ASSISTANT SURGEON / CASUALITY MEDICINE (NCA) – MEDICAL EDUCATION

PROVISIONAL ANSWER KEY
Question Paper Code: 4/2020/OL
Category Code: 328/2018
Exam: Assistant Surgeon / casuality Medicine NCA
Medium of Question: English
Date of Test 23-01-2020
Department Medical Education
Alphacode A
Question1:-Neural Tube develops due to inductive effect of –
A:-Primitive node
B:-Primitive Streak
C:-Prochordal plate
D:-Notochord
Correct Answer:- Option-D
Question2:-Menisco-femoral ligaments are attached to the following horn –
A:-Anterior horn of lateral Meniscus
B:-Anterior horn of Medial Meniscus
C:-Posterior horn of lateral Meniscus
D:-Posterior horn of Medial Meniscus
Correct Answer:- Option-C
Question3:-Greater splanchnic nerve carries following fibres –
A:-Preganglionic sympathetic
B:-Preganglionic Parasympathetic
C:-Post ganglionic sympathetic
D:-Post ganglionic parasympathetic
Correct Answer:- Option-A
Question4:-The following sentences are true about Vas deferens EXCEPT
A:-Develops from mesonephric duct
B:-Main content of spermatic cord
C:-45 cms long
D:-Opens to seminal vesicle
Correct Answer:- Option-D
Question5:-Deficiency manifestation of thiamine
A:-Scurvy
B:-Beriberi
C:-Neural tube defect
D:-Night blindness
Correct Answer:- Option-B
Question6:-Tumur marker useful in the diagnosis of hepatocellular carcinoma
A:-CA – 125
B:-ALP
C:-CEA
D:-AFP
Correct Answer:- Option-D
Question7:-Acute intermittent porphyria is due to deficiency of
A:-UPG I synthase
B:-ALA synthase
C:-ALA dehydratase
D:-UPG decarboxylase
Correct Answer:- Option-A
Question8:-The committed step of cholesterol biosynthesis is catalyzed by
A:-HMG CoA synthase
B:-HMG CoA reductase
C:-Acetyl CoA carboxylase
D:-Acetoacetyl CoA synthase
Correct Answer:- Option-B
Question9:-Chief seat of peripheral resistance is
A:-Veins
B:-Capillaries
C:-Arteries
D:-Arterioles
Correct Answer:- Option-D
Question10:-Hormone that widens pulse pressure is
A:-Angiotensin
B:-Vasopressin
C:-Thyroxine
D:-Norepinephrine
Correct Answer:- Option-C
Question11:-If the renal clerance of a substance which is freely filtered is less that that of Insulin
A:-There is net re-absorption of the substance in the tubule
B:-The is net secretion of the substance in the tubule
C:-The substance is neither re-absorbed nor secreted in the tubule
D:-The substance is secreted in the proximal tubule to a lesser degree than that in the distal tubule
Correct Answer:- Option-A
Question12:-Arneth counting denotes
A:-Counting of the lobes in Neutrophil
B:-Counting of the granules in Eosinophil
C:-Counting of Lymphocytes in peripheral smear
D:-Counting of Leucocytes in bone marrow
Correct Answer:- Option-A
Question13:-Railway spine is
A:-Hyper flexion injury
B:-Hyper extension injury
C:-Concussion of spine
D:-Contusion of spine
Correct Answer:- Option-C
Question14:-Most specific chemical test for detection of semen is
A:-Florence test
B:-Barberios test
C:-Teich Mann’s test
D:-Acid phosphatase test
Correct Answer:- Option-D
Question15:-Cerebra odollam is a predominant fatal
A:-Cardiac poison
B:-Hepatorenal poison
C:-Respiratory depressent
D:-Gastro intestinal poison
Correct Answer:- Option-A
Question16:-Smokeless powder used in cartridge of shotgun comprises of
