Medical Exam Prep Questions
Medical Exam Prep Questions
1. Which of the following correctly describes the 3. A 22-year-old lady presented with 6 The Rai staging system and Binet staging 10. Which one of the following is a cause of
of chronic daily headache. She has prior
system are the two widely used staging
primary position of the right eye in right 3rd history of migraine but increasingly systems used for staging which of the
Secondary Hyperaldosteronism?
cranial nerve palsy ? unrelieved with analgesics. She has history of following hematological malignancies ? (a) Adrenal adenoma secreting aldosterone
using Sumatriptan almost daily since the last
(2 Downwards and outwards three weeks. What is the most likely (a) Acute Myeloid Leukemia (b) Idiopathic bilateral adrenal hyperplasia
(b) Downwards and inwards diagnosis ? b) Chronic Myeloid Leukemia (c) 11-deoxycorticosterone secreting adrenal
(a) Sub-arachnoid hemorrhage (c) Acute Lymphoid Leukemia tumour
(c Upwards and outwards
(b) Cluster headache (d) Chronic Lymphocytic Leukemia
(d) Upwards and inwards Inadequate renal perfusion due to renal
te) Medication overuse headache artery stenosis
7. Patients sufering from which of the following
(d) Trigeminal neuralgia conditions commonly present for several years
2. Consider the following statements regarding 11, Which one of the following diseases is
in the dermatology OPD with eczematous or
4 Consider the following with regard to trigger characterized by destructive lymphoid
cluster headache : dermatitis skin lesions before being finally
factors for seizures :
diagnosed with a T-cell lymphoma ? infiltration of the thyroid gland leading to
1. The headaches are periodic, beginning 1 Flickering lights ká) Mycosis fungoides fibrosis and enlargement of the thyroid gland
at the same time for weeks at a stretch. 2 Recreational drug misuse (b) Psoriasis
with an increased risk of developing thyroid
2 Patients experience severe, unilateral lymphoma ?
3 Non-compliance to treatment with (C) Acne vulgaris
periorbital pain which typically lasts antiepileptic drugs (a) de Quervain's Thyroiditis
from 30 - 90 minutes. (d) Onychomycosis
4 Sleep deprivation (b) Multinodular Goitre
3 The headache is accompanied with 8 Which of the following is
Which of the factors given above are correct ? an oral
anticoagulant ? (c) Riedel's thyroiditis
autonomic features such as ipsilateral (a) 1and 2 only
tearing, nasal congestion and Dabigatran Hashimoto's thyroiditis*
b) 1,2, 3 and 4
conjunctival injection. (b) Heparin
(c) 2 and 3 only 12 A 52-year-old male diabetic presents with
4 Subcutaneous injection of Sumatriptan (c) Fondaparinux
(d) 3 and 4 only recurrent episodes of hypoglycemia. On
or inhalation of 100% oxygen may be (d Bivalirudin
examination, Pulse 84 beats/minute,
beneficial in halting acute attacks. A
5. 75-year-old man presented with temporal BP : 160/100 mm Hg, Chest and CVS
headache, jaw pain, exacerbated by chewing 9. A 39-year-old female presents with severe
Which of the statements given above are examination unremarkable. Which of the
and talking. Which one of the following autoimmune hemolytic anemia. Which of the
correct?
investigations will most likely help in following should be the initial step in its following antihypertensive should be
(c)
Electromyography
MRI of (c) Emergency splenectomy (c) Torsemide
the brain
Ad) 1,2, 3 and 4 Plasmapheresis (d) Amlodipine
(d) Carotid colour Doppler
KCSP-A-GMPK KCSP-A-GMPK (3-D)
(2-D)
13. Consider the following findings in urine 15. Which of the following are poor prognostic 17. Which of the following is the correct range of|20. A 40-year-old female with nephritic range
examination of suspected haematuria: indictators in glomerular disease ? Glomerular Filtration Rate (GFR) for Stage 2 proteinuria is found. to have low serum
Dipstick test is Urine Etiology chronic kidney disease ?
positive for microscopy 1 Female sex complement levels. Which of the following can
following (a) 60-89 m/min/73 m? be the likely etiology?
component 2 Hypertension
45 - 59 mL/min/73 m² 1. Systemic lupus erythematosus
A: MyoglobinuriaD:White G: Glomerular
3 Persistent and severe proteinuria
blood bleeding 30 44 mUmin73 m?
