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Test Booklet Series
T.B.C. : SLPJ-B-NUK

Serial No. 1011344

(Surgery, Gynaecology & Obstetrics,

TEST BOOKLET

Paper-II
Preventive & Social
D Medicine)
Maximnum Marks:250
Time Allowed : Two Hours

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SLPJ-B-NUK
(1-D)
 1. Which one of the following statements6. In seat belt syndrome the most common site
regarding Inflammatory Bowel Disease is of bleeding is from:
correct ? (a) Bowel
(a)
Rectum is always involved in Crohn's (b) Mesentery
disease (c) Liver
(b) Fistula formation common in (d) Spleen
Ulcerative Colitis.
Stricture formation is common in
7 Which one of the following is a cause of
exudative ascites ?
Ulcerative Colitis.
d
(a) Congestive cardiac failure
Perianal disease is common in Crohn's
(b) Portal vein thrombosis
disease.
(c) Peritoneal malignancy
A Sengstaken-Blakemore tube is used for the (d) Nephrotic syndrome
management of :
8 Which one of the following statements is
a
Corrosive poisoning correct regarding eFAST in trauma ?
b) Variceal bleeding (a) It is a technique to assess free fluid in
(c) Asphyxia the abdominal cavity only.
Tension pneumothorax (b) It is a technique to assess free fluid in
3. The most common beningn tumour of the liver abdominal cavity, thoracic cavity and
is : pericardium.
(a Adenoma (c) It is a technique to assess free fluid in
(b Haemangioma pelvic cavity.
(d) It is a technique to assess free fluid in
Focal nodular hyperplasia
pleural cavity.
Angiomyolipoma
9. A 47-year-old man comes to Surgery OPD
4. The best position to palpate the minimal with history of recurrent episodes of UTI. He
enlargement of spleen is : gives history of the urine being frothy and
(a) Supine with lower limbs extended occasionally having bubbles. The probable
(b Palpation of left subcostal area in right diagnosis is :
lateral decubitus position (a) Anaerobic bacterial infection
(b Colovesical fistula
(c) Bimanual palpation in supine position
(d) Palpation of left subcostal area in
(c) Tubercular cystitis
(d) Urethrocutaneous fistula
knee-elbow position
10. Which of the following are seen in Normal
5. A young 28-year-old male was operated for
duodenal ulcer perforation peritonitis. After pressure hydrocephalus ?
1. Hearing loss
having recovered well for five days, he 2. Gait disturbance
developed high fever with chills and
symptoms of toxemia. He developed right
3. Incontinence
4 Cognitive decline
shoulder tip pain and intractable hiccoughs.
The most likely diagnosis is: Select the correct answer using the code given
below :
(a) Surgical site infection (a) 1, 2and3
(b) Postoperative peritonitis (b) 1,2 and 4
(c) Subphrenic abscess (c) 1,3 and 4
(d) Right lobe liver abscess (d) 3 and 4 only

SLPJ-B-NUK (2-D)
 of the following vaccines can be given
11. The daily requirement of iron during second 15. Which
to a pregnant woman ?
half of pregnancy is : 1 COVID vaccine
(a) 2mg per day 2. Measles, Mumps, Rubella vaccine
(b) 6 mg per day 3. Hepatitis B vaccine
(c) 10mg per day 4. Rabies vaccine
(d) 20 mg per day Select the correct answer using the code given
metabolism in normal
below :
12. Carbohydrate (a) 1,2 and3
pregnancy shows : 1,2and 4
(b)
(a) Fasting hypoglycaemia (c) 1,3 and 4
(b) Postprandial hypoglycaemia (d) 2, 3 and 4
Increased sensitivity of insulin
(c)
receptors in mother Which of the following are the characteristics
16.
(d) Decreased plasma glucagon levels of true labour pains ?
1 Intensity and duration of contractions
13. A typical case of Iron Deficiency Anaemia increase progressively
(DA) in pregnancy will show which of the 2 Progressive effacement and dilatation of
following ? the cervix
1 Hb less than 10gm% 3 Formation of the bag of forewaters'
2 PCV less than 30% 4. Pain is confined to lower abdomen and
3. MCHC more than 30% groin
Select the correct answer using the code given
4. Microcytic hypochromic picture On
peripheral blood smear (PBS) below :
(a) 1,2 and 3
Select the correct answer using the code given
(b) 1,2 and 4
below:
(c) 1,3and 4
(a) 1,2 and3
(d) 2, 3 and 4
(b) 1,2and 4
(c) 1,3 and 4
17. Which are the parts of active management of
(d) 2, 3 and 4
third stage of labour ?
14. Which of the following are the clinical 1 Injection oxytocin 10 units IM within
lminute of delivery of baby
features of molar pregnancy?
History of amenorrhea and vaginal 2. Injection oxytocin 10 units IM at the
1.
birth of frst twin in twin pregnancy
bleeding Controlled cord traction
2. Patient has excessive vomiting 4. Delayed cord clamping as per
3. History of expulsion of grape-like indications
vesicles
Select the correct answer using the code given
Select the correct answer using the code given below :
below: 1,2 and 3
(a)
(a) 1 and 2 only 1,2 and4
(b)
(b) 2 and 3 only
(c) 1,3and 4
(c) land 3 only
1, 2 and3 (d) 2, 3and4
(d)

