2073 PSCN Flashcards
(100 cards)
1
Q
Organism which commonly cause meningitis in 6 month to 2 years of age is:
A
Streptococcus
2
Q
Toxic shock syndrome may occur due to
A
Measles vaccine
3
Q
Which of the following is not the major criterion of rheumatic fever?
A
Streptococcal antibodies
4
Q
A 7 years old boy has features of septicemia. The drug of choice is:
A
Penicillin + Gentamycin
5
Q
Hemophilia SA is due to deficiency of :
A
Factor VIII
6
Q
Movement across socioeconomic levels is termed as:
A
Social mobility
7
Q
Which of the following is a preventable mental retardation in children:
A
Hypothyroidism
8
Q
A 2 years old girl with normal birth history and normal development until 1 year of age has developed breath holding spells. On examination, you find developmental delay and stereotypic hard wringing movement in the child. Which of the following is the most likely diagnosis: Autism, Rett syndrome; asperger’s syndrome; all of the above
A
Rett syndrome
9
Q
Which of the following is the ideal site for bone marrow aspirate in infants: Sternum; Spinous process of lumbar vertebra ; upper end of tibia; lowered of femur
A
Upper end of tibia
10
Q
Which one of the following is the drug of choice for benign Rolandic epilepsy? Gabapentin; Barbiturates; Phenytoin; Sodium Valproate
A
Gabapentin
11
Q
Which of the following is the earliest sign of magnesium toxicity in a patient with eclampsia on treatment with magnesium sulphate?
a. Cardiac Arrest
b. Long deep tendon reflexes
c. Respiratory depression
d. Decreased urine output
A
b. Long deep tendon reflexes
12
Q
The following are the features of Stein Leventhal syndrome except:
a. Bilateral polycystic ovary
b. Amenorrhea
c. Hypotension
d. Hirsutism
A
c. Hypotension
13
Q
Absolute contraindications of IUCD is:
A
Pelvic inflammatory diseases (PID)
14
Q
The commonest site of implementation of ectopic pregnancy is?
A
Ampulla
15
Q
Most common cause of Vesicovaginal Fistula (VVF) in developing countries is:
A
Obstructed Labor
16
Q
Gestational sac can be seen in USG earliest at :
A
5- 6 weeks
17
Q
Which of the following medications is the drug of choice for severe pre- eclampsia ?
a. Labetola
b. Metoprolol
c. Alpha- methyl dopa
d. Nifedipine
A
Labetola
18
Q
Virus associated with cancer cervix is:
A
HPV
19
Q
Copper - T is preferably inserted postnatal, after:
A
8 weeks
20
Q
Which of the following is cause of oligohydramnios?
a. Congenital heart disease
b. Anencephaly
c. Gestational diabetes mellitus
d. Posterior urethral valve in the fetus
A
Posterior urethral valve in the fetus
21
Q
The muscle relaxant effect of succinylcholine lasts for:
A
3- 5 min
22
Q
Nursemaid’s elbow refers to:
A
Subluxation of proximal radioulnar joint
23
Q
Primary hematogenous osteomyelitis in children is most commonly seen at:
A
Metaphysis
24
Q
Locking of knee joint can be caused by:
A
Loose body in knee joint
25
The most common complication of dislocation of shoulder joint is:
Injury to circumflex nerve
26
All of the following are examples of definite airway, except:
a. Nasotracheal tube
b. Orotracheal tube
c. Laryngeal mask airway
d. Cricothyroiddotomy
Laryngeal mask airway
27
Fracture involving both of the malleoli is:
Pott's fracture
28
Tissue most sensitive to radiation is
Cartilage
29
Most common cancer worldwide is
Lung Ca
30
All are seen in nephrotic syndrome except:
a. Edema
b. RBS casts in urine
c. Hypoproteinemia
d. Hyperlipidemia
RBC casts in urine
31
A 30 years old man presented with history of ear discharge. Examination revealed multiple perforations. Most likely diagnosis:
Tubercular otitis media
32
According to WHO classification, severe degree of impairment of hearing is at:
71- 91 dB
33
A patient has had a lower third molar extraction surgery, the nerve damage would be"
Lingual nerve
34
The first permanent tooth to appear is:
First molar
35
Corneal sensation is lost in which of the following infection:
a. Trachoma
b. Fungal
c. Conjunctivitis
d. Herpes Simplex
d. Herpes Simplex
36
In anterior uveitis (iridocyclitis) pupil is:
a. normal
b. dilated
c. semi dilated
d. constricted
Constricted
37
Which of the following condition is the most common cause of bilateral proptosis in children:
a. Cavernous Hemangioma
b. Fibrous histiocytoma
c. Chlorine (leukemia)
d. Rhabdomyosarcoma
c. Chlorine
38
Rosette arrangement of cell is present in
Retinoblastoma
39
Autistic disorder is characterized by all opf the following except:
a. Visual impairment
b. Lack of social interaction
c. Delayed development of speech
d. Stereotypic movements
Visual impairment
40
Which one of the following a diagnostic method of choice for the diagnosis of Hirschsprung disease?
a. Manometry
b. Rectal biopsy
c. Contrast enema
d. MR
b. Rectal biopsy
41
Most common cause of abdominal aortic aneurysm is?
