2022 Recall Mini
2022 Recall Mini
MEDICAL ACADEMY
Building Better Doctors
STUDENTS RECALL RECENT FMGE – JUNE - 2022
1. Which structure is palpated in the given image?
a. Midbrain
b. Pons
c. Medulla
d. Thalamus/ Hypothalamus
Ans: b
a. Retraction of scapula
b. Protraction of scapula
c. Abduction of shoulder joint
d. Adduction of shoulder joint
Ans: c
a. Symphysis
b. Synchondrosis/ Diarthrosis
c. Syndesmosis
d. Gomphosis
Ans: c
6. Which joint helps in the supination & pronation movement/ which joint helps in the shown movement?
a. Pivot
b. Saddle
c. Ellipsoid
d. Hinge/ Ball & socket
Ans: a
ARISE – DELHI ARISE – HYDERABAD ARISE – KERALA (KANNUR) ARISE – CHENNAI
+ 9 1 7 6 8 0 9 2 9 2 92
+ 9 1 8 13 6 9 32 6 6 6 + 91 8 97 7 9 41 7 2 3
+ 91-95600228-36/37/38 + 9 1 7 3 9 6 7 5 7 5 85
+ 9 1 96 3 3 79 9 5 04 + 91 8 9 77 9 4 27 2 3
: 0 4 0 2 3 5 1 52 5 2
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FMGE RECALL QUESTIONS JUNE 2022
7. What is the vertebral level for the red coloured plane in the image?
8. What is the vertebral level for the red coloured plane in the image?
9. A patient underwent surgery of submandibular gland during which injury to the hypoglossal nerve occurred. Which of
the following will be found in the patient?
a. Deviation of tongue to same side/ same side of lesion
b. Deviation of tongue to opposite side
c. Protrusion of tongue
d. Loss of general sensation in anterior 2/3rd of tongue.
Ans: a
10. A patient presents with mandibular hypoplasia/ A boy has hypo developed mandible & small chin. This can be due to
defect in?
a. 1st arch
b. 2nd arch
c. 3rd arch
d. 4th arch
Ans: a
11. A man had a fall from height & landed on outstretched hand. The patient was found to have fracture of clavicle. What
is the most common location for this fracture/ where can this fracture be?
a. Junction of medial 1/3rd & lateral 2/3rd
b. Junction of medial 2/3rd & lateral 1/3rd
c. Junction of middle 1/3rd & medial 1/3rd
d. In the middle of clavicle
Ans: b
a. Pyramid
b. Olive
c. Hypoglossal nucleus
d. Putamen/ Thalamus/ Hypothalamus/ Medial lemniscuses
Ans: a
a. Descending aorta
b. Superior vena cava
c. Inferior vena cava
d. Esophagus
e. Ascending aorta
Ans: a
16. A child is playing & he accidentally swallows a toy. Bronchoscopy was done & observed obstruction/ Aspiration at the
arrow marked point (towards right side). Identify that point?
17. What the change in efferent arteriolar resistance is with related to increase in osmotic pressure?
a. Increased by 3 times
b. Decreased by 3 times
c. Increased by 2 times
d. Decreased by 2 times
Ans: a
18. Insulin stimulates glucose uptake by cells via GLUT 4 is an example of?
a. Primary active transport
b. Secondary active transport
c. Simple diffusion
d. Facilitated diffusion
Ans: d
20. A boy with black discoloration of eye, skin and ear pinna. His urine also turned black at room temperature. Which of
the following metabolite is most likely to be found in this patient’s urine?
a. Para hydroxyl phenyl pyruvate
b. 5 hiaa
c. Homogentisic acid
d. Phenyl acetic acid
Ans: c
21. Patient presented to opd with tendon weakness, ataxia, and history of 1 episode of unconsciousness. What is the most
likely vitamin deficiency that may have caused?
a. Thiamine
b. Folic acid
c. Riboflavin
d. Niacin
Ans: a
22. Which of the following would inhibit complex iv of electron transport chain?
a. Oligomycin
b. Phenobarbitone
c. Cyanide
d. Antimycin a
Ans: c
23. In fasting state, secretion of glucagon aims to produce glucose mainly by?
a. Glycolysis & gluconeogenesis
b. Gluconeogenesis & glycogenolysis
c. Glycogenesis & gluconeogenesis
d. Only gluconeogenesis
Ans: b
24. A boy presented to opd with voracious appetite and overall swelling of different body parts. He is most likely suffering
from?
a. Marasmus
b. Kwashiorkor
c. Marasmic kwashiorkor
d. Bulimia nervosa
Ans: b
25. Which of the following type of hexokinase is most likely to be released from hypothalamus?
a. Hexokinase i
b. Hexokinase ii
c. Hexokinase iii
d. Hexokinase iv
Ans: d
26. A patient was diagnosed to suffer from carcinoid syndrome with association of heart disease. What’s the active
metabolite released in urine that would have helped in diagnosing the carcinoid syndrome?
a. Vanillymandelic acid
b. Phenyl acetic acid
c. 5hiaa
d. Acetoacetic acid
Ans: c
27. A post-menopausal female presented to opd with sudden abrupt swelling of metatarsophalangeal joint after
consumption of alcohol in a party last night. Physician on duty prescribed medicine for the same. Which of the following
enzyme would have been inhibited in treating the condition?
a. Xanthine oxidase
b. Thymidylate synthase
c. Hgprt
d. Adenosine deaminase
Ans: a
29. Which of the vit deficiency is most likely to cause tingling sensation?
a. Thiamine
b. Riboflavin
c. Niacin
d. Pyridoxine
Ans: a
31. A middle aged patient on workup revealed to have suffered from rare form of pyruvate dehydrogenase deficiency for
which he had developed high anion gap metabolic acidosis. What’s the best dietary advice that should be prescribed from
the following for this patient?
a. Only carbohydrate intake henceforth
b. High carbohydrate & low fat intake
c. High fat and low carbohydrate intake
d. High protein and low carbohydrate intake
Ans: c
32. A tall obese patient was worked up to have recently developed metabolic syndrome. Which of the following is most
likely to be found in this patient?
a. Increased uric acid & insulin
b. Increased triglyceride & total cholesterol/ ldl
c. Increased blood pressure & insulin
d. Increased blood sugar & serum calcium.