SLPJ-B-NUK (3-D)
 18. Which of the following are correct regarding 21. Schiller-Duval body' is a characteristic
acute mastitis ? histological feature of which one of the
1 It usually occurs in first 2 - 4 weeks following cancers ?
postpartum.
(a) Dysgerminoma
2 Microscopic examination of breast milk (b) Endodernmal sinus tumour
shows leukocyte count more than 10®/m.
and bacterial count more than 10°mL. (c) Non-gestational ovarian
3.
choriocarcinoma
Common onganisms are bacteroids,
E.coli and Klebsiella. (d) Sex cord stromal tumours
4. The source of infection is infant's nose
and throat.
22. Which One of the following is the
Select the correct answer using the code given distinguishing feature to differentiate
below :
Gartner's cyst from Cystocele ?
(a) 1,2 and 3
(a) Marked cough impulse in Gartner's cyst
(b) 1,2 and 4
(b) Margins are ill-defined in Gartner's cyst
(c) 1,3 and 4
(c) There is no impulse on coughing in
(d) 2. 3 and 4 cystocele
(d) Gartner's cyst is not reducible
19. As per the classification of Obstetric Anal
Sphincter Injury (RCOG-2007), tear of greater
than 50% of External Anal Sphincter is of 23. Surgical treatment by ventrosuspension of
uterus' is used for what condition ?
degree:
(a) 3c (a) Pelvic organ prolapse
(b) 2c (b) Retroversion of uterus

(c) 3b (c) Rupture of uterus

(d) 3a (d) Vault prolapse

20. What are the causes of lactation failure after24. A 29-year-old female with 3 months
delivery ? amenorrhoea presents to gynaecology OPD
1 Infrequent suckling with complaints of something coming out of
2 Depression or anxiety state in the her vagina. On clinical evaluation she was
puerperium found to have single live pregnancy with
3 Prolactin inhibition second degree uterine prolapse. Which one of
the following is the best management plan for
Select the correct answer using the code given her ?
below :
(a) land 2 only (a) Reassurance
(b) 2 and 3 only (b) Cervical amputation
(c) land 3 only (c) Cerclage operation
(d) 1, 2 and 3 (d) Pessary treatment

SLPJ-B-NUK (4-D)
 Which of the following are blood values of lron
25. During delivery of HIV infected women, which 28. Deficiency Anaemia ?
of the following are recommended ?
1 Zidovudine (ZDV) is given at the onset 1. Serum iron is less than 30 ugm/100 mL
of labour. 2. Total iron binding capacity is less than
2 Elective caesarean delivery reduces the 400 ugm/dL
risk of vertical transmission. 3. Percentage saturation is 10% or less
3 Amniotomy and oxytocin augmentation 4. Serum ferritin is below 30 ugm/L
should be done.
Select the correct answer using the code given
4 Antiretroviral therapy should be given below:
to all neonates. 1, 2 and 3
(a)
Select the correct answer using the code given 1,2 and 4
(b)
below :
(c) 1, 3and 4
(a) 1,2 and 3
(d) 2, 3 and 4
(b) 1,2 and 4
(c) 1,3 and 4
(d) 2.3 and 4 29. Clinical features of an infant with Fetal
growth retardation at birth include which of
26 Which of the following can be a complication the following?
in the baby due to post maturity of 1. Physical features give 'an old man look'.
pregnancy ? 2. Baby is alert, reflexes are normal.
1 Meconium aspiration There is presence of weight deficit.
3.
2 Hypoglycemia Thick fat accumulates around shoulders
4.
3. Intra ventricular haemorrhage of baby.
4 Polyeythemia Select the correct answer using the code given
Select the correct answer using the code given below :
below :
(a) 1, 2 and3
(a) 1,2and3
(b) 1, 2 and 4
(b) 1,2 and4
(c) 1,3 and 4
1, 3 and 4
(d) 2, 3 and 4
(d) 2, 3 and4

27. Intrahepatic cholestasis of pregnancy 30. Which of the following are correct regarding
presents with which of the following "Chhaya' contraceptive ?
features ? 1. It has potent anti-estrogenic and weak
1 Pruritus after 28 weeks gestation, estrogenic property.
especially in palms and soles 2. Failure rate is 1 - 4 per HWY (Hundred
2. Serum bilirubin levels > 5 mg% Women Years) of use.
3 Raised levels of serum bile acids 3. It inhibits ovulation.
4 Features subside within two weeks 4. It creates asynchrony between zygote
postpartum and endometrium.
Select the correct answer using the code given Select the correct answer using the code given
below: below :
(a 1,2 and3 (a) 1,2and3
(b) 1,2 and 4 (b) 1,2 and 4
(c) 1,3 and4 (c) 1, 3and 4
(d) 2, 3 and 4 (d) 2, 3 and 4

