Can You Pass This Hardest Medical Test?

50 Questions | By Pgblazer | Last updated: May 30, 2019 | Total Attempts: 5096

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Being a medical student, you undoubtedly know a lot about the human body and how the organs function daily. I have designed what has come to be seen as the hardest medical test that only smart people can tackle. If you consider yourself to be in the same class, then give it a shot and see how high you score.

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Questions and Answers

1.

Which part of vertebral canal will show secondary curves with concavity backwards?

Discuss
- A.
  
  Cervical
- B.
  
  Thoracic
- C.
  
  Sacral
- D.
  
  Coccyx
2.

The extracellular matrix and the cytoskeleton communicate across the cell membrane through which of the following?
- A.
  
  Proteoglycans
- B.
  
  Integrins
- C.
  
  Cadherins
- D.
  
  Intermediate filaments
3.

Enteroendocrine cells differ from goblet cells in which of the following ways?

Discuss
- A.
  
  The direction of release of secretion
- B.
  
  Use of exocytosis for release of secretory products from the cell
- C.
  
  Their presence in small and large intestine
- D.
  
  Their origin form a crypt stem cell
4.

The nucleus involved in Papez circuit is?

Discuss
- A.
  
  Pulvinar
- B.
  
  Infralaminar
- C.
  
  VPL nucleus
- D.
  
  Anterior nucleus of thalamus
5.

Agranular endoplasmic reticulum is involved in the synthesis of:
- A.
  
  Protein
- B.
  
  Lipid
- C.
  
  Carbohydrate
- D.
  
  Vitamin D
6.

Regarding cytosolic Eukaryotic gene expression false is :
- A.
  
  Capping helps in attachment of mRNA to 40 S Ribosome
- B.
  
  N formyl methionine tRNA will be the first t-RNA to come into action
- C.
  
  EF2 shifts between GDP & GTP
- D.
  
  Releasing factor releases the polypeptide chain from the P site
7.

C terminal end of androgen receptor is concerned with:
- A.
  
  Ligand binding
- B.
  
  Increasing biological half life
- C.
  
  Increasing the affinity of receptor to DNA
- D.
  
  Increasing the level of transcription
8.

The following protein defects can cause hereditiary spherocytosis except:
- A.
  
  Ankyrin
- B.
  
  Palladin
- C.
  
  Glycophorin C
- D.
  
  Anion transport protein
9.

ALL L3 morphology is a malignancy arising from which cell lineage
- A.
  
  Mature B cell
- B.
  
  Precursor B cell
- C.
  
  Immature T cell
- D.
  
  Mixed B cell & T cell
10.

A young male patient presented with UTI. On urine examination pus cells were found but no organisms. Which method would be best used for culture?

Discuss
- A.
  
  Mc Coy culture
- B.
  
  Thayer martin medium
- C.
  
  LJ Medium
- D.
  
  Levinthal Medium
11.

A child presents with infective skin lesions of the leg. Culture was done which showed gram positive cocci in chains and hemolytic colonies. Which of the following tests will best identify the organism?

Discuss
- A.
  
  Bile solubility
- B.
  
  Optochin sensitivity
- C.
  
  Bacitracin sensitivity
- D.
  
  Catalase positive
12.

The following drugs are used in obesity except?

Discuss
- A.
  
  Orlistat
- B.
  
  Sibutaramine
- C.
  
  Olestra
- D.
  
  Neuropeptide Y Agonist
13.

Which of the following is a leukotriene antagonist?
- A.
  
  Montelukast
- B.
  
  Zileuton
- C.
  
  Omalizumab
- D.
  
  Nedocromil
14.

All of the following have receptors which are transcription factors, except?
- A.
  
  Insulin
- B.
  
  Estrogen
- C.
  
  Glucocorticoids
- D.
  
  Vitamin D
15.

All are short and rapid acting insulins except
- A.
  
  Lispro
- B.
  
  Aspart
- C.
  
  Glargine
- D.
  
  Glulisine
16.

True about Octreotide are all except :
- A.
  
  Is active orally
- B.
  
  Supresses growth hormone secretion
- C.
  
  Useful for variceal bleeding
- D.
  
  Useful in secretory diarrhea
17.

Acrodynia is associated with:
- A.
  
  Mercury
- B.
  
