Download the NEET PG 2020 question paper with solutions as a free PDF, the postgraduate medical entrance test the National Board of Examinations (NBE) conducted on January 5, 2020. It was a single computer-based paper of 300 single-best-answer MCQs to be attempted in 3 hours 30 minutes, and this page pairs every question with a worked solution and the answer key.

NEET PG 2020 Question Paper with Solutions Download PDF Check Solutions

NEET PG 2020 Questions with Solutions


Question 1:

Upward movement of the thyroid gland is prevented due to?

  • (A) Berry ligament
  • (B) Pretracheal fascia
  • (C) Sternothyroid muscle
  • (D) Thyrohyoid membrane

Question 2:

The reason for the long left recurrent laryngeal nerve is due to the persistence of which arch artery?

  • (A) 3rd arch
  • (B) 4th arch
  • (C) 5th arch
  • (D) 2nd arch

Question 3:

Ligation of the hepatic artery will impair blood supply in

  • (A) Right gastric and Right gastroepiploic artery
  • (B) Right gastric and Left gastric artery
  • (C) Right gastroepiploic and short gastric vessels
  • (D) Right gastric and short gastric vessels

Question 4:

Wolffian duct remnant in female is

  • (A) Pouch of Douglas
  • (B) Uterovesical pouch
  • (C) Gartner's cyst
  • (D) Broad ligament

Question 5:

Nerve supply of the extraocular muscles is constituted by all except

  • (A) Ophthalmic nerve
  • (B) Oculomotor nerve
  • (C) Trochlear nerve
  • (D) Abducent nerve

Question 6:

Claudication due to popliteal femoral incompetence is primarily seen in

  • (A) Thigh
  • (B) Calf
  • (C) Buttocks
  • (D) Feet

Question 7:

Which muscle is paralyzed if there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint?

  • (A) Extensor digitorum
  • (B) Interossei and lumbricals
  • (C) Adductor pollicis
  • (D) Pronator quadratus muscle

Question 8:

Tumour of the uncinate process of the pancreas will compress which artery?

  • (A) Portal vein
  • (B) Superior mesenteric artery
  • (C) Inferior mesenteric artery
  • (D) Common hepatic artery

Question 9:

A boy met with a motorbike accident. CT brain shows injury to the posterior end of the superior temporal gyrus. He is likely to suffer from

  • (A) Fluent aphasia
  • (B) Non-fluent aphasia
  • (C) Conduction aphasia
  • (D) None of the above

Question 10:

A 65-year-old lady presents with a vascular injury to the inferior frontal gyrus. Which functional area would mostly be affected?

  • (A) Visual
  • (B) Auditory
  • (C) Wernicke
  • (D) Motor speech

Question 11:

Where is the highest oxygen concentration present in fetal circulation?

  • (A) Superior vena cava (SVC)
  • (B) Inferior vena cava (IVC)
  • (C) Right ventricle
  • (D) Aorta

Question 12:

When the value of the ventilation-perfusion ratio (V/Q) is infinity, it means?

  • (A) No O2 goes from alveoli to blood and no CO2 goes from blood to alveoli
  • (B) Dead space
  • (C) The PO2 of alveolar air is 159 mmHg and PCO2 is 40 mmHg
  • (D) Partial pressures of O2 and CO2 are equal

Question 13:

The proteoglycan present in the glomerular basement membrane is?

  • (A) Keratan sulphate 1
  • (B) Keratan sulphate 2
  • (C) Heparan sulphate
  • (D) Chondroitin sulphate

Question 14:

A 35-year-old female was watching TV for long hours with her hands under her head. She complains of a tingling sensation over her arm. Which type of nerve fibers is most likely to be affected?

  • (A) A fibers
  • (B) B fibers
  • (C) C fibers
  • (D) Sympathetic nerve fibers

Question 15:

The reflex in which there is inhibition of gastric emptying when there is acid and a hypertonic solution in the duodenum is?

  • (A) Enterogastric reflex
  • (B) Gastroileal reflex
  • (C) Gastrocolic reflex
  • (D) Myenteric reflex

Question 16:

In multiple sclerosis, the slow conduction of motor and sensory pathways is due to?

  • (A) Defect in the node of Ranvier
  • (B) Loss of myelin sheath
  • (C) Leaking of sodium channels
  • (D) Leaking of calcium channels

Question 17:

Which of the following clotting factors in a patient on warfarin therapy would have decreased gamma-carboxyglutamate residues?

  • (A) Factor 2
  • (B) Factor 11
  • (C) Tissue factor
  • (D) Factor 5

Question 18:

Blood stored in citrate-phosphate-dextrose (CPD) is better for hypoxic patients than acid-citrate-dextrose (ACD) because?

  • (A) It has less P50
  • (B) It is less acidic
  • (C) The fall in 2,3-DPG is less
  • (D) None of the above

Question 19:

Which of the following is referred to as the "window of the limbic system"?

  • (A) Hypothalamus
  • (B) Amygdala
  • (C) Hippocampus
  • (D) Thalamus

Question 20:

Cerebral blood flow is regulated by all except:

  • (A) Blood pressure
  • (B) Arterial PCO2
  • (C) Potassium ions
  • (D) Both blood pressure and potassium ions

Question 21:

Hepcidin inhibits which of the following?

  • (A) Absorption of cobalamin
  • (B) Transfer of iron into enterocytes
  • (C) Folic acid synthesis
  • (D) Respiratory oxidase

Question 22:

Which of the following techniques is used to study current flow across a single ion channel?

  • (A) Patch clamp
  • (B) Voltage clamp
  • (C) Iontophoresis
  • (D) Galvanometry

Question 23:

A 4-year-old boy of a first-degree consanguineous couple was noted by the parents to have darkening of the urine to an almost black color when it was left standing. He has a normal sibling, and there are no other medical problems. Growth and development to date are normal. Which of the following is most likely to be elevated in this patient?

  • (A) Methylmalonate
  • (B) Homogentisate
  • (C) Phenylpyruvate
  • (D) Alpha-ketoisovalerate

Question 24:

Which of the following is true about the different structures of protein?

  • (A) Secondary structure is the three-dimensional structure of protein
  • (B) Secondary structure is stabilized by disulfide bonds
  • (C) Primary, secondary and tertiary structures are destroyed during denaturation
  • (D) Secondary and tertiary structure depend on the sequence of amino acids

Question 25:

The insulin to glucagon ratio is decreased. Which enzyme is active at this time?

  • (A) Glucokinase
  • (B) Hexokinase
  • (C) Phosphofructokinase
  • (D) Glucose-6-phosphatase

Question 26:

Ochronosis is due to the accumulation of which of the following?

  • (A) Homogentisic acid
  • (B) Homocysteine
  • (C) Xanthurenate
  • (D) Glyoxylate

Question 27:

Bilirubin in serum can be measured by which of the following?

  • (A) Van den Bergh reaction
  • (B) Ehrlich's reaction
  • (C) Schlesinger's reaction
  • (D) Fouchet's reaction

Question 28:

In a sample of double-stranded DNA, if adenine is 28 percent, what is the amount of cytosine present?

  • (A) 23 percent
  • (B) 25 percent
  • (C) 46 percent
  • (D) 22 percent

Question 29:

Which of the following vitamins at higher doses causes cystoid macular edema?

  • (A) Vitamin A
  • (B) Vitamin D
  • (C) Vitamin E
  • (D) Niacin

Question 30:

Which of the following is a true statement regarding Huntington's chorea?

  • (A) There is a loss of function type of mutation
  • (B) It is an autosomal recessive disorder
  • (C) It is a trinucleotide repeat expansion type of disorder
  • (D) There is an increased number of CAA repeats

Question 31:

Addition of which amino acid will increase the UV absorption of a protein?

  • (A) Tryptophan
  • (B) Leucine
  • (C) Proline
  • (D) Arginine

Question 32:

Which of the following is the richest source of vitamin B12?

  • (A) Meat
  • (B) Green leafy vegetables
  • (C) Corn oil
  • (D) Sunflower oil

Question 33:

Which amino acid is used to synthesise nitric oxide?

  • (A) Glycine
  • (B) Arginine
  • (C) Tyrosine
  • (D) Threonine

Question 34:

Which of the following is true about a non-competitive antagonist (inhibitor)?

  • (A) Km remains same, Vmax decreases
  • (B) Km increases, Vmax remains same
  • (C) Km decreases, Vmax increases
  • (D) Km increases, Vmax increases

Question 35:

Werner syndrome, associated with premature aging, is caused by a defect in which of the following?

  • (A) Telomerase
  • (B) Caspase
  • (C) DNA topoisomerase
  • (D) DNA helicase

Question 36:

Which of the following dietary fibers is insoluble in water?

  • (A) Pectin
  • (B) Lignin
  • (C) Hemicellulose
  • (D) Cellulose

Question 37:

According to NCEP-ATP III criteria, which of the following is NOT included in the diagnosis of metabolic syndrome?

  • (A) High LDL
  • (B) Hypertriglyceridemia
  • (C) Central obesity
  • (D) Hypertension

Question 38:

Which of the following is the basis for the intestine-specific expression of apoprotein B-48?

  • (A) DNA rearrangement and loss
  • (B) DNA transposition
  • (C) RNA alternative splicing
  • (D) RNA editing

Question 39:

A 30-year-old male presents with swelling around the knee joint. Histopathological examination of the swelling shows many giant cells interspersed with mononuclear cells. What is the probable diagnosis?

  • (A) Osteosarcoma
  • (B) Ewing's sarcoma
  • (C) Giant cell tumour
  • (D) Chondrosarcoma

Question 40:

A 30-year-old woman presents with easy fatigability, exertional dyspnea and weight loss. She also reports frequent falls. On examination there is a bilateral decrease in vibration sense. Her hemoglobin is 8.2 g%. She was treated with folate; her anemia improved but her neurological symptoms worsened. What is the most probable reason for her condition?

  • (A) Folate was not absorbed
  • (B) Unmasked pyridoxine deficiency
  • (C) Deficiency of folate reductase in the CNS
  • (D) Folate therapy caused rapid use of vitamin B12 stores, aggravating symptoms

Question 41:

A 45-year-old man who is a chronic smoker presents with a complaint of cough. The physician takes a biopsy of the airway, shown below. Which of the following cellular changes has happened in this patient?