A:-Potassium nitrate, charcoal, sulphur
B:-Potassium chloride, sulphur
C:-Nitro guanidine, Potassium nitrate
D:-Nitrocellulose, Nitroglycerine
Correct Answer:- Option-D
Question17:-All the following are enrichment media except ___________
A:-Tetrathionate broth
B:-Selenite F broth
C:-Thioglycolate broth
D:-Gram negative broth
Correct Answer:- Option-C
Question18:-Pontiac fever is caused by
A:-Aspergillus fumigatus
B:-Sreptobacillus moniliformis
C:-Spirillum minus
D:-Legionella pneumophilia
Correct Answer:- Option-D
Question19:-Mercaptoethanol reduction of lg molecule produces
A:-Two Fab fragments and one Fc fragment
B:-One F`(ab)_(2)` fragment
C:-Two heavy chains and two light chains
D:-None of the above
Correct Answer:- Option-C
Question20:-Which of the following is not a characteristic of Slow virus
A:-Produces cytopathic effect in vitro
B:-Very long incubation period
C:-Lack in antigenicity
D:-Prediliction for CNS
Correct Answer:- Option-A
Question21:-All are actions of atropine on eye except
A:-Mydriasis
B:-Cycloplegia
C:-Decrease intraocular tension
D:-Decrease Lacrimation
Correct Answer:- Option-C
Question22:-Which is a neuromuscular blocker
A:-Succinyl Choline
B:-Hexamethonium
C:-Trimethaphan
D:-Guanethidine
Correct Answer:- Option-A
Question23:-Which is an Ester
A:-Procaine
B:-Bucricaine
C:-Prilocaine
D:-Ropivacaine
Correct Answer:- Option-A
Question24:-Tianeptine is
A:-5 HT uptake enhancer
B:-Gaba inhibitor
C:-Norepinephrine reuptake inhibitor
D:-Mao inhibitor
Correct Answer:- Option-A
Question25:-The primary cells infected by M.tuberculosis are
A:-TH1 cells
B:-Macrophages
C:-B lymphocytes
D:-Plasma cells
Correct Answer:- Option-B
Question26:-The common histologic features of Chronic viral Hepatitis C(CHC), include all EXCEPT
A:-Ground glass Hepatocytes
B:-Lymphoid aggregates in portal tracts
C:-Bile duct changes in portal tract
D:-Macro vasicular steatosis
Correct Answer:- Option-A
Question27:-The primary glomerular lesions causing Nephrotic syndrome include all EXCEPT
A:-Minimal-change disease
B:-Acute post infectious glomerulonephritis
C:-Focal segmental glomerulosclerosis
D:-Membranous glomerulopathy
Correct Answer:- Option-B
Question28:-Which is NOT TRUE about Carcinoid Heart Disease
A:-The right side of the heart is commonly affected
B:-Endocardium is primarily affected
C:-Occurs in half the number of cases of carcinoid syndrome
D:-The left side of the heart is commonly affected
Correct Answer:- Option-D
Question29:-The Triangle of Epidemiology shows the interaction and interdependence of
A:-Agent, Host and Environment
B:-Agent, Host, Environment and Time
C:-Agent, Host and Place
D:-Agent, Host, Environment and Place
Correct Answer:- Option-B
Question30:-The Stanford Three Community study is a
A:-Clinical Trial
B:-Preventive Trial
C:-Risk factor Trial
D:-Trial of Etiological agents
Correct Answer:- Option-C
Question31:-All are Phenotypic methods for detection of Mycobacteria directly from clinical samples except
A:-Catridge Based Nucleic acid amplification test
B:-TB STAT-PAC
C:-Insta test TB
D:-Fast Plaque TB
Correct Answer:- Option-A
Question32:-The best measure of central tendency which can be used for a skewly distributed data is