Atherosclerosis
42
Which grading method is used to evaluate the prognosis after subarachnoid hemorrhage?
Hess and Hunt Scale
43
Dumping syndrome is due to?
Hypertonic content in small intestine
44
Most common primary brain tumor is:
Glioma
45
Charcot Triad is?
Biliary colic, fever and jaundice
46
Triage in disaster management is:
Prioritization of cases depending on severity of injury
47
Most common site of appendix is?
Retrocecal
48
Infant with blood in stool and mass in abdomen diagnosis is:
Intussusception and Volvulus
49
An asymptomatic patient patient presents with a reducible hernia below the inguinal ligament. How would you manage this case?
Surgical repair on the next elective visit
50
A patient with recent onset primary generalized epilepsy develops drug reaction and skin rash due to phenytoin sodium. The most appropriate course of action is:
Shift to sodium valporate
51
Absolute indication of amputation of foot among the following condition is: Septicemia; Cellulitis; Gangrene; Crush Injury
Gangrene
52
A girl aged 8 years has been advised for dialysis. She has serum potassium of 7.5 meq/L. Which is the fastest way to reduce hyperkalemia?
a. Kayexalate enema
b. Infusion of insulin + Glucose
c. IV calcium gluconate
d. IV NaHCO3
Infusion of insulin + Glucose
53
A patient of inferior wall infraction develops shock on 3rd day. Most common cause is:
Cardiac Rupture
54
Which one of the following represents the cut off value for the diagnosis of acute pancreatitis?
a. Rason score >1
b. Imrie score >6
c. Apache score 8
d. ROME score >3
Apache Score 8
55
A young male presents with meningococcal meningitis and allergy to penicillin. Which is the most suitable drug?
a. Chloramphenicol
b. Meropenem
c. Ciprofloxacin
d. Teicoplanin
Chloramphenicol
56
Which one of the following is the correct amongst the adrenergic drugs?
a. Phenylephrine- Yohimbine
b. Dobutamine - Boutaxamide
c. Clonidine- Yohimbine
d. Salbutamol- Atenolol
Clonidine- Yohimbine
57
Thrombocytopenia is caused by all except:
a. Thiazide
b. Quinine
c. Phenobarbitone
d. Chlorpropamide
Phenobarbitone
58
Therapeutic drug monitoring is required in all except:
a. Phenytoin
b. Metformin
c. Tacrolimus
d. Cyclosporine
Metformin
59
Which of the following glands are affected in bromhidrosis?
a. Apocrine sweat glands
b. Exocrine sweat glands
c. Both apocrine and exocrine glands
d. Sebaceous glands
Both apocrine and exocrine glands
60
A 8 years old male child with recurrent scaling hypopigmented macules on the cheek the diagnosis is:
Pityriasis alba
61
Erythema nodosum is seen in all of the following except:
a. Pregnancy
b. Tuberculosis
c. SLE
d. Chronic pancreatitis
Chronic pancreatitis
62
Pemphigus vulgaris is characterized by:
Bullous lesion
63
Psoralen and UVA is used for treating:
Psoriasis
64
A man becomes withdrawn to himself, smiles to himself and thinks that people are typing to kill him. What is the diagnosis?
a. depression
b.neurosis
c.psychosis
d. illusion
Psychosis
65
In bipolar manic disorder, the drug used is:
Lithium
66
Delusions are seen in all of the following except:
a. Schizophrenia
b. Depression
c. Dementia
d. Conversion disorder
Conversion disorder
67
Good prognostic factors for schizophrenia:
Catatonic Features
68
Which of the following is not a cognitive error or dysfunction?
a. Catastrophic thinking
b. Arbitrary inference
c. Over generalized
d. Thought block
Thought block
69
A 16 year old girl; has fatiguability and lethargy. Complete blood picture (CBC) shows Hh of 7.0, MCV of 70, MCH of 20 and red cell distribution width (RDW) of 20. The most likely diagnosis is:
Iron deficiency anemia
70
Acute lung injury does not include which of the following conditions:
a. cardiopulmonary bypass
b. aspiration
c. toxic gas injury
d. lung contusion
Cardiopulmonary bypass
71
A 12 year male complaining of fleeting, joint pain and arthritis with subcutaneous nodules. In the ECG there is increase PR interval. What is your diagnosis?
Rheumatic Fever
72
Munro's micro-abscesses are characteristic of: a. Psoriasis b. Lichen planus c. Sezary syndrome d. Streptococcal infection
Psoriasis
72
Which one of the following is the treatment of
choice for patients with congestive heart failure
and an ejection fraction of < 40%?
a. Angiotensin converting enzyme Inhibitor (ACE-I)
and beta-blocker
b. ACE-I and a diuretic
c. ACE-I and angiotensin receptor blocker
d. ACE-I
a. Angiotensin converting enzyme Inhibitor (ACE-I)
and beta-blocker
73
The most common site of cerebral hemorrhage in
hypertension is:
a. Pons
b. Cerebrum
c. Putamen
d.