SLPJ-B-NUK (5-D)
 31. The ratio for Type-I to Type-III collagen 35) A 25-year-old
during maturation of collagen in remodelling
gentleman complains of
dragging pain in the Scrotum. The
phase is :
examination reveals the scrotum full of bag of
(a) 1:1
worms which disappear on lying down. The
(b) 2:1 usual first line option for relief is :
(c) 3:1 (a) Percutaneous embolization of gonadal
(d) 4:1 veins
(b) Radio frequency ablation of testicular
32. Which veins
one of the following statements
regarding Gas Gangrene Infection is correct ? (c) Laparoscopic excision of affected testes
(a) It is caused by C. perfringens, a (d) Excision of pampiniform plexus
gram
negative aerobic non-spore-forming
bacilli.
36. A malnourished 60-year-old man underwent
(b) It is caused by C. perfringens, a gram
positive anaerobic spore-forming bacilli. emergency surgery for Strangulated Sigmoid
(c) It is caused by C. tetani, a gram Volvulus. After resection of the sigmoid colon,
positive a colostomy was fashioned. The postoperative
anaerobic spore-forming bacilli.
(d) It is period was stormy and he developed a painful
caused by C. tetani, a gram
negative anaerobic non-spore-forming calf swelling in right lower limb. The most
bacilli. probable diagnosis is :
(a) Hypoproteinemia
33. The term "Gompertzian curve" is related to (b) Oedema of renal failure
which one of the following ? (c) Mycocardial failue due to fluid overload
(a) Tumour (d) Deep vein thrombosis
(b) Gallstone
(c) Intestinal obstruction
(d) Hernia 37. Consider the following in respect of
patch:
Salmon
34. A 5-year-old male child comes with a left 1 It is a hemangioma.
sided scrotal swelling which has no cough 2. Its usual site is nape of neck.
impulse and does not reduce on compression
or lying down but the parents give a definite 3. It is common in children.
history that swelling is absent in the morning 4. It needs surgical excision.
and comes by in the evening. The best
Which of the statements given above are
treatment is : correct ?
(a) To leave it alone (masterly inactivity) (a) 1, 2 and3
(b)
Herniotomy (b) 1, 2 and4
(c) Eversion of sac
(c) 1,3 and 4
(d)
Hernioplasty (d) 2, 3 and 4
SLPJ-B-NUK
(6-D )
 of the following are the functions of
38. Which of the following are components of41. Which
"Klippel-Trenaunay syndrome" ? larynx ?

1. Cutaneous Naevus 1. Fixation of the chest

2 Subcutaneous Lipomas 2. Aids in swallowing of food

3 Varicose veins 3. Phonation
4 Soft tissue hypertrophy 4. Respiration
given
Select the correct answer using the code Select the correct answer using the code given
below :
below :
(a) 1,2 and 3
1,2and 4 (a) 1,2 and 3
(b)
(c) 1,3and 4 (b) 1,2 and 4

(d) 2, 3 and 4 (c) 1, 3 and 4

(d) 2, 3 and 4
39. "Mickey Mouse Sign" during B-mode duplex
ultrasound imaging comprises :
42. Which of the following are included in the
(a) Popliteal artery, Popliteal vein and classical clinical presentation of pericardial
Saphenous nerve
tamponade ?
(b) Anterior tibial artery, Dorsalis pedis
artery and Extensor hallucis tendon 1. Tachycardia
Muffled heart sounds
(c) Common femoral vein, Common femoral 2.

artery and Great Saphenous vein 3. Decreased arterial pressure

Brachial artery, Basilica vein and
(d) Collapsed neck veins
4.
Biceps tendon
Select the correct answer using the code given
40. Which of the following statements regarding below :
Thyroglossal duct are correct ? 1,2 and3
(a)
1 It is situated in midline ofneck.
(b) 1,2 and 4
2. It moves upwards on swallowing but not
on tongue protrusion. (c) 1, 3 and 4
3. It is treated with Sistrunk operation. 2, 3 and 4
(d)
4. It may be the only functioning thyroid
tissue in the body.
43. Masaoka staging is used for staging:
Select the correct answer using the code given
below : (a) Germ cell tumours

(a) 1,2 and 3 Thymoma

(b)
(b) 1,2 and 4
(c) Lymphoma
(c) 1,3 and 4
(d) Neurogenic tumours
(d) 2, 3 and 4

SLPJ-B-NUK (7-D)
44. Consider the following clinical features : 48. Which of the following are the common
1 Low back pain complications associated with enteral
nutrition in postoperative patients ?
2 Saddle anaesthesia
1. Tube malposition, displacement
3. Motor weakness in the lower
extremities
2. Diarrhoea, constipation
3. Predisposition to systemic sepsis
4 Variable rectal and urinary symptoms
4. Electrolytic imbalance
Which of the above features may be present in
a patient with Cauda Equina syndrome ? Select the correct answer using the code given
below :
(a) 3 and 4 only
(a) 1,2 and3
(b) 1and 2 only
(b) 1,2 and 4
(c) 1, 2 and3 only
(c) 1, 3 and4
(d) 1,2, 3 and 4
(d) 2, 3 and 4

