INI-RECALL-2023- PrepLadder.pdf-may 2023

INI-CET recall - prepladder

4. ANATOMY
INICET RECALL 2023

5. DISCLAIMER
•The questions discussed in this PPT are recall based and the motive of this live
session is to get the actual questions asked in the exam
•The final questions received after discussion will be uploaded on the Prepladder
app

6. Q. Which of the following structures is supplied by
superior gluteal nerve?
a.Gluteus maximus
b.Gluteus minimus
c.Piriformis
d.All of the above

8. Q. SRY gene present on?
a.Y chromosome short arm
b.Y chromosome long arm
c.X chromosome short arm
d.X chromosome long arm

10. Q. Correct sequence of auditory pathway?
a.Cochlea → Spiral Ganglion → Cochlear Nerve → Superior Olivary N
b.Spiral Ganglion → Cochlea → Cochlear Nerve → Superior Olivary N
c.Spiral Ganglion → Cochlear Nerve → Cochlea → Superior Olivary N
d.Cochlea → Spiral Ganglion → Cochlear Nerve → Superior Olivary N

12. Q. What is the mechanism of action of the muscle shown in
the image below?
a.Elevates and retracts the scapula
b.Adduction of the shoulder
c.Extension of the shoulder
d.Medial rotation of the shoulder

14. Q. A child presented in emergency with pain and bump on
his shoulder with a history of fall. Xray is given below.
Which ligament is most likely to be torn?
a.Corococlavicular
b.Costoclavicular
c.CoracoAcromial
d.All of the above

16. Q. A patient presents with abnormal sensations in the little
finger and part of the ring finger with weakness on the
palm side. Also there is loss of coordination of the
fingers. What would be the site of injury in the image
given below?

a.Ulnar nerve
b.Radial nerve
c.Median nerve
d.Axillary nerve

18. Q. Absence or mutation of SRY gene results in ?
a.Agensis of testis
b.Undescended testis
c.Hydrocele testis
d.None of the above

20. Q. Which artery is involved in Lateral medullary syndrome?
a.Posterior inferior cerebellar artery
b.Anterior inferior cerebellar artery
c.Superior cerebellar artery
d.Inferior cerebellar artery

22. Q. A patient present with sudden onset of dysarthria,
sensory loss of right side of face and sensory loss on
left side of body (with no motor symptoms). Which
artery is involved?
a.Basilar artery
b.Superior cerebellar artery
c.Posterior inferior cerebellar artery
d.Anterior inferior cerebellar artery

24. Q. Match the position of appendix given in the image
below.
a.Retrocecal
b.Preileal
c.Subcecal
d.Pelvic

26. Q. A surgeon examined the case of hernia. He was able to
retract the hernial sac but not the content. What is it
called?
a.Incarcerated hernia
b.Reduction en masse
c.Sliding hernia
d.Maydl hernia

28. Q. Arrange the neural columns in medial to lateral order
a.Special somatic afferent
b.Special visceral efferent
c.General somatic efferent
d.General visceral afferent

30. Q. Anterior relations of third part of duodenum are all
except?
a.Superior mesenteric artery
b.Root of mesentery
c.Jejunum
d.Fundus of gall bladder

32. ANAESTHESIA
INICET RECALL 2023

33. Q. Which of the following statement given below is incorrect
regarding CPR?
a.Depth of chest compression is 5-6cm
b.Allow adequate chest recoil
c.Rate of compression is 100-120/ min
d.Perform 15-20 chest compressions

35. Q. A patient in ICU was put on ventilator due to asynchronous
respiratory pattern. An ABG analysis of the patient shows pH
7.3, pCO
2
48mmHg, pO
2
110mmHg ,PEEP 10 min,tidal volume
480mL, FiO
2
100 %. What changes should be done in the
ventilator settings?
a.Decrease RR
b.Increase tidal volume
c.Increase PEEP to 14
d.None of the above

37. BIOCHEMISTRY
INICET RECALL 2023

38. Q. What is the Interpretation of IDA? (Multiple correct options)
a.Low serum ferritin
b.Low transferrin saturation
c.Low serum iron
d.Increased TIBC

40. Q. Pompe disease is seen due to the due to deficiency
of?
a.Acid maltase
b.β-hexosaminidase-A
c.β–galactocerebrosidase
d.β-glucocerebrosidase

41. POMPE’S DISEASE

42. Q. Xanthurenic aciduria is seen in which vitamin
deficiency?
a.Vitamin B
6

b.Vitamin B
12

c.Vitamin B
5

d.Vitamin B
7

43. XANTHURENIC ACIDURIA

44. Q. BARTH syndrome is seen due to deficiency of?
a.Cardiolipin
b.Sphingomyelin
c.Glycolipids
d.Cerebroside

45. BARTH SYNDROME

46. Q. What is the order of band in Sarcomere?
a.Z-M-A-H
b.Z-H-M-A
c.Z-A-H-M
d.Z-H-A-M

47. SARCOMERE

48. Q. DNA sequence is determined by?
a.Flow cytometry
b.FISH
c.RFLP
d.PCR

50. Q. Calculate Anion Gap ?
Na: 145
K: 4
CI:90
HCO3 :15
a.35
b.44
c.28
d.12

51. ANION GAP

52. Q. Liver produces ketones but cannot use it due to the
deficiency of which of the following enzyme?
a.Thiophorase
b.Alkaline phosphatase
c.Alanine transaminase
d.Kinase

