FMGE JUNE 2021 6.

Identify the name of this x-ray shown in the given

Questions image
1. Palmar reflex and transferring objects
a. Both appear same time
b. Both disappear once
c. Palmar disappear transferring starts
d. Transferring objects start earlier

2. All of the following are true Except

a. Caldwell's view
b. Water's view
c. Schuller's view
d. Towner's view

a. A-Caudate Nucleus 7. A 40 year old diabetic woman tested COVID 19

b. B-Thalamus positive and they started to have nasal
c. C- Lentiform Nucleus congestion, black crusts in nose, and blackish
d. D-Internal capsule discoloration of skin on nasal bridge and cheek
area. What could be the cause ?
3. Bull neck appearance are seen in

a. Mucomycosis
b. Allergic fungal sinusitis
a. Mumps c. Nasal vestbulitis
b. Diphtheria d. Maxillary sinusis
c. Measles
d. Cytomegalovirus infection 8. 7 year old child is complaining of hearing loss
and sense of fullness in the ear. The
4. A 28-year-old G3PIA1 at 33 weeks of gestation tympanometry shows type B curve. What is the
came to the OG clinic for a regular antenatal diagnosis this child ?
check-up. She is a known case of pre-eclampsia a. Chronic supurative otits media
diagnosed at 26 weeks. Now, her BP is 130/90 b. Secretory otitis media
and NST is reactive. What is the plan of c. Acute suspurative otitis media
management in this patient ? d. Otitis externa
a. Wait till 37 weeks for termination
b. Give MgSO4 9. All are paired cartilage except
c. Give Dexamethasone and induce a. Arytenoid
d. Plan for immediate LSCS b. Corniculate
c. Thyroid
5. Identify the structure marked with arrow in the d. Cuneiform
given X ray image of paranasal sinuses
10. Identify the muscle marked in the given image

a. Sphenoid sinus
b. Frontal sinus a. Styloglossus
c. Maxillary sinus b. Genloglossus
d. Ethmoid sinus c. Hypoglossus
d. Palatoglossus b. RSV infection
c. Pneumonia
11. Macrocytic anemia case (neurological defects) d. Anaphylaxis
a. B12 deficiency
b. Folate deficiency 19. A child with thumb sign on x- ray which is the
c. Iron deficiency most like organism responsible
d. Anemia of chronic disease a. H.influenzae
b. Streptococcus
12. Patient with gynecomastia and secondary sexual c. Moraxella
characteristic. Diagnosis d. RSV
a. Turner syndrome
b. Klinefelters syndrome 20. A child (or person) with h/o of vomiting. What
c. Down's syndrome will it cause ?
d. Marfan's syndrome a. Metabolic acidosis
b. Metabolic alkalosis
13. Orphan Annie aye nuclei seen in c. Respiratory acidosis
a. Papillary carcinoma of thyroid d. Respiratory alkalosis
b. Medullary carcinoma of thyroid
c. Pheochromocytoma 21. A child with garlic smell and other features of
d. Hashimoto disease organophosphorus poisoning antidote is
a. Atropine
b. PAM
14. A worker is working in cardboard factory. He is c. Adrenaline
at risk of development of d. Dexomethasone
a. Byssinosis
b. Bagassois 22. A child admitted with iron overload. What is the
c. Asbestosis antidote ?
d. Antracosis a. Desferioxamine
b. EDTA
15. Which drug given for closure of PDA c. Transferrin
a. Indomethacin d. BAL
b. Mefenemaic acid
c. Paracetamol 23. First tooth to erupt
d. Ibuprofen a. Lower central incisor
b. Upper central incisor
16. In child which appears first c. Lower lateral incisor
a. Palmer grip d. Upper lateral incisor
b. Transferring object
c. Social smile 24. Typical chest ray of a child shown. Diagnosis ?
d. Drawing line