A:-Mean
B:-Median
C:-Inter-quartile range
D:-Standard deviation
Correct Answer:- Option-B
Question33:-Interruption of transmission of a communicable disease from a large geographic area is known as
A:-Disease control
B:-Disease termination
C:-Disease elimination
D:-Disease eradication
Correct Answer:- Option-C
Question34:-An office clerk badly snubbed by his superior takes it out to his wife and children on reaching home. What is
the type of defence mechanism was he adopted
A:-Projection
B:-Compensation
C:-Displacement
D:-Regression
Correct Answer:- Option-C
Question35:-Most effective form of Chlorine in water disinfection is
A:-Hychlorite ion
B:-Hypochlorous ion
C:-Hypochloric acid
D:-Hypochlorous acid
Correct Answer:- Option-D
Question36:-An international treaty that was designed to reduce the movements of hazaardous waste between nations
A:-Rotterdam Convention
B:-Basel Convention
C:-Brokered Convention
D:-Stockholm Convention
Correct Answer:- Option-B
Question37:-Fixation is completed by
A:-1 month
B:-2 years
C:-6 months
D:-1 year
Correct Answer:- Option-C
Question38:-All are features of papilloedema except
A:-Transcient visual obscurations
B:-Blurring of optic disc margins
C:-Early visual loss
D:-Enlargement of blind spot
Correct Answer:- Option-C
Question39:-Which of the following intra ocular foreign body causes suppurative reaction
A:-Nickel
B:-Platinum
C:-Porcelein
D:-Gold
Correct Answer:- Option-A
Question40:-Major cause of blindness in India is
A:-Refractive errors
B:-Glaucoma
C:-Trachoma
D:-Cataract
Correct Answer:- Option-D
Question41:-Distant direct ophthalmoscopy is done at a distance of
A:-15 cm
B:-25 cm
C:-50 cm
D:-100 cm
Correct Answer:- Option-B
Question42:-WHich of the following is true about Peter’s anomaly?
A:-Treatment is with rigid gas permeable lenses
B:-Defects in corneal endothelium and Descemets membrane
C:-Identification of `PAX_(6)` mutation in all cases
D:-Bilaterality in 10% of cases
Correct Answer:- Option-B
Question43:-Perineural invasion and pain are associated with which of the following orbital tumour
A:-Neuroblastoma
B:-Adeno Carcinoma of Lacrimal gland
C:-Rhabdo myo sarcoma
D:-Adenoid cystic carcinoma of lacrimal gland
Correct Answer:- Option-D
Question44:-Characteristics of Congenital motor Nystagmus are all except
A:-Bilateral
B:-Horizontal
C:-Worsens with attempted fixation
D:-Worsens with convergence
Correct Answer:- Option-D
Question45:-Isshiki – Type I Thyroplasty is
A:-Medial displacement of vocal cord
B:-Lateral displacement of vocal cord
C:-Shortening of vocal cord
D:-Lengthening of vocal cord
Correct Answer:- Option-A
Question46:-Device which offers hearing in a person with severe to profound sensorineural hearing loss
A:-Bodyworn hearing aid
B:-Behind the ear hearing aid
C:-BAHA
D:-Cochlear implant
Correct Answer:- Option-D
Question47:-Epistaxis most common site is
A:-Woodruffs plexus
B:-Little’s area
C:-Donaldson’s line
D:-Hyrtles fissure
Correct Answer:- Option-B
Question48:-Thumb sign is seen in
A:-Acute Laryngotracheobronchitis
B:-Quincke’s edema
C:-Epiglottitis
D:-Reinke’s edema
Correct Answer:- Option-C
Question49:-Molecular genetic testing of GJB2 variants is done in the diagnosis of:
A:-Van der Hoeve syndrome
B:-DFNB1
C:-Van der Woude Syndrome
D:-Apert syndrome
Correct Answer:- Option-B
Question50:-Gutzmann’s pressure test is used in:
A:-Adductor dysphonia
B:-Functional aphonia
C:-Mutational falsetto
D:-Phonasthenia
Correct Answer:- Option-C
Question51:-Fluctuating hearing loss is seen in all except:
A:-Otosclerosis
B:-Ménière’s disease
C:-Perilymph fistula
D:-Syphilitic labyrinthitis
Correct Answer:- Option-A
Question52:-Bilateral loss of vestibular function is known as:
A:-Costen syndrome
B:-Wallenberg syndrome
C:-Sipple’s syndrome
D:-Dandy syndrome
Correct Answer:- Option-D
Question53:-All are features of sensory ataxia except
A:-Sink sign
B:-Pseudoathetosis
C:-Rombergs sign
D:-Wadding gait
Correct Answer:- Option-D
Question54:-All are causes of euvolemic hyponatremia except
A:-Hypothyroidism
B:-Adrenal insufficiency
C:-Hyperthyroidism
D:-SIADH
Correct Answer:- Option-C
Question55:-Serum sickness is a representative example of following type of immunologically mediated drug reaction
A:-Anaphylatic type
B:-Cytotoxic Type
C:-Immune complex mediated
D:-Cell mediated
Correct Answer:- Option-C
Question56:-Given combinations of serological results indicates the following:
HBsAg – Negative Anti HBe – Positive
HBeAg – Negative IgM anti HBc – Negative
Anti HBs – Positive IgG anti HBc – Positive
A:-Acute Hepatitis B
B:-Resolved acute Hepatitis B
C:-Chronic HBV with High replication
D:-Chronic HBV with low replication
Correct Answer:- Option-B
Question57:-All are causes of aortic regurgitation except?
A:-Rheumatoid Arthritis
B:-Aortic Dissection
C:-Congenital
D:-Syphilis
Correct Answer:- Option-C
Question58:-Following is small vessel Vasculitis
A:-Wegener’s granulamatosis
B:-Kawasaki Disease
C:-Polyarteritis Nodosa
D:-Takayasu’s disease
Correct Answer:- Option-A
Question59:-All are suppurative lung diseases except
A:-Bronchiectasis
B:-Lung Abscess
C:-Empyema
D:-Interstitial lung disease
Correct Answer:- Option-D
Question60:-Following is the drug associated with RED MAN SYNDROME
A:-Gemifloxacin
B:-Vancomycin
C:-Daptomycin
D:-Colistin
Correct Answer:- Option-B
Question61:-Negative symptoms of schizophrenia include all except
A:-Apathy
B:-Alogia
C:-Automatic obedience
D:-Avolition
Correct Answer:- Option-C
Question62:-Which among the following is used as an anticraving agent?
A:-Naltrexone
B:-Disulfiram
C:-Chlordiazepoxide
D:-Atomoxetine
Correct Answer:- Option-A
Question63:-All about demantia are ture except
A:-Sundowning is associated with dementia
B:-Alzheimer’s disease is a type of subcortical dementia
C:-Recurrent visual hallucinations and motor features of Parkinsonism are key features of dementia with Lewy bodies
D:-Pick’s disease is a type of frontotemporal dementia
Correct Answer:- Option-B
Question64:-Pressure of speech usually occurs in
A:-Dementia
B:-Depression
C:-Mania
D:-Obsessive compulsive disorder
Correct Answer:- Option-C
Question65:-The period of gestation during which Nuchal Translucency (NT) scan is done
A:-7 – 10 weeks
B:-11 – 14 weeks
C:-16 – 19 weeks
D:-20 – 24 weeks
Correct Answer:- Option-B
Question66:-Which one of the following tocolytics is having neuroprotective effect on the fetus?