  Phenolic acid
- C.
  
  Oxalic acid
- D.
  
  Carbolic acid
18.

All of the following are true about cluster sampling except?
- A.
  
  Samples are similar to those in simple random sampling
- B.
  
  Is a rapid and simple method
- C.
  
  The sample size may vary according to study design
- D.
  
  It is a probability sample
19.

All of the following are included in physical quality of life index except?
- A.
  
  Infant mortality rate
- B.
  
  Life expectancy at age 1
- C.
  
  Literacy rate
- D.
  
  Per capita income
20.

85% of lung cancer among smokers was due to their smoking. This is an example of
- A.
  
  Attributable risk
- B.
  
  Relative risk
- C.
  
  Odds ratio
- D.
  
  Population attributable risk
21.

All of the following statements are true for Herd immunity except:
- A.
  
  Herd structure is constant
- B.
  
  It is mostly due to subclinical infection
- C.
  
  Can be acquired by immunisation
- D.
  
  Spread of epidemic is influenced by it
22.

Which of the following vaccine is not included in EPI schedule
- A.
  
  DPT
- B.
  
  MMR
- C.
  
  BCG
- D.
  
  OPV
23.

A patient on aspirin, will show the following finding?
- A.
  
  Prolonged BT
- B.
  
  Prolonged PT
- C.
  
  Prolonged APTT
- D.
  
  Prolonged CT
24.

The following set of finding is seen in DIC:

Discuss
- A.
  
  Increased fibrinogen, increased antithrombin III, increased thrombin – antithrombin III complexes
- B.
  
  Increased FDP, decreased PT, increased antithrombin III
- C.
  
  Increased FDP, prolonged PT, increased thrombin-antithrombin complexes
- D.
  
  Increased FDP, prolonged PT, reduced platelets
25.

Which is not true regarding Bernard soulier syndrome?
- A.
  
  Ristocetin aggregation is normal
- B.
  
  Aggregation with collagen and ADP is normal
- C.
  
  Large platelets
- D.
  
  Thrombocytopenia
26.

The following is the least useful investigation in multiple myeloma:
- A.
  
  ESR
- B.
  
  X-Ray
- C.
  
  Bone scan
- D.
  
  Bone marrow biopsy
27.

The following ECG findings are seen in Hypokalemia:
- A.
  
  Increased PR interval with ST depression
- B.
  
  Increased PR interval with peaked T wave
- C.
  
  Prolonged QT interval with T wave inversion
- D.
  
  Decreased QT interval with ST depression
28.

CCF is associated with Increase in all of the following except:
- A.
  
  Right atrial mean pressure
- B.
  
  Serum sodium
- C.
  
  Serum urea
- D.
  
  Serum norepinephrine
29.

A person with mitral regurgitation and atrial fibrillation presents with syncope. On examination the person has a heart rate of 55. What is the most probable cause?
- A.
  
  Digitalis toxicity
- B.
  
  Incomplete heart block
- C.
  
  Stroke
- D.
  
  Subarachnoid Haemorrhage
30.

60 yr old male undergoes TURP. After 3 days patient develops altered senstiveness and drowsiness. Most probable diagnosis is :
- A.
  
  Hypernatremia
- B.
  
  Hyponatremia
- C.
  
  Stroke
- D.
  
  Meningitis due to spinal anaesthesia
31.

Ideal age for orchidopexy in cryptorchidism is
- A.
  
  At 6-10 yrs
- B.
  
  At 1-2 yrs
- C.
  
  At puberty
- D.
  
  < 1 yr of age
32.

Metabolic abnomiality seen in congenital hypertrophic pyloric stenosis is
- A.
  
  Hypochloremic hypokalemic metabolic alkalosis
- B.
  
  Hyperchloremic hypokalemic metabolic alkalosis
- C.
  
  Hypochloremic hypokalemic metabolic acidosis
- D.
  
  Hyperchloremic hypokalemic metabolic acidosis
33.

Most common complication after ERCP is :
- A.
  
  Acute pancreatitis
- B.
  
  Acute cholangitis
- C.
  
  Acute cholecystitis
- D.
  
  Duodenal perforation
34.

Which drug is given to prevent HIV transmission from mother to child
- A.
  
  Nevirapine
- B.
  
