This is the All India Post Graduate Medical Entrance Examination (AIPGMEE) 2003, popularly archived today as NEET PG 2003, conducted by the Central Board of Secondary Education (CBSE) on behalf of the Medical Council of India (MCI) for 50% of India's MD, MS and PG Diploma seats. This compiled paper carries 239 questions from the original test booklets, each with a step-by-step solution.

NEET PG 2003 Question Paper with Solutions Download PDF Check Solutions

NEET PG 2003 Questions with Solutions

Question 1:

The following are known complications of mumps EXCEPT

  • (A) Orchitis
  • (B) Pancreatitis
  • (C) Aseptic meningitis
  • (D) Bilateral arthritis

Question 2:

Mycobacterium leprae grow well in

  • (A) Cat
  • (B) Dog
  • (C) Armadillo
  • (D) Platypus

Question 3:

Consider the following statements about viruses. Which one of the following statements is CORRECT?

  • (A) Viruses may infect bacteria also.
  • (B) Picorna virus are composed of only RNA and protein.
  • (C) Rabies virus belongs to rhabdovirus family.
  • (D) Epstein Barr virus causes infectious mononucleosis.

Question 4:

Consider the following statements about rickettsial diseases:
1. These are transmitted by arthropods.
2. Eschar is not seen in Rocky Mountain spotted fever.
3. Weil-Felix reaction may be diagnostic.
4. Cephalosporins are the drug of choice.
Which of these statements are correct?

  • (A) 1, 2 and 3
  • (B) 2, 3 and 4
  • (C) 1, 3 and 4
  • (D) 1, 2 and 4

Question 5:

A 30 year old male presents with severe bladder irritation, persistent pyuria, microscopic hematuria and absence of bacteria in usual smears and culture. What is the probable diagnosis?

  • (A) Monilial infection
  • (B) Lower urinary tract obstruction
  • (C) Vesical calculus
  • (D) Genito urinary tuberculosis

Question 6:

Consider the following serological tests:
1. Treponema Pallidum Immobilization Test (TPI)
2. T. Pallidum Haemagglutination Assay (TPHA)
3. Fluorescent Treponemal Antibody Absorbed Test (FTA-ABS)
4. Venereal Disease Research Laboratory Test (VDRL)
Which of these are specific for diagnosing syphilis?

  • (A) 1 only
  • (B) 2 and 4
  • (C) 3 and 4
  • (D) 1, 2 and 3

Question 7:

Which one of the following parasites may cause suppurative cholangitis?

  • (A) Ankylostoma duodenale
  • (B) Ascaris lumbricoides
  • (C) Necator americanus
  • (D) Trichuris trichiura

Question 8:

Match List I (Nutrient excess or deficiency) with List II (Clinical effects) and select the correct answer using the codes given below the lists.

List I (Nutrient excess or deficiency)List II (Clinical effects)
A. Copper1. Eczematous dermatitis around nose and mouth
B. Iron2. Diabetes mellitus
C. Zinc3. Increased density of bone
D. Fluoride4. Chronic liver disease

  • (A) A-4, B-2, C-1, D-3
  • (B) A-3, B-2, C-1, D-4
  • (C) A-4, B-1, C-2, D-3
  • (D) A-3, B-1, C-2, D-4

Question 9:

Low serum sodium with normal serum osmolality is a feature of

  • (A) Primary polydipsia
  • (B) Diuretic use
  • (C) Hyperlipidemia
  • (D) Hypoaldosteronism

Question 10:

Dyslipidaemia with raised triglyceride and low HDL cholesterol is seen in all of the following EXCEPT

  • (A) Uncontrolled diabetes mellitus
  • (B) Hypertensive on Beta blocker Therapy
  • (C) Regular alcohol consumption
  • (D) Obesity with BMI more than 30

Question 11:

Healing with calcification is a feature of

  • (A) Cryptococcosis
  • (B) Mucormycosis
  • (C) Aspergillosis
  • (D) Histoplasmosis

Question 12:

Name the target structure in skin involved in Acne vulgaris

  • (A) Sebaceous glands
  • (B) Bartholin glands
  • (C) Sweat glands
  • (D) Hair follicles

Question 13:

On radiological investigation Bamboo spine is typically seen in

  • (A) Reiter's syndrome
  • (B) Ankylosing spondylitis
  • (C) Psoriatic Arthritis
  • (D) Gout

Question 14:

Consider the following statements regarding classic polyarteritis nodosa:
1. It is multi-system necrotising vasculitis
2. Small and medium vessels are involved
3. Pulmonary artery involvement is a characteristic feature
4. Up to 30% patients may test positive for Hepatitis B surface antigen.

Which of these statements are correct?

  • (A) 1 and 2
  • (B) 2 and 3
  • (C) 1, 2 and 4
  • (D) 2, 3 and 4

Question 15:

A patient on haloperidol for psychosis develops fever, altered sensorium and labile hypertension. Drug useful in treating this patient is

  • (A) Cefotaxime
  • (B) Bromocriptine
  • (C) Largectil
  • (D) Propranolol

Question 16:

Which of the following types of schizophrenia carries a bad prognosis?

  • (A) Paranoid
  • (B) Catatonic
  • (C) Hebephrenic
  • (D) Undifferentiated

Question 17:

A 30 year old male complains of infertility. He appears tall and has gynaecomastia. Genitalia appear normal except for bilateral small testes. His chromosomal pattern is likely to be

  • (A) 45 XO
  • (B) 47 XXY
  • (C) 47 XYY
  • (D) 46 XY

Question 18:

Consider the following diseases:
1. Huntington's disease
2. Cystic fibrosis
3. Sickle Cell anaemia
4. Haemophilia A
Which of the following disorders are transmitted as autosomal recessive genetic disorders?

  • (A) 1, 2 and 4
  • (B) 1 and 2
  • (C) 2 and 3
  • (D) 3 and 4

Question 19:

A previously healthy factory worker was found unresponsive in his work place. He was afebrile, anicteric, tachypnoeic, drowsy and "blue" all over with clear lung fields and hyperdynamic cardiovascular findings. His ABG with 100% oxygen after intubation was:
pH = 7.30
pO2 = 580 mm Hg
pCO2 = 30 mm Hg
SaO2 = 50%
What is the most likely diagnosis?

  • (A) Methemoglobinemia
  • (B) Adult Respiratory Distress syndrome
  • (C) Carbon monoxide poisoning
  • (D) Organophosphorus poisoning

Question 20:

A patient admitted with acute organophosphorous insecticide poisoning develops ptosis, inability to lift the head and difficulty in breathing on the third day. The most likely diagnosis is

  • (A) hypokalemia
  • (B) inflammatory polyneuropathy
  • (C) intermediate syndrome
  • (D) polymyositis

Question 21:

Hybridoma technique is used to obtain

  • (A) purified antibodies
  • (B) purified antigens
  • (C) purified lymphocytes
  • (D) purified macrophages

Question 22:

Which of the following diseases is associated with the HLA B 27 subtype?

  • (A) Addison's disease
  • (B) Myasthenia gravis
  • (C) Reiter's syndrome
  • (D) Psoriasis

Question 23:

Revised Trauma score by Champion include the following EXCEPT

  • (A) Glasgow coma scale
  • (B) Systolic blood pressure
  • (C) Respiratory rate
  • (D) Pulse rate

Question 24:

Match List I (Clinical Conditions) with List II (Nerves involved) and select the correct answer using the codes given below the lists:

List I (Clinical Conditions)List II (Nerves involved)
A. Wrist drop1. Ulnar nerve
B. Winging of Scapula2. Radial nerve
C. Pointing index3. Long Thoracic nerve
D. Claw hand4. Median nerve
Codes:

  • (A) A-2, B-3, C-4, D-1
  • (B) A-1, B-4, C-3, D-2
  • (C) A-2, B-4, C-3, D-1
  • (D) A-1, B-3, C-4, D-2

Question 25:

Repair of cleft lip is usually carried out

  • (A) At birth
  • (B) At 10 weeks of life
  • (C) During 1.5 to 2 years of age
  • (D) Before the child starts going to school

Question 26:

The treatment of choice in grade 4 subcapital fractured neck of femur in a fifty year old patient is

  • (A) Pin-in-situ
  • (B) Reduction
  • (C) Hemiarthroplasty
  • (D) Total hip replacement

Question 27:

Which one of the following is NOT a radiological feature of osteoarthritis?

