INI-CET 2025 question paper

INI-CET · 2025 · 200 questions · 180 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 60
Pharmacology 21
Pathology & Genetics 20
Applied Microbiology & Infection control 19
Child Health Nursing (Pediatrics) 18
Applied Physiology 15
Applied Anatomy 13
Obstetrics & Gynaecology 12
Mental Health Nursing 4
Biochemistry & Nutrition 4
Forensic Nursing & Indian laws 4
Nursing Research & Statistics 3
General Knowledge 3
Community Health Nursing 2
Applied Nutrition & Dietetics 1
Applied Sociology 1

See the answers and explanations

Q1 · Pharmacology · Drugs acting on Autonomic Nervoys system
In Myasthenia Gravis, why does repetitive nerve stimulation show a decremental response?
1. A.
  Decreased release of acetylcholine from the presynaptic terminal
2. B.
  Increased degradation of acetylcholine by acetylcholinesterase
3. C.
  Reduced number of functional acetylcholine receptors at the postsynaptic membrane
4. D.
  Autoantibodies blocking presynaptic calcium channels
Answer and explanation
Q2 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A 10-year-old child presented with hyperglycemia. He was diagnosed with Severe DKA, HCO3- of 4, pH of 7.0, RBS of 450, K+ 4.5. Management?
1. A.
  10 ml/kg NS over 30 min (10% deficit correction) followed by insulin infusion, with KCl
2. B.
  20 ml/kg NS (10% deficit correction) over 30 min followed by insulin infusion & fluid
3. C.
  10 ml/kg RL bolus (7% deficit correction) followed by insulin infusion and KCl
4. D.
  20 ml/kg RL over 30 min (7% deficit correction) followed by insulin infusion,
Answer and explanation
Q3 · Pathology & Genetics · Systemic Pathology
Where is Onion skin fibrosis seen?
1. A.
  Primary biliary cholangitis
2. B.
  Primary sclerosing cholangitis
3. C.
  Biliary atresia
4. D.
  Acute cholecystitis
Answer and explanation
Q4 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A patient is diagnosed with carcinoma of the larynx involving the entire right true vocal cord, anterior commissure, and one-third of the left true vocal cord, with extension into the para-glottic space and inner thyroid cortex. The right vocal cord is completely immobile. What is the most likely tumor stage?
1. A.
  T1
2. B.
  T4
3. C.
  T3
4. D.
  T2
Answer and explanation
Q5 · Pharmacology · Miscellaneous Drugs
Which DPP-4 inhibitor requires dosage modification when used with ketoconazole?
1. A.
  Saxagliptin
2. B.
  Linagliptin
3. C.
  Sitagliptin
4. D.
  Vildagliptin
Answer and explanation
Q6 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which of the following findings is NOT typically seen in Conn's syndrome?
1. A.
  Hypernatremia
2. B.
  Hypokalemia
3. C.
  Hypertension
4. D.
  Metabolic alkalosis
Answer and explanation
Q7 · Medical & Surgical Nursing · Miscellaneous
A lesion is seen on the same site on three different occasions. What is the most likely diagnosis?
1. A.
  Cutaneous mastocytosis
2. B.
  Fixed drug eruption
3. C.
  HSV1
4. D.
  Erythema multiforme
Answer and explanation
Q8 · Applied Anatomy · Sensory Organs
Identify the labeled structure in the given image?
1. A.
  Internal auditory canal
2. B.
  Aqueduct
3. C.
  External auditory canal
4. D.
  Carotid canal
Answer and explanation
Q9 · Applied Anatomy · Nervous System
In the given image, which region is correctly paired with its corresponding brain structure? • Middle cerebellar peduncle • Fasciculus cuneatus • Superior cerebellar peduncle • Inferior colliculus
1. A.
  1-A, 2-B, 3-C, 4-D
2. B.
  1-B, 2-C, 3-A, 4-D
3. C.
  1-D, 2-C, 3-A, 4-B
4. D.
  1-C, 2-D, 3-C, 4-A
Answer and explanation
Q10 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A patient presents with a rapidly growing breast lump (20x15 cm), erythema, and peau d'orange (PDO), with a family history of breast cancer. She is diagnosed with inflammatory breast cancer. What is the appropriate treatment?
1. A.
  Neoadjuvant chemotherapy followed by MRM
2. B.
  MRM followed by chemotherapy
3. C.
  Neoadjuvant therapy followed by BCT and SLNB
4. D.
  Palliative care
Answer and explanation
Q11 · Pathology & Genetics · Miscellaneous
What are the correct options regarding Peutz-Jeghers syndrome:

1. STK 11 mutation

2. Shows arborising pattern

3. Autosomal dominant

4. Congenital hypertrophy of retinal pigment epithelium
1. A.
  1, 2, 3 are correct
2. B.
  1, 2, 4 are correct
3. C.
  3 & 4 are correct
4. D.
  1, 2 are correct
Answer and explanation
Q12 · Applied Physiology · Digestive system
Which GI secretions have lowest sodium concentration?
1. A.
  Stomach
2. B.
  Ileac secretions
3. C.
  Duodenum
4. D.
  Saliva
Answer and explanation
Q13 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A 25-year-old female with systemic lupus erythematosus presents with weight gain, moon facies, buffalo hump, and hirsutism. Which of the following is the most appropriate investigation to confirm the diagnosis?
1. A.
  Serum ACTH and low-dose dexamethasone suppression test
2. B.
  Low-dose dexamethasone suppression test
3. C.
  High-dose dexamethasone suppression test
4. D.
  Serum ACTH and cortisol levels
Answer and explanation
Q14 · Nursing Research & Statistics · Miscellaneous
A community consists of 500 individuals, and over a period of 2 years, 20 new cases of a certain disease were identified. The total observation time amounted to 950 person-years. What is the incidence rate of this disease in the population?
1. A.
  2.1 per 1000 person-years
2. B.
  2.1 per 100 person-years
3. C.
  4 per 1000 person-years
4. D.
  2 per 100 person-years
Answer and explanation
Q15 · Pharmacology · Antimicrobial Drugs
Identify the parasite in the image and select the most appropriate drug for its treatment:
1. A.
  Praziquantel
2. B.
  Albendazole
3. C.
  Niclosamide
4. D.
  Ivermectin
Answer and explanation
Q16 · Pharmacology · General Pharmacology
The dose-response curve of acetylcholine (ACh) is shown in the graph. When an additional drug is introduced, the response to ACh increases (shifts upward). Which drug is most likely responsible for this effect?
1. A.
  Physostigmine
2. B.
  Bethanechol
3. C.
  Adrenaline
4. D.
  Atropine
Answer and explanation
Q17 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following conditions does NOT share the same underlying mechanism that contributes to the development of heart failure, as seen in the other conditions?
1. A.
  Anemia
2. B.
  Fever
3. C.
  High salt intake
4. D.
  Thyrotoxicosis
Answer and explanation
Q18 · Medical & Surgical Nursing · Musculoskeletal Function
A 30-year-old man presents after a fall. He complains of severe shoulder pain and inability to move his arm. On examination, the arm is slightly abducted and externally rotated. The X-ray is given. What is the most likely diagnosis?
1. A.
  Anterior dislocation
2. B.
  Posterior dislocation
3. C.
  Fracture clavicle
4. D.
  Proximal humerus fracture
Answer and explanation
Q19 · Mental Health Nursing · Behavioural & Emotional Disorders of Childhood and Adolescence
A 7-year-old child has severe recurrent anger outbursts for 1 year, disproportionate to the situation, with persistent irritability between episodes. Most likely diagnosis?
1. A.
  Oppositional Defiant Disorder
2. B.
  Conduct Disorder
3. C.
  Disruptive Mood Dysregulation Disorder
4. D.
  Intermittent Explosive Disorder
Answer and explanation
Q20 · Applied Microbiology & Infection control · Pathogenic Organisms
Identify the egg from the image below.
1. A.
  T solium
2. B.
  Ascaris lumbricoides
3. C.
  H nana
4. D.
  Necator americanus
Answer and explanation
Q21 · Pharmacology · Miscellaneous
Patient is on 2nd line ATT, now complaining about numbness & acidosis then which drug should be withdrawn?
1. A.
  Linezolid
2. B.
  Bedaquiline
3. C.
  Delamanid
4. D.
  Levofloxacin
Answer and explanation
Q22 · Mental Health Nursing · Personality and Sexual Disorders
Sexual pleasures by non-living inanimate objects are called?
1. A.
  Fetischism
2. B.
  Voyeurism
3. C.
  Exhibitionism
4. D.
  Froutterism
Answer and explanation
Q23 · Obstetrics & Gynaecology · Menopause
A 45-year-old postmenopausal woman has an endometrial thickness of 15 mm on transvaginal ultrasound. What should be the next step in management?
1. A.
  Endometrial biopsy
2. B.
  MRI Pelvis
3. C.
  Hysterectomy
4. D.
  Repeat transvaginal ultrasound after 6 weeks
Answer and explanation
Q24 · Obstetrics & Gynaecology · Infertility
Which of the following is NOT a test of ovarian reserve during the early follicular phase?
1. A.
  FSH
2. B.
  E2
3. C.
  AMH
4. D.
  AFC
Answer and explanation
Q25 · Medical & Surgical Nursing · Miscellaneous
A 17-year-old presents with recurrent abdominal pain for 3 months. Amylase and lipase are raised. What is the likely diagnosis based on USG and MRCP findings?
1. A.
  Choledochal Cyst
2. B.
  Annular Pancreas
3. C.
  Pancreas Divisum
4. D.
  CBD stone
Answer and explanation
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Q26 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A 22-year-old athlete collapses and dies suddenly during a game. Autopsy reveals ventricular hypertrophy. What is the most likely underlying cause?
1. A.
  He died of valvular disease
2. B.
  Image shows features of chronic heart failure
3. C.
  Coronary artery disease due to increased cholesterol
4. D.
  HOCM needs to be screened in case of family history
Answer and explanation
Q27 · Applied Anatomy · Nervous System
Through which of the following foramina does the nerve supplying the muscles of mastication pass?
1. A.
  A.
2. B.
  B.
3. C.
  C.
4. D.
  D.
Answer and explanation
Q28 · Pharmacology · Drugs Acting on Central Nervous System
A patient on Haloperidol develops Neuroleptic Malignant Syndrome (rigidity, fever). What is the most appropriate treatment?
1. A.
  Stop the antipsychotic and give dantrolene/bromocriptine
2. B.
  Give Acetylcholine
3. C.
  Atropine
4. D.
  IV fluids and continue the antipsychotic
Answer and explanation
Q29 · Pharmacology · General Pharmacology
Which of the following medications acts by inhibiting vascular endothelial growth factor (VEGF)?
1. A.
  Ranibizumab
2. B.
  Pembrolizumab
3. C.
  Ipilimumab
4. D.
  Dostarlimab
Answer and explanation
Q30 · Medical & Surgical Nursing · Sensorineural Function
A young myopic patient with astigmatism presents with acute red eye, history of frequent spectacle change, and eye rubbing. On examination, corneal hydrops is seen and an intracameral gas injection was performed. What is the likely diagnosis and management procedure shown?
1. A.
  Descemet's stripping endothelial keratoplasty (DSEK)
2. B.
  Deep anterior lamellar keratoplasty (DALK)
3. C.
  Intracameral gas injection with C3F8 for acute hydrops
4. D.
  Collagen cross-linking
Answer and explanation
Q31 · Medical & Surgical Nursing · Miscellaneous
A 60-year-old man presents with generalized bone pain and easy fatigability. X-rays show diffuse osteoporosis, and hypercalcemia is noted. Which of the following investigations is most appropriate to confirm the diagnosis?
1. A.
  CT scan
2. B.
  Bone marrow biopsy
3. C.
  MRI
4. D.
  Sestamibi scan
Answer and explanation
Q32 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
A primigravida with a normal vaginal delivery develops postpartum hemorrhage not controlled by uterine massage. What should be the next step in management?
1. A.
  Uterine artery embolization
2. B.
  Hysterectomy
3. C.
  Balloon tamponade
4. D.
  Pelvis specific embolization
Answer and explanation
Q33 · Applied Anatomy · Musculoskeletal System
A muscle of mastication involved in opening the mouth exhibits the following characteristics. Identify the incorrect statement about it:
1. A.
  Attached to the medial surface of the mandible ramus
2. B.
  Receives innervation from the mandibular nerve
3. C.
  Attached close to the temporomandibular joint
4. D.
  Aids in mandibular protrusion
Answer and explanation
Q34 · Applied Anatomy · Musculoskeletal System
Muscle that contributes to both hip and knee extension originates from which of the following structures?
1. A.
  A
2. B.
  B
3. C.
  C
4. D.
  D
Answer and explanation
Q35 · Applied Physiology · Musculoskeletal system
Match the following:

