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Q1485. A 52 years old postmenopausal woman presents with hot flushes and a dry vagina. What are the expected levels of FSH, LH, estrogen, and progesterone?

A.
B.
C.
D.

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Q1486. A 50-year-old postmenopausal woman presents with bleeding. Ultrasound shows a “feeding vessel” sign. What is the most appropriate management?

A.Watchful waiting
B.Medical therapy with progestins
C.Hysteroscopic polypectomy
D.Dilation and curettage

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Q1499. A woman undergoes a routine Pap smear, which reports atypical glandular cells. She is otherwise asymptomatic. What is the next appropriate investigation?

A.Colposcopy with endocervical curettage
B.Colposcopy alone
C.Increased plasma volume and decreased peripheral vascular resistance
D.Decreased plasma volume and increased peripheral vascular resistance

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Q1505. A diabetic woman on insulin is planning to get pregnant and visits for a pre-conceptional check. Her HbA1c is 8.5. What is the next best advice for her?

A.Conceive, increase insulin dose, and then start folic acid
B.Increase insulin dose, reduce HbA1c levels, and then conceive
C.Plan conception and increase the insulin dose once she conceives
D.Start folic acid and conceive

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Q1506. A 35-year-old patient presents with dysmenorrhea and bleeding per rectum, which occurs whenever she has her periods. On examination, a nodule is felt anteriorly on per-rectal examination. What is the diagnosis?

A.Colorectal cancer
B.Endometriosis
C.Hemorrhoids
D.Inflammatory bowel disease

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Q1508. A 52-year-old postmenopausal woman presents with bleeding and is found to have a 3 cm fibroid in the uterine wall with an endometrial thickness of 8 mm. What is the next best step?

A.CECT
B.Endometrial biopsy
C.Pap smear
D.MRI

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Q1539. A 29-year-old female has persistently low mood, doesn't feel like doing anything, sleeps 15 hours a day, limbs feel heavy, eats a lot for 2 months. She feels happy when she hears her mother is coming to visit her in 2 weeks. Likely diagnosis?

A.Mania
B.MDD – Atypical features
C.Adjustment disorder
D.Anxiety disorder

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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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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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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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Q1612. In pap smear, which of the following is the most appropriate fixative used to preserve cellular details after smearing?

A.50% formaldehyde
B.95% ethyl alcohol
C.70% ethanol
D.10% buffered formalin

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Q1637. MICRO A 5-year-old child is diagnosed with pneumonia after presenting with fever, cough, and difficulty breathing. Laboratory tests confirm the presence of an influenza virus infection. Based on the properties of the virus, identify the correct statement?

A.Non enveloped, ssRNA virus
B.Enveloped, dsRNA virus
C.Non-enveloped, dsRNA virus
D.Enveloped, ssRNA virus

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Q1643. at the site of injury, but over the years, multiple nodules have appeared and spread linearly upward along his forearm. The nodules are firm, some have ulcerated, but the patient reports minimal pain.What is the most characteristic feature of the lesions in this condition?

A.Black granules within the lesion
B.Lesion along lymphatic channels
C.Hypopigmented, anesthetic skin patches
D.Dermatomal vesicular rash

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Q1645. of fever, poor appetite, and sore throat. On examination, the child has multiple small vesicular lesions on the palms, soles, and oral mucosa. The child appears mildly irritable but otherwise stable. Which of the following is the most likely etiological agent?

A.Human herpesvirus 8
B.Coxsackievirus A16
C.Varicella zoster virus
D.Herpes simplex virus type 1

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Q1674. Water is found unsuitable for drinking due to contamination in a nearby village water tank. Which of the following is the likely cause?

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

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Q1694. A 28 year-old Office worker comes to the psychiatrist clinic with complaints of not being able to work properly and difficulty balancing family and work performance, stress from past 3 months. What is the most likely disorder the patient is suffering from?

A.Acute stress syndrome
B.PTSD
C.Adjustment disorder
D.General Anxiety disorder

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Q1695. A 26 year old male believes that he is very rich, think people jealous of him and that someone is trying to kill him and take his wealth. He appears depressed and physically unwell. Family is concerned about his well bring. What is the most likely clinical presentation?

A.Delusion of grandiosity with persecutory delusions
B.Delusion of grandiosity with nihilistic delusions
C.Persecutory delusions with depression
D.General Anxiety disorder

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Q1696. 32 A 36-year-old woman presents with hyperactivity, No need for sleep, and excessive talking spending over the past 2 weeks. When questioned, she becomes irritable and angry. What is the most likely diagnosis?

A.Dysthymia
B.Bipolar I disorder with manic episode
C.Bipolar I disorder with hypomanic episode
D.Delusion of grandiosity with reference.

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Q1697. identity and how he got there. He has a known history of mental illness and the region recently experienced a earthquake. Upon further assessment, there is no evidence of physical injury, substance use, or intentional travel. What is the most likely diagnosis?

A.Dissociative identity disorder
B.Dissociative fugue
C.Dissociative amnesia
D.Delirium

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