Ans: b
33. Which of the following would help in explaining mechanism of atrial natriuretic peptide?
a. c AMP
b. c GMP
c. Ip3-dag
d. Jak stat
Ans: c
35. In Long chain fatty acid enzyme deficiency which of following are true?
a. Hypoketotic hypoglycaemia
b. Hepatomegaly
c. Cardiomyopathy
d. All the above
Ans: e
37. A patient with glaucoma and also suffering from bronchial asthma. Which of the following anti glaucoma drug should
be avoided?
a. Timolol
b. Pilocarpine
c. Carteolol
d. Brimonidine
Ans: a
38. A patient suffering from bronchial asthma comes to you in er. All of the following drugs are treatment modalities in
management except?
a. IV hydrocortisone
b. Nebulization by salbutamol
c. Oxygen therapy
d. IV magnesium sulfate
Ans: d
39. A 29 y female with history of hypercoagulative disorder visiting opd for anticoagulation treatment. Which of the
following should be avoided in first trimester of pregnancy?
a. Enoxaparin
b. Unfractionated heparin
c. Warfarin
d. Low molecular weight heparin
Ans: c
40. A patient suffering from neck and head cancer is planned to receive radiotherapy. Which of the following anticancer
drugs can result in increase in risk of toxicity caused by radiation treatment??
a. cyclophosphamide
b. Cisplatin
c. Busulfan
d. procarbazine
Ans: b
41. A young patient who has familial history of bipolar disorder in his father has now come to opd with symptoms of
mania. His genetic testing shows positivety for recessive inheritance of genes involved in mania. Which of the following
mood stabilizer can be given to him as most effective treatment?
a. Valproate
b. lithium
c. Carbamazepine
d. Olanzapine
Ans: b
44. A female went for camping with her friends. She had a bee sting which resulted in edema, redness on face and
difficulty in breathing. What is the type of mechanism responsible for this type of reaction?
a. Cytotoxic
b. Immune complex mediated
c. Cell mediated
d. IgE mediated
Ans: d
47. Pattern of inheritance seen with a disease inherited from grandmother to father and then father to his son?
a. AD
b. AR
c. XLR
d. XLD
Ans: a
49. A couple is trying to have a child for past 2 years. After unsuccessful trials they went for respective examinations. The
investigations for female came out to be absolutely normal but male shows presence of (a) gynecomastia, (b) scanty pubic
hairs, (c) atrophied testes. Comment on the diagnosis?
a. Turner syndrome
b. Downs syndrome
c. Klinefelters syndrome
d. Edward syndrome
Ans: c
51. Which of the following is important for the transition of cell from g1 to m phase?
a. Increased cyclin d and cdk4
b. Increased cyclin e and cdk2
c. Increased cyclin a and cdk2
d. Increased cyclin k and cdk1
Ans: a
53. A patient is suffering from iron deficiency anemia. What is the stain used to confirm the iron stores depletion?
a. Alizarin red
b. Methylene blue
c. Prussian blue
d. Von kossa
Ans: b
54. A 45-year-old male presents with splenomegaly and following CBC findings are as follows
TLC – 1,20,000/ cmm Myeloblasts, promyelocytes, metamyelocytes = 45% Basophils – 2% Comment on diagnosis
a. AML
b. CML
c. ALL
d. CLL
Ans: a
55. A middle-aged man on urine examination shows bence jones proteins. On X-ray, multiple lytic lesions are seen. Which
of the following is most expected in his urine?
a. Kappa light chain
b. Lambda light chain
c. Delta light chain
d. Beta light chain
Ans: a
56. A middle-aged man presented with hypercalcemia, features consistent with renal insufficiency. On CBC RBC count
were severely decreased. On X-ray, multiple lytic lesions are seen. Comment on diagnosis?
a. Hyperthyroidism
b. Multiple myeloma
c. Grave’s disease
d. Renal tubular acidosis
Ans: b
57. A child visited the hospital with her mother with complains of severe fatigue, lethargy, pallor and irritation. He is a
known case of IDA. He is on oral iron supplements. After reviewing the child doctors are planning to start with IV iron
supplementation. What test should be done next?
a. TIBC
b. Ferritin
c. Hb value
d. Haematocrit
Ans: b
60. A 10-year-old child came to the clinic. Her mother gave the history of repeated blood transfusion over the past. She is
presently worried about her son as earlier he was maintaining good grades in class but now from past few months his
grades are deteriorating and he remains lethargic. His blood investigations shows crescent shaped RBC. What should be
the next step be the next step in management in this patient?
a. IV antibiotics
b. Blood transfusion
c. Normal saline
d. Observation
Ans: b
61. A known case of diabetic patient came to the hospital with pigmentation of skin over the arms. He also found out to be
suffering from micro nodular cirrhosis. On biopsy, iron deposits are seen. Comment on the diagnosis?
a. Alpha 1 antitrysin deficiency
b. Hemochromatosis
c. Wilson’s disease
d. Al hepatitis
Ans: b
62. A 2 year old multiple history of jaundice, mild HS, UCB, sclera?
a. Criggler Najar Syndrome
b. Dubin Johnson syndrome
c. Rotor syndrome
d. Gilbert syndrome
Ans: d
63. A 10 yr. old child presented with lower abdominal pain, rashes over lower extremities (knee to ankle) and pain in
joints.