A) Equinus 1. Longitudinal arch of foot extended dorsally

B) Planus 2. Longitudinal arch of foot flattened

C) Cavus 3. Foot in dorsiflexion

D) Calcaneus 4. Foot in plantar flexion
1. A.
  A) 1, B) 2, C) 3, D) 4
2. B.
  A) 1, B) 4, C) 3, D) 2
3. C.
  A) 3, B) 1, C) 4, D) 2
4. D.
  A) 4, B) 2, C) 1, D) 3
Answer and explanation
Q36 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with megaloblastic anemia is treated with folate alone, after which neurological symptoms worsen instead of improving. Which mechanism best explains this phenomenon?
1. A.
  Folate trap
2. B.
  Homocysteine accumulation
3. C.
  Masking of vitamin B12 deficiency
4. D.
  Pernicious anemia due to intrinsic factor deficiency
Answer and explanation
Q37 · Pathology & Genetics · General Pathology
Choose the correct option: 1. Perls stain, iron, red 2. Alizarin, Ca, black 3. Van Gieson, elastin, blue 4. Giemsa, mast cells, purple
1. A.
  2 & 4
2. B.
  1, 2, 3
3. C.
  2, 3, 4
4. D.
  Only 4
Answer and explanation
Q38 · Applied Physiology · Respiratory system
In an emergency triage scenario, which patient should be attended to first?
1. A.
  40-year-old unconscious patient with noisy breathing
2. B.
  25-year-old woman breathing rapidly and sweating
3. C.
  60-year-old man conscious with blood-soaked trousers
4. D.
  Child crying loudly and inconsolably
Answer and explanation
Q39 · Medical & Surgical Nursing · Miscellaneous
Match the following:

a. Auspitz sign 1. Psoriasis

b. Darier's sign 2. Discoid lupus erythematosus

c. Carpet tack 3. Cutaneous sign mastocytosis

d. Flag sign 4. Kwashiorkor
1. A.
  a-3, b-2, c-1, d-4
2. B.
  a-4, b-3, c-1, d-2
3. C.
  a-1, b-3, c-2, d-4
4. D.
  a-1, b-2, c-3, d-4
Answer and explanation
Q40 · Pharmacology · Drugs Acting on Kidney
False statement about finerenone compared to spironolactone?
1. A.
  Spironolactone causes more gynecomastia compared to finerenone.
2. B.
  Both drugs are mineralocorticoid receptor antagonists, but finerenone is
3. C.
  Finerenone is a nonsteroidal, selective mineralocorticoid receptor antagonist
4. D.
  Finerenone inhibits aldosterone synthesis.
Answer and explanation
Q41 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A 36-week pregnant woman is being evaluated for possible eclampsia. Which of the following symptoms are not indicative of imminent eclampsia?
1. A.
  Blurred vision
2. B.
  Headache
3. C.
  Pedal edema
4. D.
  Epigastric pain
Answer and explanation
Q42 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A 60-year-old female with a history of cholecystectomy and abdominal tube insertion 10 days ago presents with abdominal pain. What is the next step in management?
1. A.
  Immediate percutaneous drainage
2. B.
  Exploratory laparotomy
3. C.
  ERCP and stenting/sphincterotomy
4. D.
  Conservative management
Answer and explanation
Q43 · Nursing Research & Statistics · Research Problem/Question
A research study observes that individuals who exercise regularly have a lower risk of developing heart disease. However, those who work out also tend to maintain a healthier diet, which itself lowers heart disease risk. In this scenario, diet serves as a—
1. A.
  Mediator
2. B.
  Effect modifier
3. C.
  Confounder
4. D.
  Independent variable
Answer and explanation
Q44 · Pathology & Genetics · Genetics
Cancer cells showing an increased RNA transcript length compared to normal cells is most likely due to:
1. A.
  Polyadenylation
2. B.
  Alternative RNA splicing
3. C.
  Gene amplification
4. D.
  Gene silencing
Answer and explanation
Q45 · Applied Microbiology & Infection control · General Characteristics of Microbes
A contact lens user presents with severe ocular pain, photophobia, and blurring of vision. Corneal examination shows a ring-shaped infiltrate as shown in the image. Which staining technique helps in identifying the causative organism?
1. A.
  Zinc stain
2. B.
  Calcofluor white stain
3. C.
  Gram stain
4. D.
  GMS silver stain
Answer and explanation
Q46 · Nursing Research & Statistics · Inferential Statistics
In a research study, a p-value of 0.03 was found. What does this indicate?
1. A.
  There is a 3% probability that the observed result occurred due to chance.
2. B.
  There is 97% confidence that the null hypothesis is true.
3. C.
  The difference observed is not statistically significant.
4. D.
  The null hypothesis is rejected because the chance probability is below 2%.
Answer and explanation
Q47 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Which of the following has the highest risk of causing invasive pulmonary aspergillosis?
1. A.
  Febrile neutropenia
2. B.
  CD4 <50 cells/μL
3. C.
  Severe protein-energy undernutrition
4. D.
  Bronchial asthma
Answer and explanation
Q48 · Pharmacology · Miscellaneous
Match the following poisoning with its treatment:

1. Arsenic A. Naloxone

2. Methanol B. Fomepizole

3. Benzodiazepine C. Flumnazenil

4. Opioid D. BAL
1. A.
  1-D, 2-C, 3-B, 4-A
2. B.
  1-D, 2-B, 3-C, 4-A
3. C.
  1-A, 2-B, 3-C, 4-D
4. D.
  1-B, 2-C, 3-A, 4-D
Answer and explanation
Q49 · Applied Microbiology & Infection control · Miscellaneous
Classical case explaining lung infection with hemoptysis.
1. A.
  Aspergillus with aseptate branching
2. B.
  Aspergillus with septate branching
3. C.
  Rhizopus with septate
4. D.
  Mucormycosis with septate hyphae
Answer and explanation
Q50 · Medical & Surgical Nursing · Miscellaneous
A patient presents with exertional dyspnea and pedal edema. His echocardiogram shows a dilated left ventricle with reduced systolic function. Which of the following statements regarding this condition is false?
1. A.
  Pulmonary hypertension may develop in this patient
2. B.
  Ejection fraction will be reduced in this condition
3. C.
  Long-term anticoagulation is not needed for this patient
4. D.
  Beta blockers are indicated in chronic management
Answer and explanation
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Q51 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A boy is brought for evaluation; he has stunting with excessive weight gain. His height is below -2 SD for age, and his weight is above +2 SD. Developmental milestones are normal. He has a history of recurrent respiratory infections for which he frequently receives oral medications. What is the next best step to do?
1. A.
  Promote physical activity as Child is overweight
2. B.
  Screen child for Growth hormone deficiency
3. C.
  Check TFT, as the child has congenital hypothyroidism
4. D.
  Test for Cushing Syndrome secondary to steroid use
Answer and explanation
Q52 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
What are included in major and minor criteria of jones rheumatic fever?