53. THIOPHORASE

54. Q. Identify the test?
a.Rothera’s test
b.Benedict’s test
c.Fehling’s test
d.Biuret test

55. DERMATOLOGY
INICET RECALL 2023

56. Q. A man presents with rash on his flank which is itching for
the past 2 weeks. The patient has tried several over-the-counter
medications, including lotrimin and hydrocortisone, without
any improvement.
In physical examination the rash is seen on his palms and the
sole of one foot, but no oral lesions are found. What is the
likely diagnosis?

a.Urticaria
b.Viral exanthem
c.Erythema multiforme
d.Tinea corporis

58. Q. Match the following woods lamp findings :-
a. Tinea capitis Blue green
b. Vitiligo Milky White
c. Pityriasis versicolor Yellow
d. Corynebacterium minutissimum Coral red fluorescence

60. Q. Identify the image given below ?
a.Blaschko lines
b.Marionettes lines
c.Henries line
d.Relaxed skin tension lines

62. Q. Non scarring alopecia is associated with all except ?
a.Alopecia areata
b.Androgenetic alopecia
c.Frontal fibrosing alopecia
d.Telogen effluvium

64. Q. A 24 years old male presents with asymptomatic scaly
lesion over the body as shown in the image below. What is
the likely diagnosis?
a.Lichen planus
b.Pityriasis Rosea
c.Seborrheic Dermatitis
d.Atopic Dermatitis

66. Q. Statement 1 - A 59 year old patient presents with flaccid
blisters. Histopathology shows suprabasal acantholytic split.
Statement 2 - Row of tombstones is diagnostic of Pemphigus
vulgaris.

a.Statement 1 & 2 are correct, 2 is not explaining 1
b.Statement 1 is incorrect
c.Statement 1 ans 2 is incorrect
d.Statement 1 and 2 are correct and 2 is the correct explanation for 1

68. Q. A 60 year old female presents with eczematous itching
lesions. Biopsy revealed subepidermal cleft with Direct
Immunofluorescence showing Linear C3 & IgG deposition along
basement membrane zone . What is the likely diagnosis?
a.Pemphigus vulgaris
b.Bullous Pemphigoid
c.Dermatitis herpetiformis
d.Pemphigus foliaceous

70. Q. Match the incubation periods of the following diseases:-
a. Syphilis 90 days
b. SARS 10 days
c. Hepatitis A 50 days
d. Chickenpox 20 days

72. Q. Slapped cheek appearance is associated with which of the
following ?
a.Pure red cell aplasia
b.Molluscum contagiosum
c.Herpes zoster
d.Kaposi sarcoma

74. ENT
INICET RECALL 2023

75. Q. A South Indian male farmer presents to the ENT OPD with
complaints of reddish mass coming out from the nose as
shown in the image below and the histopathology
examination is also given below. What is the likely
diagnosis?
a.Rhinosporidiosis
b.Rhinoscleroma
c.Rhinophyma
d.Nasal polyp

77. Q. A 27 years old female present with thyroid swelling that
compresses the nearby structures. Which of the following
symptom is not seen in this patient?
a.Hoarseness of voice due to recurrent laryngeal nerve compression
b.Dysphagia due to oesophagus compression.
c.Superior vena cava syndrome
d.None of the above

79. Q. Find the correct Auditory pathway sequence.
a.Eight nerve ?????? cochlear nuclei ?????? superior olivary nucleus ?????? lateral lemniscus ??????
inferior colliculus ?????? medial geniculate body ?????? auditory cortex
b.Cochlear nuclei ?????? superior olivary nucleus ?????? lateral lemniscus ?????? inferior colliculus
?????? medial geniculate body ?????? auditory cortex ?????? Eight nerve
c.Superior olivary nucleus ?????? lateral lemniscus ?????? inferior colliculus ?????? medial
geniculate body ?????? auditory cortex ?????? Eight nerve ?????? Cochlear nuclei
d.Superior olivary nucleus ?????? inferior colliculus ?????? medial geniculate body ?????? auditory
cortex ?????? Eight nerve ?????? Cochlear nuclei ?????? lateral lemniscus

81. Q.A 14 years old female patient present to the ENT OPD
complaints that she can understand the language and hears
the sound. But unable to understand the meaning. Her Pure
tone audiometry and ABR is normal. What is the likely
diagnosis in this patient?
a.Malingering
b.Auditory cortex lesion
c.Mixed transcortical aphasia
d.Wernicke’s aphasia

83. Q. What is the likely diagnosis of the image given below?
a.Ranula
b.Mucocele
c.Ludwig angina
d.Dermoid cyst

85. FMT
INICET RECALL 2023

86. Q. A girl from the village was found dead in the lake and
was taken out. It is a case of ante mortem drowning all
are true except?
a.Water in the stomach
b.Froth on nose and mouth
c.Washerman hand and finger
d.Diatoms test positive
e.Cadaveric spasm in hand muscles

90. Q. Drunk man presented with alcoholic smell and
congested conjunctiva and normal motor functions
(walking normally). Which of the following is correct?
a.Drunk but not influenced by alcohol
b.Drunk but influenced by alcohol
c.Drunk
d.Not drunk

92. Q. A female was given morphine sulphate during labour for
pain but she developed respiratory distress. Which of
the following will be the correct antidote?
a.Naloxone
b.Atropine
c.Pralidoxime
d.Epinephrine

