(DO NOT TEST BOOKLET UNTIL YOU ARE ASKED TO DO SO)
T. B. HM Test Booklet Series
Serial NO.
TEST BOOKLET
A

HOMEOPATHIC MEDICAL OFFICER
(PAPER-I)
(Time Allowed:.1j Hours) (Maximum Marks: 100J.
INSTRUCTIONS TO CANDIDATES:
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4. This Test Booklet contains 100 items (questions). Each item (question) comprises four responses (answers). You have to select the correct response (answer) which you want to mark (darken) on the Answer Sheet. In case, you feel that there is more than one correct.
response (answer), you should mark (darken) the response (answer) which you consider the best. In any case, choose ONLY ONE response (answer) for each item (question).
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7.
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8.
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(00 NOT OPEN THIS TEST BOOKLET UNTIL YOU ARE ASKED TO DO SOI

1. The para neoplastic syndrome 151 degree heart block
."
associated with Hodgkins disease Calcification of mitral valve
is: Immobilization,of mitral valve
.



Nephrotic syndrome <J

4. A patient presents with melena, normal


Retinopathy
. . renal function, hypertension and



Cerebellar degenerative disease
mononeuritis multiplex. The most



Acanthosis Nigricans



probable diagnosis is 2. Match List with List -II and select Classical polyarteritis nodosathe correct answer using the codes


given below the lists: Microscopicpolyangitis
I
I
List-I List-II .,Henoch-Scnonlein purpura
1
I(Urine abnormalities) (Diseases) Buerger's disease
RBC Casts Acute

5. .Specific test for gout is
Pyelonephritis


WBCCasts Renal Tubular Raised serum uric acid level
Disease Raised uric acid level in synovial



Broad Casts Glomeru-. fluid ofjoints
lonephritis



Raised urea level


Coarse Chronic Renal'
Raised urease enzyme level.
Granular Casts Failure

6. Life threatening complication of: Code: Diabetes mellitus are all EXCEPT:


Malignant otitis externa


Rhinocerebral mucormycosis


Emphesematous pyelonephritis






Emphesematous appendicitis

3. Loud S1 in Mitral Stenosis is caused
7. Dancing carotid is seen in
by: Thyrotoxicosis
Prolonged flow through. mitral
Hypothyroidismvalves


DS -1A119 Contd.
.
I " . AVfistula 10. Match List with List -II and select
Blowout carotid the correct answer using the codes
. 8. The most common feature oJ given belowtl1e lists:
. Osteoporosis is . List-I List-II·
Compression fracture of spine (Syndromes) (Associated
Asymptomatic, detected inci­ symptoms) .
dentally by low serum calcium .Plummer-Vinson Right Bundle
Bowing of legs Branch Block
Loss of weight Cushing's Koilonychia
9. Match List with List -II and select Bechet's Central obesity
the correct answer using the codes . Brugada Recurrent
given below the lists: apathous
List-I List-II ulcerations
(ECG findings) . (Disease) Code:
ST elevation Right Bundle
Branch Block
Shortened QT Torsade de .
interval Pointes
Wide QRS Fresh ..
complex Myocardial Infarction 11. Ranson's criteria for prognosis in
Prolonged QT Hypercalcemia Acute pancreatitis include all except:
interval WBC> 16000 cells/cumm
Code: Age over 55 years
AST 250U/1 00 ml
Serum amylase> 250 IU
12. Diarrhoea with acanthocytosis is seen .
in:
.. . . Whipple's disease
OS-1A119 (Turnover')


.

