Exam Details
Subject | ||
Paper | paper 1 | |
Exam / Course | combined medical services examination | |
Department | ||
Organization | union public service commission | |
Position | ||
Exam Date | 2016 | |
City, State | central government, |
Question Paper
1. A 40-year old male is admitted with acute inferior wall myocardial infarction. Half an hour later his B.P. is 80/50 mm Hg and heart rate is 40/minute with sinus rhythm. The most appropriate step in the management of this patient would be:
Administration of normal saline 300 ml over 15 minutes
Immediate insertion of temporary pacemaker
Intravenous administration of atropine sulfate
Intravenous administration of iso-prenaline 50µg/minute
2. The characteristic feature of tricuspid insufficiency in the jugular venous pulse is:
Prominent wave
Exaggerated and descents
Cannon waves
Obliteration of the descent and prominent wave
3. Match List I with List II and select the correct answer using the code given below the lists:
List I (Clinical Features) List II (Diagnosis)
A. Osler's node 1. Patent ductus arteriosus with reversal of shunt
B. Differential cyanosis 2. Aortic stenosis with aortic regurgitation
C. Bisferiens pulse 3. Pulmonary hypertension
D. Graham Steell murmur 4. Subacute bacterial endocarditis
Code: A B C D
4 1 2 3
4 1 3 2
1 4 2 3
1 4 3 2
4. Acute aortic regurgitation occurs in:
Infective endocarditis
Ankylosing spondylitis
Marfan's syndrome
Rheumatoid arthritis
5. The following are early complications of acute myocardial infarction except:
Papillary muscle dysfunction
Ventricular septal defect
Ventricular free wall rupture
Dressler's syndrome
6. For which one of the following serum proteins, the levels of protein do not decrease in nephrotic syndrome?
Albumin
Transferrin
Fibrinogen
Ceruloplasmin
7. Following are the causes of high anion-gap acidosis except:
Renal tubular acidosis
Acute renal failure
Chronic renal failure
Diabetic ketoacidosis
8. A patient of cirrhosis develops oliguria and worsening azotemia. Urinary sediment is normal. Urinary sodium concentration is 5 mEq/L. The most likely cause could be:
Interstitial nephritis
Acute tubular necrosis
Acute glomerulonephritis
Hepato-renal syndrome
9. Which one of the following infections is related to subacute sclerosing panencephalitis
HIV
Measles virus
Japanese B encephalitis virus
JC virus
10. Consider the following:
1. Failure to swing the arms while walking
2. Nystagmus
3. Cogwheel rigidity
4. Festinant gait
Typical features of Parkinsonism include which of the above?
3 and 4
2 and 4
1 and 3 only
3 and 4
11. Consider the following sites of lesion:
1. Left optic tract
2. Left optic radiation
3. Optic chiasma
4. Left lateral geniculate body Right homonymous hemianopia will result from lesions at which of the above?
1 and 3 only
2 and 4
3 and 4
2 and 3
12. Raised alkaline phosphatase is seen in the following except:
Hyperparathyroidism
Obstructive jaundice
Osteomalacia
Multiple myeloma
13. Consider the following statements about acromegaly: 1. Fibroma molluscum and acanthosis nigricans are common findings. 2 Growth hormone secretion is increased by TRH in 50 to 80% of acromegalics. 3 Acroosteolysis is a common radiological finding 4. Diabetes mellitus may be associated in nearly 25% of acromegalics Which of the statements given above are correct?
2 and 3
3 and 4
2 and 4
3 and 4
14. Causes of hypomagnesemia include all of the following except:
Betablocker
Chronic pancreatic insufficiency
Poorly controlled diabetes mellitus
Alcoholism
15. Which of the following conditions are associated with secondary diabetes mellitus?
1. Thyrotoxicosis, pheochromocytoma and acromegaly
2. Haemochromatosis
3. Pancreatic carcinoma
Select the correct answer using the code given below:
2 and 3 only
2 and 3
1 and 3 only
1 and 2 only
16. Consider the following statements:
1. Boils/suppurative lesions around the nose must be promptly treated with antibiotics.
2. Suppurative lesions around the nose lead to cavernous sinus thrombosis.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
17. Which one of the following is not the ECG change of hyperkalemia?
Tall T-wave
Tall P-wave
Prolonged PR interval
QRS-widening
18. Which one of the following tests has the highest chance of detecting HIV infection in a blood donor during the window period?
Demonstration of antibody to HIV by ELISA
CD4 count
p24 antigen detection
Western blot test
19. Which of the following features are characteristic of tuberculoid leprosy?
1. Type 2 lepra reaction
2. A few lesions with well demarcated edges
3. Early and marked nerve damage
4. Tendency to heal spontaneously
Select the correct answer using the code given below:
2 and 3
3 and 4
1 and 4
2 and 3 only
20. Which one of the following immunological reactions occurs in Goodpasture's syndrome?
Type I Atopy
Type II cytotoxicity
Type III immune complex
Type IV cell mediation
21. Consider the following statements about leptospirosis:
1. It is a ubiquitous enzootic disease.
2. Its incubation period ranges from 2 to 20 days.
3. The intensity of jaundice is directly related to prognosis.
4. Urine may show microscopic haematuria.
Which of the statements given above are correct?
2 and 4
2 and 3
3 and 4
3 and 4
22. SVC syndrome can occur in the following except:
Pneumomediastinum
Goitre
Bronchogenic carcinoma
Lymphoma
23. Match List I with List II and select the correct answer using the code given below the lists:
List I (Physical Sign) List II (Medical Condition)
A. Koebner phenomenon 1. Lepra reaction
B. Erythema nodosum 2. Pemphigus vulgaris
C. Erythema multiforme 3. Stevens-Johnson syndrome
D. Nikolsky's sign 4. Psoriasis
Code: A B C D
1 4 3 2
4 1 2 3
1 4 2 3
4 1 3 2
24. Which one of the following is the major site of absorption of Vitamin B12
Stomach
Terminal ileum
Duodenum
Mid Jejunum
25. The following features regarding polymyositis are true except:
Progressive proximal muscle involvement
25% patients may present with dysphagia
Ocular muscle involvement is common
Elevated levels of serum creatine kinase
26. Match List I with List II and select the correct answer using the code given below the lists:
List I (Inflammatory Joint Disease) List II (Clinical Finding)
A. Reiter's Syndrome 1. Onycholysis
B. Rheumatoid arthritis 2. Keratoderma blenorrhagica
C. Psoriatic arthritis 3. Xerostomia
D. Sjogren's syndrome 4. Baker's cysts
Code: A B C D
4 2 3 1
2 4 1 3
2 4 3 1
4 2 1 3
27. The following drugs are useful in generalized anxiety disorders except:
Resperidone
Amitryptiline
Buspirone
Venlafaxine
28. Systemic inflammatory response syndrome (SIRS) can have the following features except:
Hypothermia
Bradycardia
Tachypnea
Leucopenia (WBC 4000)
29. Which of the following is not a complication of malaria?
ARDS
Acidosis
Hyperglycaemia
Coma
30. Cardiac troponin may be elevated in:
Muscular dystrophy
Chronic kidney failure
Acute liver failure
Epilepsy
31. Which of the following are the physiological abnormalities in chronic obstructive lung disease?
1. Reduced total lung capacity(TLC)
2. Increased functional residual capacity
3. Increased residual volume(RV)
4. Increased RV/TLC ratio
Select the correct answer using the code given below:
1 and 2 only
3 and 4
3 and 4
3 and 4 only
32. Consider the following statements: Acute respiratory distress syndrome characteristically occurs in
1. Gram negative septicaemia
2. Gastric aspiration
3. Pancreatitis
4. Severe burns
5. Myocarditis
Which of the statements given above are correct?