45. Which one of the following drugs is a long 49. Which of the following are correct regarding
acting local anaesthetic agent ? Blood substitutes ?
(a) Lignocaine 1. They are biomimetic.
(b) Bupivacaine
2 They are extensively used in war
(c) Prilocaine injuries.
(d) Ropivacaine 3 They are made of perfluorocarbon
emulsions.
46. A patient with head injury with a Glasgow 4 They are haemoglobin-based.
Coma Scale of 10 is classified as :
Select the correct answer using the code given
(a) Minor injury below :
(b) Mild injury (a) 1, 2 and 3
(c) Moderate injury (b) 1, 2 and 4
(d) Severe injury (c) 1, 3 and4
(d) 2, 3 and 4
47, Gas Gangrene resulting in crepitus in tissues
and a sweet smelling brown exudate is caused 50.
due to infection by : Ischaemia-Reperfusion syndrome is
characterized by :
(a) Anaerobic bacteroides spp. (a) Hypoxia and activation of inflammation
(b) Clostridium perfringens (b) Thrombo embolic angiopathy
(c) Gas-forming Klebsiella spp. (c) Acute mesenteric thrombosis
(d) Synergistic bacteria (d) Build up of bicarbonate and Nat ions
SLPJ-B-NUK
(8-D)
51. In which one of the following diseases are the 54. Which of the following mosquito-borne
source of infection and reservoir of infection diseases are transmitted chiefly by Aedes
the same ? mosquito ?
(a) Hookworm infection 1 Dengue
2 West Nile fever
(b) Cholera
3 Yellow fever
(c) Tetanus 4 Zika fever
(d) Typhoid Select the correct answer using the code given
below:
(a) land 3 only
(b) 1, 2 and3
52. Which of the following statements are correct 1, 3 and4
regarding Chikungunya fever ? (c)
(d) 2 and 4 only
1 It is usually transmitted by Culex
mosquito. Which one among the following is best defined
55.
2. A safe and effective vaccine is available as the interval of time between receipt of
for commercial use. infection by a host and maximal infectivity of
that host ?
3. Incubation period is 4 - 7 days.
(a) Generation time
4. One of the prominent symptoms is
(b) Latent period
arthropathy.
(c) Incubation period
Select the correct answer using the code given
(d) Serial interval
below :

(a) land 2 only 56. Consider the following vaccines :

(b) l and 4 only 1 BCG Vaccine

(c) 2and 3 only 2. Hepatitis B Vaccine

3 Inactivated Polio Vaccine (IPV)
(d) 3and 4 only
4. Oral Polio Vaccine (OPV)

What is the correct order of the above

53. In which one of the following vector-borne vaccines as per their sensitivity to heat (most
diseases, the transmission chain is sensitive to least sensitive) given in the
Man-Snail-Man' ? National Immunization Schedule (NIS) ?

(a) 4’32’1
(a) Fish tapeworm
(b) 2’13’4
(b) Malaria
(c) 2’14’3
(c) Onchocerciasis
(d) 4’3’l’2
(d) Schistosomiasis

SLPJ-B-NUK (9-D)
57. Exposure to gases is a common hazard in 59. Which among the following vaccines best
industries. The gases can be classified as represent interventions that focus on cancer
prevention too ?
simple, asphyxiating and anaesthetic gases.
Which among the following are asphyxiating 1. Hepatitis A vaccine
gases ?
2. Hepatitis B vaccine
1. Carbon monoxide 3. Hemophilus influenzae B vaccine
2. Chloroform 4. Human papilloma virus vaccine
3. Cyanide gas Select the correct answer using the code given
below :
4. Hydrogen
(a) 1 and 2
Select the correct answer using the code given
(b) 2 and 3
below :
(c) 2 and 4
(a) land 3
(d) l and 4
(b) land 4
(c) 2 and 3 60. Consider the following statements :
2 and 4 Statement-I :
(d)
While calculating the number of expected
pregnancies per year in an area, a correction
factor (usually 10%) is added to the expected
58. The Employees State Insurance Act, 1948 of number of live births in the year in the area.
India provides for certain benefits to Statement-II :
employees, Which among the following are
benefits to insured persons or to other All the pregnancies in the area may not be
registered by the health worker in the area.
dependents under the Act ?
1.
Which one of the following is correct in
Disablement benefit
respect of the above statements ?
2. Funeral expenses
3.
(a) Statement-I and Statement-II are
Maternity benefit
4. Travel benefit
independently correct, and Statement-II
is a correct explanation for Statement-I.
Select the correct answer using the code given (b) Statement-I and Statement-II are
below :
independently correct, but Statement-II
(a) 1and 3 only is not correct explanation for
Statement-I.
(b) 2 and 4 only
(c) Statement-I is correct but Statement-II
(c) 1,2 and 3only is incorrect.

(d) 1,2, 3 and 4 (d) Statement-I is incorrect but Statement-II

is correct.

SLPJ-B-NUK
(10D )
61. Which food proteins among the following are64. With reference to occupational cancers,
considered to be the best and are used in consider the following statements
nutritional studies as reference protein' ? 1 Skin cancer is a common occupational
Milk proteins
hazard in workers employed in nickel
(a)
and chromium work.
(b) Egg proteins
2 Cancer bladder is an occupational
(c) Wheat proteins hazard in workers employed in
(d) Legume proteins dye-stuffs and dyeing industry.
3. Leukaemia can occur on long exposure
to benzol.
62. Consider the following statements with 4. Lung cancer is typically found in
reference to trans fatty acids': workers employed in electric cable
They are geometrical industries.
1. isomers of
cis-unsaturated fatty acids. Which of the statements given above are
correct ?
2. Though atherogenic, being unsaturated (a) land 2 only
they are less so than saturated fatty
acids. (b) 2and 3 only
(c) 3 and 4 only
3 It takes years for trans fatty acids to be
flushed from the body. (d) land 4 only
4. They lower both LDL cholesterol and If, on amniocentesis, the alpha fetoprotein is
HDL cholesterol in the body. 65.
found to be elevated in the amniotic fluid,
Which of the statements given above are
which defect/disorder is the foetus likely to
correct ?
harbour ?
(a) 1 and 2 only (a) Cardiac septal defects
(b) land 3 only (b) Neural tube defects
(c) 1,2and3 (c) Duchenne muscular dystrophy
(d) 2,3 and 4 (d) Galactosaemia