17. Child with malnutrition photograph this form of

malnutrition is due to which of following

a. Congenital diaphragmatic hernia

b. ARDS
c. Pneumonia
a. Less protein intake d. Tracheo-esophageal fistula
b. Less energy intake
c. Less vitamin B12 intake 25. Burnt sugar smell of urine in a child, which
d. Less EFA intake enzyme deficiency is likely
a. Alpha-keto acid dehydrogenase
18. Most common cause of inspiratory stridor in b. Carboxylase dehydrogenase
child c. Hexokinase
a. Laryngomalacia d. Glucose 6 phosphatase dehydrogenase
c. B/L Gonadectomy
26. What is given in a irritable child with d. OCP
dehydration 34. Complication associated with IV bolus oxytocin ?
a. ORS a. Heart rate increased
b. IV Ringer lactate b. Arterial pressure decreased
c. Fruit juices c. Muscle tone decreased
d. Glucose solution d. Reflexes increased

27. Which pot collections need to incinerate ? 35. False statement regarding following image ?
a. Red
b. Blue
c. White
d. Black

28. A COPD patient in ICU was on oxygen therapy

with mask with 2 liter of oxygen. He was found to a. Need electricity
be hypo ventilating. His PCO2 on blood gas b. Creates negative pressure of 660 mmHg
analysis was 64mmHg. Which of the following c. Capacity is 60 ml
should be done d. Can be used upto 12 weeks
a. Increase the FIO2
b. Decrease the FIO2 36. A Person suffers injury to eye with vegetative
c. Start BIPAP matter/leaf few ago and has now developed
d. Intubate and start on ventilator pain and photophobia. What could be the most
likely cause?
29. In endotracheal tube resistance depend upon a. Fungal keratitis
a. Length b. Acanthimeoba keratitis
b. Diameter c. Bacterial keratitis
c. Curvature d. Herpes zoster
d. Resistant
37. A newborn child presents with watering and on
30. A young patient underwent surgery under GA examination, the following image is seen. What
with O2, N2O and Desflurane. Just after is the most probable diagnosis ?
extubation, the patient started to desaturate. On
auscultation there is crepitation. What can be the
most common cause ?
a. Pleural effusion
b. ARDS
c. Negative pressure pulmonary edema
d. Atelectasis a. Megalocornea
31. 46 xx absent uterus vagina normal secondary b. Buphthalmos
sexual characteristics, ovary present FSH and LH c. Congenital cataract
within normal limits d. Congenital
a. MRKH
b. AIS 38. A lady presents with pain, proptosis, orbital
c. TURNER swelling and loss of vision. On examination the
d. Pseudohermaphrodite given image is noted. What is the most likely
diagnosis ?
32. Secondary amenorrhea after 3months of abortion
due to serum FSH 6IU/L
a. Sheehan’s syndrome
b. Fresh pregnancy
c. Premature ovarian failure
d. Asherman's syndrome

33. 16 years girl with primary amenorrhea. SSC well a. Preseptal celluitis
developed on examination there is bluish b. Orbital cellulitis
bulging hymen. What is the best management c. Blepharitis
a. Cruciate incision and drainage of blood d. Stye
b. Long term treatment with estrogen
39. A lady suffers sudden painful loss of vision with 45. What is the most common treatment for
worsening of pain on eye movements. A recurrent pterygium ?
relative afferent papillary defect is present. On a. Observation
perimetry, there is a central scotoma in the b. Simple excision
involved eye. What is the most likely diagnosis c. Conjunctival autograft
in this case? d. Mitomycin C
a. Optic neuritis
b. Papilledema 46. A young boy complains of itching, watering of
c. Retinoblastoma eyes and rhinorrhea, on examination the
d. Central retinal vein occlusion following image is seen. What is the diagnosis

40. A 3 month old child presents with watering and

discharge which increases on pressing the
inner corner of eye. What is the best
management for his condition ?
a. Syringing
b. Sac massage
c. Dacrocystorhinostomy
d. Probing a. Trachoma
b. Vernal keratoconjunctivitis
41. A girl has ptosis which decreases on sipping c. Bacterial conjuctivitis
fluids and eating food. What is the most likely d. Acute conjuctivitis
diagnosis ?
a. Blepharophimosis syndrome 47. A patient is diagnosed with complicated
b. Complicated ptosis cataract and on slip lamp findings are shown in
c. Horner syndrome the given image. What is the type of cataract
d. Mechanical ptosis seen in this case ?
42. V-Y procedure is used for correction of
a. Symblepharon
b. Entropion
c. Ectropion
d. Ankyloblepharon