A:-Beta-mimetics
B:-Progestogens
C:-Calcium channel blockers
D:-Magnesium Sulphate
Correct Answer:- Option-D
Question67:-After vasectomy, additional method of contraception is advised for a period of
A:-1 Month
B:-2 Months
C:-3 Months
D:-6 Months
Correct Answer:- Option-C
Question68:-All of the following conditions cause amenorrhoea except
A:-Polycstic Ovarian Disease
B:-Congential adrenal hyperplasia
C:-Fibroid uterus
D:-Hyperprolactinemia
Correct Answer:- Option-C
Question69:-Dermatophagoides Pteronyssinus is a
A:-Hard Tick
B:-House – Dust Mite
C:-Locust
D:-Butterfly
Correct Answer:- Option-B
Question70:-Black piedra is caused by
A:-Piedraia Hortae
B:-Exophiala werneckii
C:-Stenella araguata
D:-Trichophyton Rubrum
Correct Answer:- Option-A
Question71:-‘Cluster of Jewels’ sign is seen in
A:-Pemphigus vulgaris
B:-Dermatitis Herpetiformis
C:-Linear lgA disease
D:-Epidermolysis Bullosa simplex
Correct Answer:- Option-C
Question72:-Wide follicular pits in the triangular fossa of the ear is seen in
A:-Discoid lupus erythematosus
B:-Keratosis pilaris
C:-Phrynoderma
D:-Follicular mucinosis
Correct Answer:- Option-A
Question73:-In performing perioperative assessments, the most reliable biochemical predictors of operative morbidity and
mortality across surgical specialities include which of the following
A:-Serum albumin
B:-Defects in cellular immunity
C:-Serum urea nitrogen level
D:-Prothrombin time
Correct Answer:- Option-A
Question74:-Which is true regarding hypertrophic scar
A:-Another name for keloid
B:-Common in face
C:-Preventable
D:-Worsened with steroids
Correct Answer:- Option-C
Question75:-Abdominal compartment syndrome produces all of the following except
A:-Acute renal failure
B:-Hypoxia
C:-Elevated urinary bladder pressure
D:-Intestinal obstruction
Correct Answer:- Option-D
Question76:-Deep second degree burns reepithelialise from retained keratinocytes in
A:-Rete ridges
B:-Hair follicles
C:-Reticular dermis
D:-Moll glands
Correct Answer:- Option-B
Question77:-“Spilled Teapot sign” is seen in
A:-Perilunate dislocations
B:-Scaphoid non-union
C:-Fracture navicular
D:-Talar dislocation
Correct Answer:- Option-A
Question78:-All are true about “Paprika sign” except
A:-Determines limit of debridement
B:-Characterised by punctuate cortical bleeding
C:-Characterised by punctuate cancellous bleeding
D:-Seen in avascular necrosis of head of femur
Correct Answer:- Option-D
Question79:-All are true about “SCFE” except
A:-head slips posteriorly and inferiorly
B:-Right hip more affected than left hip
C:-Perkin’s sign is seen
D:-Steels metaphyseal blanch sign positive
Correct Answer:- Option-B
Question80:-Least common location of ‘Chondroblastoma’ among the following is
A:-Distal femur
B:-Proximal humerus
C:-Proximal tibia
D:-Proximal radius
Correct Answer:- Option-D
Question81:-Work hardening is a term used in rehabilitation for
A:-Setting of the socket of a prosthesis
B:-Improving muscle strength
C:-Simulation of an occupation following Low back pain
D:-Hardening of the resin laminate used in orthosis
Correct Answer:- Option-C
Question82:-The following are types of Dyskinesia in cerebral palsy except
A:-Chorea
B:-Ballismus
C:-Athetosis
D:-Spasticity
Correct Answer:- Option-D
Question83:-Kellegren’s classification is used to assess the severity of
A:-Parkinsonism
B:-Osteo arthritis
C:-COPD
D:-Multiple Sclerosis
Correct Answer:- Option-B
Question84:-All of the following could be life threatening complications in a C5 complete spastic quadriplegic with diabetes
except
A:-Shoulder hand syndrome
B:-Pressure sore – Trochanteric
C:-Autonomic Dysreflexia
D:-Aspiration Pneumonia
Correct Answer:- Option-A
Question85:-Thalidomide resulted in tragic epidemic of birth defects because
A:-Previously it was harmless but became harmful due to mutation
B:-Was toxic only in higher dose
C:-Teratological effects may not become apparent until many thousands of women consume a particular drug
D:-None of the above
Correct Answer:- Option-C
Question86:-The electron transport chain in mitochondria, which one is the only `Cu^(2+)` containing protein complex?
