring catarrh c. Autoimmune d. Tuberculosis 163. Which of the following Cataract seen in blunt trauma is? a. Rosette cataract b. Wilson disease c. Myotonic dystrophy d. Diabetes mellitus 164. Identify the instrument is given below. a. Lim’s forceps b. mc pherson forceps c. corneal and scleral tears reparing forces d. suture tying forceps 165. A Diabteic patient is evaluated with ETDRS chart for diabetic retinopathy and is classified as NPDR type. Which of the following is not seen in case of severe NPDR: a. Severe retinal hemorrhage in at least four quadrant b. Significant venous beading in at least 2 or more quadrant c. Cotton wool spots d. Moderate IRMA at least 1 quadrant ARISE MEDICAL ACADEMY 36 ARISE RECALL JAN 2024 166. A 1.5 years old child presents to the optholmologist , presence of white eye refelx USG findings shows intraocular mass with calcification and family history suggests that his father had the same and undergone enucleation of one eye. Whats the probable diagnosis? a. Retinoblastoma b. Exudative Retinal Detachment c. Pediatric Tuberculosis d. Retinopathy of Prematurity 167. In which disease aqueous flares keratic precipitate is seen : a. Toxoplasma uveitis b. Irido cyclitis c. Posterior uveitis d. Intermediate uveitis 168. A 72 year old patient had cataract surgery for posterior capsualr catarct ,after surgery there is flowerpetal appearance on fundus fluorescence angiography, the most likely conditions associated with the person is : a. Cystoid Macular Edema b. Posterior capsular opacification c. Central Serous Retinopathy d. Scotoma 169. A patient presented with unilateral right complete anopia. Where is the lesion present: a. Optic chiasma b. Optic track c. Optic nerve d. Optic radiation 170. A patient posted for cataract surgery and is having blepheritis , What is the most important step to be taken to prevent endophthalmitis in this patient before surgery : a. Trimming the eye lashes b. 5% Betadine iodine c. Intra-viteral Antibiotics d. Antibiotics after surgery ARISE MEDICAL ACADEMY 37 ARISE RECALL JAN 2024 171. A 9-year-old boy presents with high accommodativ, convergence-to- accommodation (AC/A) ratio esotropia (diagnosed when he was 2 years old) as mother would like a second opinion. She is concerned about whether he still needs his glasses. He appears to be orthotropic in his glasses. How would you counsel the mother? A. Proceed with strabismus surgery with posterior fixation sutures e bilateral medial rectus muscle recessions. B. If the child is orthotropic in bifocals and tolerates spectacle change in management recommended. C. Promptly discontinue his glasses as he is older now. D. Convergence exercises. 172. A 60 yrs old patient presents with double vision and photophobia what will be diagnosis : ( excess) a. Senile cataract b. Secondary cataract c. Intumescent cataract d. Immature cataract 173. In DCR Which of the following Bones are removed? a. Frontal b. Lacrimal c. Maxillary + Ethmoidal d. Lacrimal + Ethmoidal 174. A 70 year female presented with diminshed vision, Finchams test shows scattered coloured halos that breaks and fuse again ,what will be the probable diagnosis is: a) Senile cataract b) OAG c) Mucopurulent conjunctivitis d) ACG ARISE MEDICAL ACADEMY 38 ARISE RECALL JAN 2024 175. A patient presented impaired vision and pain increasing on eye movements ,Which of the following structure is involvement is responsible for the clinical findings ? a) OpticNerve b) Retina c) Optic Chiasma d) Optic Tract 176. Which of the following is true about malignant glaucoma? a)anterior chamber is normal b)pilocarpine is doc c) obstruction to aqueous humor d) misdirected aqueous 177. A 3 yrs old child presented with cataract what will be next step of management of choice: a. Remove the Cataract , do goniotomy and give spectacles. b. Remove the Cataract and do anterior capsulotomy