NEET PG 2022 Question Paper General Medicine

NEET PG 2022
Question Paper
General Medicine
(Based on Memory Recall)
Q1. CSF specimen of patient is shown below. Report shows Mononuclear cytosis with
moderately low sugar with elevated protein values. Which of the following is the likely
etiology?

a. Pyogenic meningitis
b. Aseptic meningiti
c. Viral meningitis
d. Tubercular meningitis

Q2. Known case of C.L.D with Ascites presents with abdominal pain and tenderness.
Ascitic tap shows presence of 600 PMN cells/Cu.mm. Which of the following is the likely
etiology?
a. Tubercular Ascites
b. Malignant Ascites
c. Spontaneous Bacterial peritonitis
d. Chylous ascites

Q3. An 82-year-old patient with hypertension comes with acute onset of breathlessness.
Chest X-Ray is shown below. What should be done next?
a. Oxygen inhalation + Antibiotics
b.IV salbutamol
c. IV nitroglycerine

d. Nebulized salbutamol

Q4. An adult patient complains of palpitations and presents with irregularly irregular
pulse. Pulse deficit is 20, HR=120/min , BP= 110/70 mm Hg. Which of the following will be
found in this patient?
a. Absent a wave
b. Canon a wave
c. Absenty y
d. Prominent V wave

Q5. A patient presents with digoxin toxicity. Pulse rate is 54/min with ECG evidence of 3
degree heart block. What is the best treatment?
a. Digoxin immune fab
b. Lidocaine
c. DC shock
d. Phenytoin

Q6. A 74-year-old patient with CAD presents with palpitations. ECG is shown below.
BP=120/84 mm Hg. Which of the following shall be the best treatment for this patient?

a. Oral metoprolol
b. IV metoprolol
c. IV amiodarone
d. Oral amiodarone

Q7. Which of the following is used to decrease the concentration of extracellular
Potassium?
a. Lactic acid
b. Atropine
c. Glucagon

d. Epinephrine

Q8. A 25-year-old patient with dental caries is undergoing dental extraction. Which of the
following does not need prophylaxis for endocarditis?
a. Previous history of endocarditis
b. Artificial heart valve
c. Untreated cyanotic heart disease
d. ASD

Q9. A female who is a known case of diabetes mellitus and noncompliant to medication
is brought to ER with abdominal pain, vomiting episodes and recent onset confusion. On
examination she is dehydrated with SBP=90 mm Hg. Work up shows Urine ketones
present with RBS= 598 mg%. Which of the following will be the next best step in
management of this patient?
a. IVF
b. Insulin
c. IVF with regular insulin
d. Long-acting insulin

Q10. A female patient complains of loosening of one tooth and hemi facial pain. Patient
was previously treated for COVID-19, 4 months ago. Which of the following tests need to
be done on priority basis?
a. HB A1c
b. Ferritin
c. Nasal Swab for mucor
d. MRI Head

Q11. Patient presents with teeth gap widening, frontal bone thickening along with foot
and hand enlargement. What is the first line of treatment?
a. Pegvisomant
b. Octreotide
c. Leuprolide
d. Bromocriptine

Q12. A patient presents with recurrence of pituitary tumor overproducing GH. Which is
the best drug to be used?
a . Bromocriptine
b . Octreotide

c . Pegvisomant
d . Goserilin

Q13. Identify the device shown below

a. Non-rebreather mask.
b. Hudson mask
c. Venti Mask
d. High flow nasal Cannula

Q14. A Truck driver presents with sudden onset breathlessness. Vitals were stable. He
was found to be HIV-1 positive and having a pleural effusion. The culture of pleural fluid
shows temperature dependent dimorphic growth at 25 and 37 degrees C with red
pigmentation. What is the causative organism and treatment?
a. P. Jiroveci, Cotrimoxazole
b. Candida, Fluconazole
c. Talaromyces marneffei, Amphotericin B
d. Blastomyces , Voriconazole

Q15. An old age smoker presents with respiratory difficulty. ABG report:|pH=7.2, pO,=75

mm Hg, pCO,=84 mm Hg, HCO,= 35mEq. Diagnosis.
a . Respiratory acidosis
b . Respiratory alkalosis

c. Metabolic acidosis
d . Metabolic alkalosis

Q16. An 11-year-old child with manifestations of rheumatic fever is prescribed 0.6 MU_
i.m. Benzathine penicillin. Which of the following is correct for secondary prevention?
a.Lifelong every 3 weekly
b.Only once single dose
c.Till 5 years 3 weekly
d.Till 10 years 3 weekly or till 25 years of age

Q17. A young female presents with left sided throbbing Headache. She also has nausea,
vomiting, aura and phonophobia. What is the best treatment for immediate relief?
a . Sumatriptan
b . Propranolol
c . Topiramate
d. Flunarizine

Q18. Which of the following electrolyte imbalance willproduce ECG findings of ST
depression and u waves?
a. Hyperkalemia
b. Hypokalemia
c. Hypocalcemia
d. Hypercalcemia

Q19. A 25 year old patient presents with multiple injuries due to RTA. 2 days later in the
hospital he developed dyspnea with petechial bleed. Which of the following is the cause?
a . Air embolism
b . Thromboembolism
c . Massive hemorrhage
d . Fat embolism

Q20. A child born by normal vaginal delivery has repeats attacks of flexion of neck over
the trunk jerks in hands. EEG shows hypsarrhythmia. What is the drug of choice?
a. Phenytoin
b. ACTH
c. Phenobarbitone
d. Levetiracetam

Q21. A patient on anti-depression medication presents with elevated body temperature,

dilated pupils, palpitations and low BP. ECG shows broad qRS complex tachycardia and
right axis deviation. Which of the following interventions must be done immediately?

a. Soda Bicarbonate
b. Esmolol
c. Wait and watch
d. Anti Arrhythmic drugs

Q22. A 10-year-old child had abdominal pain with melena. On examination palpable
purpura is found on calves and buttocks. Which drug will be used?
a. Azathioprine
b. Methotrexate
c. Corticosteroids
d. Cyclosporine

Q23. Which of the following is not found in MEN2Bsyndrome?
a. Mucosal neuroma
b. Megacolon
c. Marfanoid habitus
d. Parathyroid Adenoma

Q24. An obese woman came to OPD with dark patches on neck. What could be the
diagnosis?
a. Metabolic syndrome
b. Hypothyroidism
c. Hypoparathyroidism
d. Addison disease

Q25. Which fluid is shown below?

a.RL
b. Haemaccel
c. Isolyte-P

d. Isolyte-M

Q26. A patient who suffered from Stroke previously has now presented with sudden
onset flailing ballistic movement. Comment on site of lesion.
a. Subthalamic nucleus
b. Globus pallidus
c. Putamen
d. Substantia nigra

Q27. A child presents with epigastric pain, vomiting for past 10 days with oliguria and
features of dehydration. P. Smear shows Presence of lymphoblasts. What will be
immediate management?
a. Hydration
b.Send for USG
c.Probenecid
d. Urgent chemotherapy
Q28. A patient presents with fever and severe calf pain. On examination conjunctival
suffusion is seen with petechial eruption and thrombocytopenia. Per abdomen shows
tender hepatomegaly and icterus. KFT is normal and urine m/e shows hematuria.
Diagnosis is?
a. Leptospirosis
b. Hepatic encephalopathy with HAV
c. Dengue hemorrhagic fever
d. Chikungunya