a. Henoch Scholein purpura
b. Alport syndrome
c. Takayasu arteritis
d. Temporal arteritis
Ans: a
65. A female patient with history suggestive of liver disease. Hepatocytes showing ground glass appearance comment on
the diagnosis.
a. Hep B
b. Rotor syndrome
c. Hemochromatosis
d. Hep A
Ans: a
70. A patient is presented with unknown fungal infection. On h&e staining there is presence of sclerotic bodies having a
muriform cell appearance. Which is the possible condition?
a. Histoplasmosis.
b. Chromoblastomycosis.
c. Coccidiomycosis.
d. Candida albicans.
Ans: b
71. A patient comes to emergency with history of iv drug abuse and developed infection. Which of the following is the
most likely cause?
a. Strep. Viridians.
b. S. aureus.
c. E. coli.
d. Enterobaterium faecalis.
Ans: b
72. Which of the following is the causative agent for the given clinical picture?
a. Propionibacterium acne
b. Actinomyces
c. Bifidobacterium.
d. Mobiluncus.
Ans: a
74. A patient, resident of bihar, came to opd with history of diabetes & complaining of multiple sinus draining in foot as
shown in the image. Identify the condition!
a. Madhura foot
b. Gas gangrene.
c. Chronic bacterial osteomyelitis.
d. Osteosarcoma.
Ans: a
76. A patient came to emergency complaining of fever, neck rigidity and pain since night. Analysis showed elevated
protein. Identify the diagnosis?
a. Bacterial meningitis.
b. Tb meningitis
c. Viral meningitis
d. Fungal meningitis.
Ans: b
a. Towne’s view
b. Water’s view
c. Caldwell’s view
d. Reverse towne’s view
Ans: b
79. A diabetic patient presented in opd with pain in nose and black disfiguration of maxillary sinu. What is the most likely
diagnosis?
a. Mucormycosis
b. Chronic rhinosinusitis
c. Allergic fungal rhinosinusitis
d. Maxillary sinus osteomyelitis.
Ans: a
80. A post covid pt presented to opd with progressing black nasal discolouration. Patient was diagnosed as a case of
mucormycosis. Which of the following can be provided as a therapy?
a. Amphotericin b
b. azithromycin
c. Ketoconazole
d. Streptomycin.
Ans: a
81. A 62 year old diabetic male with severe pain in ear and granulation with discharge in external ear. On examination
patient has facial nerve palsy. What is the most likely diagnosis?
a. Acute suppurative otitis media
b. Malignant otitis externa
c. Chronic suppurative otitis media
d. External ear malignancy
Ans: b
82. A 35y old patient presented with complaints of vertigo on loud sound & blowing of nose. What is your diagnosis?
a. Labyrinthitis
b. Bppv
c. Vestibular neuronitis
d. Meinere disaease.
Ans: d
ARISE – DELHI ARISE – HYDERABAD ARISE – KERALA (KANNUR) ARISE – CHENNAI
+ 9 1 7 6 8 0 9 2 9 2 92
+ 9 1 8 13 6 9 32 6 6 6 + 91 8 97 7 9 41 7 2 3
+ 91-95600228-36/37/38 + 9 1 7 3 9 6 7 5 7 5 85
+ 9 1 96 3 3 79 9 5 04 + 91 8 9 77 9 4 27 2 3
: 0 4 0 2 3 5 1 52 5 2
Follow us on A r i se M e d i c a l A c a d e m y
A d d u s o n F B P a g e : f b / a r i s e me d i c a l a c a d e my
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16 | P a g e
FMGE RECALL QUESTIONS JUNE 2022
83. A young women with history of progressive moderate bilateral hearing loss came to opd which aggravated during her
pregnancy. On examination tympanic membrane was intact. What should be done to rectify this?
a. Tympanoplasty
b. Conservative management
c. Tympanoplasty with stapedectomy
d. Tympanotomy with stapedectomy
Ans: d
84. Bone anchored hearing aid (baha) is used in which of the following condition?
a. Snhl
b. Acoustic neuroma
c. Otitis media
d. Congenital external auditory atresia.
Ans: d
85. A 60 yrs. old man with history of chronic smoking presented to opd with unilateral mild recurrent epistaxis, hoarse
voice, headache, cough, difficulty in swallowing. On examination patient has palpable cervical lymphadenopathy. What
would be the most probable diagnosis?
a. Nasopharyngeal carcinoma
b. Juvenile nasopharyngeal angiofibroma.
c. Large cell carcinoma
d. Adenoid cystic carcinoma.
Ans: a
88. A patient presented in emergency department with c/o respiratory distress and cough. Steeple sign was found on
xray. What would be the next step of management?
a. Antibiotics\
b. Humidified oxygen with analgesia
c. Humidified oxygen and steroids
d. Oxygen and antibiotics
Ans:c
89. A 7yr old post tonsillectomy child comes to you with complaints of snoring, palpitations, mouth breathers with slight
decrease in hearing. His school performance is deteriorating. What is the next line of management for the child?
a. Adenoidectomy with grommet insertion
b. Adenoidectomy
c. Grommet insertion
d. Conservative treatment
Ans: a
90. A patient had mild hearing loss along with nasal obstruction. Following is the examination finding. What is the most
likely diagnosis?
91. After emergency tracheostomy patient presented with surgical emphysema. What is the most likely reason?
a. High tracheostomy
b. Tight suture around tracheostomy site
c. Tear to posterior wall of trachea
d. Block in tracheostomy tube.