63. Consider the following disorders : 66. Which of the following are domains (or types)
1. Delayed motor milestones of learning ?
Extrapyramidal spasticity 1 Affective learning
2.
2 Cognitive learning
3. Nyctalopia
3 Physiological learning
4. Hearing defects 4. Psychomotor learning
Which of the above disorders occur as part of Select the correct answer using the code given
?
the spectrum of iodine deficiency disorders below :
(a) 1,2 and 3 (a) 1,3 and 4
(b) 1, 3 and 4 (b) 2, 3 and 4

(c) 2, 3 and 4 (c) 1,2 and 3

(d) 1,2 and 4 (d) 1, 2 and 4

SLPJ-B-NUK
(11 -D )
 67. Which of the following are beneficiaries of 69. What is the correct increasing order of
services provided under the Integrated Child minimum age at which the following vaccines
Development Scheme (ICDS) ? are administered to a child, as part of the
National Immunization Schedule (NIS) after
1 Adolescent boys birth of child ?
2 Adolescent girls 1 BCG vaccine
3. Pregnant women 2. Japanese Encephalitis (JE) vaccine
3 Rotavirus vaccine
4. Children less than 6 years of age
4 Tetanus and adult diphtheria (Td)
Select the correct answer using the code given vaccine
below :
Select the correct answer using the code given
below :
(a) 1, 2 and 3
(a) 1’2-3’4
(b) 1, 2 and 4
(b) 1’3-’ 2’4
(c) 1,3 and4 (c) 2-’3-4’1
(d) 2, 3 and 4 (d) 3 ’ 1 4 ’2

70. Under the National Leprosy Eradication

Programme, ASHAs have been entrusted to
carry out which of the following activities ?
68. Which of the following correctly represent the
ASHAs are to search for suspected cases
three critical determinants of a healthy of leprosy in their villages and take
facility being declared as a First Referral Unit them to the PHCs for diagnosis and
(FRU) ? treatment.
2 ASHAs arrange an amount of 5,000
1 Availability of emergency obstetric as an incentive to each leprosy affected
surgical interventions person in their village for undergoing
reconstructive surgery.
2 Availability of immunization services 3 ASHAs ensure that each leprosy
affected person in their village receives
3. Blood storage facility micro-cellular rubber footwear for
protection of insensitive feet.
4. Newborncare
4. ASHAs follow up all confirmed cases of
Select the correct answer using the code given leprosy in their village to ensure their
below : treatment completion.
Select the correct answer using the code given
(a) 1,2 and3 below :
(b) 1,3 and 4 (a) land 2 only
(b) 2 and 3 only
(c) 1, 2 and 4
(c) land 4 only
(d) 2, 3 and 4 (d) 3 and 4 only

SLPJ-B-NUK (12-D )
71. A60-year-old tobacco chewer and heavy bidi 76. Zollinger Elison syndrome is characterized by
smoker comes with diminished mouth opening which of the following?
and occasional spitting of blood mixed with Fulminating gastric ulcers
saliva. Oral examination revealed a white 2 Recurrent ulceration despite treatment
buccal mucosa with a bright red velvety 3 Non-beta islet cell tumour of pancreas
plaque. The most likely diagnosis is 4 Recurrent episodes of dysen tery
(a) Speckled leucoplakia Select the correct answer using the code given
below :
(b) LeukopBakia
(a) 1, 2and3
(c) Erythroplakia 1, 2 and 4
(d) Oral candidiasis (b)
(c) 1,3and 4
72. "Collar-stud" abscess is seen in: (d) 2, 3 and 4
(a) Tuberculosis 77. Which of the following statements with regard
Lymphomatous degeneration to Meckel's Diverticulum are correct ?
(b)
Streptococcal infection 1. It represents a persistent remnant of
(c) the Vitello intestinal duct.
(d) Pseudomonas infection
2. It is a pseudo diverticulum of
gastrointestinal tract.
73. The best cosmetic result following breast
reconstruction is achieved with : 3 It is most commonly found On
antimesenteric border of ileum.
(a) Latissimus dorsi flap
4. Heterotopic mucosa is present in 20%
(b) Silicone gel implant with reconstruction
rectus abdominis patients.
(c) Transverse
myocutaneous flap Select the correct answer using the code given
below :
(d) Acellular dermal matrix flap 1.2 and 3
(a)
Which of the following are correct regarding (b) 2, 3 and 4
74.
Trichobezoar ? (c) 1,3 and 4
It is a hair ball in the stomach. (d) 1,2 and 4
1
2 It is common in psychiatric patients. 78. Which of the following statements with regard
to Colorectal Carcinoma are correct ?
3 Common complications are bleeding, 1. Left-sided Colorectal Carcinoma
perforation or obstruction. presents with bleeding per rectum.
4. Treated with long course of proton Right-sided Colorectal Carcinoma
2.
pump inhibitors. presents with iron deficiency anaemia.
Select the correct answer using the code given 3. Right-sided Colorectal Carcinoma is
the
below : more common as compared to
1. 2 and 3 left-sided Colorectal Carcinoma.
(a)
(b) 1, 2and 4 4. Colonoscopy is the investigation of
for suspected Colorectal
1,3 and 4 choice
(c)
Carcinoma.
(d) 2,3 and 4
Select the correct answer using the code given
75. The inferior rectal artery is a branch of : below :
(a) 1,2 and3
(a) Internal iliac artery
Inferior mesenteric artery (b) 2, 3 and 4
(b)
(c) 1,3 and 4
(c) Internal pudendal artery
(d) 1,2 and4
(d) Median sacral artery