4 and 5
4 and 5
2 and 5
3 and 4
33. Botulism can have the following clinical features except:
Hyperpyrexia
Sudden onset quadriplegia
Cranial nerve deficits
Respiratory failure
34. A 55-year old man, non smoker presents with sudden onset of shortness of breath. On examination, pulse rate is 110/minute and B.P. 180/110 mm Hg. Patient is restless and anxious. Examination of chest shows bilateral rhonchi and crepitation. S3 gallop is heard on auscultation of precordium. There is no history of chronic bronchitis. The most likely diagnosis is:
Bronchial asthma
Acute LVF
Pneumothorax
Acute exacerbation of COPD
35. Consider the following statements: Small cell carcinoma of lung is commonly associated with following paraneoplastic syndromes:
1. Ectopic ACTH production
2. Lambert-Eaton syndrome
3. Syndrome of inappropriate ADH (SIADH)
4. Addison's disease
Which of the statements given above are correct?
2 and 3
3 and 4
3 and 4
2 and 4
36. On abdominal percussion, liver dullness may be obliterated in the following except:
Fatty liver
Emphysema
Perforated viscus
Fulminant hepatitis
37. Consider the following statements regarding Helicobacter pylori:
1. It is a gram negative bacterium
2. It invades the epithelium
3. It produces urease
4. It produces chronic gastritis
Which of the statements given above are correct?
2 and 4
1 and 3 only
2 and 4 only
3 and 4
38. Consider the following conditions:
1. Steroid therapy
2. Hypertriglyceridaemia
3. Hypercalcaemia
4. Azathioprine therapy
Acute pancreatitis may occur in which of the above conditions?
2 and 3 only
2 and 4 only
3 and 4 only
3 and 4
39. A 60-year old patient presents with gradually increasing dysphagia to solids for 3 months with significant loss of weight. The most probable diagnosis is:
Stricture oesophagus
Carcinoma oesophagus
Reflux oesophagitis
Neurogenic oesophagus
40. Consider the following statements:
1. Gentamicin should be added to empirical regime for acute meningitis for patients aged more than 55 years.
2. Ampicillin covers listeria monocytogenes.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
41. Which one of the following gases is used for sterilization of pharmaceutical products?
Ethylene oxide
Ammonia
Halothane
Nitrous oxide
42. The following statements about peptic ulcer are true except:
Eradication of H. pylori is a part of medical management.
Duodenal ulcer invariably changes into malignant.
Complications are indication for surgery.
Zollinger-Ellison syndrome is associated with intractable peptic ulceration.
43. In a patient with lacerated injury foot who is not actively immunised against tetanus, which one of the following is indicated for tetanus prophylaxis?
Penicillin
Tetanus toxoid
Tetanus immunoglobulin
Triple vaccine
44. Which one of the following neoplasms can lead to 'water intoxication'?
Oat cell carcinoma of bronchus
Hepatocarcinoma
Testicular tumours
Rhabdomyosarcoma
45. The Swan-Ganz catheter is used to measure:
Peripheral arterial blood pressure
Portal venous pressure
Pulmonary wedge pressure
Intracranial pressure monitoring
46. Delirium is usually seen in
Acetaminophen toxicity
Atropine toxicity
Kerosene poisoning
Digitalis toxicity
47. The following statements regarding Hodgkin's disease are true except:
It usually presents as painless lymphadenopathy.
The Pel-Ebstein fever is a characteristic feature.
Stage III disease is confined to one side of the diaphragm.
Reed-Sternberg cells are a diagnostic feature.
48. Following are causes of bleeding except:
Heparin induced thrombocytopenia
Dengue fever
ITP
Aspirin
49. The combination of cyanosis with clubbing can be seen in the following conditions except:
Eisenmenger syndrome
Lung abscess
Chronic bronchitis
Pulmonary AV fistula
50. Diagnosis and grading of multi-organ failure is based on all the following criteria except:
Serum bilirubin
Serum albumin
Serum creatinine
Pa O2 Fi O2 ratio
51. A 16-year old boy presents with exertional dyspnea, haemoptysis and occasionally paroxysmal nocturnal dyspnea. There was history of joint pains five years back. The most probable diagnosis is:
Aortic regurgitation
Mitral stenosis
Tricuspid stenosis
Aortic stenosis
52. Consider the following statements: The Adrenocortical insufficiency may result in
1. Hyponatremia
2. Hypokalemia
3. Acidosis
4. Hyperglycemia
Which of the statements given above is/are correct?
1 only
1 and 3
2 and 4 only
3 and 4
53. Consider the following statements: Life-threatening pneumococcal infection is a complication seen in
1. Idiopathic thrombocytpaenic purpura
2. Sickle cell disease
3. Thalassemia minor
4. Nephrotic syndrome
Which of the statements given above is/are correct?
1 only
1 and 3
2 and 4 only
3 and 4
54. The following are true regarding Zollinger-Ellison syndrome except:
Common age group is 30 to 50 years
Gastrin level is usually high
Diarrhea can be an associated feature
It occurs in association with MEN-2 syndrome
55. The following may be seen in a patient with chronic liver disease except:
Prolonged PT
Prolonged PTT
Thrombocytopenia
Decreased factor VIII
56. Pseudo membranous colitis is caused by which of the following organisms?
Shigella
Clostridium difficile
E. coli
Clostridium perfringens
57. A patient presents with breathlessness and occasional dry cough. On physical examination, he is found to have bilateral basal crepitations. His pulmonary function tests reveal a decrease in total lung capacity and vital capacity(VC), with normal FEV1/FVC ratio. He is most likely suffering from:
Chronic bronchitis
Idiopathic pulmonary fibrosis
Cystic fibrosis
Allergic bronchopulmonary aspergillosis
58. A 45 year old hypertensive male patient presented to the casualty with 3 hour history of sudden onset severe headache associated with nausea and vomiting. On clinical examination, patient had right sided ptosis and neck stiffness. Rest of the neurological examination was normal. The most likely diagnosis in this case is:
Hypertensive brain damage
Migraine
Aneurysmal subarachnoid bleed
Acute pyogenic meningitis
59. Which one of the following is not a treatment of hepatic encephalopathy?
Lactulose
Rifaximin
TIPS
Electrolyte supplementation
60. Features of intravascular haemolysis are the following except:
Increased LDH
Haemoglobinuria
Increased serum indirect bilirubin
Increased serum haptoglobin
61. Consider the following statements:
1. Hypertrophic cardiomyopathy can lead to sudden cardiac death.
2. Dressler's syndrome is an early complication of acute myocardial infarction.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
62. The common sites of hypertensive bleed are the following except:
Basal ganglion
Pons
Cerebellum
Frontal cortex
63. Hypoglycaemia as an adverse side effect is most commonly seen during the treatment with:
Dipeptyl peptidase-IV inhibitors
Metformin
a glucosidase inhibitors
Sulfonylureas
64. Which of the following statements is/are correct regarding Gilbert's syndrome?
1. Inheritance of the disease is autosomal dominant.
2. Jaundice becomes very severe with time.
3. Fasting leads to increased bilirubin levels.
Select the correct answer using the code given below:
1 and 3 only
1 only
2 and 3 only
2 and 3
65. The following are causes of secondary hypertension except:
Conn's syndrome
Carcinoid syndrome
Cushing's syndrome
Pheochromocytoma
66. Tetrology of Fallot (Fallot's tetrology) is characterised by the following except:
Ventricular septal defect
Overriding aorta
Pulmonary hypertension
Right ventricular hypertrophy
67. Regarding high altitude pulmonary oedema, the following statements are true except:
It can be caused by physical exertion at high altitude
It does not occur in a physically fit person
It occurs due to leak in the alveolar capillary membrane
Portable hyperbaric chamber may be used for the treatment instead of descent to a lower altitude
68. Complications of myocardial infarction are all except:
Systemic embolisation
Rupture of interventricular septum
Dissection of aorta
Ventricular fibrillation
69. Philadelphia chromosome can be detected by which of the following techniques?
1. FISH
2. PCR
3. Cytogenetics Select the correct answer using the code given below:
1 only
1 and 3 only
2 and 3 only
2 and 3
70. The following statements regarding celiac disease are correct except:
Absence of gastrointestinal symptoms rules out celiac disease
Malabsorption syndrome may be a presenting feature
Duodenal biopsy shows increased intraepithelial lymphocytes
Steroid therapy may induce remission
71. A 6 year old child presents with oliguria, haematuria, puffiness of face, convulsions, B.P. of 200/100 mm Hg and blood urea 80 mg%. What is the most likely diagnosis?
Haemolytic uraemic syndrome
Nephrotic syndrome
Acute glomerulonephritis with hypertensive encephalopathy
Obstructive uropathy
72. A 3 year old child is brought for sudden inability to walk following fever of two days duration. On clinical examination, sensorium is normal, both the lower limbs are hypotonic with the right limb more affected than the left. Plantar reflex is equivocal and deep tendon reflexes are not elicitable in the lower limbs on both sides. The most probable diagnosis is
Acute poliomyelitis
Acute rheumatic fever
Acute transverse myelitis
Acute infective polyneuritis
73. X-ray of the skull in an infant shows periventricular calcification in
Tuberculous meningitis
Cytomegalovirus infection
Japanese B encephalitis
Congenital syphilis
74. A 4 year old boy diagnosed as a case of sickle cell disease presents with pain and swelling of bones, marked in small bones of hand and feet along with severe pain in abdomen. Investigation reveals necrosis of femoral head and upper third of tibia. The symptoms have resolved after one week. The possible explanation is:
Aplastic crisis
Sequestration crisis
Vaso-occlusive crisis
Hemolytic crisis
75. Match List I with List II and select the correct answer using the code given below the lists:
List 1 (Genetic disorder) List II (Genotype)
A. Down Syndrome 1. 47, XY, +21
B. Turner Syndrome 2. 46, XY
C. Noonan Syndrome 3. 46, XX, 5p
D. Cri-du-chat Syndrome 4. 45, XO
5. 47, XXY
Code: A B C D
1 4 2 3
1 4 5 3
3 1 2 4
3 1 5 4
76. With reference to Paediatrics, the following are true of breath holding spells except:
They occur during inspiration
They are involuntary
Cyanosis may not occur
Bradycardia may occur
77. Match List I with List II and select the correct answer using the code given below the lists:
List I (Drugs for epilepsy) List II (Side effects dose-dependent) A. Sodium volproate
1. Raised liver enzymes B. Carbamazepine
2. Hirsutism C. Phenytoin
3. Hyperactivity D. Phenobarbitone
4. Drowsiness
Code: A B C D
1 4 2 3
1 4 3 2
4 1 2 3
4 1 3 2
78. The confirmatory diagnostic test for thalassemia carrier status is:
Low haemoglobin level
Haemoglobin A2 more than 3.5%
Foetal haemoglobin more than 10%
Positive osmotic fragility test
79. A three year old male child has a poor stream of urine and strains at micturition. After voiding, the bladder is still palpable. The patient should be advised
Abdomen X-ray
Urine examination
Circumcision
Excretory urogram
80. A two year old child has weight less than 3 SD less than 3 Z score) as per WHO growth chart and mid upper arm circumference less than 11 cm. What is the correct diagnosis for this child?
Acute malnutrition
Chronic malnutrition
Severe acute malnutrition
Moderate acute malnutrition
81. For a three year old male child, the height for age is 82% of the expected for that age and weight for height is 65% of the expected value. The child is labelled as:
Normal
Wasted
Stunted
Wasted and stunted
82. For an early infant diagnosis of HIV infection, which of the following tests is used as per national programme?
ELISA (IgG antibody test)
DNA PCR test
p24 antigen test
CD4 count
83. A normal three year old baby should be able to do the following tasks except:
Using hands and feet simultaneously
Riding tricycle
Copying a square
Using pair of scissors
84. A seven year old child presents with intermittent claudication, pain and weakness of legs and dyspnea on running. Examination shows delayed and weak femorals compared to brachial arteries. The heart size is normal with a left ventricular forcible apex. The most probable diagnosis is:
Ventricular septal defect
Patent ductus arteriosus
Atrial septal defect
Coarctation of aorta
85. A seven day old baby presents with complaints of vomiting and diarrhoea. Examination reveals cataract in both the eyes and jaundice. What is the most probable diagnosis?
Rh incompatibility
Galactosemia
Congenital rubella syndrome
Congenital syphilis
86. The treatment of choice for Guillain-Barre syndrome is:
Corticosteroids
Intravenous immunoglobulins
Cyclosporins
ACTH
87. A two year old child is admitted with history of fever for two weeks and convulsions for the last one day. CSF examination shows CSF pressure elevated to 30-40 cm H2O, clear CSF, lymphocytic pleocytosis (250 cells/mm3), elevated protein and low chloride levels. What is the most probable diagnosis?