Ans: b
93. Child with low socio economic background has foamy lesion (white spots) in both the eyes in temporal conjunctiva.
Conjuctival xerosis present. What could be the vitamin deficiency?
a. Vit a
b. Vit d
c. Niacin
d. B12
Ans: a
94. Lens for cataract surgery in child. What should be kept in mind?
a. Myopic shift
b. Hypermetropic shift.
c. Increase the length of capsule with the growth
d. Increase in the size of capsule covering the diameter
Ans: a
95. Child with white pupillary reflex present from birth. Calcification is present. Cauliflower like growth
a. Retinoblastoma
b. Retinal detachment
c. keratitis
d. pterygium
Ans: a
96. A 12 yrs. old child suffered orbit injury with a cricket ball and the next day developed diplopia with up gaze. The child
develops headache, dizziness, vomiting on looking up. No congestion or proptosis of eye. Probable diagnosis.
a. Fracture floor of orbit
b. Fracture roof of orbit
c. Intracranial haemorrhage
d. Subdural hematoma.
Ans: a
a. Viral keratosis
b. Fungal keratosis
c. Bacterial keratosis
d. Acanthamoeba keratitis.
Ans: a
98. B/L ptosis of eyelid with diurnal variation and more symptomatic in evening.it improves on ice pack test. Diagnosis
a. Myasthenia gravis.
b. Horner syndrome
c. blepharitis
d. progressive opthalmoplegia
Ans: a
99. 2.5 d transverse. Size correlation vertical was +2.5 and horizontal was +3.5. Prescription for the spectacles?
a. +1.5 on 90
b. – 1.5 on 180
c. +1.0 on 90
d. –1.0 on 90
Ans: c
100. A girl was myopic and has problem in reading. She was using her sister’s contact lens. Sharing of contact lens may
lead to:
a. Candidiasis
b. Acanthamoeba
c. Viral infection
d. damage of lens
Ans: b
101. A young male with history of trauma to right eye with vegetative material. On examination of his cornea, satellite
lesions and hypopyon was seen. What is the probable diagnosis?
a. Fungal keratitis
b. Geographical ulcer
c. Acanthamoeba
d. Viral ulcer
Ans: a
102. A patient with episode of blunt trauma came with complaints of monocular diplopia. What can be the most probable
diagnosis?
a. Rosette cataract
b. Iridodialysis
c. Retinal detachment
d. Corneal injury
Ans: b
103. A female came to op with history of grittiness many years. Her schirmer test value is 5mm in both eyes. What should
be given for her treatment?
a. Lubricants
b. Antihistamic
c. Antibiotic drops
d. Wait & watch
Ans: a
104. A hard painless nodule on upper lid of a patient of 30 years with a prominence away from the lid margin is?
a. Stye
b. Chalazion
c. Squamous cell carcinoma
d. Hordeolum internum
Ans: b
105. A 3 ½ year old boy had frequent itching and redness in eye in summers with thick ropy discharge from both eyes.
What can be the diagnosis?
a. Bulbar spring catarrh
b. Allergic reaction
c. Mucopurulent conjunctivitis
d. Viral keratitis
Ans: a
106. A 20 y old with sudden painful decrease in vision in right eye after trauma. His pupils show relative afferent pupillary
defect. What could be the diagnosis?
a. Optic neuritis
b. Papilledema
c. Traumatic optic neuropathy
d. Glaucoma
Ans: c
109. As per NACO, if you are doing counselling and screening for tb in an HIV patient in ICTC clinic, level of prevention is?
a. Primary
b. Secondary
c. Primary, secondary
d. Tertiary
Ans: c
111. At what time you can give first dose of hep B vaccine to a neonate?
a. At birth
b. 6 week
c. 2 month
d. 6 month
Ans: a
112. In a measles epidemic, measles vaccine is given to a baby at 7 month of age. Next dose of measles vaccine is given at?
a. 9 months
b. Booster at 9 month
c. Booster at 1 ½ year
d. At preschool age
Ans: a
a. Lng
b. Nonoxynol 9
c. Etinyl estradiol
d. Ee+ lng
Ans: b
115. A 30y old male member of family is presenting with complaints of diarrhea, knee edema, ascites. On investigation it
came to know that mustard oil is the main item in grocery. What is the probable diagnosis?
a. Epidemic dropsy
b. Endemic ascites
c. Aflotoxicosis
d. Lathyrism
Ans: a
117. People eating khesari dal for last 1 year in an area. To avoid epidemic of lathyrism all arer done except:
a. Toxin removal
b. Crop ban
c. DEC
d. Vit C
Ans: c
118. Trends of events of diarrhea epidemic happening currently in an area is represented by:
a. Line chart
b. Bar chart
c. Pie chart
d. Spot map
Ans: a
119. In a European country continuous deaths are happening but no new births is reported country is in which phase?
a. High stationary
b. Low stationary
c. Decline
d. Late expansion
Ans: c
121. A person lost both of his hands in a machine for that he lost his job & unable to write and do his machine work. What is
impairment here?
a. Disability
b. Loss of both hands
c. Unemployed
d. No machine work
Ans: b
122. A p1l1 lady reported to clinic 6weeks post-partum, who does not want baby for next 3 years. Best contraceptive is?
a. OCP
b. Condom
c. CuT
d. Progesterone only pills
Ans: c
a. Population cycle
b. Demographic transition
c. Registration of births
d. Demographic processes
Ans: b
127. 30 trackers have gone for a camp for 1 week. Best method of disposal of waste generated is:
a. Dumping
b. Burial
c. Composting
d. Manure pit
Ans: b
128. On WHO day 4-8 person’s are in front of large group of audience to talk about topic. Director of hospital opens the
meeting, welcome audience and introduces speakers. He introduces the topic briefly and invites the speakers to present
their point of view. There is no specific agent, no order of speaking, and no set speech. In the end audience is invited to
take part. Identify method?
a. Panel discussion
b. Symposium
c. Workshop
d. Seminar.