c. Remove the Cataract by Pheco-aspiration and do primary posterior capsulotomy d. Remove the Cataract by surgery do primary posterior capsulotomy Paediatrics 178. Jaundice due to biliary atresia should be suspected when jaundice persists beyond what age? a. 2 weeks b. 2 months c. 2 years d. 2 days 179. During neonatal resuscitation. In which of the following situations, epinephrine should be administered? a. HR < 60 bpm with PPV for 30 sec b. HR < 60 bpm with chest compression and ventilation for 30 sec c. HR < 60 bpm with chest compression and ventilation for 60 sec d. HR < 60 bpm with PPV for 60 sec ARISE MEDICAL ACADEMY 39 ARISE RECALL JAN 2024 180. A 4 day neonate is presented with Pustualr lesions on erythematous background started from the trunk noted from day 2 of life onwards.baby appears otherwise normal.what will be the most likely diagnosis ? a. Erythema toxicum b. Pustular melanosis c. Mongolian spots d. Neonatal acne 181. A child feel anxious when someone playing with him leaves at which age the child develops this mile stone ? a. 4 months b. 6 months c. 9 months d. 12 months 182. A child laughs on seeing food, he can Transfer objects from one hand to anaothe and can take that object and put into his mouth at what age these milestones develop ? a. 4 months b. 6 months c. 7 months d. 12 months 183. A child with diarrhea presents with sunken eyes, eager to drink on offering and abdominal skin pich goes back slowly. As per IMCNI classification what should be the color coding? a. Pink b. Green c. Yellow d. Black 184. A 5 day old baby was brought to the emergency with bilious vomiting and abdominal distension. On abdominal x-ray, multiple air fluid levels are seen,no gas under diaphragm was visibe. Baby is otherwise stable. His brother has a history of cystic fibrosis. What should be immediate treatment in this baby? a. Temporary colostomy and definitive surgery later b. Immediate laparotomy c. Gastrograffin enema d. Manometry ARISE MEDICAL ACADEMY 40 ARISE RECALL JAN 2024 Obstetrics and Gynaecology 185. A female present to a gynecologist with genital infection.in which of the following conditions male partner treatment is also required? a. Candida albicans b. Bacterial vaginosis c. Trichomoniasis d. Herpes 186. AMSEL criteria is used for a. Trichomonas b. Candidiasis c. Bacterial vaginosis d. Gonorrhea 187. An 80 year old elderly women and complains of involuntary urine voiding during stenous physical activity, what will be the diagnosis ? a. Stress incontinence b. Urge incontinence c. Neurogenic incontinence d. Urinary tract infection 188. A pateint is undergoing labour, A shoulder dystocia was suspected Mcroberts manouver was performed and is failed ,what is the next step in management? a. Suprapubic pressure b. Zavanelli maneuver c. Internal rotation of head d. Release of Post arm by extraction 189. A pregnant woman after lunch feeling like fainting while lying down but it’s better when she lies laterally , sitting turning to the side. a. IVC compression b. SVC compression c. Increase intracranial pressure d. Hypertension ARISE MEDICAL ACADEMY 41 ARISE RECALL JAN 2024 190. In a previously pregnant female you decided to increase the folic acid dose to the therapeutic dose, In which of the following conditions you will do the same ? a. Previous history of Premature birth b. preeclampsia c. previous low birth weight child / impared glucose tolerance ( diabetes ) d. sickle cell anemia 191. Primigravida came to emergency depertment at 1 pm with 5cm dilatation with membrane present and good uterine contractions, when PV repeated at 4pm she is 6 cm dilated +2, what is the next step to do? a. Wait and watch for spontaneous delivery b. ARM + Oxytocin and check after 2 hrs c. Cesarian section d. ARM + Oxytocin and check after 4 hrs 192. What is the correct sequence of lactation: a. Mammogenesis – lactogenesis – galactokinesis – galactopoiesis b. Mammogenesis – lactogenesis – galactopoiesis – galactokinesis c. Lactogenesis – Mammogenesis - galactopoiesis – galactokinesis d. galactokinesis - Mammogenesis – lactogenesis – galactopoiesis 193. An adolescent female presents with delayed puberty with primary amenorrhea with short stature on further evaluation she is found to have absence of Y chromosome but the presence of X chromosome in karyotyping. which of the following is also seen in this condition ? a. Webbed neck b. Cubitus varus c. Tricuspid mitral valve d. Normal height 194. A 20 weeks pregnant female has low lying placenta covering partially the os what will be your next appropriate management? a. Do USG again at 32 and look for the placenta location b. Reassess with MRI at 32 weeks c. Do USG at 38 weeks and if possible do normal vaginal delivery d. Do USG at 39 weeks and if still persists do elective CS 195. What is the gold standard Investigation of endometriosis? a. Laparoscopy b. MRI c. USG d. Histopathexamination ARISE MEDICAL ACADEMY 42 ARISE RECALL JAN 2024 196. Most common organ infected with genital tuberculosis: a. Ovary b. Fallopian tube c. Cervix d. Endometrium 197. A 38 weeks GA female after delivering the baby becomes hypotensive and becomes unresponsive on evluation the fundus of the uterus is extending outside the vaginal opening, in this stage along with the placentia still attached what is the next step in management ? a. Manul removal of the placenta and reposition the uterus b. Arrange for blood transfusion c. Manual reposition of the uterus in anatomical position d. Administration of uterotonics 198. A G2P1 with previous C- section with 38 weeks of GA came for delivery, You opted for vaginal birth after C section, which of the following has the least risk in case the previous C- section is of ? a. Transverse incision b. Breech presentation C. Classical C section d. Horizontal incision 199. In Rh negative pregnant female after performing chorionic sampling dose of anti – D? A. 150 microgram B. 50 microgram C. 100 microgram D. 300 microgram 200. What is the ideal time to check for Nuchal translucency to diagnose aneuploidy ? a. 11 – 13 weeks b. 18 – 22 weeks c. 24-28 weeks d. 6-9 weeks ARISE MEDICAL ACADEMY 43 ARISE RECALL JAN 2024 201. What is the reference point in POP Q classification of uterine prolapse ? a. Hymen b. Ischial spine c. Anterior fornix d. Posterior fornix 202. which of the following statements are correct about gestational trophoblastic disease ? a) Complete mole is made up of 69xxx b) Partial mole is composed of diploidy c) GTN includes partial mole, complete mole and choriocarcinoma d) It will never be invasive 203. According to WHO 2021 Which of the following is not true about the normal sperm analysis ? a) sperm per ejaculation of 14 million b) Total motility of sperms 35% C) sperms with normal morpholgy 4% d) Progressive motility of 30% 204. In case of Diabetes in pregnancy screening amount of glucose used is ? a. 50 mg b. 75 mg c. 100 mg d. 150 mg 205. A patient is in labor was supposed to undergo Cesarian Section , accidentally was given oxytocin , now her SPO2 is decreased to 93%. What is the next best management in this condition a. Stop oxytocin b. Proceed with CS c. Give only oxygen d. Do Arterial blood gas analysis ARISE MEDICAL ACADEMY 44 ARISE RECALL JAN 2024 General Surgery 206. All of the following are seen in refeeding syndrome except ? a) Hypophatemia b) Hypokalemia c) Hyperkalemia d) Hypocalcemia 207. A patient is diagnosed with Squamous cell carcinoma which not involving the lymph nodes , what is the next line of management ? a. Radiotherapy b. Wide local excision with flap repair c. Wide local excision with frozen border d. Skin grafting 208. Patient after road traffic accident was brought to the emergency. His pulse rate was 50 beats per