94. Q. Black foot disease with peripheral neuropathy is seen in
which metal poisoning?
a.Arsenic
b.Lead
c.Mercury
d.Cadmium

96. MEDICINE
INICET RECALL 2023

97. Q1. A 40-year-old man presents with daytime sleepiness and
impaired concentration and memory. On examination his BMI is
41 kg/m2, BP is 160/100 mm Hg. His awake ABG analysis is
given: PaO2= 66mm Hg, PaCO2= 50 mm Hg, HCO3= mEq/L.
What is the most likely diagnosis?
a.Obstructive sleep apnea
b.Narcolepsy
c.Obesity hypo-ventilation syndrome
d.Central sleep apnea

99. Q2. Among the following options, what is the Nadas minor
criteria for congenital heart disease?
a.Abnormal S2
b.Diastolic murmur
c.Systolic murmur grade 3
d.Abnormal BP

101. Q3. What is the possible cause of reversible dementia?
a.NPH
b.Hypothyroid
c.Lewy body
d.Vitamin B12 deficiency

103. Q4. All of the following are Test done for Turner mosaic
screening except?
a.ANA
b.Audiometry
c.Echo
d.GTT

104. Q5. Windkessel effect was shown by which artery?
a.Aorta
b.Renal artery
c.Radial artery
d.Common carotid artery

105. Q6. What is the correct order for cardiac auscultation on the left
side, from superior to inferior?

a. Pulmonary
b. Aortic
c. Mitral

a. a> b > c
b. b> a> c
c. c> a> b
d. c> b>a

107. Q7. CPR include all of the following except?
a.Chest compression 5-6 cm
b.Adequate recoil
c.Chest compression 100-120/min
d.Ventilation rate 20-35 breath/minute

110. Q8. A 30-year-old man came with complaints of fever and
cough for 3 days. On examination, SPO2 is 98% RA,
BP=110/70 mm Hg. Chest-x ray shows diffuse consolidation
on both lungs. Nasopharyngeal swab shows Rhinovirus.
Which antibiotics is suitable for this patient?
a.Ceftazidime + Azithromycin
b.Ceftriaxone
c.Ceftriaxone + Levofloxacin
d.Piptaz + Ciprofloxacin

113. Q9. A 35 year old male patient with schizophrenia is being
treated with clozapine. The patient has to undergo regular
blood monitoring because of which side effect?
a.Agranulocytosis
b.Myocarditis
c.Cerebral bleed
d.Seizures

116. Q10. A patient presented with complaints of pain in flank
region with hematuria. On investigation, X-ray shows
multiple calcification (stones) in both kidney. What is the
probable diagnosis?
a.Parathyroidadenoma
b.Renal calculi
c.Polycystic kidney disease
d.CKD

118. Q11. After delivering a baby boy, a 25-year-old mother
developed acute PPH and hypovolemic shock, and major
blood transformation occurred. All of the following are
complications of blood transfusion except?
a.Hypocalcemia
b.Hypokalemia
c.Hypothermia
d.Hypomagnesemia

120. Q12. A child went to temple along with his grandmother. He
developed altered sensorium, BP of 150/90 mm Hg,
sweating, palpitations, priapism, and mouth secretion all at
once. What drug can be given to this patient?
a.ASV
b.Adrenaline
c.Steroid
d.Prazosin

122. Q13. Which of the following is not transmitted perinatally?
a.CMV
b.Rubella
c.HSV
d.Hepatitis B

124. Q14. Laboratory values of Iron deficiency anemia are given
below. Identify the correct one?
a. Decreased Ferritin
b. Decreased Serum iron
c. Decreased transferrin saturation
d. TIBC increased
a.abcd
b.ab
c.cd
d.acd

126. Q15. Abnormal accumulation of misfolded protein is seen
in?
a.Creutzfeldt jakob disease
b.Nephritic syndrome
c.Sickle cell anemia
d.Megaloblastic anemia

129. Q16. Identify the ECG given below?
a.Pericarditis
b.Viral myocarditis
c.Torsades de pointes
d.Cardiac tamponade

132. Q17. What is the enzyme deficiency caused in Pompe’s
disease?
a.Alpha 1,4 glucosidase
b.Glucose 6 phosphatase
c.Muscle phosphorylase
d.Phosphofructokinase

134. Q18. Which of the following describes aortic regurgitation
murmur?
a.Ventricular contraction
b.Ejection systolic murmur
c.Diastolic murmur
d.Systolic murmur

136. Q19. Which membrane channel is mainly affected in Cystic
fibrosis?
a.Sodium chloride
b.Potassium chloride
c.Calcium
d.Acetylcholine

138. Q20. Match the following?
a.a2-b4-c1-d3
b.b1-a3-d2-c4
c.a2-b1-c4-d3
d.a4-b1-c3-d2
a. Trisomy 13 1. Huntington disease
b. Trisomy 18 2. Patau syndrome
c. Trinucleotide repeat sequence 3. Sickle disease
d. Hb point mutation of glutamate to valine4. Edward syndrome

140. Q21. All of the following are the causes of High output
cardiac failure, except?
a.Cor pulmonale
b.Beri beri
c.Anemia
d.Systemic AV shunt

142. Q22. Which of the following is true about Subclinical acute
myocarditis?
a.Palpitations
b.Elevated pro BNP, Trop T
c.Low LVEF on 2D ECHO
d.Regional wall abnormalities on 2D ECHO
e.ECG suggestive of myocarditis

