Q155. Represents the normal number of vessels in the umbilical cord?

Q156. A 52-year-old female presents with progressive unilateral hearing loss, tinnitus, and imbalance. MRI brain shows a mass located in the cerebellopontine angle (CPA) extending into the internal acoustic meatus. Biopsy show verocay and Antoni bodies A and B. Based on location and imaging features, what is the most likely diagnosis?

Q157. A 21-year-old male presents to the emergency department after blunt trauma to the nose during a football match. He has continuous anterior nasal bleeding despite compression. On anterior rhinoscopy, blood is seen actively oozing from the antero-inferior nasal septum. Which artery is most likely responsible and needs to be cauterized to stop the bleeding?

Q164. Patient presents with guttate lesions in one eye and bullous keratopathy in other eye. What is the diagnosis?

Q165. Which of the following statements regarding orbital cellulitis is true

Q168. 15 year old male with recent sudden growth. Current height 6'4'' with widening of jaw, large hand and foot. Frequent visual disturbances and headache. On ophthalmic examination he has bitemporal hemianopia. What test is used in the diagnosis?

Q169. Binocular single vision consists of which of the following components as depicted in the image.

Q170. A patient scheduled for surgery develops preoperative bradycardia, hypotension, and facial flushing. Which of the following muscle relaxants is most likely responsible for these symptoms?

Q171. Patient administered sevoflurane and succinylcholine for abdominal surgery develops post operative muscle rigidity. Drug of choice

Q172. A 32-year-old female presents with weakness in the right arm in the form of difficult in kneading dough. On examination, there is hypotonia and sluggish deep tendon reflexes in the affected limb. Which of the following structures is most likely involved?

Q173. A patient with asthma is currently being treated with salbutamol and ipratropium bromide. He now reports frequent nocturnal symptoms. What is the most appropriate next step in management?

Q174. A 35-year-old woman with a history of migraine was initially on over the counter NSAIDs. But since there was not adequate relief, she is currently using sumatriptan for acute attacks. Her father has a history of coronary artery disease. What is the most appropriate agent to add for migraine prophylaxis?

Q175. A 70-year-old patient with a history of hypertension and atrial fibrillation presents with acute-onset right-sided weakness and aphasia, which began 2 hours ago. A non-contrast CT scan of the brain shows no evidence of hemorrhage. What is the next best step in management?

Q176. A 55-year-old patient presents with episodes of shortness of breath and palpitations. An ECG confirms paroxysmal supraventricular tachycardia. What is the most appropriate option for long-term prophylactic treatment?

Q177. Which of the following intravenous fluids when given in large volume is most likely to cause hyperchloremic metabolic acidosis?

Q178. A 45-year-old woman presents with a 6-month history of dry mouth, dry eyes, and dry cough. Laboratory investigations reveal that she is ANA positive, anti-Ro positive, and anti-La positive. Which of the following findings is most commonly associated with this condition?

Q179. A teenage girl with known type 1 diabetes mellitus, currently on insulin therapy, presents to the outpatient department with severe dehydration after skipping her last insulin dose. Her random blood glucose is markedly elevated at 720 mg/dL, and her serum sodium is 126 mEq/L and serum potassium is 4.3 mEq/l. Which of the following is NOT appropriate as part of her management?

Q180. A patient with tuberculosis and HIV (CD4 count <150) is found to be rifampicin-resistant on CBNAAT. What is the appropriate management, and what is the most likely associated complication?