Pyogenic meningitis
Tubercular meningitis
Acute encephalitis
Sabacute sclerosing panencephalitis(SSPE)
88. Features of Turner syndrome in childhood include the following except:
Webbed neck
Cubitus valgus
Shield chest with widely spaced nipples
Polydactyly
89. The following drugs can be used as steroid sparing agents in the treatment of nephrotic syndrome in children except:
Levamisole
Aspirin
Cyclophosphamide
Mycophenolate mofetil
90. In childhood acute lymphoblastic leukemia, the following are good prognostic factors except:
Age between 1 and 9 years
Female sex
Leukocyte count less than 50,000/mm3
Hypodiploidy
91. Consider the following statements:
1. Biodiversity is normally greater in the lower latitudes as compared to the higher latitudes.
2. Along the mountain gradients, biodiversity is normally greater in the lower altitudes as compared to the higher altitudes.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
92. There is a growing concern about the melting of Arctic permafrost. Why?
It will result in the increase of methane concentration in atmosphere.
All the countries surrounding North Pole will be permanently submerged.
The temperature of ocean currents will be drastically altered.
The pH of the ocean water will be drastically changed.
93. With reference to Pre-Conception and Pre-Natal Diagnostics Techniques (Prohibition of sex selection) Act, 1994, which of the following statements is/are correct?
1. Every offence under this Act is cognizable non-bailable.
2. For the first offence, the penalty for the doctor is 'upto 7 years of imprisonment with a fine up to Rs. 1,00,000.'
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
94. 'Nagoya Protocol', sometimes seen in news refers to:
Convention on International Trade in Endangered Species of Wild Fauna and Flora
Convention on the Conservation of Migratory Species of Wild Animals
Convention on Biological Diversity
Convention on Wetlands of International Importance especially as Waterfowl Habitat
95. Some substances known as 'Short-Lived Climate Forcers' (SLCF) assume importance in the context of climate change. Which of the following is/are SLCF?
1. Black carbon
2. Carbon dioxide
3. Hydrofluorocarbons
4. Methane
Select the correct answer using the code given below:
1 and 2 only
1,3 and 4 only
3 and 4 only
3 and 4
96. Consider the following statements:
1. Production of cement blended with fly ash or slag (blended cement) is less energy efficient compared to the production of ordinary portland cement.
2. 'Electricity and heat production' together constitute the single largest contributor of greenhouse gases in India.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
97. What is the present share of agriculture and allied sectors in the Gross Domestic Product of India?
Less than 20%
Between 20% and 30%
Between 31% and 35%
Above 35%
98. The global warming potential is highest among which of the following greenhouse gases?
CO2
CH4
N20
SF6
99. Which of the following is/are included in Kyoto Protocol?
1. Brominated flame retardants
2. Methyl alcohol
3. Hydrofluorocarbons
Select the correct answer using the code given below:
1 and 2
2 and 3
3 only
1 only
100. In the context of food processing, the addition of sulfites (sulphites) to fruits and vegetables has which of the following effects?
1. Prevention of browning
2. Increase in sour taste
3. Destruction of thiamine
4. Preservation of thiamine
Select the correct answer using the code given below:
1 and 3 only
2 and 3 only
2 and 4
2 and 3
101. Which of the following has/have antioxidant properties?
1. Ascorbic acid
2. Butylated hydroxyanisole
3. Stannous chloride
4. Tocopherol
Select the correct answer using the code given below:
2 and 3 only
3 and 4 only
1 and 4 only
3 and 4
102. In food processing, which of the following is/are used as emulsifiers?
1. Carboxymethyl cellulose
2. Ethylene diamine tetra acetate
3. Propylene glycol
Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
103. To test the adulteration of milk, 3 ml of milk is boiled, then cooled to room temperature; and two or three drops of iodine solution is added. The milk turned blue. This indicates that the milk is adulterated with:
Sodium bicarbonate
Glucose
Starch
Urea
104. With reference to food preservation, which of the following statements is/are correct?
1. Pasteurization means the heating of a food product to a sufficiently high temperature to kill all the microorganisms present in it.
2. In the case of food preservation by sterilization by heat, foods high in acid are very easily sterilized as compared to those low in acid.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
105. Consider the following statements:
1. Pasteurization by heat is used in the processing of fruit juices.
2. Water glass is used in the preservation of eggs.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
106. With reference to irradiation for food processing, which of the following statements is/are correct?
1. Cobalt-60 produces ionizing radiation, therefore it is used in the process of irradiation of food.
2. Ultra-violet rays are the only ionizing radiation used for irradiation of food.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
107. Among the following pairs of States, in India, major deposits of bauxite are concentrated in:
Jharkhand and Odisha
Assam and West Bengal
Bihar and Haryana
Punjab and Rajasthan
108. Doha Development Agenda, sometimes seen in news, refers to the affairs of:
UNFCCC
UNCTAD
UNDP
WTO
109. With reference to 'monosodium glutamate'(MSG) used in processed foods, which of the following statements is/are correct?
1. MSG is not a naturally occurring substance.
2. MSG is a neurotransmitter.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
110. In the parliamentary form of government, the
executive is responsible to the legislature
legislature is responsible to the executive
judiciary is responsible to the executive
legislature is responsible to the judiciary
111. The term 'Ramsar Convention', sometimes seen in news, refers to:
conservation of forests
conservation of wetlands
reduction of greenhouse gas emissions
controlling wildlife trafficking
112. In India, who heads the National Disaster Management Authority?
Prime Minister
Union Minister for Home Affairs
Cabinet Secretary
Secretary, Union Ministry of Environment, Forests and Climate Change
113. Natural gas is used for the production of which of the following?
1. Detergents and soaps
2. Electricity
3. Fertilizers for crops
Select the correct answer using the code given below:
2 and 3
2 and 3 only
2 only
3 only
114. Which of the following parts of the human body can be used as a sample/samples for the presence of mercury?
1. Blood
2. Hair
3. Nail
Select the correct answer using the code given below:
1 only
2 and 3 only
3 only
2 and 3
115. Which of the following is/are known as 'ozone depleting substance(s)'?
1. Black carbon
2. Halons
3. Oxides of nitrogen
Select the correct answer using the code given below:
1 and 2 only
2 only
1 and 3 only
2 and 3
116. Consider the following statements:
1. All organochlorine pesticides (OCPs) enter the human bodies through food chain only.
2. Some of the OCPs are categorized as Persistent Organic Pollutants.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
117. With reference to mercury pollution, which of the following statements are correct?
1. Once released into environment, mercury can turn into methyl mercury.
2. Mercury can enter the human body through inhalation.
3. As regards the entry and accumulation of mercury in humans, contaminated fish is an important source.
Select the correct answer using the code given below:
1 and 2 only
2 and 3 only
1 and 3 only
2 and 3
118. Consider the following statements:
1. In India, the executive power of a State is vested in its Chief Minister.
2. Union Territories are administered by the President of India through an Administrator appointed by him.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
