RUHS MO

RUHS MO: Direct Hits from Cerebrum APP

Cerebrum
April 30, 2025 12:21 pm


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Exceptional Strike Rate: 30 Direct Hits in Recent Exams!

Even with a focused, high-yield question bank, Cerebrum App delivered 30 direct hits out of 100 questions in recent competitive medical exams. This proves the accuracy, quality, and exam-focused approach of our content.

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Exam Recall & High-Yield Evidence

Q1. Multipurpose worker scheme in India was introduced following the recommendation of:

(A) Kartar Singh Committee
(B) Mudaliar Committee
(C) Srivastava Committee
(D) Bhore Committee

Correct Answer: (A) Kartar Singh Committee

Kartar Singh Committee
Previously discussed in our notes (Must Know Topics)

Q2. Which of the following structures do not form the boundary of the triangle of Koch containing the atrioventricular node and its connections?

(A) Septal leaflet of tricuspid valve
(B) Limbus fossa ovalis
(C) Coronary sinus opening
(D) Tendon of Todaro

Correct Answer: (B) Limbus fossa ovalis

Triangle of Koch
Previously discussed in our notes (Must Know Topics)

Q3. Which statement is not true regarding differentiated thyroid cancers?

(A) Hürthle cell carcinoma usually affect older population.
(B) Follicular Thyroid Carcinoma cannot be reliably diagnosed by FNAC.
(C) Papillary thyroid carcinoma has a female preponderance.
(D) Follicular thyroid carcinoma disseminates primarily via the lymphatic route.

Correct Answer: (D) Follicular thyroid carcinoma disseminates primarily via the lymphatic route.

Thyroid Cancers
Previously discussed in our notes (Must Know Topics)

Q4. Prion diseases are transmitted by:

(A) Carbohydrates
(B) Proteins
(C) DNA
(D) RNA

Correct Answer: (B) Proteins

Prion diseases
Previously discussed in our notes (Must Know Topics)

Q5. A person was found dead by his wife in his garage with his car running. Carbon monoxide gas poisoning was confirmed to be the cause of his death. What will be the color of postmortem staining in this case?

(A) Grayish / black
(B) Chocolate brown
(C) Cherry red
(D) Brick red

Correct Answer: (C) Cherry red

Postmortem Staining
Previously discussed in our notes (Must Know Topics)

Q6. A dead body was brought for postmortem examination. On examination of the eyes, sclera showed triangular shaped discolored areas. What is this known as?

(A) La facies sympatique
(B) Lazarus syndrome
(C) Kevorkian sign
(D) Tache noire

Correct Answer: (D) Tache noire

Tache noire
Previously discussed in our High Yield notes

Q7. A couple is known to be hostile to each other. The wife is seen buying arsenic allegedly for killing rats on a particular day. The husband dies of arsenic poisoning the next day. Police raids the house and finds that there is arsenic in food, which the wife prepared. What type of evidence is this?

(A) Documentary evidence
(B) Circumstantial evidence
(C) Direct evidence
(D) Hearsay evidence

Correct Answer: (B) Circumstantial evidence

Evidence types
Previously discussed in our High Yield notes

Q8. Which is not an etiology of obstructive shock?

(A) Cardiac Tamponade
(B) Myocardial infarction
(C) Massive pulmonary embolism
(D) Tension Pneumothorax

Correct Answer: (B) Myocardial infarction

Obstructive shock
Previously discussed in our notes (Must Know Topics)

Q9. A 24-year-old primigravida presents in active labour at 39 weeks of gestation. Her BMI is 35 kg/m². After the delivery of fetal head, the shoulders fail to deliver with normal traction. Which of the following maneuver is not done in this condition?