  • (A) Widening of the joint space
  • (B) Osteophyte formation
  • (C) Subchondral sclerosis
  • (D) Cyst formation

Question 28:

A dinner-fork deformity is classically seen in

  • (A) Monteggia fracture
  • (B) Fracture of the scaphoid
  • (C) Colles' fracture
  • (D) Smith fracture

Question 29:

Empyema necessitatis is defined as so when

  • (A) Pleural empyema is under pressure
  • (B) Pleural empyema has ruptured into the bronchus
  • (C) Pleural empyema has ruptured into the pericardium
  • (D) Pleural empyema is showing extension to the subcutaneous tissue

Question 30:

The following are true about bronchogenic carcinoma EXCEPT

  • (A) It is the commonest malignant tumour in men
  • (B) One-Lung-Anaesthesia has improved results of surgery
  • (C) Most lung cancers are unresectable at presentation
  • (D) Small cell carcinoma carries better survival rate

Question 31:

Consider the following statements. Polycystic disease of the kidneys may present with:
1. Chronic renal failure.
2. Haematuria and renal colic.
3. Hypertension.
4. Accidentally on routine examination of the abdomen.
Which of these statements are correct?

  • (A) 1 and 3
  • (B) 2 and 4
  • (C) 1, 3 and 4
  • (D) 1, 2, 3 and 4

Question 32:

Which one of the following is the serious complication of degenerative myopia in the eye?

  • (A) Retinal detachment
  • (B) Vitreous liquefaction
  • (C) Myopic crescent
  • (D) Posterior staphyloma

Question 33:

Which one of the following conditions does NOT cause pseudoexophthalmos?

  • (A) High myopia
  • (B) Lid retraction
  • (C) Optic nerve glioma
  • (D) Facial nerve paralysis

Question 34:

Hoarseness secondary to bronchogenic carcinoma is usually due to extension of the tumour into

  • (A) Vocal cord
  • (B) Superior laryngeal nerve
  • (C) Left recurrent laryngeal nerve
  • (D) Right vagus nerve

Question 35:

Multiple perforations of tympanic membrane is a feature of

  • (A) Trauma
  • (B) Tuberculous otitis media
  • (C) C.S.O.M.
  • (D) Aspergillosis

Question 36:

The following are the clinical features of raised intracranial tension EXCEPT

  • (A) Headache
  • (B) Insomnia
  • (C) Bradycardia
  • (D) Papilloedema

Question 37:

Which one of the following is NOT true regarding obstetric brachial plexus palsy?

  • (A) Upper roots are mostly affected
  • (B) Results from traction on shoulder girdle
  • (C) Good progress with immediate surgery
  • (D) Good prognosis with conservative management

Question 38:

Ramstedts operation is the surgical procedure for

  • (A) Congenital atresia of duodenum
  • (B) Hallux valgus
  • (C) Congenital hypertrophic pyloric stenosis
  • (D) Atresia of bile duct

Question 39:

The commonest cause of bleeding per rectum in children is

  • (A) Rectal polyp
  • (B) Intussusception
  • (C) Meckel's diverticulum
  • (D) Haemorrhoids

Question 40:

Consider the following statements: Before Elective Operation ECG may evaluate
1. heart rate
2. atrial fibrillations
3. heart-block
4. recent myocardial infarction
Which of these statements are correct?

  • (A) 1, 2 and 4
  • (B) 2, 3 and 4
  • (C) 1 and 3
  • (D) 1, 2, 3 and 4

Question 41:

Which one of the following odontomes is a locally invasive malignant tumour?

  • (A) Odontogenic myxoma
  • (B) Fibromatous epulis
  • (C) Dentigerous cyst
  • (D) Ameloblastoma

Question 42:

Match List I (Cells) with List II (Tumours that develop from them) and select the correct answer using the codes given below the lists.

List I (Cells)List II (Tumours that develop from them)
A. Leydig cells1. Carcinoid tumour
B. B cells2. Medullary carcinoma
C. Parafollicular cells3. Interstitial cell tumour
D. Argentaffin cells4. Insulinoma

  • (A) A-1, B-4, C-2, D-3
  • (B) A-3, B-2, C-1, D-4
  • (C) A-1, B-2, C-4, D-3
  • (D) A-3, B-4, C-2, D-1

Question 43:

Match List I (Clinical signs) with List II (Clinical description) and select the correct answer using the codes given below the lists.

List I (Clinical signs)List II (Clinical description)
A. Balance's sign1. Supraclavicular node in visceral malignancy
B. Kehr's sign2. Referred pain in left shoulder in splenic trauma
C. Cullen's sign3. Shifting dullness in flanks in splenic trauma
D. Trosier's sign4. Periumbilical discoloration in acute pancreatitis

  • (A) A-3, B-2, C-1, D-4
  • (B) A-2, B-3, C-4, D-1
  • (C) A-2, B-3, C-1, D-4
  • (D) A-3, B-2, C-4, D-1

Question 44:

The ideal temperature of water to cool a burnt surface is

  • (A) \(15^{\circ}\text{C}\)
  • (B) \(10^{\circ}\text{C}\)
  • (C) \(8^{\circ}\text{C}\)
  • (D) \(6^{\circ}\text{C}\)

Question 45:

The operation of choice for a retrocaval ureter is

  • (A) Cutting and suturing the inferior vena cava
  • (B) Cutting and suturing the ureter
  • (C) Anderson-Hynes pyeloplasty
  • (D) Ureterocystoplasty

Question 46:

Assertion (A): Splenectomised patients are at increased risk of septicaemia.

Reason (R): Splenectomised patients frequently have an increase in white cell and platelet counts.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 47:

Assertion (A): Breast conserving treatment is NOT applicable for lobular carcinoma of the breast.

Reason (R): Lobular carcinoma is multifocal in origin.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 48:

Assertion (A): Secondary haemorrhage occurs 7 to 14 days after an operation.

Reason (R): Haemorrhage is due to the slipping of a ligature or dislodgement of a clot.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 49:

Assertion (A): Diabetic ulcer is a trophic ulcer.

Reason (R): It is caused by ischaemia and anaesthesia.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 50:

Assertion (A): H. Pylori eradication is the only regimen that promotes healing and prevents relapse in peptic ulcer disease.

Reason (R): H. Pylori is the only etiological factor in peptic ulcer.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 51:

Assertion (A): A person who hears voices talking to him even when no one is present is likely to be suffering from schizophrenia.

Reason (R): Primary delusions are characteristic of schizophrenia.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 52:

Assertion (A): Acute gouty arthritis is a common side effect of pyrazinamide therapy.

Reason (R): Pyrazinamide can cause hyperuricemia.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 53:

Assertion (A): Hyperkalemia is not a feature of ACTH deficiency (secondary adrenal insufficiency).

Reason (R): ACTH increases potassium reabsorption by the distal renal tubule.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 54:

Assertion (A): In complete transposition of the great arteries, compatibility with life requires that communication exists between the pulmonary and systemic circulation.

Reason (R): In complete transposition of great arteries, the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 55:

Calcium Channel Blockers are contraindicated in

  • (A) Acute Left Ventricular Failure
  • (B) Essential Hypertension
  • (C) Peripheral Vascular Disease
  • (D) Primary Pulmonary Hypertension

Question 56:

Which one of the following is NOT the feature of Atrial fibrillation?

  • (A) Varying intensity of First Heart sound
  • (B) Pulse deficit
  • (C) Disappearance of Presystolic accentuation of mid diastolic murmur
  • (D) Prominent 'a' wave on JVP

Question 57:

Infective Endocarditis is a very rare feature of

  • (A) Patent ductus arteriosus
  • (B) Ostium secundum atrial septal defect
  • (C) Tetralogy of Fallot
  • (D) Ventricular septal defect

Question 58:

Match List I (Clinical signs) with List II (Cardiac disease) and select the correct answer using the codes given below the lists.

List I (Clinical signs)List II (Cardiac disease)
A. Hill's sign1. Pericardial effusion
B. Ewart's sign2. Hypertrophic cardiomyopathy
C. Double systolic impulse3. Junctional rhythm
D. Cannon waves4. Aortic regurgitation

Codes:

  • (A) A - 4, B - 2, C - 1, D - 3
  • (B) A - 3, B - 1, C - 2, D - 4
  • (C) A - 4, B - 1, C - 2, D - 3
  • (D) A - 3, B - 2, C - 1, D - 4

Question 59:

Match List I (Type of pulse) with List II (Cardiac pathology) and select the correct answer using the codes given below the lists.

List I (Type of pulse)List II (Cardiac pathology)
A. Pulsus parvus1. Aortic stenosis
B. Bisferiens pulse2. Cardiac tamponade
C. Pulsus alternans3. Aortic stenosis and regurgitation
D. Pulsus paradoxus4. Left ventricular failure

Codes:

  • (A) A - 1, B - 4, C - 3, D - 2
  • (B) A - 1, B - 3, C - 4, D - 2
  • (C) A - 2, B - 4, C - 3, D - 1
  • (D) A - 2, B - 3, C - 4, D - 1

Question 60:

Consider the following statements. The features of severe asthma include:

  1. Central cyanosis.
  2. Disturbance of consciousness.
  3. Pulsus paradoxus.
  4. Heart rate less than 60 per minute.

Which of these statements are correct?