(c) 2 Post-infectious glomerulonephritis
cells
4 Elevated creatinine levels at
(d) 15 29 m/min/1-73 m?
B:Hematuria |E:No red H:Intravascular presentation 3 Infective endocarditis
cells hemolysis
C:Hemoglobinuria F: Red cell I:Rhabdomyolysis Select the correct answer using the code given 18. A diagnosis of- polycystic ovary syndrome 4. Mesangio-capillary glomerulonepbritis
casts below : requires the presence of which of the following
Select the correct answer using the code given
Which one of the following triplets is correctly clinical eatures ?
(a 1 and 3 only below :
matched ? 1 Menstrual irregularity
(b 2 and 4 only (a 1and 2 only
a B, FG' 2 Clinical or biochemical androgen excess
(b) A, D, I (c) 2,3 and 4 only (b) 3 and 4 only
3 Multiple cysts in the ovaries
(c) B, E, H 1,2,3 and 4 1,2 and3
4 BMI <18-5 kg/m² (C)
(d) C, F, H
Select the correct answer using the code given k) 1, 2, 3 and 4.
below:
14. Which of the following statements are
16. Which of the following are indications for a 1, 2 and 3
correct regarding anti-glomerular basement (aY
renal biopsy ?
membrane disease ? (b) 2, 3 and4 21. Consider the following clinical features:
1. It is 'a rare autoimmune disease which 1. Chronic kidney disease of uncertain 1, 3 and 4
(c) 1 Hypomimia
presents as rapidly progressive etiology
glomerulonephritis. (d) 1,2 and4 2 Dysphonia
2 Antibodies are formed against a3 chain 2. Nephritic syndrome
of type 4 collagen GBM. 19. A young male presented with recent onset
3 Festination gait
3. Uncontrolled severe hypertension
3 The 3 chain is expressed in basement urethral discharge and dysuria. On 4 Cogwheel rigidity
membrane of glomerulus and the retina. 4. Renal transplant dysfunction. examination, the discharge was profuse and
4 The disease may be associated with purulent. Microscopy of smears from the Which of the features given above are
Select the correct answer using the code given
retinal hemorrhage when it is known as discharge revealed Gram-negative diplococci. generally present in Parkinsonism ?
below :
Goodpasture syndrome. What is the likely diagnosis ?
Select the answer using the code given below : 1,2 and3
(at 1, 2, 3 and 4 "
(a) (a) Genital herpes
(a 1 and 2 only (b) 1,2 and 4 only
1,2 and 4 (b Chlamydia
2,3 and 4 only
Gonorrhoea < (c) 3 and 4 only
(c) 13and 4 only (c) 1,3 and 4
1.2,3 and 4" (d) Syphilis (d) 1,2 and 3 only
(d 2,3 and 4
KCSP-A-GMPK (5-D)
KCSP-A-GMPK (4-D)
22. Cireuits betwen the basal ganglin and the 2, The distance walked in 6 minutos is an 98, The Gold 8tandard for dingnosis of Coliac31. Which one of the following statementH is
motor cortex constitute the extrn pyramidal indirect measuro of which of the following disonso is :
systen which controls muscle tone, body correct regarding Upper Gastro Intestinal
posture and the initintion of movement. variables of the BODE Index' which is usod to Endoscopic small bowel biopsy . Bleoding(UGIB)?