(A) Ritgen maneuver
(B) Zavanelli maneuver
(C) McRoberts maneuver
(D) Wood’s maneuver

Correct Answer: (A) Ritgen maneuver

Obstetrics maneuvers
Previously discussed in our notes (Must Know Topics)

Q10. A 10-month-old child presented with fever, pallor and spleen up to the umbilicus. The complete blood counts revealed Hb of 7 gm/dL, total leukocyte counts of 40000/mm³, and platelets counts of 30000/mm³. His bone marrow examination revealed B-acute lymphoblastic leukemia by flow cytometry, and his cytogenetics study showed the presence of hyperdiploidy. Which of the following criteria makes him a high-risk leukemia?

(A) Bulky organomegaly
(B) Hyperdiploidy
(C) Age
(D) TLC counts

Correct Answer: (C) Age

Leukemia high risk criteria
Previously discussed in our notes (Must Know Topics)

Q11. At what age does a child start imaginative play?

(A) 4 years
(B) 5 years
(C) 2 years
(D) 3 years

Correct Answer: (D) 3 years

Explanation:

Imaginative play starts by 3 years of age, and this is considered a key developmental milestone. It is also mentioned in GHAI that by 4 years, play activities become very imaginative, indicating that the foundation begins earlier, at 3 years.

Developmental Milestones
Play milestones

Previously discussed in our notes + Must Know Topics

Q12. Which of the following statements is INCORRECT for cephalhematoma?

(A) It usually resolves over 3-6 weeks.
(B) It can cause hyperbilirubinemia.
(C) It lies over the parietal bone between the skull and periosteum.
(D) It crosses the suture line and does not have a distinct margin.

Correct Answer: (D) It crosses the suture line and does not have a distinct margin.

Cephalhematoma
Previously discussed in our notes (Must Know Topics)

Q13. What is the imaging of choice for suspected acute osteomyelitis?

(A) Ultrasonography
(B) MRI
(C) CT scan
(D) X-ray

Correct Answer: (B) MRI

Osteomyelitis Imaging
Similar MCQ previously discussed in Test series

Q14. Which of the following modality imaging method is used for acute suspicion of stroke?

(A) Contrast enhanced MRI
(B) MR Spectroscopy
(C) Diffusion weighted MRI
(D) T2 weighted MRI

Correct Answer: (C) Diffusion weighted MRI

Stroke imaging
Previously discussed in our notes

Q15. A 50 year old woman presents with heat intolerance, warm soft skin, protruding eyeball, nervousness, increased pulse rate, high plasma T4 and T3 but low plasma TSH level. She is advised to take methimazole. Which of the following might not be the underlying cause of her clinical condition?

(A) Solitary toxic adenoma
(B) Toxic multinodular goiter
(C) Graves disease
(D) Myxedema

Correct Answer: (D) Myxedema

Hyperthyroidism
Previously discussed in our notes

Q16. Which of the following is not a long-acting insulin?

(A) Detemir
(B) Degludec
(C) Glargine
(D) Lispro

Correct Answer: (D) Lispro

Insulin types
Previously discussed in our notes

Q17. An obese diabetic on metformin 1 gm twice a day presents with a recent history of acute coronary event and uncontrolled blood sugar levels. Which anti-diabetic drug is preferred as an add-on to metformin in this patient?

(A) Linagliptin
(B) Gliclazide
(C) Empagliflozin
(D) Pioglitazone

Correct Answer: (C) Empagliflozin

Diabetes Management
Previously discussed in our notes

Q18. A publicity campaign aimed at promoting particular product in a favorable light, so that people accept it without further exploring various details, is called:

(A) Propaganda
(B) Advocacy
(C) Health Education
(D) Behavior change communication

Correct Answer: (A) Propaganda

Propaganda
Previously discussed in our notes

Q19. The best way of teaching urban women about ORS is:

(A) Flash cards
(B) Role play
(C) Lecture
(D) Demonstration

Correct Answer: (D) Demonstration

Health Education Methods
Previously discussed in our notes

Q20. Walk in coolers (WIC) are used for storage of the following vaccines EXCEPT:

(A) Hepatitis B
(B) DPT
(C) OPV Vaccine
(D) BCG

Correct Answer: (C) OPV Vaccine

Vaccine Cold Chain
Previously discussed in our notes (One-Liners)

Q21. Assessment of Vitamin B12 nutritional status can be done by determining the urinary levels of:

(A) Methylmalonic acid
(B) Propionyl CoA
(C) Cobalamin
(D) Folic acid

Correct Answer: (A) Methylmalonic acid

Vitamin B12 Assessment
Previously discussed in our notes

Q22. Presence of which vitamin in the gut enhances the absorption of iron?