minute, Blood pressure was 80/ 60 mm of Hg. On evaluation his ECG was normal, eFast was negative and chest X-Ray was normal. This status of patient could be best classified under which type of shock? A. Hemorrhagic shock B. Cardiogenic shock C. Neurogenic shock D. Anaphelactic shock 209. A patient was brought to the emergency after a RTA. Signs of seat belt abdominal trauma were present on the anterior abdominal wall. What should we be more concerned about in this patient? ( signs of peritonitis ) A. head of pancreas B. Liver and Spleen injury C. Spleen injury D. Hollow viscus injury ARISE MEDICAL ACADEMY 45 ARISE RECALL JAN 2024 210. Following image on CT scan is suggestive of? a. Extradural hematoma b. Intracranial hematoma c. Subdural hematoma d. Sub arachoid hemorrhage 211. A 15 year old boy Which of the following is the most likely pathology in the given x-ray image? a. Lung collapse b. Pneumothorax c. Pneumonia d. Pleural effusion 212. A patient presented in the hospital complaining that on walking a certain distance,he fell pain in his calf region because of which he cannot walk any further and has to take rest.as per Boyd’s grading it is classified as which of the following grades? a. Grade I b. Grade II c. Grade III d. Grade IV ARISE MEDICAL ACADEMY 46 ARISE RECALL JAN 2024 213. A patient is on bed rest after cholecystectomy, She developed fever and respiratory distress after 3 days later. Which of the following pathology best explain the patients condition? a. Pulmonary fibrosis b. Pulmonary embolism c. Respiratory distress syndrome d. Pneumonia 214. A 24 year old girl presented in the OPD with a 2X3 cm mobile ruberry lump inside the breast. HPE image is given below. Which of the following is the most likely diagnosis? a. Phyllodes tumour b. Fibroadenoma c. Lobular carcinoma d. Plasma cell mastitis 215. A patient presented to the surgical department with a slowing increasing swelling in front and below the ear lobule. Which of the following surgery is most likely done in this patient? a. Superficial parotidectomy b. Enucleation c. Wide excision with primary repair d. Wide excision with reconstruction at a later stage 216. Identify the following in the image given below? a. Sloping edge b. Rolled out and beaded edge c. Everted edge d. Punched out syphilitic ulcer ARISE MEDICAL ACADEMY 47 ARISE RECALL JAN 2024 217. A RTA Patient presented with crushed limb after trauma , as a result of crushing injury and myonecrosis , amputation was performed. 3 days later he developed redness,swelling over the site and on examination presence of soft tissue necrosis and crepitus were noted. Most likely diagnosis in this patient ? a. Necrotising fasciitis b. Gas gangrene c. Amputation neuroma d. Wet gangrene 218. Which out of the following have maximum chances of graft versus host rejection? a. Kidney b. Intestine c. Lung d. Heart 219. A New born baby was having difficulty in breathing and on evaluation their were multiple air fluid levels noted in the left hemithorax. What will be the most likely diagnosis? a. Necrotising enterocolitis b. Congenital diaphragmatic hernia c. Respiratory distress syndrome d. Esophageal atresia 220. Promial dislocation of squamocolumnar junction is seen in case of ? a. Achalasia cardia b. Sliding hiatus hernia c. Rolling hiatus hernia d. GERD 221. A Chronic alcoholic male presented to the emergency with sudden onset of epigastric pain radiating to the back,which is aggravated in lying down position. serum amylase and lipase are raised. What is the likely diagnosis? a. Acute cholecystitis b. Acute pancreatitis c. Liver abscess d. Peptic ulcer disease ARISE MEDICAL ACADEMY 48 ARISE RECALL JAN 2024 222. A 45-year-old male presents to the emergency department with severe abdominal pain radiating to the back. Laboratory investigations reveal elevated serum amylase and lipase levels. Which of the