Lesions of the extra pyramidal system present assess the prognos08 in chronic obstructivo (b) Stool routine microscopy and culturo (a) Esophageal varices are the mnost common
clinically with: pulmonary disease ?
(aY Tremor and rigidity (c) Abdominal ultrasound cause.
Body Mass Index
(b Seizureg Anti-parietal coll antibodies Ab) Eradication of Helicobacter pylori in
(b Degree of air Mow obstruction . patients with bleeding ulcors deereases
Urinary incontinence
(c) Severity of dyspnoca 20. With regard to Helicobacter pylori eradication the rebleeding rate8 to less than 6%,
(d) Muscle wasting in poptic uleer disense, consider the following
(d) Exorciso capacity statemonts: (c) Patients with cardiovascular disease
Considor the following statoments regarding who are on aspirin for
Transient GlobalAmnesia (TGA): 1. Proton-pump inhibitor is taken with two
26. A 65-year-old female, a stone-cutter by antibiotics, secondary prevention should not restart
1. TGA mainly affects middle aged persons occupation had multiple well circumscribed 2 Trentmont is prescribed for at least their aspirin.
who present with abrupt, discrete loss of nodular opacities in upper and middle zones
anterograde memory lasting for few hours. 7 days.
of a chest X"ray along with mediastinal lymph (d) Trangjugular Intrahopatic Portoaystemie
2. During the episodo, the patients are unable 3. Treatment of Helicobacter pylori infection
to record new memories resulting in nodes showing egg-sholl calcification. Which leads tovitamin B12 deficiency.
Shunt (TIPS) should be considered as
therapy only after one week of
repetitive questioning. one of the following i8 the most likely 4. Patients requiring long-term NSAID hospitalization for acute variceal
S. Consciousness is impaired during the etiology ? should undergo Helicobacter pylori
opisode and the patient is unable to eradication therapy to roduco ulcer risk. bleeding.
perform even simple motor functions,
(a)
Byssinosis
Silicosis
Which of the statements given above aro
4. After 4-6 hours, memory function and correct. ? 32. Crigler-Najjar syndrome Type-I is inherited
behaviour return to normal but the patient Berylliosis a8 an:
has complete and persistent amnesia for (a) 1,2 and 3
the duration of the episode. (d) Siderosis (b) 1,2 and 4 Autosomal recessive disorder:
Which of the statements given above are Set 1, 3 and4" (b) Autosomal dominant disorder
correct ? 27. Which of the following are complications of (d) 2, 3 and 4 (c) X-linked recessive disorder
1,2 and 3 acute pancreatitis ?
1,2 and 4 (d X-linked dominant disorder
1 Hypoxia 30. Which of the following are precipitating
1,3and 4 factors for hepatic encephalopathy ?
2, 3 and 4
2.
Hypercaleemia 1. Hypokalemia
33. Whipple's disease is charncterized by the
Hyperglycemia 2 Septicemia
infiltration of small intestinal mucosa by
24.
Contralateral homonymous lower 4 Reduced serum albumin foamy' macrophages. Which one of the
quadrantanopia is the type of visual loss 3. Increased dietary protein load following histological stains is
seen when the lesion is located at which one of Select the correct answer using the code
below given Select the correct answer using the code given
characteristically used to stain them ?
the following anatomical locations ? below :
Frontal lobe ( 1,2 and3 (a) Sudan Black-B
(a) 1and 2 only
(b) Temporal lobe (b 1,3and 4 (b) 2 and 3 only (b) Gentian violet
(c) Parietal lobe
(c) 2 and 3 only (c) land 3 only (c) Methylene blue
(d) Occipital lobe
(d) 3 and 4 only ( 1,2 and 3 (Y Periodic acid Schiff
KCSP-A-GMPK
(6-D) KCSP-A-GMPK (7-D)
34. Poorly absorbed antibiotics are often used as 37. The height of the Jugular Venous Pulse is Which of the following are major criteria 43. Which one of the following is the appropriate
41.
adjunctive therapies in patients with hepatic determined by : under the Jones Criteria for Acute Rheumatic scoring system used to assess the risk of
encephalopathy. These may include : (a Right atrial pressure Fever ? stroke in patients of non-valvular chronic
(a) Tenofovir or Telbivudine atrial fibrillation on oral anticoagulation ?
