Solve MEDICINE INICET 2022 Total Questions: 59 1. In a patient with HIV, the incorrect statement regarding prophylaxis for various organisms is PCP-Pneumocystis pneumonia MAC-Mycobacterium avium complex Prophylaxis for MAC is indicated when CD count is <50 cells/μL Prophylaxis for PCP is indicated when CD count is <200 cells/μL Stop prophylaxis for Coccidioides if CD count is >250 cells/μL for 6 months Prophylaxis for Cryptococcus is indicated when CD count is >150 cells/μL None 2. A patient was brought following an RTA. He was found to have an incomplete lesion of the spinal cord. What would be seen if the central part of the cord was involved? LMN lesion of upper limbs and trunk and UMN of lower limbs. UMN lesion of upper limbs and trunk and LMN of lower limbs. Bladder and bowel involvement. Posterior tract involvement. 2 and 3 1 and 4 2 and 4 1 and 3 None 3. A patient presents with fever and nuchal rigidity. The resident was instructed to perform a lumbar puncture on this patient. What is the correct order of managing this patient? Place IV cannula and give fluids at 40 mL/h Start injection ceftriaxone Send CSF sample for biochemistry and microanalysis Perform guarded lumbar puncture 1,2,4,3 4,3,2,1 1,4,3,2 2,4,3,1 None 4. A diabetic patient's fasting blood glucose level is found to be 160 mg/dL. What will you advise the patient regarding non-pharmacological management? At least 80 mg dietary fibre <5 g sodium intake everyday <30% of the calories should come from fat Cholesterol <100 mg None 5. A patient with heart disease has breathlessness on going to the bathroom. What grade does he belong to? NYHA 3 MMRC 4 NYHA 4 MMRC 5 None 6. Which of the following is the most characteristic feature of Kallmann syndrome? Syndactyly in males Anosmia Precocious puberty in females White forelock None 7. A 50-year-old male patient presented with left-sided hemiparesis. Damage to which part of the internal capsule leads to this presentation? Retrolentiform Anterior limb Sublentiform Posterior limb None 8. A patient, who is a known case of HIV with a CD4 count of 200 cells/cu.mm, presents with 5 days of cough and high-grade fever without chills and rigors. There is no history of diarrhea, vomiting, or nuchal rigidity. Chest x-ray is normal. What treatment will you give? Amoxicillin-clavulanic acid + Azithromycin Co-trimoxazole + steroids Co-trimoxazole only Antitubercular treatment None 9. A chronic cigarette smoker now joined a construction company. His pulmonary function test results are given below. What is the most likely diagnosis for this patient? Initial lung volumes were: FEV1 -0.9L FVC-1.9L FEV1/FVC-0.4 After bronchodilation: FEV1 -1.9L FVC-3.9L FEV1/FVC-0.4 Restrictive lung disease with bronchodilator reversibility Vascular disease with bronchodilator reversibility Restrictive lung disease without bronchodilator reversibility Obstructive disease with bronchodilator reversibility None 10. A young patient presents to the clinic with erythematous lesions over the exposed areas of the skin like hands, arms, chest, etc. She also complains of arthralgia and breathlessness. Which among the following antibodies will be useful in diagnosing this condition? Anti dsDNA antibodies Antihistone antibodies Antinuclear antibodies Anticentromere antibodies None 11. The following clinical examination was performed. What lesion would cause an exaggerated reflex? Radiculopathy Polyneuropathy Upper motor neuron Lower motor neuron None 12. Which of the following is not a first-line drug for the management of a patient with rheumatoid arthritis? Hydroxychloroquine Sulfasalazine Azathioprine Methotrexate None 13. Based on the ECG given below, which of the following drugs is not used in the management of the condition? Amiodarone Metoprolol Diltiazem Adenosine None 14. A 65-year-old female patient weighing 60 kg is on mechanical ventilation for ARDS secondary to urosepsis. The respiratory parameters are as follows: tidal volume- 360 mL; frequency-30 breaths/min; PEEP-5 cm of H20; and FiO2-90%. The arterial blood gas findings are as follows: pa02- 50 mmHg; paCO2- 38 mmHg; and pH-7.38. What is the next step? Increase tidal volume Reduce FiO2 Increase PEEP Increase respiratory rate None 15. AIDS-defining malignancies include all except: Kaposi's sarcoma Melanoma Non hodgkins lymphoma Invasive cervical carcinoma None 16. An elderly female patient with a history of severe vomiting was treated aggressively for severe dehydration at an outside hospital. One week later, she became mute, quadriplegic, and rigid. What is the most likely reason? Severe catatonia Malignant hyperthermia Rapid sodium correction Neuroleptic malignant syndrome None 17. Identify the conduction abnormality from the ECG given below. Ventricular tachycardia First degree heart block Third degree heart block Second degree heart block None 18. A 40-year-old chronic alcoholic presented with withdrawal symptoms. His liver function tests showed AST 140 IU/ L, ALT 