Pulmonary Medicine Lecturer Recruitment Exam Question paper

Question1:-Which of the following river is known as 'Sorrow of Bengal' ?
 A:-Ganga
 B:-Damodar
 C:-Brahmaputra
 D:-Yamuna
 Correct Answer:- Option-B
Question2:-The best indicator of economic development of any country is
 A:-Per capita income
 B:-Agriculture
 C:-Transport
 D:-Gross production
 Correct Answer:- Option-A
Question3:-Sumita Sanyal was associated with which field ?
 A:-Politics
 B:-Sports
 C:-Science
 D:-Film Industry
 Correct Answer:- Option-D
Question4:-The headquarters of UNESCO
 A:-Paris
 B:-New York
 C:-Rome
 D:-Geneva
 Correct Answer:- Option-A
Question5:-Year of Poona Pact
 A:-1919
 B:-1929
 C:-1932
 D:-1942
 Correct Answer:- Option-C
Question6:-Founder of Sadhujana Paripalana Sangham
 A:-Sree Narayana Guru
 B:-Pandit Karuppan
 C:-Ayyankali
 D:-Thycaud Ayya
 Correct Answer:- Option-C
Question7:-What is the full form of NCERT ?
 A:-National Council for Educational Resources and Teaching
 B:-National Council of Employees Remedial Teaching
 C:-National Council of Educational Research and Training
 D:-National Council for Employees Research and Training
 Correct Answer:- Option-C
Question8:-The `18^(th)` anniversary of Kargil Vijay Diwas has celebrated on which day in India ?
 A:-2017 July 22
 B:-2017 June 22
 C:-2017 July 26
 D:-2017 June 26
 Correct Answer:- Option-C

Question9:-Who issued the famous 'Kundara Proclamation' ?
 A:-Pazhassi Raja
 B:-Velu Thampi Dalawa
 C:-Marthanda Varma
 D:-Paliathachan
 Correct Answer:- Option-B
Question10:-'Jathikummi' was the famous work of
 A:-Dr. Palpu
 B:-V. T. Bhattathirippad
 C:-Kumaranasan
 D:-Pandit Karuppan
 Correct Answer:- Option-D
Question11:-Atma Vidya Sangham was founded by
 A:-Vagbhatananda
 B:-Sahodaran Ayyappan
 C:-Velukkutty Arayan
 D:-Brahmananda Swami Sivayogi
 Correct Answer:- Option-A
Question12:-Temple Entry Proclamation was issued by
 A:-Marthanda Varma
 B:-Swathithirunnal
 C:-Darmaraja
 D:-Sree Chithira Thirunal Balarama Varma
 Correct Answer:- Option-D
Question13:-In the National Flag which colour is used in the wheel ?
 A:-Red
 B:-Navy Blue
 C:-green
 D:-White
 Correct Answer:- Option-B
Question14:-First Five Year Plan was started in which year ?
 A:-1949
 B:-1951
 C:-1959
 D:-1961
 Correct Answer:- Option-B
Question15:-First Regular Indian Censes was conducted in
 A:-1889
 B:-1888
 C:-1881
 D:-1880
 Correct Answer:- Option-C
Question16:-2017 World Athletic Championship was held at
 A:-New York
 B:-Russia
 C:-Germany
 D:-London
 Correct Answer:- Option-D
Question17:-Founder of Travancore Muslim Mahajana Sabha
 A:-Vakkom Adbul Khadar Moulavi
 B:-Khan Abdul Gafferkhan
 C:-Sayyed Ahamed Khan
 D:-Muhammed Abdu Rahman Saheb
 Correct Answer:- Option-A
Question18:-Who was honoured with the title 'Bharata Kesari' by the President of India ?
 A:-Sree Narayana Guru
 B:-Mannathu Padmanabha Pillai
 C:-Kumara Guru
 D:-Kumaranasan
 Correct Answer:- Option-B
Question19:-The famous tourist centre Ajanta is situated at
 A:-Gujarat
 B:-Goa
 C:-Madhya Pradesh
 D:-Maharashtra
 Correct Answer:- Option-D
Question20:-1857 Revolt was started at
 A:-Meerut
 B:-Jhansi
 C:-Kanpur
 D:-Bihar

 Correct Answer:- Option-A
Question21:-Alpha 1 anti trypsine deficiency is caused by mutation in the gene
 A:-SERPINA1
 B:-ACVRL1
 C:-SFTPA2
 D:-CSF2RA
 Correct Answer:- Option-A
Question22:-At the end of a deep breath what percent of lung volume is air ?