Ans: a
129. A group conducted a mass gathering on hand wash awareness. Correct sequence of events are?
a. Awareness – interest – adoption – evaluation
b. Awareness- interest- evaluation- adoption
c. Evaluation – adoption – awareness – interest
d. Adoption- awareness- interest – evaluation
Ans: b
130. A 2 years baby having height for age status < -2 sd. Baby is having:
a. Wasting
b. Stunting
c. Mild malnutrition
d. Can’t tell need more information
Ans: b
131. A baby is coming for regular checkup in op. his growth chart shows that weight of baby is between 85 th – 95th
percentiles. Child status is
a. Obesity
b. Overweight
c. Sam
d. Bmi needed for interpretation.
Ans: b
a. Vit a
b. Vit b1
c. Vit b3
d. Vit b12
Ans: c
ARISE – DELHI ARISE – HYDERABAD ARISE – KERALA (KANNUR) ARISE – CHENNAI
+ 9 1 7 6 8 0 9 2 9 2 92
+ 9 1 8 13 6 9 32 6 6 6 + 91 8 97 7 9 41 7 2 3
+ 91-95600228-36/37/38 + 9 1 7 3 9 6 7 5 7 5 85
+ 9 1 96 3 3 79 9 5 04 + 91 8 9 77 9 4 27 2 3
: 0 4 0 2 3 5 1 52 5 2
Follow us on A r i se M e d i c a l A c a d e m y
A d d u s o n F B P a g e : f b / a r i s e me d i c a l a c a d e my
[email protected]
w w w . a r i s e me d i c a l a c a d e my
25 | P a g e
FMGE RECALL QUESTIONS JUNE 2022
133. If wide range of values are present in a community, then central tendency is measured by:
a. Mean
b. Median
c. Mode
d. Mean deviation
Ans: b
134. A 2-year baby is reported to sub Centre with c/o fever and cough for 2 days with chest in drawing. His respiratory rate
is 38/ min. next step is?
a. Home treatment
b. Pneumonia – clinical treatment
c. Severe pneumonia- referral
d. Severe pneumonia – antibiotic and referral.
Ans: d
136. A 2-year paediatric patient presented in an unconscious state. He was having profound diarrhoea and mild
pneumonia. In the management of this baby when are we doing ABCDE, what does D STANDS FOR?
a. Diarrhoea
b. Dehydration
c. Disability
d. Developmental delay
Ans: c
137. A patient undergone surgical procedure for pathology where in preoperatively the left lung was collapsed as shown.
After the operation the lung has expanded. What can be the diagnosis?
a. Right pneumothorax
b. Left pneumothorax
c. Cardiac tamponade
d. Pneumonia
Ans: b
138. What should be the treatment in a patient who presented in the emergency with respiratory distress. He was having
dilated large veins. Large amount of air was seen on the left side along with mediastinal shift as shown?
140. A lady presented with burns from the neck to the lower back. Preferred sequence of treatment in this lady?
a. First debridement, resuscitation, then autograft
b. First debridement then reconstruction and then resuscitation
c. First resuscitation then reconstruction and then debridement
d. First resuscitation, then debridement and then autograft + allograft
Ans: d
141. Which of the following is the best method for hair removal to avoid surgical site infection?
a. Shaving with razor night before operation
b. Depilatory cream before operation
c. Hair clippers on table
d. None of the above
Ans: c
142. A patient suffering from injury 3 days ago following which he was brought to hospital as shown in the image. What
would be the likely treatment in this patient?
143. A chronic smoker starts having pain in the calf on walking distance of 400 mtrs initially. Gradually he starts developing
pain on walking distance of 200mtrs only. Gradually he is having pain even during sleeping so decides to sleep in sitting
position which makes him feel better. What is the likely diagnosis?
a. Venous claudication
b. Neurological claudication
c. Sciatica
d. Rest pain
Ans: d
145. A 30 y old lady presenting with mobile breast lump like a mouse feel. Diagnosis?
a. Phylloides tumour
b. Fibroadenoma
c. Invasive ductal carcinoma
d. Breast abscess
Ans: b
146. A female presented with pain and redness of the left breast. She is lactating for the last 3 months. On local
examination, local temp is rised and cracked nipple noted. Ultrasound of breast was suggestive of significant liquid
collection. What should be the next line of management?
a. Antibiotics
b. Multiple needle aspirations
c. Incision and drainage
d. Breast support
Ans: c
147. A child presented with bilious vomiting. What will be the most appropriate test to diagnose the condition in this baby?
a. Barium swallow
b. Barium meal
c. Barium meal follow through
d. Cect abdomen
Ans: d
a.
b.
c.
d.