110 IU/L, and GGT 500 IU/L. Which of the following benzodiazepines can be safely administered to this patient? Diazepam Alprazolam Lorazepam Clonazepam None 19. A patient presented with violent, flinging movements. Where is the lesion causing the hemiballismus seen? Putamen Subthalamic nucleus Caudate nucleus Globus pallidus None 20. An elderly male patient was brought by his son because he was not using his left arm for day-to-day functioning. He has an unkempt appearance on the left side of his body and has a history of bumping into door frames while walking through them. The evaluation performed is shown below. Where does a lesion in the brain cause this presentation? Right parietotemporal Right parietal Left parietal Right premotor cortex None 21. Which of the following does not help in the localization of lesions in the spinal cord? Upper motor neuron lesion and lower motor neuron lesion Fasciculation at the level of lesion Contralateral hemiplegia Bladder involvement None 22. Which of the following is seen in MEN 2B syndrome? Medullary thyroid carcinoma Cafe au lait spot Parathyroid adenoma Optic nerve glioma None 23. A young man is brought to the hospital with high-grade fever and altered consciousness. On examination, he had neck rigidity and pain when bending the neck. A lumbar puncture was performed, which showed a WBC count of 45 cells/ μL, majorly being lymphocytes, elevated pressure with protein of 120 mg/dL, and glucose level of 70 mg/dL. How will you manage the index case? Vancomycin + ceftriaxone Piperacillin + tazobactam Amphotericin B + flucytosine Antitubercular therapy None 24. Mark the correct statement regarding inflammatory bowel disease. Inflammatory bowel disease has a strong genetic predisposition Skip lesions are present in Crohn's disease Mucosal layers are involved in Crohn's while transmural involvement seen in ulcerative colitis Crohn's is curable through surgical resection of the affected segment None 25. A patient presents with severe abdominal pain. Identify the false statement given about the examination of the abdomen. Cullen's sign refers to discoloration around the umbilicus Hemoperitoneum leads to reddish discoloration of the flanks of the abdomen Guarding and rigidity indicate peritoneal inflammation Palpation begins at the site of pain None 26. The absence of loud S1 in mitral stenosis would indicate all of the following, except Calcified valve First degree heart block Aortic regurgitation Mild mitral stenosis None 27. A 40-year-old man presents with 15 days of fever and altered sensorium for 1 day. Rapid diagnostic test was done and Plasmodium falciparum was diagnosed. Which of the following is not a complication? Arterial pH >7.2 Blood glucose <40 mg/dL Serum creatinine - 5.2 Unarousable coma None 28. A patient with diabetes develops a UTI, which gets complicated with hypotension that is resistant to IV fluids. Which of the following antibiotics can be used? Piperacillin-Tazobactam Ceftriaxone Amoxicillin-Clavulanate Nitrofurantoin None 29. A patient presents with perioral numbness, tingling, and tetany. All the following conditions can lead to this, except Acute pancreatitis Vitamin D toxicity Hypoparathyroidism Chronic kidney disease None 30. A person presents to the hospital with fever and chills. Fever profile is ordered and is found to be negative for malaria and dengue. rk39 test is found to be positive. What is the treatment of choice? Amphotericin B Dapsone Griseofulvin Hydroxychloroquine None 31. A patient with diabetes, hypertension, and chronic kidney disease has elevated serum creatinine and urea levels. Which of the following oral hypoglycemic agents is safe to use? Exenatide Glimepiride Linagliptin Vildagliptin None 32. Thrombolysis can be considered in all of these conditions, except Blood pressure of more than 185/110 mmHg MRI showing density in less than 1/3rd of the area supplied by MCA Onset of symptoms <4 hours Ischemic stroke within 2 hours None 33. Incorrect statement regarding the management of frostbite: The area is dried and cleaned Amputation in severe cases Rewarming is done Antibiotics and analgesics not used None 34. A hypertensive patient who is on losartan develops a HBA1c level of 8.1%. Which of the following drugs would you replace losartan with? Telmisartan Amlodipine Olmesartan Metoprolol None 35. Serologic findings of a patient with hepatitis are given below. HBsAg positive Anti-HBc IgM positive Anti-HDV IgM positive Anti-HBc IgG negative Titer of HBV DNA- 7.4 X108 Titer of HDV DNA-4.1 X104 High HDV viral load High HBV viral load Absence of anti HBc IgG antibodies Presence of IgM anti HDV antibodies None 36. Which of the following is not a cause of central cyanosis? Methemoglobinemia Hypothermia Pulmonary arteriovenous fistula High altitude None 37. Which of the following is true regarding the placement of ECG leads? Lead I: Positive pole to the right and negative pole towards the left The earth to all leads