Categories: FMGE Past PaperGeneral Medicine FMGE Questions

General Medicine FMGE Past Paper Questions

General Medicine FMGE Past Paper Questions: Medicine (IM) is a High yield subject in the FMGE with around 35 marks mainly that determine your success in the FMGE.

The syndromic management of urethral discharge includes treatment of:

Neisseria gonorrhoeae and herpes genitalis.

Chlamydia trachomatis and herpes genitalis.

Neisseria gonorrhoeae and Chlamydia trachomatis.

Syphilis and chancroid.

Correct! Wrong!

All of the following infections are often associated with acute intravascular hemolysis except:

Clostridium tetani

Bartonella bacilliformis

Plasmodium falciparum

Babesia microti

Correct! Wrong!

All of the following are the electrocardiographic features of severe hyperkalemia except:

Peaked T waves

Presence of U waves

Sine wave pattern

Loss of P waves

Correct! Wrong!

The correct sequence of cell cycle is:

G0 - G1 - S - G2 - M

G0 - G1 - G2 - S - M

G0 - M - G2 - S - G1

G0 - G1 - S - M - G2

Correct! Wrong!

Commonest cause of sporadic encephalitis is:

Japanese B Virus

Herpes Simplex Virus

Human Immunodeficiency Virus

Rubeola Virus

Correct! Wrong!

Raised serum level of lipoprotein - (a) is a predictor of:

Cirrhosis of liver

Rheumatic arthritis

Atherosclerosis

Cervical cancer

Correct! Wrong!

Haemorrhage secondary to heparin administration can be best corrected by administration of:

Vitamin K

Whole blood

Protamine

Ascorbic acid

Correct! Wrong!

Which one of the following conditions may lead to exudative pleural effusion:

Cirrhosis

Nephrotic syndrome

Congestive heart failure

Bronchogenic carcinoma

Correct! Wrong!

A 60 year old man is diagnosed to be suffering from Legionnaire’s disease after he returns home from attending a convention. He could have acquired it:

From a person suffering from the infection while travelling in the aeroplane.

From a chronic carrier in the convention center.

From inhalation of the aerosol in the air-conditioned room at convention center.

By sharing an infected towel with a fellow delegate at the convention.

Correct! Wrong!

In a post-operative intensive care unit, five patients developed post-operative wound infection on the same day. The best method to prevent cross infection occurring in other patients in the same ward is to:

Give antibiotics to all other patients in the ward.

Fumigate the ward.

Disinfect the ward with sodium hypochlorite.

Practice proper hand washing.

Correct! Wrong!

The earliest immunoglobulin to be synthesized by the fetus is:

IgA

IgG

IgE

IgM

Correct! Wrong!

The following are true regarding Lyme’s disease, except:

It is transmitted by Ixodes tick

Erythema chronicum migrans may be a clinical feature

Borrelia recurrentis is the aetiological agent

Rodents act as natural hosts

Correct! Wrong!

A couple, with a family history of beta thalassemia major in a distant relative, has come for counselling. The husband has HbA2 of 4.8% and the wife has HbA2 of 2.3%. The risk of having a child with beta thalassemia major is:

50%

25%

Correct! Wrong!

A 2 month old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

HBsAg positive only

HBsAg and HBeAg positive

HBsAg and HBe antibody positive

HBV DNA positive

Correct! Wrong!

A 7 year old girl from Bihar presented with three episodes of massive hematemesis and melena. There is no history of jaundice. On examination, she had a large spleen, non-palpable liver and mild ascites. Portal vein was not visualised on ultrasonography. Liver function tests were normal and endoscopy revealed esophageal varices. The most likely diagnosis is:

Kala azar with portal hypertension

Portal hypertension of unknown etiology

Chronic liver disease with portal hypertension

Portal hypertension due to extrahepatic obstruction

Correct! Wrong!

A 40-year-old male had undergone splenectomy 20 years ago. Peripheral blood smear examination would show the presence of:

Dohle bodies

Hypersegmented neutrophils

Spherocytes

Howell-Jolly bodies

Correct! Wrong!

Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

Aortic valve

Tricuspid valve

Pulmonary valve

Mitral valve

Correct! Wrong!

Central nervous system manifestations in chronic renal failure are a result of all of the following, except:

Hyperosmolarity

Hypocalcemia

Acidosis

Hyponatremia

Correct! Wrong!

Medullary carcinoma of the thyroid is associated with which of the following syndrome:

MEN I

MEN II

Fraumeni syndrome

Hashimoto’s syndrome

Correct! Wrong!

