MEDICAL REVIEW OFFICER EXAM QUESTIONS

1. The priority in management of supracondylar fracture of humerus in a child is:
(a) Preservation of Brachial artery entanglement
(b) Debridement of wound
(c) Antibiotics
(d) Immobilization

2. Which of the following features are related to Zollinger Ellison syndrome?
1. Aggressive and refractory peptic ulceration
2. Unregulated gastrin release
3. Beta islet cell tumour of pancreas
4. Diarrhoea present in upto 50% cases
Select the correct answer using the code given below:
(a) 1 and 2 only
(b) 3 and 4
(c) 1, 2 and 3
(d) 1, 2 and 4 

3. All of the following are premalignant lesions except:
(a) Actinic Solar Keratosis
(b) Bowen’s Disease
(c) Giant Hairy Naevus
(d) Rhinophymoma

4.  A 50 year old man with long history of swelling in his right parotid region had sudden history of occasional pain, nerve weakness along with paresthesia. His fine needle aspiration cytology was inconclusive. What should be the next step?
(a) Superficial Parotidectomy
(b) Trucut Biopsy
(c) MRI
(d) CT Scan

5. In which of the following diseases, primary skin lesions are not seen?
(a) Leptospirosis
(b) SLE
(c) Hepatitis-B
(d) Infectious mononucleosis
6.  A 70 year old man with history of smoking has a 1 cm ulcerative lesion over the vermilion of his upper lip. What is he likely to be suffering from?
(a) Squamous cell carcinoma
(b) Basal cell carcinoma
(c) Spindle cell carcinoma
(d) Adenoid squamous carcinoma 

7. Which of the following is not a common feature of hypersensitivity pneumonitis?
(a) Raised C-Reaction Protein
(b) Chest X-ray may be normal
(c) Lung biopsy may be diagnostic
(d) Eosinophilia

8. A 55 year old male came with history of hoarseness of voice for which direct laryngoscopy was done and the lesion was biopsied to detect squamous cell carcinoma. He now requires investigation to detect extent of cartilage involvement, imaging of pre and paraglottic spaces and any extension to deep neck structures. Most
appropriate investigation of choice will be:
(a) CT Scan
(b) Endo Ultrasound
(c) MRI
(d) Repeat direct laryngoscopy under general anaesthesia

9. Consider the following statements with regard to duodenal ulcers:
1. They occur most often in the second part of duodenum.
2. Infection with H. pylori and NSAID–induced injury account for the majority of duodenal ulcers.
3. Malignant duodenal ulcers are extremely rare.
4. Eradication of H. pylori has greatly reduced the recurrence rates in duodenal ulcers. Which of the above statements is/are correct?
(a) 1 and 3 only
(b) 2, 3 and 4 only
(c) 1, 2 and 4 only
(d) 1, 2, 3, and 4

10. Breast imaging reporting and data system (BI-RADS): Final assessment categorized a 45 year old female to have Category 5 disease. What does the report signify?
(a) Incomplete assessment
(b) Negative- Annual screening can be recommended.
(c) Probably benign (≤2% malignant)
(d) Highly suggestive of malignancy (≥95% malignant)

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