144. Q23. A 46-year-old woman was taking an oral anti-diabetic
drug. Her HbA1C was reduced from 7.6 to 6.7%. High GLP1
level and low glucagon level was observed. What is the most
likely drug cause this effect?
a.Liraglutide
b.Pramlintide
c.Metformin
d.Sitagliptin

146. MICROBIOLOGY
INICET RECALL 2023

147. Q. A man keeps on dropping the cat feces as he goes around.
Which of the following is the infective stage of the organism
being transmitted through cat feces?
a.Tachyzoite
b.Bradyzoite
c.Oocyst
d.Gametocyte

149. Q. In which of the following disorders, vaccines are not
contraindicated in the person suffering from that disease?
a.Digeorge syndrome
b.Wiskott Aldrich syndrome
c.Complement fixation disorders
d.Ataxia telangiectasia

150. Q. An ICU patient is suffering from Rhinovirus infection.
How do we treat the patient?

155. Q. What is the motility pattern of the given organism?
a.No motility at 22° C and motile at 37° C
b.No motility at 37° C and motile at 22° C
c.Motile at both 37° C and 22° C
d.Non motile at both 37° C and 22° C

157. Q. A child appeared with the following appearance can present
with?
a.Pure red cell aplasia
b.Immunodeficiency
c.Lymphoproliferative disorder
d.BK Nephropathy

159. Q. Least chances of perinatal transmission are seen in?
a.Hepatitis A
b.HSV
c.Rubella
d.CMV

161. Q. CD 40 marker is absent in the person. Which of the
following would be seen?
a.Absent T cells
b.Absent B cells
c.Absent NK cells
d.Absent Macrophages

163. Q. A person is bitten by a dog. The dog and the person are
fully immunized. There is a small abrasion mark on the site
of bite. What would you advise to the person?
a.Metronidazole
b.Cephalosporin
c.Rabies vaccination
d.Booster dose

165. Q. A peculiar organism has resistance to azithromycin, but is
sensitive to ticarcillin, clavulanic acid. Identify the organism?
a.Burkholderia
b.Mycoplasma
c.Pseudomonas
d.Staphylococcus

166. PATHOLOGY
INICET RECALL 2023

167. Q. Jak stat pathway is seen in which of the following?
a.Vasopressin
b.Calcitonin
c.Leptin
d.Aldosterone

169. Q. Which of the following is Anti apoptotic gene?
a.BAK
b.MCL-I
c.BIN
d.NOX-Q
e.PUMA

171. Q. Sequence of taking blood samples to avoid missing the
colors of vials?
a.Blue > Red > Lavender > Grey
b.Grey > Red > Lavender > Blue
c.Lavender > Grey > Blue > Red
d.Red > Lavender > Blue > Grey

173. Q. History of a woman with skin feature like scleroderma
was given. What is the most specific marker?
a.Anti centromere
b.Anti La
c.Anti Jo
d.Anti U1 Rnp

175. Q. In which of the following immunodeficiency disorder
vaccines are contraindicated?
a.Wiskott
b.Complement deficiency
c.Di George
d.Ataxia telengectasia

176. Q. Which type of amyloidosis is seen in the patients going
through dialysis?
a.A-beta
b.A-beta 2
c.aTTR
d.AL

178. Q. Which type of hypoxia is related to carbon monoxide
poisoning?
a.Hypoxic hypoxia
b.Anemic hypoxia
c.Histotoxic hypoxia
d.Circulatory hypoxia

180. Q. An old man with 65,000 WBC count and peripheral blood
smear shows smudge cells on HPE. What should be next
step?
a.Cytogenic study
b.Bone marrow biopsy
c.Flow cytometry from peripheral blood
d.X-ray crystallography

182. Q. Following ANA pattern on IF is seen, identify the pattern?
a.Nucleolar
b.Speckeled
c.Centromeric
d.Diffuse

184. Q. Which of the following cell is shown in the given image?
a.Hairy cell
b.Gaucher cell
c.Sickle cell
d.Target cell

186. Q. What is the interpretation of the given pedigree chart?
a.Incomplete penetrance
b.Autosomal dominant
c.Autosomal recessive
d.Pseudo dominance

188. Q. Identify the correct statement regarding Amyloidosis?
a.Beta pleated sheets
b.Secondary amyloidosis is AL
c.Amyloidosis is called so because of deposition of complex carbohydrate’s
d.All of the above

190. Q. Which marker is specific for alcohol disease?
a.SGPT
b.SGOT
c.GGT
d.ANP

192. OBG
INICET RECALL 2023

193. Q. What is most common cause of menorrhagia in
puberty?
a.Endometriosis
b.Anovulation
c.Malignancy
d.Primary amenorrhea

195. Q. A 30-year-old pregnant female diagnosed with fibroid
present with fever, mild leukocytosis and pain at 28
weeks. What is the likely cause?
a.Red degeneration of fibroid
b.Fibroid torsion
c.Fibroid infection
d.Labor pain

197. Q. Which test is not required for Turner mosaic syndrome?
a.Echo
b.Audiometry
c.Oral glucose tolerance test
d.ANA

198. Q. A patient complaints of whitish discharge from vagina
and yellow staining on clothes. There is no itching, no
redness and Ph is acidic. What is the likely cause?
a.Bacterial vaginosis
b.Candidiasis
c.Trichomoniasis
d.Increased normal vaginal discharge

