Bright Institute of Medical Sciences

FMGE, DEC 2019 recall

OBG

1. Most common cause of PID → Chlamydia

2. IUCD contraindicated in PID
3. Hair on back, face, secondary Amenorrhea, Androgen ↑, LH:FSH deranged → PCOS
4. Contraceptive in case of newly wed female →OCP
5. Least likely to rupture ectopic pregnancy → Interstitial ectopic
6. Image based ------8 weeks amenorrhea---------Ectopic pregnancy
7. Episiotomy → 45o (medio → lateral)
8. HCG secreted by → Syncytiotrophoblast
9. Leyding cell secrete → Testosterone
10. Double decidual sign → Intrauterine pregnancy
11. Young girl, short height(130cm), congenital webbing of neck, primary amenorrhea → 45 X 0
12. 12 week amenorrhea bleeding P/V, Cx closed, USG shows cardiac activity present →Threatened abortion
13. Lady came had 5 convulsions at home 30 yrsof age, G3 P2, proteinuria 3 +, BP 180/110mmHg next line of Mg
→ MgSO4 + labetalol
14. Twin pregnancy, 1st breech, POG = 40 week, Mg → LSCS
15. Lady delivered child, Placenta delivered followed by heavy bleeding→ Atonic PPH
16. Lady delivered child, placenta removed forcefully, profuse bleeding, most likely complication → Acute
inversion of uterus
17. 1st presumptive sign of uterine pregnancy → Goodell`s sign
18. Lady came with H/o PID x 3 yrs back. Investigation shows B/L corneal block, management will be → IVF
19. IOC for Endometriosis → Laproscopy
20. Multiple cyst in periphery of ovary → PCOD
21. Lady got MTP done, she went home, later on collapsed, BP 90 /50mmHg, Tachycardia complication that has
occured→ uterine perforation
22. Lady hard H/ Ectopic pregnancy in past best contraceptive → Lippe’s loop
Cu – IUCD
Injectable
Progestarsert
23. OCP absolutely C/I in Thromboembolism
24. Oligohydramnios → Renal agenesis
25. Active stage of labour, progress decreases, most probable cause → CPD
26. 50 yrs old lady she had menorrhagia X 6 months not responding to Tranxenemic acid, next line of
management would be → D & C
27. 50 yrs old lady with bleeding continuously P/V & hyperplasia in endometrium. Management
a. Hysterectomy
b. Endometrial ablation
c. GnRH
d. Aromatase inhibitors

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28. Spermicide → Nonoxynol 9
29. Least teratogenic drug in epilepsy → Leviteracetam
30. Lady delivered at home, she has continuous dribbling of urine → Urinary Fistula
31. Lower abdomen pain, bulky mass – hypoecheic region → Dermoid cyst
32. Pregnant lady fallen in bathroom on examination uterus was tender, fetal Heart sound absent → Abruptio
placentae.
33. Amsel`s criteria → Bacterial vaginosis
34. Antithyroid drug in pregnancy in IIIrd Trimester → Carbimazole
35. Pregnant lady at 37 weeks found to be HbsAg+, baby should receive→ Hepatitis B vaccine + Hepatitis B
immunoglobulin.
10 More OBG questions were statements(clinical) →students were not able to recall(Total
OBG approx. 45 questions)

Anatomy
36. Celiac trunk – T12
37. Nerve supply of Biceps brachii → Muscubcutaneous nerve C5, C6, C7
38. Ant dislocation of shoulder cause → Axillary nerve damage
39. Identification of ASIS → image based
40. Upper border of Iliac crest → L4
41. Muscles responsible for knee reflex → Quadriceps Femoris
42. Middle meningeal artery is the br of Maxillary artery I part
43. Identification of Pterion → Image based
44. Identification of Tibial posterior artery → Image based
45. Safety muscle of tongue → Geniogossus
46. Image of Brachial Plexus
47. Renal tramplantation done in Lt. Iliac fossa
48. Bladder Trigone is derived from – Mesonephric duct
49. Structure that does not pass through Parotid gland
a. Facial M
b. Retromandibular M
c. ECA
d. ICA
50. Avascular necrosis for Head of femur by → Medial circumflex femoral artery
51. Undescended testis →cryptorchidism
52. # Femur shaft → Fat embolism
53. Cremasteric reflex – afferent root by femoral br of Genitofemoral nerve L1, L2
54. Adam’s apple → formed by Thyroid cartilage of larynx.
55. Nerve supply of Lacrimal Gland → Pterysopalatine ganglion.