  • (A) 2, 3 and 4
  • (B) 1, 3 and 4
  • (C) 1, 2 and 3
  • (D) 1, 2 and 4

Question 61:

A patient presents with breathlessness. He has bilateral basal crepitations. Lung function tests reveal a decrease in total lung capacity (TLC) and vital capacity (VC), with a normal FEV1/VC ratio. The most likely diagnosis is

  • (A) Chronic bronchitis
  • (B) Idiopathic pulmonary fibrosis
  • (C) Cystic fibrosis
  • (D) Allergic bronchopulmonary aspergillosis

Question 62:

An otherwise healthy young man presented with sudden onset of breathlessness which was increasing rapidly. On examination, it was found that the left chest movement was grossly restricted, breath sounds were absent, and the percussion note was tympanitic. The most likely diagnosis is

  • (A) Tension pneumothorax
  • (B) Simple pneumothorax
  • (C) Bronchial asthma
  • (D) Cardiac asthma

Question 63:

Which one of the following is NOT correct regarding Silicosis?

  • (A) Egg shell calcification is seen on chest X-ray
  • (B) It is more marked in the lower zone
  • (C) May lead to progressive massive fibrosis
  • (D) The disease may progress even after the exposure has ceased

Question 64:

Which one of the following organisms causes pneumonia which most commonly results in Pneumatocele?

  • (A) Klebsiella pneumoniae
  • (B) Haemophilus influenzae
  • (C) Staphylococcus aureus
  • (D) Streptococcus pneumoniae

Question 65:

Match List I (Respiratory sign) with List II (Clinical condition) and select the correct answer using the codes given below the Lists:
List I (Respiratory sign)
A. Localized wheeze
B. Shifting dullness
C. Ellis curve
D. Intercostal tenderness
List II (Clinical condition)
1. Pleural effusion
2. Empyema
3. Hydropneumothorax
4. Bronchial tumour

  • (A) A-2, B-1, C-3, D-4
  • (B) A-4, B-3, C-1, D-2
  • (C) A-2, B-3, C-1, D-4
  • (D) A-4, B-1, C-3, D-2

Question 66:

Which of the following is the primary site of production of Gastrin?

  • (A) Pylorus
  • (B) Antrum
  • (C) Pancreas
  • (D) Small intestine

Question 67:

Chronic Active Hepatitis is most reliably distinguished from Chronic Persistent Hepatitis by the presence of

  • (A) Extrahepatic manifestation
  • (B) Significant titre of antismooth muscle antibody
  • (C) Characteristic liver histology
  • (D) Hepatitis B surface antigen

Question 68:

Commonest early symptom of primary biliary cirrhosis is

  • (A) Pruritus
  • (B) Jaundice
  • (C) Hepatomegaly
  • (D) Pale stools

Question 69:

Which one of the following is NOT used as a criteria in the Child-Pugh classification of liver disease to identify the risk categories?

  • (A) Serum albumin
  • (B) SGOT, SGPT ratio
  • (C) Ascites
  • (D) Prothrombin

Question 70:

Consider the following statements: Cystic fibrosis of the pancreas
1. Is an autosomal dominant disorder.
2. Is established by sweat sodium concentrations more than 80 mmol/L.
3. May produce neonatal small bowel obstruction.
4. Is associated with a dysfunction of all mucus secreting glands.
Which of these statements are correct?

  • (A) 2, 3 and 4
  • (B) 1, 3 and 4
  • (C) 1, 2 and 3
  • (D) 1, 2 and 4

Question 71:

The persons working in dye industry are prone to develop malignancy of

  • (A) Kidney
  • (B) Urinary bladder
  • (C) Prostate
  • (D) Lung

Question 72:

Which one of the following is NOT true regarding Pseudobulbar palsy?

  • (A) Emotional incontinence
  • (B) Exaggerated jaw jerk
  • (C) Dysarthria
  • (D) Flaccid tongue

Question 73:

Hypokalemia is caused by the following EXCEPT

  • (A) Cushing's syndrome
  • (B) Conn's syndrome
  • (C) Bartter's syndrome
  • (D) Addison's disease

Question 74:

Sensory Neural Deafness associated with hereditary nephritis is seen in

  • (A) Fanconi's syndrome
  • (B) Berger's disease
  • (C) Albright's syndrome
  • (D) Alport's syndrome

Question 75:

Metabolic acidosis with increased anion gap occurs in all of the following EXCEPT

  • (A) Diabetic keto acidosis
  • (B) Lactic acidosis
  • (C) Renal tubular acidosis
  • (D) Methanol poisoning

Question 76:

The following conditions may present with both upper and lower motor neuron involvement EXCEPT

  • (A) Subacute combined degeneration of spinal cord
  • (B) Friedreich's ataxia
  • (C) Amyotrophic lateral sclerosis
  • (D) Becker's Dystrophy

Question 77:

The characteristic feature of Horner's syndrome is

  • (A) Dilated pupil
  • (B) Ptosis
  • (C) Increased sweating
  • (D) Abducted eye

Question 78:

Which one of the following conditions is NOT true regarding Myotonic dystrophy?

  • (A) Cardiac defects
  • (B) Cataract
  • (C) Frontal baldness
  • (D) Enlarged testis

Question 79:

Homonymous hemianopia may occur due to lesion involving

  • (A) Optic nerve
  • (B) Optic chiasm
  • (C) Optic tract
  • (D) Bilateral foveal lesions

Question 80:

Uncontrolled action of which of the following enzymes plays a major etiological role in chronic myeloid leukemia?

  • (A) Tyrosine kinase
  • (B) Cholinesterase
  • (C) Galactokinase
  • (D) Bradykinin

Question 81:

Which of the following blood group antigens serves as receptor for Plasmodium vivax?

  • (A) Duffy
  • (B) ABO
  • (C) Kell
  • (D) Rh

Question 82:

Consider the following statements about Factor VIII (AHF), which is involved in the coagulation mechanism of haemostasis:
1. Only in extrinsic pathway
2. Only in intrinsic pathway
3. In common pathway
Which of these statements is/are correct?

  • (A) 1 only
  • (B) 2 only
  • (C) 1 and 3
  • (D) 2 and 3

Question 83:

Which of the following is not associated with hyperkalemia?

  • (A) Tall T waves
  • (B) Prolonged QRS interval
  • (C) Short P.R. interval
  • (D) Sine waves

Question 84:

Consider the following statements: In nephrogenic diabetes insipidus, the patient is likely to have
1. High vasopressin level.
2. Poor or no response to desmopressin.
3. Low plasma osmolality.
4. Elevated plasma glucose level.
Which of these statements are correct?

  • (A) 1, 2 and 3
  • (B) 2, 3 and 4
  • (C) 1 and 4
  • (D) 1, 2, 3 and 4

Question 85:

Lymphogranuloma venereum is best treated by

  • (A) Doxycycline
  • (B) Erythromycin
  • (C) Azithromycin
  • (D) Ciprofloxacin

Question 86:

Among the following groups, which combination is NOT useful for the treatment of hypertension?

  • (A) Atenolol with amlodipine
  • (B) Enalapril with Hydrochlorothiazide
  • (C) Alpha methyldopa with clonidine
  • (D) Amlodipine with lisinopril

Question 87:

Consider the following:
1. Metolazone
2. Amiloride
3. Triamterene
4. Chlorthalidone
Which of these are the potassium sparing diuretics?

  • (A) 1, 2 and 3
  • (B) 1, 2 and 4
  • (C) 2 and 3
  • (D) 1, 3 and 4

Question 88:

Which one of the following features may NOT be seen in hypothyroidism?

  • (A) Cold intolerance
  • (B) Deafness
  • (C) Pericardial effusion
  • (D) Pretibial myxoedema

Question 89:

Lactic acidosis is more likely to be caused by which one of the following drugs?

  • (A) Gliclazide
  • (B) Acarbose
  • (C) Metformin
  • (D) Pioglitazone

Question 90:

In acromegaly, the patient is likely to have which of the following?
1. Impaired glucose tolerance
2. Galactorrhoea
3. Hypertension
4. Suppression of growth hormone with glucose
Which of these statements are correct?

  • (A) 1, 2 and 4
  • (B) 2, 3 and 4
  • (C) 1, 3 and 4
  • (D) 1, 2 and 3

Question 91:

Which of the following statements about antibodies is NOT correct?

  • (A) Human gamma globulins consist of at least 25 to 30 different proteins
  • (B) A typical immunoglobulin consists of 4 subunits
  • (C) Gamma globulins are formed predominantly by the liver
  • (D) Immunoglobulins have a molecular weight of about 1,50,000

Question 92:

A 35 year old pilot has been detected to have pulmonary tuberculosis. Which one of the following should NOT be prescribed for him?