43. A child with history of malnutrition was a. Anterior subcapsular cataract

examined and following image of the eye was b. Nuclear cataract
seen. What is the most likely diagnosis in this c. Posterior subcapsular cataract
case ? d. Cortical cataract

48. A child aged 10 years is having amblyopia in

one eye. What is the best treatment in this case
?
a. Observation
b. Occlusion
c. Penalization
a. Anterior staphyloma d. None of the above
b. Corneal opacity
c. Buphthalmos 49. A man suffered trauma to the right eye with a
d. Megalocornea punch. Which of the following will be the most
likely to occur in this case ?
44. A person has vision of < 3/60, but > 1/60 in his a. Inferior orbital wall fracture
better eye. What is the type of blindness he has b. Medial wall fracture
? c. Lateral wall fracture
a. Social blindness d. Sublaxation of the lens
b. Economic blindness
c. Legal blindness 50. Which vaccine has seroconversion time less
d. Total blindness than incubation period for that disease
a. Flue
b. Measles
c. Rubella 58. Which of the following drugs used in
d. Mumps emergency management of asthma does not act
by causing bronchodilation ?
51. Lowest center where patient can go a. Salbutamol
a. CHC b. Ipratropium
b. DH c. Deriphylline
c. PHC d. Hydrocortisone
d. Medical college
59. Which of the following is the action of
52. Disease caused by given mosquito dopamine at low doses ?
a. It increases renal blood flow
b. It causes vasoconstriction
c. It has positive chronotropic action
d. It causes hypotension

60. A drug addict patient presented with agitation

and ulceration on skin. The patient had severe
a. Malaria
itching and scratch marked on the body. On
b. JE
examination there is presence of tachycardia,
c. Dengue
mydriasis and hypertension. Likely substance
d. Zika virus
responsible for these symptoms is ?
a. Cocaine
53. Incineration process is used for which color bag
b. Cannabis
a. Yellow
c. LSD
b. Red
d. Heroin
c. White
d. Blue
61. A patient presented with weakness of limb
muscles especially in evening after work. The
54. Which is principle of PHC
symptoms improved after edrophonium test.
a. Unequal distribution
The person is likely suffering from ?
b. Appropriate technology
a. Myasthenia gravis
c. Money
b. Lambert Eaton syndrome
d. Inter country
c. Gullian Barre syndrome
d. Bronchial asthma
55. Most cost effective screening test for cervical
cancer
62. A patient on treatment of myasthenia gravis
a. Pap smear
presents with increasing muscle weakness.
b. Biopsy
Which of the following drug is used to
c. Lugol iodine
differentiate myasthenia gravis from
d. Colposcopy
cholinergic crisis ?
a. Edrophonium
56. Which of the following anti-diabetic drug does
b. Pilocarpine
not require dose reduction in renal failure ?
c. Atropine
a. Linagliptin
d. Pyridostigmine
b. Sitagliptin
c. Vildagliptin
63. A man travelled to Assam. After coming back
d. Saxagliptin
he developed fever, chills and rigors and
altered sensorium. The peripheral smear
57. A female patient was taking warfarin for
demonstrated the presence of P.falciparum.
prosthetic heart valves. She became pregnant.
What is the treatment of choice for this patient ?
What advise will you give regarding use of this
a. Chloroquine + Primaquine
drug in early pregnancy ?
b. Sulfadoxine + Pyrimethamine
a. Continue warfarin without any concern
c. Lumefantrine
b. Continue warfarin but add vitamin K to the
d. Intravenous artesunate
therapy
c. Change warfarin to heparin
64. A patient had a history of previous child with
d. Terminate the pregnancy
down syndrome, currently on lithium therapy
present for antenatal checkup. Which of the
following condition is the fetus at the greatest
risk of ? 71. Which of the following combination of seizure
a. Ebstein’s anomaly and its first line drug is not correct ?
b. Down’s syndrome a. Generalized seizure – Valproate
c. Tetralogy of Fallot b. Myoclonic – Topiramate
d. Neural tube defect c. Focal – Levetiracetam
d. Absence – Ethosuximide
65. Hormones and endogenous substances that are
involved in regulation of calcium balance in the 72. Identify the species shown below
body are ?
a. Vitamin D, PTH and insulin
b. Vitamin D, PTH and calcitonin
c. Vitamin D, calcitonin and TSH
d. Vitamin D, PTH and TSH