Ans: c
149. Identify the pathology in the newborn baby as shown in the image?
a. Meningocole
b. Congenital mega colon
c. Imperforate anus
d. Pyloric stenosis
Ans: c
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FMGE RECALL QUESTIONS JUNE 2022
150. One and half year child is having problem urinating fromlast 3 months. Contrast dye is introduced from urethra to
visualize which is like shown in the image. What could be the investigation?
a. Micturating cystourethrogram
b. Retrograde urethrogram
c. Antegrade pyelography
d. Retrograde pyelography
Ans: b
151. A 14 y old boy presented to opd and hos left scrotal sac is empty. On clinical examination the left testis was found in
the superficial inguinal pouch. What is the most likely diagnosis?
a. Cryptorchidism
b. Left undescended testis
c. Left ectopic testis
d. Retractile testis
Ans: c
153. A patient undergone surgery as shown in the image. After operation after 30 min of taking the meal pt develops
pallor, dizziness and seating. This could be?
a. Reflux gastritis
b. Dumping syndrome
c. Post vagotomy diarrhoea
d. Frey’s syndrome
Ans: b
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FMGE RECALL QUESTIONS JUNE 2022
154. Which of the following is seen after bariatric gastric bypass surgery?
a. Def of vit d
b. Def of calcium
c. Protein calorie malnutrition
d. Def of copper
Ans: c
a. Acute pancreatitis
b. Liver abscess
c. Acute cholecystitis
d. Hollow viscus perforation
Ans: d
156. This patient after surgically removing of given image from her stomach should be referred to whom?
a. Paediatrician
b. Psychiatrist
c. Cardiologist
d. Dermatologist
Ans: b
157. A patient has undergone cholecystectomy few days back and now the patient has presented with upper abdominal
pain. Mrcp was done wich showed driping of bile from the cystic duct stump. Pt is hemodynamically stable which of the
following should be the next line of management?
a. CECT
b. ERCP and stenting
c. Exploratory laparotomy
d. Conservative treatment with antibiotics
Ans: b
a. A
b. B
c. C
d. D
Ans: a
159. In a patient which of the following will be with irregular margins of the narrow urinary bladder with organism found
around the ureteric orifice?
a. Tuberculosis
b. Schistosomiasis
c. Transitional cell bladder carcinoma
d. Papilloma of urinary baldder
Ans: a
160. A young male presented with slight dragging sensation in the scrotum. On examination a bag of worm feel was noted
in the left side of scrotum. However testes was normal. Diagnosis?
a. Left hydrocele
b. Inguinal hernia
c. Epididymoorchiditis
d. Left varicocele
Ans: d
162. Which of the following isotope is used in the treatment of prostate cancer?
a. I 131
b. I 125
c. I 123
d. I 121
Ans: b
163. Which of the following is considered as having better prognosis in a lady presenting with breast lump in the lower
outer quadrant of the breast with axillary node involvement diagnosed as invasive breast cancer?
a. Over expression of her-2-neu gene
b. High mitotic index
c. Axillary lymph node involvement
d. Mucinous or colloid breast cancer
Ans: d
164. Which among the following is the most common cause of post-menopausal bleeding?
a. Atrophy
b. Ca endo
c. Ca cervix
d. Polyps
Ans: c
a. Vasa previa
b. Placenta accrete
c. Placenta abruption
d. Placenta previa.
Ans: d
167. A 24 y old women presented to her with fully outside cervix and a cystocele. What is the next step of management?
a. Hysterectomy
b. Le fort and posterior colporraphy
c. Simple cystocele repair
d. Pessary for temporary relief
Ans: d
a. Vesicovaginal fistula
b. Uterovaginal fistula
c. Vesicocervical fistula
d. Utero vaginal
Ans: a
169. Patient with breast cancer treatment with tamoxifen. She now presents with complaints of bleeding per vagina. What
is the most likely cause?
a. Endometrial cancer
b. Cervical cancer
c. Endometrial polyp
d. Fibroid unterus
Ans: a
a. Hysteroscopy
b. Mtp
c. Sounding the uterus
d. hysterosalpingography
Ans: d
171. Ritodrine to prevent premature labour will cause all the complications in mother except?
a. Tachycardia
b. Hypoglycemia
c. Tremor
d. Pulmonary edema
Ans: b
a. Unicornuate
b. Septate
c. Asherman syndrome
d. Normal hsg
Ans: c
a. Needle aspiration
b. Cystectomy
c. Give gnrha
d. Conservative since asymptomatic
Ans: c
174. Patient complains of palpitations. On examination irregularly irregular radial pulse present and ECG shows absent p
wave. Which of the following conditions is most likely?
a. Atrial fibrillation
b. PSVT
c. Ventricular tachycardia
d. Ventricular fibrillation
Ans: a
176. Young adult presents with gastric outlet obstruction and vomiting. Which of the following fluid will be used/
a. RL
b. NS
c. 5% dextrose
d. 20% dextrose
Ans: b
177. Patient of chronic angina is having signs of heart failure. Which of the following drugs will increase longevity?
a. Nifedipine
b. Digoxin
c. Lisinopril
d. Torsemide
Ans: c
178. A smoker male patient who has difficulty in swallowing is most likely to develop which of the following?
a. Squamous cell cancer
b. Adenocarcinoma
c. Brochoalveolar carcinoma / bronchogenic
d. Large cell cancer
Ans: a
180. Hypotension 80/40 mmhg, diminished heart sounds with absent y descent in jvp is seen in?
a. Constrictive pericarditis
b. Acute pericarditis
c. Cardiac failure
d. Cardiac tamponade
Ans: d
181. Chronic alcoholic patient with CLD presents with sudden onset hematemesis. Which one of the following is most likely
cause?
a. Mallory Weiss syndrome
b. Esophageal bleeding varices
c. Perforation peptic ulcer
d. Boerrhave syndrome
Ans: b
182. A person brings his father who was unconscious while working in hot sun in 44 degree c in june afternoon. Which of
the following will not be seen?
a. Headache
b. Sweating
c. Hypotension
d. Pin point pupils
Ans: d
184. A patient came to emergency complaining of fever from past 3 days, neck rigidity and pain since night. Analysis
showed following:
Opening pressure increased.
Appearance white cloudy
Cells- neutrophils predominantly seen
Csf sugar 15mg/dl
Protein 100mg/ dl. Identify the diagnosis?
a. Bacterial meningitis.
b. Tb meningitis
c. Viral meningitis
d. Fungal meningitis.