 A:-60
 B:-80
 C:-70
 D:-90
 Correct Answer:- Option-B
Question23:-Fibre types in respiratory muscles that help in sneezing and coughing is
 A:-Type I
 B:-Type IIa
 C:-Type IIb
 D:-Type IIx
 Correct Answer:- Option-D
Question24:-Most common pattern of ILD in Rheumatoid arthritis is
 A:-UIP
 B:-COP
 C:-NSIP
 D:-DIP
 Correct Answer:- Option-A
Question25:-Fall in FEV1 in non-smoking adults are at the rate of
 A:-15 ml/year
 B:-30 ml/year
 C:-45ml/year
 D:-60ml/year
 Correct Answer:- Option-B
Question26:-All are true regarding COPD exacerbations, except
 A:-Best predictor of future exacerbations
 B:-More common in patients with chronic cough and sputum production
 C:-Spirometry during the acute exacerbation is usually helpful in predicting the severity and duration
 D:-Many of these eventually resolve without specific treatment
 Correct Answer:- Option-C
Question27:-All are causes of exacerbations of asthma, except
 A:-Rhino virus
 B:-Hemophilus influenza
 C:-Chlamydia
 D:-Para influenza virus
 Correct Answer:- Option-B
Question28:-Anti inflammatory action of theophyllins are mediated through
 A:-Phosphodiesterase
 B:-Histone deacetylase2
 C:-All of the above
 D:-None of the above
 Correct Answer:- Option-B
Question29:-NSAID well tolerated in Aspirin induced asthma is
 A:-Indomethacine
 B:-Ketorolac
 C:-Piroxicam
 D:-Sodium salicylate
 Correct Answer:- Option-D
Question30:-Prevalence of exercise induced asthma may be more in the following group
 A:-Children
 B:-Elite athletes
 C:-All of the above
 D:-None of the above
 Correct Answer:- Option-C
Question31:-The most effective drug in exercise induced asthma is
 A:-Beta adrenergic agonists
 B:-Chromolin sodium
 C:-Theophyllins
 D:-Leukotriene antagonists
 Correct Answer:- Option-A
Question32:-Pathognomonic of ABPA among the following is
 A:-Elevated aspergillus specific IgE
 B:-Elevated aspergillus specific IgG
 C:-Charcot-Leyden crystals
 D:-Hyphae filled mucous plug
 Correct Answer:- Option-D
Question33:-Unilateral vocal cord paralysis causes
 A:-Variable intrathoracic obstruction
 B:-Variable extra thoracic obstruction
 C:-Fixed intrathoracic obstruction
 D:-Fixed extra thoracic obstruction
 Correct Answer:- Option-B
Question34:-Most common type of benign tracheal tumour is
 A:-Chondroma
 B:-Papilloma
 C:-Hemangioma
 D:-Hamartoma
 Correct Answer:- Option-A
Question35:-All are true in Vocal Cord Dysfunction, except
 A:-Stridor/wheeze
 B:-Symptoms may remit without treatment
 C:-Presence of bronchial hyper responsiveness
 D:-Normal alveolar arterial gradient
 Correct Answer:- Option-C
Question36:-F508 del mutation in cystic fibrosis results in
 A:-Block in processing
 B:-Block in regulation
 C:-Altered conductance
 D:-Reduced synthesis
 Correct Answer:- Option-A
Question37:-Risk factors for liver disease in cystic fibrosis are all the following, except
 A:-Meconium ileus
 B:-PiZ heterozygous state
 C:-TGF beta-1 polymorphism
 D:-Female sex
 Correct Answer:- Option-D
Question38:-Infections with the following organism is associated with development of bronchiectasis.
 A:-Streptococcus pneumoniae
 B:-Haemophilus influenzae
 C:-Staphylococcus aureus
 D:-Morexella catarrhalis
 Correct Answer:- Option-C
Question39:-Most common form of ILD is
 A:-Hypersensitivity pneumonitis
 B:-Sarcoidosis
 C:-CT-ILD
 D:-IPF
 Correct Answer:- Option-D
Question40:-Differentiating feature between RB-ILD and DIP is
 A:-Age of onset
 B:-Involvement of alveoli
 C:-Smoking score more than 30 pack years
 D:-Golden brown pigments in macrophages
 Correct Answer:- Option-B
Question41:-Detergent workers disease is caused by
 A:-Cladosporium spp.
