KDRB Resident Medical Officer Previous Year Question

Question 1

Who has won the Nobel Prize in Literature in the year 2020 ?

A

Louise Gluck

B

John Dranow

C

V.S. Naipaul

D

Peter Handke

Question 2

Which among the following is not true of Joe Biden?

A

He became the 46th President of the US

B

He was Vice President under Barack Obama

C

He belongs to Republican Party

D

Kamala Harris is the Vice President under Joe Biden

Question 3

In which of the following river the Banasura Sagar Dam is constructed?

A

Periyar

B

Chaliyar

C

Kabini

D

Pampa

Question 4

Who is the present Chairman of the Rajya Sabha ?

A

Ramnath Kovind

B

M. Venkaiah Naidu

C

Om Birla

D

Harivansh Narayan Singh.

Question 5

Who is the present Chairman of DRDO?

A

G. Satheesh Reddy

B

K. Sivant

C

S. Christopher

D

S. Somanath

Question 6

National Pension Scheme (NPS) was introduced in India in ……….

A

2004

B

2006

C

2009

D

2013

Question 7

Who is the first Chairman of Lokpal ?

A

D.Y. Chandrachud

B

Harish Salve

C

Hrishikesh Roy

D

Pinaki Chandra Ghose

Question 8

Who is the present Chief Justice of India?

A

S.A. Bobde

B

N.V. Ramana

C

Rohinton Fali Nariman

D

Ashok Bhushan

Question 9

Which Club is the champion of Hero Indian Super League (ISL) 2020-21 ?

A

Kerala Blasters

B

ATK Mohan Bagan

C

Mumbai City FC

D

North East United

Question 10

Who is the present Director of Enforcement Directorate?

A

S.K. Mishra

B

P. Radhakrishnan

C

Praveen Sinha

D

Jacob Thomas

Question 11

Which among the following is not a Municipal Corporation in Kerala ?

A

Kozhikode

B

Kollam

C

Kannur

D

Kottayam

Question 12

Which among the following is not an important recommendation of the Motor Vehicles (Amendment) Act 2019?

A

The Bill is silent about the cashless treatment of road accident victims during golden hour.

B

It requires the Central government to constitute a Motor Vehicle Accident Fund.

C

The Bill provides for a National Road Safety Board.

D

The Bill defines aggregators as digital intermediaries.

Question 13

Which among the following pair is not correctly matched?

A

Atmavidya Sangham - Vagbhatananda

B

Prathyaksha Raksha Daiva Sabha - Poykayil Yohannan

C

Sadhujana Paripalana Sangham - Ayyankali

D

Sahodara Sangham - Ananda Theertha

Question 14

Who is the author of the work Against Lord and State : Religion and Peasant Uprisings in Malabar, 1836-1921 ?

A

R.H. Hitchcock

B

M. Gangadharan

C

K.N. Panikkar

D

Conrad Wood

Question 15

Match List - I with List - II and select the correct answer from the codes given below. List - I List - II

(a) Ramanujacharya (i) Veerasaivism

(b) Sankaracharya (ii) Visishtadvaita

(c) Basaveshwar (iii) Dvaitavada

(d) Madhvacharya (iv) Advaita

Codes:

A

(a)-(ii), (b)-(iv), (c)-(iii), (d)-(i)

B

(a)-(i), (b)-(iv), (c)-(iii), (d)-(ii)

C

(a)-(ii), (b)-(iv), (c)-(i), (d)-(iii)

D

(a)-(iii), (b)-(iv), (c)-(ii), (d)-(i)

Question 16

The commonest problem seen in the feet of patients with Diabetes Mellitus is:

A

Loss of proprioception

B

Loss of vibration sense

C

Loss of dorsalis pedis pulse

D

Loss of intrinsic muscle power

Question 17

The ideal waist circumference of an adult Indian male is :

A

110 cms

B

120 cms

C

80 cms

D

90 cms

Question 18

Which of the following statements is true regarding Body Mass Index?

A

Weight in kilogrammes divided by height in metres

B

Height in metres divided by weight in kilogrammes

C

Weight in kilogrammes divided by square of height in metres

D

Square root of weight in kilogrammes multiplied by height in metres

Question 19

Which of the following abnormality is often seen in patients with type-II diabetes?

A

Dyslipidemia

B

Urinary tract infection

C

Plantar Ulcer

D

Cataract

Question 20

The hamstring muscle is predominantly supplied by which of the following roots?

