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PsychiatryMood Disorders
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Q1547. A young boy, bright in studies and securing good grades in class, now has poor performance. Parents notice a change in behavior; he avoids speaking to others and often comes home late at night. Which of the following is the likely cause?

A.Depression/Mania
B.Early drug Addiction
C.Personality disorder
D.Symptoms have been present for more than 1 month

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PsychiatrySubstance Use
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Q1548. A chronic alcohol abuser is brought to the hospital with complaints of chronic liver disease. Which of the following will you add in the treatment?

A.Vitamin A
B.Vitamin C
C.Vitamin B1
D.Vitamin D

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PsychiatryMood Disorders
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Q1550. Which of the following radiopharmaceuticals is commonly used in PET imaging for detection of metabolically active tissues?

A.FDG-18
B.Carbon-11 labeled glucose
C.Technetium-99m labeled glucose
D.Gallium-67 citrate

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RadiologyGeneral Radiology
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Q1552. In diagnostic X-ray imaging, the photoelectric effect is MOST likely to occur when:

A.High-energy X-ray photons interact with low-Z tissues
B.X-ray photon transfers part of its energy to an outer-shell electron
C.Low-energy X-ray photons interact with high atomic number tissues
D.Photon changes direction without loss of energy

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ENTEar
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Q1553. In a linear accelerator (LINAC), high-energy X-rays used for radiotherapy are produced by:

A.Movement of gamma rays from a radioactive source
B.Collision of high velocity electrons striking tungsten target
C.Compton effect resulting from interaction of photons with matter
D.Bremsstrahlung radiation from beta decay

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PaediatricsGeneral Pediatrics
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Q1555. A 2-year-old child is brought with sudden onset difficulty in feeding, excessive drooling of saliva, and refusal to swallow since morning. There is no history of fever. AP chest X-ray shows a round radiopaque object lying in midline with its flat surface facing the X-ray beam. What is the most likely location of the foreign body?

A.Esophagus
B.Trachea
C.Left main bronchus
D.Right main bronchus

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RadiologyInterventional
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Q1557. A 65-year-old man presents with progressive dysphagia, regurgitation of undigested food, halitosis, and gurgling sound in the neck. Barium swallow X-ray shows a posterioz outpouching arising from the pharyngoesophageal junction. Zenker diverticulum develops through a weak area between which two muscles?

A.Thyropharyngeus and cricopharyngeus
B.Cricopharyngeus and esophageal circular muscle
C.Stylopharyngeus and palatopharyngeus
D.Inferior constrictor and middle constrictor

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RadiologyCT & MRI
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Q1558. A non-contrast CT scan of the head below reveals a biconvex, hyperdense extra-axial collection that does not cross suture lines. What is the most likely diagnosis?

A.EDH
B.SDH
C.SAH
D.Intracerebral hemorrhage

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Q1559. A 38-year-old HIV-positive male presents with fever, right upper abdominal pain, and a sense of fullness in the abdomen for the past 2 weeks. On examination, there is tender hepatomegaly. A contrast-enhanced CT abdomen shows a well-defined hypodense lesion in the liver with peripheral rim enhancement. What is the most likely diagnosis?

A.Liver abscess
B.Hepatocellular carcinoma
C.Hydatid cyst
D.Cirrhosis

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MedicinePulmonology
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Q1560. A 32-year-old woman presents with fatigue, low-grade fever, and dry cough for the past 2 months. She also has painful red nodules on her shins. ACE levels rasied. Chest X-ray given below . Which of the following is true about the stage of disease?

A.Stage I
B.Stage II
C.Stage III
D.Stage IV

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PaediatricsGeneral Pediatrics
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Q1561. A 5-year-old child is brought to the clinic with difficulty breathing, cough, and malaise for the past 3 days.A chest X-ray is performed and shows the following. What is the likely diagnosis?

A.Pneumothorax
B.Right upper lobe consolidation
C.Pleural efffusion
D.Stage IV → Pulmonary fibrosis

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PaediatricsNeonatology
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Q1562. A full-term 40-week neonate is born via cesarean section. Soon after birth, the baby develops mild respiratory distress with tachypnea and grunting. A chest X-ray shows fluid in the interlobar fissures and hyperinflated lungs. What is the most likely diagnosis?

A.Transient tachypnea of the newborn
B.Neonatal pneumonia
C.Respiratory distress syndrome
D.Right pneumohemothorax

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SurgeryGI Surgery
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Q1564. A Truck driver presents with a single genital ulcer noticed incidentally. The lesion is painless, has a clean base with indurated margins, and is associated with non-tender inguinal lymphadenopathy. There is no fever or systemic illness. What is the most likely diagnosis?

A.Aphthous ulcer
B.Oral TB
C.Primary syphilis
D.Effusion with hernia

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MicrobiologyBacteriology
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Q1565. A patient presents with a painful genital ulcer of acute onset. On examination, the ulcer has ragged, undermined edges with a purulent base. He also has tender, unilateral inguinal lymphadenopathy. What is the most likely causative organism

A.Treponema pallidum
B.Haemophilus ducreyi
C.Chlamydia trachomatis
D.Squamous cell carcinoma

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ENTEar
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Q1566. A 50-year-old farmer from Tamil Nadu presents with multiple draining sinuses over the foot. Examination shows black granules discharging from the sinuses. KOH mount demonstrates fungal hyphae. Imaging shows no bone involvement. What is the most appropriate management?

A.Prolonged antibiotic therapy alone
B.Surgical debridement with antifungal therapy
C.Immediate amputation of the limb
D.Klebsiella granulomatis

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MedicineRespiratory
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Q1567. A 10-year-old child presents with intense itching that worsens at night. There is a history of bronchial asthma. On examination, there are ill-defined, erythematous, excoriated plaques over the flexural areas. What is the most likely diagnosis?

A.Psoriasis
B.Atopic dermatitis
C.Seborrheic dermatitis
D.Antitubercular therapy

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DermatologyInflammatory
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Q1569. A Female patient presents with grouped vesicular lesion on upper lip, with target lesion around extremities as seen in the clinical picture. What is the most likely diagnosis?

A.Erythema multiforme
B.Bullous pemphigoid
C.Dermatoses herpetiformis
D.Pemphigus vulgaris

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PharmacologyGeneral Pharmacology
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Q1573. A young patient experiences shortness of breath specifically during exercise in winter, which subsides after using salbutamol. What is the most likely explanation for this condition?

A.Influx of Na ions
B.Efflux of Na ions
C.Efflux of K ions
D.Airway hyperreactivity due to cold-induced asthma exacerbation

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BiochemistryVitamins & Minerals
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Q1575. Which Vitamin deficiency can cause lactic acidosis?

A.Niacin
B.Riboflavin
C.Pantothenic acid
D.Thiamine

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AnatomyNeuroanatomy
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Q1577. Which among the following hormones, in lactating mother is responsible for the growth of breast tissue?

A.Oxytocin
B.Estrogen
C.Prolactin
D.Progesterone

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