200. Q. What are clue cells?
a.Vaginal epithelial cells lined by bacteria
b.Cervical epithelial cells lined by bacteria
c.Uterine endothelial cells lined by bacteria
d.Abdominal cell lined by bacteria

202. Q. Patient presented with Retroverted uterus,
Dysmenorrhea, dyspareunia. What is the next step of
investigation?
a.USG
b.Diagnostic Laparoscopy
c.Laparotomy
d.HSG

204. Q. A 15-year-old girl child with primary amenorrhea has
pubic hair, prepubertal breast, blind vagina, clitomegaly
and normal testosterone. Karyotype given is 46 XY, what
is the cause?
a.17 hydroxylase deficiency
b.Swyer syndrome
c.5-alpha reductase deficiency
d.Complete AIS

206. Q. What is the cause of absence of fructose in seminal
fluid?
a.Congenital absence of seminal vesicle
b.Ejaculatory duct obstruction
c.Vas Deferens obstruction
d.All of the above

207. Q. HRT leads to?
a.Decreased risk of breast cancer
b.Decreased risk of endometrial cancer
c.Increased risk of vertebral fracture
d.Decreased risk of colon cancer

209. Q. What is the best cause of pure gonadal dysgenesis with
XY karyotype which are present in 15-20% cases?
a.Point mutation
b.Deletion
c.Translocation
d.Non-sense mutation

211. Q. A 24-year-old girl diagnosed with PCOS has excessive
facial hair, infertility and BMI 40. What is the next step of
management?
a.Metformin + Weight reduction + Clomiphene
b.Weight reduction + Metformin
c.Weight reduction + Ovulation induction
d.Metformin + Clomiphene

213. Q. A women presents with painless ulcers on vulva, she
gives history of having multiple sexual partners and has
had a still birth at 28 weeks in the past. What is the next
best step of investigation?
a.VDRL
b.NAT
c.Vaginal swab and culture
d.PCR

215. Q. Patient has dyspareunia, dysmenorrhea with adnexal
tenderness. What is the first step of investigation?
a.Diagnostic laparoscopy
b.Transvaginal USG
c.Colposcopy
d.Pelvic Ultrasonography

217. Q. All are the causes of non-immune hydrops except?
a.Thalassemia
b.Parvo virus
c.Cardiovascular causes
d.ABO incompatibility

219. Q. What is the incorrect statement?
a.Zygote is Bipotential at 8 weeks
b.DHT necessary for development for external genitals
c.MIS inhibit formation of mullerian duct
d.WD form male internal genitalia

221. Q. What condition is associated with the sign seen on
given USG?
a.Spina bifida
b.Rectal prolapse
c.Uterine prolapse
d. Cervical carcinoma

223. Q. All of the following can be given in endometriosis except ?
a.Cabergoline
b.Leuprolide
c.MPA
d. Estrogen Valerate

225. Q. Fetal Heart rate accelerations are due to ?
a.Aortic Baroreceptors
b.Carotid Baroreceptors
c.Autonomic nervous system
d. Chemoreceptors

227. Q. Primary Dysmenorrhea is ?
a.Pain starts one day prior to menses and resolves in 48hrs to 72 hrs
b.Gnrh is first line of treatment
c.Psychological Factor
d. Pain starts 2-3 days prior to menses and resolves in 24 hrs

229. OPHTHALMOLOGY
INICET RECALL 2023

230. Q. The given image shows blanching of vascularity after the
phenylephrine use. What is the likely diagnosis?
a.Nodular episcleritis
b.Nodular scleritis
c.Nodular phlycten
d.Conjunctivitis

232. Q. Which of the following lens is used in direct gonioscopy?
a.Goldmann
b.Koeppe
c.Zeiss
d.Richardson

234. Q. Identify the marked structure.
a.Canal of petit
b.Canal of hannover
c.Hyaloid canal
d.Pars plana

236. Q. Identify the correct sequence of staining in dry eyes?
i. Fluorescein stain
ii. Lissamine green
iii. Rose Bengal stain
a.i, ii, iii
b.i, ii
c.iii, ii, I
d.ii, I , iii

238. Q. Which nerve is blocked in the image given below?

a.Anterior ethmoidal nerve
b.Nasociliary nerve
c.Infratrochlear nerve
d.Long ciliary nerve

239. Q. What is the earliest change in glaucoma on perimetry?
a.Isopter contraction + baring of blind spot
b.Complete field loss
c.Tunnel vision defect
d.Complete vision loss

241. ORTHOPAEDICS
INICET RECALL 2023

242. Q. Which of the following ribs are fractured in the X-ray given
below?
a.1,2
b.3,4
c.4,5
d.7,8

243. Q. What is the name of the test performed in the image given
below?
a.Allens test
b.Modified allens test
c.Barbeau test
d.Homans test

245. Q. A 40 year male patient presented to the ER with a history
of fall and C/O pain and swelling in right shoulder region.
The x-ray of the patients suggests tear in which of the
following ligament?
a.Coracoclavicular ligament
b.Coracoacromial ligament
c.Transverse humeral ligament
d.Glenohumeral ligament

246. Q. Which of the following features suggest malignant
transformation osteochondroma?
a.Cartilage thickness > 2cm
b.Bone marrow is continuous with the parent bone
c.The cartilaginous growth goes towards the joint
d.Cartilage thickness > 3 cm

248. Q. What should be done as an immediate measure for
ongoing bleeding in a patient with pelvic bone fracture?
a.Rapid blood transfusion
b.External fixation
c.Internal definite fixation
d.Bed rest and pain management