  • (A) Hyperplasia
  • (B) Dysplasia
  • (C) Metaplasia
  • (D) CIN3

Question 42:

A 30-year-old woman presents with thyroid swelling. On investigation, her TSH level is elevated. Postoperative histology shows lymphocytic infiltration and Hurthle cells. The most probable diagnosis is?

  • (A) Graves disease
  • (B) Hashimoto's thyroiditis
  • (C) Follicular carcinoma
  • (D) Medullary carcinoma thyroid

Question 43:

Which of the following will be seen on cardiac biopsy of a patient who had a post-MI reperfusion injury?

  • (A) Waviness of fibres
  • (B) Eosinophilic contraction bands
  • (C) Neutrophils in cardiac cells
  • (D) Swelling of cells

Question 44:

Loss of foot processes (foot process effacement) on electron microscopy is classical in which of the following?

  • (A) Membranous glomerulonephritis
  • (B) Focal segmental glomerulosclerosis
  • (C) IgA nephropathy
  • (D) Diabetic nephropathy

Question 45:

Which of the following factors plays the major role in the initiation of thrombus formation?

  • (A) Vasoconstriction
  • (B) Coagulation cascade activation
  • (C) Platelet activation
  • (D) Endothelial injury

Question 46:

A 33-year-old man presents with a 5-week history of calf pain, swelling, and low-grade fever. Serum creatine kinase is elevated. A muscle biopsy reveals numerous eosinophils, and he also has peripheral blood eosinophilia. Which of the following interleukins is primarily responsible for the increase in eosinophils in this patient?

  • (A) IL-2
  • (B) IL-4
  • (C) IL-1
  • (D) IL-6

Question 47:

Which of the following is true about polyarteritis nodosa (PAN)?

  • (A) Microscopy shows fibrinoid necrosis in large arteries
  • (B) ANCA is positive
  • (C) About 30% of patients have HBsAg positivity
  • (D) Patients have hypogammaglobulinaemia

Question 48:

A 23-year-old male presents with fatigue and tiredness. Investigations show Hb 9 g%, MCV 101 fL. The peripheral smear shows microcytic RBCs and hypersegmented neutrophils. Which is the most probable etiology?

  • (A) Lead poisoning
  • (B) Iron deficiency anemia
  • (C) Chronic alcoholism
  • (D) Hemolytic anemia

Question 49:

What is the main feature of chemotaxis as observed in white blood cells?

  • (A) Increased random movement of neutrophils
  • (B) Increased adhesiveness to intima
  • (C) Increased phagocytosis
  • (D) Unidirectional locomotion of neutrophils

Question 50:

Which of the following anticancer drugs are competitive inhibitors of tyrosine kinase?

  • (A) Imatinib and sunitinib
  • (B) Letrozole
  • (C) Bicalutamide
  • (D) Fulvestrant

Question 51:

Which of the following is not a prokinetic agent?

  • (A) Dopamine antagonist
  • (B) 5-HT4 agonist
  • (C) Macrolides
  • (D) Diphenylmethane

Question 52:

Which of the following drugs acts by inhibiting DNA replication?

  • (A) 6-Mercaptopurine
  • (B) Actinomycin D
  • (C) Mitomycin C
  • (D) Asparaginase

Question 53:

What is the drug of choice for onychomycosis?

  • (A) Terbinafine
  • (B) Fluconazole
  • (C) Nystatin
  • (D) Itraconazole

Question 54:

Theophylline causes diuresis by which of the following mechanisms?

  • (A) PDE3 inhibition
  • (B) PDE4 inhibition
  • (C) Beta-2 agonist action
  • (D) Adenosine A1 receptor antagonism

Question 55:

Which of the following antimicrobials should not be given to a chronic asthmatic patient managed on theophylline therapy?

  • (A) Erythromycin
  • (B) Amoxicillin
  • (C) Cefotaxime
  • (D) Cotrimoxazole

Question 56:

What is the drug of choice for prophylaxis of motion sickness?

  • (A) Promethazine
  • (B) Prochlorperazine
  • (C) Metoclopramide
  • (D) Itopride

Question 57:

Which of the following antihypertensive drugs is avoided in patients with high serum uric acid levels?

  • (A) Hydrochlorothiazide
  • (B) Enalapril
  • (C) Prazosin
  • (D) Atenolol

Question 58:

The mechanism of bacterial resistance to penicillins via beta-lactamase is:

  • (A) Altered penicillin-binding proteins
  • (B) Drug efflux
  • (C) Breaks drug structure
  • (D) Alteration in 50S ribosome structure

Question 59:

A patient on lithium therapy developed hypertension and was started on a thiazide diuretic. After a few days, he developed coarse tremors and other features suggestive of lithium toxicity. What is the probable mechanism of this interaction?

  • (A) Thiazide increases the tubular reabsorption of lithium
  • (B) Thiazide inhibits the metabolism of lithium
  • (C) Thiazide acts as an add-on drug to lithium
  • (D) All of the above

Question 60:

Which of the following drugs/hormones acts via a tyrosine kinase receptor?

  • (A) Insulin
  • (B) TSH
  • (C) LH
  • (D) MSH

Question 61:

Pegloticase is used for the treatment of:

  • (A) Reactive arthritis
  • (B) CPPD (calcium pyrophosphate deposition disease)
  • (C) Chronic tophaceous gout
  • (D) Refractory rheumatoid arthritis

Question 62:

Which fluoroquinolone is contraindicated (dose must be reduced) in liver disease?

  • (A) Levofloxacin
  • (B) Pefloxacin
  • (C) Ofloxacin
  • (D) Lomefloxacin

Question 63:

At a high altitude of 3000 m, a person complains of breathlessness. All of the following can be used for the management of this person except:

  • (A) Intravenous digoxin
  • (B) Oxygen supplementation
  • (C) Immediate descent
  • (D) Acetazolamide

Question 64:

A patient with diabetes and COPD developed postoperative urinary retention. Which of the following drugs can be used for short-term treatment to relieve the symptoms of this person?

  • (A) Bethanechol
  • (B) Methacholine
  • (C) Terazosin
  • (D) Tamsulosin

Question 65:

Drug of choice for invasive aspergillosis is:

  • (A) Posaconazole
  • (B) Voriconazole
  • (C) Liposomal amphotericin B
  • (D) Caspofungin

Question 66:

Which of the following drugs acts by inhibiting the transcription of DNA to RNA?

  • (A) Rifampicin
  • (B) Nitrofurantoin
  • (C) Ciprofloxacin
  • (D) Novobiocin

Question 67:

A patient was recently started on fluphenazine. A few weeks later, he developed tremors, rigidity, bradykinesia, and excessive salivation. The first line of management for this patient is:

  • (A) Selegiline
  • (B) Trihexyphenidyl
  • (C) Pramipexole
  • (D) Amantadine

Question 68:

A person was given a muscle relaxant that competitively blocks nicotinic receptors. Which of the following drugs is used for reversal of muscle relaxation after surgery?

  • (A) Neostigmine
  • (B) Carbachol
  • (C) Succinylcholine
  • (D) Physostigmine

Question 69:

Zero-order kinetics is otherwise known as saturation kinetics. It is independent of:

  • (A) Plasma concentration
  • (B) Clearance
  • (C) Volume of distribution
  • (D) Half life

Question 70:

Which of the following is the law on child sexual abuse in India?

  • (A) Child Sexual Abuse Prevention Act
  • (B) Protection of Children from Sexual Offences Act (POCSO)
  • (C) Child Welfare Act
  • (D) Sexual Offences Act

Question 71:

Punishment of perjury comes under which IPC section?

  • (A) IPC 191
  • (B) IPC 192
  • (C) IPC 193
  • (D) IPC 197

Question 72:

When civil negligence is brought up against a doctor, the onus of proof lies upon:

  • (A) Judicial first-degree magistrate
  • (B) Police not below the level of sub-inspector
  • (C) Doctor
  • (D) Patient

Question 73:

Relatives of a patient state during postmortem examination that the deceased had a tattoo which is now invisible. How can it be identified?

  • (A) Examine the lymph node
  • (B) Spectrophotometer
  • (C) Ordinary light
  • (D) X-ray

Question 74:

True about the hymen in child rape is:

  • (A) Hymen easily tears because it is thin
  • (B) Hymen easily tears because it is in the front
  • (C) Hymen hardly tears because it is highly elastic
  • (D) Hymen hardly tears because it is situated deep

Question 75:

Magnan's symptom is related to:

  • (A) Cocaine poisoning
  • (B) Cannabis
  • (C) Opium
  • (D) Alcohol

Question 76:

Parents complain that their child was assaulted by a relative and the child has anal pain. On investigation a test shows yellow needle-shaped crystals on adding picric acid. What is the name of the test?

  • (A) Florence test
  • (B) Barberio's test
  • (C) Acid phosphatase test
  • (D) Creatine phosphokinase test

Question 77:

The maximum number of days for which a Magistrate can detain a mentally ill person under a Reception Order is:

  • (A) 30 days
  • (B) 90 days
  • (C) 50 days
  • (D) 100 days

Question 78:

The vector for Zika virus is:

  • (A) Aedes
  • (B) Culex
  • (C) Anopheles
  • (D) None of these

Question 79:

All are true regarding Japanese encephalitis except:

  • (A) Caused by a flavivirus
  • (B) Humans are dead-end hosts
  • (C) Transmitted by Culex
  • (D) Cattle are amplifier hosts

Question 80:

All of the following have superantigen property EXCEPT:

  • (A) Vibrio cholerae
  • (B) Streptococcal pyrogenic exotoxin
  • (C) Staphylococcal enterotoxins
  • (D) None of these

Question 81:

Which of the following is a Category A bioterrorism agent?

  • (A) Chikungunya
  • (B) Anthrax
  • (C) Hendra
  • (D) Influenza

Question 82:

Which culture medium is used for the isolation of E. coli O157:H7?

  • (A) Sorbitol MacConkey agar (SMAC)
  • (B) Wilson and Blair medium
  • (C) Potassium tellurite in McLeod's medium
  • (D) Deoxycholate citrate agar (DCA)

Question 83:

Donovanosis is caused by which of the following organisms?