A

L5, S1 roots

B

L5, S1, S2 roots

C

L4, L5 roots

D

S1, S2 roots

Question 21

A patient in the critical ward admitted with acute post viral radiculo-neuropathy develops dyspnoea at rest and daytime fatigue. Which of the following R-Ray finding will make you suspect unilateral diaphragmatic weakness?

A

The domes of the left and right diaphragm are at the same level.

B

The trachea appears grossly shifted to one side.

C

Collapse of the ipsilateral lung

D

Presence of air shadow below diaphragm

Question 22

In a peripheral blood study, a shift to the left (blood shift) means:

A

Acute myeloid leukemia as it indicates grossly abnormal cells

B

Presence of basophilic stippling indicative of lead poisoning

C

Presence of too many older cells following recent transfusion

D

Presence of infection, inflammation or severe anemia

Question 23

The side effects of long term ascorbic acid supplements include:

A

Ascorbic acid is water soluble, hence I is safe

B

Ascorbism, characterized by thickening of vessels, delayed wound healing

C

Oxaluria and higher chances of oxalate stones in kidneys

D

Hyperuricosuria and higher chances of urate stones in kidneys

Question 24

What is the optimum daily recommended allowance of Vitamin D in the adult ?

A

1200 to 1500 IU

B

600 to 800 IU

C

400 to 600 IU

D

150 to 250 IU

Question 25

Which of the following statements is true of the middle cerebral artery?

A

Significant part of the pons receives supply from this artery

B

Its central branches are also called lateral lenticulostriate arteries

C

It is the second largest branch of the internal carotid artery

D

It is the commonest site for intracranial aneurysms

Question 26

The nerves commonly affected in Hansen's disease are:

A

Median and Ulnar nerves

B

Ulnar and Facial nerves

C

Median and Common Peroneal nerves

D

Ulnar and common peroneal nerves

Question 27

Which of these muscles have attachment to the clavicle ?

A

Deltoid and subscapularis

B

Sternomastoid and long head of biceps

C

Trapezius and sternohyoid

D

Trapezius and scalene anterior

Question 28

The nerve supply to adductors of the thigh is mostly from :

A

Femoral nerve

B

Sciatic nerve

C

Tibial nerve

D

Obturator nerve

Question 29

Which of the following statements is true about human pelvis ?

A

Pubic arch in the female is over 80 degrees, and coccyx is turned inwards

B

Pubic arch in the male is over 80 degrees and coccyx is turned outwards or is straight

C

Pubic arch in the male is less than 70 degrees and coccyx is turned inwards

D

Pubic arch in the male is about 80 degrees and in the female over 100 degrees

Question 30

Which of the following statements is true regarding the Apgar score?

A

The scoring is done and recorded at the second, fifth and tenth minutes

B

If the score remains zero after ten minutes, resuscitation will not be helpful

C

The score helps in evaluating the degree of brain damage in the newborn

D

For scores less than seven, reporting is not done after the fifth minute

Question 31

Foetal distress can be diagnosed if :

A

Foetal heart rates show late decelerations after contraction

B

The foetal heart rate accelerates to 160 per minute

C

Foetal heart rate decreases during contractions

D

Foetal heart rate falls to 115 per minute

Question 32

Identify the milestone that a normal baby would not achieve at the fourth month?

A

Reaches for toy with one hand

B

Follows with eyes, moving things from left to right

C

Frequent hand to mouth movement; watches faces

D

Begins to pass toys from one hand to the other

Question 33

Between Copper-T and Nova-T, which of the statements is most appropriate?

A

Both are similar, but Nova T has a silver core inside

B

Both are similar, but Nova T contains barium sulfate and progesterone

C

Both are different; Copper T is made of copper wire with barium, but Nova T is made of silver and barium

D

Both are different; Copper T is made of polyethylene and copper, Nova T is from polyethylene and silver

Question 34

Organophosphorus compounds cause poisoning by inhibiting :

A

Monoacetylcholine esterase

B

Acetylcholine esterase

C

Choline esterase

D

Choline acetyltransferase

Question 35

Hypothermia is diagnosed if rectal temperature (in degree Celsius) is less than :

A

30

B

32

C

35

D

36

Question 36

Which statement is true of cadaveric spasm?