  • (A) Isoniazid
  • (B) Ethambutol
  • (C) Pyrazinamide
  • (D) Streptomycin

Question 93:

Which of the following antibiotics, if administered to a premature infant, can cause grey baby syndrome?

  • (A) Tetracycline
  • (B) Chloramphenicol
  • (C) Clindamycin
  • (D) Netilmycin

Question 94:

A 50 year old patient wakes up with excruciating pain at the base of the great toe with redness and swelling. Which would be the most desirable drug?

  • (A) Allopurinol
  • (B) Probenecid
  • (C) Sulfinpyrazone
  • (D) Indomethacin

Question 95:

Which one of the following diseases is NOT developed by intrauterine growth retarded, full term Low Birth Weight infants in later life?

  • (A) Coronary heart disease
  • (B) Hypertension
  • (C) Diabetes
  • (D) Malabsorption syndrome

Question 96:

A person working in a hot environment who consumes more water without salt is likely to develop a condition called

  • (A) Heat stroke
  • (B) Heat exhaustion
  • (C) Heat cramps
  • (D) Heat hyperpyrexia

Question 97:

Assertion (A): The term 'Eradication' means termination of all transmissions of infection.

Reason (R): It involves complete destruction of the infective agent.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 98:

Assertion (A): Abortion may be induced at twenty weeks of gestation without second medical opinion.

Reason (R): The conditions for medical termination of pregnancy have been liberalized in India.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 99:

Assertion (A): All newborns should be screened for hypothyroidism at birth.

Reason (R): Treatment at birth for hypothyroidism can assure normal mental development.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 100:

Assertion (A): The 23 valent pneumococcal vaccine is not recommended for routine use in children.

Reason (R): Most pneumococcal strains are still susceptible to penicillin.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 101:

Assertion (A): Lumbar puncture is indicated in a child with fever and asymmetric flaccid limb weakness.

Reason (R): The diagnosis of Guillain-Barre syndrome can be established by albuminocytologic dissociation on CSF analysis.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 102:

Assertion (A): Systemic estrogens as HRT are indicated in post-menopausal women with hypertriglyceridemia.

Reason (R): The systemic estrogens induce the hepatic synthesis of lipoproteins.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 103:

Assertion (A): Ferrous sulphate should not be given to pregnant women who are at high risk of PIH.

Reason (R): Ferrous sulphate increases free radicals which induce serum lipid peroxide formation.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 104:

Assertion (A): Supravaginal elongation of cervix occurs in uterovaginal prolapse.

Reason (R): There is gaping genital hiatus but the ligamentous support of uterus is strong.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 105:

Assertion (A): A child who has had an acute attack of poliomyelitis should be administered oral polio vaccine.

Reason (R): There is no cross-immunity between the different types of polio viruses.

  • (A) Both A and R are true and R is the correct explanation of A
  • (B) Both A and R are true but R is NOT the correct explanation of A
  • (C) A is true but R is false
  • (D) A is false but R is true

Question 106:

Match List I (Health Planning Committees) with List II (Main Recommendations/Important Results) and select the correct answer using the codes given below the lists.

List IList II
A. Shrivastav Committee1. Malaria surveillance workers to look after family planning work also
B. Chadah Committee2. Integration of services from the highest to the lowest levels
C. Kartar Singh Committee3. Led to creation of Health Guides
D. Jungalwalla Committee4. Led to creation of multipurpose worker

  • (A) A-3, B-4, C-1, D-2
  • (B) A-3, B-1, C-4, D-2
  • (C) A-2, B-1, C-4, D-3
  • (D) A-2, B-4, C-1, D-3

Question 107:

The poverty line limit for rural areas is the purchasing capacity for a daily intake of 2400 calories per person. Which one of the following calorie limits is for urban areas?

  • (A) 1900
  • (B) 2100
  • (C) 2400
  • (D) 2800

Question 108:

Which of the following is/are used as operational indicators in antileprosy activity?

  • (A) Incidence
  • (B) Prevalence rate
  • (C) Case detection rate
  • (D) All of the above

Question 109:

With increased plan outlays for the National AIDS Control Programme, the secondary dividends of these interventions shall directly benefit

  • (A) RCH Programme
  • (B) MCH Services
  • (C) Immunization Programme
  • (D) National Tuberculosis Control Programme

Question 110:

Under the National Programme for Control of Blindness, to define blindness, the visual acuity should be less than

  • (A) 3/60
  • (B) 6/60
  • (C) 1/60
  • (D) 6/24

Question 111:

Match List I (Organization/Agency) with List II (Programme) and select the correct answer using the codes given below the lists.

List IList II
A. USAID1. Blindness Control
B. Colombo Plan2. Agriculture and Industry
C. SIDA3. Tuberculosis Control
D. DANIDA4. Technical Cooperation Mission

  • (A) A-4, B-2, C-3, D-1
  • (B) A-1, B-3, C-2, D-4
  • (C) A-4, B-3, C-2, D-1
  • (D) A-1, B-2, C-3, D-4

Question 112:

In respect of type 1 error in the field of medical statistics, which one of the following is not correct?

  • (A) It is also called alpha error.
  • (B) It is often assigned a value of 0.05 in studies.
  • (C) It is equal to 1 minus the beta error.
  • (D) It is used to determine sample size.

Question 113:

The decadal exercise of census operation is done over a period of time, but the population count is assumed to be one existing on

  • (A) January 1st
  • (B) March 1st
  • (C) April 1st
  • (D) March 31st

Question 114:

Match List I (Disease) with List II (Vector) and select the correct answer using the codes given below the lists.

List I (Disease)List II (Vector)
A. Scabies1. Soft tick
B. Fish tapeworm infestation2. Cyclops
C. Relapsing fever3. Sarcoptes
D. Kyasanur Forest disease4. Hard tick

  • (A) A-3, B-2, C-1, D-4
  • (B) A-4, B-1, C-2, D-3
  • (C) A-3, B-1, C-2, D-4
  • (D) A-4, B-2, C-1, D-3

Question 115:

Effect of pyrethrum on mosquitoes is described as

  • (A) Residual
  • (B) Repellent
  • (C) Knock down
  • (D) Contact

Question 116:

A screening test applied to detect diabetes in a population over 40 years of age should satisfy all of the following criteria, EXCEPT

  • (A) Validity
  • (B) Reproducibility
  • (C) Feasibility
  • (D) Ingenuity

Question 117:

Which one of the following is NOT the cause of wide pulse pressure?

  • (A) Severe aortic regurgitation
  • (B) Severe mitral regurgitation
  • (C) Severe tricuspid regurgitation
  • (D) Severe anemia

Question 118:

A 5-year old boy, a known patient of bronchial asthma, presents with cough, wheezing and breathlessness. Examination shows respiratory rate 48/minute, pulsus paradoxus and bilateral rhonchi. The most appropriate immediate treatment is

  • (A) Intravenous theophylline and corticosteroids
  • (B) Intravenous theophylline and nebulized salbutamol
  • (C) Nebulized salbutamol and ipratropium
  • (D) Nebulized salbutamol and intravenous corticosteroids

Question 119:

What is the correct sequence of the following while resuscitating an infant with Foreign Body Airway Obstruction?

  1. Chest thrust
  2. Tongue-jaw lift
  3. Back blows

Select the correct sequence from the codes given below.

  • (A) 1, 3, 2
  • (B) 3, 2, 1
  • (C) 3, 1, 2
  • (D) 2, 1, 3

Question 120:

Regarding simple febrile seizure, which one of the following statements is NOT correct?

  • (A) It is usually seen in children between 6 months and 6 years of age.
  • (B) The seizure usually lasts for less than 15 minutes.
  • (C) Rectal diazepam given at the onset of febrile illness can reduce the incidence of recurrent febrile seizure.
  • (D) Oral phenobarbitone is usually prescribed after the first episode of seizure to prevent recurrences.

Question 121:

Diarrhea-related hemolytic uremic syndrome is characterized by all of the following, EXCEPT

  • (A) Acute renal failure
  • (B) Coombs' positive hemolytic anemia
  • (C) Thrombocytopenia
  • (D) Neutrophilic leukocytosis

Question 122:

An 11-year old girl presents with severe hypertension. Ultrasonography shows a small sized left kidney. The DTPA radionuclide scan shows reduced function in this kidney that further declines following oral administration of enalapril. What is the most appropriate investigation that is required?

  • (A) Renal biopsy
  • (B) Intravenous pyelogram
  • (C) Arterial angiography
  • (D) Micturating cystourethrogram

Question 123:

Erythrocyte Sedimentation Rate is zero in

  • (A) Abetalipoproteinemia
  • (B) Afibrinogenemia
  • (C) Asplenia
  • (D) Aplastic anemia

Question 124:

Infant born to a diabetic mother is at risk for all of the following, EXCEPT

  • (A) Neonatal hepatitis
  • (B) Polycythemia
  • (C) Hypoglycemia
  • (D) Congenital malformations

Question 125:

Which one of the following is NOT associated with Cephalhematoma?