(b) Right ventricle pressure
1, Chorea
(b Sofosbuvir or Velpatasur (c) Left atrial pressure (a) HAS-BLED
Levofloxacin or Clarithromycin
2 Erythema Marginatum
(d) Left ventricle pressure (b) AMT-4
(d) Neomycin or Rifaximin 3 Subcutaneous Nodules
(c) CURB-65
38. The SA node is situated at the junction of:
4. Polyarthralgia (to CHA,DS,VASc
35. When the serum ascites to albumin gradient (a SVC and RA
(SAAG)is less than 1.1 gm/dL, then which of Select the correct angwer using the code given
(b) SVCand LA
the following causes of ascites may be below:
(c) LA and LV
considered? 44. Consider the following statements with
IVC and RA
1,2 and3
(d) regard to pulmonary embolism :
1 Infection
(b) 1,2 and4
2 Malignancy 39. High output cardiac failure is caused by 1. Unexplained breathlessness is the most
which of the following diseases ? (c) 1, 3 and 4 common symptom.
3 Cardiac ascites
1 Beri-beri 2, 3 and 4
4 Portal hypertension (d) 2 When congestive heart failure
2. Severe anaemia pneumonia fail to improve despite
Select the correct answer using the code given
below : 3 Thyrotoxicosis standard medical treatment, occult
(a) Select the correct answer using the code given 42. A 70-year-old man with dyspnoea on exertion pulmonary embolism should be
1,3 and 4
below : considered.
1and 2 only has been found to have a single second heart
(a) 1and 2 only sound and a loud diamond-shaped, rough 3 Patients with high clinical likelihood of
(c) 3 and 4 only
(b) 2 and 3 only quality systolic murmur best heard at the venous thromboembolism should first
(d 1,2 and3
(c) 1 and 3 only right 2nd intercostal space, radiating to the undergo D-dimer testing alone without
right carotid artery. Which one of the obligatory imaging tests.
36. A sigmoid configuration along with tapering 1, 2 and 3
following is the likely diagnosis ? Which of the statements given above are
beak-like deformity at the lower esophageal
sphincter on barium swallow is a feature of : 40, Reverse splitting of second heart sound is COrrect ?
(a) Patent ductus arteriosus
most commonly seen in:
(a Diffuse esophageal spasm (a) 1 and 2 only
ASD (b) Ventricular septal defect
(b) Squamous cell carcinoma of esophagus (b) Severe MR
(b) 2 and 3 only
(c) 1 and 3 only (c) 2,3 and 4 only 58. Consider the following statements regarding (a) land 2 only
Acute Respiratory Distress Syndrome 1,2 and3.
(d 1,2, 3 and 4
(a 1, 2and 3 (ARDS):
(c 1,2 and 4
1 Exudative phase lasts from day 7 to day (d) 2, 3and 4
21 after exposure to a precipitating risk
54. Which of the following are correct 56. Which of the following statements are correct factor. 60. Consider the following statements regarding
regarding paracetamol toxicity :
acetaminophen ? with regard to glucose homeostasis ? 2
Proliferative phase is characterised by 1. Toxicity is caused by an intermediate
1. Insulin levelrises postprandially., proliferation of type II pneumocytes. reactive metabolite that binds
1 It does not interfere with platelet
2.
3 Low tidal volume ventilation (6 m/kg covalently to cellular proteins causing
function. Major portion of postprandial glucose is cell death.
used by skeletal muscle. body weight) has significantly lower 2
Antidotes for paracetamol act by
2. It is toxic to the liver in high mortality in management as compared replenishing hepatic glutathione and
doses.