A

It occurs just before rigor mortis and is seen in traffic accidents

B

It occurs sometimes in violent deaths and reflects last activity before death

C

Can be observed during careful post mortem examination

D

Posture related to spasm can be linked to the way body is found

Question 37

In driving, drunkenness is proved if :

A

Blood level is above the permissible limit of 30 mg of alcohol in 100 ml of blood

B

Blood level is above the permissible limit of 60 mg alcohol in 100 ml of blood

C

Smell of alcohol is present in breath, and being under the influence of alcohol

D

Smell of alcohol in breath, blood alcohol estimation only if the client consents

Question 38

Exhumation of a body for evaluation means:

A

Exhumation is done due to public demand for finding out cause of death

B

Exhumation helps in recovering a body secretly buried by suspects

C

Exhumation is done on a previously buried body as per orders of a competent authority

D

Exhumation can only be done if the first post mortem examination was inconclusive

Question 39

Cerbera Odollam is a plant species that is toxic to humans. Which of the following is true?

A

Cerberin, a powerful neurotoxin that depletes acetyl choline and blocks transmission

B

Cerberin suppresses respiration, and stimulates chemoreceptor trigger zone

C

Cerberin in Odollam can be neutralized by strong spices rendering it less toxic

D

Cerberin mimics digitalis and blocks calcium ion channels in cardiac muscle

Question 40

The law governing the protection of people with disability in India is:

A

Persons with Disabilities Act

B

Rights of Persons with Disabilities Act

C

Workmen's compensation Act

D

ESI Act

Question 41

Which of the following statements best describes 'impairment' ?

A

Health condition that limits a person's activities in society

B

Health condition that makes employment and travel difficult

C

Health condition that makes a person dependent on others

D

Health condition causing alteration of structure or function of the body.

Question 42

The age of consent for sex as per Indian law is:

A

18

B

16

C

14

D

13

Question 43

Before performing any surgical procedure, an informed consent from the patient should be obtained. Which of the following is the most vital component ?

A

Get the text of prepared consent document signed by the patient and a witness

B

Explain the procedure to the patient and caregiver

C

Explain the procedure, and expected complications, permit them to ask and get Malayalam document signed by patient and caregiver questions

D

Explain the procedure in Malayalam, get the Malayalam text signed along with witness

Question 44

A digital rectal examination (PR) can give information about the prostate. To the palpating finger, a normal prostate feels like:

A

The consistency of thenar muscles with the hand in a tight fist

B

The consistency of the lateral epicondyle with the elbow in flexion

C

The consistency of the ear lobe

D

The consistency of thenar muscles in the relaxed hand

Question 45

In the diagnosis of Rheumatoid arthritis, which of the following is true?

A

Positive Rheumatoid factor and negative anti-CCP means early disease.

B

Negative Rheumatoid factor and positive anti-CCP means disease is unlikely

C

Negative Rheumatoid factor and positive anti-CCP means early disease

D

Negative Rheumatoid factor and negative anti-CCP means evolving disease

Question 46

Which of the following statements is true regarding Parkinson's syndrome?

A

One of the symptoms is increased sexual desire and performance

B

While medications can offer temporary relief, Deep Brain Stimulation offers. permanent relief

C

Rigidity often leads to weakness as the disease progresses

D

Lewy bodies in the brain cells are thought to be markers of the disease

Question 47

This statement is true about Hepatitis vaccination in children :

A

Vaccines can prevent Hepatitis A, B and C

B

Vaccines prevent Hepatitis A & B, and reduce risk of cirrhosis and cancer

C

Vaccines can prevent diseases if boosters are taken every five years

D

Vaccines help, but the A vaccine is not very effective in controlling disease

Question 48

Which statement is true about mRNA vaccine against Covid-19 ?

A

It is suitable for rapid, scalable and inexpensive manufacture and is safe

B

It is feared because of the potential risk of infection or insertional mutagenesis

C

Its immunogenicity is difficult to control and can lead to long term problems

D

It is highly stable and highly translatable; hence its actions can last long

Question 49

Identify the true statement with regard to Covishield vaccine against Covid 19.

A

It is about 89% effective against Covid 19 disease

B

It is about 63% effective against Covid 19 disease

C

High breakthrough infections are a major problem

D

Its effectiveness against delta variant is falling steadily

Question 50

Identify the statement that is not True regarding the delta variant of SARSCoV2 :

A

This variant is behind the recent surges across the world

B

This variant is fast replacing the previous strains of virus in many countries

C

It causes more severe illness and has much higher mortality

D

It is more transmissible and its RO (Rnaught) number more than six

Question 51

Where are the newly discovered salivary glands located?