  Lamivudine
- C.
  
  Stavudine
- D.
  
  Abacavir
35.

After coming head of breech will have difficulty in delivery in all of the following conditions except
- A.
  
  Hydrocephalus
- B.
  
  Placenta previa
- C.
  
  Incomplete dilatation of cervix
- D.
  
  Extension of head
36.

The most common congenital anomaly in baby born to Insulin Dependant Diabetes Mellitus (IDDM) mother is :

Discuss
- A.
  
  Neural tube defect
- B.
  
  Cardiovascular anomalies
- C.
  
  G.l.T anomalies
- D.
  
  Pulmonary anomalies
37.

Amniotic fluid contains acetyl cholinesterase enzyme. What is the diagnosis ?
- A.
  
  Open spina bifida
- B.
  
  Gastrochisis
- C.
  
  Omphalocele
- D.
  
  Osteogenesis imperfecta
38.

All of the following are good prognostic factors in childhood ALL except?
- A.
  
  Hyperdiploidy
- B.
  
  Female sex
- C.
  
  Pre B cell ALL
- D.
  
  T(12:21) translocation
39.

A baby has recently developed mouthing, but has not developed stranger anxiety, likes and dislikes for food. What is the most appropriate age for this baby?
- A.
  
  3 months
- B.
  
  5 months
- C.
  
  7 months
- D.
  
  9 months
40.

Myopathy is seen in all except
- A.
  
  X-linked hypophosphatemic rickets
- B.
  
  Oncogenic osteomalacia
- C.
  
  Nutritional osteomalacia
- D.
  
  Cushing syndrome
41.

Reflex which is not present in child at birth is
- A.
  
  Moro’s reflex
- B.
  
  Symmetric tonic neck reflex
- C.
  
  Crossed extensor reflex
- D.
  
  Asymmetric tonic neck reflex
42.

Tube cast is applied in fracture of?
- A.
  
  Shoulder
- B.
  
  Hip
- C.
  
  Pelvis
- D.
  
  Knee
43.

Which is not a deep heat therapy?
- A.
  
  Short wave diathermy
- B.
  
  Infrared therapy
- C.
  
  Ultrasound therapy
- D.
  
  Interferential therapy
44.

7 year old child presents with a lesion in upper tibia. X-ray shows radiolucent area with Codman’s triangle and Sunray appearance. Diagnosis is :
- A.
  
  Ewing’s sarcoma
- B.
  
  Osteosarcoma
- C.
  
  Osteoid osteoma
- D.
  
  Chondrosarcoma
45.

Which of the following is the most important factor in the prevention of the endophthalmitis in cataract surgery?
- A.
  
  Preoperative prepartion with povidone iodine
- B.
  
  One week antibiotic therapy prior to sugery
- C.
  
  Trimming of eyelashes
- D.
  
  Use of intravitreal antibiotics
46.

Rhinolalia clausa is associated with all of the following except?
- A.
  
  Allergic rhinitis
- B.
  
  Palatal paralysis
- C.
  
  Adenoids
- D.
  
  Nasal polyps
47.

Xray based question (As per new MCI Norms) - What is the implant that is visualised in the chest X-ray?

Discuss
- A.
  
  Prosthetic Mitral valve
- B.
  
  Prosthetic Aortic Valve
- C.
  
  Device closure of ASD
- D.
  
  Device closure of PDA
48.

$Xray based question (As per new MCI Norms) - An x-ray was taken to assess the reduction obtained after internal fixation of both bone fracture of leg. What is the type of internal fixation used? - ProProfs$

Xray based question (As per new MCI Norms) - An x-ray was taken to assess the reduction obtained after internal fixation of both bone fracture of leg. What is the type of internal fixation used?
- A.
  
  K nail
- B.
  
  K wire
- C.
  
  Interlocking nail
- D.
  
  DCP
49.

Which of the following agents is not used to provide induced hypotension during surgery?
- A.
  
  Sodium nitroprusside
- B.
  
  Hydralazine
- C.
  
  Mephentermine
- D.
  
  Esmolol
50.

Which of the following agents is used for the treatment of postoperative shivering?
- A.
  
  Thiopentone
- B.
  
  Suxamethonium
- C.
  
  Atropine
- D.
  
  Pethidine

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