Celiac sprue


Wolman's disease


Ulcerative colitis



13. Hepatitis C virus is associated with: . (A).Anti-LKM antibody

Scleroderma


CrYoglobulinemaia


Polyarteritis nodosa



14. Which of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease?

Aminotransaminase


Alkaline Phosphatase
Serum bilirubin



Albumin



15. Pontine stroke is associated with all except:

Bilateral pinpoint pupils
. Pyrexia



Vagal palsy


Quadriparesi$



16. The diagnosis of a patient presenting with Seizures, Mental retardation and Sebaceous adenoma is
. Hypothyroidism

Tuberous sclerosis


Toxoplasmosis


Down's syndrome



17. All the following statements about DiffuseAxonallnjury are true EXCEPT:

Caused by shearing force


Predominant white matter haemorrhages in basal ganglion and corpus callosum


Increased intracranial tension is . seen in all the cases


Mostcommonatjunctionofgrey and white matter



18. Recurrent Giardiasis is associated with:

Severe combined immuno­deficiency


Common variable immuno­deficiency


Digeorge syndrome


C 8 deficiency



19. Which ofthe following is characteristic of Diabetes mellitus?

Encephalopathy


Myelopathy


Myopathy


Retinopathy



. 20. Pseudo-dementia is seen it)

Alcoholism


Depression


Schizophrenia


Mania .




I
1.1


I
I
I
1


DS-1N19 Contd.
21. The complication of 3rd stage of labor is caused by

Retained placenta


Obstruction of labor


Rigid os


Elderly Primigravida'


22. The septate uterus is formed as a result of:

Fusion of mullerian duct
. Incomplete infusion oftheduct



Non-canalisation ofthe.duct


Non-resorption ofmedian septum


23. The precise method of estimation of gestational age during 1sl trimesteris . by measuring:

Gestationalsac


Crown-rump length


.Bi-parietal diameter


Femur length


24. The most common cause of PPH is

Uterine laceration


Uterine atony


Cervicallaceration.


Vaginal laceration


25. Convelaire uterus is associated with: Placenta previa

Abruptio-placenta
. Vasaprevia



All ofthe above.


os 1A119
26. Which of the following is not
..
associated with Oligo-hydramnia

PROM


IUGR


Renal agenesis


Down's Syndrome



27. Which olthe following is not a mani­festation of pelvic relaxation?

Uterine prolapse .


Procidentia


Vault prolapse


Uterine retroversion



28. What type of abnormal bleeding is associated with Endometriosis?

Menorrhagia.


Anovulatory bleeding


Amenorrhoea


Metropathia haemorrhagica .



29. Corpus-luteal insufficiency can be· . diagnosed from:

BBT


Endometrial biopsy


Progesterone assay


None ofthe above



30. The most common indications of diagnostic laparoscopy in gynaecology is

Chronic pelvic pain


Vaginal intra-epithelial neoplasia.


(Turn

Genital malformation


Gonadal abnormality ..



31. A young patient presents with History
of Dysphagia more to liquid than . solids. The first investigation you will . do is:

Barium Swallow
Esophagoscopy



Ultrasound ofthe Chest


CT scan ofthe Chest



32. A Blood Stained· Discharge from the nipple indicates

B'reast abscess


Fibrodenoma


Duct papilloma


Fatnecrosis of breast



33. The commonest site of oral cancer among Indian population is:

Tongue


Floor of Mouth


Alveobuccal Complex


Lip



34. Bedsore is an example of:

Tropical Ulcer


Trophic Ulcer


Venous Ulcer


Post Thrombotic Ulcer



'35. A person is brought to the emergency as a case of road-traffic'accident. He is hypotensive'. Most likely ruptured organ Spleen I i I
Mesentery
Kidney
Rectum
. 36, Brain Abscess may be due to
Chronic Som Chronic Lung Abscess Trauma None ofthe above 37. Pain in acute appendicitis commonly referred to is I J 1
Right shoulder
Right groin,
Umbilicus
'External genitalia
38. Rectal bleeding in a child is likely to be:
Fissure
Polyp
Proctitis
Hemorrhoids
39. Under the WHO 'Vision 2020'
programme, the SAFE strategy is adopted for which of the following diseases?
Trachoma

DS 1A119 Contd.