A 60 year old male presented to the emergency with breathlessness, facial swelling and dilated veins on the chest wall. The most common cause is

Thymoma

Hodgkin’s lymphoma

Superior vena caval obstruction

Lung cancer

Correct! Wrong!

All of the following conditions may predispose to pulmonary embolism except:

Protein S deficiency

Malignancy

Obesity

Progesterone therapy

Correct! Wrong!

An early systolic murmur may be caused by all of the following except:

Small ventricular septal defect

Papillary muscle dysfunction

Tricuspid regurgitation

Aortic stenosis

Correct! Wrong!

Troponin-T is preferable to CPK-MB in the diagnosis of acute myocardial infarction (MI) in all of the following situations except:

Bedside diagnosis of MI

Postoperatively (after CABG)

Reinfarction after 4 days

Small infarcts

Correct! Wrong!

The most common cause of tricuspid regurgitation is secondary to:

Rheumatic heart disease

Coronary artery disease

Endocarditis due to intravenous drug abuse

Dilatation of right ventricle

Correct! Wrong!

Absence seizures are characterized on EEG by:

3 Hz spike & wave

1-2 Hz spike & wave

Generalized polyspikes

Hypsarrythmia

Correct! Wrong!

All of the following are associated with low C3 levels except:

Post streptococcal glomerulonephritis.

Membrano-proliferative glomerulonephritis.

Goodpasture’s disease

Systemic lupus erythematosus

Correct! Wrong!

Normal anion gap metabolic acidosis is caused by:

Cholera

Starvation

Ethylene glycol poisoning

Lactic acidosis

Correct! Wrong!

Diagnostic features of allergic broncho-pulmonary aspergillosis (ABPA) include all of the following except

Changing pulmonary infiltrates

Peripheral eosinophilia

Serum precipitins against Aspergillous fumigatus

Occurrence in patients with old cavitary lesions

Correct! Wrong!

The syndrome of inappropriate antidiuretic hormone is characterized by the following:

Hyponatremia and urine sodium excretion > 20 mEq/l.

Hypernatremia and urine sodium excretion > 20 mEq/l.

Hyponatremia and hyperkalemia.

Hypernatremia and hypokalemia.

Correct! Wrong!

All of the following heart sounds occur shortly after S2 except:

Opening snap.

Pericardial knock.

Ejection click.

Tumor plop.

Correct! Wrong!

General Medicine FMGE Past Paper Questions

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General Medicine FMGE Past Paper Questions

General Medicine FMGE Past Paper Questions: Medicine (IM) is a High yield subject in the FMGE with around 35 marks mainly that determine your success in the FMGE.

The syndromic management of urethral discharge includes treatment of:

All of the following infections are often associated with acute intravascular hemolysis except:

All of the following are the electrocardiographic features of severe hyperkalemia except:

The correct sequence of cell cycle is:

Commonest cause of sporadic encephalitis is:

Raised serum level of lipoprotein - (a) is a predictor of:

Haemorrhage secondary to heparin administration can be best corrected by administration of:

Which one of the following conditions may lead to exudative pleural effusion:

A 60 year old man is diagnosed to be suffering from Legionnaire’s disease after he returns home from attending a convention. He could have acquired it:

In a post-operative intensive care unit, five patients developed post-operative wound infection on the same day. The best method to prevent cross infection occurring in other patients in the same ward is to:

The earliest immunoglobulin to be synthesized by the fetus is:

The following are true regarding Lyme’s disease, except:

A couple, with a family history of beta thalassemia major in a distant relative, has come for counselling. The husband has HbA2 of 4.8% and the wife has HbA2 of 2.3%. The risk of having a child with beta thalassemia major is:

A 2 month old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

A 40-year-old male had undergone splenectomy 20 years ago. Peripheral blood smear examination would show the presence of:

Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

Central nervous system manifestations in chronic renal failure are a result of all of the following, except:

Medullary carcinoma of the thyroid is associated with which of the following syndrome:

A 60 year old male presented to the emergency with breathlessness, facial swelling and dilated veins on the chest wall. The most common cause is

All of the following conditions may predispose to pulmonary embolism except:

An early systolic murmur may be caused by all of the following except:

Troponin-T is preferable to CPK-MB in the diagnosis of acute myocardial infarction (MI) in all of the following situations except:

The most common cause of tricuspid regurgitation is secondary to:

Absence seizures are characterized on EEG by:

All of the following are associated with low C3 levels except:

Normal anion gap metabolic acidosis is caused by:

Diagnostic features of allergic broncho-pulmonary aspergillosis (ABPA) include all of the following except

The syndrome of inappropriate antidiuretic hormone is characterized by the following:

All of the following heart sounds occur shortly after S2 except:

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