A

Lateral to tonsils

B

In the tonsillar pillars

C

Medial to palatine tonsils

D

Near torus tubarius (nasopharynx)

Question 52

What are the components of heparin sulphate ?

A

Glucosamine + uronic acid

B

Glucosamine + uric acid

C

N-Acetyl glucosamine + galactose

D

N-acetyl glucosamine + glucuronic acid

Question 53

What is Oseltamivir?

A

It is an antiviral given for mixed infections

B

It is an antiviral drug effective against most viruses

C

It is a neuraminidase inhibitor drug

D

It is found useful in SARSCoV2 infection in viremic phase

Question 54

Which is the most common origin of the labyrinthine artery?

A

Vertebral Artery

B

Anterior Inferior cerebellar artery

C

Internal carotid artery

D

Posterior inferior cerebellar artery

Question 55

Approximately what percentage of blood gas goes via the physiologic shunt?

A

10%

B

08%

C

4%

D

2%

Question 56

Aldurazyme is recombinant enzyme related to which of the following diseases?

A

POMPE disease

B

DANON disease

C

HURLERS

D

VON GERKIE disease

Question 57

Which of the following stabilises the 30nm fibril of histone?

A

H1

B

H2a-2b

C

H3

D

H3H4

Question 58

What is the total ATP gained during glycogenolysis?

A

4 ATP

B

3 ATP

C

8 ATP

D

10 ATP

Question 59

Which of the following structures does not pierce the clavipectoral fascia ?

A

Cephalic vein

B

Lateral pectoral nerve

C

Lateral pectoral artery

D

Thoracoacromial artery

Question 60

Which of the following nerves is involved with Wartenberg syndrome?

A

Superficial branch of radial nerve

B

AIN

C

D

Superficial branch of median nerve

Question 61

What type of joint is the distal radio ulnar joint?

A

Syndesmosis

B

Pivot

C

Primary cartilaginous

D

Symphysis

Question 62

Vein of TROLLARD connects?

A

SMC vein to transverse sinus

B

SMC vein to SSS

C

Transverse sinus to cavernous sinus

D

SSS to cavernous sinus

Question 63

On which chromosome is the gene for insulin located:

A

19p

B

11p

C

16p

D

14p

Question 64

Liver contains which of the following type of cells:

A

Stable

B

Labile

C

Both

D

None of the above

Question 65

Which of the following prostaglandins act at hypothalamus to increase the set point of temperature?

A

PGE2

B

PGF2 alpha

C

PGI2

D

TXA2

Question 66

Less of a function mutation of RET gene leads to:

A

Medullary Carcinoma THYROID

B

Hirschsprung's disease

C

RCC

D

HCC

Question 67

Which of the following is the least radio sensitive ?

A

Neutrophils

B

RBC

C

Platelets

D

Eosinophils

Question 68

Juxta Glomerular (JG) apparatus consist of all of the following EXCEPT:

A

JG cells

B

Afferent arteriole

C

Lacis cells

D

Efferent arteriole

Question 69

What does Casper dictum refer to ?

A

Rate of putrefaction

B

Rigor mortis

C

Rate of cooling

D

Greenish discoloration of the anterior abdomen

Question 70

If a man keeps a person under his custody and threatens to cause harm without any intension to kill, which section of IPC does it fall?

A

44

B

319

C

320

D

351

Question 71

Gleason scoring is done for:

A

Ca lung

B

Ca prostate

C

Ca bladder

D

Renal Cell Ca

Question 72

What is the treatment of choice in case of idiopathic thrombocytopenic purpura?

A

Platelet transfusion

B

Steroids

C

IVIg

D

Splenectomy

Question 73

Laser that is used in the management of ureteric calculi :

A

Holmium

B

Argon

C

CO2

D

Nd YAG

Question 74

70 year old patient with prostatic hyperplasia underwent TURP under spinal anaesthesia. One hour later he developed vomiting and altered sensorium. What condition would you consider ?

A

Hyperkalemia

B

Water intoxication

C

Bladder rupture

D

Overusage of the spinal anaesthetic

Question 75

Early labour pain is limited to which dermatomes :

A

T10-LI

B

L4-L5

C

S1-S2

D

L2-L3

Question 76

Uterine rupture is least common with:

A

LSCS

B

Classical section

C

Inverted T

D

T shaped inscision.