66. Which of the following drugs can be used for

the treatment of underscended testes ?
a. Testosterone a. Plasmodium vivax
b. GnRH b. Plasmodium falciparum
c. Cold water compress c. Plasmodium malariae
d. Anti-MIH therapy d. Plasmodium ovale

67. After eating an unknown plant, A child 73. Based on the clinical findings, which is the most
presented to emergency in comatose state. The likely associated condition
pupils were dilated and skin was dry. Body
temperature is raised and heart rate is high.
These signs and symptoms can occur with the
intake of which of the following substance ?
a. Dhatura
b. Poppy seeds
c. Mushroom a. Megaloblastic anemia
d. Cannabis b. Iron deficiency anemia
c. Pernicious anemia
68. A farmer presented to emergency with garlic d. Onychomycosis
odour, pin point pupil and excessive
secretions. Which of the following is drug of 74. A female patient presented with pain and
choice for treatment of this poisoning ? redness in great toe. Serum uric acid level is
a. Atropine 9.6 mg/dL. Apart from prescribing analgesics
b. Flumazenil for relieving pain, the physician prescribed a
c. N-acetylcsteine drug which can decrease the formation of uric
d. Oxime acid. Which of the following enzyme is likely to
be inhibited by this drug ?
69. An elderly male developed the symptoms of a. Xanthine oxidase
dementia and was diagnosed as Alzheimer’s b. Thymidylate synthase
disease. Which neurotransmitter level is c. Phosphribosyl transferase
reduced in this disease ? d. DHFR
a. Dopamine
b. Acetylcholine 75. Vitamin that increases the absorption of iron
c. Adrenaline from stomach is ?
d. Serotonin a. Vitamin A
b. Vitamin B12
70. An elderly patient presented with tremors, c. Vitamin C
rigidity and bradykinesia. The most likely d. Vitamin D
neurotransmitter affected in the brain of this
patient is ? 76. Longest acting phosphodiesterase inhibitor
a. Dopamine among the following drugs is ?
b. Acetylcholine a. Sildenafil
c. Adrenaline b. Vardenafil
d. Serotonin c. Tadalafil
d. Phentolamine b. I-123
c. I-127
77. Which of the following statements about these d. I-125
drugs is true ?
83. A patient was given halothane for general
anaesthesia. He developed rigidity and
hyperthermia. These symptoms are most likely
due to which ion ?
a. Na+
b. K+
c. Ca2+
d. Cl-

84. A lady was stung by many bees. She developed

breathing difficulty and hypotension. Drug
used for treatment of this condition is ?
a. Adrenaline
b. Nor-adrenaline
c. Dopamine
a. Drug A is most potent d. Isoprenaline
b. Drug A and C have equal efficacy but A is
more potent than drug C 85. A patient presented to hospital with road traffic
c. Drug C is least potent accident. The patient has raised ICP without
d. Drug C has more potency but less efficacy intracranial hematoma. Which of the following
than drug A is the preferred drug for the management of
this patient ?
78. Which of the following anti-depressant drug a. Mannitol
acts by inhibiting the reuptake of both b. Prednisolone
serotonin and nor- adrenaline ? c. Glycerol
a. Fluoxetine d. Furosemide
b. Venlafaxine
c. Phenelzine 86. A patient of covid-19 requires oxygen therapy.
d. Nortriptyline Which of the following cylinders should be
used to provide oxygen to this patient ?
79. A 4 year old boy drank full bottle of iron syrup.
What is the antidote for acute iron poisoning ?
a. BAL
b. EDTA
c. Desferrioxamine
d. Penicillamine