 B:-Pseudomonas spp.
 C:-Aureobasidium spp.
 D:-Bacillus subtilis
 Correct Answer:- Option-D
Question42:-Shrinking lung syndrome is seen in
 A:-SLE
 B:-Emphysema
 C:-IPF
 D:-Scleroderma
 Correct Answer:- Option-A
Question43:-All are true regarding Rheumatoid pleural effusion, except
 A:-Low sugar
 B:-Leukocytosis
 C:-pH more than 7.2
 D:-Exudative effusion
 Correct Answer:- Option-C
Question44:-Radiologic appearance of PLCH include all, except
 A:-Mid and lower zone involvement
 B:-Ill defined nodules
 C:-Cysts of bizarre shape
 D:-Pleural thickening
 Correct Answer:- Option-A
Question45:-All are true regarding Alveolar microlithiasis, except
 A:-Autosomal recessive disorder
 B:-Calcium metabolism disorder
 C:-Asymptomatic with abnormal CXR

 D:-Mutation in Type II b sodium phosphate cotransporter gene
 Correct Answer:- Option-B
Question46:-In which year Robert Koch received Nobel Prize for his contribution in the field of Tuberculosis ?
 A:-1888
 B:-1905
 C:-1912
 D:-1886
 Correct Answer:- Option-B
Question47:-National Tuberculosis programme was started in India in the year
 A:-1906
 B:-1956
 C:-1978
 D:-1962
 Correct Answer:- Option-D
Question48:-Swimming pool granuloma is caused by
 A:-M.marinum
 B:-M.ulcerans
 C:-M.avium
 D:-M.smegmatis
 Correct Answer:- Option-A
Question49:-All are solid culture media in Tuberculosis, except
 A:-L-J medium
 B:-Loeffler serum slope
 C:-Middlebrooks medium
 D:-Pawlowskys medium
 Correct Answer:- Option-C
Question50:-Most common form of skeletal tuberculosis is
 A:-Tuberculosis of hip
 B:-Tuberculosis of knee joint
 C:-Spinal tuberculosis
 D:-Tuberculosis of shoulder joint
 Correct Answer:- Option-C
Question51:-Which of the following is unusual in Churg stauss syndrome ?
 A:-cANCA
 B:-Elevated ESR
 C:-Elevated CRP
 D:-Elevated Eosinophil Count
 Correct Answer:- Option-A
Question52:-Which is not true in chylothorax ?
 A:-Lymphocyte predominant
 B:-Exudate
 C:-Elevated LDH
 D:-Pleural fluid triglyceride more than 110 mg/dl
 Correct Answer:- Option-C
Question53:-Triad of Yellow nail syndrome consists of all, except
 A:-Nail changes
 B:-Pleural effusion
 C:-Bronchiectasis
 D:-Lymphedema
 Correct Answer:- Option-C
Question54:-Most common lung cancer type associated with pleural involvement
 A:-Squamous cell carcinoma
 B:-Adenocarcinoma
 C:-Large cell carcinoma
 D:-Small cell carcinoma
 Correct Answer:- Option-B
Question55:-All are true regarding pleural effusion associated with mesothelioma, except
 A:-Presence of hyaluronic acid is diagnostic
 B:-Low pH
 C:-Low sugar
 D:-LDH concentration greater than that of carcinoma of pleura
 Correct Answer:- Option-A
Question56:-Haller index suggesting significant sternal depression in Pectus excavatum is
 A:-2.5
 B:-More than 3.25
 C:-Less than 3.25
 D:-Less than 2.5
 Correct Answer:- Option-B
Question57:-Chronic mountain sickness is characterized by all the features, except
 A:-Dyspnoea on exertion
 B:-Extreme polycythemia
 C:-Elevated haematocrit
 D:-Pulmonary hypertension
 Correct Answer:- Option-A
Question58:-EGFR mutations positive lung cancers have all the following features, except
 A:-Exclusively in NSCLC
 B:-More in women
 C:-More in smokers
 D:-20-30% Asian lung cancer patients
 Correct Answer:- Option-C
Question59:-Carcinoid syndrome is seen in all, except
 A:-Carcinoid tumours
 B:-Large cell carcinoma
 C:-Squamous cell carcinoma
 D:-Small cell carcinoma
 Correct Answer:- Option-C
Question60:-Hypercalcemia most frequently occur in
 A:-Squamous cell cancer
 B:-Adenocarcinoma
 C:-Small cell lung cancer
 D:-Large cell carcinoma
 Correct Answer:- Option-A
Question61:-Spherical pneumonia is associated with
 A:-Streptococcal pneumonia
 B:-Haemophilus influenza
 C:-Coxiella burnetti
 D:-All of the above
 Correct Answer:- Option-D
Question62:-Which is not true about pneumatoceles ?