  • (A) Haemophilus ducreyi
  • (B) Leishmania donovani
  • (C) Klebsiella granulomatis
  • (D) Treponema pallidum

Question 84:

Which fungal infection is classically acquired by traumatic inoculation?

  • (A) Sporothrix schenckii
  • (B) Blastomyces (blastomycosis)
  • (C) Coccidioides
  • (D) Paracoccidioides

Question 85:

Which of the following organisms is NOT a cause of urethritis?

  • (A) Trichomonas vaginalis
  • (B) Haemophilus ducreyi
  • (C) Chlamydia trachomatis
  • (D) Gonococcus (Neisseria gonorrhoeae)

Question 86:

A patient develops nausea, vomiting and stomach cramps within 3 hours of attending a social gathering. Which organism is the most likely cause of this food poisoning?

  • (A) Staphylococcus aureus
  • (B) Salmonella
  • (C) Clostridium botulinum
  • (D) Clostridium perfringens

Question 87:

A 46-year-old woman with HIV has severe persistent diarrhoea. On histological investigation, which organism is most likely causing the diarrhoea?

  • (A) Cryptosporidium
  • (B) Staphylococcus aureus
  • (C) Salmonella
  • (D) Clostridium botulinum

Question 88:

Which organism causes lymphogranuloma venereum (LGV)?

  • (A) Chlamydia trachomatis
  • (B) Neisseria gonorrhoeae
  • (C) Treponema pallidum
  • (D) Haemophilus ducreyi

Question 89:

Which interleukin is responsible for class switching of B cells to produce IgE?

  • (A) IL-1
  • (B) IL-3
  • (C) IL-4
  • (D) Both IL-1 and IL-3

Question 90:

Rapid bedside detection of HBsAg in point-of-care kits is based on which principle?

  • (A) Immunochromatography assays
  • (B) Chemiluminescence
  • (C) ELISA
  • (D) Immunofluorescence

Question 91:

A nosocomial (hospital-acquired) infection is defined as one occurring within how many hours of hospital admission?

  • (A) 48 hours
  • (B) 72 hours
  • (C) 24 hours
  • (D) 50 hours

Question 92:

Which cell-surface component produced by Neisseria gonorrhoeae is mainly responsible for attachment to host cells?

  • (A) Lipooligosaccharide
  • (B) Pili (fimbriae)
  • (C) IgA1 protease
  • (D) Outer membrane porin protein

Question 93:

According to the Bio-Medical Waste Management Rules 2016, chemical liquid biomedical waste should be discarded in which colour-coded container?

  • (A) White
  • (B) Yellow
  • (C) Blue
  • (D) Red

Question 94:

Under the Factories Act, the maximum number of work hours per week for a person, including overtime, is:

  • (A) 48
  • (B) 50
  • (C) 60
  • (D) 100

Question 95:

Which vaccine is most appropriate to ensure people are protected after a disaster?

  • (A) Vaccination against typhoid
  • (B) Vaccination against cholera
  • (C) Vaccination against typhoid and cholera
  • (D) Vaccination against tetanus

Question 96:

What does the WHO MONICA project stand for?

  • (A) Multinational monitoring of trends and determinants in Cardiovascular Disease
  • (B) Multinational monitoring of trends and determinants in cerebrovascular disease
  • (C) Multinational monitoring of trends and determinants in diabetes
  • (D) Multinational monitoring of trends and determinants in congenital heart disease

Question 97:

Under the ESI Act, the maximum duration of Extended Sickness Benefit for an insured person with tuberculosis is:

  • (A) 91 days
  • (B) 1 year
  • (C) 2 years
  • (D) 4 years

Question 98:

A person reports 4 hours after sustaining a clean wound without laceration. He had received tetanus toxoid (TT) 10 years ago. The next best step in management is:

  • (A) Full course of tetanus vaccine to be given
  • (B) Full dose TT with TIG (tetanus immunoglobulin)
  • (C) Single-dose TT
  • (D) No need for any vaccine

Question 99:

The recent (2009) influenza pandemic was caused by which strain?

  • (A) H1N1
  • (B) H5N1
  • (C) H7N7
  • (D) H3N2

Question 100:

Mission Indradhanush is for:

  • (A) Non-communicable diseases
  • (B) Universal immunization
  • (C) Family planning
  • (D) Safe water and sanitation

Question 101:

A study had a normal distribution with the median value as 200 and standard deviation 20. 68% of values will fall between:

  • (A) 160-240
  • (B) 170-230
  • (C) 180-220
  • (D) 190-210

Question 102:

Which of the following is a technique or method based on behavioural sciences?

  • (A) Management by objectives
  • (B) Network analysis
  • (C) Systems analysis
  • (D) Decision making

Question 103:

As per the Sustainable Development Goals, the target for maternal mortality ratio (MMR) is to achieve maternal deaths of:

  • (A) < 70 per lakh live births
  • (B) < 100 per lakh live births
  • (C) < 7 per 1000 live births
  • (D) < 10 per 1000 live births

Question 104:

The best method for routine monitoring of air pollution uses which set of indicators?

  • (A) Sulphur dioxide, smoke, and particulate matter
  • (B) Sulphur dioxide, hydrogen sulphide, carbon monoxide
  • (C) Carbon dioxide, hydrogen sulphide, lead
  • (D) Sulphur dioxide, lead, and particulate matter

Question 105:

The variation in one data set is compared with another data set by using:

  • (A) Variance
  • (B) Coefficient of variation
  • (C) Standard error of mean
  • (D) Standard deviation

Question 106:

In which of the following methods of management is the benefit measured in natural units?

  • (A) Program budgeting system
  • (B) Network analysis
  • (C) Cost-effective analysis
  • (D) Cost-benefit analysis

Question 107:

The difference between the incidence in the exposed and the non-exposed group is best given by:

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

Question 108:

If the value of one variable is given, you can predict the value of another variable by using the:

  • (A) Coefficient of variation
  • (B) Coefficient of correlation
  • (C) Coefficient of regression
  • (D) Coefficient of determination

Question 109:

Prospective screening is done in the case of:

  • (A) Neonate for thyroid diseases
  • (B) Immigrant screening
  • (C) Pap smear for a 45-year-old female
  • (D) Diabetes mellitus for a 40-year-old male

Question 110:

A researcher wanted to prove the relation between COPD and smoking. He collected patient records from government hospitals and records of cigarette sales from the finance and taxation department. This is an example of which study design?

  • (A) Cross-sectional study
  • (B) Posological study
  • (C) Ecological study
  • (D) Operations research

Question 111:

A study was done to assess malnutrition among young children. 100 children were selected each from rural and urban areas. Out of these, 30 among rural and 20 among urban were found to be malnourished. Which of the following statistical tests is used to compare the data sets?

  • (A) Paired t-test
  • (B) Chi-square test
  • (C) Standard error of mean
  • (D) ANOVA

Question 112:

The active disinfectant property of bleaching powder is due to:

  • (A) Chlorine
  • (B) Hypochloric acid
  • (C) Hypochlorous acid
  • (D) Chloramines

Question 113:

Mother does not transmit which of the following antibodies to the baby?

  • (A) Polio
  • (B) Diphtheria
  • (C) Measles
  • (D) Tetanus

Question 114:

Voluntary admission can be done for a maximum of how much time according to the Mental Healthcare Act (MHA) 2017?

  • (A) 48 hours
  • (B) 7 days
  • (C) 30 days
  • (D) 90 days

Question 115:

Blood bags are disposed of in which colour-coded bag?

  • (A) Yellow bag
  • (B) Black bag
  • (C) Red bag
  • (D) White bag

Question 116:

Absolute contraindications for an IUD (Intrauterine Contraceptive Device) are all of the following except:

  • (A) Pregnancy
  • (B) Undiagnosed vaginal bleeding
  • (C) Pelvic inflammatory disease
  • (D) Uterine malformation

Question 117:

Which of the following is a water-related (water breeding) disease?

  • (A) Yellow fever
  • (B) Scabies
  • (C) Cholera
  • (D) Dysentery

Question 118:

In Vision 2020 (The Right to Sight), the Secondary level Service Centre is targeted to cover how much population?

  • (A) 10,000
  • (B) 50,000
  • (C) 1 lakh
  • (D) 5 lakh

Question 119:

CA-125 is a marker for the screening of ovarian cancer. To characterize this test, histopathological confirmation of ovarian cancer was done in a cohort of patients. 60 of 100 women who tested positive had ovarian cancer, and 20 of 100 women who tested negative had ovarian cancer. What is the negative predictive value of this test?

  • (A) 20/100
  • (B) 40/100
  • (C) 60/100
  • (D) 80/100

Question 120:

Screening is NOT useful in which of the following carcinomas?

  • (A) Carcinoma prostate
  • (B) Carcinoma colon
  • (C) Carcinoma breast
  • (D) Testicular tumor

Question 121:

Admission rate bias is also known as which of the following?

  • (A) Reporting bias
  • (B) Response bias
  • (C) Berkesonian bias
  • (D) None

Question 122:

Stimulation of the external auditory canal leads to cough due to which nerve?

  • (A) Auricular branch of vagus
  • (B) Greater auricular nerve
  • (C) Auriculotemporal nerve
  • (D) Facial nerve

Question 123:

Widening of the cartilaginous part of the external auditory canal is called?

  • (A) Otoplasty
  • (B) Myringoplasty
  • (C) Tympanoplasty
  • (D) Meatoplasty

Question 124:

Tubercular otitis media is characterized by all of the following EXCEPT?

  • (A) Painful otorrhea
  • (B) Multiple perforations
  • (C) Pale granulations
  • (D) Foul-smelling ear discharge

Question 125:

Partial closure and full closure operations are done in which condition?

  • (A) Atrophic rhinitis
  • (B) Allergic rhinitis
  • (C) Vasomotor rhinitis
  • (D) Occupational rhinitis

Question 126:

The occipitomental view of an X-ray of the paranasal sinuses (PNS) is called?

  • (A) Caldwell view
  • (B) Water's view
  • (C) Towne view
  • (D) Pine view

Question 127:

Shifting fluid (shifting subretinal fluid) is characteristically seen in which condition?