Ans: a
185. A patient on mountain at 5000m is having headache dizziness and cerebral edema. Which of the following indicate
development of high altitude cerebral edema?
a. Desaturation
b. Increased blood pressure
c. Altered mentation
d. Retinal hemorrhage
Ans: c
186. Comment on abg report. Ph 7.28, pco2 80mm hg, hco3 28meq/l
a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
Ans: b
187. A 50 yr. patient presents with palpitations, episodic headache and sweating episodes. Work up shows small left sided
supra renal mass. Which of the following would be done for confirmation?
a. Urinary vaniyl mandelic acid levels
b. Blood 5hiaa levels
c. Urine myoglobin
d. Stool trypsin levels
Ans: a
188. A 60yr. old man presents with 2 month history of weakness and pallor. Per abdomen shows mild splenomegaly.
Pheripheral blood shows hb 10gm/dl, leukocytosis and platelets 3 lakhs/cc. p smear shows metamyelocytes 15%,
promyeloblasts 30%, myeloblast 45%. Diagnosis?
a. All
b. Cll
c. Cml
d. Aml
Ans: c
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FMGE RECALL QUESTIONS JUNE 2022
189. A known hypertensive patient brought to er with palpitations and sob.on examination bp = 210/ 140 mm hg with
development of encephalopathy. All of the following can be given except.
a. Iv mannitol
b. Iv nicardipine
c. Iv esmolol
d. Iv sodium nitroprusside
Ans: a
192. A 25 yr. male who is trying to have baby for last 2 years is found to have azoospermia. Physical examination shows
scattered pubic hair, gynecomastia and hypogonadism. Diagnosis?
a. Klinefelter syndrome
b. Turner syndrome
c. Down syndrome
d. Edward syndrome
Ans: a
193. Which of the following drug is best for urate lowering therapy in tumor lysis syndrome to prevent renal damage.
a. Furosemide
b. Febuxostat
c. Allopurinol
d. Rasburicase
Ans: d
194. A patient presents with complaints of morning time productive cough that is yellow that increase on turning from left
to right side. Which of the following lung diseases is likely to be present?
a. Lung cancer
b. Bronchiectasis
c. Bronchial asthama
d. Pulmonary embolism.
Ans: b
196. A female washing clothes and her hands in cold-water exhibit colour change from white to red. Which of the
following drugs is best suited for this patient?
a. ACEI
b. CCB
c. Thiazides
d. Beta blockers
Ans: b
197. A patient is identified as having tumor in ileum and leading to urinary 5hiaa being elevated. Diagnosis?
a. Carcinoid tumor
b. Neuroblastoma
c. Leiomyoma
d. Chromaffinoma
Ans: a
198. A patient presents with unstable angina and 325 mg aspirin given. Which is the correct moa?
a. Anti-platelet
b. Anti-thrombotic
c. Fibrinolytic
d. Inhibit cyclooxygenase
Ans: a
199. A diabetic pt is brought with complaints of vomiting and abdominal pain.on examination patient is found to have
hyperventilation and hypotension. Blood glucose is 320mg/dl and urine ketones positive. Next step in management?
a. IV insulin drip
b. IV sodabicorbonate
c. Check blood ketone levels
d. Ivf
Ans: d
200. Dullness to percussion and decreased breath sounds near the base of left lung infra scapular location is seen in which
of the following conditions?
a. Cardiac tamponade
b. Chronic pulmonary pericarditis
c. Pulmonary embolism
d. Left sided pleural effusion
Ans: a
201. When does handedness get established?
a. 6 to 12 months
b. 15 to 18 months
c. 18 to 24 months
d. 36 to 40 months
Ans: d
202. A baby was born limp and having apnea. What will you do next ?
a. Do CPR
b. Give Oxygen
c. Umbilical vein catheterization
d. Bag and mask ventilation
Ans: d
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FMGE RECALL QUESTIONS JUNE 2022
203. Pearlyt white lesions with foamy appearance are seen in the sclera of a child. Which of the following other symptoms
are related to the deficiency of the same micronutrient causing the mentioned lesion ?
a. Conjunctival xerosis
b. Anglar stomatitis
c. Glossitis
d. Photosensitive rash
Ans: a
204. What is the most common seizure found in the age group < 2 years ?
a. Febrile seizure
b. Tonic clonic seizure
c. Petit mal seizure
d. Myoclonic seizure
Ans: a
205. A 1.5 yr. old boy while playing was hit by tennis ball. Given below is the ncct. What is the likely diagnosis?
206. A patient comes to opd with complaints of daily purulent sputum production. Identify the condition given in this
image?
a. Chronic bronchitis
b. Bronchiectasis
c. Emphysema
d. Pneumonia
Ans: b
a. Pleural effusion
b. Tension pneumothorax
c. Emphysema
d. Bronchiectasis
Ans: a
208. A newborn is seen to have an abnormal lump in the lowerback. Identify the condition given in below mri?
a. Meningocele
b. Spina bifida occulta
c. Myelomeningocele
d. Bone cyst
Ans: a
209. A patient came to the emergency with sharp, stabbing pain in the chest. An x ray was taken .identify the condition.
a. Pneumothorax
b. Pneumonitis
c. Emphysema
d. Bronchiectasis
Ans: a
210. A 34 yr. old male complaints of lower backpain since 6 months. He is previously diagnosed as a case of ulcerative
disease of colon. X-ray picture of lumbar spine given below. What is the likely diagnosis?
a. Pott’s spine
b. Ankylosing spondylitis
c. Psoriatic arthritis
d. Rheumatoid arthritis
Ans: b
a. Psoriatic arthritis
b. Rheumatoid arthritis
c. Ankylosing spondylitis
d. Pott’s spine
Ans: d
212. A patient falls on outstretched hand. For management the doctor ties a cast as given in the image. Which fracture did
the patient suffer from?
a. Colles fracture
b. Scaphoid fracture
c. Smith fracture
d. Galeazzi fracture.