  • (A) Swelling is present at birth
  • (B) Usually involves parietal and occipital bone
  • (C) Bleeding is subperiosteal
  • (D) Usually reabsorbed in 2-3 months

Question 126:

A girl can walk upstairs, alternating feet, and make a tower of 8 cubes. She refers to herself by the pronoun 'I', knows her name, but not her age and gender. The most likely chronological age is

  • (A) 24 months
  • (B) 30 months
  • (C) 36 months
  • (D) 42 months

Question 127:

Passage: A one and a half year old girl, fed mostly on dilute cow's milk, develops diarrhea that persists for 10 days. This is followed by swelling on her feet.

The likely diagnosis is

  • (A) Kwashiorkor
  • (B) Acute renal failure
  • (C) Congestive cardiac failure
  • (D) Indian childhood cirrhosis

Question 128:

Passage: A one and a half year old girl, fed mostly on dilute cow's milk, develops diarrhea that persists for 10 days. This is followed by swelling on her feet, and the likely diagnosis is Kwashiorkor.

One life-threatening complication of this condition is

  • (A) Hyperkalemia
  • (B) Hypernatremia
  • (C) Metabolic acidosis
  • (D) Hypoglycaemia

Question 129:

A one and a half year old girl child, fed mostly on dilute cow's milk, develops diarrhea that continues for 10 days. She then develops swelling of both feet, and the picture is diagnosed as kwashiorkor. The most important aspect of her management is

  • (A) Diuretics
  • (B) Fluid restriction
  • (C) Diet with adequate calories and protein
  • (D) Potassium restriction

Question 130:

Consider the following statements about breath-holding spells in children:

  1. They are usually preceded by minor trauma.
  2. The child stops breathing and becomes cyanosed.
  3. The child suddenly becomes pale and limp.
  4. Frequency becomes less with zinc supplementation.
Which of the above statements are correct?

  • (A) 1, 2 and 3
  • (B) 1 and 2
  • (C) 2, 3 and 4
  • (D) 1, 3 and 4

Question 131:

In which one of the following conditions can dactylitis NOT be seen?

  • (A) Sickle-cell anemia
  • (B) Beta thalassemia
  • (C) Congenital syphilis
  • (D) Tuberculosis

Question 132:

Spleen is palpable in all haemolytic anemias in a child of 8 years of age, EXCEPT in

  • (A) Thalassemia
  • (B) Spherocytosis
  • (C) Sickle-cell anemia
  • (D) Haemolysis in malaria

Question 133:

Which one of the following is NOT a live vaccine?

  • (A) OPV
  • (B) BCG
  • (C) Hib vaccine
  • (D) Ty 21a against Typhoid

Question 134:

Maternal mortality is defined as number of maternal deaths per

  • (A) 1000 live births
  • (B) 10,000 live births
  • (C) 1,00,000 live births
  • (D) 1,00,000 pregnancies

Question 135:

Umbilical cord has

  • (A) two arteries and one vein
  • (B) two veins and one artery
  • (C) one vein and one artery
  • (D) two arteries and two veins

Question 136:

Deep vein thrombosis is more common in the left leg because

  • (A) of dextrorotation of uterus
  • (B) the left common iliac vein is more tortuous
  • (C) inferior vena cava is on right side
  • (D) left ovarian artery is a branch of aorta

Question 137:

Which one of the following parameters is NOT necessary for monitoring during magnesium sulphate therapy for eclampsia?

  • (A) Central venous pressure
  • (B) Respiratory rate
  • (C) Patellar reflex
  • (D) Urinary output

Question 138:

A case of eclampsia is brought to a primary health centre late in the night. The decision is to

  • (A) Tell the relatives to take her to the referral hospital immediately
  • (B) Give 10 mg Calmpose (diazepam) IV and ask the relatives to take her to a higher centre
  • (C) Give 10 mg Calmpose IV, induce labor and wait for transport
  • (D) Give anticonvulsants, inform the higher centre and wait for transport

Question 139:

Anti-thrombin III levels in disseminated intravascular coagulation

  • (A) Are decreased
  • (B) Are increased
  • (C) Remain the same
  • (D) Are variable

Question 140:

Hydramnios is diagnosed by ultrasound by all of the following, EXCEPT

  • (A) Single vertical pocket more than 8 cm
  • (B) Single vertical pocket more than 5 cm
  • (C) Amniotic fluid index more than 24 cm
  • (D) Subjective assessment

Question 141:

Which one of the following endometrial histopathological findings is suggestive of an ectopic pregnancy?

  • (A) Decidual reaction
  • (B) Chorionic villi
  • (C) Proliferative endometrium
  • (D) Secretory endometrium

Question 142:

Deep vein thrombosis in pregnancy is best treated by

  • (A) Heparin in the 1st trimester and warfarin in the 2nd and 3rd trimesters
  • (B) Warfarin in all trimesters
  • (C) Heparin in all trimesters
  • (D) Heparin in the 1st and 2nd trimesters and warfarin in the 3rd trimester

Question 143:

The following are the characteristics of caput succedaneum, EXCEPT

  • (A) It is present at birth
  • (B) It does not cause jaundice in the newborn
  • (C) It is limited to an individual bone
  • (D) It disappears within a few hours of birth

Question 144:

The four cardinal movements, flexion, internal rotation, extension, and restitution with external rotation, constitute part of the normal mechanism of labor. The chronological order in which they occur is

  • (A) Flexion, internal rotation, extension, restitution and external rotation
  • (B) Internal rotation, flexion, extension, restitution and external rotation
  • (C) Flexion, extension, restitution and external rotation, internal rotation
  • (D) Internal rotation, extension, restitution and external rotation, flexion

Question 145:

List I (Feature)List II (Diagnosis)
A. Star gazing fetus1. Transverse lie
B. Frog eye appearance2. Breech with extended head
C. Buddha's position3. Anencephaly
D. Partus conduplicato corpore4. Hydrops fetalis

Match List I (Feature) with List II (Diagnosis) and select the correct answer using the codes given below the lists.

  • (A) A-1, B-4, C-3, D-2
  • (B) A-1, B-3, C-4, D-2
  • (C) A-2, B-4, C-3, D-1
  • (D) A-2, B-3, C-4, D-1

Question 146:

With reference to abnormal labor, consider the following procedures:
1. Internal podalic version
2. Forceps application
3. Assisted breech delivery

In which of these should the cervix be fully dilated?

  • (A) 1, 2 and 3
  • (B) 1 and 2
  • (C) 2 and 3
  • (D) 1 and 3

Question 147:

At which station of the fetal head is outlet forceps applied?

  • (A) +2 station
  • (B) +3 station
  • (C) 'O' station
  • (D) After full engagement of head

Question 148:

Which one of the following is NOT true in Normal Puerperium?

  • (A) Women loses body weight
  • (B) Diuresis occurs from the 2nd day
  • (C) Progressive diminution of the size of the uterus
  • (D) Red lochia (lochia rubra) continues till the 8th week after the delivery of the fetus (parturition)

Question 149:

Consider the following:
1. Endometritis
2. Mastitis
3. Urinary tract infection
4. Deep vein thrombosis

Which of these are common causes of Puerperal Fever?

  • (A) 1, 2 and 3
  • (B) 1 and 2
  • (C) 2 and 3
  • (D) 1 and 4

Question 150:

In a male fetus, ultrasonography identification of bilateral hydronephrosis and bladder dilatation is diagnostic of

  • (A) Polycystic kidney disease
  • (B) Multicystic dysplastic kidney
  • (C) Uteropelvic junction obstruction
  • (D) Posterior urethral valve syndrome

Question 151:

In which one of the following combinations, ABO incompatibility is most common?

  • (A) Mother's group 'A' and father's group 'O'
  • (B) Mother's group 'A' and father's group 'B'
  • (C) Mother's group 'O' and father's group 'A'
  • (D) Mother's group 'B' and father's group 'AB'

Question 152:

Lymphatic drainage of the cervix is to the following lymph nodes, EXCEPT

  • (A) Parametrial lymph nodes
  • (B) Deep inguinal lymph nodes
  • (C) Obturator lymph nodes
  • (D) External iliac lymph nodes

Question 153:

Hypoplastic uterus with streak gonads is a feature of

  • (A) Testicular feminization syndrome
  • (B) Triple X syndrome
  • (C) Adrenogenital syndrome
  • (D) Turner syndrome

Question 154:

In which of the following is the Mullerian system present?