Thalamus
b. Cerebrum
74
Hirsutism is caused by all, expect:
a.
Cushing's syndrome
b. Hyperthyrodism
C.
Hyperprolactinemia
d. Acromegaly
b. Hyperthyrodism
75
.Bence jones proteinuria may be seen in a. Alpha heavy chain disease b. Gamma heavy chain disease c. 'Mu' heavy chain disease d. Epsilon heavy chain disease
c. 'Mu' heavy chain disease
76
Megaloblastic anaemia is not caused by:
a. Folic acid deficiency
b. Lead Poisoning
c. Vit B12 deficiency
d. Orotic aciduría
b. Lead Poisoning
77
The most common site of cerebral hemorrhage in hypertension is:
a. Pons
b. cerebrum
c. putamen
d. Thalamus
b. cerebrum
78
Hirsutism is caused by all, expect:
a.
Cushing's syndrome
b. Hyperthyrodism
C.
Hyperprolactinemia
d. Acromegaly
b. Hyperthyrodism
79
Which one of the following is the most common type of diabetic neuropathy?
a. Distal symmetrical sensory neuropathy
b. Distal symmetrical sensory and motor neuropathy
c. Autonomic neuropathy
d. Distal motor neuropathy
b. Distal symmetrical sensory and motor neuropathy
80
Pulsus paradoxus is seen in:
a. Adhesive pericarditis
b. Uremic pericarditis
c. Severe AR
d. Constrictive pericarditi
d. Constrictive pericarditi
81
A case of acute flaccid paralysis must be observe for how many days for residual weakness?
Specie:
on
R. Prov
as
a. 30 days C. 60 days
b. 42 days d. 90 days
c. 60 days
82
All of the following statements about scrub tyo are true except
a. Caused by O Tsutsugamushi
b. Mites act as reservoirs
c. Transmitted when adult mites feed on hosts
d. Tetracycline is the drug of choice
c. Transmitted when adult mites feed on hosts
83
WHO oral rehydration power contains
a. Sodium, potassium, calcium, citrate
b. Sodium, citrate, magnesium, glucose
c. Sodium, potassium, glucose, bicarbonate
d. Sodium, Zinc, potassium, copper
c. Sodium, potassium, glucose, bicarbonate
84
The best screening tool for cervical cancer is
a.Cone biopsy
C.Pap smear
b. Hysteroscopy
d. VIA, VILI
C.Pap smear
85
Randomization is used/ useful in the elimination
of:
a. Selection bias
c. Patient bias
b. Observer bias
d. Sampling bias
a. Selection bias
86
Minimum duration for developing "coal miner's pneumoconiosis" is........ years.
a. 2-4
b. 8-10
C.5-6
D. >10years
C.5-6
87
Most commonly abused agent in Nepal:
a. Cannabis indica
b. Tobacco
c. Heroine
d. Amphetamine
b. Tobacco
88
The disaster cycle progresses from:
a. Rehabilitation - Reconstruction
b. Mitigation - Reconstruction
c. Mitigation - Response
d. Rehabilitation - Response
a. Rehabilitation - Reconstruction
89
Which of the following disease is not transmitted by culex?
a. Japanese encephalitis
b. Bancroftian filariasis
c. West Nile fever
d. Dengue fever
d. Dengue fever
90
If two variables have good correlation with each other, the coefficient of correlation is:
a.-1
b. 0
d. +2
C. +1
c. +1
91
.In frostbite, skin becomes hard black in about:
a. 3 days
b. 7 days
d. 4-6 weeks
c. 2 weeks
b. 7 days
92
Which division under directorate of health services is responsible for implementing integrated management neonatal and childhood illness?
a. Logistic management
b. Child health
c. Family health
d. Procurement
b. Child health
93
A rickshaw tyre passed on 8 year old children. Marking of tyre was found on body. It is an example of:
a. Percolated bruises
b. Concussion
c. Pattern bruises
d. Imprint abrasion
d. Imprint abrasion
94
Rigor mortis starts in:
a. Heart
b. Intestine
c. Neck
d. Extremities
a. heart
95
First bone to ossify is fetal life is
a. Occipital
c. Clavicle
b. Vertebral
d. Rib
c. clavicle
96
.In which year, National Academy of Medical Science (NAMS) act was enacted?
a. 2059 BS
b. 2061 BS
c. 2063 BS
d. 2065 BS
c. 2063 BS
97
Human organ transplantation act of nepal (regulation & prohibition act) was established in
the year:
a. 2055
b. 2060
c. 2063
d. 2065
a. 2055
98
The second longterm health plan was developed by ministry of health of Nepal for
a. FY 2054-74
b. FY 2034-54
c. FY 2010-30
d. FY 2060-84
a. FY 2054-74
99
The most common type of finger is
a. Whorled
b. Arch
d. Composite
c. Loops
loops