SLPJ-B-NUK (13 -D)

79.
While managing oesophageal perforations,81. Secondary arrest of dilatation which
duringof the
the
which of the following factors favour process of labour may be due to
non-operative management ? following factors ?
1. Perforation by a flexible endoscope 1 Poor uterine contractions

2. Perforation into mediastinum 2. Cessation of cervical dilatation despite

strong uterine contractions
3. Perforation with a small septic load
3. Disproportion and malpresentation
4 Perforation of the abdominal
Select the correct answer using the code given
oesophagus
below :
Select the correct answer using the code given
(a) 1and 2 only
below :
(b) 2 and 3 only
(a) 1,2 and 3
(c) Iand 3 only
(b) 1,2 and 4
(d) 1, 2 and3
(c) 1,3and 4
(d) 2, 3and 4 82. First stage of labour starts from :
(a) full dilatation of cervix to the expulsion
of the fetus from the birth canal
80. Which of the following statements are
correct with regard to Familial Adenomatous
(b) maternal bearing down efforts and ends
with the delivery of the baby
Polyposis ?
1. It is associated with mutation of APC (c) the onset of true labour pains and ends
with the full dilatation of cervix
gene located on the short arm of
chromosome 5. (d) the formation of bag of waters
2 It is inherited as an autosomal recessive
condition. 83. Vesicovaginal fistula is classified as

3 It is associated with 100% lifetime complicated if it has which of the following

risk for development of Colorectal features ?
carcinoma. 1. Size nmore than 3 cm
4. Congenital hypertrophy of retinal 2. Bladder involvement - Supratrigonal
pigment epithelium is present in half of
the cases of familial adenomatous 3. Location- Midvaginal
polyposis. 4. Presence of prior radiation
Select the correct answer using the code given Select the correct answer using the code given
below :
below :
(a) 1, 2 and 3
(a) 1,2 and3
(b) 1,2 and 4
(b) 1, 2 and 4
(c) 1,3 and4
(c) 1, 3and 4
(d) 2, 3 and 4
(d) 2, 3 and 4
SLPJ-B-NUK (14-D )
 for 3 years
84. Which of the following set of muscles 88. A 27-year-old female married
collectively form the muscle Levator Ani' that regularly cohabiting with husband presents to
forms the pelvic floor ? Gynaecology OPD with complaints of inability
clinical
1 Ischiococcygeus to conceive for 2 years. During
2. Pubococcygeus evaluation hysterosalpingography was done
3 Sacrococcygeus which revealed irregular outline of uterine
4. Iliococcygeus cavity and rigid fallopian tubes with
Select the correct answer using the code given nodulations. Most likely cause for this
below : condition is:
(a) 1, 2 and 3
(a) Genital Herpes
(b) 1,2 and 4
(b) Syphilis
(c) 1,3 and 4
(c) Genital Tuberculosis
(d) 2, 3 and 4
(d) Gonorrhoea
85. Blood supply to the uterus comes from which
of the following arteries ?
89. NACO (National AIDS Control Organization)
1. Ovarian artery in India works towards which of the following
2. Vaginal artery causes ?
3. Uterine artery Screening high risk cases of HIV
1.
4. Inferior vesical artery
2. Facilitating adoption of orphans
Select the correct answer using the code given
3. Public education towards safe sex
below :
(a) 1,2 and 3 4. Treating HIV cases free of cost
(b) 1,2 and 4 Select the correct answer using the code given
below :
(c) 1,3 and 4
(a) 1,2 and 3
(d) 2, 3 and 4
(b) 1, 2 and 4
86. Which one of the following is a prerequisite (c) 1,3and4
for Endometrial Ablation ? (d) 2, 3 and 4
(a) Uterus is 12 - 14 weeks size
(b) Woman wants to preserve her
reproductive function 90. Prophylactic oophorectomy is recommended in
Fibroids> 3 cm in size
high risk women with which of the following?
(c)
Woman who prefers to preserve her
1. Carrying BRCAl or BRCA2 genes
(d)
uterus 2. Family history of breast, colon, ovarian
cancer

87. Which of the following day of menstrual cycle 3. Patients having tubo-ovarian abscess
is best for endometrial sampling to diagnose Select the correct answer using the code given
ovulation ?
below :
(a) gth 10th day (a) 1 and 2 only
(b) 12th- 14th day (b) 2 and 3 only
(c) 16th20th day (c) land 3 only
(d) 1,2 and3
(d) 21st - 23rd day
SLPJ-B-NUK (15-D)
91, The cost of implementation of 'Ayushman 94. Who among the following has two general
Bharat Pradhan Mantri Jan Arogya Yojana' is phases - first, simple pneumoconiosis and a
borne by: second phase characterized by progressive
(a) Central Government only massive fibrosis (PMF)?