A:-NADH-CoQ Reductase
B:-Cytochrome C oxidase
C:-Cytochrome C
D:-`COQH_(2)` – cytochrome C reductase
Correct Answer:- Option-B
Question87:-The frequency and intensity of incident radiation falling on a photosensitive surface is increased by a factor of
two. This will
A:-Increase the maximum kinetic energy of the photoelectron as well as the photoelectric current by a factor of two
B:-Increase the maximum kinetic energy of photoelectron and would increase the photoelectric current by a factor of
two
C:-Increase the maximum kinetic energy of the photoelectron by a factor of two and have no effect on the
photoelectric current
D:-Increase the photoelectric current by a factor of two and have no effect on kinetic energy of the photoelectron
Correct Answer:- Option-B
Question88:-Morphine, the first alkaloid was extracted by German pharmacologist
A:-Castaing
B:-F.W.A. Serturner
C:-Pellatan
D:-Humphry Davy
Correct Answer:- Option-C
Question89:-Concerning anaphylactic and anaphylactoid reactions during anesthesia the most common precipitating agent
is
A:-Latex
B:-Antibiotics
C:-Amide local anesthetics
D:-Neuromuscular blocking agents
Correct Answer:- Option-D
Question90:-Concerning LMA ProSeal choose the incorrect statement
A:-Second generation Supraglottic airway device
B:-Allows positive pressures upto 30 cm H2O
C:-Cuff pressures should not exceed 30 cm H2O
D:-Incorporates a gastric drainage tube that allows for gastric access with an orogastric tube
Correct Answer:- Option-C
Question91:-The most accurate technique for assessing residual neuromuscular blockade is by
A:-Acceleromyography
B:-TOF ratio
C:-50 Hz Tetanic stimulation
D:-Double burst stimulation
Correct Answer:- Option-A
Question92:-Concerning crystalloids choose the incorrect statement
A:-Currently available balanced salt solutions have lower osmolarity than isotonic saline
B:-Buffer in the balanced salt solution is metabolised to produce bicarbonate
C:-Excretion of excess water and electrolyte load with balanced salt solution is slower than with isotonic saline
D:-Balanced salt solution do not reduce strong ion difference to the same degree as isotonic saline and therefore do
not cause acidosis
Correct Answer:- Option-C
Question93:-All are methods for confirming proper endotracheal intubation EXCEPT
A:-Pulse oximetry
B:-Spirometry
C:-Capnography
D:-Chest X-ray
Correct Answer:- Option-B
Question94:-Which is FALSE regarding the history of anaesthesia?
A:-Oliver Wendell Holmes coined the term Anaesthesia
B:-Nitrous oxide was first synthesised by Joseph Priestley
C:-First public administration of anaesthesia was by W T G Morton
D:-The use of chloroform was popularised in England by Humphrey Davy
Correct Answer:- Option-D
Question95:-All are examples of spinal needles EXCEPT
A:-Quinckes needle
B:-Tuohy needle
C:-Sprotte needle
D:-Whitacre needle
Correct Answer:- Option-B
Question96:-Which among the following is NOT CORRECT regarding latest CPCR guidelines
A:-The sequence of events in resuscitation is C-A-B and not A-B-C
B:-You should minimize pause during compressions
C:-Recommended chest compression rate is 100 – 120
D:-Chest compressions should be more than 6 cms
Correct Answer:- Option-D
Question97:-Which metal ingestion is known to mimic Kawazaki disease?
A:-Lead
B:-Arsenic
C:-Cadmium
D:-Mercury
Correct Answer:- Option-D
Question98:-The fragile site that has its clinical significance in Fragile X Syndrome is
A:-Xp 28.3
B:-Xq 27.3
C:-Xp 21.3
D:-Xq 28.5
Correct Answer:- Option-B
Question99:-Mission Indradhanush was launched in the year
A:-2013
B:-2014
C:-2015
D:-2016
Correct Answer:- Option-B
Question100:-For prophylaxis of pediatric migraine the only FDA approved drug is
A:-Flunarizine
B:-Topiramate
C:-Onabotulinum toxin
D:-Sumatriptan
Correct Answer:- Option-C