following should be avoided in management of this condition ? a. Nil per oral to avoid pancreatic stimulation b. Administration of 5% dextrose c. Parenteral nutrition preferred for 2-3 days over the nil per oral (NPO) approach. d. Early initiation of oral feedings 223. Which of the following is a common complication of ERCP? a. Hemorrhage b. Acute pancreatitis c. Duodenal perforation d. Cholangitis 224. A patient was diagnosed with PL2 hernia. What is the most likely hernia the patient is likely having ? a. Primary direct hernia b. Recurrent direct hernia c. Primary indirect hernia d. Recurrent indirect hernia 225. 70 year old patient was operated with the middle laparotomy incision for adenocarcinoma of colon. He came to the hospital after 1 year with hernitation through the mid line incision with a defect size of 12cm. what should be the treatment in this patient? a. Separate the hernia and suture repair of primary site b. Push the hernia back and do mesh repair c. Abdominal binder d. Tissue Repair 226. A patient was recently operated where laprotomy was done. Patient developed a complication after the operation. What would be the surest sign of would dehiscence in this patient? ( instead of deh burst mentioned ) a. Severe abdominal pain b. Serosanguinous discharge from the wound c. Hypotension d. Bleeding from the wound site ARISE MEDICAL ACADEMY 49 ARISE RECALL JAN 2024 227. 3 days back urinary catheterization was done. But due to some reason catheter had to be taken out. few days later he presented with the following image? a. Fournier’s gangrene b. Gas gangrene c. Cellulitis d. Erysipelas 228. A 75 year old male presented to the OPD with complaint of difficulty in swallowing initially for solids and later for liquids. There is history of significant weight loss. What is the gold standard investigation in this patient? a. Esophageal endoscopy b. Manometry c. CECT d. Barium study 229. Breast caneer surgery has been done in a patient 10 years back. Now she presented with swelling of the upper limb with bluish coloured raised cutaneous lesions in the upper limb. What can be the likely diagnosis? a. Lymphagiosarcoma b. lymphangioma c. Kaposi’s sarcoma d. lymphedema 230. A chronic smoker male presented to the hospital with fever, malaise and lethargic symptoms, he also complained of hemoptysis in the early morning. He has lost 10kg weight in the last 2 months. Chest x-ray image is given below.what is the most likely diagnosis in this patient ? ARISE MEDICAL ACADEMY 50 ARISE RECALL JAN 2024 a. Miliary tuberculosis b. Fungal ball aspergilloma c. Metastasis to lungs d. Pneumonia 231. Which appendicular carcinoma is most commonly associated with pseudomyxoma peritonei? a. Mucinous cystadenoma b. Adenoma c. Carcinoid tumor d. Serous cystadenoma 232. A neonate is diagnosed with gastroschisis. What is the immediate management for this condition? a. Immediate Surgical wall closure and repair b. Wait for it to resolve slowly c. Slowly putting it inside silo bag d. Surgical excision 232. A patient is posted for major surgery what is the ideal INR value that he can be taken for surgery ? a. 1.5 b. 1.5-2 c. 2-2.5 d. 2.5-3 ARISE MEDICAL ACADEMY 51 ARISE RECALL JAN 2024 Medicine 233. Old man has recurrent fainting episodes. ECG shows P waves at 75 beates per minutes , qRS complexes duration is at 35 bpm. The clinical diagnosis is a. Electrical alternans b. Second degree AV block c. First degree AV block d. Stokes Adam syndrome 234. A Lady presented with mitral stenosis develops sudden onset respiratory difficulty, limb edema and pain in calves. Clinical diagnosis is ? a. Pulmonary embolism b. Pulmonary edema c. Cerebral embolism d. Paradoxical Embolism 235. A Patient presents to the multispeciality hospital with sudden onset chest pain for last 1 hour with ECG showing ST elevation in lead II, Ill and aVF. Which is the best treatment for this case of MI? a. Alteplase b. Streptokinase c. Primary angioplasty d. Dabigatran 236. Lady presents with complaints of dizziness. ECG was done. Best treatment is? ARISE MEDICAL ACADEMY 52 ARISE RECALL JAN 2024 a. Adenosine b. Amiodarone c. Beta-blocker d. Valsalva maneuver 237. 