119. The quantity of water required to produce 1 kg of which of the following foods is largest?
Barley
Mutton
Potato
Wheat
120. What is 'CRISPR-Cas9' sometimes seen in the news?
A targetted genome editing technique
A cancer causing gene
A robotic surgical procedure
A technique of two-dimensional electrophoresis
Administration of normal saline 300 ml over 15 minutes
Immediate insertion of temporary pacemaker
Intravenous administration of atropine sulfate
Intravenous administration of iso-prenaline 50µg/minute
2. The characteristic feature of tricuspid insufficiency in the jugular venous pulse is:
Prominent wave
Exaggerated and descents
Cannon waves
Obliteration of the descent and prominent wave
3. Match List I with List II and select the correct answer using the code given below the lists:
List I (Clinical Features) List II (Diagnosis)
A. Osler's node 1. Patent ductus arteriosus with reversal of shunt
B. Differential cyanosis 2. Aortic stenosis with aortic regurgitation
C. Bisferiens pulse 3. Pulmonary hypertension
D. Graham Steell murmur 4. Subacute bacterial endocarditis
Code: A B C D
4 1 2 3
4 1 3 2
1 4 2 3
1 4 3 2
4. Acute aortic regurgitation occurs in:
Infective endocarditis
Ankylosing spondylitis
Marfan's syndrome
Rheumatoid arthritis
5. The following are early complications of acute myocardial infarction except:
Papillary muscle dysfunction
Ventricular septal defect
Ventricular free wall rupture
Dressler's syndrome
6. For which one of the following serum proteins, the levels of protein do not decrease in nephrotic syndrome?
Albumin
Transferrin
Fibrinogen
Ceruloplasmin
7. Following are the causes of high anion-gap acidosis except:
Renal tubular acidosis
Acute renal failure
Chronic renal failure
Diabetic ketoacidosis
8. A patient of cirrhosis develops oliguria and worsening azotemia. Urinary sediment is normal. Urinary sodium concentration is 5 mEq/L. The most likely cause could be:
Interstitial nephritis
Acute tubular necrosis
Acute glomerulonephritis
Hepato-renal syndrome
9. Which one of the following infections is related to subacute sclerosing panencephalitis
HIV
Measles virus
Japanese B encephalitis virus
JC virus
10. Consider the following:
1. Failure to swing the arms while walking
2. Nystagmus
3. Cogwheel rigidity
4. Festinant gait
Typical features of Parkinsonism include which of the above?
3 and 4
2 and 4
1 and 3 only
3 and 4
11. Consider the following sites of lesion:
1. Left optic tract
2. Left optic radiation
3. Optic chiasma
4. Left lateral geniculate body Right homonymous hemianopia will result from lesions at which of the above?
1 and 3 only
2 and 4
3 and 4
2 and 3
12. Raised alkaline phosphatase is seen in the following except:
Hyperparathyroidism
Obstructive jaundice
Osteomalacia
Multiple myeloma
13. Consider the following statements about acromegaly: 1. Fibroma molluscum and acanthosis nigricans are common findings. 2 Growth hormone secretion is increased by TRH in 50 to 80% of acromegalics. 3 Acroosteolysis is a common radiological finding 4. Diabetes mellitus may be associated in nearly 25% of acromegalics Which of the statements given above are correct?
2 and 3
3 and 4
2 and 4
3 and 4
14. Causes of hypomagnesemia include all of the following except:
Betablocker
Chronic pancreatic insufficiency
Poorly controlled diabetes mellitus
Alcoholism
15. Which of the following conditions are associated with secondary diabetes mellitus?
1. Thyrotoxicosis, pheochromocytoma and acromegaly
2. Haemochromatosis
3. Pancreatic carcinoma
Select the correct answer using the code given below:
2 and 3 only
2 and 3
1 and 3 only
1 and 2 only
16. Consider the following statements:
1. Boils/suppurative lesions around the nose must be promptly treated with antibiotics.
2. Suppurative lesions around the nose lead to cavernous sinus thrombosis.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
17. Which one of the following is not the ECG change of hyperkalemia?
Tall T-wave
Tall P-wave
Prolonged PR interval
QRS-widening
18. Which one of the following tests has the highest chance of detecting HIV infection in a blood donor during the window period?
Demonstration of antibody to HIV by ELISA
CD4 count
p24 antigen detection
Western blot test
19. Which of the following features are characteristic of tuberculoid leprosy?
1. Type 2 lepra reaction
2. A few lesions with well demarcated edges
3. Early and marked nerve damage
4. Tendency to heal spontaneously
Select the correct answer using the code given below:
2 and 3
3 and 4
1 and 4
2 and 3 only
20. Which one of the following immunological reactions occurs in Goodpasture's syndrome?
Type I Atopy
Type II cytotoxicity
Type III immune complex
Type IV cell mediation
21. Consider the following statements about leptospirosis:
1. It is a ubiquitous enzootic disease.
2. Its incubation period ranges from 2 to 20 days.
3. The intensity of jaundice is directly related to prognosis.
4. Urine may show microscopic haematuria.
Which of the statements given above are correct?
2 and 4
2 and 3
3 and 4
3 and 4
22. SVC syndrome can occur in the following except:
Pneumomediastinum
Goitre
Bronchogenic carcinoma
Lymphoma
23. Match List I with List II and select the correct answer using the code given below the lists:
List I (Physical Sign) List II (Medical Condition)
A. Koebner phenomenon 1. Lepra reaction
B. Erythema nodosum 2. Pemphigus vulgaris
C. Erythema multiforme 3. Stevens-Johnson syndrome
D. Nikolsky's sign 4. Psoriasis
Code: A B C D
1 4 3 2
4 1 2 3
1 4 2 3
4 1 3 2
24. Which one of the following is the major site of absorption of Vitamin B12
Stomach
Terminal ileum
Duodenum
Mid Jejunum
25. The following features regarding polymyositis are true except:
Progressive proximal muscle involvement
25% patients may present with dysphagia
Ocular muscle involvement is common
Elevated levels of serum creatine kinase
26. Match List I with List II and select the correct answer using the code given below the lists:
List I (Inflammatory Joint Disease) List II (Clinical Finding)
A. Reiter's Syndrome 1. Onycholysis
B. Rheumatoid arthritis 2. Keratoderma blenorrhagica
C. Psoriatic arthritis 3. Xerostomia
D. Sjogren's syndrome 4. Baker's cysts
Code: A B C D
4 2 3 1
2 4 1 3
2 4 3 1
4 2 1 3
27. The following drugs are useful in generalized anxiety disorders except:
Resperidone
Amitryptiline
Buspirone
Venlafaxine
28. Systemic inflammatory response syndrome (SIRS) can have the following features except:
Hypothermia
Bradycardia
Tachypnea
Leucopenia (WBC 4000)
29. Which of the following is not a complication of malaria?
ARDS
Acidosis
Hyperglycaemia
Coma
30. Cardiac troponin may be elevated in:
Muscular dystrophy
Chronic kidney failure
Acute liver failure
Epilepsy
31. Which of the following are the physiological abnormalities in chronic obstructive lung disease?
1. Reduced total lung capacity(TLC)
2. Increased functional residual capacity
3. Increased residual volume(RV)
4. Increased RV/TLC ratio
Select the correct answer using the code given below:
1 and 2 only
3 and 4
3 and 4
3 and 4 only
32. Consider the following statements: Acute respiratory distress syndrome characteristically occurs in
1. Gram negative septicaemia
2. Gastric aspiration
3. Pancreatitis
4. Severe burns
5. Myocarditis
Which of the statements given above are correct?