  • (A) Exudative retinal detachment
  • (B) Tractional retinal detachment
  • (C) Rhegmatogenous retinal detachment
  • (D) Retinodialysis

Question 128:

Conjunctival injection, pharyngeal injection, polymorphic rash and cervical lymphadenopathy can be seen in which condition?

  • (A) Kawasaki syndrome
  • (B) Measles
  • (C) Thrombocytopenia
  • (D) Mumps

Question 129:

Incongruous homonymous hemianopia with a Wernicke's hemianopic pupil is seen with a lesion of?

  • (A) Optic radiation
  • (B) Lateral geniculate body
  • (C) Optic tract
  • (D) Anterior occipital cortex

Question 130:

A patient presents with proptosis and restriction of eye movements and is euthyroid. What could this be from?

  • (A) Orbital cellulitis
  • (B) Orbital lymphoma
  • (C) Orbital pseudotumor
  • (D) Thyroid ophthalmopathy

Question 131:

Which of the following is a prerequisite for sympathetic ophthalmitis?

  • (A) Penetrating injury to the eye
  • (B) Blunt ocular trauma
  • (C) Chemical injury
  • (D) Urinary tract infection

Question 132:

The photostress test is used to differentiate between which of the following?

  • (A) Lens and cornea
  • (B) Macular and optic nerve diseases
  • (C) Cataract and glaucoma
  • (D) Retinal and vitreous diseases

Question 133:

Which layer of the cornea helps in the hydration (deturgescence) of the corneal stroma?

  • (A) Endothelium
  • (B) Epithelium
  • (C) Descemet membrane
  • (D) Stroma

Question 134:

A 65-year-old man with a history of hypertension and diabetes presents to the OPD with diplopia and squint. On examination, the secondary deviation is more than the primary deviation. Which of the following is the most likely diagnosis?

  • (A) Concomitant squint
  • (B) Paralytic squint
  • (C) Restrictive squint
  • (D) Pseudosquint

Question 135:

Esotropia is commonly associated with which refractive error?

  • (A) Myopia
  • (B) Hypermetropia
  • (C) Emmetropia
  • (D) Astigmatism

Question 136:

An extra row of cilia (eyelashes) arising posterior to the grey line is called?

  • (A) Distichiasis
  • (B) Tylosis
  • (C) Madarosis
  • (D) Trichiasis

Question 137:

A patient presents with unilateral proptosis and bilateral abducent (sixth) nerve palsy. This could be from a lesion of the?

  • (A) Cavernous sinus
  • (B) Orbital cellulitis
  • (C) Orbital pseudotumor
  • (D) Orbital lymphoma

Question 138:

What is the characteristic finding of a fungal corneal ulcer?

  • (A) Satellite lesions
  • (B) Dendritic ulcer
  • (C) Ring abscess
  • (D) White hypopyon

Question 139:

A patient with raised intraocular pressure, optic disc changes and ciliary congestion is started on a drug that lowers IOP by increasing uveoscleral outflow. Which drug is this?

  • (A) Latanoprost
  • (B) Pilocarpine
  • (C) Dorzolamide
  • (D) Timolol

Question 140:

A patient diagnosed with rheumatoid arthritis was on long-term medication. After 2 years, he developed blurring of vision and was found to have corneal opacity. Which drug is most likely to cause this?

  • (A) Sulfasalazine
  • (B) Chloroquine
  • (C) Methotrexate
  • (D) Leflunomide

Question 141:

Regarding nutcracker esophagus, the correct statement is:

  • (A) There is extremely forceful peristaltic activity leading to episodes of chest pain and dysphagia
  • (B) There is no medical treatment available
  • (C) It is a type of oesophageal malignancy
  • (D) None of the above

Question 142:

A patient has chronic liver disease with cirrhosis. Which of the following criteria is used to assess the prognosis of this liver condition?

  • (A) Child-Pugh score
  • (B) Milan score
  • (C) MELD score
  • (D) Alvarado score

Question 143:

A patient presents with sudden onset of severe headache with neck rigidity. The most likely diagnosis is:

  • (A) Intraparenchymal hemorrhage
  • (B) Subarachnoid hemorrhage
  • (C) Meningitis
  • (D) None of the above

Question 144:

Vegetation on the mitral valve is most characteristically seen in which condition?

  • (A) Libman-Sacks endocarditis
  • (B) Infective endocarditis
  • (C) Non-bacterial thrombotic endocarditis (NBTE)
  • (D) Rheumatic fever

Question 145:

Water hammer pulse (Corrigan's pulse) is seen in:

  • (A) Aortic regurgitation
  • (B) Mitral stenosis
  • (C) Aortic stenosis
  • (D) Left ventricular failure

Question 146:

Parents bring their 3-year-old child to a PHC with fever and cough for 5 days. On examination, chest indrawing is present. Under the IMNCI classification, what will you do?

  • (A) Give antipyretics only
  • (B) Give antibiotics and follow up
  • (C) Refer urgently to tertiary care
  • (D) Give antibiotics and refer to tertiary care

Question 147:

Which poison can be detected in the skeleton even after the body has undergone emaciation or has been burnt for a long time?

  • (A) Lead
  • (B) Arsenic
  • (C) Mercury
  • (D) Cadmium

Question 148:

An arterial blood gas shows pH 7.2, HCO3 10 to 12 mmol/L and pCO2 35 mm Hg. This metabolic acidosis is due to:

  • (A) K+ excretion by the kidney
  • (B) CO2 expiration by the lungs
  • (C) H+ excretion by the kidney
  • (D) HCO3 loss by the kidney

Question 149:

Impaired function of aquaporins (water channels) results in which of the following conditions?

  • (A) Liddle syndrome
  • (B) Nephrogenic diabetes insipidus
  • (C) Cystic fibrosis
  • (D) Bartter syndrome

Question 150:

Most serious complication of measles is:

  • (A) Croup
  • (B) Meningo-encephalitis
  • (C) Otitis media
  • (D) Pneumonia

Question 151:

The most common cause of death in systemic lupus erythematosus (SLE) in children is:

  • (A) Lupus nephritis
  • (B) Lupus cerebritis
  • (C) Libman-Sacks endocarditis
  • (D) Anemia and infections

Question 152:

A patient has multiple gallstones and imaging shows 8 mm dilatation with 4 stones in the common bile duct (CBD). The best treatment modality is:

  • (A) Cholecystectomy with choledocholithotomy at the same setting
  • (B) ESWL
  • (C) Cholecystectomy and wait for ERCP
  • (D) All

Question 153:

Pulmonary plethora is seen with all of the following except:

  • (A) Transposition of the great arteries (TGA)
  • (B) Ebstein anomaly
  • (C) Hypoplastic left heart syndrome
  • (D) Double outlet right ventricle

Question 154:

A 20-year-old man presents with swelling of the wrist for the last two years. Histopathological examination shows spindle-shaped cells and Verocay bodies. What is the diagnosis?

  • (A) Lipoma
  • (B) Dermoid cyst
  • (C) Neurofibroma
  • (D) Schwannoma

Question 155:

A hemodynamically unstable patient presents with supraventricular tachycardia (SVT) as shown.

The most appropriate immediate management is:

  • (A) IV ibutilide
  • (B) IV diltiazem
  • (C) Cardioversion
  • (D) IV beta-blockers

Question 156:

A female patient on lithium for bipolar disorder for 6 months fasted for several days for religious reasons and later presented with seizures, tremors, confusion and weakness. Which investigation should be done to diagnose her condition?

  • (A) Serum electrolytes
  • (B) Serum lithium
  • (C) ECG
  • (D) MRI

Question 157:

Lithium causes which of the following electrolyte or metabolic effects?

  • (A) Hypokalemia
  • (B) Hyperkalemia
  • (C) Hypocalcemia
  • (D) Hypercalcemia

Question 158:

A 50-year-old man presents with paresthesia. Hemoglobin is 6.8 g/dl. Peripheral smear shows macrocytosis and neutrophils with hypersegmented nuclei. Endoscopy reveals atrophic gastritis. The most probable diagnosis is:

  • (A) Folate deficiency
  • (B) Vitamin B12 deficiency
  • (C) Riboflavin deficiency
  • (D) Iron deficiency

Question 159:

All-trans retinoic acid (ATRA) is used in the treatment of a tumour associated with which genetic abnormality?

  • (A) BCR-ABL
  • (B) PML-RARA
  • (C) CMYC
  • (D) CEBPA

Question 160:

A patient with renal tubular acidosis has the following arterial blood gas (ABG): pH = 7.24, PaO2 = 80, PaCO2 = 36, Na = 131, HCO3 = 14, Cl = 90, base excess (BE) = -13, glucose = 135. The above ABG picture suggests:

  • (A) Respiratory acidosis
  • (B) Respiratory alkalosis
  • (C) Metabolic acidosis
  • (D) Metabolic alkalosis

Question 161:

A patient has pulmonary fibrosis. Which antiarrhythmic drug should NOT be given to this patient?

  • (A) Amiodarone
  • (B) Flecainide
  • (C) IV ibutilide
  • (D) Lidocaine

Question 162:

A 42-year-old patient presents with obstructive jaundice. Alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), and haptoglobin are all increased. The most likely cause is:

  • (A) Alcohol
  • (B) Lead
  • (C) Chronic renal failure
  • (D) None of the above

Question 163:

The differentiating feature between irritable bowel syndrome (IBS) and organic gastrointestinal disease is:

  • (A) Diarrhea
  • (B) Stool calprotectin
  • (C) Abdominal pain
  • (D) Mucus in stools

Question 164:

A patient has fatigue but is not gaining weight, and the body feels warm. Investigations are most likely to show:

  • (A) Low TSH with raised T3 or T4
  • (B) High TSH with normal T3 or T4
  • (C) High TSH with a euthyroid state
  • (D) Increased uptake of T3 but decreased T4

Question 165:

Rewarming in frostbite should be done at what temperature?

  • (A) 37 degrees
  • (B) 42 degrees
  • (C) 44 degrees
  • (D) 46 degrees

Question 166:

Which of the following is NOT seen in pituitary apoplexy?