52-year-old Lady develops sudden onset face deviation with slurring of speech and inability to raise right arm. The symptoms spontaneously begin to reduce and get completely resolved over the next 48 hours. She has a mid- diastolic murmur on auscultation in the left side of heart and irregular heart rhythm. Diagnosis is a. Transient Ischemic attack b. Thrombo-embolic Stroke c. Cardio embolic stroke d. Paradoxical embolism 238. In a normal person ,when there is deep inhalation the systolic BP decreases by 20 mmHg , The phenomenon is not seen in which of the following condition ? a. Cardiac Tamponade b. Constrictive pericarditis c. Cor pulmonale d. RCM 239. The patient was having the following hand movements , which of the following movements can be seen in this condition ? a. Thyrotoxicosis b. Hypercarbia c. Hypoxia d. Anxiety neurosis 240. A chronic smoker patient with hyperpigmentation, weight gain and other features of hypercortisolism symptoms and ACTH levels remain elevated after high dose dexamethasone is seen in which of the following ? a. Ectopic ACTH secreting tumor b. Pituitary tumor c. Adrenal tumor d. Exogenous ARISE MEDICAL ACADEMY 53 ARISE RECALL JAN 2024 241. A female presented with Unilateral pulsatile headache with photophobia and is exaggerated on skipping of meals, what is the most likely diagnosis ? a. Migraine b. Tension headache c. Cluster headache d. Malingering 242. A 22 year-old patient has fever with severe SOB and red currant jelly sputum. On examination he has altered sensorium with RR is 40/ min. Labs show serum creatinine= 1.9 mg/dl Which is correct about its management? a. OPD management with oral drugs b. IPD management with IV drugs c. ICU management with IV drugs d. ICU management with oral drugs 243. A smoker presented with copious yellow sputum which was more in the morning and increases significantly on postural change , what will be the probable diagnosis ? a. Asthma b. Pneumonia c. Bronchiectasis d. Lung cancer 244. Patient has problems in doing heel to shin test and repeatedly misses, and he has rapid movements in his hands, the Site of lesion is? a. Cerebellum b. Caudate c. Globus pallidus d. pyramidal tract 245. A 20-year-old female patient presents with petechiae , bleeding and has spleen palpable till umbilicus. WBC count is 85,000/cu.mm with immature WBC seen in peripheral blood smear. Diagnosis is? a. AML b. CML C. CLL d. ALL ARISE MEDICAL ACADEMY 54 ARISE RECALL JAN 2024 246. A patient presents with migratory polyarthritis and diagnosed with acute rheumatic fever what is the drug of choice a. Furosemide b. Digoxin c. Aspirin d. Amiodarone 247. The presence of which of the following rules out the transudative cause of Pleural effusion is? a. low cellular content b. High fibrin in pleural fluid c. Low specific gravity in pleural fluid d. Low protein in pleural fluid 248. A patient had features of resting tremors, bradykinesia and postural instability. He became bed ridden and died due to respiratory failure. Brain biopsy is likely to show which of the following? a. Lewy bodies b. Hirano bodies c. Guarneri bodies d. Negri bodies 249. A 6 year old child with previous history of GTCS presented with episode of convulsions since 45 minutes. What will be the appropriate management for this patient? a. Lorazepam followed by Levetiracetam b. Valproate followed by Gabapentin c. Carbamazepine followed by Gabapentin d. Valproate followed by Levetiracetam ARISE MEDICAL ACADEMY 55 ARISE RECALL JAN 2024 250. A wife is complaining that his husband is not taking medications for his diabetes regularly and not maintaining his blood glucose from long time, which of the following marker is best for long duration glucose analysis a) RBS b) FBS c) PPBS d) HbA1C 251. A 86 year old male patient with fasting sugar of 140 and PPBS of >200.On examination vitals are stable HbA1c is done. What is cut off in % used for determining controlled diabetes? a. 6 b. 6.5 c. 7.0 d. 7.5 252. Seizures are seen in what percentage of RTA patients with brain contusion/ Loss of consciousness?