Brain uses glucose in an to high tidal volume ventilation (12 should be administered to all patients
It is a non-narcotic
analgesic. mUkg body weight). with acute poisoning.
. insulin-dependent manner. 4
3
Intravenous acetyl cysteine is a highly
Select the answer using the code given 4
Glucagon is secreted during exercise. PaO,/Fi0, s100 mm Hg is classified as efficacious antidote if administered
below severe AIDS. within 8 hours of the overdose.
(a) 1 and 2 only Select the answer using the code 4
Methionine may be used
given below : Which of the statements given above are as an
alternative antidote but it is less
correct ?
b 2 and 3 only
(a) 1,2 and3 effective than acetyl cysteine.
(a 1, 2and 3 . Which of the statements given above
correct ? are
(b 1, 2 and 4 .
(c) 1 and 3 only (b 2, 3 and 4 (a) land 4 only
(c) 1,3and 4 (b) 1,2 and3 only
(c) 1,3and 4
(d) 1,2 and3
2,3 and 4 only
(d) 2,3 and 4 (d) 1,2 and 4
(d) 1,2, 3 and 4
KCSP-A-GMPK (12-D ) KCSP-A-GMPK (13D )
61. Allergic contact dermatitis is a manifestation 64. Heberden's nodes are present mainly in : 67. Schober's test is used in the assessment of 71. Long term treatment of bipolar disorder with
of: which one of the following clinical conditions? lithium carbonate can cause which of the
(a Rheumatoid arthritis
(g Type l hypersensitivity (a) Rheumatoid arthritis following adverse effects?
(b) Type 2 hypersensitivity Osteoarthritis 1 Weight loss
(b (b) Systemic Lupus Erythematosus
(c) Type 3 hypersensitivity 2 Hypothyroidism
( Psoriatic arthritis
(g Ankylosing Spondylitis
(d) Type 4 hypersensitivity
(d) Psoriasis
3 Increased levels of parathyroidhormone.
(d) Gouty arthritis 4 Nephrogenic diabetes insipidus
62. Which one of the following is an example of
non-scarring alopecia ?
68. Urate crystals are described as having the Select the correct answer using the code given
following shape : below :
(a) Linear scleroderma
65 A patient developed difficulty in standing (a) Short and stout
(b Cutaneous metastases (a) 1,2 and3
from a seated position, walking up steps,
Telogen effluvium.
(b) Long and needle-like (b) 1, 2 and 4
squatting and lifting arms overhead. Chronic
(d) Sarcoidosis therapy with which of the following drugs is (c) Small and triangular (c) 1, 3and 4
likely to result in such presentation ? Large and rhomboid (dY 2, 3 and 4.
63. Which of the following statements are correct
in respect of scabies ? (a) Acetaminophen 69. Anti-citrullinated peptide antibody is useful
Male mite Sarcoptes scabiei are in diagnosis of:
(b) Fexofenadine
commonly transferred from an infected 72. Which of the following antidepressant drugs
Rheumatoid arthritis"
person to a non-infected person. (c) Glucocorticoids act by inhibition of monoamine oxidase ?
2. Norwegian scabies Occur in
(b) Sjogren's syndrome
1 Phenelzine
immunodeficient patients. ( Metformin. (c) Scleroderma
2.
Permethrin cream (5%) is used for (d)
Tranylcypromine,
Systemic Lupus Erythematosus
treatment. 3. Dosulepin
4. Pruritus intensifies at night and after 66. Hemorrhagic cystisis is a serious side effect 70, Which one of the follovwing antibodies is 4 Moclobemide
hot shower. of: commonly associated with Drug-induced
Select the correct angwer using the code given
Select the answer using the code given below : Lupus ? below :
(a) Leflunomide
(a
1,2 and3 a Anti-centromere antibody .