  • (A) Headache
  • (B) Hypertension
  • (C) Hypotension
  • (D) Vomiting

Question 167:

Loss of pain and temperature sensation on the ipsilateral face and contralateral body is due to thrombosis in the:

  • (A) Posterior inferior cerebellar artery (PICA)
  • (B) Posterior cerebellar artery
  • (C) Superior cerebellar artery
  • (D) None of the above

Question 168:

All of the following are found in left ventricular failure (LVF) EXCEPT:

  • (A) Lung oligemia
  • (B) Kerley B lines
  • (C) Rales
  • (D) Pedal edema

Question 169:

All of the following show low glucose in pleural fluid, EXCEPT:

  • (A) Empyema
  • (B) Malignant pleural effusion
  • (C) Rheumatoid arthritis
  • (D) Dressler's syndrome

Question 170:

A 25 year old lady with a history of fever for 1 month presents with headache and ataxia. Brain imaging shows dilated ventricles and significant basal exudates. Which of the following will be the most likely CSF finding?

  • (A) Lymphocytosis, low glucose, high protein
  • (B) Lymphocytosis, normal glucose, high protein
  • (C) Lymphocytosis, low glucose, normal protein
  • (D) Neutrophilia, low glucose, low protein

Question 171:

Which of the following drugs can be given in patients of primary pulmonary hypertension?

  • (A) Icatibant
  • (B) Bosentan
  • (C) Labetalol
  • (D) Sodium nitroprusside

Question 172:

A patient arrives in the ER following a road traffic accident with hypotension, respiratory distress and subcutaneous emphysema with no entry of air on one side. What will be the best management?

  • (A) Needle decompression in the 5th intercostal space in the midaxillary line
  • (B) Continue positive pressure ventilation
  • (C) Shift to ICU and intubate
  • (D) Secure IV line and start fluid resuscitation after insertion of a wide-bore IV line

Question 173:

Treatment of renal cell carcinoma of less than 4 cm will be:

  • (A) Partial nephrectomy
  • (B) Radical nephrectomy
  • (C) Radical nephrectomy + postoperative radiotherapy
  • (D) Radical nephrectomy + chemotherapy

Question 174:

Which of the following is NOT seen in the ASEPSIS score?

  • (A) Erythema
  • (B) Induration
  • (C) Serous discharge
  • (D) Purulent exudate

Question 175:

Esophageal manometry was performed. It revealed panesophageal pressurization with distal contractile integrity of > 450 mmHg.s.cm pressure in the body. What will be the diagnosis?

  • (A) Type 1 achalasia
  • (B) Type 2 achalasia
  • (C) Type 3 achalasia
  • (D) Jackhammer esophagus

Question 176:

What will be the appropriate management for an abdominal aortic aneurysm?

  • (A) Monitor till size reaches 55 mm
  • (B) Immediate surgery
  • (C) USG monitoring till > 70 mm asymptomatic
  • (D) No treatment

Question 177:

What is the T stage of a 2.5 cm lung carcinoma, not involving the pleura?

  • (A) T1a
  • (B) T2
  • (C) T1b
  • (D) T1c

Question 178:

In the primary survey, which is NOT included?

  • (A) CECT to look for bleeding
  • (B) Exposure of the whole body
  • (C) ABC
  • (D) Recording BP

Question 179:

What is the most common location of gastrinoma in MEN-1 syndrome?

  • (A) Duodenum
  • (B) Jejunum
  • (C) Pancreas
  • (D) Ileum

Question 180:

A patient presents with a precancerous penile lesion along with abdominal swelling and palpable inguinal lymphadenopathy. The most probable carcinoma associated with this clinical picture is:

  • (A) Carcinoma of the penis
  • (B) Carcinoma of the testis
  • (C) Carcinoma of the prostate
  • (D) Carcinoma of the bladder

Question 181:

An intoxicated man fell into a manhole and sustained a perineal injury. He now has a swollen scrotum and upper thigh, blood at the urethral meatus, and difficulty passing urine. The injury most likely associated with this trauma is:

  • (A) Bladder rupture
  • (B) Penile fracture
  • (C) Bulbar urethral injury
  • (D) Membranous urethral injury

Question 182:

A patient with known carcinoma of the bladder presents with dyspnoea, clinical signs of deep vein thrombosis, and tachycardia. According to the Wells score, the risk of this patient developing pulmonary embolism is:

  • (A) High
  • (B) Medium (moderate)
  • (C) Low
  • (D) Cannot comment without D-dimer values

Question 183:

Four months after a renal transplant, a patient is most likely to develop infection with which of the following organisms?

  • (A) Epstein-Barr virus (EBV)
  • (B) Cytomegalovirus (CMV)
  • (C) Candida
  • (D) Histoplasma

Question 184:

A patient presents with faecal peritonitis, and at laparotomy a perforated diverticulum is found with frank faecal contamination of the peritoneal cavity. According to the Hinchey classification, this corresponds to which stage?

  • (A) Stage I
  • (B) Stage II
  • (C) Stage III
  • (D) Stage IV

Question 185:

A young man met with a motorbike accident sustaining injuries to the ileum and jejunum, following which the entire ileum and part of the jejunum were resected. The patient is most likely to subsequently suffer from:

  • (A) Vitamin B12 deficiency
  • (B) Atrophic gastritis
  • (C) Constipation
  • (D) None of the above

Question 186:

A patient presents with epigastric pain after a heavy meal. On examination there is tenderness and rigidity in the upper abdomen, and the chest X-ray shows pneumomediastinum. The most likely cause is:

  • (A) Spontaneous oesophageal rupture (Boerhaave syndrome)
  • (B) Penetrating foreign body injury to the oesophagus
  • (C) Perforated peptic ulcer
  • (D) Rupture of an emphysematous bulla

Question 187:

Transplantation of tissue between two genetically identical individuals (identical twins) is termed:

  • (A) Isograft
  • (B) Allograft
  • (C) Autograft
  • (D) Xenograft

Question 188:

The Thoracoscore is a widely used model to predict operative mortality in thoracic surgery patients. Which of the following is NOT a component of the Thoracoscore?

  • (A) ASA classification
  • (B) Surgery priority (elective vs urgent)
  • (C) Performance status
  • (D) Expected complications after surgery

Question 189:

Regarding retrosternal goitre, which of the following statements is true?

  • (A) All patients should undergo a CT scan of the chest
  • (B) All patients require a median sternotomy for removal
  • (C) It receives its blood supply from the thoracic (intrathoracic) vessels
  • (D) The majority of retrosternal goitres should be operated immediately

Question 190:

All of the following are part of the King's College Criteria used in acute fulminant (non-paracetamol) liver failure to decide for transplantation, EXCEPT:

  • (A) Age
  • (B) Jaundice for <7 days
  • (C) Serum bilirubin >17.5 mg/dl
  • (D) INR >3.5

Question 191:

A patient is posted for elective inguinal hernia repair. He has a past history of myocardial infarction for which he underwent CABG. What is the appropriate preoperative cardiac assessment?

  • (A) History + clinical examination + routine labs + angiography to look for stent patency
  • (B) History + clinical examination + routine labs
  • (C) History + clinical examination + routine labs + stress test
  • (D) History + clinical examination + routine labs + V/Q scan

Question 192:

A patient with a stab injury to the right lower chest presents with low BP and low pulse rate. He improves with IV fluids and, after resuscitation in the trauma centre, his BP becomes normal. Chest X-ray shows clear lung fields. What is the next step?

  • (A) eFAST
  • (B) Keep an immediate chest tube
  • (C) CECT abdomen
  • (D) CECT chest

Question 193:

In a patient operated for parathyroid adenoma, how do we confirm intraoperatively that the correct (culprit) gland has been removed?

  • (A) 50% reduction in PTH after 10 minutes
  • (B) 50% reduction in PTH after 5 minutes
  • (C) 25% reduction in PTH after 10 minutes
  • (D) 25% reduction in PTH after 5 minutes

Question 194:

Which flap, with its correctly matched vascular pedicle, is commonly used in breast reconstruction?

  • (A) DIEP flap based on the deep inferior epigastric vessels
  • (B) TRAM flap based on the superior gluteal vessels
  • (C) Gluteal flap based on the thoracodorsal artery
  • (D) Latissimus dorsi flap based on the inferior epigastric artery

Question 195:

A 30-year-old man presents with cramping gluteal (buttock) pain after walking 500 m. Which vascular segment is involved?

  • (A) Arterial disease with aortoiliac involvement
  • (B) Arterial disease with femoral artery involvement
  • (C) Femoral venous insufficiency
  • (D) None

Question 196:

Which is the most common functioning pancreatic endocrine neoplasm?

  • (A) Insulinoma
  • (B) Gastrinoma
  • (C) VIPoma
  • (D) Glucagonoma

Question 197:

An elderly man has a long-standing mole over the face that is increasing in size and showing irregular borders. What is the most likely diagnosis?

  • (A) Superficial spreading melanoma
  • (B) Lentigo maligna melanoma
  • (C) Acral melanoma
  • (D) Nodular melanoma

Question 198:

Which parameter most conclusively rules out malnutrition?

  • (A) Edema
  • (B) Lean body mass
  • (C) Skinfold thickness
  • (D) Normal ECF volume

Question 199:

A 2-year-old child weighing 6.7 kg has Hb 6 g/dl, total protein 3 g/dl, low albumin, and a distended abdomen but no proteinuria. What is the diagnosis?

  • (A) Marasmus
  • (B) Kwashiorkor
  • (C) Indian childhood cirrhosis
  • (D) None

Question 200:

In respiratory distress syndrome (RDS) in a child, which cells are found to be defective?

  • (A) Type 1 pneumocytes
  • (B) Type 2 pneumocytes
  • (C) Bronchial epithelium
  • (D) None

Question 201:

What is the cause of the greenish-black colour of stool (meconium) in a neonate?

  • (A) Meconium
  • (B) Biliverdin
  • (C) Bilirubin
  • (D) Urochrome

Question 202:

A term baby on breastfeeding has a serum bilirubin of 14 mg/dL. Which of the following is true?

