FMGE – 2020 Previous Paper (August)

Choose the correct sequence of muscle contraction in ejaculation:

Deep inguinal ring is a defect in :

Name the skin receptor responsible for detecting rapid vibration sense:

A lesion in left sided motor nucleus of facial nerve leads to:

Structure developing in dorsal mesogastrium :

Contralateral homonymous hemianopia with macular sparing occurs due to lesion at the level of :

Posterior tibial artery pulse is felt:

Patient underwent removal of left submandibular salivary gland, and lingual nerve was damaged. Which of the following statements is NOT correct?

Ductus arteriosus develops from which pharyngeal arch artery?

Which enzyme deficiency is seen in Tay Sach’s disease?

An Alcoholic patient presented with mental confusion, gait problem and ophthalmoplegia. Which vitamin deficiency is seen?

A female patient with macrocytic anaemia, homocystinuria & normal methylmalonate levels. Which vitamin therapy can help in this?

Macrocytic anaemia case with normal methyl-malonyl with increased level of homocysteine.What is the diagnosis ?

A heart patient suddenly has chest pain. Which isoenzyme of LDH enzyme is elevated?

Cofactor for Mitochondrial SOD:

Nitric oxide is synthesized from:

Which of the following is involved in protein folding?

Which of the following is not given in a case of fatty liver disease?

17 Years old girl was kidnapped. Police caught the accused and brought to the police station. After some time the accused was found dead in the station. Inquest in this case should be done by?

Dowry Death inquest is according to which CrPC ?

Which of the following is a true statement about dying declaration?

In regard to a fetal death classification, a test was done to determine the cause which includes dipping the lung in to the water. Identify the test.

Sexual gratification obtained through obscene telephone calls is called as;

A person was found dead in his apartment and the forensic team observed the scene and gave these noted details regarding injury that caused death. The injury over the vertebra has clean cut margins but the bones appeared to be crushed. What could be the correct option in this scenario?

Rotten egg odor is associated with

Minimum number of Antenatal visits required are;

A man came for health checkup after his father had a cerebrovascular accident who died last month. He was having the history of hypertension. Which type of prevention is this?

Mid-year population is taken on;

Regarding the School health service guidelines recommendations, which of the following statements is true?

Researcher was conducting study in relation of Depression associated with history of social media usage. One group had social media users with depression and another group had social media users without depression. Which type of study design is used?

Delphi technique used for collective opinion of;

A Researcher did study on staff, nurses and junior resident doctors doing yoga (Divided into male and female). Yoga shows 25% decreased risk of infections. Which is the best test to test the significance of the result?

A Researcher undertakes follow-up study for a certain time period duration, and tells that the people increasingly develop the disease with time, then it expressed as;

All of following are Principles of Primary Health Care Except?

In different types of graphs, Secular trend of a Disease is best represented by;

Which of the following depicts Severity / lethality of disease?

In a hospital, systematic observation and recording of doctors spending time with patients care and time without patients’ care is calculated for future management purposes. The type of management technique used here is?

Definition of blindness, as per WHO;

A 8-month-old child reported to a PHC with runny nose and fever since last 3 days. Rash started on face and then covered the trunk part of body. What’s the most likely diagnosis?

Which of the following is NOT constrained by Time or Existing resources?

Newborn Health Mission component do not include;

If you are posted as a Medical officer in an area under NVBDCP, and you will be advised to spray Malathion for malaria prophylaxis. What could be the probable decision you will take regarding frequency of Malathion spray?

A country is suspecting a severe disease. What’s the probable time within which one should report it to WHO?

Least Iron content is present in;

In an operation theatre, the nurse spilled blood on the floor. What can be used to disinfect it?

In a train accident, there were 74 dead, 64 were severely injured, 20 moderately injured and 32 mildly injured. Color coding in Triage Highest to Lowest category is

A healthy person get in contact with an infected case, and they have to separate him not more than the incubation period of disease. This is called as;

A male underwent Vasectomy and after 3 months his wife got pregnant. What advice should have been given to him post-vasectomy?

First investigation for TB Diagnosis?

In ORS, Sodium is given along with Glucose for

A factory worker had a history of frequent exposure to groundnuts. Subsequently he develops Hepatocellular carcinoma. Most likely exposure association is

A Medical officer examines workers in mines and suspected Silicosis. What should be his comments?