is in the right leg. Lead II: Positive pole on the right and negative pole towards the left Lead III: Positive pole on the left and negative pole towards the right None 38. What is depicted in the following image? Withdrawl reflex Babinski sign Grasp reflex Plantar reflex None 39. A female patient presents to the hospital with palpitations. Her vitals are stable and the ECG shows the following. Which of the following is used as first-line management to treat the condition? DC cardioversion Amiodarone Adenosine Primary PCI None 40. What is the most common site of abdominal tuberculosis? Colon Rectum Ileocecal junction Small intestine None 41. A woman presents with altered sensorium, breathlessness, hypotension, and bradycardia. Examination revealed non-pitting edema of the extremities. She has a long-standing history of weight gain, constipation, cold intolerance, and menorrhagia. What is the most likely diagnosis? Septic shock Myxedema coma Cardiogenic shock Hyperthyroidism None 42. Which of the following is not a feature of Brown Sequard syndrome? Ipsilateral loss of vibration & touch Complete transection of spinal cord Contralateral loss of pain & temperature Ipsilateral loss of proprioception None 43. An 11-year-old child diagnosed with acute rheumatic fever and having no valvular pathology comes to your clinic. What is the duration of prophylaxis given to this child? 40 years 5 years 20 years 10 years None 44. Which of the following types of headaches requires further evaluation? Headache for >4 hours Worst headache of life New-onset progressive headache Headache with blurring of vision 2, 4 2, 3 2, 3, 4 1, 2, 3, 4 None 45. Which of the following drug is not used for the emergency (immediate) management of hyperkalemia? Salbutamol nebulisation 10% calcium gluconate over 10 min Injection MgSO4 Insulin-dextrose None 46. A patient presents with cough, cold, fever, and malaise associated with weight loss and ascites. A radiograph of the chest is shown below. Ascitic fluid analysis showed elevated adenosine deaminase. Which of the following is the next step in management? Start ATT after laparotomy and stricture removal Biopsy Conservative management Start anti-tubercular therapy None 47. Chronic HBV infection would be consistent with which of the following serology? HBsAg Anti HBsAg Anti HBcAg HBV DNA 1, 3 1, 3, 4 1, 2 1, 2, 4 None 48. Which of the following electrolyte abnormalities is seen in methanol intoxication? Metabolic acidosis with high anion gap Metabolic alkalosis with high anion gap Metabolic alkalosis with normal anion gap Metabolic acidosis with normal anion gap None 49. Tongue fasciculations are seen in: Spinal muscular atrophy Guillain-Barre syndrome Myasthenia gravis Duchenne muscular dystrophy None 50. A patient presented with ipsilateral Horner's syndrome, ipsilateral loss of pain and temperature sensations in the face, vertigo with numbness and loss of sweating and dysarthria on the contralateral side. All these symptoms are caused due to a lesion in: Medial medulla Lateral medulla Ventromedial medulla Lateral medulla including nucleus ambiguus and spinothalamic tract B, C, D B and D A and B A, B, C None 51. A female patient presents to the AIIMS emergency department with severe fatigue and prostration. She is a known case of chronic stable angina. While collecting a blood sample, you notice the blood has a brownish hue. What is the underlying diagnosis? Sideroblastic anemia Carboxy-hemoglobinemia Sulfhemoglobinemia Methemoglobinemia None 52. Match the following: 1-A,2-B,3-D,4-C 1-C,2-D,3-A,4-B 1-D,2-C,3-A,4-B 1-B,2-A,3-C,4-D None 53. A patient was treated for peptic ulcer with an H.pylori regimen. Which of the following is used to assess the success of treatment? IgG antibody study Endoscopy Urea breath test Urease test of biopsy None 54. Which of the following are signs of heart failure? Non-pulsatile rise of JVP Orthopnea Dyspnea after 2 hours of sleep Right upper quadrant pain/Right hypochondrial 1 & 2 1, 3, 4 1, 2, 3 2, 3, 4 None 55. The patient has a fever, cough, and cold. The chest x-ray is given below. What will be the examination finding in the infrascapular region? Coarse crackles Hyperresonance on percussion Stridor Dull note on percussion None 56. The given image shows a normal graph on the left and the patient's graph on the right. Which of the following diagnoses can be inferred from the graph? Sarcoidosis Chest wall neuromuscular disease Bronchiectasis Idiopathic pulmonary fibrosis None 57. What does the given ECG show? Ventricular bigeminy P-pulmonale Improper calibration Electrical alternans None 58. Hamman sign is seen in: Pneumoperitoneum Pneumomediastinum Pneumopericardium Hydropneumothorax None 59. A female presented with loss of pain and temperature, but her touch sensation was intact. Imaging showed cavitation around the central canal. What is the probable diagnosis? Tabes dorsalis Brown-Sequard syndrome Syringomyelia Syringobulbia None Time's up