  • (A) Mayer-Rokitansky-Kuster-Hauser syndrome
  • (B) Turner syndrome
  • (C) Testicular feminization syndrome
  • (D) Klinefelter syndrome

Question 155:

The most important factor in hemostasis preventing PPH after placental separation is due to

  • (A) Uterine contraction and relaxation
  • (B) Retraction of the uterus
  • (C) Thrombosis of blood vessels in the myometrium
  • (D) Retroplacental clot

Question 156:

Among the following, the best indicator of health in a community is

  • (A) Maternal mortality rate
  • (B) Infant mortality rate
  • (C) Life expectancy
  • (D) Neonatal mortality rate

Question 157:

Which one of the following gives strong evidence of typhoid fever carrier status?

  • (A) Isolation of core antigen
  • (B) Isolation of Vi antigen
  • (C) Persistence of Vi antibodies
  • (D) Demonstration of typhoid bacilli in stools

Question 158:

Which one of the following is NOT a socio-economic indicator?

  • (A) Literacy rate
  • (B) Family size
  • (C) Housing
  • (D) Life expectancy at birth

Question 159:

Which one of the following diseases CANNOT be eradicated?

  • (A) Leprosy
  • (B) Tuberculosis
  • (C) Measles
  • (D) Pertussis

Question 160:

Which of the following statements is correct?

  • (A) A cohort study is more expensive in comparison to a case control study
  • (B) A cohort study starts with people exposed to a risk factor or suspected cause, while a case control study starts with the disease
  • (C) A long follow-up period is often needed, with delayed results, in a cohort study, whereas a case control study yields relatively quick results
  • (D) A cohort study is more appropriate when the disease or exposure under investigation is rare, in comparison to a case control study

Question 161:

There is a public health perception that healthy girls aged 5 to 14 years should be exposed to natural infection with

  • (A) Rubella (German measles)
  • (B) Mumps
  • (C) Chickenpox
  • (D) Whooping cough

Question 162:

The ratio between the incidence of disease among exposed and non-exposed is called

  • (A) Causal risk
  • (B) Relative risk
  • (C) Attributable risk
  • (D) Odds ratio

Question 163:

How much amount of energy is yielded by one ml of alcohol in the body?

  • (A) 1 cal
  • (B) 4 cal
  • (C) 7 cal
  • (D) 9 cal

Question 164:

Which one of the following is NOT used in testing for adequate pasteurization of milk?

  • (A) Phosphatase test
  • (B) Coliform count
  • (C) Standard plate count
  • (D) Methylene blue reduction test

Question 165:

Consider the following sentence: The risk factors for peptic ulcer include
1. Regular use of aspirin or steroids
2. Tobacco smoking
3. Familial predisposition
4. Dietary habits
Which of these statements are correct?

  • (A) 1, 2, 3 and 4
  • (B) 1 and 2
  • (C) 1 and 3
  • (D) 2 and 3

Question 166:

Screening is the most commonly used epidemiological tool in school health services. Which level of prevention does it refer to?

  • (A) Primary
  • (B) Secondary
  • (C) Tertiary
  • (D) Primary and secondary

Question 167:

With reference to school health, which one of the following statements is NOT correct?

  • (A) Per capita space for students in a classroom should not be less than 10 sq ft
  • (B) Desks should be of plus type
  • (C) Classroom should have sufficient natural light, preferably from the left
  • (D) There should be one urinal for 60 students and one latrine for 100 students

Question 168:

In which one of the following situations is Amniocentesis NOT called for?

  • (A) Mother's age is 35 years or more
  • (B) Parents who are known to have chromosomal translocation
  • (C) Raised alpha fetoprotein in amniotic fluid during an earlier pregnancy
  • (D) A Rh negative multipara mother aged 30 years with two live healthy boys

Question 169:

The efficiency of cold chain system for oral polio vaccine, as monitored by the Vaccine Vial Monitor (VVM), depends on

  • (A) Change in the colour of vaccine
  • (B) Temperature indicator of the system
  • (C) Viral potency test
  • (D) Change of colour on the label of the bottle

Question 170:

When an abandoned child is legally accepted by a couple, it is called as

  • (A) Remand home placement and Foster home placement
  • (B) Remand home placement and Borstal placement
  • (C) Adoption and Foster home placement
  • (D) Adoption and Remand home placement

Question 171:

Which one of the following doses, in lethal flocculating units of Diphtheria Toxoid, is incorporated in DPT vaccine?

  • (A) 5
  • (B) 15
  • (C) 25
  • (D) 35

Question 172:

Which one of the following Immunoglobulins is transmitted to the fetus through the placenta?

  • (A) IgG
  • (B) IgA
  • (C) IgM
  • (D) IgD

Question 173:

Consider the following statements: Use of oral contraceptive pills confers additional protection against
1. Fibroadenoma
2. Ectopic pregnancy
3. Ovarian cysts and iron deficiency anemia
Which of these statements are correct?

  • (A) 1 and 2
  • (B) 1 and 3
  • (C) 2 and 3
  • (D) 1, 2 and 3

Question 174:

Which one of the following is NOT an absolute contraindication for oral contraceptive pills?

  • (A) Nursing mothers
  • (B) Cancer of breast
  • (C) Cardiac abnormalities
  • (D) History of thromboembolism

Question 175:

The best indicator(s) for monitoring of air pollution is/are

  • (A) Sulphur dioxide
  • (B) Sulphur dioxide and suspended particles
  • (C) Oxides of nitrogen and polyaromatic hydrocarbons
  • (D) Carbon monoxide

Question 176:

The organism which is NOT an indicator of fecal pollution is

  • (A) Staphylococcus
  • (B) Streptococcus
  • (C) E.coli
  • (D) Clostridium perfringens

Question 177:

Last case of smallpox occurred in India during which one of the following years?

  • (A) 1965
  • (B) 1975
  • (C) 1986
  • (D) 1995

Question 178:

'DOTS' indicates

  • (A) Long-term treatment under direct observation
  • (B) Short-term treatment under direct observation
  • (C) Short-term treatment without observation
  • (D) Domiciliary treatment without observation

Question 179:

Lymphogranuloma venereum is caused by

  • (A) Haemophilus ducreyi
  • (B) Donovania granulomatis
  • (C) Treponema pertenue
  • (D) Chlamydia trachomatis

Question 180:

Which one of the following is NOT a characteristic of non-communicable disease?

  • (A) Well-defined etiological agent
  • (B) Multifactorial causation
  • (C) Long latent period
  • (D) Variable onset

Question 181:

The number of live births per 1000 women in the reproductive age group in a year refers to

  • (A) Total fertility rate
  • (B) Gross Reproduction Rate
  • (C) Net Reproduction Rate
  • (D) General Fertility Rate

Question 182:

With reference to lead poisoning, match List I (Agent) with List II (Amount) and select the correct answer using the codes given below the list.

List I (Agent)List II (Amount)
A. Coproporphyrin in urine1. > 70 mcg/100 ml
B. Aminolevulinic acid in urine2. > 5 mg/L
C. Lead in urine3. > 150 mcg/L
D. Lead in blood4. > 0.8 mg/L

  • (A) A-1, B-2, C-4, D-3
  • (B) A-3, B-4, C-2, D-1
  • (C) A-1, B-4, C-2, D-3
  • (D) A-3, B-2, C-4, D-1

Question 183:

The minimum air space per worker prescribed by Indian Factory (Amendment) Act, 1987 is

  • (A) 200 cu ft
  • (B) 300 cu ft
  • (C) 500 cu ft
  • (D) 700 cu ft

Question 184:

Amniocentesis to detect chromosomal abnormalities can be done as early as

  • (A) 14th week of gestation
  • (B) 18th week of gestation
  • (C) 22nd week of gestation
  • (D) 26th week of gestation

Question 185:

Haemophilia is a genetic disorder of coagulation seen only in males. It is transmitted as

  • (A) X-linked dominant
  • (B) Y-linked dominant
  • (C) X-linked recessive
  • (D) Autosomal recessive

Question 186:

The pattern of inter-relations between persons in a society is called

  • (A) Social stratification
  • (B) Social structure
  • (C) Caste system
  • (D) Herd structure

Question 187:

The most effective method for motivating a couple for adopting family planning practices is

  • (A) Printed material
  • (B) Films and television
  • (C) Group discussion
  • (D) Inter-personal communication

Question 188:

Which one of the following is an environmental factor associated with mental illness?

  • (A) Emotional stress
  • (B) Frustration
  • (C) Broken home
  • (D) Anxiety

Question 189:

Which one of the following statements is NOT correct?

  • (A) The graafian follicle after ovulation changes to corpus luteum.
  • (B) Atretic follicles are formed after atrophy of corpus luteum.
  • (C) Estradiol is formed from androgens in the ovarian follicle.
  • (D) Follicular stimulating hormone (FSH) is necessary for the development of the granulosa layer.