A person returning from malaria endemic country should continue chemoprophylaxis for how long?

An infant is given Buffalo milk. It is superior because;

Long term changes / sequelae of a disease are seen in

A 5 year old child came into OPD with fever, rashes on the body. There were rashes on the axilla and flexor surface with various macules, papules and vesicles. Rashes and blisters are in different stages and non- uniform. Most probable diagnosis is?

Regular monitoring of visual acuity and fundus examination is required with the patient is being treated with the following DMARD?

A female presented with burning micturition and symptoms of UTI. Which fluoroquinolones is least likely to be effective?

A patient with pancreatic carcinoma is on morphine for treatment of pain. After a few days, the pain is not relieved as much as earlier. What can be the likely reason for this?

A female patient presented with pain and redness in great toe. Serum uric acid level is 9.4 mg/dL. The physician prescribed a drug for the treatment. Which of the following enzyme is inhibited by this drug?

A patient on anticancer therapy developed infection. Total leucocytes count of this patient was 2000/mm3, which of the following drug is effective?

A person presents with acute chest pain. Nitroglycerine was given sublingually and the pain relieved within 5 minutes. what is the mechanism of the drug?

A 60 year old man present to OPD with low backache. His PSA levels are 100 ng/ml. Which of the following drug is indicated?

A patient with resting tremor was diagnosed to be of parkinsonism. Which of the following therapy is not indicated?

A Pregnant female presented with burning micturition. A diagnosis of cystitis was made. which of the following drug will be useful for the treatment?

A patient has pain in facial nerve distribution while chewing and speaking, which of the following drug should be given for treatment?

Which of the following is a true statement regarding aliskiren?

Which of the following drug is used as radiosensitizer in head and neck cancers?

A 20 year male is on low dose of oral steroid therapy for the last 10 years, now he develops progressive loss of vision in both the eyes. What is the reason?

For the treatment of acute migraine attack, a patient took some medicines. After that he develops change in colour vision and numbness in the tip of the thumb. What is likely drug responsible and its treatment?

A child presented to emergency with GTCS since 30 minutes. Airway has been secured but the child is still having seizures. What is initial treatment to control the seizures?

A Person from non-endemic area visited India and was given prophylaxis for malaria . How long the person should continue after travelling from India?

A child took several iron tablets. What is the antidote for poisoning?

Adrenaline acts via beta 2 receptors cause bronchodilatation where histamines act on H1 receptors to cause bronchoconstriction. Which type of antagonism it is?

A Person having a history of angina and heart rate of 90bpm and tense personality developed BP of 150/125. The preferred drug for treatment of hypertension?

A boy fell down while playing and the nose is deviated but septum was found normal, what is the next step done?

A patient underwent removal of submandibular gland and lingual nerve was damaged during surgery. Which of the following is NOT correct?

Syphilis affects which part of the nose?

Drug used for treatment of cystitis in pregnancy?

Pharyngeal pouch is located between?

Hypopharyngeal carcinoma with involvement of the same side with no extension to the opposite side. What is the staging?

Reservoir sign and pain near mastoid antrum is seen in which of the following condition?

A 2 month old baby is having watery discharge / fluid leakage from umbilicus, This is due to

A paediatric patient presented with headache, ear discharge, fever, reservoir sign is present. what is the diagnosis?

A mother delivered 33 weeks old baby, via normal vaginal delivery with no complications at birth. What is the preferred method of feeding the neonate?

A 6 year old child presented with abdominal pain, hematemesis and palpable spleen. He had a history of exchange transfusion for neonatal jaundice. What is the probable diagnosis?

A 1 year old child presents with 1st episode of wheeze and breathing difficulty. Chest X-ray shows bilateral hyperinflation. Which of the following can be a causative organism for this case?

True regarding buffalo milk composition when compared to human milk?

A 3 month old child presents with complaints of fever, cough, not able to feed and breathing difficulty. On examination, respiratory rate was 58 / min, chest retractions were present. What would be your next step of Management?

All of the following are components of TOF except?