( Severe RTA with penetration ) a. Development of seizures in 75% b. Development of seizures in 45 % c. Development of seizures is always seen d. Development of seizures is never seen 45 cases will develop 253. Lung cancer patient is having hyperpigmentation of palmar and sole creases. Which of the following is responsible for this presentation? a. Melanin b. C- Peptide c. Neuropeptide Y d. MSH 254. Drug of choice for the ventricular tachycardia? a. Amiodarone b. Adenosine c. Propranaol d. Ivabradine ARISE MEDICAL ACADEMY 56 ARISE RECALL JAN 2024 Anaesthesia 255. A patient with RTA presented with severe maxillofacial trauma has respiratory distress. Immediate step in management to secure airway: a. Oropharyngeal intubation b. Tracheostomy c. Cricothyroidotomy d. nasopharyngeal intubation 256. Which of the following agents has blood gas partition coefficient similar to nitrous oxide a. Isoflurane b. Desflurane c. Sevoflurane d. Halothane ​ 257. A patient was given 0.5% bupivacaine, for supraclavicular brachial plexus block and suddenly developed hypotension and arrhythmias. Which of the following is the 1st line of management ? a. Invasive ventilation b. Intra lipid infusion c. Soda Bicarbonate d. CPCR 258. During the Epidural procedure, all these structures are pierced Except? a. Supraspinous ligament b. Interspinous ligament c. Ligamentum flavum d. Arachnoid Membrane 259. Which of the following is Contraindication for use of BIPAP ? A. Obstructive sleep apnea B. Unconscious Patient C. High Co2 D. Low pO2 levels ARISE MEDICAL ACADEMY 57 ARISE RECALL JAN 2024 Orthopaedics 260. In a patient with localized bone pain, exaggerated in night, relieve on aspirin, what’s the most likely condition the patient is suffering from ? a) Rheumatoid arthritis b) Osteoarthritis c) Fibromyalgia d) Osteoid osteoma 261. 8 years old, sustained fracture around elbow 2 years back, difficulty hanging school bag, deformity as shown, diagnosis? a. Nonunion of Supracondylar fracture b. Malunion of Supracondylar fracture c. Malunion Lateral condylar fracture d. Nonunion Posterior dislocation ARISE MEDICAL ACADEMY 58 ARISE RECALL JAN 2024 262.Identify the given image ; a. Dislocation of elbow b. Dislocation of Radial head c. olecranon fracture d. Fracture of radial head 262. A 35-year-old man presents with injury to his left hip after a RTA. O/E there is flexion, abduction and external rotation deformity of hip. What is the probable diagnosis? a. Posterior dislocation of hip b. Anterior dislocation of hip c. Fracture neck of femur d. Intertrochanteric fracture of femur 263. Which is not seen in the ‘terrible triad of elbow’? a. Elbow dislocation b. Fracture of coronoid process c. Fracture radial head d. Fracture of olecranon Psychiatry 264. A patient believes that his feelings and thoughts are being influenced by an external agency, The diagnosis is ?: A. Delusion of nihilism B. Delusion of reference C. Delusion of Influence D. Othello syndrome ARISE MEDICAL ACADEMY 59 ARISE RECALL JAN 2024 265. A patient admitted in hospital for palpitations thinking he has MI. On discharge, he said that he is not willing to go home and there is a additional history that 10 days back, thieves came there and robbed him in the gun point from then he became very anxious. His family members said he was normal before. The best possible diagnosis is: A. Acute stress disorder