09/05/2026
********* MCQ of Review Exam -01 ********
_______________________________________________
1️⃣Paraneoplastic feature of gastric carcinoma?
A.Dermatomyositis✅
B.Polymyositis✅
C.Thrombophlebitis ✅
D.Acanthosis nigricans✅
E.Necrobiosis lipoidica
2️⃣ESSENTIAL AMINO ACIDS-
A.Methionine✅
B.Histidine✅
C.Arginine
D.Leucine✅
E.Lysine✅
3️⃣Causes of recurrent meningitis?
A)SLE✅
B)Bechets disease✅
C)Sarcoidosis✅
D)Reactive arthritis
E)Tubercular
4️⃣Factor precipitating hepatic encephalopathy?
A.Hyponatremia✅
B.Hypernatremia
C.Hypokalemia✅
D.Diuretics
E.Paracentasis✅
5. What are the precursors of arginine?
A) Serine
B) Aspartate
C) Choline
D) Glutamate
E) Methionine
True: BD
What are the adipokines released from adipose tissue?
A) gamma interferon
B) TNF alpha
C) TNF beta
D) Adiponectin
E) resistin
True: BDE
Drugs causing dyspepsia-
A) Aspirin
B) NSAIDs
C) Digoxin
D) MTX
E) Penicillamine
True: BC
8. Followings are increased during pregnancy?
A) Urea
B) Creatinine
C) ALP
D) GFR
E) HCT
True: CD
9. What are the causes of seizures during pregnancy?
A) Cerebral venous thrombosis
B) Hyponatraemia
C) Alcohol withdrawal
D) TTP
E) Hypercalcaemia
Ans: BCD
10. Clinical features of severe under-nutrition in adults?
A) Dry skin
B) Tachycardia
C) Famine oedema
D) Constipation
E) Diminished tendon jerks
True: ACE
11.Metabolic complication of parenteral nutrition
a.Refeeding syndrome ✅
b.Hypoglycemia
c.Hyperalimentation✅
d.Hepatic carcinoma
e.Fluid overload.✅
Ans.a,c,e true
12. What are the predisposing systemic causes of cerebral venous thrombosis ❔
A.Hypotension✅
B.Hypertension
C.Bechets disease✅
D.Sarcoidosis
E.OCP✅
13. Complications of acute stroke includes❔
A.Non epileptic seizure
B.Epileptic seizure✅
C.Costipation✅
D.Frozen shoulder✅
E.Pressure sores✅
14. Common symptoms of TACS includes❔
A.Aphasia✅
B.Hemisensory loss✅
C.Pure sensory stroke
D.Homonymous hemianopia✅
E.Cerebellar syndrome
15. Alarm features in dyspepsia?
A)Intentional weight loss
B)Anemia✅
C)Persistent vomiting✅
D)Hematemesis✅
E)Palpable abdominal mass✅
16. Causes of acute pancreatitis?
A.Alcohol✅
B.scorpion sting✅
C.Gall stone✅
D.Hypertriglyceridaemia✅
E.Nifedipine
17. Causes of recurrent meningitis?
A.Sarcoidosis✅
B.Bechets disease✅
C.Histoplasmosis
D.SLE✅
E.Blastomyces
18. Factors precipitating hepatic encephalopathy?
A)Hyperkalemia
B)Hyponatremia✅
C)Sedative✅
C)Hypokalemia✅
E)Antidepressants✅
19. Drug that increase level of gama glutamyltransferase?
A.Barbiturates✅
B.OCP✅
C.Terbinafine
D.Griseufulvin✅
E.Metronidazole
20. Cancer associated with cowden syndrome?
A.Breast cancer✅
B.Thyroid cancer✅
C.Osteosarcoma
D.Endometrial carcinoma✅
E.Retinoblastoma
21. Drug causing weight gain?
A.Amitriptyline✅
B.Olanzepine✅
C.Metronidazole
D.GLP-1agonists
E.Mirtazepine✅
22. CSF finding of tubercular meningitis are?
a)very high protein concentration ✅
b)normal/raised sugar level
c)AFB smear is positive in most of the caseas✅
d)raised CSF pressure✅
e)CSF colour is turbid on naked eye examination ✅
23. Right homonymous hemianopia usually results from damage to the-
a)left optic tract ✅
b)optic chiasma
c)right lateral geniculate body
d)left optic nerve
e)left optic radiation ✅
24. Microbiological agents of meningitis in newborn are-
a)N.meningitidis
b)E.coli ✅
c)Acanthoamoeba spp.
