DISCUSSION
-DR. AISHWARYA KATHURIA
1. A 25 year old male with history of fever and enlarged
lymph nodes and sore throat was suspected to have
infectious mono-nucleosis and was ordered a Paul
Bunnel test.
Which of the following is the principle of the test?
A) Complement mediated cell damage
B) Agglutination reaction
C) Heterophile antibody test
D) Neutralization reaction
2. After the age of 12, the boy had an intellectual disability.
On examination, fingernail abrasions, excessive biting of
lips, and increased levels of serum uric acid were observed.
What is the likely diagnosis?
A) Hurler syndrome
B) Lesch-Nyhan disease
C) Hunter syndrome
D) Von Gierke syndrome
3. A family consumes only polished rice.
Which of the following combination of vitamin deficiency
and enzymatic defect will be present in this family?
A) Riboflavin - glutathione reductase
B) Thiamine - transketolase
C) Thiamine - transaminase
D) Riboflavin - transketolase
4. AREA MARKED IN GIVEN IMAGE is supplied by
dermatome number ?
(a) T8
(b) T9
(c) T10
(d) T11
5. A chronic tobacco consumer went to the dental clinic with
bleeding lesions on his tongue and was diagnosed with
carcinoma of the tongue.
Which of the following papillae, which do not have taste
buds, is least likely to be involved in such a cancer?
A) Circumvallate
B) Filiform
C) Fungiform
D) Foliate
6. A patient met with a road traffic accident and developed a cervical
spine injury. The fracture fragment had pierced the lateral aspect of
the dorsal column tract.
Which of the following findings is seen in this patient?
A) Absence of ipsilateral lower limb proprioception
B) Absence of fine motor movement of fingers
C) Absence of ipsilateral arm proprioception
D) Absence of contralateral lower limb proprioception
7. Which of the following enzyme activities can be estimated
in red blood cells to diagnose vitamin B2 deficiency?
A) Transketolase
B) Glutathione reductase
C) Kynureninase
D) Pyruvate dehydrogenase
8. Which of the following zymogens requires gamma-glutamyl carboxylase?
A) Factors II, VIII, IX, X
B) Factors II, VI, IX, and X
C) Factors II, VII, IX, XI
D) Factors II, VIII, X, XI
9. A male patient comes to you with a history of UTI, the cause of which is
suspected to be bacteria.
Which of the following is used by the bacteria for adherence?
A) Cytoplasmic membrane
B) Cilia
C) Fimbriae
D) Flagella
10. Nucleus pulposus is derived from:
A) Paraxial mesoderm
B) Intermediate mesoderm
C) Notochord
D) Lateral plate mesoderm
11. A 34-year-old female patient presented to the outpatient department with
migratory arthritis and examination revealed a pan-systolic murmur. An
echocardiography was performed which was suggestive of mitral regurgitation. A
biopsy specimen was obtained and the image is provided.
What is the most likely lesion shown in the histopathology slide?
A) Aschoff’s bodies
B) Epithelioid granuloma
C) Granulomatous vasculitis
D) Granuloma inguinale
12. An adult male presented with protruding abdomen,
diarrhoea, visual symptoms, and neurological
manifestations. Based on the peripheral smear finding,
what is the likely diagnosis?
A) Burns
B) Abetalipoproteinemia
C) Uremia
D) EDTA changes
13. Sabin-Feldman dye test is used for diagnosis of which of
the following conditions?
A) Paragonimiasis
B) Hydatid cyst
C) Toxoplasmosis
D) Cryptococcus
14. All of the following are true regarding the actions of
endothelin-1 except:
A) Vasodilation
B) Vasoconstriction
C) Decreased GFR
D) Has inotropic effect
15. In which of the following parts of the bone are hairpin
bends of end arteries abundantly present?
A) Epiphysis
B) Metaphysis
C) Diaphysis
D) Epiphyseal plate
16. A child is brought with complaints of abdominal pain, diarrhoea and perianal
itching for the last 3 days. The mother said she noticed a white thread-like
structure in the child's night clothes. She collected the worm and brought it to the
clinician. A perianal swab was collected.
What is the likely causative organism?
A) Enterobius vermicularis
B) Ascaris lumbricoides
C) Ancylostoma duodenale
D) Strongyloides stercoralis
17. The relationship between the flow in a long narrow tube,
the viscosity of the fluid, and the radius of the tube is
expressed mathematically by:
A) Laplace law
B) Poiseuille’s law
C) Fick law
D) Frank-Starling law
18. What are the effects of posterior lesions in Brodmann's
area 22 in a stroke patient?
A) Auditory function
B) Receptive Speech Function
C) Expressive Speech Function
D) Visual functions
19. A militant presents with rashes all over his body sparing
the palms and soles. On examination, he was febrile and lice
were noted.
Which of the following is responsible for his condition?
A) Rickettsia typhi
B) Rickettsia prowazekii
C) Rickettsia akari
D) Rickettsia conorii
20. Which condition is inherited according to the given
pedigree?
A) Wilson disease
B) Wiskott–Aldrich syndrome
C) Prader-Willi syndrome
D) Achondroplasia
21. A 49-year-old patient comes with complaints of left flank pain,
hematuria, weight loss, headache, nausea, and convulsions. A family
history of brain tumors and kidney tumors is present. MRI showed a
cerebellar mass.
What is the diagnosis?
A) Li-Fraumeni syndrome
B) Tuberous sclerosis complex
C) Von Hippel-Lindau syndrome
D) Neurofibromatosis
22. Acid Citrate Dextrose (ACD), used to store blood,
preserves the RBCs for a period of 21 days.
The storage period when adding phosphate alone and when
adding adenine and phosphate together to ACD would
respectively be?
A) 35 days and 42 days
B) 21 days and 35 days
C) 28 days and 45 days
D) 35 days and 28 days
23. You are a molecular biochemist working on genetic
elements and the organization of human recombinant
chimeric DNA (cDNA). In a sample of extracted DNA
element, you determine the percentage of thymine residues
to be 22%.
What would be the expected percentage of cytosine?
28
22
36
44
24. Identify the marked structure.
A) Thoracodorsal nerve
B) Medial pectoral nerve
C) Subscapular nerve
D) Long thoracic nerve
25. In patients with hyperparathyroidism, which of the
following is least expected?
A) Osteoporosis
B) Brown tumors
C) Dissecting osteitis
D) Osteopetrosis