Question 190:

For the treatment of excessive bleeding in a case of DUB, which one of the following therapies used is termed as 'Medical Curettage'?

  • (A) Combined estrogen progestogen pill
  • (B) Danazol
  • (C) High doses of progestogens
  • (D) GnRH analogue

Question 191:

In patients of dysfunctional uterine bleeding, with secretory endometrium on histopathology, the initial treatment of choice would be

  • (A) Oral contraceptives
  • (B) Progestins
  • (C) NSAIDs
  • (D) Danazol

Question 192:

Retroverted uterus detected in routine examination in gynaecological clinic can be managed as

  • (A) Pessary treatment
  • (B) Ventral suspension operation
  • (C) Postural exercise
  • (D) No treatment

Question 193:

The commonest organism responsible for Bartholin abscess is

  • (A) Treponema pallidum
  • (B) Trichomonas vaginalis
  • (C) Neisseria gonorrhoeae
  • (D) Lymphogranuloma venereum

Question 194:

Increased LH : FSH ratio is found in

  • (A) Premature menopause
  • (B) Sheehan syndrome
  • (C) Polycystic ovary syndrome
  • (D) Turner's syndrome

Question 195:

Which of the following statements about definition of Hirsutism is correct?

  • (A) Hirsutism is excessive facial hair.
  • (B) Hirsutism is excessive distribution of facial and body hair in a female distribution pattern.
  • (C) Hirsutism is excessive distribution of facial and body hair in a male distribution pattern.
  • (D) Hirsutism is excessive distribution of body hair.

Question 196:

Complete perineal tear is common in

  • (A) Face to pubes delivery
  • (B) Breech delivery
  • (C) Internal podalic version
  • (D) Manual removal of placenta

Question 197:

Young women whose mothers took diethylstilbestrol during pregnancy are likely to develop one of the following genital malignancy

  • (A) Squamous-cell carcinoma
  • (B) Adenosquamous carcinoma
  • (C) Papillary adenocarcinoma
  • (D) Clear-cell adenocarcinoma

Question 198:

In carcinoma cervix, the causative etiological factor is

  • (A) Condyloma acuminata
  • (B) HPV 16,18
  • (C) HPV 6,11
  • (D) HSV 1 and 2

Question 199:

Which one of the following is the most common extrauterine site to be affected by endometriosis?

  • (A) Vagina
  • (B) Rectovaginal septum
  • (C) Sigmoid colon
  • (D) Broad ligament (except tubes and ovaries)

Question 200:

The first evidence of pubertal development in the female is

  • (A) Appearance of breast buds.
  • (B) Onset of menarche
  • (C) Appearance of axillary hair
  • (D) Appearance of pubic hair

Question 201:

Which one of the following is the most common problem associated with the use of condom?

  • (A) Increased monilial infection of vagina
  • (B) Premature ejaculation
  • (C) Contact dermatitis
  • (D) Retention of urine

Question 202:

Which one of the following intrauterine contraceptive devices has the lowest pregnancy rate?

  • (A) Lippes' loop
  • (B) Cu-7
  • (C) Cu T-200
  • (D) Levonorgestrel IUD

Question 203:

A primipara with a cardiac lesion (MI) has come on the 40th day of delivery asking for contraception. The contraceptive of choice is

  • (A) Condom with spermicidal jelly
  • (B) Oral contraceptive pill
  • (C) Intrauterine contraceptive device
  • (D) Laparoscopic sterilization

Question 204:

Match List I (Type of Pill) with List II (Effect) and select the correct answer using the codes given below the lists.

List IList II
A. Triphasic1. Prevention of ovarian tumours
B. DMPA2. Good for women having hypomenorrhoea
C. Biphasic pill3. Amenorrhoea is common
D. Progestin containing IUD4. Beneficial effect on high density lipoproteins
5. Chance of ectopic pregnancy

  • (A) A-4, B-3, C-1, D-5
  • (B) A-4, B-1, C-3, D-5
  • (C) A-5, B-4, C-2, D-1
  • (D) A-5, B-3, C-4, D-2

Question 205:

Which one of the following hormonal contraceptives CANNOT be used during lactation?

  • (A) Mini-pill
  • (B) Norplant
  • (C) DMPA
  • (D) Combined oral contraceptives

Question 206:

Third generation oral contraceptive pills containing norgestrel and gestodene along with estrogens

  • (A) Are more lipid friendly
  • (B) Decrease the risk of venous thromboembolism
  • (C) Increase the risk of break through bleeding
  • (D) Are not used for emergency contraception

Question 207:

Which part of the tube is ligated while doing female sterilization by Pomeroy's technique?

  • (A) Ampullary
  • (B) Isthmo-ampullary
  • (C) Interstitial
  • (D) Isthmic

Question 208:

The following statements are true regarding sterilization by Pomeroy's method, EXCEPT

  • (A) It is performed with non-absorbable suture material
  • (B) It does not include crushing of fallopian tube
  • (C) It has a higher failure rate if performed at the time of caesarean section
  • (D) It has a failure rate of about 0.1-0.4%

Question 209:

Medical Termination of Pregnancy Act was passed by the Parliament of India in

  • (A) 1950
  • (B) 1965
  • (C) 1971
  • (D) 1981

Question 210:

Gas preferred for creating pneumoperitoneum during laparoscopy is

  • (A) Carbon dioxide
  • (B) Oxygen
  • (C) Air
  • (D) Nitrous oxide

Question 211:

Which one of the following statements is NOT correct?

  • (A) Unfractionated Heparin does not cross the placenta.
  • (B) Low molecular weight Heparins can cross the placenta.
  • (C) Warfarin crosses the placenta.
  • (D) Breast feeding is safe for the infant of a mother taking Warfarin.

Question 212:

A 3-year old child develops severe dehydration following acute gastroenteritis. Investigations show blood urea 60mg/dl, pH 7.27, base excess -10 mEq/L, sodium 134 Eq/L and potassium 3.8 mEq/L. The most appropriate fluid for initial treatment of this child is

  • (A) N/3 saline in 5% dextrose
  • (B) N/3 saline in 10% dextrose
  • (C) Normal saline with 5% dextrose
  • (D) 3% saline

Question 213:

Duchenne muscular dystrophy is characterized by the following, EXCEPT

  • (A) Most common hereditary neuro-muscular disease
  • (B) Both boys and girls are equally affected
  • (C) Pseudohypertrophy of calves and thigh muscles
  • (D) High serum creatinine phosphokinase levels

Question 214:

Consider the following clinicopathological changes in Rheumatic Carditis:
1. Mitral regurgitation
2. Aortic regurgitation
3. Rise in ASLO Titre
4. Left atrial hypertrophy
The correct chronological sequence of these changes would be

  • (A) 3, 1, 2, 4
  • (B) 1, 2, 3, 4
  • (C) 4, 2, 1, 3
  • (D) 3, 4, 1, 2

Question 215:

Which one of the following diseases is NOT developed by intrauterine growth retarded full term Low Birth Weight infants in later life?

  • (A) Coronary heart disease
  • (B) Hypertension
  • (C) Diabetes
  • (D) Malabsorption syndrome

Question 216:

A person working in hot environment who consumes more water without salt is likely to develop a condition called

  • (A) Heat stroke
  • (B) Heat exhaustion
  • (C) Heat cramps
  • (D) Heat hyperpyrexia

Question 217:

Assertion (A): The term 'Eradication' means termination of all transmissions of infection.

Reason (R): It involves complete destruction of the infective agent.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 218:

Assertion (A): Abortion may be induced at twenty weeks of gestation without second medical opinion.

Reason (R): The conditions for medical termination of pregnancy have been liberalized in India.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 219:

Assertion (A): All newborns should be screened for hypothyroidism at birth.

Reason (R): Treatment at birth for hypothyroidism can assure normal mental development.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 220:

Assertion (A): The 23 valent pneumococcal vaccine is not recommended for routine use in children.

Reason (R): Most pneumococcal strains are still susceptible to penicillin.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 221:

Assertion (A): Lumbar puncture is indicated in a child with fever and asymmetric flaccid limb weakness.

Reason (R): The diagnosis of Guillain-Barre syndrome can be established by albuminocytologic dissociation on CSF analysis.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 222:

Assertion (A): Systemic estrogens as HRT are indicated in post-menopausal women with hypertriglyceridemia.

Reason (R): The systemic estrogens induce the hepatic synthesis of lipoproteins.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 223:

Assertion (A): Ferrous sulphate should not be given to pregnant women who are at high risk of PIH.

Reason (R): Ferrous sulphate increases free radicals which induce serum lipid peroxide formation.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 224:

Assertion (A): Supravaginal elongation of cervix occurs in uterovaginal prolapse.

Reason (R): There is gaping genital hiatus but the ligamentous support of uterus is strong.