(b) (a) Anthracosis

State Government only
(b) Bagassosis
(c) Both Central Government and State (c) Byssinosis
Government
(d) Siderosis
(d) Private institutions only as a part of
their Corporate Social Responsibility
95. Consider the following statements about
correlation between two variables :
92. All of the following are 1. The correlation is done between an
dashboard indicators
used for monitoring of India Newborn Action independent variable X and
Plan (INAP). Which one of them is an dependent variable Y.
impact 2. The coefficient of correlation can range
level indicator?
from -1 to oo.
(a) Caesarean section rate 3. If coefficient of correlation (r) is equal to
1, it indicates there is no association
(b) Neonatal mortality rate between Xand Y.
(c) Exclusive breastfeeding rate 4. Correlation does not necessarily prove
causation.
(d) Percentage of preterm births Which of the statements given above is/are
Correct ?
(a) lonly
(b) 4 only
93. Which of the following are health education (c) 1,2 and 3
models ?
(d) land 4 only
1. Medical model
96. With regard to lead poisoning, consider the
2. Motivation model
3
following statements:
Persuasion model 1.
Coproporphyrin in urine is a useful
4. Social intervention model screening test.
2. Hand washing before eating is an
Select the correct answer using the code given important measure of personal hygiene.
below : 3. The use of d-penicillamine has been
reported to be effective in management.
(a) 1, 2 and3 How many of the statements given above
(b) 1,2 and 4
is/are correct ?
(a) 1 only
(c) 1,3 and4 (b) 2 only
(d) 2,3 and 4 (c) All three
(d) None
SLPJ-B-NUK
(16D )
ar A water body was
inspected to look for the 99. The Sample Registration System (SRS),
presence mosquito eggs. It was
of
observed an important source of health
information
that there were boat-shaped eggs, laid consists of continuous enumeration of births
not in clusters. "The eggs also had
singly,
lateral and deaths by an enumerator and an
loats. Which one of the following diseases is independent survey every six months by an
most likely to be spread by the investigator-supervisor. Which one of the
mosquito
whose eggs were found ? following terms best describes this system ?
(a) Chikungunya fever
(a) Dual-record system
(b) Dengue fever
(b) Triple-record system
(c) Japanese encephalitis
(c) Double blinding
(d) Malaria
(d) Double data entry

98. In the National Health Policy 2017, a target

of 90: 90 : 90 has been set for HIV/AIDS.
Which among the following are targets for 100. Cross-over type of study designs are those in
which a 90% level has been set as part of which each patient serves as his/her own
90: 90: 90 for HIV/AIDS? control. In which of the following conditions is
a cross-over study not suitable ?
1. Proportion of couples who have safe sex

2 Proportion of people living with HIV 1. If the drug of interest cures the disease
who know their HIV status
2. If the drug is effective during all stages
3 Proportion of adolescents who have of the disease
access to contraceptives
3 If the disease changes radically during
4 Proportion of people receiving the period of time required for the study
antiretroviral therapy who have viral
Select the correct answer using the code given
suppression
below :
Select the correct answer using the code given
below : (a) lonly
(a) 1 and 4 (b) 2only
(b) 1and 3 (c) 2and 3

(c) 2 and 3 (d) 1and 3

(d) 2 and 4

SLPJ-B-NUK (17-D)
 101. Which one of the following is defined as "the 103. Regarding active immunization against
average number of children a woman would Typhoid fever, consider the following
have if she were to pass through her statements :
reproductive years, bearing children at the 1. The typhoid polysaccharide vaccine
same rates as the women now in each age is injectable and can be given
group ? subcutaneously or intramuscularly.
2 The typhoid polysaccharide vaccine is
(a) Age-Specific Fertility Rate (ASFR) required to be given in two doses and
(b) General Fertility Rate (GFR) administered on 0 and 7th day.
3 The typhoid oral Ty2la vaccine requires
(c) Net Reproduction Rate (NRR) to be given in three doses on 0, 3rd and
(d)
zth days.
Total Fertility Rate (TFR)
4. Protective immunity with typhoid
vaccines is achieved immediately after
the vaccine is received.
102. Which among the following is correct about
Which of the statements given above is/are
yellow fever vaccination requirement for correct ?
international travellers ?
(a) 1 only
1. Term of validity of the certificate is (b) 1,3 and4
changed from 10 years to the duration (c) l and 2 only
of the life of the vaccinated person, some
(d) 2only
years ago.