 A:-Seen in young children
 B:-Develop late in the course of pneumonia
 C:-Thin walled air filled spaces
 D:-Disappear in a few months
 Correct Answer:- Option-B
Question63:-Liver function abnormalities and clinical hepatitis in atypical pneumonia usually suggest
 A:-Qfever
 B:-Mycoplasma pneumonia
 C:-Legionella pneumonia
 D:-Chlamydia pneumonia
 Correct Answer:- Option-A
Question64:-Lemmiere syndrome is caused by
 A:-M.abscesus
 B:-Peptostreptococcus
 C:-Prevotella oralis
 D:-F.necrophorum
 Correct Answer:- Option-D
Question65:-Important infection in post transplant patients, beyond one month post surgery is
 A:-CMV
 B:-P. jiroveci
 C:-A. fumigates
 D:-Nocardia asteroides
 Correct Answer:- Option-A
Question66:-Mechanism of action of fluoroquinolones is
 A:-Inhibition of protein synthesis
 B:-Interfere with DNA gyrase/topoisomerase IV leading to cell wall lysis
 C:-LPS mediated increased cell wall permeability to antibiotics
 D:-Both (a) and (c)
 Correct Answer:- Option-B
Question67:-Most common site for aspiration pneumonia is
 A:-Superior segment of RLL
 B:-Posterior segment of LUL
 C:-Medial segment of RML
 D:-Superior segment of LLL
 Correct Answer:- Option-A
Question68:-Most likely diagnosis in an edentulous patient presenting with a cavitating lesion in CXR in all, except
 A:-Bronchial obstruction
 B:-Pulmonary embolus
 C:-Septic embolus
 D:-Lung abscess
 Correct Answer:- Option-D
Question69:-Diagnostic threshold for BAL in nosocomial pneumonia is
 A:-`10^(5)` CFU/ml
 B:- `10^(3)` CFU/ml
 C:-`10^(4) ` CFU/ml
 D:-` 10^(6) ` CFU/ml
 Correct Answer:- Option-C
Question70:-Which of the following mycobacteriae is not associated with human infection ?
 A:-M.africanum
 B:-M.canettii
 C:-M.bovis BCG

 D:-M.caprae
 Correct Answer:- Option-D
Question71:-Droplet nuclei are not the mode of transmission among the following diseases
 A:-Measles
 B:-Tuberculosis
 C:-Influenza
 D:-Varicella
 Correct Answer:- Option-C
Question72:-Most common form of extrapulmonary tuberculosis is
 A:-Pleural effusion
 B:-Spinal tuberculosis
 C:-Genitourinary TB
 D:-Lymphnode TB
 Correct Answer:- Option-D
Question73:-All are true about Xpert-MTB-RIF, except
 A:-Nucleic acid amplification test
 B:-Sophisticated laboratory needed, not useful in resource poor settings
 C:-Simultaneously detects RIF resistance
 D:-Specificity 90-100%
 Correct Answer:- Option-B
Question74:-Diagnostic test of choice in pneumocystis jerovecii, is
 A:-Diff-Quick stain
 B:-Induced sputum with direct immunofluorescent staining
 C:-Wright's stain
 D:-Toluidine blue O
 Correct Answer:- Option-B
Question75:-Mechanism of Bleomycin lung toxicity include all, except
 A:-Generation of oxygen free radicals
 B:-Direct effects on DNA
 C:-Absence of enzyme Bleomycin hydrolase
 D:-Inhibition of enzyme Bleomycin hydrolase
 Correct Answer:- Option-D
Question76:-Which is not correct about omalizumab ?