  • (A) Exchange transfusion
  • (B) Continue to breastfeed
  • (C) Phototherapy
  • (D) None

Question 203:

What is the most common karyotype seen in true hermaphroditism (ovotesticular disorder of sex development)?

  • (A) 45 X0 with streak gonads
  • (B) 46 XX with ovotestis
  • (C) 47 XY +9
  • (D) 47 XX

Question 204:

An APGAR score of 3 at 1 minute indicates that the newborn is:

  • (A) Mildly depressed
  • (B) Further resuscitation not needed
  • (C) Severely depressed
  • (D) Normal

Question 205:

A woman develops pain and a crawling sensation in her legs at night, with a clinical history of restless leg syndrome. What is the drug of choice?

  • (A) Pramipexole
  • (B) Gabapentin
  • (C) Vitamin B12
  • (D) Iron tablets

Question 206:

A patient has arthritis involving the 1st metacarpophalangeal joint, the PIP and DIP joints of the hands, while sparing the wrist and ankle. What is the most likely diagnosis?

  • (A) Osteoarthritis
  • (B) Rheumatoid arthritis
  • (C) Psoriatic arthritis
  • (D) Gout

Question 207:

A 12-year-old child is admitted to the ICU with blunt trauma and a femur fracture. PaO2 stays at 60 mmHg despite 100% oxygen via a non-rebreather mask, the chest X-ray shows clear lung fields, but the patient remains confused. What is the most likely diagnosis?

  • (A) Pulmonary contusion
  • (B) Fat embolism syndrome
  • (C) Hypovolaemic shock
  • (D) Pulmonary embolism

Question 208:

A 4-year-old child, while playing, was suddenly swung around by the elbow from the maid's hand and is now crying continuously, not allowing anyone to touch the elbow. The child keeps the elbow extended. What is the most likely diagnosis?

  • (A) Radial head fracture
  • (B) Pulled elbow
  • (C) Supracondylar fracture
  • (D) Elbow dislocation

Question 209:

A sexually active female presents with a profuse, frothy, foul-smelling discharge and intense itching. Examination reveals a strawberry cervix. What is the diagnosis?

  • (A) Trichomonas vaginalis
  • (B) Bacterial vaginosis
  • (C) Candidiasis
  • (D) None

Question 210:

A 33-year-old woman presents to the gynaecology OPD with heavy menstrual bleeding for 6 months. Clinical examination shows no abnormality and ultrasound is also normal. She was tried on non-hormonal treatment, which failed. What is the next step in management?

  • (A) Hormonal therapy
  • (B) Endometrial sampling
  • (C) Hysterectomy
  • (D) Endometrial ablation

Question 211:

In a postmenopausal woman, the first-line drug for osteoporosis is:

  • (A) OCP
  • (B) Bisphosphonates
  • (C) Raloxifene
  • (D) Strontium

Question 212:

Prolactin is secreted maximally at:

  • (A) 24 hours after delivery
  • (B) REM sleep
  • (C) 2 hours of running
  • (D) 24 hours after ovulation

Question 213:

All of the following are used for postcoital (emergency) contraception EXCEPT:

  • (A) CuT (copper IUD)
  • (B) RU 486 (mifepristone)
  • (C) High-dose estrogen
  • (D) Danazol

Question 214:

A woman delivered at home with a complete perineal tear and presents to the hospital 2 weeks later. What management will you prefer?

  • (A) Immediate repair
  • (B) Repair 3 weeks post-delivery
  • (C) Repair 6 weeks post-delivery
  • (D) Repair 3 months post-delivery

Question 215:

In modern obstetrics, for a sensitized Rh-negative mother, what is preferred to evaluate the fetal condition?

  • (A) MCA Doppler peak systolic velocity
  • (B) Fetal blood sampling
  • (C) Amniocentesis
  • (D) Biophysical profile

Question 216:

A 7-week pregnant woman has a single accidental exposure to a diagnostic x-ray. Which of the following should be done?

  • (A) Continue pregnancy
  • (B) Terminate pregnancy
  • (C) Chromosome analysis
  • (D) Pre-invasive diagnostic testing

Question 217:

A 32-year-old woman complains of amenorrhea since the delivery of a baby 15 months earlier, despite the fact that she did not breastfeed. The delivery was complicated by excessive haemorrhage requiring transfusion of 2.5 litres of blood. She has also been fatigued and has gained 4.5 kg since the baby was born. Laboratory data: serum LH < 1 IU/L (normal 4-24), serum estradiol 5 pg/mL (normal 20-100), serum TSH 0.1 mU/L (normal 0.5-5), serum GH 3 ng/mL (normal < 5), serum ACTH 28 pg/mL (normal 10-50), serum prolactin 2 ng/mL (low). Injection of 500 microgram of TRH failed to produce the expected rise in both serum TSH and prolactin. Which diagnosis most likely explains these findings?

  • (A) Hashimoto's thyroiditis
  • (B) Isolated gonadotropin deficiency
  • (C) Primary amenorrhea
  • (D) Sheehan's syndrome

Question 218:

Completion of meiosis I (the first meiotic division of the germ cell) occurs in:

  • (A) Adult ovary
  • (B) Prepubertal testis
  • (C) At birth in the ovary
  • (D) All of the above

Question 219:

A woman with DCDA twins at 38 weeks, with the first twin in breech presentation, has BP 140/96 mmHg and 1+ proteinuria. What is the management?

  • (A) Immediate LSCS
  • (B) Induction at 40 weeks
  • (C) Immediate induction and vaginal delivery
  • (D) Induction if signs of preeclampsia develop

Question 220:

A 36-week pregnant lady has a history of one previous twin delivery. What is her obstetric (gravida-para) score?

  • (A) G2P1
  • (B) G2P2
  • (C) G3P2
  • (D) G3P3

Question 221:

Misoprostol, used in the induction of labour, is an analogue of which type of prostaglandin?

  • (A) PG E1
  • (B) PG E2
  • (C) PG I2
  • (D) PG F2 alpha

Question 222:

In early pregnancy, the clinical sign in which the cervix and the body of the bulky uterus feel separated because of a softened isthmus at 6 to 8 weeks of gestation is:

  • (A) Goodell's sign
  • (B) Chadwick's sign
  • (C) Piskacek's sign
  • (D) Hegar's sign

Question 223:

A 13-year-old girl visits the gynaecology OPD with a complaint of not attaining menarche. Her karyotype is 46,XX. On examination, clitoromegaly is seen. Which enzyme is most likely deficient in this condition?

  • (A) 21 alpha-hydroxylase
  • (B) 11 beta-hydroxylase
  • (C) 17 alpha-hydroxylase
  • (D) 3 beta-hydroxysteroid dehydrogenase

Question 224:

A mother brings her 16-year-old daughter to the gynaecology OPD with a complaint of not attaining menarche. There is a history of cyclical lower abdominal pain. On examination there is a midline abdominal swelling, and per-rectal examination reveals a bulging mass in the vagina. What is the most common cause?

  • (A) Imperforate hymen
  • (B) Transverse vaginal septum
  • (C) Vaginal agenesis
  • (D) MRKH syndrome

Question 225:

Which of the following is NOT an estrogen-dependent pubertal change?

  • (A) Hair growth
  • (B) Menstruation
  • (C) Vaginal cornification
  • (D) Cervical mucus

Question 226:

A 22-year-old primigravida attends the ANC OPD at 20 weeks of gestation. On examination the uterine height corresponds to a 16-week size. USG shows reduced liquor. What is the most likely diagnosis?

  • (A) Renal agenesis
  • (B) Fetal anemia
  • (C) Bartter syndrome
  • (D) Liddle syndrome

Question 227:

The most common site for fertilization is:

  • (A) Ampulla
  • (B) Isthmus
  • (C) Intramural part
  • (D) Fimbriae

Question 228:

Which distension medium is used for hysteroscopy performed with bipolar cautery?

  • (A) Glycine
  • (B) Normal saline
  • (C) Carbon dioxide
  • (D) Dextran 70

Question 229:

The best treatment option for a septate uterus is:

  • (A) Tompkins metroplasty
  • (B) Jones metroplasty
  • (C) Strassmann metroplasty
  • (D) Transcervical hysteroscopic resection of the septum

Question 230:

A pregnant female had meconium-stained liquor and underwent an emergency LSCS. A few days later her condition deteriorated. USG showed edematous bowels. What is the cause?

  • (A) Meconium peritonitis
  • (B) Paralytic ileus
  • (C) Adhesive intestinal obstruction
  • (D) Intra-abdominal abscess

Question 231:

An 18-year-old girl presents with 6 months of amenorrhea, a history of low-grade fever, weight loss, abdominal pain and generalized weakness. On per-rectal examination, a palpable left-sided pelvic mass is felt. The diagnosis is:

  • (A) Fibroid with degeneration
  • (B) TB pelvis with tubo-ovarian mass
  • (C) Ectopic pregnancy
  • (D) Granulosa cell tumour

Question 232:

A child is born covered with a thick membranous coat. What is the most likely diagnosis?

  • (A) Lamellar ichthyosis
  • (B) X-linked ichthyosis
  • (C) Ichthyosis vulgaris
  • (D) Ichthyosis acquisita

Question 233:

Mouth-to-mouth respiration provides what percentage of oxygen to the recipient?

  • (A) 10%
  • (B) 16%
  • (C) 21%
  • (D) 100%

Question 234:

A cancer patient undergoes radiotherapy. Pick the true statement regarding radiosensitivity of tissues:

  • (A) Rapidly dividing cells are resistant to radiation
  • (B) GI mucosa is one of the most radioresistant tissues in the body
  • (C) The intensity of radiation is inversely proportional to the square of the distance from the source
  • (D) Small blood vessels are least resistant to radiation

Question 235:

Which is the most common drug causing dependence worldwide?

  • (A) Cannabis
  • (B) Cocaine
  • (C) Heroin
  • (D) Amphetamine

Question 236:

An MBBS student presents with choking, dyspnea, chest tightness, anxiety and an impending sense of doom. On examination all systemic findings are normal, and she is referred to psychiatry. What is the probable diagnosis?

  • (A) Panic disorder
  • (B) Depression
  • (C) Epilepsy
  • (D) Asthma

Question 237:

A patient with depression was given imipramine for 2 weeks. Relatives then noticed increased excitement, colourful clothing and increased talking. What is the next step in management?

