CMS 2024

When the serum ascites to albumin gradient (SAAG) is less than 1.1 gm/dL, then which of the following causes of ascites may be considered ?

1. Infection
2. Malignancy
3. Cardiac ascites
4. Portal hypertension

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Which of the following are correct regarding Li-Fraumeni syndrome?

1. It has autosomal dominant inheritance and is associated with P53 gene.
2. It has autosomal recessive inheritance and is associated with P53 gene.
3. It is associated with an increased risk of sarcomas and leukaemia.
4. It is associated with an increased risk of brain tumours and osteosarcomas.

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The Rai staging system and Binet staging system are the two widely used staging systems used for staging which of the following hematological malignancies ?

Which of the following are approximate daily requirements of the common electrolytes in an adult?

1. Sodium 50—90 mM/day 
2. Calcium 1 mM/day
3. Potassium 50 mM/day
4. Magnesium 1 mM/day

A 16-year-old girl with primary amenorrhoea presents to the gynecology OPD for evaluation. She has normal secondary sexual characters. Her karyotype is 46,XX and ultrasound reveals normal ovaries and tubes but absent uterus. What is her clinical diagnosis?

Raju, a 6-year-old boy, was returning home from school. At the gate, he was scratched by a dog and there was some bleeding from the wound.
Which option should be followed for the post-exposure prophylaxis?

Consider the following statements regarding Lofgren syndrome :

1. It is an acute illness and is more commonly seen in females.
2. It is a clinically distinct phenotype of sarcoidosis characterized by peripheral arthropathy and uveitis.
3. Clinical features include fever, erythema, nodosum and bilateral lymphadenopathy.

Which of the statements given above are correct?

Which of the following statements are correct regarding renal cell carcinoma?

1. It arises from the epithelium of the proximal convoluted tubule.
2. It has a female preponderance
3. Major subtypes are clear cell, papillary and chromophobe.
4. Surgery is the mainstay of treatment for organ-confined disease.

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Which of the following are correct regarding androgen insensitivity syndrome?
1. Inherited as X-Iinked recessive disorder
2. Karyotype is 46 XXY
3. It is also called testicular feminization
4. Confirmation of diagnosis by gonadal biopsy
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A 24-year-old primigravida comes to ANC clinic at 8 months amenorrhoea. Her BP is found to be 160/ 100 mm Hg. Lab findings reveal thrombocytopenia increased SGOT/SGPT and LDH. What is her diagnosis?

Which of the following are favourable factors in prognosis of ovarian malignancy?

1. Older age group
2. Well-differentiated tumour
3. Smaller tumour volume
4. Absence of ascites

Which of the following are unsaturated fatty acids?

1. Lauric acid
2. Linoleic acid
3. Oleic acid
4. Palmitic acid

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Which of the following chromosomal abnormalities are associated with brain tumours?

1. Neurofibromatosis type 1
2. Neurofibromatosis type 2
3. Peutz-Jeghers syndrome
4. Hereditary nonpolyposis colorectal cancer

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The SA node is situated at the junction of:

A surgeon is about to start a laparoscopic procedure on a patient. The floor nurse asks the surgeon about the identity of the patient, site of the procedure to be performed and any anticipated critical events during the surgery. These questions are a part of the

Consider the following statements about human breast milk:

1. 75% of breast milk content is water.
2. Breast milk is poor in taurine and cysteine.
3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids.
4. High lactose content of breast milk helps in absorption of calcium.

Extracorporal Shock Wave Lithotripsy (ESWL) is most commonly used for the treatment of

Which of the following are correct regarding pelvic cellular tissue?
1. It supports the pelvic organs.
2. It forms protective sheath for blood vessels and terminal part of ureter.
3. It prevents infection to be spread out of pelvis.
4. Marked hypertrophy of pelvic cellular tissue occurs in pregnancy.

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As per the United Nations definition of a vital events registration system, 'vital events' include which of the following?

1. Foetal deaths
2. School adtnissions
3. Legal separations
4. College graduations

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Which of the following are correct regarding pathological findings of placenta accreta?

1. Absence of decidua basalis
2. Absence of Nitabuch's fibrinoid layer
3. Loss of normal hypoechoic retroplacental myometrial zone in ultrasonography

Which of the following of umbilical hernia in

1. Patients arc conunonly with a thinned ottcnuotcd midline raphe.
2. Most patients complain of pain due to tissue tension.
3. Men are affcctcd more commonly than women.
4. Hernia repair can be done by the technique described by Mayo.

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Which of the following are Correct in respect of Systemic Inflammatory Response Syndrome (SIRS)?

1. It is caused by the release of lipopolysaccharide endotoxin from dying E. coli bacteria.
2. It is same as bacteraemia.
3. It results in Multiple Organ Dysfunction Syndrome (MODS).
4. White cell counts of more than 12 x 10^9 /litre are present.

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The most common cause of maternal mortality in India is

Consider the following pairs of genetic diseases that show Mendelian inheritance. Each of the following pairs represents a genetic disease and it has been matched with a type of inheritance.

1. Cystic fibrosis ↔ Autosomal recessive
2. Huntington's chorea ↔ Autosomal dominant
3. Marfan's syndrome ↔ Recessive sex-linked

How many of the pairs given above are correctly matched?