1. Carditis

2. Polyarthralgia

3. Chorea

4. Shortened PR interval

5. Erythema nodosum
1. A.
  1,2,3
2. B.
  2,3,4
3. C.
  1,2,3,5
4. D.
  4,5
Answer and explanation
Q53 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient with chronic productive cough and progressive breathlessness is diagnosed with COPD. He develops type II respiratory failure. Which of the following statements regarding his condition is not true?
1. A.
  Bronchial wall inflammation is a characteristic finding
2. B.
  Increased Reid index
3. C.
  Lung compliance is decreased
4. D.
  FEV1/FVC ratio is <70%
Answer and explanation
Q54 · Biochemistry & Nutrition · Clinical Enzymology
Deficiency of which enzyme results in increased 2,3-BPG levels and low glucose values in vitro?
1. A.
  Pyruvate kinase
2. B.
  Phosphoglycerate kinase
3. C.
  G6PD
4. D.
  Hexokinase
Answer and explanation
Q55 · Medical & Surgical Nursing · Miscellaneous
A 70-year-old female presents with intense itching and a white plaque in the genital region. Histopathological examination shows loss of rete ridges, abundant collagen, and thinned epithelium. What is the most likely diagnosis?
1. A.
  Lichen planus
2. B.
  Lichen sclerosis
3. C.
  Candidiasis
4. D.
  Vulvar leukoplakia
Answer and explanation
Q56 · Applied Microbiology & Infection control · Pathogenic Organisms
The viral life cycle that corresponds to the epidermal layers—replication occurring in the spinous layer, assembly in the granular layer, and release in the cornified layer—is characteristic of which of the following viruses?
1. A.
  Human papillomavirus (HPV)
2. B.
  Molluscum contagiosum virus
3. C.
  Varicella-zoster virus
4. D.
  Herpes simplex virus
Answer and explanation
Q57 · Obstetrics & Gynaecology · Examination of a Gynecological Patient
The angle of laparoscopy between the left- and right-hand working ports is known as:
1. A.
  Manipulation angle
2. B.
  Azimuth angle
3. C.
  Elevation angle
4. D.
  Extreme angle
Answer and explanation
Q58 · Applied Physiology · Sensory organs
A 65-year-old male complains of difficulty hearing high-pitched sounds. Which region of the cochlea is primarily damaged?
1. A.
  Apex of cochlea
2. B.
  Base of cochlea
3. C.
  Stria vascularis
4. D.
  Tectorial membrane
Answer and explanation
Q59 · Applied Microbiology & Infection control · Pathogenic Organisms
What was incorrect about below shown image:
1. A.
  Phage coded
2. B.
  Causes myocarditis
3. C.
  It is an exotoxin
4. D.
  It is the most potent toxin known to man
Answer and explanation
Q60 · Pathology & Genetics · General Pathology
Lipid is best visualized on which technique in pathology?
1. A.
  Frozen Section
2. B.
  Paraffin-embedded section
3. C.
  Immunohistochemistry
4. D.
  Electron microscopy
Answer and explanation
Q61 · Medical & Surgical Nursing · Neurologic Function
What is the most common site of a berry aneurysm in the Circle of Willis?
1. A.
  Basilar artery
2. B.
  Vertebral artery
3. C.
  Anterior cerebral artery (ACA)
4. D.
  Middle cerebral artery (MCA)
Answer and explanation
Q62 · Applied Anatomy · Endocrine System
Which of the following histology image is not an endocrine structure?
1. A.
2. B.
3. C.
4. D.
Answer and explanation
Q63 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient with retroviral infection presents with low-grade fever, cough, and one episode of hemoptysis. What is the most probable diagnosis based on the chest X-ray findings?
1. A.
  Tuberculosis
2. B.
  Pneumothorax
3. C.
  Lung abscess
4. D.
  Pulmonary metastasis
Answer and explanation
Q64 · Applied Anatomy · Nervous System
Marked structure separates which of the following:
1. A.
  Third ventricle
2. B.
  Lateral ventricle
3. C.
  Fourth ventricle
4. D.
  Cisterna magna
Answer and explanation
Q65 · Community Health Nursing · National Health Programs
As per the National Program for Prevention and Control of Non-Communicable Diseases (NP-NCD), which of the following screening activities are not done at the Sub-Centre (SC) or Primary Health Centre (PHC) level?
1. A.
  VIA for cervical cancer screening
2. B.
  Visual inspection for oral cancer
3. C.
  Mammography for screening at primary level
4. D.
  Screening starts beyond 30 years
Answer and explanation
Q66 · Applied Anatomy · Musculoskeletal System
Which of the following muscles is NOT typically associated with dysphagia or dysarthria?
1. A.
  Stylopharyngeus
2. B.
  Tensor veli palatini
3. C.
  Palatopharyngeus
4. D.
  Pharyngeal constrictor
Answer and explanation
Q67 · Child Health Nursing (Pediatrics) · Genetic Disorders
A 6-month-old infant presents with hepatomegaly, doll-like face, lactic acidosis, and anemia. Liver biopsy reveals hepatocytes packed with glycogen and lipids, suggesting glucose-6-phosphatase deficiency. Which laboratory finding is most characteristic of this disorder?
1. A.
  Fasting hypoglycemia
2. B.
  Elevated cholesterol levels
3. C.
  Low lactate concentration
4. D.
  Reduced glutathione levels
Answer and explanation
Q68 · Applied Physiology · Nervous System
Which part of cortex responsible for scanning the visual field?
1. A.
  1
2. B.
  2
3. C.
  3
4. D.
  4
Answer and explanation
Q69 · Medical & Surgical Nursing · Other Acute Problems
During triage, who should receive the highest priority?
1. A.
  6-year-old child crying
2. B.
  45-year-old unconscious with noisy breathing/grunting sounds
3. C.
  23-year-old conscious with breathing difficulty
4. D.
  60-year-old conscious patient with blood-soaked pants
Answer and explanation
Q70 · Applied Anatomy · Nervous System
Identify the nerve block demonstrated in the given below image?
1. A.
  Inferior alveolar nerve block
2. B.
  Anterior ethmoidal nerve block
3. C.
  Maxillary nerve block
4. D.
  Greater palatine nerve block
Answer and explanation
Q71 · Medical & Surgical Nursing · Integumentary Function
Crocodile-like skin is seen in which of the following?
1. A.
  Arsenic poisoning
2. B.
  High voltage shock (10K - 12K)
3. C.
  Moist burns
4. D.
  Chemical burns
Answer and explanation
Q72 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient comes to the OPD with the history of fever for 4 days, no bleeding manifestations, and stable vitals. Blood work shows Hb = 9 g/dL, platelet count = 20,000/mL. What is the next step in management during the first hour? A) PCM B) Antibiotics C) Platelet transfusion D) Steroids
1. A.
  A, B, C, D
2. B.
  A, B, C
3. C.
  A, B
4. D.
  A
Answer and explanation
Q73 · Medical & Surgical Nursing · Immunologic Function
A woman with dry mouth, gritty eye sensations, and bilateral salivary gland enlargement presents for evaluation. Laboratory tests show hypokalemia and metabolic acidosis. What is the most appropriate diagnostic test to confirm the diagnosis?
1. A.
  Schirmer's test and autoantibody profile
2. B.
  Serum acetylcholine receptor antibody
3. C.
  Salivary gland scintigraphy
4. D.
  Serum calcium and ACE levels
Answer and explanation
Q74 · Medical & Surgical Nursing · Miscellaneous
A 28-year-old male presents with involuntary jerky movements of the face and limbs, along with noticeable personality changes and increasing forgetfulness. An MRI of the brain is shown. What is the most likely diagnosis?
1. A.
  Wilson's disease
2. B.
  Sydenham's chorea
3. C.
  Prion disease
4. D.
  Huntington's disease
Answer and explanation
Q75 · Medical & Surgical Nursing · Miscellaneous
A 45-year-old man with known alcoholic cirrhosis presents with confusion and 3 days of hematemesis. Examination reveals icterus, hepatosplenomegaly, tense ascites, and asterixis. Vitals: BP 100/60 mmHg, pulse 104/min. Which of the following is NOT appropriate in the initial management of this patient?
1. A.
  Start propranolol to stop variceal bleeding
2. B.
  Perform diagnostic ascitic tap to rule out spontaneous bacterial peritonitis (SBP)
3. C.
  Start IV antibiotics and IV octreotide infusion
4. D.
  Give IV albumin after large-volume paracentesis or if renal dysfunction develops
Answer and explanation
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Q76 · Applied Microbiology & Infection control · Pathogenic Organisms
Match the following parasites with the diseases they cause.