A neonate was found to have Grimace on inserting a catheter into nose, some flexion of limbs was noted. Heart rate – 120 / minute, Blue extremities were noted with irregular breathing. Find out the APGAR Score?

A patient’s mother while bathing her child noticed there was no testes in the scrotum and on examination- one right testes was in Inguinal region and left was in perineum. What is the DIAGNOSIS?

A 4 year old child presented with fever, running nose and following lesions. Probable aetiology?

A patient of 23 years came to the clinic with a known history of myopia with -2 D in left and -3 D in the right eye. He is sent for retinoscopy. What is the movement of retinal reflex in the right eye?

Which curvature develops after the baby starts to walk?

A mother complains that her baby is not drinking properly from breast and now complaints of pain and swelling of the breast. Probable condition?

In a paediatric patient with seizure which drug is initially used in management?

A 54 year old female patient with the history of Amenorrhea for last 16 months. What should be the hormone levels identified in this patient?

In which of the following condition, MTP is not indicated?

A 40 years old female with severe cardiac compromise, she had to undergo an operation for which the surgeon gave clearance, which of the following surgery must not be done?

What is the first sign of MgSO4 toxicity?

A mother brings her 18 year old child with complaints of not attained menarche. GPE shows normally developed breast and pubic hair. On examination vaginal ending is blind and uterus not palpable. What is the next line of investigation?

A Female patient came with c/o pruritis , greenish discharge per vaginum . What is the causative organism?

A 14 year old girl with well-developed secondary sexual characteristics but presents with amenorrhea. What is the treatment youwill prefer next?

33 year old unmarried female presents with the complaint of amenorrhea and fainting. what is the next step you should perform in this patient?

A female in labor is having occipital posterior position. The cervix gets 8cm dilated, forceps applied in occipitomandibular direction and tried to rotate, but doctor is not able to rotate. In which type of pelvis, the fetal head cannot be rotated?

Female having 14 weeks of missed abortion. Which is the agent of choice to be used in this condition?

A 35yr old Female presented with 14 week of gestation with bleeding per vaginum, doctor started misoprostol with dose 200 mcg. How much maximum dose can be given?

Cervical cancer is caused by which type of virus?

A Young Female is having inserted IUCD 6 months ago. Now she has presented with the complaints of amenorrhea and fainting since two cycles. What may be the cause for this condition?

A primigravida is in labor from last 12 hours with tender and rigid uterus. Fetal head not palpable, loss of Fetal movements . what is the most appropriate diagnosis?

A female with C-Section delivery, the baby was seems to be normal but the placenta was morbidly adherent, what could be the reason for this condition ?

A 37 weeks of pregnant female came with the complaint of bleeding per vaginum associated with pain. the fetal heart rate was absent and uterus is tender. what is the diagnosis and management for this patient?

Hormone responsible for Lactogenesis?

A pregnant lady delivered a child and after 24 hrs later she came with complaint of heavy bleeding. What might be the cause for the bleeding in this patient?

Most common symptom seen in endometriosis is;

A 32 yr old female patient complaints on her 4th day of postpartum delivery of fever, dysuria, foul smelling discharge. what is the probable diagnosis in this patient?

Auspitz sign is seen in?

A Normal individual underwent an evaluation of his cardiac tissue. Which is form of lactate dehydrogenase is predominant in the cardiac tissue?

A patient has been diagnosed with a solid cancer of the bowel. He also experienced massive proteinuria after a few months of initial diagnosis of cancer. which of the following is a likely cause for the development of the urinary finding?

Which of the following contributes to the immortality of cancer cells?

A patient died of myocardial infarction and his heart was taken out and immersed in a solution. The normal area of the heart turned brick red whereas infarcted portion turned white. Which of the following can be likely component of the solution?

A patient presents with the presence of a thyroid swelling and weight loss the physician found presence of cervical lymphadenopathy in the same patient and decided to go in for a Thyroid biopsy. Histopathology report of the patient suggested the presence of cells with orphan Annie eye nuclei. Which of the following is a likely diagnosis for this patient?

A patient presented with development of seizures for which the CT guided biopsy was done. The histopathology reported presence of psammoma bodies. Which of the following is the most likely diagnosis of this patient?

Which of the following is implicated in the development of angiosarcoma of the liver?