250. PEDIATRICS
INICET RECALL 2023

251. Q. A child with fever for 6 days, strawberry tongue,
conjunctival congestion with peeling of skin. What will
be the treatment option for this child?
a.IVIG
b.Aspirin + clopidogrel
c.LMWH
d.Warfarin

253. Q. A 10 week old child comes for vaccination, with
previous history of inconsolable cry & fever after
getting vaccinated at 6 weeks. What should be done
next?
a.Give DPT vaccination
b.Give DT
c.Don’t give DPT
d.Defer for 1 month

255. Q. A child went to the temple with his grandmother, while
returning he was crying. He was taken to the hospital
with breathlessness, sweating, cold skin and priapism
was noted. Vitals- tachycardia, RR = 32/min, capillary
refill time -3s. What treatment to be given?
a.Anti snake venom
b.Prazosin
c.Epinephrine
d.Aspirin

257. Q. Nadas minor criteria for congenital heart disease?
(multiple correct options)
a.Diastolic murmur
b.Low BP
c.Systolic murmur grade-3
d.Abnormal 2
nd
heart sound

259. Q. Match the following?
a.Trisomy 13 – Patau syndrome
b.Trisomy 18 – Edwards syndrome
c.Trisomy 21 – Down syndrome
d.Sickle cell anemia – Glutamine is replaced with valine

261. PHARMACOLOGY
INICET RECALL 2023

262. Q. What is true about lithium?
a.Lithium is not teratogenic
b.It is not absorbed through gut
c.It is used for absent seizure treatment
d.It can cause postural tremors at therapeutic dosage

264. Q. A female patient with diabetes was given some oral drug
which reduced her HbA1c from 7.6 to 6.7. The patient had
high GIP and GLP1 levels with low glucagon levels. The
drug given to the patient is?
a.Liraglutide
b.Pramlintide
c.Voglibose
d.Alogliptin

266. Q. A female patient with vulvovaginal pruritis was on
antidiabetic drugs. Which drug can cause the above
mentioned?
a.Canagliflozin
b.Metformin
c.Linagliptin
d.Liraglutide

268. Q. A new monoclonal antibody approved for Retts
syndrome is?
a.Trofinetide
b.Folinic acid
c.L-carnitine
d.Naltrexone

270. Q. Keynotes trial 189 for pembrolizumab and nivolumab is done
for?
a.Pembro with chemo given for NSCLC
b.Nevo with chemo given for NSCLC
c.Only Pembroke for NSCLC
d.Only nevo for NSCLC

271. Q. A patient presented with dizziness, cool clammy skin,
pinpoint pupil with blue lips and fingernails suffering from
respiratory depression. The patient was producing a pink
frothy sputum on coughing. The drug used to reverse the
effects is?
a.Naloxone
b.Atropine
c.Phentolamine
d.Physostigmine

273. Q. A patient of schizophrenia is being treated with clozapine.
For which rare but serious side effects should he be
monitored?
a.Agranulocytosis
b.Cerebral bleed
c.Myocarditis
d.Seizures

275. Q. Which of the following is true about clinical therapeutic
index?
a.Therapeutic index is LD50/ED50
b.Dose in which efficacy and toxicity can be balanced in an individual
c.Measures therapeutic index in a population vs individual
d.It is only used for specific individual

277. Q. What is the treatment for HER-2 positive trastuzumab
resistant breast cancer ?
a.Lapatinib
b.Sorafenib
c.Vemurafenib
d.Erlotinib

279. Q. Match the following?
a. Beta 1 1. Mirabegron
b. Beta 2 2. Betaxolol
c. Beta 3 3. Isoprenaline
a.a-2, b-3 ,c-1
b.a-3, b-1, c-2
c.a-2, b-1, c-3
d.a-3, b-2, c-1

281. Q. What is the MOA of thalidomide?
a.Angiogenesis inhibitor
b.Inhibits leukotrienes
c.Prevents folic acid synthesis in bacteria
d.Inhibits factor Xa

283. Q. A 35-year male patient presents to surgery emergency
with painful erection for past 7 hours. He has a history
of mood disorder and was recently prescribed a
medication by treating psychiatrist. Which is the likely
offending drug ?
a.Mirtazapine
b.Venlafaxine
c.Trazodone
d.Tianeptine

285. PHYSIOLOGY
INICET RECALL 2023

286. Q. The bitter taste of toxic substance prevents us from its
consumption, which of the following elicits the bitterness?
a.Aldehyde
b.Amino acids
c.Alkaloids
d.Hydrogen ions

288. Q. Which is responsible for fetal heart rate acceleration?
a.Carotid baroreceptor
b.Aortic baroreceptor
c.Autonomic function of brainstem
d.Chemoreceptors

289. Q. Windkessel effect is not shown by which of the following
vessel?
a.Aorta
b.Renal
c.Radial
d.Abdominal

291. Q. Cystic fibrosis leads to defect in which of the following
channels?
a.Na+
b.Ca2+
c.Cl-
d.K+

293. Q. Which of the following is an incorrect match?
a.Gastrin- G cells from stomach
b.Motilin- M cells from duodenum and jejunum
c.CCK- I cells of duodenum and pancreas
d.Secretin- S cells of duodenum and jejunum