1. Visceral larva migrans a. Strongyloides

2. Cutaneous larva migrans b. Schistosomiasis

3. Swimmer's itch c. Toxocara canis

4. Larva currens d. Ancylostoma braziliense
1. A.
  1-c, 2-d, 3-b, 4-a
2. B.
  1-a,2-b,3-c, 4-d
3. C.
  1-d,2-c,3-b,4-a
4. D.
  1-b,2-c,3-d, 4-a
Answer and explanation
Q77 · Biochemistry & Nutrition · Proteins
Match the following amino acids with their respective derivatives:

Substance Derivative

A. Tyrosine 1. Thyroid hormone

B. Tryptophan 2. Melatonin

C. Glycine 3. Taurine

D. Cysteine 4. Creatine Options:
1. A.
  A-1, B-2, C-3, D-4
2. B.
  A-1, B-2, C-4, D-3
3. C.
  A-2, B-1, C-4, D-3
4. D.
  A-2, B-1, C-3, D-4
Answer and explanation
Q78 · Mental Health Nursing · Schizophrenia
Match the types of delusions with their descriptions:

A. Persecution 1. False belief of being controlled by external forces

B. Grandiosity 2. False belief of having great powers or importance

C. Nihilistic 3. False belief that body/world does not exist

D. Influence Descriptions: 4. False belief of being harmed or conspired against
1. A.
  A–4, B–2, C–3, D–1
2. B.
  A–3, B–1, C–4, D–2
3. C.
  A–2, B–4, C–3, D–1
4. D.
  A–1, B–2, C–3, D–4
Answer and explanation
Q79 · Child Health Nursing (Pediatrics) · Childhood Malignancies
A 13-year-old boy presents with waxing and waning pain and swelling over the mid-shaft of the humerus for 3 weeks. No trauma history. X-ray shows a periosteal reaction with suggestion of medullary involvement. What is the next best diagnostic investigation?
1. A.
  MRI
2. B.
  Biopsy
3. C.
  Blood investigation
4. D.
  CT
Answer and explanation
Q80 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Arrange the following steps of surgery in order:

A. Creating pneumoperitoneum

B. Dissection of hepatocystic triangle

C. Ligation of cystic duct and artery

D. Separation of gallbladder from liver bed
1. A.
  A-B-C-D
2. B.
  A-C-B-D
3. C.
  B-A-C-D
4. D.
  D-A-B-C
Answer and explanation
Q81 · Pharmacology · Miscellaneous
All of the following are advantages of ketamine except:
1. A.
  Dissociative anesthesia
2. B.
  Relief from pain
3. C.
  Sedation
4. D.
  Relief from depression
Answer and explanation
Q82 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A patient is diagnosed with recurrent peptic ulcers and a nodule in the first part of the duodenum. Which of the following tests should be done next to confirm the diagnosis?
1. A.
  Serum prolactin levels
2. B.
  Serum gastrin levels
3. C.
  24-hour urinary catecholamine levels
4. D.
  Serum parathyroid hormone levels
Answer and explanation
Q83 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following is an obligate intracellular organism?
1. A.
  Ehrlichia chaffeensis
2. B.
  Staphylococcus aureus
3. C.
  Tropheryma whipplei
4. D.
  Streptococcus pyogenes
Answer and explanation
Q84 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A patient presents for follow-up after obesity treatment, with a surgical image shown. Which procedure was performed?
1. A.
  Roux-en-Y gastric bypass
2. B.
  Mini-gastric bypass
3. C.
  Duodenal switch
4. D.
  Biliopancreatic diversion
Answer and explanation
Q85 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Arrange the steps of hernioplasty in the correct order:

a) Skin incision

b) Identify the sac and reduce content

c) Place the mesh

d) Wound closure
1. A.
  a-b-c-d
2. B.
  b-c-a-d
3. C.
  a-d-c-b
4. D.
  b-a-d-c
Answer and explanation
Q86 · Pathology & Genetics · Clinical Pathology
Which of the following is not a seminal test in a case of rape?
1. A.
  Barberio test
2. B.
  Acid phosphate test
3. C.
  Reineche test
4. D.
  Florence test
Answer and explanation
Q87 · Biochemistry & Nutrition · Lipids
Which tricarboxylic acid (TCA) cycle intermediate acts as a precursor for fatty acid synthesis?
1. A.
  Succinate
2. B.
  Citrate
3. C.
  Malate
4. D.
  Fumarate
Answer and explanation
Q88 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders
A 7-year-old child with stunting is brought for evaluation of short stature. His height is below -2 SD for age. Developmental milestones are normal. On examination, the upper-to-lower segment ratio is 1.4. Which of the following is the most likely diagnosis?
1. A.
  Achondroplasia
2. B.
  Spondyloepiphyseal dysplasia
3. C.
  Nutritional cause
4. D.
  GH deficiency
Answer and explanation
Q89 · Forensic Nursing & Indian laws · Forensic Psychiatry
A person kills his friend because of his belief that he will poison him & later he was diagnosed as a case of schizophrenia. He was taken to court. Based on McNaughten's rule how is person liable for crime?
1. A.
  Partially guilty
2. B.
  Guilty
3. C.
  Not guilty
4. D.
  Guilty, if act committed was committed with knowing it is wrong
Answer and explanation
Q90 · Applied Microbiology & Infection control · Safety Protocols
Mycobacterium tuberculosis is handled in which biosafety level (BSL) laboratory?
1. A.
  BSL-1
2. B.
  BSL-2
3. C.
  BSL-3
4. D.
  BSL-4
Answer and explanation
Q91 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following is not true about the given condition?
1. A.
  Oncogenic virus
2. B.
  Painful lesions
3. C.
  RNA virus
4. D.
  No vaccine available
Answer and explanation
Q92 · Applied Physiology · Renal system
Which of the following represents the most stable and long-term Homeostasis mechanism in humans?
1. A.
  Urine output
2. B.
  Respiratory rate (RR)
3. C.
  Oxygen saturation (SpO2)
4. D.
  Heart rate
Answer and explanation
Q93 · Obstetrics & Gynaecology · Blood Vessels, Lymphatic Drainage and Innervation of Pelvic Organs
In the illustrated image, which of the following structures is NOT associated with the area marked by the arrow?
1. A.
  Internal pudendal vessels
2. B.
  Tendon of obturator externus
3. C.
  Ischiococcygeus
4. D.
  Pudendal nerve
Answer and explanation
Q94 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following statements about Rheumatic fever is false?
1. A.
  2 weeks post sore throat
2. B.
  Aschoff bodies seen
3. C.
  Infection caused by group A, beta streptococcus
4. D.
  Myocarditis but no endocarditis
Answer and explanation
Q95 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following infections are NOT acquired through a thorn prick injury?
1. A.
  Dermatophytosis
2. B.
  Chromoblastomycosis
3. C.
  Mycetoma
4. D.
  Sporotrichosis
Answer and explanation
Q96 · Pathology & Genetics · Genetics
Which of the following represents the correct sequence of steps in the polymerase chain reaction (PCR)?
1. A.
  Denaturation → Annealing → Extension
2. B.
  Denaturation → Annealing → Extension → Hybridization
3. C.
  Annealing → Extension → Denaturation
4. D.
  Extension → Denaturation → Annealing
Answer and explanation
Q97 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
According to the GOLD guidelines, which of the following is the most appropriate next step in the management of a patient who smokes and has cute COPD exacerbation with a respiratory rate of 30/min, pulse of 110/min, with increased sputum resting SpO2 of 90% on room air, and pCO2 of 80 mm Hg?

A. Antibiotics

B. Systemic Corticosteroids

C. Antiviral treatment

D. Nebulized bronchodilators Choose the correct combination
1. A.
  A, B, D
2. B.
  A, C, D
3. C.
  B, C, D
4. D.
  A, B, C, D
Answer and explanation
Q98 · Obstetrics & Gynaecology · Antepartum Hemorrhage
A pregnant woman with placenta previa presents with mild bleeding. There are no uterine contractions, her blood pressure is 110/70 mm Hg, and the fetal heart rate is 140 bpm. What is the best next step in management?
1. A.
  Hospitalization and expectant management
2. B.
  Oxytocin induction of labor
3. C.
  Immediate lower segment cesarean section (LSCS)
4. D.
  ARM
Answer and explanation
Q99 · Obstetrics & Gynaecology · Practical Obstetrics
Which of the following instruments are commonly used during a cesarean section?