2. Lifetime validity of the certificate 104. Which of the following statements are correct
applies automatically to all existing and regarding Mantoux test for tuberculosis ?
new certificates. 1 It entails injecting 1 TU (Tuberculin
Unit) of PPD (Purified Protein
3 Validity of the certificate begins 4 days
after vaccination.
Derivative) in 0:1 mL intradermally.
2, The injection should be given with the
4. In India, booster dose of yellow fever needle bevel facing downward.
vaccine is required for those whose 3. When placed correctly, the injection
certificate is prior to the year 2016. should produce a pale wheal of the skin,
1-2 mm in diameter.
Select the correct answer using the code given
below : 4. The injection should be given with a
tuberculin syringe.
(a) 1 and 2
Select the correct answer using the code given
below :
(b) land 3
(a) 1 and 2
(c) 2 and 3 (b) 1 and 4

(d) 2 and 4 (c) 2 and 3

(d) 2 and 4

SLPJ-B-NUK (18 D)
 105. Which one among the following types of 108. The expected outcome of Government of
ventilation, best fits the following
«A system of ventilation in description India's initiative SUMAN' is :
which fresh air is
blown into the room by centrifugal newborn
fans so as (a) Zeropreventable maternal and
to create a positive pressure, and
vitiated air". displace the deaths
Limit preventable maternal and
(b)
(a) Exhaust ventilation newborn deaths to between 0-5 1%
(b) Balanced ventilation Limit preventable maternal and
(c)
(c) Natural ventilation newborn deaths to between 1 - 2%

(d) Plenum ventilation Limit preventable maternal and

(d)
newborn deaths to between 2 - 5%
106. The Nalgonda Technique' developed by the
National Environmental Engineering 109.) Water contamination with high content
Research Institute (NEERI) was developed of which chemical can lead to
primarily for the removal of which one of the
methaemoglobinaemia ?
following from water ?
(a) Asbestos (a) Cyanide
(b) Fluorine (b) Nitrate

(c) Chlorine (c) Fluoride

(d) Iron
(d) Sulphide

107. Smoking is considered to be a modifiable risk With reference to human body's requirement
factor for Coronary Heart Disease., Considerl10. they are essential because they
the following statements with regard to for proteins,
possible mechanisms on the basis of which it are:

acts as a risk factor: 1. a key supply source for energy.

1. Nicotine stimulation of adrenergic 2 required for maintenance of oSmotic
drive raises the blood pressure and pressure within the intravascular
myocardial oxygen demand. compartment.
increases carbon monoxide and critical for upkeep of cell mediated
2. It 3.
induces atherogenesis. immune response.
3. It leads to fall in protective high density 4 vital for the synthesis of certain
lipoproteins. hormones.
4 It reduces the apolipoprotein-B plasma Which of the statements given above are
levels. correct ?
Which of the statements given above are
(a) 1,3 and 4
Correct?
(a) land 2 only (b) 1, 2 and 4
(b) land 3 only (c) 2, 3 and 4
(c) 1, 2 and 3
(d) 1,2 and 3
(d) 2, 3 and 4
(19-D )
SLPJ-B-NUK
SLPJ-B-NUK
115. 114. 113. 112 Which
1l1.of
(d) (c) (b) (a)below :
Select 4. 3. 1 of
2Indication (d (bTongue d (c) sungical
Büateral regimens
bleeding
o0cur How below 3 2 1 LARC of
the pil s correet
Selectthe Contraceptives
2,1,and3 and4 migraine Perforation
One uterus
the Pregnancy
41,2 and31,2 Persistent of Postictal
following ComaClonic
stagestage stage stage
TonicPeritoneal
cancer Uterine
Fallopiancancer
Epithelial
cancer
tube ovarian
cancer 6 5 4 3 many and3L2 2 LVG-HUS
3 bite Implants
Copper-T
3S0A
and procedure total and l and and l
correct year for
4
occurs oftimes 3 3 2
removal only only only followingthe
after ? salpingectomy combined
answer with Long
in to in in answer
menopausedevice
of eclampsia reduce a
continuous
extended year
using IUDs using Reversible
Acting
oral
in the does
the situ include is
at risk
recommended contraceptive the are
code : withdrawal
of: code
which
examples
given given
(20-D )
120. 119. 118. 117. 116.
(d) (c) (b) (a) is: The (d) (c) (b) below :
(a) Select 4. 2. 3
regarding 1.Which Inconsistent
(d) (c) (b) (a) cold
Which (d) contraception.
(c) (b)reversible
(a) the term to A(d) (c) (b) below (a) Select
: contraindications
contraceptive
4. 3. 2. pills
1. ?Which
Squamous
Negative
cytologyectocervix
Treatment of knife family
following27-year-old
resection
Cornual
method
Uchida
Operation
Madlener most and4
Technique
Pomeroy 2,1,3 and3 cancer.
1, 1,2 ovarian
termination
pregnancy. It of
serousmenstruation.
preceding It
phasedelivery.
Ideal It contraceptives
Nexplanon
Chhaya Combined oral
the of oneDiaphragm 2, 1, 1, 1, Diabetes hypertension
thePregnancy
disease Gall with Severe
3 2 can 3 2 2 bladder of
popular and and correct is can female the conisation planning 3
and and and and correct
time of the
4 4 a be
endocervical and
following the
be cell the
is recently 4 4 4 3
preventive for done directed
answer sterilizationcarcinoma followingan is answer following
for
technique findings ? best clinic
combinedinterval
Nabothian
follicle retinopathy the
24
statements suited married
using biopsy using use
48 curettage requesting are
measure ligation of
of luteal ishours ?cervix colposcopy, of
tubal the with indicationfor
optionWhichone of the
female
comes combined the
code e
arstage code
medical following for for absolute
ligation against correct
given her long given oral
IA on
?