A 4 year old child presents with development of fever, petechial spots and complaint of fatigue. He is also having presence of pallor, hepato-splenomegaly as well as sternal tenderness. The clinical situation described above is most correctly associated with which of the following?

A boy presents in the emergency because of development of allergy due to pollen inhalation. Which of the following cells is important in the pathogenesis of this condition?

Which of the following is the molecule required for presentation of the antigens by the an antigen presenting cell to the TH2 cell?

Which of the following is the mode of inheritance in the patient suffering from color blindness?

A patient has been diagnosed with a condition due to a DNA repair gene defect. He is having hyper pigmentation on the skin and high risk for development of skin cancers as per the physician. which of the following is a likely enzyme defect in the patient?

Which of the following amino acids is required for the formation of nitric oxide in the blood vessels?

Macrophages play an important role in phagocytosis and chronic inflammation. Which of the following cells perform the same function in the liver?

Which of the following is a characteristic feature associated with Barrett’s oesophagus?

A 3 year old child was brought to the ER with unilateral diagnosed as dacryocystitis. What is the first line of management in the given child

A 60-year-old patient presented with rightsided homonymous hemianopia with Macular sparing. Localise the neurological site of the lesion in this condition.

The patient was brought to the emergency. The patient was hit by a tennis ball…. And noted to have hyphema. What is the source of bleed in this patient?

Which of the following is Contra Indicated In Acute Intermittent Porphyria?

A lady was taken for C-section operation. the duration of surgery was more than anticipated and the patient lands into post op hyperventilation. Which of the following could be the reason for that?

A person was admitted into hospital for tibial fracture and a cast was applied. After 3 weeks the cast was removed and another cast was applied. The patient was given crutches and asked to walk. What is the stage of healing of the bone?

A 30-year-old patient of valvular heart disease is having fever for last 2weeks. On physical examination the following features are noticed in this patient. Which of these will be the abdomen examination finding of this patient?

A 60-year-old woman presents with weakness in right arm for four hours duration. The weakness gradually became lesser and resolves. She is a known case of Hypertension and BMI is elevated. Which of the following is the probable diagnosis of this case?

A 35-year-old recently divorced male is suffering from palpitations, headache and diaphoretic episodes on recurrent basis. He has visited the psychiatrist multiple times. What should be the next best step for management of this case?

An elderly patient with Hypertension fell down in his bathroom. His BP was 220/110 on admission. Which of the following statements is correct about this patient?

A 70-year-old man has recurrent episodes of exertional syncope and recurrent episodes of chest pain on climbing LNH stairs. He was diagnosed as a case of valvular aortic stenosis. Which of the following is the radiological finding of XRC of this patient?

A patient presents with complaints of palpitations. On examination her heart rate is 110 / min with Respiratory rate of 10 / min. She tells you that her mother has recently expired due to renal cell cancer. What investigation would you perform to manage this case?

A 30 year old female patient presented with pain in joints of hand with rash on dorsum of hand with extensive skin induration and skin tightening. Comment on the diagnosis.

On Post-operative day 2, routine X-Ray of patient was performed. The patient is not complaining of any respiratory distress and is comfortable in hospital bed. On bilateral auscultation equal air entry is heard. What is the next step in management of patient?

A 55-year-old man has chest pain on rest for last 6 hours. ECG was performed on admission and showed findings of myocardial ischemia. His biomarkers report was sent to lab for diagnostic workup. Which of the following will help in diagnosis?

A 50-year-old man presents with recurrent episodes of chest pain on exertion. He is diagnosed as a case of chronic stable angina. On routine monitoring BP is found to be consistently elevated. Which of the following is the best drug for management of this patient?

A 30-year-old man has presented with complaints of fever for 3 days with SOB. On examination on right mammary area * bronchial breathing is heard with normal air entry bilaterally. Comment on the diagnosis.

Prophylactic CNS radiation is given for which of the following cancers?

An elderly patient fell in the bathroom in early morning hours and was rushed to the casualty. On arrival GCS is 9/15 and urgent NCCT head was performed. Comment on the diagnosis?

A 28-year-old pregnant lady presents for routine antenatal check-up. Which Arterial Blood gas abnormality is expected to be present in this case?