Glaucoma


Diabetic retinopathy


Onchocerciasis



40. A 45 years old woman presents with a hard and mobile lump in the breast, next investigation is: .

FNAC
(B)USG



Mammography


Excision Biopsy



41. In a 27 years old male most common cause of a colovesical fistula would be:

. Crohn's disease


Ulcerative Colitis


TB


Cancer Colon



42. Ulcer that may develop in burn tissue is:

Marjolin's


Rodent


Melanoma
Curling's




43. A male aged 60 years hasfoul breath. He regurgitates food that is catch 3 days ago. Likely diagnosis is

Zenker's Diverticulum


Meckel's Diverticulum



Scleroderma


Achalsia Cardia.



44. A 56 years old woman has not passed· stools for the last 14 days. X-ray shows
.no airlfluid levels. Probable diagnosis is:

Paralytic ileus


Aganglionosis of the colon (C)lntestinalpselJdo-obstruction


Duodenal obstruction .



45. A child presents with an expansible swelling on medial side of the nose. Likely Diagnosis is

Teratoma


Meningocele


Dermoid Cyst


lipoma



.-46. Identify the wrong statement:

Early diagnosis and treatment is the intervention hi secondary level of prevention. .


Vitamin A supplementation is an . example of general health promotion in primary prevention.


Lead time is the period between diagnosis by early detection and diagnosis by other means.


Disability limitation is an intervention in tertiary leve! of prevention.



DS -1A119 (7 (Turn over)
47. Which one is correct about vector borne transmissions?

In mechanical type of trans­misskm no multiplication but development ofa causative agent in a vector can take place


Malaria'Transmission is an example of cyclo-develo'pinental type of biological transmission


Filariasis transmission is an

. example of cyclo-propagative type of biological transmission


Plague transmission is an example of propagative type of biological transmission



48. Find out the wrong statement among the following:

Chicken pox vesicles may form crust without going through the ,pustular stage.


Mumps cases are maximum infectious before and at the onset of parotitis. .


Post-Auricular and C.ervical


. .
Lymphadonopathy appear before . rash In Rubella.
in measles Koplik's Spots are pathognomonic of measles and appears in eruptive stage.

49. Which one is not a correct statement?

Kerala is Filaria free.


Plasmodium malarae is reported in India from Karnataka only.


Diethylcarbamazine can be used for therapeutic as well as diagnostic purpose in lymphatic filariasis.


Secondary infection with Dengue serotype 2 or multiple infection with different serotypes lead to severe form of Dengue, DHF


..
(Dengue Haemorrhagic Fever) I DSS (Dengue Shock Syndrome).

.50. Identifythe incorrectstatement:

Tetanus is a disease in which· herd immunity does not protect the individual.


Lepra reactions are due to Lepromin Test.


Contacttracing and cluster testing are used for control of STD/STI.


A person whohas recovered from Tetanus must be immunized against tetanus actively.



51. Which is not a method of assessment ofobesity?

Quetelet's Index


Ponderallndex



DS Contd:

Gomez classification


Skinfold thickness


52, Which is not corree! as per Census 2011 of India?


.GrowthRate -1.64



Sex Ratio -933 females per.


thousand males Population Density-382/Sq. Km.
Literacy 74.04%

53. Findoutthewrongstatement:

Vitamin C, Vitamin E and Beta Carotene are examples of dietary oxidants..


Coconut oil contains very high amount of saturated fatty acids.


Vitamin B12 isnot in food . ofvegetable origin.


Lactation demands about .550 kcallday..



54. Which one is a faise statement?

Among the pulses soyabean . contain maximum fat and protein.


Linoleic acid is the most essential fatty acid.


Protein energy ratio is used for . the assessment of protein quality.


. Alcohol supplies about 7kcal/ gram of energy.
55. Which is not a correct statement?

Drinking water should be moderately hard.


Comfortably corrected effective . temperature is 25-27°


Soiling index is an indicator ofair pollution.


75db is the recommended maximum daily exposure.of noise that people can tolerate without substantial damage to their hearing.