A. Green amytage forceps

B. Shirodkars clamp

C. Doyens retractor

D. Scalpel with BP holder

E. Allis forceps

F. Cusco and Karman
1. A.
  a, c, d, e
2. B.
  b, c, d, f
3. C.
  a, b, e, f
4. D.
  a, c, e, f
Answer and explanation
Q100 · Obstetrics & Gynaecology · Population Dynamics and Control of Conception
Postpartum intrauterine contraceptive device (IUCD) insertion should ideally be performed within which of the following time frames?
1. A.
  Within 24–48 hours
2. B.
  Within 10 minutes of placental delivery
3. C.
  At 4 weeks postpartum
4. D.
  After 6 weeks postpartum
Answer and explanation
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Q101 · Pathology & Genetics · Genetics
A female carries an autosomal recessive mitochondrial disorder. Which of the following systems are most likely affected?
1. A.
  Immune and skeletal
2. B.
  Cardiac and skeletal
3. C.
  Skeletal and neurogenic
4. D.
  Immune and cardiac
Answer and explanation
Q102 · Child Health Nursing (Pediatrics) · Otolaryngology
Which of the following hearing tests is not performed in infants?
1. A.
  OAE (Otoacoustic Emissions)
2. B.
  BERA (Brainstem Evoked Response Audiometry)
3. C.
  PTA (Pure Tone Audiometry)
4. D.
  Free-field audiometry
Answer and explanation
Q103 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Which of the following absorbable sutures causes the maximum tissue reaction?
1. A.
  Polygalactin
2. B.
  Catgut
3. C.
  Polypropylene
4. D.
  Polydioxanone
Answer and explanation
Q104 · Medical & Surgical Nursing · Metabolic and Endocrine Function
TIGAR-O classification is used in which type of pancreatitis?
1. A.
  Acute pancreatitis
2. B.
  Chronic pancreatitis
3. C.
  Autoimmune pancreatitis
4. D.
  Alcoholic pancreatitis
Answer and explanation
Q105 · Medical & Surgical Nursing · Sensorineural Function
Krukenberg spindle formation on the corneal endothelium is a characteristic finding of which type of glaucoma?
1. A.
  Pigmentary glaucoma
2. B.
  Malignant glaucoma
3. C.
  Acute angle closure glaucoma
4. D.
  Neovascular glaucoma
Answer and explanation
Q106 · Obstetrics & Gynaecology · Antepartum Hemorrhage
A patient presents intermenstrual bleeding, and the pap smear report shows atypical glandular cells. What is the most appropriate next step in management?
1. A.
  Conization of the cervix
2. B.
  Repeat Pap smear after 6 months
3. C.
  Colposcopy with endometrial sampling
4. D.
  Hysterectomy
Answer and explanation
Q107 · Medical & Surgical Nursing · Miscellaneous
A patient presents with abdominal pain and has elevated mucin and CEA levels but normal amylase. What is the most likely diagnosis?
1. A.
  Intraductal Papillary Mucinous Neoplasm (IPMN)
2. B.
  Pancreatic cystic neoplasm
3. C.
  Mucinous adenoma
4. D.
  Pancreatic pseudocyst
Answer and explanation
Q108 · Applied Microbiology & Infection control · Pathogenic Organisms
An image shows a large operculated egg from a parasitic fluke, identified as belonging to the genus Fasciola. What is the most likely parasite?
1. A.
  Fasciola hepatica
2. B.
  Clonorchis sinensis
3. C.
  Schistosoma haematobium
4. D.
  Paragonimus westermani
Answer and explanation
Q109 · Biochemistry & Nutrition · Lipids
Which of the following statements about β-oxidation of fatty acids is incorrect?
1. A.
  Both CAT I and CAT II transport fatty acids across the mitochondrial membrane
2. B.
  ATP is required for fatty acid transport across the mitochondrial membrane
3. C.
  CoA is released in the cytosol during acyl-carnitine formation
4. D.
  Carnitine is released on the mitochondrial side
Answer and explanation
Q110 · General Knowledge · Awards & honours
The 2025 Nobel Prize in Medicine was awarded for which discovery?
1. A.
  Peripheral immune tolerance
2. B.
  Micro RNA
3. C.
  mRNA vaccine technology
4. D.
  Targeted immunotherapy
Answer and explanation
Q111 · Applied Microbiology & Infection control · Pathogenic Organisms
A farmer presents with a lesion that discharges black-colored granules. What is the causative agent?
1. A.
  Madurella mycetomatis
2. B.
  Actinomadura Madurae
3. C.
  Nocardia brazilensis
4. D.
  Streptomyces somaliensis
Answer and explanation
Q112 · Applied Physiology · Blood
Which discovery was awarded the Nobel Prize in Physiology for 2025?
1. A.
  Peripheral Immune Tolerance
2. B.
  mRNA's role in post-translation modifications
3. C.
  RNA polymerization
4. D.
  Cancer chemotherapy
Answer and explanation
Q113 · Medical & Surgical Nursing · Sensorineural Function
A patient reports sudden onset of intense eye pain, headache, blurred vision, and colored halos. Examination reveals a mid-dilated fixed pupil, hazy cornea, and markedly raised intraocular pressure. What is the most probable diagnosis?
1. A.
  Secondary angle closure due to anterior uveitis
2. B.
  Acute endophthalmitis
3. C.
  Orbital cellulitis
4. D.
  Acute primary angle closure glaucoma
Answer and explanation
Q114 · General Knowledge · Books, authors & institutions
Which of the following statements about the NITI Aayog Health Index are incorrect?
1. A.
  It is used to assess and compare the health performance of different states and UTs.
2. B.
  It is meant only for evaluating government hospitals.
3. C.
  It promotes healthy competition among states to improve health outcomes.
4. D.
  It aids in policy planning to strengthen public health systems, especially primary
Answer and explanation
Q115 · Pharmacology · Drugs Acting on Central Nervous System
Which is not used in status epilepticus?
1. A.
  Valproate
2. B.
  Ethosuximide
3. C.
  Fosphenytoin
4. D.
  Levetiracetam
Answer and explanation
Q116 · Medical & Surgical Nursing · Miscellaneous
The most common site of melanoma in Indians is:
1. A.
  Trunk
2. B.
  Hands and feet
3. C.
  Genitals
4. D.
  Face
Answer and explanation
Q117 · Applied Physiology · Circulatory & Lymphatic system
In the cardiac cycle, when pressure increases while volume remains constant, which phase is this?
1. A.
  Isovolumetric contraction
2. B.
  Isovolumetric relaxation
3. C.
  Rapid ventricular filling
4. D.
  Ventricular ejection
Answer and explanation
Q118 · Applied Anatomy · Miscellaneous
Match the following embryonic aortic arches with their respective adult derivatives:

A. 1st Arch 1. Maxillary artery

B. 2nd Arch 2. Common carotid artery

C. 3rd Arch 3. Right subclavian artery (on the right side)

D. 4th Arch 4. Hyoid and stapedial arteries
1. A.
  A-2, B-4, C-1, D-3
2. B.
  A-1, B-4, C-2, D-3
3. C.
  A-1, B-4, C-3, D-2
4. D.
  A-1, B-3, C-2, D-4
Answer and explanation
Q119 · Applied Microbiology & Infection control · Pathogenic Organisms
Where is Wuchereria present during daytime, when microfilaria are not seen in blood capillaries?
1. A.
  Spleen
2. B.
  Liver
3. C.
  Lungs
4. D.
  Kidney
Answer and explanation
Q120 · Obstetrics & Gynaecology · Sexually Transmitted Infections
Identify the condition based on the image provided
1. A.
  Trichomoniasis
2. B.
  Candidiasis
3. C.
  Bacterial vaginosis
4. D.
  Chlamydial cervicitis
Answer and explanation
Q121 · Applied Nutrition & Dietetics · Vitamins
Deficiency of which cofactor shunts 3-OH-Kynurenine to xanthurenic acid pathway?
1. A.
  Thiamine
2. B.
  Biotin
3. C.
  Panthenoic acid
4. D.
  Pyridoxine
Answer and explanation
Q122 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A child develops signs of central obesity, moon face, and striae. What is the most likely underlying cause?
1. A.
  Progression of the disease
2. B.
  Use of exogenous steroids
3. C.
  Adrenal hyperplasia
4. D.
  Pituitary adenoma
Answer and explanation
Q123 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A patient presents with 24 hours of abdominal pain and is diagnosed as acute appendicitis. Which of the following statements are incorrect?
1. A.
  McBurney's point is the classical site of tenderness
2. B.
  Oschner Sherren is used in appendicular lump
3. C.
  Immediate appendectomy is performed after conservative management in all cases
4. D.
  Ultrasound is the investigation of choice in children
Answer and explanation
Q124 · Applied Physiology · Renal system
Magnesium is primarily regulated by which of the following processes?
1. A.
  Urinary reabsorption
2. B.
  Intestinal absorption
3. C.
  Dietary intake
4. D.
  Bone resorption
Answer and explanation
Q125 · Child Health Nursing (Pediatrics) · Childhood Malignancies
A 13-year-old present with upper arm swelling and pain. X-ray reveals a diaphyseal lesion in the humerus with mild ESR elevation. What should be the next investigation?
1. A.
  PET scan
2. B.
  MRI
3. C.
  Humeral lesion biopsy
4. D.
  Bone marrow biopsy
Answer and explanation
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Q126 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A 60-year-old male with tingling and numbness in the arm develops visual disturbances in one eye. Chest X-ray shows a suspicious lesion. What is the definitive diagnostic investigation?
1. A.
  Ultrasound
2. B.
  Cardiovascular evaluation
3. C.
  CT-guided biopsy
4. D.
  Sputum microscopy
Answer and explanation
Q127 · Child Health Nursing (Pediatrics) · Infections and Infestations
Q: A child with fever and abdominal pain tested positive for Dengue on day 5 of fever. His BP was 110/70 mm Hg, platelet counts were 20,000/mm3, but there were no bleeding manifestations. What is the next step?
1. A.
  Platelet transfusion
2. B.
  10 ml/kg/hr RL
3. C.
  7 ml/kg/hr RL
4. D.
  20 ml/kg RL
Answer and explanation
Q128 · Child Health Nursing (Pediatrics) · Orthopedic disorders
A 7-year-old boy presents to the emergency department after falling on an outstretched hand. X-ray shows an extension-type supracondylar fracture of the humerus. On examination, he is unable to make an 'OK' sign with his thumb and index finger. Which structure is most likely injured?
1. A.
  Median nerve
2. B.
  Ulnar nerve
3. C.
  Radial nerve
4. D.
  Brachial artery
Answer and explanation
Q129 · Applied Physiology · Circulatory & Lymphatic system
Systolic blood pressure slightly falls during normal inspiration due to?
1. A.
  Decreased pulmonary compliance
2. B.
  Increased left ventricular filling
3. C.
  Increased venous return to the right heart, causing transient reduction in left ventricular
4. D.
  Increased systemic vascular resistance
Answer and explanation
Q130 · Pathology & Genetics · Miscellaneous
A 28-year-old man develops fatigue, jaundice, and dark urine two days after taking an antibiotic. Lab tests show anemia, raised LDH, elevated indirect bilirubin, and negative Coombs test. G6PD deficiency is suspected. Which statements correctly describe features of the HMP shunt pathway? A. Enzyme defect: Sphingomyelinase B. Enzyme defect: Beta-glucocerebrosidase C. Foamy macrophages are seen D. Crumpled tissue paper appearance is seen
1. A.
  A and B
2. B.
  A and C
3. C.
  B and D
4. D.
  C and D
Answer and explanation
Q131 · Pathology & Genetics · Miscellaneous
A boy presents with developmental delay, obesity, hypotonia, normal neurological development, and hypogonadism. His karyotype shows 46 XY with a deletion of del(15)(q11-q13). What is the most likely diagnosis?
1. A.
  Prader-Willi syndrome
2. B.
  Angelman syndrome
3. C.
  Patau syndrome
4. D.
  Cri du chat syndrome
Answer and explanation
Q132 · Medical & Surgical Nursing · Miscellaneous
A patient with HIV presents with a 3-month history of cough and fever, and Miliary tuberculosis is suspected. What should be the next step in management?
1. A.
  Start ATT, followed by initiation ART after 2 weeks, with an increased dose of
2. B.
  Start ART, followed by ATT after 2 weeks, with an increased dose of dolutegravir
3. C.
  Administer an increased dose of dolutegravir immediately
4. D.
  Initiate ART and ATT simultaneously with standard doses of dolutegravir
Answer and explanation
Q133 · Medical & Surgical Nursing · Neurologic Function
A trauma patient presents with two episodes of vomiting and loss of consciousness. CT brain shows a biconvex hyperdense lesion. What is the next step in management?
1. A.
  Craniectomy
2. B.
  ICU observation
3. C.
  Conservative management
4. D.
  Burr hole and evacuation
Answer and explanation
Q134 · Pharmacology · Autacoids & Related Drugs
Which of the following statements regarding Rimegepant is correct?
1. A.
  It is administered subcutaneously
2. B.
  It is indicated for the acute management of migraine
3. C.
  It acts as a CGRP1 receptor agonist
4. D.
  It produces vasoconstriction
Answer and explanation
Q135 · Medical & Surgical Nursing · Urinary Tract Function
Which of the following are the definitive criteria for nephrotic syndrome?

1. Hyperlipidemia

2. Proteinuria >3.5 g/day

3. Creatinine

4. Hypoalbuminemia
1. A.
  1, 2, 3
2. B.
  1, 2, 3, 4
3. C.
  1 & 3
4. D.
  2 & 4
Answer and explanation
Q136 · Applied Microbiology & Infection control · Miscellaneous
A patient presents multiple draining sinuses releasing black granules. Which of the following organisms is most likely responsible?
1. A.
  Staphylococcus aureus
2. B.
  Nocardia asteroides
3. C.
  Actinomyces israelii
4. D.
  Madurella mycetomatis
Answer and explanation
Q137 · Applied Microbiology & Infection control · Pathogenic Organisms
What is the most frequent cause of viral diarrhea in adults?
1. A.
  Rotavirus
2. B.
  Adenovirus 40/41
3. C.
  Norovirus
4. D.
  Astrovirus
Answer and explanation
Q138 · Pharmacology · General Pharmacology
All of the following statements regarding Dronabinol are correct except?
1. A.
  It is used for pain relief
2. B.
  It is excreted unchanged in the urine
3. C.
  MOA: Cannabinoid receptor agonist
4. D.
  It is approved for weight loss in AIDS-associated
Answer and explanation
Q139 · Pharmacology · Antimicrobial Drugs
Which of the following parasitic infections is most effectively treated with ivermectin?
1. A.
  Strongyloides stercoralis and Trichinella spiralis
2. B.
  Loa loa and Brugia malayi
3. C.
  Onchocerca volvulus and Loa loa
4. D.
  Onchocerca volvulus and Wuchereria bancrofti
Answer and explanation
Q140 · Applied Sociology · Family and Marriage
Which of the following statements about the roles of the family beyond reproduction are incorrect?
1. A.
  Providing support during illness
2. B.
  Influencing cultural and health-related behaviour
3. C.
  Providing emotional and financial security
4. D.
  Regulating sexual behaviour and reproduction only
Answer and explanation
Q141 · Pathology & Genetics · Miscellaneous
A patient's blood report showing MCV = 76 fL visits the OPD. Which of the following conditions is most likely responsible for this result?

A. Iron deficiency anemia

B. Vitamin B12 deficiency

C. Thalassemia

D. Lead poisoning
1. A.
  A & B
2. B.
  B & D
3. C.
  A, C
4. D.
  A, C, D
Answer and explanation
Q142 · Medical & Surgical Nursing · Immunologic Function
A patient with rheumatoid arthritis (RA) presents with the deformity shown. What is the correct name of deformity?
1. A.
  Piano key sign
2. B.
  Z deformity
3. C.
  Boutonniere deformity
4. D.
  Swan neck
Answer and explanation
Q143 · Forensic Nursing & Indian laws · Asphyxial Conditions
A case of hanging has come to forensic department for autopsy. The autopsy Dr. notices a ligature mark covering about 1/3rd of neck, protruded tongue, salivary stains, opened right eye, closed left eye, both pupils dilated. What is the probable reason for opened right eye?
1. A.
  Compression of IJVs
2. B.
  Compression of ICA
3. C.
  Compression of Cervical sympathetic chain
4. D.
  Compression of Vagus
Answer and explanation
Q144 · Pharmacology · Miscellaneous
Match the following poisoning with its agents:

1. Deliriant A. Alcohol

. Inebriant B. LSD

3. Hallucinogenic C. Opium

4. Somniferous D. Datura
1. A.
  1-D, 2-A, 3-B, 4-C
2. B.
  1-D, 2-B, 3-C, 4-A
3. C.
  1-A, 2-B, 3-C, 4-D
4. D.
  1-B, 2-C, 3-A, 4-D
Answer and explanation
Q145 · General Knowledge · Miscellaneous
Identify the condition shown in CT
1. A.
  EDH
2. B.
  SDH
3. C.
  SAH
4. D.
  ICH
Answer and explanation
Q146 · Pharmacology · Miscellaneous
A girl was brought to the emergency in unconscious state with history of faintness in bathroom showing cherry red discoloration. She was declared dead. The bathroom was a poorly ventilated room with a newly installed geyser. Blood toxicology reports shows high concentration of irrespirable gas. What could be this gas?
1. A.
  CO
2. B.
  CO2
3. C.
  Hydrogen sulphide
4. D.
  Methane
Answer and explanation
Q147 · Applied Anatomy · Nervous System
Which of the following bones of the skull gives passage to a nerve arising from the brain
1. A.
2. B.
3. C.
  mage-based option C
4. D.
  mage-based option D
Answer and explanation
Q148 · Applied Physiology · Renal system
Plasma magnesium levels are primarily maintained through:
1. A.
  Renal reabsorption
2. B.
  Gastrointestinal absorption
3. C.
  Bone resorption
4. D.
  Dietary intake
Answer and explanation
Q149 · Pharmacology · Antimicrobial Drugs
Which regimen is considered the preferred treatment for cryptococcal meningitis?
1. A.
  Amphotericin B combined with Fluconazole
2. B.
  Fluconazole monotherapy
3. C.
  Liposomal Amphotericin B monotherapy
4. D.
  Liposomal Amphotericin B in combination with Flucytosine
Answer and explanation
Q150 · Medical & Surgical Nursing · Integumentary Function
A patient comes to OPD with soddened burn injury over his right thigh with erythema, blisters & line of demarcation. Which of the following is true of this case?
1. A.
  Thermal Burn
2. B.
  Chemical burn
3. C.
  Dry burn
4. D.
  Electric burn
Answer and explanation
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Q151 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
According to the GOLD guidelines, what is the FEV1 (% predicted) cutoff associated with clinically significant resting hypoxemia in patients with chronic COPD?
1. A.
  50%
2. B.
  20%
3. C.
  40%
4. D.
  30%
Answer and explanation
Q152 · Pathology & Genetics · Genetics
Which of the following best describes/true regarding the RAS gene?
1. A.
  Constitutive activation of a GTP-binding protein leading to continuous MAP kinase
2. B.
  Enhanced DNA repair leading to genomic instability
3. C.
  Inactivation of a tumor suppressor gene resulting in loss of cell cycle checkpoint control
4. D.
  Increased activity of tyrosine kinase receptors through gene amplification
Answer and explanation
Q153 · Medical & Surgical Nursing · Shock and Multisystem Failure
Which of the following statements about intestinal stomas is incorrect?
1. A.
  Ileostomy loop is generally kept with pouting
2. B.
  Maximum malabsorption of electrolytes and nutrients is seen with colostomy
3. C.
  Stoma of colostomy is everted above skin level
4. D.
  Only muscular layer is taken in sutures while creating ileostomy
Answer and explanation
Q154 · Applied Anatomy · Musculoskeletal System
The highlighted structure in the provided image articulates with which bone?
1. A.
  Occipital bone
2. B.
  Temporal bone
3. C.
  Axis
4. D.
  Sphenoid bone
Answer and explanation
Q155 · Pathology & Genetics · Genetics
The M13 bacteriophage vector used to identify specific gene sequences (e.g., viral spike proteins) represents which type of expression system?
1. A.
  Phage expression
2. B.
  Bacterial expression
3. C.
  Yeast expression
4. D.
  Mammalian expression
Answer and explanation
Q156 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A previously vaccinated healthcare worker (HCW) sustains a needle-stick injury from a Hepatitis B surface antigen (HBsAg)–positive patient. The HCW is a known non-responder. What should be done next?
1. A.
  Give 1 dose of HBIG and start a complete Hepatitis B vaccination series
2. B.
  No further action is required
3. C.
  Give 2 doses of HBIG — one immediately and another after 4 weeks
4. D.
  Give 2 doses of HBIG immediately, at separate sites
Answer and explanation
Q157 · Applied Microbiology & Infection control · Pathogenic Organisms
A culture of Streptococcus pneumoniae shows alpha-hemolysis and draughtsman colonies on blood agar. Which test is most useful for its identification?
1. A.
  No vaccine
2. B.
  Catalase positive
3. C.
  Vancomycin sensitivity test
4. D.
  Bile solubility test
Answer and explanation
Q158 · Forensic Nursing & Indian laws · Identification
A 17-year-old juvenile is brought by police and as alleged by police the school certificate shows the age as 17 but there is evidence of overwriting in certificate. According to police the age is 19 years. Which X rays Dr will recommend to prove the age be >18 years?
1. A.
  Pelvis, sternum
2. B.
  Pelvis, skull
3. C.
  Wrist, medial end of clavicle & pelvis
4. D.
  Elbow, shoulder
Answer and explanation
Q159 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Intraoperative image of an inguinal hernia is shown. Which type is depicted?
1. A.
  Littre
2. B.
  Amyand
3. C.
  Garengeot
4. D.
  Grynfelt
Answer and explanation
Q160 · Applied Physiology · Circulatory & Lymphatic system
The below shown left ventricular pressure-volume (PV) loop is seen in

–
1. A.
  Increased ventricular contractility
2. B.
  Increased venous return
3. C.
  Increased peripheral vascular resistance
4. D.
  Increased aortic compliance
Answer and explanation
Q161 · Pathology & Genetics · Genetics
In rheumatoid arthritis, increased expression of TNF-alpha and IL-6 in synovial tissue is most likely due to which epigenetic mechanism?
1. A.
  Activation of DNA methylation
2. B.
  Inhibition of DNA methylation
3. C.
  Activation of histone deacetylation
4. D.
  Inhibition of histone acetylation
Answer and explanation
Q162 · Applied Physiology · General Physiology
The image below is example of which of the transport system?
1. A.
  Sodium-glucose co-transporter
2. B.
  Organic anion transporter
3. C.
  GLUT 4
4. D.
  P glycoprotein
Answer and explanation
Q163 · Pathology & Genetics · Miscellaneous
During B-cell maturation, expression of a single immunoglobulin heavy-chain allele ensuring antigen specificity occurs by which process?
1. A.
  V(D)J rearrangement
2. B.
  Alternate splicing of RNA transcripts
3. C.
  Alternate polyadenylation sites
4. D.
  Somatic hypermutation
Answer and explanation
Q164 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A 10-year-old child presents with generalized edema. Urinalysis shows +3 proteinuria, and 24-hour urine protein is more than 3.5 g/day. There is no hypertension or hematuria. Serum albumin is low. Kidney biopsy shows segmental fibrosis and hyalinosis. The child shows poor response to steroids. What is the most likely diagnosis?
1. A.
  Minimal Change Disease
2. B.
  Focal Segmental Glomerulosclerosis
3. C.
  Membranous Glomerulopathy
4. D.
  IgA Nephropathy
Answer and explanation
Q165 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which of the following clinical conditions are correctly matched with their respective anion gap status?

A) Starvation – Increased anion gap

B) Diabetic ketoacidosis – Increased anion gap

C) Severe vomiting – Increased anion gap
1. A.
  Only A is correct
2. B.
  A and C are correct
3. C.
  A and B are correct
4. D.
  Only B is correct
Answer and explanation
Q166 · Applied Microbiology & Infection control · Pathogenic Organisms
An image depicting fruit bats (Pteropus species) along with the life cycle of the Nipah virus was shown. Which of the following statements regarding the Nipah virus is correct?
1. A.
  Cause encephalitis
2. B.
  100% mortality once clinical symptoms appear
3. C.
  DNA virus
4. D.
  Humans are the most important reservoir
Answer and explanation
Q167 · Obstetrics & Gynaecology · Sexually Transmitted Infections
Which of the following is NOT a part of syndromic management in males?
1. A.
  Urethral discharge
2. B.
  Genital discharge
3. C.
  Inguinal swelling
4. D.
  Lower abdominal pain
Answer and explanation
Q168 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
A patient develops sudden vision loss after a traumatic event. Eye examination is normal, and the patient is unconcerned about blindness. What is the most likely diagnosis?
1. A.
  Somatoform Disorder
2. B.
  Conversion Disorder
3. C.
  Factitious Disorder
4. D.
  Malingering
Answer and explanation
Q169 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
Which of the following drugs used in the treatment of pulmonary hypertension is a prostacyclin receptor agonist?
1. A.
  Selexipag
2. B.
  Ambrisentan
3. C.
  Epoprostenol
4. D.
  Iloprost
Answer and explanation
Q170 · Pathology & Genetics · Genetics
Which of the following statements are correct about Retinoblastoma?