Rabies virus will use which kind of molecular motor to cause involvement of Central nervous system from the site of inoculation into the host?

A 30-year-old car driver was involved in an accident. He is brought to ER with complaints of breathlessness. On physical examination vitals are PR-110 / min, BP 90/60 mm Hg and temp of 37 degrees. Extensive bruising is noticed on right side of chest. An urgent beside CXR was performed. What is the best management of this case?

A 60-year-old woman a known case of lung cancer is having shortness of breath. On examination her neck veins are engorged showing gross elevation of JVP, Heart sounds are distant and breath sounds appear reduced on left side infra-scapular area. Requisition for CXR is done and is shown below. Comment on the diagnosis of the patient.

An elderly patient with malignancy develops haematuria with dipstick performed on urine sample showing 4+ proteinuria. Which of these is the possible diagnosis of this patient?

A 60-year-old patient has right sided homonymous hemianopia with macular sparing. Locate the neurological site of lesion in this patient.

A 60-year-old man has presented with chronic projectile vomiting and significant weight loss. Which of the following electrolyte abnormality is seen in this patient?

A 35-year-old patient with ulcerative colitis develops ulcer on the anterior compartment of the leg. Comment on the diagnosis of patient.

A patient presented with back pain. Labs show a grossly elevated ESR, X- Ray skull shows multiple punched out lesions. * Which is the most important investigation to be done for this case?

An AIDS Positive 30-year-old male patient has developed fever, vomiting and meningismus. Which of the following test: will have help in rapid diagnosis of Cryptococcal meningitis?

A 30-year-old man who works in a glass factory presents with complaints of progressive shortness of breath on exertion. He is predisposed to development of which of the following?

A 12-year-old girl has developed Acute ITP and is managed with steroids. There is recurrence of low platelet count once steroids were stopped. On current physical examination there is no petechiae or any physical evidence of bleeding. Which is the next line of treatment?

What is the primary defect in vitamin D resistant rickets?

A 30-year-old alcoholic had his last drink 48hrs ago. He develops anger and rage attacks and appears unable to identify faces of family members and can see inanimate objects. He has been brought to the ER. What is your diagnosis?

A 25-year-old male patient is having loose stools 18 times per day and his urine frequency is reduced. What will be the correct finding of this patient?

A 50-year-old lady with Hypertension was admitted with breathlessness in supine position and palpitations for last 4 days. On physical examination her heart rate is 120 / min with congested neck veins. Per abdomen shows liver palpable 3 cm below costal margin. The finding shown in the image below is?

A 5-year-old boy has presented with multiple episodes of hematemesis. On admission his vitals are stable and splenomegaly is noted. The mother tells that at birth the boy had developed jaundice and an exchange transfusion procedure had been performed in the same hospital. Diagnosis is

A 6-year-old child weighs 12 kg. The urine output of the child is only 0.5ml / kg / hour for last 12 hours and serum creatinine has shown a doubling over the baseline. What is stage of AKI by KDIGO criteria?

A girl is having honey crust injuries on face which was diagnosed by her pediatrician as impetigo. She has now been brought your hospital with facial puffiness and not eating well. When you work up the patient, which of the following will be the most common finding encountered in this case:

A 60-year-old known case of Diabetes mellitus has been noticed on laboratory work up to have microalbuminuria. What is the site of reabsorption of proteins in the ultrafiltrate?

A Patient with prostrate cancer receives sequential radiotherapy at a dose of 1.8-2.4 Gy for 5 days every week, for 5-7 weeks this is called as ?

Patient with Right Hypochondrial pain, Water Lily Sign is seen on Ultrasound, what is the diagnosis?

A 2-year-old child with sudden onset breathlessness, Wheezing and Decreased breath sounds in rt lung, Chest Radiograph shows diffuse opacity in rt hemithorax, what is probable diagnosis?

Prophylactic craniospinal irradiation is done for which cancer?

A Patient with Brain Metastasis had to undergo Head and Neck Irradiation, what is the most common delayed symptom with Head and Neck Irradiation ?

Gold Standard Investigation for FESS

A 43 year old male returned from abroad and after a week develops breathing difficulty with loss of smell and taste . Which is the next best line of investigation ?

All the following measures are useful against COVID 19 except ?