56. Which one is a wrong statement?

Strength of sewage is expressed in terms of B. O. D., C. a.D. and ,Suspended solids.


Sewage contains 99.9% of water.


ComRosting is a method of disposal of refuse and not of nightsoil or sludge.


In septic tank both aerobic and anaerobic digestions take place.


57. Which one is .not a correct .statement?
Under E. S. I. Act there are
.provisions for many benefits for the employees but no benefit for employer.


(Turnover)

Maximum occupational cancers are skin cancer.


Dust size 0.5-3 micron is . responsible for Plleumoconiosis.


pre-placement Examination and Periodical Examination are the examples of meetical measure for prevention of occupational


,diseases.

58. Find outthe incorrectone

Gobi campaign is a programme of UNICEF.


Millennium Development Goals is a W. H. O. Project.


Bio-medical Waste (Manage­ment and Handling) Rule, 1998 prescribed by Ministry, of Environment and Forests.


The Swedish International Development Agency (SIDA) is assisting National TLiberculosi,s Control Programme in India.



59. 'Which is a false statement among the following?
At present we are under 13th Five Year Plan.
Sample Registration System is a source of health information in India.
Mode is an example of Measures

of Central Tendency.
Standard Deviation, is an
,example of Measures of
Dispersion.

60. As per National Health Policy, 2002. which is not a correct goal?

Reduction of Infant Mortality Rate to 30/1000 live birth by 2010 .


Reduction of MaternalMortality Rate to 00/1 00000 live birth by 2010


Elimination of Lymphatic FilariaSis by 2015


Eliminl'ltion of Leprosy by 2010



61. The surest sign of identity of an individual is

Any birth marks


Finger impression


Skull size


None ofthe above



62. Exhumation is done by the order of:

Police Officer


Medical Officer


District Magistrate ConcernedLawyer



63. The edges of the incised wound in Scrotum is:
Retracted

OS -1A119 Contd.

Everted


Inverted


None ofthe above



64. Strangulation, by holding the neck of the victim in the bend of elbow is

,Chocking


Nugging.


Gagging


Cafe coronary



65. What is the surest sign of rape below
16 years orage?


Spermato:;wa in genital tract


Rupture of Hymen


Tear.of cervix


None ofthe above



66,. Sexual gratification by seeing some
portions ofthe body of girl:


Masochism


Fetichism


Exhibitionism


Incest



67. A child born dead after 28 weeks of pregnancy condition called:

Stillborn


Abortion


Miscarriage


None ofthe above



OS -1A119 11
68. Takes maximum time to putrefy is:

Liver


Brain


Puerperal uterus


Virgin uterus


69. Which of these is a cardiac poison?

Yellow olender


Strychnin


Cannabis indica


Ohatura


70. Best homicidal poison among the following is .

Arsenic


Aconite


Lead poison


Ohatura



71. Immunohistochemistry is employed for the following purpose:

To distinguish neoplastic from non-neoplastic lesion


To distinguish benign and malignant lesion


To localise the cell of origin of tumour
To detect autoantibodies in the

serum (Turn over)
72. CD4 T cell count in crisis phase of HIV according to revised HIV/AIDS classification is
· 100/microlilre

200/microlitre
· <250/microlilre



500/r'llicrolitre



73. Lepromin test is positive in

.Lepromatous leprosy


Borderline lepromatous leprosy


Tuberculoid leprosy


Intermediate leprosy



74. Hypercalcaemia as a paraneoplastic syndrome is observed in the following tumours except:

.Squamous cell carcinoma lung


Small cell carcinoma lung


Renal cell carcinoma


Breast cancer



75. DNA extraction is a pre-requisite for the following molecular techniques

PCR technique'



In situ hybridisation
· Western blot technique



Southern blot technique



76.. Stateofhypervitaminosisoccurs in: .
Vitamin A and B
Band C

DS-1A119

VitaminC and D


Vitamin A and D



77. The following lipid has highest .association with atherosclerosis:

Triglycerides


Low density lipoproteins
Very low density lipoproteins .