B. Schizophrenia C. Avoidant personality disorder D. Delirium 266. A patient of schizophrenia was started on anti-psychotic drug Haloperidol. She develops one sided neck stiffness and altered body tone. What is the Next step in management ? A. Increase dose of Haloperidol B. Add Benztropine C. Switch to Clozapine D. Add Carbamazepine 267. A person consumed unknown substance, goes into tachycardia and is seeing red halos while listening to FM radio. Which of the following substance abuse can cause this ? A. Cannabis B. Cocaine C. Heroin D. LSD 268. A 6 year old boy is having tapping movement. He was having lack of attention. He seems to be irritated, disturbing to others and restless most of the time. What should be the drug to be given ? A. Methylphenidate B. Atomoxetine C. Guanfacine D. Clozapine 269. A 20 year old boy is suffering with depression and mania. On history taking, it was found that he was very agitated before. Which prophylactic medicine can be given to avoid further attacks? A. Phenytoin B. Levodopa and pregabalin C. Valproate and pregabalin D. Pregabalin ARISE MEDICAL ACADEMY 60 ARISE RECALL JAN 2024 270. A chronic female smoker asked the physician what will be the effects of smoking during pregnancy? A. Less risk of IUGR B. No risk of preterm C. High risk of miscarriage D. Fetal alcohol syndrome Dermatology 271. A patient suffered from garden injury over the finger and presented to the hospital with multiple reddish streaks extending from forearm to the arm. What can be the likely route of spread of infection? a. Lymphangitis b. abscess c. folliculitis d. cellulitis 272. A 45-year-old patient presents with an itchy, flat-topped, polygonal, violaceous papules on the inner wrists and flexor surfaces of the forearms. The lesions have a characteristic shiny surface and are arranged in a linear pattern. The patient denies any recent medication treatment? A. Topical steroids B. Dapsone C. Antifungal D. Systemic steroid 273. Which of the following condition will show the presence of inguinal bubo ? A) Granuloma inguinale B) Gonorrhoea C) Chancroid D) Donovanosis ARISE MEDICAL ACADEMY 61 ARISE RECALL JAN 2024 274. A patient presented with the following presentation, what is the colour seen in wood lamps examination ? a) Coral red b) Green c) White d) Black 275. What is the management for the following condition in pregnancy ? a. Surgical excision b. Imiqnimode c. Cryotheraphy d. ​podophlyllin resin 5% 276. A patient presented with multiple hypopigmentary patches with everted edges along with hypoanesthesia nd thickening of ulnar nerve , the features are seen in which type of leprosy a) BL b) BT c) Lepromatous d) Tuberculoid ARISE MEDICAL ACADEMY 62 ARISE RECALL JAN 2024 Radiology 277. Which of the following active substance is used in PET scan a. Technicium 99 MDP b. Technicium 99 Pertechnate c. Fluorine deoxy glucose d. I-131 278. Which of the following is the most radioresistant phase of cell cycle ? a. G2M b. S c. G1 d. M 279. what is the investigation of choice for Ovarian torsion is ? a. Usg+Doppler b. USG c. Xray d. USG + DSA ARISE MEDICAL ACADEMY 63 ARISE RECALL JAN 2024 280. External beam Radio Therapy / Teletherapy uses which of the following component: a. Co-60 b. Co-59 c. Strontium d. Phosphorous 281. A patient was admitted in the hospital for a long period of time following which she developed pain and swelling in her leg. Which of the following next step in diagnosing the condition? a. DSA(Digital subtraction angiography) b. Duplex imaging c. MRI d. Angiography 282. Identify the following image a. Membranous urethra Stricture b. Prostatic hyperlasia sia c. Bulbar Stricture d. Normal urethrogram ​ ARISE MEDICAL ACADEMY 64 ARISE RECALL JAN 2024 ARISE MEDICAL ACADEMY 65  THE FUTURE BELONGS TO THOSE WHO BELIEVE IN THE BEAUTY OF THEIR DREAMS. 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