d)Streptococcus agalactiae ✅
e)Cryptococcus neoformans
25. Which structures are involved in light reflex?
A. Optic nerve ✅
B. Oculomotor nerve ✅
C. Pretectal nucleus ✅
D. Edenger westphal nucleus ✅
E. Occipital radiation ✅
26. Which is/are incorrect?
A. Parietal dominant > Communication skills ✅
B. Occipital > Language ✅
C. Temporal non dominant > Musical skill
D. Frontal lobe > Urinary incontinence
E. Temporal dominant > Non verbal memory ✅
27. Features of tabes dorsalis-
a-signs of dorsal column lesion✅
b-deep sensation is lost✅
c-bladder involvement-uncommon
c-Bilateral ptosis✅
d-AR pupil✅
e-Rombergism-negative
28. Causes of fine tremor-
a-Thyrotoxicosis✅
b-drug-sulbutamol✅
c-Wilsons disesase
d-parkinsonism
e-familial✅
29. Features of subacute combined degeneration of spinal cord?
a-peripheral neuropathy✅
b-dorsal column loss✅
c-planter extensor✅
d-knee jerk brisk & ankle jerk absent✅
e-optic atrophy✅
30. What are the causes of thickening of nerves-
a-Leprosy✅
b-neurofibroma✅
c-Amyloidosis✅
d-CMT✅
e-sarcoidosis✅
31. Paraneoplastic phenomena of Gastric Ca except?
A. Polymyositis ✅
B. Trousseau's sign
C. Trosier's sign✅
D. Acanthosis nigricans
E. Dermatomyositis
32. Which isn’t/aren't indication of Colonoscopy?
A. Iron deficiency anaemia
B. Chronic diarrhoea
C. Acute severe UC ✅
D. Constipation ✅
E. Endoscopic resection
33. Which isn’t/aren’t enzyme for protein digestion?
A. Trypsinogen ✅
B. Chymotrypsinogen✅
C. Proelastase✅
D. Proteases
E. Procarboxypeptidases✅
34. Tx of High grade B cell gastric lymphoma excludes?
A. Rituximab
B. H. pylori eradication ✅
C. Surgery
D. Chemotherapy
E. Radiotherapy
35. Indications of Barium e***a except?
A. Evaluation of strictures ✅
B. Altered bowel habit✅
C. Constipation
D. Megacolon✅
E. Diverticular disease✅
36. Rescue therapy of H. pylori eradication excludes?
A. Clarithromycin ✅
B. Long term acid suppression
C. PPI✅
D. Amoxicillin
E. Levofloxacin✅
37. Regarding Barrett's oesophagus?
A. Pre malignant condition ✅
B. More common in women
C. Somatic inactivation of TP53 occurs✅
D. Associated with alcohol intake
E. More common in >55 yrs of age
38. Causes of chronic small bowel diarrhoea?
A. Neuro-endocrine tumour ✅
B. Neoplasia
C. Ischaemia
D. VIPoma✅
E. Aminosalicylates
39. Which antithrombotic drugs should be temporarily stopped during upper GIT bleeding?
A. Aspirin
B. Clopidogrel ✅
C. Warfarin✅
D. Rivroxaban✅
E. Dabigatran✅
40. Regarding MMC?
A. Spreading from oesophagus to re**um
B. Occurs only between meals
C. Never during fasting
D. Sweep intestinal contents distally ✅
E. Stimulated by eating
41. DiGeorge's syndrome associated with following cardiac abnormalities? A. TOF✅
B. Tricuspid atresia
C. Truncus arteriosus✅
D. PDA
E. ASD
42. Regarding Mitochondrial inheritance which one is/are true-
A. Inheritance is only via the maternal lines✅
B. None of the children of an affected male will inherit the disease ✅
C. Shows heteroplasmy✅
D. Muscle biopsy shows red ragged fibre due decreased number of mitochondria
E. MERRF syndrome is an example ✅
43. Turner's syndrome associated with
A. COA ✅
B. Bicuspid aortic valve✅
C. Mitral valve prolapse
D. Aortic root dilatation ✅
E. TR
44. Criteria for diagnosis of Acute fatty liver of pregnancy are?
A. AST > 47 umol/L
B. Bilirubin > 14 umol/L✅
C. Bright liver on USG✅
D. Creatinine > 100
E. APTT > 34 sec✅
45. Factors precipitating hepatic encephalopathy is/are?
A. Gastrointestinal bleeding ✅
B. Hypoalbuminaemia
C. Antidepressants ✅
D. Paracentesis ✅
E. Hyperkalaemia
46. Causes of high SAAG ascites is/are?
A. Veno-occlusive disease ✅
B. Meigs syndrome✅
C. HCC
D. Severe malnutrition
E. Cardiac tamponade
47. Pericentral area of hepatic acinus includes?
A. Glycogenolysis
B. Gluconeogenesis
C. Glucuronidation ✅
D. Glycolysis ✅
E. Glycogenesis
48. Features of acrodermatitis enteropathica except
a)Growth retardation
b)Hair loss
c)Mental apthay ✅
d)Gum bleeding ✅
e)Chronic diarrhoea
49. Which are included in measures of body composition and nutritional status?
A.Anthropometry ✅
B.BMI
C.Duel X ray absorptiometry✅
D.MRI✅
E.CT scan
50. Causes of reversible weight gain-
A.Olanzapine✅
B.Alpha blocker
C.Silfonylureas✅
D.Glucocorticoids ✅
E.Insulin✅