295. Q. Which of the following has maximum thermogenic effect?
a.Fat
b.Protein
c.Carbohydrates
d.All have same effect

297. Q. Blood pressure changes in radial artery were measured.
Which of the following is the reason for initial raise in BP
while performing Valsalva maneuver?
a.Increase in Left ventricular volume
b.Increase in Left ventricular pressure
c.Increase in aortic pressure
d.Decrease in aortic pressure

299. Q. Calculate the anion gap for the values given below:
Na+ = 145 mmol/L
Cl- = 80 mmol/L
Intracellular K+ = 4 mmol/L
HCO
3
-
= 30 mmol/L
a.78
b.87
c.35
d.43

301. Q. CO poisoning causes which type of hypoxia?
a.Anemic hypoxia
b.Hypoxic hypoxia
c.Stagnant hypoxia
d.Histotoxic hypoxia

303. PSM
INICET RECALL 2023

304. Q. A 10 week old baby came for vaccination. The baby had a
previous history of inconsolable crying and fever (40
0
C) after
vaccination at 6 weeks. What should be given at now?

a.Give DT
b.Give DPT
c.Don’t give DPT
d.Defer for 1 month

307. Q. In which of the following case, vaccine is not
contraindicated? (Multiple choice)
a.DiGeorge syndrome
b.Wiskott-Aldrich syndrome
c.Ataxia Telangiectasia
d.Complement Factor Deficiency

309. Q. Please match the following columns:

a.Edward Syndrome 1. Chromosome 13
b. Patau Syndrome 2. Chromosome 21
c. Down Syndrome 3. Chromosome 11
d. Sickle Cell anemia 4. Chromosome 18
a.a2-b4-c1-d3
b.b1-a3-d2-c4
c.a2-b1-c4-d3
d.a4-b1-c2-d3

311. Q. Please match the following columns on Epidemiology
Guidelines:
A. CARE 1. RCT
B. CONSORT 2. Case report
C. PRISMA 3. Observational study
D. STROBE/MOOSE 4. Systematic Review
a.A2-B4-C1-D3
b.A4-B1-C2-D3
c.A2-B1-C4-D3
d.A4-B1-C3-D2

313. Q. Order of drawing blood in vacutainers should be in the
following sequence to prevent contamination:
a.Red, Light blue, Violet, Grey
b.Blue, Violet, Red, Grey
c.Blue, Red, Violet, Grey
d.Grey, Blue, Red, Violet

315. a.Standard Deviation
b.Sample Variance
c.Sample Mean
d.Median

317. Q. Please match the following columns:
A. Caplan syndrome 1. Pleural effusion without shift
B. Mesothelioma 2. Crazy Paving
C. Silicosis 3. Lower lobe involved
D. Asbestosis 4. Described in coal workers
a.A2-B4-C1-D3
b.A4-B1-C2-D3
c.A2-B1-C4-D3
d.A4-B1-C3-D2

320. Q. Black foot is seen in which of the following:
a.Arsenic
b.Cadmium
c.Copper
d.Mercury

322. Q. A child with fever for 6 days, strawberry tongue,
conjunctival congestion with peeling of skin. What will be the
treatment option for this child?
a.IVIG
b.Aspirin + Clopidogrel
c.Warfarin
d.LMWH

324. Q. Which of the following is transmitted by the vector shown
in the figure?

a.Kyasanur forest disease
b.Orientia tsutsugamushi
c.Chandipura virus
d.Anaplasma phagocytophilum

326. Q. Choose the false statement?

a.Mode is qualitative measure
b.Mean is affected by extreme value
c.Median is not affected by extreme value
d.Median depends on all the value in data

328. Q. Among the 30000 participants, 1200 developed cancer,
compared with 2000 study group. What is the name of this
research?

a.Case-cohort study
b.Nested case control study
c.Retrospective study
d.Cross over study

331. Q. Bioterrorism is included in which category?

a.CAT A
b.CAT B
c.CAT C
d.CAT D

333. Q. Find kappa statistic:

a.0.5
b.0.6
c.0.4
d.0.3
IGRA Suspect Tb Not TB Total
TST Suspect Tb 80 40 120
No Tb 20 60 80
Total 100 100 200

336. Q. Which of the following is not useful to determine normalcy
of data?

a.Box and whisker plot
b.Histogram
c.Shapiro-Wilk test
d.Mantzel score

339. PSYCHIATRY
INICET RECALL 2023

340. Q. La belle indifference is seen in?
a.Conversion disorder
b.Cotard syndrome
c.Schizophrenia
d.Depression

342. Q. SCOFF criteria is used as a screening tool for which of the
following disorder?
a.Eating disorder
b.Sexual disorder
c.Alcohol use disorder
d.Schizophrenia

343. Q. Which of the following is true about lithium?
a.It can cause fine postural tremors at therapeutic dosage
b.It is not absorbed from the gut
c.It is not teratogenic
d.It is also used for treatment of absence seizures

345. Q. A patient with schizophrenia is being treated with clozapine.
The patient has to undergo regular blood monitoring because
of which rare side effect?
a.Agranulocytosis
b.Myocarditis
c.Seizures
d.Cerebral bleed

347. Q. A patient tells psychiatrist: ‘’My brain is missing. What is
the point of me eating anything. I am already dead’’.
The patient has which type of delusion?
a.Delusion of misidentification
b.Nihilistic delusion
c.Bizarre Delusion
d.Hypochondriacal Delusion