A. It is always unilateral

B. It is associated with increased risk of osteosarcoma

C. The RB protein is inactive (hypophosphorylated)

D. Oncogenesis occurs by loss of function mutation

E. The gene involved is called the 'guardian of the genome'
1. A.
  B, D
2. B.
  A, B, C, D
3. C.
  C, D, E
4. D.
  D, E
Answer and explanation
Q171 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following conditions is associated with large P waves on an ECG?
1. A.
  Mitral stenosis
2. B.
  Tricuspid stenosis
3. C.
  Aortic regurgitation
4. D.
  Systemic hypertension
Answer and explanation
Q172 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
A child presents with recurrent pneumonia and respiratory distress but no cyanosis. A continuous murmur is heard below the left clavicle. What is the most probable diagnosis?
1. A.
  Ventricular septal defect (VSD)
2. B.
  Atrial septal defect (ASD)
3. C.
  CoA
4. D.
  Patent ductus arteriosus (PDA)
Answer and explanation
Q173 · Pathology & Genetics · Clinical Pathology
A patient with microcytic hypochromic anemia, normal or elevated RBC count, and target cells on peripheral smear is suspected of having a hemoglobinopathy. Which test would be most appropriate to confirm the diagnosis?
1. A.
  Serum iron and TIBC
2. B.
  Bone marrow biopsy
3. C.
  Serum ferritin estimation
4. D.
  Hb electrophoresis
Answer and explanation
Q174 · Applied Physiology · Nervous System
Which hypothalamic nuclei is involved in leptin resistance?
1. A.
  Ventromedial nucleus (Satiety center, decreases hunger)
2. B.
  Arcuate nucleus
3. C.
  Paraventricular nucleus (PVN)
4. D.
  Lateral hypothalamic nucleus
Answer and explanation
Q175 · Pharmacology · Miscellaneous
Which of these drug combinations is recommended for HIV pre-exposure prophylaxis (PrEP) in individuals at high risk?
1. A.
  Tenofovir monotherapy
2. B.
  Tenofovir + Lamivudine
3. C.
  Zidovudine + Lamivudine
4. D.
  Tenofovir + Emtricitabine
Answer and explanation
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Q176 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
Infant with 3 months progressive jaundice, pale stools, high colored urine. Child was healthy, gaining weight and feeding well. HIDA scan showed no excretion. What is the next step?
1. A.
  Breast milk jaundice, stop for 2 weeks and give formula feed
2. B.
  Galactosemia, do tests to confirm
3. C.
  Metabolic condition requiring further testing
4. D.
  Liver biopsy
Answer and explanation
Q177 · Medical & Surgical Nursing · Integumentary Function
Identify the grading burn Injuries:
1. A.
  Superficial burns
2. B.
  Deep burns
3. C.
  Full thickness burns
4. D.
  Partial thickness burns
Answer and explanation
Q178 · Pharmacology · Drugs acting on Autonomic Nervoys system
Which of the following adverse effects is not associated with the use of inhaled β-adrenergic agonists?
1. A.
  Pulmonary vasodilation
2. B.
  Hyperkalemia
3. C.
  Palpitations
4. D.
  Tremors
Answer and explanation
Q179 · Medical & Surgical Nursing · Neurologic Function
A patient presents with Horner's syndrome and absence of sweating on one side of the face. Which of the following structures is most likely compressed?
1. A.
  Sympathetic chain
2. B.
  Internal carotid plexus
3. C.
  Vagus nerve
4. D.
  Common carotid artery
Answer and explanation
Q180 · Medical & Surgical Nursing · Shock and Multisystem Failure
Which of the following statements about shock is accurate?
1. A.
  Uterine inversion in the postpartum period causes neurogenic shock initially
2. B.
  Gram-positive bacteria cause endotoxic shock
3. C.
  Severe shock occurs with more than 20% blood loss
4. D.
  Hypoperfusion with increased cardiac output
Answer and explanation
Q181 · Applied Microbiology & Infection control · Pathogenic Organisms
Identify species from below given phenomenon
1. A.
  albicans
2. B.
  parapsilosis
3. C.
  kruzei
4. D.
  tropicalis
Answer and explanation
Q182 · Pharmacology · General Pharmacology
Which of the following statements about Rifampicin is incorrect?
1. A.
  Resistance occurs due to mutations in the rpoB gene.
2. B.
  It undergoes enterohepatic recirculation.
3. C.
  It should be administered along with fatty meals.
4. D.
  Its CNS penetration is limited by P-glycoprotein.
Answer and explanation
Q183 · Pathology & Genetics · Genetics
Which of the following is false regarding Gaucher's disease?
1. A.
  Crumpled tissue paper appearance
2. B.
  Beta glucocerebrosidase enzyme deficiency
3. C.
  Ceramidase deficiency
4. D.
  Bone pain
Answer and explanation
Q184 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with hypothyroidism recently completed a 13–14-hour flight. Which of the following factors contribute to the risk of developing pulmonary deep vein thrombosis (DVT)?

A. Prolonged immobilization due to long flights

B. Smoking

C. Hypothyroidism

D. Oral contraceptive pills (OCP). Choose the correct combination:
1. A.
  C, D
2. B.
  A, B
3. C.
  A, B, D
4. D.
  A, B, C, D
Answer and explanation
Q185 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
Which of the following is not included in Bradford Hill's criteria for establishing causation?
1. A.
  Temporality
2. B.
  Dose–response relationship
3. C.
  Biological plausibility
4. D.
  Sensitivity
Answer and explanation
Q186 · Pathology & Genetics · Clinical Pathology
A patient presents with microcytic anemia, an elevated RBC count, and a Mentzer index of less than 13. What is the next appropriate investigation?
1. A.
  S. Ferritin
2. B.
  Bone marrow biopsy
3. C.
  S. Transferrin
4. D.
  Hb electrophoresis
Answer and explanation
Q187 · Pharmacology · Drugs Acting on Central Nervous System
For benzodiazepines and barbiturates, which of the following statements are true?

A. Both act on GABA

B. Cause additive sedation with alcohol

C. Thiopentone has a short duration of action due to metabolism

D. Flumazenil is an antidote for barbiturates
1. A.
  Both A & B are correct
2. B.
  Only A is correct
3. C.
  Only C is correct
4. D.
  All are correct
Answer and explanation
Q188 · Forensic Nursing & Indian laws · Forensic Nursing
An 18-year-old girl was brought to the hospital by her mother with history of sexual assault by her 24-year-old coworker in the factory. The mother doesn't want to inform the police. What will you do as the doctor in charge?
1. A.
  Ask guardian for permission to do medicolegal examination
2. B.
  Do medicolegal examination with consent of victim
3. C.
  Do not collect materials required as forensic evidence
4. D.
  Do not inform police
Answer and explanation
Q189 · Child Health Nursing (Pediatrics) · Development
Identify the correct match of milestone & corresponding normal age of attainment?
1. A.
  Mature Pincer grasp - 9 months
2. B.
  Making tower of 2 blocks - 2 years
3. C.
  Bidextrous approach - 6 months
4. D.
  Transfers objects one hand to another - 6 months
Answer and explanation
Q190 · Applied Physiology · Nervous System
Which of the following neurotransmitters is correctly matched with its synthesis site?
1. A.
  Acetylcholine- substantia nigra
2. B.
  Serotonin-Raphe nucleus
3. C.
  Norepinephrine- Nucleus basalis of meynert
4. D.
  Dopamine – Locus ceruleus
Answer and explanation
Q191 · Child Health Nursing (Pediatrics) · Newborn Infants
Which of the following features are characteristic of Hirschsprung's disease?

1. Failure of migration of ganglions

2. Causes intestinal obstruction postnatally

3. Distal segment dilated

4. Proximal segment constricted
1. A.
  1, 2, 3 are correct
2. B.
  1, 2 are correct
3. C.
  3, 4, 5 are correct
4. D.
  3 & 4 are correct
Answer and explanation
Q192 · Applied Anatomy · Respiratory System
PM2.5 particles are considered particularly hazardous to human health because their small size allows them to penetrate deeply into which part of the respiratory tract?
1. A.
  Alveoli
2. B.
  Bronchioles
3. C.
  Nose
4. D.
  Trachea
Answer and explanation
Q193 · Applied Microbiology & Infection control · Pathogenic Organisms
A fungal infection of the mitral valve shows silver/Gomori stain positivity. Which organism is most likely to cause the infection?
1. A.
  Mucor
2. B.
  Histoplasma capsulatum
3. C.
  Aspergillus fumigatus
4. D.
  Candida albicans
Answer and explanation
Q194 · Child Health Nursing (Pediatrics) · Eye Disorders
Q All of the following are used to assess visual acuity in preverbal children, except:
1. A.
  Optokinetic nystagmus drum
2. B.
  Teller acuity cards
3. C.
  ETDRS chart
4. D.
  Landolt C chart
Answer and explanation
Q195 · Medical & Surgical Nursing · Miscellaneous
A patient presents to the OPD with the complaint of back pain and weakness in both lower limbs. Which of the following findings would suggest compressive myelopathy?
1. A.
  Hypotonia
2. B.
  Absent Babinski sign
3. C.
  Normal cremasteric reflex
4. D.
  Knee clonus
Answer and explanation
Q196 · Medical & Surgical Nursing · Metabolic and Endocrine Function
In an oral glucose tolerance test (OGTT), blood glucose values are plot over time. Which graph is most consistent with Diabetes Mellitus?
1. A.
  A,B,C,D
2. B.
  B,C,D only
3. C.
  B,D only
4. D.
  C,D only
Answer and explanation
Q197 · Child Health Nursing (Pediatrics) · Newborn Infants
The term neonate presents with respiratory distress, chest X-ray showed hyperinflation with prominent fissure/bulging of middle fissure. If the baby got well after 2 hours, what is the likely diagnosis?
1. A.
  Transient Tachypnea of Newborn
2. B.
  Respiratory Distress Syndrome
3. C.
  Congenital Pneumonia
4. D.
  Meconium Aspiration Syndrome
Answer and explanation
Q198 · Medical & Surgical Nursing · Miscellaneous
Arrange the following steps of Functional Endoscopic Sinus Surgery (FESS) in the proper order:

A. Uncinectomy

B. Bullectomy

C. Open maxillary sinus

D. Ethmoidectomy Options:
1. A.
  ABDC
2. B.
  CABD
3. C.
  ACBD
4. D.
  CBAD
Answer and explanation
Q199 · Pathology & Genetics · Clinical Pathology
A 62-year-old man presents with generalized lymphadenopathy and splenomegaly. Peripheral smear shows small to medium-sized lymphoid cells with irregular nuclear contours. Cytogenetic analysis demonstrates a t(11;14) (q13;q32) translocation. Which of the following markers is most closely associated with the pathogenesis of this lymphoma?

1. Cyclin D

2. SOX 11

3. CD -200

4. CD 10
1. A.
  1 & 2
2. B.
  2 & 3
3. C.
  1 & 4
4. D.
  3 & 4
Answer and explanation
Q200 · Medical & Surgical Nursing · Miscellaneous
A 36-year-old man presents to the emergency department with sudden shortness of breath. The CT thorax shows evidence of air in the pleural cavity with partial lung collapse. What is the immediate next step in management?
1. A.
  Needle decompression
2. B.
  Intercostal chest tube insertion
3. C.
  Sputum microscopy and culture
4. D.
  Thoracic ultrasound
Answer and explanation

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