4 and 5
4 and 5
2 and 5
3 and 4
33. Botulism can have the following clinical features except:
Hyperpyrexia
Sudden onset quadriplegia
Cranial nerve deficits
Respiratory failure
34. A 55-year old man, non smoker presents with sudden onset of shortness of breath. On examination, pulse rate is 110/minute and B.P. 180/110 mm Hg. Patient is restless and anxious. Examination of chest shows bilateral rhonchi and crepitation. S3 gallop is heard on auscultation of precordium. There is no history of chronic bronchitis. The most likely diagnosis is:
Bronchial asthma
Acute LVF
Pneumothorax
Acute exacerbation of COPD
35. Consider the following statements: Small cell carcinoma of lung is commonly associated with following paraneoplastic syndromes:
1. Ectopic ACTH production
2. Lambert-Eaton syndrome
3. Syndrome of inappropriate ADH (SIADH)
4. Addison's disease
Which of the statements given above are correct?
2 and 3
3 and 4
3 and 4
2 and 4
36. On abdominal percussion, liver dullness may be obliterated in the following except:
Fatty liver
Emphysema
Perforated viscus
Fulminant hepatitis
37. Consider the following statements regarding Helicobacter pylori:
1. It is a gram negative bacterium
2. It invades the epithelium
3. It produces urease
4. It produces chronic gastritis
Which of the statements given above are correct?
2 and 4
1 and 3 only
2 and 4 only
3 and 4
38. Consider the following conditions:
1. Steroid therapy
2. Hypertriglyceridaemia
3. Hypercalcaemia
4. Azathioprine therapy
Acute pancreatitis may occur in which of the above conditions?
2 and 3 only
2 and 4 only
3 and 4 only
3 and 4
39. A 60-year old patient presents with gradually increasing dysphagia to solids for 3 months with significant loss of weight. The most probable diagnosis is:
Stricture oesophagus
Carcinoma oesophagus
Reflux oesophagitis
Neurogenic oesophagus
40. Consider the following statements:
1. Gentamicin should be added to empirical regime for acute meningitis for patients aged more than 55 years.
2. Ampicillin covers listeria monocytogenes.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
41. Which one of the following gases is used for sterilization of pharmaceutical products?
Ethylene oxide
Ammonia
Halothane
Nitrous oxide
42. The following statements about peptic ulcer are true except:
Eradication of H. pylori is a part of medical management.
Duodenal ulcer invariably changes into malignant.
Complications are indication for surgery.
Zollinger-Ellison syndrome is associated with intractable peptic ulceration.
43. In a patient with lacerated injury foot who is not actively immunised against tetanus, which one of the following is indicated for tetanus prophylaxis?
Penicillin
Tetanus toxoid
Tetanus immunoglobulin
Triple vaccine
44. Which one of the following neoplasms can lead to 'water intoxication'?
Oat cell carcinoma of bronchus
Hepatocarcinoma
Testicular tumours
Rhabdomyosarcoma
45. The Swan-Ganz catheter is used to measure:
Peripheral arterial blood pressure
Portal venous pressure
Pulmonary wedge pressure
Intracranial pressure monitoring
46. Delirium is usually seen in
Acetaminophen toxicity
Atropine toxicity
Kerosene poisoning
Digitalis toxicity
47. The following statements regarding Hodgkin's disease are true except:
It usually presents as painless lymphadenopathy.
The Pel-Ebstein fever is a characteristic feature.
Stage III disease is confined to one side of the diaphragm.
Reed-Sternberg cells are a diagnostic feature.
48. Following are causes of bleeding except:
Heparin induced thrombocytopenia
Dengue fever
ITP
Aspirin
49. The combination of cyanosis with clubbing can be seen in the following conditions except:
Eisenmenger syndrome
Lung abscess
Chronic bronchitis
Pulmonary AV fistula
50. Diagnosis and grading of multi-organ failure is based on all the following criteria except:
Serum bilirubin
Serum albumin
Serum creatinine
Pa O2 Fi O2 ratio
51. A 16-year old boy presents with exertional dyspnea, haemoptysis and occasionally paroxysmal nocturnal dyspnea. There was history of joint pains five years back. The most probable diagnosis is:
Aortic regurgitation
Mitral stenosis
Tricuspid stenosis
Aortic stenosis
52. Consider the following statements: The Adrenocortical insufficiency may result in
1. Hyponatremia
2. Hypokalemia
3. Acidosis
4. Hyperglycemia
Which of the statements given above is/are correct?
1 only
1 and 3
2 and 4 only
3 and 4
53. Consider the following statements: Life-threatening pneumococcal infection is a complication seen in
1. Idiopathic thrombocytpaenic purpura
2. Sickle cell disease
3. Thalassemia minor
4. Nephrotic syndrome
Which of the statements given above is/are correct?
1 only
1 and 3
2 and 4 only
3 and 4
54. The following are true regarding Zollinger-Ellison syndrome except:
Common age group is 30 to 50 years
Gastrin level is usually high
Diarrhea can be an associated feature
It occurs in association with MEN-2 syndrome
55. The following may be seen in a patient with chronic liver disease except:
Prolonged PT
Prolonged PTT
Thrombocytopenia
Decreased factor VIII
56. Pseudo membranous colitis is caused by which of the following organisms?
Shigella
Clostridium difficile
E. coli
Clostridium perfringens
57. A patient presents with breathlessness and occasional dry cough. On physical examination, he is found to have bilateral basal crepitations. His pulmonary function tests reveal a decrease in total lung capacity and vital capacity(VC), with normal FEV1/FVC ratio. He is most likely suffering from:
Chronic bronchitis
Idiopathic pulmonary fibrosis
Cystic fibrosis
Allergic bronchopulmonary aspergillosis
58. A 45 year old hypertensive male patient presented to the casualty with 3 hour history of sudden onset severe headache associated with nausea and vomiting. On clinical examination, patient had right sided ptosis and neck stiffness. Rest of the neurological examination was normal. The most likely diagnosis in this case is:
Hypertensive brain damage
Migraine
Aneurysmal subarachnoid bleed
Acute pyogenic meningitis
59. Which one of the following is not a treatment of hepatic encephalopathy?
Lactulose
Rifaximin
TIPS
Electrolyte supplementation
60. Features of intravascular haemolysis are the following except:
Increased LDH
Haemoglobinuria
Increased serum indirect bilirubin
Increased serum haptoglobin
61. Consider the following statements:
1. Hypertrophic cardiomyopathy can lead to sudden cardiac death.
2. Dressler's syndrome is an early complication of acute myocardial infarction.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
62. The common sites of hypertensive bleed are the following except:
Basal ganglion
Pons
Cerebellum
Frontal cortex
63. Hypoglycaemia as an adverse side effect is most commonly seen during the treatment with:
Dipeptyl peptidase-IV inhibitors
Metformin
a glucosidase inhibitors
Sulfonylureas
64. Which of the following statements is/are correct regarding Gilbert's syndrome?
1. Inheritance of the disease is autosomal dominant.
2. Jaundice becomes very severe with time.
3. Fasting leads to increased bilirubin levels.
Select the correct answer using the code given below:
1 and 3 only
1 only
2 and 3 only
2 and 3
65. The following are causes of secondary hypertension except:
Conn's syndrome
Carcinoid syndrome
Cushing's syndrome
Pheochromocytoma
66. Tetrology of Fallot (Fallot's tetrology) is characterised by the following except:
Ventricular septal defect
Overriding aorta
Pulmonary hypertension
Right ventricular hypertrophy
67. Regarding high altitude pulmonary oedema, the following statements are true except:
It can be caused by physical exertion at high altitude
It does not occur in a physically fit person
It occurs due to leak in the alveolar capillary membrane
Portable hyperbaric chamber may be used for the treatment instead of descent to a lower altitude
68. Complications of myocardial infarction are all except:
Systemic embolisation
Rupture of interventricular septum
Dissection of aorta
Ventricular fibrillation
69. Philadelphia chromosome can be detected by which of the following techniques?
1. FISH
2. PCR
3. Cytogenetics Select the correct answer using the code given below:
1 only
1 and 3 only
2 and 3 only
2 and 3
70. The following statements regarding celiac disease are correct except:
Absence of gastrointestinal symptoms rules out celiac disease
Malabsorption syndrome may be a presenting feature
Duodenal biopsy shows increased intraepithelial lymphocytes
Steroid therapy may induce remission
71. A 6 year old child presents with oliguria, haematuria, puffiness of face, convulsions, B.P. of 200/100 mm Hg and blood urea 80 mg%. What is the most likely diagnosis?
Haemolytic uraemic syndrome
Nephrotic syndrome
Acute glomerulonephritis with hypertensive encephalopathy
Obstructive uropathy
72. A 3 year old child is brought for sudden inability to walk following fever of two days duration. On clinical examination, sensorium is normal, both the lower limbs are hypotonic with the right limb more affected than the left. Plantar reflex is equivocal and deep tendon reflexes are not elicitable in the lower limbs on both sides. The most probable diagnosis is
Acute poliomyelitis
Acute rheumatic fever
Acute transverse myelitis
Acute infective polyneuritis
73. X-ray of the skull in an infant shows periventricular calcification in
Tuberculous meningitis
Cytomegalovirus infection
Japanese B encephalitis
Congenital syphilis
74. A 4 year old boy diagnosed as a case of sickle cell disease presents with pain and swelling of bones, marked in small bones of hand and feet along with severe pain in abdomen. Investigation reveals necrosis of femoral head and upper third of tibia. The symptoms have resolved after one week. The possible explanation is:
Aplastic crisis
Sequestration crisis
Vaso-occlusive crisis
Hemolytic crisis
75. Match List I with List II and select the correct answer using the code given below the lists:
List 1 (Genetic disorder) List II (Genotype)
A. Down Syndrome 1. 47, XY, +21
B. Turner Syndrome 2. 46, XY
C. Noonan Syndrome 3. 46, XX, 5p
D. Cri-du-chat Syndrome 4. 45, XO
5. 47, XXY
Code: A B C D
1 4 2 3
1 4 5 3
3 1 2 4
3 1 5 4
76. With reference to Paediatrics, the following are true of breath holding spells except:
They occur during inspiration
They are involuntary
Cyanosis may not occur
Bradycardia may occur
77. Match List I with List II and select the correct answer using the code given below the lists:
List I (Drugs for epilepsy) List II (Side effects dose-dependent) A. Sodium volproate
1. Raised liver enzymes B. Carbamazepine
2. Hirsutism C. Phenytoin
3. Hyperactivity D. Phenobarbitone
4. Drowsiness
Code: A B C D
1 4 2 3
1 4 3 2
4 1 2 3
4 1 3 2
78. The confirmatory diagnostic test for thalassemia carrier status is:
Low haemoglobin level
Haemoglobin A2 more than 3.5%
Foetal haemoglobin more than 10%
Positive osmotic fragility test
79. A three year old male child has a poor stream of urine and strains at micturition. After voiding, the bladder is still palpable. The patient should be advised
Abdomen X-ray
Urine examination
Circumcision
Excretory urogram
80. A two year old child has weight less than 3 SD less than 3 Z score) as per WHO growth chart and mid upper arm circumference less than 11 cm. What is the correct diagnosis for this child?
Acute malnutrition
Chronic malnutrition
Severe acute malnutrition
Moderate acute malnutrition
81. For a three year old male child, the height for age is 82% of the expected for that age and weight for height is 65% of the expected value. The child is labelled as:
Normal
Wasted
Stunted
Wasted and stunted
82. For an early infant diagnosis of HIV infection, which of the following tests is used as per national programme?
ELISA (IgG antibody test)
DNA PCR test
p24 antigen test
CD4 count
83. A normal three year old baby should be able to do the following tasks except:
Using hands and feet simultaneously
Riding tricycle
Copying a square
Using pair of scissors
84. A seven year old child presents with intermittent claudication, pain and weakness of legs and dyspnea on running. Examination shows delayed and weak femorals compared to brachial arteries. The heart size is normal with a left ventricular forcible apex. The most probable diagnosis is:
Ventricular septal defect
Patent ductus arteriosus
Atrial septal defect
Coarctation of aorta
85. A seven day old baby presents with complaints of vomiting and diarrhoea. Examination reveals cataract in both the eyes and jaundice. What is the most probable diagnosis?
Rh incompatibility
Galactosemia
Congenital rubella syndrome
Congenital syphilis
86. The treatment of choice for Guillain-Barre syndrome is:
Corticosteroids
Intravenous immunoglobulins
Cyclosporins
ACTH
87. A two year old child is admitted with history of fever for two weeks and convulsions for the last one day. CSF examination shows CSF pressure elevated to 30-40 cm H2O, clear CSF, lymphocytic pleocytosis (250 cells/mm3), elevated protein and low chloride levels. What is the most probable diagnosis?
Pyogenic meningitis
Tubercular meningitis
Acute encephalitis
Sabacute sclerosing panencephalitis(SSPE)
88. Features of Turner syndrome in childhood include the following except:
Webbed neck
Cubitus valgus
Shield chest with widely spaced nipples
Polydactyly
89. The following drugs can be used as steroid sparing agents in the treatment of nephrotic syndrome in children except:
Levamisole
Aspirin
Cyclophosphamide
Mycophenolate mofetil
90. In childhood acute lymphoblastic leukemia, the following are good prognostic factors except:
Age between 1 and 9 years
Female sex
Leukocyte count less than 50,000/mm3
Hypodiploidy
91. Consider the following statements:
1. Biodiversity is normally greater in the lower latitudes as compared to the higher latitudes.
2. Along the mountain gradients, biodiversity is normally greater in the lower altitudes as compared to the higher altitudes.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
92. There is a growing concern about the melting of Arctic permafrost. Why?
It will result in the increase of methane concentration in atmosphere.