(A) Vitamin B12
(B) Vitamin B9
(C) Vitamin C
(D) Vitamin B6

Correct Answer: (C) Vitamin C

Iron absorption
Previously discussed in our notes

Q23. A farmer was brought to the emergency room after he accidentally consumed a liquid. He had four episodes of vomiting and copious secretions from his mouth. His blood pressure was unrecordable and had pin-point pupils. What is the poison consumed?

(A) Ethanol
(B) Malathion
(C) Acetone
(D) Atropine

Correct Answer: (B) Malathion

OP Poisoning
Previously discussed in our notes (One-Liners)

Q24. A pedestrian crossing the road met with a road traffic accident. He has presented to the emergency with left foot drop. Power in tibialis anterior, extensor digitorum longus, and extensor hallucis longus is 0/5. While power in tibialis posterior, gastrocnemius is 4/5. What is the likely site of injury?

(A) Posterior dislocation of femur head
(B) Left ankle fracture
(C) Supracondylar fracture of left femur
(D) Fracture neck of left fibula

Correct Answer: (D) Fracture neck of left fibula

Foot drop anatomy
Previously discussed in our notes (One-Liners)

Q25. A 65 year old male presents with a sudden loss of vision in his right eye. A dilated fundus examination reveals a pale retina with a well-defined “cherry-red spot” at the fovea. What is the most likely diagnosis?

(A) Diabetic retinopathy
(B) Retinal detachment
(C) Central retinal artery occlusion
(D) Central retinal vein occlusion

Correct Answer: (C) Central retinal artery occlusion

CRAO
Previously discussed in our notes (One-Liners)

Q26. False statement regarding screening mammography is:

(A) Younger women with a previous breast cancer, significant family history of breast cancer should also be recommend for screening mammography.
(B) The goal of screening mammography is detecting occult breast cancer with better prognosis than cancers identified by palpation.
(C) Screening mammography is performed in asymptomatic women.
(D) Annual screening mammography is recommended for women older than 40 years.

Correct Answer: (A) Younger women with a previous breast cancer, significant family history of breast cancer should also be recommend for screening mammography.

Screening mammography
Previously discussed in our notes

Q27. Which of the following is the recommended modality for breast cancer screening in a 32-year-old with BRCA mutation?

(A) 6 monthly ultrasound
(B) Clinical breast examination 3 monthly
(C) Annual Screening Mammogram
(D) Annual Screening Mammogram and Breast MRI

Correct Answer: (D) Annual Screening Mammogram and Breast MRI

Breast cancer screening
Previously discussed in our notes

Q28. A 55-year-old female with history of palpable breast lump underwent mammography. Her mammography categorized the lesion as BIRADS 0. The interpretation of test result is:

(A) Benign
(B) Probably Benign
(C) Negative
(D) Inconclusive

Correct Answer: (D) Inconclusive

BIRADS Scoring
Previously discussed in our notes

Q29. Which of the following imaging modality does not produce harmful ionic radiation?

(A) PET-scan
(B) CT scan
(C) X-ray
(D) MRI

Correct Answer: (D) MRI

Imaging Modalities
Previously discussed in our notes

Q30. A 40-year-old man undergoes a routine eye exam with an irregular pupil that is non-reactive to light but accommodates. What is the most likely cause of this finding?

Challenging Question

(A) Third nerve palsy
(B) Argyll Robertson pupil
(C) Adie’s tonic pupil (By Official Key)
(D) Horner’s syndrome

Correct Answer: (B) Argyll Robertson pupil

(B) is the Best Answer according to patient’s presentation.

Argyll Robertson Pupil
Previously discussed in our notes (Must Know Topics)

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