Question 77

Dexa dose given to suspected preterm delivery is:

A

12 mg 12 hourly x 2 doses

B

12 mg 24 hourly x 4 doses

C

6 mg 12 hourly x 4 doses

D

6 mg 24 hourly x 2 doses

Question 78

19 y/F complaints of painless ulcer in the genitalia with everted edges. What is the most probable diagnosis ?

A

Chancre

B

Herpes

C

Chancroid

D

Donovaniosis

Question 79

To start with all the fibroids are:

A

Interstitial

B

Submucous

C

Ovarian

D

Subserous

Question 80

Which of the following is not an Non Nucleoside Reverse Transcriptase Inhibitor

(NNRTL) ?

A

Delaviridine

B

Etravirine

C

Emtricitabine

D

Efavirenz

Question 81

A Mtx (methotrexate) intolerant patient on management for psoriasis develops bone marrow suppression, rash and altered LFT. Which of the following drugs would have been responsible?

A

Anakinra

B

Abatacerpt

C

Leflunomide

D

Sulfasalazine

Question 82

Mechanism of action of fibrates in case of hyperlipidimia is:

A

Activates LPL

B

Decreases VLDL synthesis

C

CETP inhibitor

D

PPAR alpha agonist

Question 83

Thiazides can cause which of the following effects:

A

Hyperkalemia

B

Hypolipidemia

C

Hypouricimia

D

Impotence

Question 84

ASA scoring in a patient with hypertension but under control will be:

A

ASAI

B

ASA2

C

ASA3

D

ASA4

Question 85

Anasthetic agent which can increase the ICP is :

A

Thiopentone

B

Propofol

C

Ketamine

D

Etomidate

Question 86

Banana shaped sign on antenatal usg will be seen in ?

A

Acardi syndrome

B

Joubert syndrome

C

NTD

D

Arnold chiari malformation

Question 87

For which vitamin is the RDA calculated based on the protein intake ?

A

Vit. A

B

Vit. C

C

Vit. E

D

Vit. B6

Question 88

Normal portal venous pressure is :

A

5-10 cm saline

B

5-10 mm Hg

C

15-25 cm saline

D

3-5 cm saline

Question 89

Mode of inheritance of Duchenne Muscular Dystrophy is :

A

Autosomal Dominant

B

X Linked Recessive

C

Autosomal Recessive

D

Non Mendelian

Question 90

Which gene is associated with the transmembrane protein Langerin ?

A

CD1a

B

CD 207

C

CD 107

D

CD 56

Question 91

NF is associated with :

A

ALL

B

AML

C

Juvenile myelomonocytic leukaemia (JMML)

D

Acute monocytic lukemia

Question 92

Anuria is defined as urine output less than :

A

4 ml/hr

B

8 ml/hr

C

16 ml/hr

D

12 ml/hr

Question 93

Renal osteodystrophy differs from genetic and nutritional forms of osteomalacia in which of the following aspects?

A

Hypocalcemia

B

Hypercalcemia

C

Hyperphosphatemia

D

Hypophosphatemia

Question 94

Which of the following must not be treated with prednisolone ?

A

Minimal Change Disease

B

Post Streptococcal Glomerulo Nephritis

C

Congenital nephrotic syndrome

D

Lipoid nephrosis

Question 95

Cryoprecipitate contains all of the following except:

A

Factor VIII

B

von Willebrand Factor

C

Fibrinogen

D

Factor IX

Question 96

Most rapid way to lower the potassium is:

A

IV Calcium gluconate

B

IV Insulin

C

NaHCO3

D

Albuterol

Question 97

Neck of fifth metacarpal fracture is called:

A

Bennet fracture

B

Colle's fracture

C

Boxer fracture.

D

Montaggia fracture

Question 98

CSF finding in case of GBS:

A

Normal cells with increased proteins

B

Normal cells and normal proteins

C

Increased cells with low sugar

D

Increased cells with high sugar

Question 99

Which metabolic abnormality is absent in Conn syndrome?

A

Hyperkalemia

B

Hypernatremia

C

Alkalosis

D

Hypokalemia

Question 100

Which of the following is false regarding action of Growth Hormone?

A

Lipolysis

B

Protelolysis

C

Decreases insulin sensitivity

D

Level falls in REM sleep

110/2021 - Resident Medical Officer - Guruvayur Devaswom