CMS

Under the Integrated Management of Neonatal and Childhood Illness, caretakers are advised to return immediately to a health facility, if

1. Any sick child is not able to drink or breast feed.
2. Fast breathing or difficult breathing, in a child who has no pneumonia
3. Blood in stool, in a child with diarrhoea
4. Conjunctivitis in a child with measles

Which of the following are correct about endocrine changes in normal pregnancy?

1. Increase in levels of maternal serum iodine
2. Increase in serum levels of Corticotropin-Releasing Hormone (CRH)
3. Increase in serum levels of aldosterone
4. Increase in serum levels of ACTH 

A 70-year-old man with dyspnoea on exertion has been found to have a single second heart sound and a loud diamond-shaped, rough quality systolic murmur best heard at the right 2nd intercostal space, radiating to the right carotid artery. Which one of the following is the likely diagnosis?

As per the basic model of a nuclear family life cycle, consider the following phases:

1. Contraction
2. Dissolution
3. Extension
4. Formation

Which one of the following statements is correct regarding Upper Gastro Intestinal Bleeding (UGIB)?

Which of the following are factors for poor outcome following tuboplasty?

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?

A 25-year-old patient presents with posterior hip dislocation. Which of the following reduction methods is NOT used for the management of this patient's condition?

Urate crystals are described as having the following shape:

Distributive shock is described by which of the following patterns of cardiovascular responses?

1. Vasodilation
2. Reduced peripheral vascular resistance
3. Inadequate 'afterload'
4. Low cardiac output

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

Select the correct answer using the code given below.

A microbiologist working with mycobacteria notes moist, smooth, flat, white colonies growing on Lowenstein-Jensen media. Which species of mycobacteria is she likely studying?

A pedestrian was brought to the casualty after being hit by the bumper of a car. X-ray showed a fracture of the lateral condyle of the tibia. What is the mechanism of injury causing this fracture?

Consider the following statements regarding LNG-20 (Mirena).

1. It is a T-shaped IUD filled with natural hormone progesterone.
2. It is associated with a low pregnancy rate (2 per 1000 women).
3. It is associated with a large number of ectopic pregnancies.
4. It is associated with lower menstrual blood loss as compared to copper IUDs.

A sigmoid configuration along with tapering beak-like deformity at the lower esophageal sphincter on barium swallow is a feature of

A 52-year-old female complains of increasing pain in the right shoulder. She is also finding it increasingly difficult to do overhead abduction of the affected joint. She had been diagnosed as a diabetic 20 years back and is on treatment since then. What is the most likely cause of her clinical condition?

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 among the following are complications of liver trauma?

1. Liver abscess
2. Biliary fistula
3. Portal thrombosis
4. Liver failure

Select the correct answer using the code given below.

Raju is 30 years of age. He has been working in the ceramic and pottery industry for the last 10 years. Which one of the following conditions should he be screened for?

As per the Open Vial Policy, partially used multidose vials of which of the following vaccines can be used over more than one immunization session?

• BCG vaccine
• DPT vaccine
• Hepatitis B vaccine
• Measles vaccine

A 25-year-old female comes to the gynecology OPD for evaluation of amenorrhoea. She gives history of previous dilatation and curettage, and her FSH levels are
8 IU/L. The probable cause of amenorrhoea is

To prevent recurrence, expectant mothers with a previous fetus with neural tube defect should receive folic acid daily at the dose of:

At what cut-off respiratory rate will you consider "fast breathing" in a 2-year-old child ?

Consider the following statements about working of septic tanks:

1. They are recommended for large communities, rather than small communities.
2. There should be no air space between the level of liquid in the tank and the undersurface of the cover.
3. Liquid effluent from the outlet pipe is free from all pathogens.

Which of following are correct for managing hypertrophic scars?

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?

High output cardiac failure is caused by which of the following diseases?

1. Beri-beri
2. Severe anaemia
3. Thyrotoxicosis

Select the correct answer using the code given below:

1. Leukaemia
2. Lung cancer
3. Breast cancer
4. Lymphoma 

A 48-year-old smoker presents to the OPD with complaints of cramping pain in both the calves on walking to about 100-150 metres. The pain is relieved on taking rest for about 2-3 minutes and  the patient is able to walk for some more distance again before the pain appears. This presentation is suggestive of