  • (A) Add an antipsychotic and continue imipramine
  • (B) Discontinue imipramine and start valproate
  • (C) Continue imipramine alone
  • (D) Manage with valproate alone

Question 238:

A patient falls down often, with behavioral change and enuresis. What is the most likely condition?

  • (A) Frontotemporal dementia
  • (B) Normal pressure hydrocephalus
  • (C) Parkinson's disease
  • (D) Alzheimer's disease

Question 239:

A patient has depressive symptoms for 6 months and, in the last 2 weeks, auditory hallucinations. What is the probable diagnosis?

  • (A) Psychotic depression
  • (B) Schizoaffective disorder
  • (C) Manic depressive illness
  • (D) Schizophrenia

Question 240:

Identify the type of joint shown in the picture.

  • (A) Syndesmosis
  • (B) Synarthrosis
  • (C) Synovial joint
  • (D) Symphysis

Question 241:

Identify the muscle marked in the image. What is its nerve supply?

  • (A) Dorsal scapular nerve
  • (B) Thoracodorsal nerve
  • (C) Spinal accessory nerve
  • (D) Suprascapular nerve

Question 242:

Identify the cartilage shown in the histology slide.

  • (A) Hyaline cartilage
  • (B) Elastic cartilage
  • (C) Articular cartilage
  • (D) Fibrocartilage

Question 243:

Identify the boundaries of the anatomical structure marked in the image.

  • (A) Extensor pollicis longus
  • (B) Abductor pollicis longus
  • (C) Styloid process of the radius
  • (D) All of the above

Question 244:

Identify the cell type marked in the cerebellum.

  • (A) Basket cells
  • (B) Granule cells
  • (C) Golgi cells
  • (D) Purkinje cells

Question 245:

Identify the sleep wave marked in the EEG during the sleep-wake cycle.

  • (A) Stage 1 sleep
  • (B) REM sleep
  • (C) Stage 2 sleep
  • (D) Stage 3 sleep

Question 246:

Casal's necklace is seen in the deficiency of:

  • (A) Vitamin A
  • (B) Niacin
  • (C) Iron
  • (D) Vitamin B12

Question 247:

An HIV positive patient with a CD4 count of 300/cumm presents with mucosal lesions in the mouth as shown in the figure. On microscopy, budding yeasts and pseudohyphae are seen. The most probable diagnosis is:

  • (A) Candidiasis
  • (B) Hairy leukoplakia
  • (C) Lichen planus
  • (D) Diphtheria

Question 248:

A 25-year-old male presented with a 2 cm thyroid nodule. A thyroidectomy was done and the histology is shown below. What could be the diagnosis?

  • (A) Papillary carcinoma thyroid
  • (B) Follicular adenoma
  • (C) Graves disease
  • (D) Adenomatous goitre

Question 249:

A 5-year-old child presented with a history of blood in the stools. On examination, there was a polypoid mass in the rectum, a biopsy of which is shown below. The most probable diagnosis is:

  • (A) Villous adenoma
  • (B) Juvenile polyp
  • (C) Vascular malformation
  • (D) Serrated adenoma

Question 250:

A 25-year-old man presents for a routine physical examination. The patient is tall and on examination he was found to have an early diastolic murmur. His family pedigree is given below. Which of the following is the mode of inheritance by which the disease is likely to be transmitted?

  • (A) AD
  • (B) AR
  • (C) XLR
  • (D) XLD

Question 251:

A 51-year-old person came with a complaint of hematuria. On examination he was normotensive and had pedal edema. Investigations revealed the patient had no glucosuria and had a creatinine value of 9 mg%. The renal biopsy is as shown below. Which of the following investigations should one do to identify the etiology of the disease?

  • (A) ANA
  • (B) Anti-GBM antibodies
  • (C) HIV RNA
  • (D) Urine immunoelectrophoresis

Question 252:

A 35-year-old heterosexual patient diagnosed with HIV had a history of chronic watery diarrhea. A colonoscopic biopsy is shown below. The most probable diagnosis is?

  • (A) Giardia
  • (B) CMV
  • (C) Microspora
  • (D) Cryptosporidium

Question 253:

An 11-year-old boy presented with cough for 15 days. On examination he was found to have cervical lymphadenopathy. Lymph node examination showed the finding below. What could be the diagnosis?

  • (A) Leprosy
  • (B) Sarcoidosis
  • (C) TB
  • (D) Syphilis

Question 254:

A 40-year-old person presented with a 10 x 8 cm swelling in the retroperitoneum. The biopsy from the lesion is as shown below. Molecular analysis demonstrated t(12;16). The most probable diagnosis is?

  • (A) Myxoid liposarcoma
  • (B) Lipoma
  • (C) Synovial sarcoma
  • (D) Pleomorphic sarcoma

Question 255:

A 35-year-old woman with a long history of dyspnea, chronic cough, sputum production, and wheezing dies of respiratory failure following a bout of lobar pneumonia. She was not a smoker or an alcoholic. The lung autopsy is shown in the image. Which of the following underlying conditions was most likely associated with the pathologic changes shown here?

  • (A) Mutation in dynein arms
  • (B) Cystic fibrosis
  • (C) Alpha-1 antitrypsin deficiency
  • (D) Antibodies against type 4 collagen

Question 256:

The graph below shows the dose-response curves of three drugs A, B and C. Which of the following drugs shown in the graph has the highest potency?

  • (A) Drug A
  • (B) Drug B
  • (C) Drug C
  • (D) Both Drug A & B

Question 257:

In the following X-ray of the wrist, what is the exact age?

  • (A) 2 yrs
  • (B) 8 yrs
  • (C) 6 yrs
  • (D) 9 yrs

Question 258:

Identify the phenomenon shown in the image.

  • (A) Electric burn
  • (B) Crocodile burn
  • (C) Scalds
  • (D) Putrefaction

Question 259:

Identify the following image.

  • (A) Neisseria meningitidis
  • (B) Neisseria cinerea
  • (C) Neisseria gonorrhoeae
  • (D) Neisseria polysaccharea

Question 260:

Identify the parasite egg shown in the image.

  • (A) Trichuris trichiura
  • (B) Ancylostoma duodenale
  • (C) Paragonimus
  • (D) Strongyloides

Question 261:

Identify the organism causing the infection shown on the upper arm.

  • (A) Tinea corporis
  • (B) Tinea capitis
  • (C) Tinea cruris
  • (D) Tinea manus

Question 262:

The immunoglobulin shown in the image is:

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

Question 263:

A 15-year-old boy presented with fever and chills for 3 days. On examination he had a delayed skin pinch time and dry oral mucosa. A peripheral blood smear revealed the following picture. Identify the pathogen involved.

  • (A) Babesia
  • (B) Plasmodium vivax
  • (C) Plasmodium falciparum
  • (D) Salmonella typhi

Question 264:

A patient complains of painful blisters around the angle of the mouth. Identify the condition.

  • (A) Herpes labialis
  • (B) Herpangina
  • (C) Herpes zoster
  • (D) Epstein-Barr

Question 265:

A patient presents with the feature shown in the image. The patient has another 3-year-old sibling at home who is fully immunized as per the immunization schedule. What is the best measure to prevent diphtheria in the sibling of this diphtheria case?

  • (A) Give diphtheria toxoid booster
  • (B) Give a full course of DPT vaccine
  • (C) Give prophylactic erythromycin
  • (D) Nothing is required to be done

Question 266:

The most common site of origin of the pharyngeal diverticulum seen in the barium swallow shown below is:

  • (A) Between stylopharyngeus and palatopharyngeus
  • (B) Between middle and inferior constrictor
  • (C) Between inferior constrictor and esophagus
  • (D) Between thyropharyngeus and cricopharyngeus

Question 267:

The image shows bluish-purple discolouration behind the mastoid. Identify the sign.

  • (A) Battle sign
  • (B) Bezold abscess
  • (C) Both A and B
  • (D) None of these

Question 268:

A patient presents with fever and dysphagia. The image shows the tonsil being pushed. What is the diagnosis?

  • (A) Parapharyngeal abscess
  • (B) Retropharyngeal abscess
  • (C) Peritonsillar abscess
  • (D) Ludwig's angina

Question 269:

This patient gives a history of toothache for one week. What is the diagnosis?

  • (A) Acute parotitis
  • (B) Angioneurotic edema
  • (C) Ludwig's angina
  • (D) Parapharyngeal abscess

Question 270:

Look at the eye movement shown in the image. The movement is lost in:

  • (A) Third nerve palsy
  • (B) Trochlear palsy
  • (C) Sixth nerve palsy
  • (D) Facial nerve palsy

Question 271:

Identify the condition shown in the image below:

  • (A) Peutz-Jeghers polyp
  • (B) Juvenile polyp
  • (C) Villous adenoma
  • (D) Hyperplastic polyp

Question 272:

A barium swallow examination is shown below. What is the most probable diagnosis?

  • (A) Esophageal carcinoma
  • (B) Esophageal ring
  • (C) Esophageal tear
  • (D) Achalasia cardia

Question 273:

Identify the condition shown in the image below:

  • (A) Chronic lymphedema
  • (B) Cushing syndrome
  • (C) Osteoporosis
  • (D) None

Question 274:

Identify the condition shown in the imaging below:

  • (A) MCU with bulbar urethral stricture
  • (B) MCU with penile stricture
  • (C) RGU with membranous stricture
  • (D) RGU with prostatic stricture

Question 275:

What is the use of the instrument given in the image below?

  • (A) Laparoscopic sterilisation
  • (B) Removal of ectopic pregnancy
  • (C) Termination of pregnancy
  • (D) Laparoscopic procedures to create pneumoperitoneum

Question 276:

Identify the contraceptive device shown in the image below:

  • (A) Female condom
  • (B) Male condom
  • (C) Chaaya
  • (D) Today

Question 277:

What maternal condition is associated with the fetal anomaly shown in the image below?