ENT

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56. Eustachian tube in opened by Tensor palate & Levator palate
57. Malignant otitis externa caused by – Pseudomonas.
58. Minere’s disease
59. Bulla ethmoidalis → largest Ethmoidal air cells
60. Nasoparyngeal CA → Troter’s triad
61. Nasopharygeal caused by → EBV
62. Nasopharygeal Rx → Chemoradiation
63. C.S.F. Rhinorrhea will not be diagnosed by Nasal Endoscopy
64. R T A → clear watery discharge through nose→ CSF Rhinorrhea
65. Quinsy abscess → Tonsil deviates medially

Ophtha

66. HSV Keratitis → Dendritic Ulcer Image

67. Tomato ketch up appearance → CRVO image
68. In kerato conus test → Flesher rings
69. Kerato conus Image
70. Why contact lens is better → it inhibits Prismatic effect
71. Image of Ant uveitis
72. In myopia – Image formed ant to retina
73. Chalazion – Hard mass away from the lid margin
74. Internal Hordeolum is due to mebomian gland
75. LPS resection – in done in for congenital ptosis
76. Image of Ex ophthamas – all that except Miosis
77. Acquired hypermetropia – Glasses
78. Vision 2020 which disease in included recently → childhood blindness
79. Confirmatory screening in vit A deficiency is school children → corneal xerosis

Psychiatry
80. Delusion → Thought disorder
81. PTSD → Port traumatic stress disorder
82. Agoraphobia → Patient is afraid of going in to lift
83. Neolosium
84. Portpartum blues → Port delivery depression
85. A child present with bed wetting, what is the earliest management→ Bed Alarm therapy.

Radiology

86. TB → Earliest finding in X ray spine → It space reduced

87. Pneumonia→ Image.
88. NCCT shows → EDH Acute bleeding
89. Pneumothorax X ray
90. EDH NCCT image → Biconvex
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 Bright Institute of Medical Sciences
91. Double decidual sign in USG → Pregnancy intrauterine

Biochem

92. Melanin is derived from → Tyrosine

93. Trapping of Ammonia in Brain done by→ Glutamine dehydrogenase
94. Purine metabolism production → Uric acid
95. ETC complex is blocked by → cyanide
96. Glut 4 Receptor present in Skeletal muscle
97. AGTC – DNA
98. Vit B1 coenzyme → Transketolase
99. Pyruvate metabolism → Alanin
100. Hyper ammonia is due to defect in Urea cycle
101. Synovial fluid contains → Hyaluronidase
102. Confirmatory test for gout → uric acid in synovial fluid
103. Primary structure of protein not damaged
104. Most common amino acid in collagen → Glycine
105. Cardio protective lipoprotein → HDL
106. Gluconeogenesis is inhibited by Insulin
107. Keshan’s disease due to → ↓ selenium deficiency.
108. Allopurinol inhibit formation of uric acid
Surgery

109. Recurrent duodenal ulcer → H. Pylori infection

110. PCNL what will not occur → Urethral stricture
111. CA prostate occurs in posterior lobe of prostate
112. Diagnosis of Varicose vein → Trendelenberg test
113. Mediastinal tumor MC → Thymoma.
114. Pain in right hypochondrium on palpation investigation → USG.
115. BP device for lower limb → image based
116. TB cystitis U/S finding → Thimble bladder
117. 2 scoring → Leucocytosis
( Acute appendicitis)
118. Rodent ulcer → Basal cell CA
119. 3 yrs old child → Hydrocele image → Transillumination image
120. Testicular torsion Image
121. Burn of skin subcutaneous tissue involved → 3o burn
122. Congenital umbilical Hernia, 6 months old child→ wait & watch upto 2yrs
123. RTA → Breathing sound absent on Right side, dyspnea & Hypotension → ∆ Tension pnemothorax
124. Image of sister merry Joseph Nodule ie Paraumbilical LN.
125. Alcoholic patient, Binge drinking at weekend → burheine syndrome

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126. Patient undergone Billroth II developed → palpitation, headache sweating after meal → (Late
dumping syndrome Hypoglycemia)
127. In RTA patient according to revised glassgow coma scale what should not be done in emergency →
Pulse & BP examination
128. Worst prognosis in CA breast → Triple Negative
129. Charcot’s triad → Pain, fever, jaundice
130. Infra renal aneurysm in 70 yrs old ♀→ endoscopic stenting

Physiology

131. Graph of Bohr effect

132. PR segment in AV nodal conduction
133. Na Cl channel symport occurs in early DCT
134. Which heart sound is always Pathological → S4
135. Late diastolic murmur in → Mitral stenosis
136. Brown sequard syndrome all found except →Vibration on opposite side
137. Hyoxic Hypoxemic seen in → Right → Left shunt