349. Q. A 35 year old male patient represents to surgery
emergency with painful persistent erection for last 7 hours.
He has history of mood disorders and was recently
prescribed a medication by his treating psychiatrist. Which
is the likely offending drug?
a.Mirtazapine
b.Venlaflaxine
c.Trazodone
d.Tianeptine

351. Q. Tactile hallucination seen during intoxication with cocaine
are called as?
a.Formication
b.Dipsomania
c.Oneiroid state
d.Mania

353. Q. Which of the following is a new drug approved for Rett
syndrome?
a.Trofinetide
b.Ambien
c.Lunesta
d.GHB opioids

355. RADIOLOGY
INICET RECALL 2023

356. Q. Which of the following points are in favor of the malignancy
of the given X-ray?
a.Growth along medullary cavity
b.Hyaline cap thickness >2 cm
c.Infection of the adjoining bone
d.None of the above

358. Q. What would be the suspected diagnosis of the given image?
a.Choledocholithiasis
b.CBD stricture
c.Cholangitis
d.GB polyp

360. Q. A patient came to hospital after he fell on his shoulder.
The X-ray is given below. Which ligament is likely to be
injured?
a.Acromio-clavicular ligament
b.Coraco-clavicular ligament
c.Both
d.None

362. Q. Which of the ribs are fractured in the given X-ray?
a.4th and 5th rib
b.5th only
c.4th ,5th and 6th
d.5th and 6th

363. Q. What is not an advantage of USG over mammography?
a.USG can be used to detect mammography undetectable tumors which are
palpable
b.Can be used for guided biopsy
c.In young female with dense breast
d.Can be used to differentiate solid VS cystic

365. SURGERY
INICET RECALL 2023

366. Q. After varicocele surgery, venous drainage occurs by?
a.Cremasteric veins
b.Penile veins
c.Ectopic in the iliac fossa
d.At usual location

368. Q. A patient presented with dull aching pain, tortuous veins
of both limb what will be the test for SFJ incompetence?
a.Fegan’s
b.Morrissey
c.Mod perthes
d.Brodie Trendelenburg

370. Q. Which one of the following is not the complication of
massive blood transfusion?
a.Hypocalcemia
b.Hypokalemia
c.Hypothermia
d.Hypomagnesemia

372. Q. Which of the following is not a complication of TPN?
a.Aspiration
b.Refeeding
c.Pneumothorax
d.Dysphagia

374. Q. A HER-2 positive patient who has transtuzumab
resistant breast cancer. What is the best line of
treatment?
a.Lapatinib
b.Sorafenib
c.Vemurafenib
d.Erlotinib

376. Q. A 53 year old patient with complaint of per rectal
bleeding. What is the best investigation that can be
done in this patient?
a.Colonoscopy
b.CEA levels
c.CA-19-9 levels
d.CECT

378. Q. Which of the following is not seen in intermittent
claudication?
a.Rest pain at night
b.Pain start on taking the first step
c.M/c cause of atheroma
d.Level of occlusion cannot be decided on symptoms

380. Q. What is not true about the breast conservation surgery?
a.Wide local excision
b.Post op radiotherapy
c.Lymph node dissection
d.Axillary dissection

382. Q. Smoking is a risk factor for?
a.Ca breast
b.Fibroadenoma
c.Mondor disease
d.Duct ectasia

383. Q. Which of these is not a perianal approach for rectal
prolapse?
a.Altemeir
b.Ripstein
c.Thiersch
d.Delorme

385. Q. What is the gall bladder anomaly shown in the USG
given?
a.Phrygian sign
b.Murphy sign
c.Claw sign
d.Omega sign

387. Q. A patient complaints of dysuria and back pain. Looking
at the X-ray given. What is the best diagnosis?
a.PTH adenoma
b.Wilms’ tumor
c.Renal cell carcinoma
d.Lipoma

389. Q. Identify the condition looking at the given image of
swelling in floor of the mouth?
a.Cystic hygroma
b.Ranula
c.Dermoid
d.Branchial cyst

391. Q. Identify the given image of surgical instrument?
a.Mixter
b.Rampley
c.Kocher
d.Adson

392. Q. What is the correct statement about thymoma?
a.M/c neoplasia of thymus
b.M/c site - Posterior mediastinum
c.CXR – Investigation of choice
d.Causes early symptoms of compression dyspnea

394. Q. After lap cholecystectomy what should be the urine
output of the patient if the renal function of the patient is
normal?
a.0.1 CC/hr
b.0.5 ml/min
c.0.5-1.5 ml/kg/min
d.1 ml/kg/min

396. Q. What is the advantage of ultrasound over
mammography for investigation in breast?
a.Young female with dense breast are assessed
b.Can differentiate cystic from solid lesion
c.Can help in guide biopsy
d.Can be used to visualize deep lesion (palpable but not visible in mammography)

398. Q. In which of the following condition perineural invasion
is seen?
a.Adenoid cystic carcinoma
b.Pleomorphic adenoma
c.Mucoepidermoid tumor
d.Pancreatic cancer

400. Q. What is the baseline platelet count required for surgery?
a.20,000 (10
9
/L)
b.30,000 (10
9
/L)
c.40,000 (10
9
/L)
d.50,000 (10
9
/L)

402. Q. A 35 year old patient with history of dysentery from 6
weeks complains of pain in right upper abdomen, on
ultrasound hypoechoic hyperdense lesion on liver is
seen. Identify the condition based on the given image?
a.Amoebic liver abscess
b.Pyogenic liver abscess
c.Hydatid cyst
d.Hemangioma