  • (A) Both A and R are true and R is the correct explanation of A.
  • (B) Both A and R are true but R is NOT the correct explanation of A.
  • (C) A is true but R is false.
  • (D) A is false but R is true.

Question 225:

Assertion (A): A child who has had an acute attack of poliomyelitis should be administered oral polio vaccine.

Reason (R): There is no cross-immunity between the different types of polio viruses.

  • (A) Both A and R are true, and R is the correct explanation of A.
  • (B) Both A and R are true, but R is NOT the correct explanation of A.
  • (C) A is true, but R is false.
  • (D) A is false, but R is true.

Question 226:

Match List I (Health Planning Committees) with List II (Main Recommendations/Important Results) and select the correct answer using the codes given below the lists.

List IList II
A. Shrivastava Committee1. Malaria workers to look after FP work also
B. Chadah Committee2. Integration of services from the highest to the lowest levels
C. Kartar Singh Committee3. Led to creation of Health Guides
D. Jungalwalla Committee4. Led to creation of multipurpose worker

  • (A) A-3, B-4, C-1, D-2
  • (B) A-3, B-1, C-4, D-2
  • (C) A-2, B-1, C-4, D-3
  • (D) A-2, B-4, C-1, D-3

Question 227:

The poverty line limit for rural areas is the purchasing capacity for a daily intake of 2400 calories per person. Which one of the following calorie limits is for urban areas?

  • (A) 1900
  • (B) 2100
  • (C) 2400
  • (D) 2800

Question 228:

Which of the following is/are used as operation indicator in antileprosy activity?

  • (A) Incidence
  • (B) Incidence and prevalence
  • (C) Relapse rate and case detection ratio
  • (D) Incidence and case detection ratio

Question 229:

With increased plan outlays for the National AIDS Control Programme, the secondary dividends of these interventions shall directly benefit

  • (A) RCH Programme
  • (B) MCH services
  • (C) Immunization Programme
  • (D) National Tuberculosis Control Programme

Question 230:

Under the National Programme for Control of Blindness, to define blindness, the visual acuity should be less than

  • (A) 3/60
  • (B) 6/60
  • (C) 1/60
  • (D) 6/24

Question 231:

Match List I (Organization/Agency) with List II (Programme) and select the correct answer using the codes given below the lists.

List IList II
A. USAID1. Blindness control
B. Colombo Plan2. Agriculture and Industry
C. SIDA3. Tuberculosis control
D. DANIDA4. Technical Cooperation Mission

  • (A) A-4, B-2, C-3, D-1
  • (B) A-1, B-3, C-2, D-4
  • (C) A-4, B-3, C-2, D-1
  • (D) A-1, B-2, C-3, D-4

Question 232:

In respect of type-I error in the field of medical statistics, which one of the following is NOT correct?

  • (A) It is also called alpha error.
  • (B) It is often assigned a value of 0.05 in studies.
  • (C) It is equal to 1 minus the beta error.
  • (D) It is used to determine sample size.

Question 233:

The decadal exercise of Census Operation is done over a period of time, but the population count is assumed to be one existing on

  • (A) January 1st
  • (B) March 1st
  • (C) April 1st
  • (D) March 31st

Question 234:

Match List I (Disease) with List II (Vector) and select the correct answer using the codes given below the lists:

List I (Disease)List II (Vector)
A. Scabies1. Soft Tick
B. Fish Tapeworm2. Cyclops Infestation
C. Relapsing Fever3. Sarcoptes
D. Kyasanur Forest Disease (KFD)4. Hard Tick

  • (A)
    ABCD
    3214
  • (B)
    ABCD
    4123
  • (C)
    ABCD
    3124
  • (D)
    ABCD
    4213

Question 235:

Effect of pyrethrum on mosquitoes is described as

  • (A) Residual
  • (B) Repellent
  • (C) Knock down
  • (D) Contact

Question 236:

A screening test applied to detect diabetes in population over 40 years of age should satisfy the following criteria, EXCEPT for

  • (A) Validity
  • (B) Reproducibility
  • (C) Feasibility
  • (D) Ingenuity

Question 237:

A 5-year old boy, a known patient of bronchial asthma, presents with cough, wheezing and breathlessness. Examination shows respiratory rate 48 per minute, pulsus paradoxus, and bilateral rhonchi. The most appropriate immediate treatment is

  • (A) Intravenous theophylline and corticosteroids
  • (B) Intravenous theophylline and nebulized salbutamol
  • (C) Nebulized salbutamol and ipratropium
  • (D) Nebulized salbutamol and intravenous corticosteroids

Question 238:

What is the correct sequence of the following while resuscitating an infant with Foreign Body Airway Obstruction?
1. Chest thrust
2. Tongue-jaw lift
3. Back blows
Select the correct sequence from the codes given below.

  • (A) 1, 3, 2
  • (B) 3, 2, 1
  • (C) 3, 1, 2
  • (D) 2, 1, 3

Question 239:

Regarding simple febrile seizure, which one of the following statements is NOT correct?

  • (A) It is usually seen in children between 6 months and 6 years of age
  • (B) The seizure usually lasts for less than 15 minutes
  • (C) Rectal diazepam given at the onset of febrile illness can reduce the incidence of recurrent febrile seizure
  • (D) Oral phenobarbitone is usually prescribed after the first episode of seizure to prevent recurrences

NEET PG 2003 (AIPGMEE) Exam Pattern

AIPGMEE 2003 was an objective-type paper, not the computer-based NEET PG format students sit today. Here is what defined its pattern.

  • Question format: single-best-response multiple-choice questions, one correct option per question.
  • Conducting body: the Central Board of Secondary Education (CBSE) ran AIPGMEE on behalf of the Medical Council of India (MCI); the National Board of Examinations took charge of the postgraduate entrance exam only years later.
  • Purpose: ranking students for 50% of India's all-India-quota MD, MS and PG Diploma seats, separate from state-quota counselling and institutional exams like AIIMS PG and JIPMER PG.
  • Syllabus base: the Graduate Medical Education Regulations framed by the Medical Council of India, spanning every pre-clinical, para-clinical and clinical subject taught in MBBS.
  • This paper: compiles 239 questions merged from the original AIPGMEE 2003 booklets, spread across 19 subjects from Social and Preventive Medicine to Anaesthesia.

NEET PG 2003 Question Paper Discussion Video

Source: Doc. Swati

Subject-Wise Question Distribution in This NEET PG 2003 Paper

Breaking down the 239 questions by subject shows where this paper leans hardest, useful for planning revision before you attempt it.

  • Social and Preventive Medicine carries the largest share with 64 questions.
  • Gynaecology and Obstetrics follows with 48 questions, and Medicine contributes 37.
  • Pediatrics adds 31 questions and Surgery another 13, together with SPM and Gynae-Obs making up close to two-thirds of the paper.
  • Pharmacology and Microbiology hold 8 questions each, with the rest spread across Orthopedics, Pathology, Psychiatry, Medical Genetics, Ophthalmology and other clinical subjects.
  • By difficulty, 133 questions are rated medium, 55 easy and 51 hard, so working through the full set mirrors real exam-day pressure.

NEET PG 2003 Question Paper FAQs

Ques. What is the NEET PG 2003 question paper?

Ans. It is the All India Post Graduate Medical Entrance Examination (AIPGMEE) held in 2003, an objective multiple-choice test used to rank students for 50% of India's MD, MS and PG Diploma seats. This compiled version carries 239 questions from the original booklets with worked solutions.

Ques. Who conducted the NEET PG 2003 (AIPGMEE) paper?

Ans. The Central Board of Secondary Education (CBSE) conducted AIPGMEE 2003 on behalf of the Medical Council of India (MCI). The National Board of Examinations, now at natboard.edu.in, took over the postgraduate entrance exam years later and eventually replaced it with NEET PG in 2013.

Ques. How many questions are in this NEET PG 2003 paper?

Ans. This compiled paper has 239 questions merged from the original AIPGMEE 2003 test booklets, covering subjects from Social and Preventive Medicine to Anaesthesia.

Ques. Which subject carries the most questions in NEET PG 2003?

Ans. Social and Preventive Medicine has the largest share with 64 questions, followed by Gynaecology and Obstetrics with 48 and Medicine with 37.

Ques. Is the NEET PG 2003 (AIPGMEE) paper still useful for NEET PG preparation?

Ans. Yes. Even though the exam has since moved to the NEET PG format under the NBE, solving the AIPGMEE 2003 paper gives subject-wise practice in clinical areas like Medicine, Surgery and Obstetrics-Gynaecology that still dominate the current exam.

Ques. Where can I download the NEET PG 2003 question paper with solutions for free?

Ans. Both the question paper and the solved answer key are hosted as free PDFs in the download table and flipbook above, with a separate Check Solutions PDF giving a step-by-step explanation for every question.