High density lipoproteins



78. All of the following cause left-sided heart failu re except:

Cor pulmonale


Systemic hypertension


Mitral stenosis


Ischaemic heart



79. Mallory's hyalin is seen in the following conditions except:


Alcoholic hepatitis


. Hepatocellular carcinoma
Post necrotic cirrhosis



Primary biliary cirrhosis



80. Nephrocalcinosis is characterised by deposition' of calcium salt at the following locations except:

Basement membrane


Within mitQchondria


Lysosomes


Cytoplasm' Contd.



81. Markthe.sulcusesthaiborderanterior funiculus ofthe spinal cord:

The. right and left anterolateral sulcuses


The right and left posterolateral soleuses


The anterolateral and postero­



lateral sulcuses
The anterior median fissure and

anterolateral sulcus
82. The atlas vertebrae is unique having:

No boday .


Aspine


Foramen transversarium


Alloflhe above



.83. Whichofthefollowingdoesnotpass through the carpal tunnel?

Ulnarnerve


Median nerve


Flexor pollicis longus .


Flexordigitorum



84. Allofthefollowingcranialnervecontrol eye movement except:

Optic nerve


Occulomotor nerve


Abducent nerve


Trochlear nerve



85. The chromosomal fOrmula of the normal human ovum is

45 autosomes and 2X chromo­somes'


45 autosomes and 1X chromo­somes


22aOtosomes and 1Ychromo­somes


22 autosomes aild 1X chromo­somes



86. The shoulder joint is weakest:

Above


Below
. Medially



Laterally



87: The' muscle pair responsible. for abducting the humurs to a right angle:

Deltoid and subscapularis


Deltoid and supraspinatus


Supra$pinatus and sUbscapularis


Teres major and subscapularis



88. The Grinning Muscle is

Masseter


Risorius


Zygomaticus major


Levator anguli oris'



89'. The StylohyOid Sternocledomastoid and superior belly of omohyoid .boundedthefollowing triangleofneck:
Submental

oS -1A119 (Turn over)

Digestric 94. Dumping syndrome is mostly due to
Anterior " Considerable rise in plastnakihin I
None of the above 90, Ttie apex of the Cubital Fossa is formed by: Exagerrated fluctuation of blood glucose Marked increase in lipid offeces I
Brachioradialis and pronator All ofthe above
teres
95. Which of the following constituent of
Brachialis and pronator teres the glomerular filtrate is completely
Bicepsbrachi and supenator reabsorbed?
Brachioradialis and biceps Urea
brachi
Uric Acid
91. Of the following anticoagulants which Glucose
can be used both invitro arid in vivo?
Protein
Heparin
Oxalate 96. Chymotrypsin hydrolyses peptide
Citrate ,bonds in which carboxyl group is
Hirudin contributed by
Phenylalanine
92. The hypertrophied ventricle becomes depolarised Tyrosine
Before the normal size Tryptophan "
After the normal ventricle All ofthe above
More r'apidly than the normal 97. Loss ofThiamin can be decreased by
ventricle using:
At the'same time as normal one Unpolished rice
93. Shortly after birth the ductus arteriosus Parboiled rice
constricts in response to: Wholewheatflour
Increased temperature All ofthe above
Increased P02 . 98. Pyruvate dehydrogenase complex is
Decreased PC02 regulated by:
Inpreased PH Covalent modification'

OS -1A!19 . Contd.
Allosteric regulation Facilitated diffusion
Both of the above Endocytosis
None ofthe above 100. Predominant fatty acids in meat are:
99. Intestinal absorption ofcalcium occurs Saturated'
by: Monounsaturated
. Active uptake Polyunsaturated
Simple diffusion Mono and Polysaturated

11 ••••••••••• 11 ••
OS -1A119 (15 (Turn over)
SPACE FOR ROUGH WORK




"



DS'-1A119 . H. M. (Paper-I) .