80. Which of the following antimicrobials is

contraindicated in a patient with seizure
87. If you want to know about recent malaria
disorder ?
transmission in area then preferred indicator is
a. Ampicillin
a. API
b. Ofloxacin
b. ARI
c. Cotrimoxazole
c. Infant parasite rate
d. Cefixime
d. Annual blood examination rate
81. Drug of choice for treatment of Digoxin induced
88. A pregnant lady has rabid dog bid with minor
ventricular arrhythnias is?
scratch. line of action
a. Atropine
a. Clean wound, no vaccine
b. Lidocaine
b. Clean wound with vaccine
c. Amiodarone
c. Clean wound with vaccine and immune
d. Procainamide
d. No action needed
82. Isotope of iodine used for treatment of thyroid
89. A person reported to ophthalmic OPD with
cancer is ?
vision of <3/6 in right eye and finger movement
a. I-131
at 1 meter distance in left eyes. his state of ovary its removal by
vision is a. Hysteroscope
a. Severe visual impairment b. Laparoscope
b. Economical blindness c. Colposcope
c. Social blindness d. By pulling thread
d. Manifest blindness
96. A child presented with H/O diarrhoea for last
90. A card board worker is at a risk of 12 hrs severly dehydrated and unable to drink
a. Bagassosis fluid management
b. Byssinosis a. ORS
c. Asbestosis b. IV ringer lactate
d. Nasopharyngeal carcinoma c. Normal saline
d. Dextrose saline
91. A man travelled to Assam and after returning
back developed fever, giddiness and on 97. Given conditions is due to deficiency of
investigation confirmed to be a case of
P.falciparum. treatment of choice
a. IV artemether
b. Doxycyline
c. Chlorogquine
d. Artersunate, sulfadoxine, pyrimethamine

92. A patient from Bihar presented with

generalized bone pain and had excess fluoride
intake. He was diagnosed as fluorosis. a. Only energy
Fluorosis of bone is commonly associated the b. Only protein
c. Both protein and energy
d. Vitamins

98. Most common cancer in head and neck region

in India
a. Oral cavity
b. Neck
c. Oropharyngeal
d. Nasopharyngeal
a. Osteopetrosis
b. Osteosclerrosis 99. A 30 year old person is coming from china with
c. Osteoporosis suspected COVID symptoms, test for
d. Osteomalacia confirmations is
a. CBNAT
93. Patient presented with liver cancer who is b. RT PCR
working grain industry (ground nut) for last 15 c. HIV Blood smear
years. toxin responsible for this condition is d. ELSA
a. BOAA
b. Aflatoxin 100. Identify virus
c. Pyrolizidine
d. Sanguanarine

94. Which level is taking care of school health in

rural area
a. Sub center
b. PHC
c. CHC a. HIV
d. Sub district hospitals b. SARS covid 19
c. Parvo virus
95. A 30 year old lady presented to OPD with C/O d. Varicella
pain lower abdomen with H/O copper insertion
3 year back. On USG investigation it was 101. First step to be done for immunization survey of
confirmed that copper is extra-uterine near an area
a. List of pregnant mother
b. Vaccinated children in last year
c. Census data
d. Population of area

102. Agency funding TB program in India

a. WHO
b. UNSAID
c. World bank
d. Global fund

103. Which agency give support to achieve

a. Esophageal spasm
sustainable development goals
b. Esophageal CA
a. WHO
c. Achalasia cardia
b. UN
d. TE fistula
c. UNESCO
d. UNDP
108. Identify the case
104. Doctors are doing work and extracurricular
activity, study design planned to know for
future requirement of doctors which are doing
extracurricular activity
a. Cost benefit analysis
b. Cost effective analysis
c. Network analysis
d. Systematic analysis a. Ectopic pregnancy
b. SOL
105. Posterior dislocation is evident in x-ray, which c. Fistula
nerve is most commonly damaged ? d. Perforated IUCD

109. A diabetic patient appeared in OPD with H/O

irregular bowel clearance, pain abdomen. He
was taking alcohol for last 20 years & stopped 2
years back. His CT abdomen report is as below.
What may be the diagnosis ?

a. Sciatic nerve
b. Posterior femoral cutaneous nerve
c. Femoral nerve
d. Sural nerve

106. Metacarpal deformity in RA

a. Herbeden nodules
b. Boutainnere deformity
c. Mallet finger a. Cirrhosis of liver
d. Swan neck deformity b. Acute pancreatitis
c. Pancreatic pseudocyst
107. Identify the X-ray d. Liver abscess

110. What type of cataract is this ?

a. Diabetes induced
b. Post-injury b. Diverticulosis
c. Complicated c. Ovarian tumor
d. Congenital d. Calcified fibroid

111. Identify the structure 115. Diagnose from the image

a. Epidermoid
b. Bartholin cyst
c. Condyloma
d. Imperforated hymen a. Esophageal spasm
112. Identify the vaccine b. Esophageal CA
c. Achalasia cardia
d. TE fistula
116. Histopathology examination of an excised breast
lump reveals following picture. What is the
diagnosis ?