All the countries surrounding North Pole will be permanently submerged.
The temperature of ocean currents will be drastically altered.
The pH of the ocean water will be drastically changed.
93. With reference to Pre-Conception and Pre-Natal Diagnostics Techniques (Prohibition of sex selection) Act, 1994, which of the following statements is/are correct?
1. Every offence under this Act is cognizable non-bailable.
2. For the first offence, the penalty for the doctor is 'upto 7 years of imprisonment with a fine up to Rs. 1,00,000.'
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
94. 'Nagoya Protocol', sometimes seen in news refers to:
Convention on International Trade in Endangered Species of Wild Fauna and Flora
Convention on the Conservation of Migratory Species of Wild Animals
Convention on Biological Diversity
Convention on Wetlands of International Importance especially as Waterfowl Habitat
95. Some substances known as 'Short-Lived Climate Forcers' (SLCF) assume importance in the context of climate change. Which of the following is/are SLCF?
1. Black carbon
2. Carbon dioxide
3. Hydrofluorocarbons
4. Methane
Select the correct answer using the code given below:
1 and 2 only
1,3 and 4 only
3 and 4 only
3 and 4
96. Consider the following statements:
1. Production of cement blended with fly ash or slag (blended cement) is less energy efficient compared to the production of ordinary portland cement.
2. 'Electricity and heat production' together constitute the single largest contributor of greenhouse gases in India.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
97. What is the present share of agriculture and allied sectors in the Gross Domestic Product of India?
Less than 20%
Between 20% and 30%
Between 31% and 35%
Above 35%
98. The global warming potential is highest among which of the following greenhouse gases?
CO2
CH4
N20
SF6
99. Which of the following is/are included in Kyoto Protocol?
1. Brominated flame retardants
2. Methyl alcohol
3. Hydrofluorocarbons
Select the correct answer using the code given below:
1 and 2
2 and 3
3 only
1 only
100. In the context of food processing, the addition of sulfites (sulphites) to fruits and vegetables has which of the following effects?
1. Prevention of browning
2. Increase in sour taste
3. Destruction of thiamine
4. Preservation of thiamine
Select the correct answer using the code given below:
1 and 3 only
2 and 3 only
2 and 4
2 and 3
101. Which of the following has/have antioxidant properties?
1. Ascorbic acid
2. Butylated hydroxyanisole
3. Stannous chloride
4. Tocopherol
Select the correct answer using the code given below:
2 and 3 only
3 and 4 only
1 and 4 only
3 and 4
102. In food processing, which of the following is/are used as emulsifiers?
1. Carboxymethyl cellulose
2. Ethylene diamine tetra acetate
3. Propylene glycol
Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
103. To test the adulteration of milk, 3 ml of milk is boiled, then cooled to room temperature; and two or three drops of iodine solution is added. The milk turned blue. This indicates that the milk is adulterated with:
Sodium bicarbonate
Glucose
Starch
Urea
104. With reference to food preservation, which of the following statements is/are correct?
1. Pasteurization means the heating of a food product to a sufficiently high temperature to kill all the microorganisms present in it.
2. In the case of food preservation by sterilization by heat, foods high in acid are very easily sterilized as compared to those low in acid.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
105. Consider the following statements:
1. Pasteurization by heat is used in the processing of fruit juices.
2. Water glass is used in the preservation of eggs.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
106. With reference to irradiation for food processing, which of the following statements is/are correct?
1. Cobalt-60 produces ionizing radiation, therefore it is used in the process of irradiation of food.
2. Ultra-violet rays are the only ionizing radiation used for irradiation of food.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
107. Among the following pairs of States, in India, major deposits of bauxite are concentrated in:
Jharkhand and Odisha
Assam and West Bengal
Bihar and Haryana
Punjab and Rajasthan
108. Doha Development Agenda, sometimes seen in news, refers to the affairs of:
UNFCCC
UNCTAD
UNDP
WTO
109. With reference to 'monosodium glutamate'(MSG) used in processed foods, which of the following statements is/are correct?
1. MSG is not a naturally occurring substance.
2. MSG is a neurotransmitter.
Select the correct answer using the code given below:
1 only
2 only
Both 1 and 2
Neither 1 nor 2
110. In the parliamentary form of government, the
executive is responsible to the legislature
legislature is responsible to the executive
judiciary is responsible to the executive
legislature is responsible to the judiciary
111. The term 'Ramsar Convention', sometimes seen in news, refers to:
conservation of forests
conservation of wetlands
reduction of greenhouse gas emissions
controlling wildlife trafficking
112. In India, who heads the National Disaster Management Authority?
Prime Minister
Union Minister for Home Affairs
Cabinet Secretary
Secretary, Union Ministry of Environment, Forests and Climate Change
113. Natural gas is used for the production of which of the following?
1. Detergents and soaps
2. Electricity
3. Fertilizers for crops
Select the correct answer using the code given below:
2 and 3
2 and 3 only
2 only
3 only
114. Which of the following parts of the human body can be used as a sample/samples for the presence of mercury?
1. Blood
2. Hair
3. Nail
Select the correct answer using the code given below:
1 only
2 and 3 only
3 only
2 and 3
115. Which of the following is/are known as 'ozone depleting substance(s)'?
1. Black carbon
2. Halons
3. Oxides of nitrogen
Select the correct answer using the code given below:
1 and 2 only
2 only
1 and 3 only
2 and 3
116. Consider the following statements:
1. All organochlorine pesticides (OCPs) enter the human bodies through food chain only.
2. Some of the OCPs are categorized as Persistent Organic Pollutants.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
117. With reference to mercury pollution, which of the following statements are correct?
1. Once released into environment, mercury can turn into methyl mercury.
2. Mercury can enter the human body through inhalation.
3. As regards the entry and accumulation of mercury in humans, contaminated fish is an important source.
Select the correct answer using the code given below:
1 and 2 only
2 and 3 only
1 and 3 only
2 and 3
118. Consider the following statements:
1. In India, the executive power of a State is vested in its Chief Minister.
2. Union Territories are administered by the President of India through an Administrator appointed by him.
Which of the statements given above is/are correct?
1 only
2 only
Both 1 and 2
Neither 1 nor 2
119. The quantity of water required to produce 1 kg of which of the following foods is largest?
Barley
Mutton
Potato
Wheat
120. What is 'CRISPR-Cas9' sometimes seen in the news?
A targetted genome editing technique
A cancer causing gene
A robotic surgical procedure
A technique of two-dimensional electrophoresis