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Q1453. A 35-year-old man presents with headache and neck stiffness for 5 days. Lumbar puncture reveals the following CSF findings: 90% lymphocytes and 10% neutrophils, with CSF glucose: 40 mg/dL (plasma glucose: 100 mg/dL); protein is 1 gm/dL. What is the most likely diagnosis?

A.Leptospiramic phase
B.Septicemic phase
C.Immune phase
D.Weil’s disease

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Q1475. A 24-year-old patient presents with recurrent abdominal pain, weight loss, and diarrhea. An image from a small bowel contrast study is given. What is the most likely diagnosis?

A.Crohn’s disease
B.Intestinal malrotation
C.Intestinal tuberculosis/ kocher
D.Adhesive small bowel stricture

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Q1479. A 2-year-old intravenous drug user presents with a large, pulsatile, painful mass in the groin. There is local erythema, warmth, and tenderness, and systemic features suggest infection. What is the best next investigation to confirm the diagnosis?

A.CT / Conventional angiography
B.MRI
C.Ultrasound Doppler
D.Operate at 1 year of age

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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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Q1533. A 35-year-old man presents with chronic knee pain, swelling, and intermittent locking of the joint. There is no history of trauma. An X-ray of the knee joint shows multiple, well-defined loose bodies within the joint space. Synovial fluid aspiration reveals chondrocytes. What is the most likely diagnosis?

A.Synovial chondromatosis
B.Pigmented villonodular synovitis
C.Gout
D.Pseudogut

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Q1536. A 25-year-old man presents after a minor trauma to the hand with localized pain and swelling. Initial plain X-ray of the hand is reported as normal. Over the next few weeks, pain persists and a repeat X-ray shows a well-defined, lytic lesion with stippled calcifications involving the phalanx. What is the most likely diagnosis?

A.Enchondroma
B.Osteoid osteoma
C.Spinosa ventosa
D.Brown tumor

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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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Q1644. Which of the following is the likely causative agent for a Tzanck smear showing multinucleated cells?

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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