  • (A) ACE inhibitor use
  • (B) Gestational diabetes mellitus
  • (C) Pregestational diabetes mellitus
  • (D) Valproate use

Question 278:

Interpret the partogram shown below and identify the most likely diagnosis:

  • (A) Cephalopelvic disproportion (CPD)
  • (B) Maternal exhaustion
  • (C) Inadequate uterine contractions
  • (D) Rupture uterus

Question 279:

A 60-year-old woman presents with a history of intermittent bleeding. Her ultrasound is shown below. What is the diagnosis?

  • (A) Endometrial polyp
  • (B) Carcinoma endometrium
  • (C) Submucosal fibroid
  • (D) None

Question 280:

What will be the hysteroscopic finding in the given image?

  • (A) Bilateral hydrosalpinx
  • (B) Bilateral cornual block
  • (C) Normal HSG
  • (D) Bicornuate uterus

Question 281:

A lady on treatment for infertility developed ascites, abdominal pain and dyspnea. USG of the patient is shown below. What will be the diagnosis?

  • (A) PCOS
  • (B) OHSS
  • (C) Theca lutein cyst
  • (D) Mucinous cystadenoma

Question 282:

A 5-year-old male child presents to the clinic with a history of recurrent infection. On examination he is found to have the rashes shown below. On routine blood investigation, a low platelet count is found. What will be the diagnosis?

  • (A) Wiskott-Aldrich syndrome
  • (B) Job's syndrome
  • (C) Chediak-Higashi syndrome
  • (D) None

Question 283:

The patient is presenting with the deformity of the finger as shown. The PIP joint is involved but the DIP joint is spared. What is the diagnosis?

  • (A) Osteoarthritis
  • (B) Rheumatoid arthritis
  • (C) Psoriatic arthritis
  • (D) Ankylosing spondylitis

Question 284:

What is the most likely diagnosis given in the image?

  • (A) Popeye's sign
  • (B) Griesinger sign
  • (C) Rising sun sign
  • (D) Winner sign

Question 285:

The patient is presenting with pain around the base of the thumb. The tendons involved are:

  • (A) APB and EBL
  • (B) APL and EPB
  • (C) APB and EPB
  • (D) APL and EPL

Question 286:

The angle shown in the image is known as:

  • (A) Cobb's angle
  • (B) Bohler's angle
  • (C) Ferguson angle
  • (D) Baumann's angle

Question 287:

What is the diagnosis of a 55-year-old woman with a chronic low backache?

  • (A) Osteoporosis
  • (B) Hurler's syndrome
  • (C) Paget's disease
  • (D) Renal osteodystrophy

Question 288:

Identify the condition shown in the image.

  • (A) Ichthyosis vulgaris
  • (B) Syndromal ichthyosis
  • (C) Leprosy
  • (D) Sarcoidosis

Question 289:

The patient came with a history of bullae involving > 30% of the body surface area along with erosions of the lips and other mucosae for the past 7 days. What is the most probable underlying etiology?

  • (A) Bacterial infection
  • (B) Viral infection
  • (C) Drugs
  • (D) Malignancy

Question 290:

Which of the following does the capnograph image below depict?

  • (A) During inspiration
  • (B) Inspiration with cardiac oscillations
  • (C) During expiration
  • (D) Spontaneous respiration

Question 291:

Identify the device shown in the image.

  • (A) Nasopharyngeal airway
  • (B) Endotracheal tube (cuffed)
  • (C) Guedel airway
  • (D) Laryngeal mask airway

Question 292:

Identify the condition in the X-ray given below.

  • (A) TGA
  • (B) TAPVC
  • (C) TOF
  • (D) Ebstein's anomaly

Question 293:

A chest radiograph obtained in a male with hypertension. What will be the diagnosis?

  • (A) Tetralogy of Fallot
  • (B) Ebstein's anomaly
  • (C) TAPVC
  • (D) Coarctation of aorta

Question 294:

Steeple sign, seen in the image below, is seen in which of the following conditions?

  • (A) Acute epiglottitis
  • (B) Acute laryngotracheobronchitis
  • (C) Laryngeal papillomatosis
  • (D) Bilateral abductor paralysis

Question 295:

Identify the radiological sign given below.

  • (A) Diverticulitis
  • (B) Ischaemic colitis
  • (C) Appendicitis
  • (D) None

Question 296:

A middle-aged man has a swelling over the neck since childhood, with the overlying skin not intact, which had a bag-of-worms or worm-like appearance with a black spot in the middle. What will be the diagnosis?

  • (A) Cirsoid aneurysm
  • (B) Varicocele
  • (C) Plexiform neurofibroma
  • (D) Lymphangioma

Question 297:

Identify the radiological image given below.

  • (A) Intussusception
  • (B) Carcinoma colon
  • (C) Sigmoid volvulus
  • (D) Diverticulitis

Question 298:

Name the sign represented in the image given below.

  • (A) Mickey mouse sign
  • (B) String sign
  • (C) Tillaux sign
  • (D) Stemmer's sign

Question 299:

A 35-year-old male presents with recurrent episodes of abdominal pain, jaundice, and fatigue and underwent MRCP. What will be the most likely diagnosis?

  • (A) Primary biliary cirrhosis
  • (B) Caroli's disease
  • (C) Primary sclerosing cholangitis
  • (D) Oriental cholangitis

NEET PG 2020 Exam Pattern and Marking Scheme Explained

As per the NBE information bulletin on the official website (natboard.edu.in), NEET PG 2020 was a single-best-answer MCQ paper, and nearly 80% of it was clinical-knowledge based rather than straight recall - which is why students found it lengthy.

  • Total questions: 300 MCQs (single best response), split across three parts
  • Duration: 3 hours 30 minutes, computer-based test
  • Total marks: 1200
  • Marking scheme: +4 for correct, -1 for incorrect, 0 for unattempted
  • Question types: clinical case-based, image-based, and direct single-best-answer MCQs
  • Language: English only

NEET PG 2020 Qualifying Percentile and Score Benchmark

  • General category qualifying percentile: 50th - you needed to score above the median to be eligible for MD/MS counselling
  • SC/ST/OBC and PwD qualifying percentile: 40th
  • With ~80% of the paper being clinical, target at least 220-240 attempts at high accuracy - careful reading beats blind guessing on a +4/-1 paper
  • Use these as weekly targets when you redo the paper as a timed mock

High-Weightage Subjects in NEET PG 2020 to Focus On First

General Medicine led the paper, and clinical subjects together carried the bulk of the questions. Students who prepped Medicine, PSM, and Pharmacology first gained the most marks per hour of study.

  • General Medicine: the single heaviest subject in NEET PG 2020; cardiology, nephrology, and endocrinology clinical cases were frequent
  • Preventive and Social Medicine (PSM): one of the top contributors, with biostatistics, epidemiology, and national health programme questions
  • Pharmacology: well-represented with mechanism-of-action and adverse-effect questions on antibiotics, anticancer drugs, and autonomic drugs
  • General Surgery and Obstetrics and Gynaecology: consistent high weightage; wound healing, hernias, normal obstetrics, and gynaecological malignancies featured
  • Anaesthesia, Radiology, and Paediatrics: moderate weightage with image-based and clinical-scenario questions
  • Low-weightage subjects: Forensic Medicine, Ophthalmology, and ENT - Ophthalmology and ENT combined carried only about six questions

NEET PG 2020 Question Paper Analysis Video

Source: Dr. Rajamahendran

How to Use the NEET PG 2020 Question Paper for Your Preparation

NEET PG 2020 was rated medium difficulty but lengthy, since nearly 80% of questions needed applied clinical reasoning rather than memory. That length is exactly what makes this paper valuable as a mock - it trains you to manage time across a 3.5-hour, 300-question sitting.

  • Solve it timed first - set a 3.5-hour block and do not look at solutions midway; this is what builds real exam stamina
  • Review every clinical-scenario question carefully, since these dominated 2020 and are slower to read than one-liners
  • After reviewing, redo every Medicine, PSM, and Pharmacology question you got wrong - those three subjects alone can shift your percentile significantly
  • Practise reading the image-based questions (X-rays, slides, clinical photographs) from this paper, as image recognition is a recurring NEET PG skill
  • Track your attempt count and accuracy each time you redo the paper, aiming to cross the 50th percentile benchmark

NEET PG 2020 Question Paper FAQs

Ques. Was NEET PG 2020 difficult or moderate, and what made it lengthy?

Ans. NEET PG 2020 was rated medium overall but lengthy. Nearly 80% of the paper was clinical-knowledge based, so many questions needed applied reasoning rather than memory recall. Subjects like Medicine, Surgery, Anaesthesia, Radiology, OBGY, and Paediatrics dominated, which is why students found the 300-question paper time-consuming.

Ques. Which subjects had the highest weightage in NEET PG 2020?

Ans. General Medicine led, followed by Preventive and Social Medicine (PSM) and Pharmacology. General Surgery and Obstetrics and Gynaecology were the other big contributors. The fewest questions came from Forensic Medicine, Ophthalmology, and ENT - with Ophthalmology and ENT together carrying only about six questions.

Ques. How many questions should I attempt in NEET PG 2020 to qualify at the 50th percentile?

Ans. The general-category qualifying threshold is the 50th percentile. On a 300-question, 1200-mark paper with +4/-1 marking, most coaching experts recommend attempting 220-240 questions at above 80% accuracy to comfortably cross the median. Avoid blind guessing - one wrong cancels out the benefit of four uncertain attempts.

Ques. Does NEET PG repeat questions from previous years?

Ans. Exact repetition is rare, but the same concepts and clinical scenarios recur in different framings. Medicine cardiology cases, Pharmacology mechanism questions, and PSM biostatistics are perennial favourites. Solving 2020 and comparing it with 2021 and later papers shows you which clinical scenarios NBE keeps revisiting.

Ques. Were image-based questions asked in NEET PG 2020?

Ans. Yes - NEET PG 2020 had several image-based questions including X-rays, histopathology slides, and clinical photographs. This is a continuing NEET PG trend; practising image identification from Surgery, Pathology, Radiology, and Dermatology is important for any serious attempt.

Ques. Where can I download the NEET PG 2020 question paper with solutions PDF for free?

Ans. The NEET PG 2020 question paper with detailed solutions is available for free download in the table above. For the official notification and answer-key details, check the National Board of Examinations website at natboard.edu.in.