FMT

138. 84 IPC → Mc Naughten rule

139. Organophosphorous poisoning → pin point pupil & increased secretions
140. Opiod toxicity → Naloxone
141. Bitter almond smell → Cyanide poisoning
142. Breslow 2o life test → stomach & Intestine use for still born child
143. Posthmus child → child born after father death
144. Bullet injury → Inner table bevelling
145. Toxic poisoning – case – We take specimen from which organ → after – Stomach, Liver, Intestine →
Kidney
146. Lead poisoning – If bullet Stays in body
147. Laceration → hair bulb crushed
148. EDH → Image dissection of head
149. No. of teeth in primary dentition is 20

Derma

150. Image – Oral candidiasis in child

151. Image – impetigo
152. Image – Portwnie stain
153. Image – Alopecia Areata
154. Fixed drug reaction → image cotrimazole
155. Necklace sign → Image Vit B3 (Pellagra)

Ortho
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 Bright Institute of Medical Sciences
156. Osteosarcoma image – Sunburst app
157. Image – splint limb (ankle)
158. Colle’s # - image
159. # shaft Femur – Fat embolism
160. X – Ray shoulder joint – Anterior dislocation
161. Genu varum → MRI
162. MCL tear → Medial Minicus ligament also damaged also

Anesthesia
163. Most potent opioid – Fentanyl
164. In case of emergency intubation –
Chin left → jaw thrust → head tilt
Micro
165. Smallest cystode – H. Nana.
166. Treatment of choice of cryptosporiodosis – nitazoxanide
167. Lateral spine in the egg → (Systomansoninasis) S. mansoni
168. Microfilaria Image → Waucheria Bancrofti
169. Throat image → ( Diphtheria ) Loffler stains
170. Diphtheria → Removal of Pseudo membrane cause bleeding
171. Ziant cell Pneumonia → CMV
172. Koplik’s spots → Meseales
173. Influenza virus Image
174. Sand fly not cause → Chaga’s disease
175. Red bug
176. Recent infection → IgM
177. Thermophillus bacteria → survive above 100 degrees
178. Entameba Histolytica Image
179. Odourless stool – Cholera

PSM

180. In Marasmus Midarm circumference → less than 11.5 cm

181. Yellow fever Certificate validity → Lifetime
182. Triage
183. Kupuswamy scale
184. NITI Aayog
185. Kyoto protocol
186. Vaccination → Specific protection
187. 2o Prevention → BP & Diabetic
188. Red Bag – Catheter & tube

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189. Mean – Which Doesn’t show range of data
190. 400 m → Flight range culex range
191. Anthrocosis is caused by Coal dust
192. Completed family size depends upon→ no. of children
193. SARS is caused by CORONA virus
194. Mean focus of UNICEF→ child health
195. Kyoto protocol→to reduce green house gas emission.
Peds
196. Koplik spots→Measels
197. SSPE→ Measels
Pathology
198. Image showing→AML
199. Which is not true abt emboli→MC origin is heart
200. Cardiomyopathy in alcoholic patient→ dilated cardiomyopathy
201. Necrosis seen in brain→Liquifactive necrosis
202. Autosomal recessive→sickel cell anemia
203. Ion causing cell injury→calcium
204. PGDF mutation→Astrocytoma
205. Autosomal dominant→ Von Willebrand diseaseearliest feature of diabetic
nephropathy→microalbuminuria
206. A patient blood picture shows MCV, MCH reduced→Microcytic hypochromic anemia
207. Megaloblastic anemia→macrocytic
208. Hypercalcemia seen in all except→acute pancreatitis
209. Edema & proteinuria→nephrotic syndrome
Pharma
210. Drug to be avoided with erythromycin in case of asthma→Theophylline
211. Most cardiotoxic anticancer drug→anthracyclines
212. Chemoprophylaxis of malaria(endemic area) →Chloroquine
213. Drug causing postural hypotension→Alpha blocker
214. Therapeutic drug monitoring is done for →Phenytoin
215. Oral direct thrombin inhibitor→Dabigatran
Medicine
216. All of the following cause gynaecomastia except------options(liver failure, kidney disease, testicular
failure,cimetidine)
217. Monoclonal antibody used in cancer→ritoximab
218. A patient after valve replacement will require→Warfarin

Images-----

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Ectopic pregnancy

HSV Keratitis(Dandritic ulcer)

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Keratoconus

Anterior uveitis

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CRVO

NCCT----Extradural hematoma

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Pneumothorax

TB spine(Joint space reduced)

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Brachial plexus

Shoulder dislocation ---Anterior

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Pterion

Posterior tibial artery

Sand fly

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Ankle splint

Portwine stain

Osteosarcoma(Sunburst appearnce)

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Oral candidiasis

Pellagra(Necklace pattern)

Impetigo

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Fixed drug eruption

Colle`s fracture

Alopecia areata

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