(a) 1, 2 and3
(b)
(b) 1,2 and4 Mycophenolate mofetil (b) Anti-Jo-l antibody
by 1, 2 and 4.
(c) 1, 3 and 4
(o Cyclophosphamide (c) Anti-histone antibody (c) 1, 3 and 4
2, 3 and 4
(d) Anti-RNP antibody (d) 2, 3 and 4
(d) Methotrexate
ccSP-A-GMPK (14-D ) KCSP-A-GMPK (15-D )
73. The Sabin-Feldman dye test is an indirect 77. An ophthalmologist may observe Snowflake' 80. Which of the following are correct with regard 82. Consider the following statements with
fluorescent antibody test which is used to deposits on the edges of the cornea, in a toBCG vaccination? regard to Vitamin D deficiency :
detect antibodies against which of the
patient infected with which of the following It is a live-attenuated vaccine. ,
1 Vitamin D deficiency is common in
1. northern latitudes.
following organisms? flarial worms ?
Toxoplasma gondii . 2. It is administered by intramuscular 2 Vitamin D deficiency is more likely to
( Brugia malayi .
Leishmania donovani develop in people with dark skin.
(b injection.
(b) Loa loa Exposure to UV light is advisable in
(c) Coxiella burnetii 3
3 It is derived from Mycobacterium bovis. patients with Vitamin D deficiency.
(C) Mansonella perstans
(d) Trypanosoma cruzi
(d) Onchocerca volvulus 4. It is highly immunogenic. Which of the statements given above are
Correct ?
74. Cat-scratch disease is caused by infection of
which of the following organisms ? 78.
Select the answer using the code given below: (a) 1 and 2 only
Which among the following are hepatobiliary
(a) Chlamydia trachomitis flukes (trematodes)? (at 1, 2 and 3 (b) 2and 3 only
Coxiella burnetii 1 Clonorchis sinensis (c) 1 and 3 only
(b) 2, 3 and4
(c) Trypanosoma cruzi 1,2 and3.
2 Mansonella perstans (c) 1,3 and4
(d) Bartonella henselae
3 Fasciola hepatica , (d) 1,2 and 4
83. Which one of the following statements is
75. Which among the following is the first characteristic of Purpura fulminans ?
4. Opisthorchis felineus
intermediate host for the parasitic fluke (a) Non-hemorrhagic bullae usually present
Clonorchis sinensis? Select the correct answer using the code given over extremities.
below : 81 Which of the following immunizations are
(a) Dog (b) Present as large ecchymosis with
(a 1,2 and 3
recommended for persons infected with HIV? irregular shapes.
(b Snail
(c) Encysts on vegetation (b) 1,2 and 4 1. Hepatitis B
vaccine r e) Auto-immune disorder and never
associated with any infection.
(d) Sheep 1, 3 and4 . 2 Influenza virus vaccine (d) Asplenic patients are protected and do
(d) 2, 3 and 4 not develop this disease.
76. A calabar 3 Pneumococcal vaccine
swelling, which is a short-lived,
inflammatory, oedematous swelling close to a
limb joint, is characteristically seen in 79. Which among the Select the correct answer using the code given8 An elderly male presents with papular lesions
following parasitic on his face. The papules are with pearly
infection caused by which of the following helminths is a nematode and has zoonotic below :
nematodes ? transmission ?
telangiectatic border on sun-damaged skin.
(a) 1and 2 only The likely diagnosis is :
(a Onchocerca volvulus (a Taenia saginata
(b) 2 and 3 only
(a Squamous cell carcinoma
b Mansonella perstans (b
Trichinella spiralis (c)
(b
Melanoma
Loa loa l and 3 only
Fasciola hepatica Basal cell carcinoma.
Brugia malayi " (d) Fasciolopsisbuski 1, 2 and 3 (d) Actinic keratosis
KCSP-A-GMPK (16-D )
KCSP-A-GMPK (17-D )