Ans: b
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FMGE RECALL QUESTIONS JUNE 2022
a. Total patellectomy
b. K- wire
c. Conservative treatment
d. None of the above.
Ans: b
214. A patient comes to opd with pain and swelling in his wrist. The x- ray is given below. What could be the diagnosis?
a. Osteosarcoma.
b. Giant cell tumor.
c. Chondroblastoma
d. Aneurysmal bone cyst.
Ans: b
215. A 2y old baby presented to opd by his worried parents with the following complaint. How would you manage the
patient?
216. A patient comes to opd with the chief complaint of pain anf swelling in the right shoulder. A fracture of clavicle is
suspected. Which of the most common site of fracture in the clavicle?
a. Lateral 1/3rd.
b. Junction of lateral 1/3rd and medial 2/3rd.
c. Junction of medial 1/3rd and lateral 2/3rd.
d. Medial 1/3rd.
Ans: b
a. Potts spine.
b. Pyogenic spondylitis.
c. Multiple myeloma.
d. Ankylosing spondylitis.
Ans: a
218. Before laproscopic surgery, what advice would be given to the patient by surgeon?
a. Npo 8-12hrs before ot
b. Npo 24hrs before ot
c. Hair removal with razor on table
d. None of the above.
Ans: c
220. You saw a guy collapse and you started cpr after checking vitals and soon advanced cardiac support arrived at the
scene. What should be the next step of management?
a. Handover patient to them and leave
b. Ask them to apply paddles while you continue cpr.
c. Stop cpr and let them apply paddles.
d. Continue 1 round of cpr and then use defibrillator.
Ans: b
223. Artificial bruise can be differentiated from true bruise by which of the following
a. Presence of vesicles
b. Color change noted with time
c. Diffuse irregular margins
d. No itching.
Ans: a
224. Grievious hurt is said to be there if the person is in severe body pain/ unable to follow ordinary persuits for minimum
how many days/ weeks
a. 16
b. 18
c. 20/3 week
d. 25
Ans: c
225. Which test is used to differentiate species of a blood sample whether sample belongs to human or animal?
a. Teichmann
b. Takayama
c. Dna based method
d. Barberios
Ans: c
226. A substance abuser was found on roadside with pin point pupils. Which of the following should be suspected?
a. Morphine
b. Cocaine
c. Lsd
d. Cannabis.
Ans: a
227. In an injury, it is noted under microscope that hair bulbs were crushed. Most likely the injury is:
a. Abrasion
b. Incised wound
c. Lacerated wound
d. Stab wound
Ans: c
228. In court of law, examination of a witness is being is done to develop new & old facts & to try to weaken the evidence
by showing that evidence was biased, inaccurate, inconsistent by lawyer during which of the following?
a. Direct examination
b. Cross examination
c. Redirect examination
d. Court room examination.
Ans: c
229. A patient died because of doctor negligence but some other factors also were present for the reason of death. This
kind of malpractice is known as
a. Contributory negligence
b. Res ipsa loquitor
c. Volenti non fit injuria
d. Respondeat superior/ novus actus interveniens
Ans: b
230. A person was brought to opd with history of snake bite 8hrs ago. Patient was noted to be in respiratory depression &
hr- 50 & drooping of eyelids was noted bilaterally. 10 vials antivenom was administered. In the hospital no ventilator was
available. What is the next management?
a. Give atropine + neostigmine
b. Check for blood coagulation profile
c. Iv hydrocortisone
d. Inj epinephrine
Ans: a
231. A 40 yr. old female who has been smoking cigarettes for few years, now wants to leave the habit of smoking. The
drug used should be;
a. Bupropion
b. Varenicline
c. Nicotine gum
d. Clonidine
Ans: b
a. Ocd
b. mania
c. depression
d. phobia
Ans: a
234. A patient in the ward is asked his name and he repeated the same question back. This phenomenon is?
a. Echolalia
b. Echopraxia
c. Perseveration
d. ??
Ans: a
235. A pregnant women with bipolar disorder visited you in opd. What drug should be avoided in her treatment?
a. Lithium
b.
c. ?
d. ?
Ans: a
237. A 26 yr. old female presented with scaly skin. on histopathology neutrophils were diagnosis?
a. Pemphigus foliaceous
b. Pemphigus vulgaris
c. Psoriasis
d. Lupus vulgaris
Ans: c
a. Erythrodermic
b. Pustular
c. Inverse
d. Guttate
Ans: d
a. Mycetoma
b. Chromoblastomycosis
c. Tuberculosis verruca cutis
d. Cellulitis
Ans: a
242. What method of sterilization should be used for plastic petri dishes?
a. Ethylene oxide
b. Glutaraldehyde
c. Autoclave
d. Phenol
Ans: a
243. What is the reason behind the antigenic shift in influenza virus?
a. Mutation
b. Reassortment
c. Rearrangement
d. Unknown reason
Ans: a
245. A lady presents with 7week amenorrhea and shock. A mass is palpable in lower abdomen. Serum beta hcg is positive.
What is most likely?
a. Nephrocalcinosis
b. Ruptured ectopic pregnancy
c. Abdominal mass
d. Tumor
Ans: b
251. Which of the following is not given in a patient of Parkinsonism having hypertension?
a. Seleginline
b. Bromocriptine
c. Benzhexol
d. Pramipexole
Ans b
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