a. Covid vaccine
b. Tetanus toxoid
c. BCG
d. Rabies vaccine

113. Identify the case

a. Invasive ductal carcinoma.

b. Invasive lobular carcinoma.
c. Ductal carcinoma in situ (DCIS)
d. Lobular carcinoma in situ (LCIS)
117. Identify the pelvis type

a. Duodenal obstruction
b. Intususception
c. Gut perforation
d. Pneumoperitoneum

114. A 54 years female appeared at OPD with a. Gynecoid

complain of pain and heaviness of lower b. Android
abdomen. She had H/O menorrhagia. Her X-ray c. Anthropoid
is as followed. Diagnosis ? d. Platypelloid

118. Causative organism of following disease

a. Bladder stone a. HIV

b. HBV
c. HCV
d. HPV
119. What is the investigation ?

a. Deep peroneal nerve paralysis

b. CTEV
c. Calcaneal fracture
a. Myomectomy d. Absence of navicular
b. Urine for C/S test
c. Pap smear 124. Diagnosis ?
d. HSG

120. Identify the disease

a. Alopecia universalis
b. Tinea capitis
a. Furuncle c. Telogen effluvium
b. Madura foot d. Alopecia areata
c. Strongyloides
d. Pediculosis 125. False about Pradhan Mantri Jan Arogya Yojana
(PM-JAY)
121. What is the diagnosis a. It provides a cover of Rs. 10 lakhs per
family per year for secondary and tertiary
care hospitalization across public and
private empanelled hospitals in India
b. Provides cashless access to health care
services for the beneficiary
c. There is no restriction on the family size,
age or gender
d. All pre–existing conditions are covered
from day one
a. Rt consolidation
b. Lt consolidation
126. Cause of such appearance on Barium X-ray
c. Rt hydropneumothorax
d. Lt hydropneumothorax

122. Disease associated with the following finding

a. Ulcerative colitis
b. Crohn’s disease
a. Tonsilitis c. Polyposis coli
b. Diphtheria d. Diverticular disease
c. Pharyngitis
d. Candidiasis 127. The curvature of an endotracheal tube is
a. 140±20 mm
123. Diagnosis ? b. 120±40 mm
c. 120±50 mm
d. 140±50 mm
128. Identify the breast disorder

a. Peu’d orange
b. Mastitis
c. Phyllodes tumour
d. Paget disease of breast

129. A smoker attended OPD with following spot

inside his mouth. Identify it

a. Erythroplakia
b. Aphthous ulcer
c. Diphtheria
d. Leukoplakia

130. Identify the condition

a. Scotoma
b. Buphthalmos
c. Congenital cataract
d. Keratoconus

131. Identify the land mark

a. McBurney’s point
b. Anterior superior iliac spine
c. Deep inguinal ring
d. Superficial inguinal ring

Answers
1. C 34. A 67. A 100. A
2. D 35. A 68. A 101. B
3. B 36. A 69. B 102. B
4. A 37. B 70. A 103. D
5. C 38. B 71. B 104. D
6. B 39. A 72. D 105. A
7. A 40. B 73. C 106. D
8. B 41. B 74. A 107. C
9. C 42. C 75. C 108. D
10. B 43. A 76. C 109. C
11. A 44. A 77. B 110. C
12. B 45. C 78. C 111. B
13. A 46. B 79. C 112. C
14. B 47. C 80. B 113. C
15. A 48. B 81. B 114. D
16. A 49. A 82. A 115. A
17. A 50. B 83. C 116. A
18. A 51. C 84. A 117. C
19. A 52. B 85. A 118. D
20. B 53. A 86. C 119. C
21. A 54. B 87. C 120. B
22. A 55. C 88. B 121. C
23. A 56. A 89. C 122. B
24. A 57. C 90. A 123. B
25. A 58. D 91. A 124. D
26. A 59. A 92. B 125. A
27. D 60. A 93. B 126. D
28. C 61. A 94. B 127. A
29. B 62. A 95. B 128. A
30. C 63. D 96. A 129. D
31. A 64. A 97. B 130. B
32. D 65. B 98. A 131. A
33. A 66. B 99. B