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Q11583. 25-year-old man presents for a routine physical examination. The patient is tall and on examination, he was found to have an early diastolic murmur. His family pedigree is given below. Which of the following is the mode of inheritance by which the disease is likely to be transmitted?

A.AD
B.AR
C.XLR
D.XLD

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Q1011. A person of eonism derives pleasure from

A.Wearing clothes of opposite sex
B.Fondling female body parts
C.Rubbing genitalia against body of other person
D.Seeing the opposite partner nude

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Q1049. A person is diagnosed to be a diabetic on his 45th birthday. You will recommend a dilated fundoscopic examinatio

A.Immediately
B.Before his 50th birthday
C.When he turns 50 years of age
D.When he complains of dimness of vision

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Q1050. Microaneurysms are the earliest manifestation of diabetic retinopathy. Which of the following layer is involved in diabetic retinopathy?

A.Outer plexiform layer
B.Inner nuclear layer
C.Layer of rods and cones
D.Retinal pigment epithelium

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Q1054. Which of the following does not show negative Rinne test in the right ear?

A.Sensorineural hearing loss of 45 dB in left ear and normal right ear
B.Profound hearing loss
C.Conductive hearing loss 40 dB in both ears
D.Conductive hearing loss 40 dB in right ear and left ear normal

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Q1055. The screening investigation of high risk neonates in ICU for suspected hearing loss is

A.Otoacoustic emissions
B.Free field audiometry
C.Stapedial reflex testing
D.Pure tone audiometry

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Q1056. The wave V in BERA represents activity in which of the following?

A.Lateral lemniscus
B.Superior olivary complex
C.Cochlear nerve
D.Cochlear nucleus

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Q1058. Which of the following part of cochlear implant is implanted during surgery?

A.Receiver stimulator
B.Transmitting coil
C.Microphone
D.Speech processor

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Q1059. A 14-year old boy presents with nasal bleeding. His Hb was found to be 6.4 g/dL and peripheral smear showed normocytic hypochromic anemia. The most probable diagnosis is

A.Juvenile nasopharyngeal angiofibroma
B.Hemangioma
C.Antrochonal polyp
D.Carcinoma of nasopharynx

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Q1065. A 40-year old obese female presents with fullnes of right upper quadrant of abdomen. Her medical history is significant for type 2 DM and hyperlipidemia. Liver biopsy is most likely suggestive of which of the following diagnoses?

A.Non-alcoholic steatohepatitis
B.Peliosis hepatis
C.Autoimmune hepatis
D.Primary biliary sclerosis

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Q1068. A 27-year old male presents with low backache, that occurs early in the morning, associated with stiffness, and persists for more than 30 minutes. On examination, his chest expansion is also restricted. The most probable diagnosis is

A.Rheumatoid arthritis
B.Osteoarthritis
C.Gouty arthritis
D.Ankylosing spondylitis

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Q1076. A 12-year old girl presents with nodular goiter. Which of the following statements regarding her evaluation and management incorrect?

A.99 m-Tc scan should be performed to determine whether the nodules are hypofunctioning or
B.Functional thyroid nodules are ususally benign
C.All nodules > 4cm should be resected irrespective of cytology
D.FNAC should be performed for all nodules > 1 cm in diameter

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Q1099. A 10-year old presents with edema, oliguria and frothy urine. HE has no past history of similar complaints, On examination, his urine was positive for 3 + proteinuria, no RBCs/WBCs and no casts. His serum albumin was 2.5 g/L and serum creatinine was 0.5 mg/dL. The most likely diagnosis is

A.IgA nephropathy
B.Minimal change disease
C.Acute interstitial nephritis
D.Membraneous nephropathy

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Q1100. A 6 – year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is

A.Kimura disease
B.Kawasaki disease
C.Scarlet fever
D.Rosie-Dorfman syndrome

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Q1101. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is

A.Kimura disease
B.Kawasaki disease
C.Scarlet fever
D.Rosie-Dorfman syndrome

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Q1105. A 7-year old boy presents with a right sided hemangioma and left sided focal seizures. The most likely diagnosis is www.EduMedWeb.com www.EduMedWeb.com Page 23 www.EduMedWeb.com www.EduMedWeb.com www.EduMedWeb.com

A.Neurofibromatosis
B.Incontinetia pigmenti
C.Hypermelanosis of Ito
D.Sturge-Weber disease

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Q1106. A 1.5 year old female is brought to the clinic with complaints of excessive enlargement of head, intolerance to feeds and severe malnourishment. MRI imaging was suggestive of a medulloblastoma causing obstructive hydrocephalus. Which of the following is an example of irrational management of the patient?

A.Craniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour
B.First ventriculoperitoneal shunt was done
C.CCNU and vincristine were given as chemotherapy
D.Radiotherapy 35-40 Gy was given to the whole craniospinal axis

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Q1107. In a case of tuberculosis of the thoracic spine, the earliest sign of cord compression is

A.Bladder dysfunction
B.Extensor plantar
C.Motor weakness
D.Sensory loss

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Q1112. A 37 year female presents with multiple, linear, itchy wheals, with itching for 30 minutes at the site. The most probable diagnosis is

A.Dermatographic urticaria
B.Pressure urticaria
C.Acute urticaria
D.Chronic urticaria

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Q1113. A young 8 year old boy presents with multiple discrete, shiny, pin-head papules on dorsal aspect of hand, forearms and shaft of penis. The diagnosis is

A.Molluscum contagiosum
B.Scabies
C.Lichen planus
D.Lichen nitidus

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