 A:-Recombinant humanised antibody
 B:-Dose dependent on serum level of IgE alone
 C:-Indicated in moderate to severe allergic asthma
 D:-Should not be initiated at acute stage of asthma
 Correct Answer:- Option-B
Question77:-IRIS can occur in all the following conditions in a patient with HIV, except
 A:-Mycobacterium tuberculosis
 B:-Leishmaniasis
 C:-Fungal infections
 D:-Bacterial pneumonia
 Correct Answer:- Option-D
Question78:-Permissive hyper capnoea is used in all the following, except
 A:-Acute lung injury
 B:-Increased intracerebral pressure
 C:-ARDS
 D:-Neonatal respiratory failure
 Correct Answer:- Option-B
Question79:-Oral bio-availability is maximum for which among the following inhaled steroids ?
 A:-Fluticasone
 B:-Mometasone
 C:-Ciclasonide
 D:-Beclomethasone
 Correct Answer:- Option-D
Question80:-All are features of chronic eosinophilic pneumonia, except
 A:-Elevated eosinophil count in blood and BAL
 B:-Reverse pulmonary edema pattern in CXR
 C:-Male sex predominance
 D:-Presence of interstitial fibrosis pathologic hall mark
 Correct Answer:- Option-C
Question81:-Chronic pleuritic pain is characteristic in
 A:-Lung cancer
 B:-Pneumoconiosis
 C:-Pulmonary embolism
 D:-Mesothelioma
 Correct Answer:- Option-D
Question82:-Absolute contraindication for argonplasma coagulation is
 A:-Implantable defibrillator
 B:-`FiO_(2)` less than 0.4
 C:-Major airway bleed
 D:-Post infectious airway stenosis
 Correct Answer:- Option-A
Question83:-Elevated DLCo in asthma is due to
 A:-Associated large lung volume
 B:-Increased perfusion of well ventilated upper zones
 C:-None of the above
 D:-both (1) & (2)
 Correct Answer:- Option-D
Question84:-Varenicline helps in smoking cessation by a) Being partial agonist of nicotinic cholinergic receptor b) Blocks
effects of smoke on nicotine receptor c) As a result of receptor blockade nicotine withdrawal symptoms are relieved d)
Desire to smoke is reduced
 A:-a, b and c
 B:-b, c and d
 C:-a, b and d
 D:-a, c and d
 Correct Answer:- Option-C
Question85:-Which is not true about Pancoast syndrome ?
 A:-Most common initial symptom is shoulder pain
 B:-Intrinsic muscles of the hand may be involved
 C:-Associated with superior sulcus tumour
 D:-CT is superior imaging modality
 Correct Answer:- Option-D
Question86:-Malignancy commonly associated with airway metastasis is
 A:-Prostatic cancer
 B:-Colon cancer
 C:-Osteogenic sarcoma

 D:-Ca. Tongue
 Correct Answer:- Option-B
Question87:-Criteria for diagnosing a definite Hereditary Hemorrhagic Telangiectasia include all, except
 A:-Recurrent spontaneous nose bleeds
 B:-Mucocutaneous telangiectasia
 C:-No first degree relative involved
 D:-Visceral involvement
 Correct Answer:- Option-C
Question88:-Skin manifestation that is specific for sarcoidosis
 A:-Erythema nodosum
 B:-Lupus pernio
 C:-Subcutaneous nodules
 D:-Plaques
 Correct Answer:- Option-B
Question89:-Not true about Idiopathic Pulmonary Hemosiderosis, from the following is
 A:-Predominantly disease of children
 B:-Recurrent haemoptysis
 C:-Renal involvement is common
 D:-Histology of lung shows bland alveolar haemorrhage with hemosiderin accumulation
 Correct Answer:- Option-C
Question90:-The commonest type of lung carcinoma seen in women and non-smokers
 A:-Adenocarcinoma
 B:-Large cell carcinoma
 C:-Small cell carcinoma
 D:-Squamous cell carcinoma
 Correct Answer:- Option-A
Question91:-The commonest malignant tumour seen in asbestos worker
 A:-Bronchogenic carcinoma
 B:-Gastric carcinoma
 C:-Glioblastoma multiforme
 D:-Malignant mesothelioma
 Correct Answer:- Option-A
Question92:-Cushing syndrome is usually associated with all, except
 A:-Carcinoid tumour
 B:-Squamous cell carcinoma
 C:-Neuroblastoma
 D:-Small cell carcinoma
 Correct Answer:- Option-B
Question93:-Most common radiological pattern associated with Bronchioloalveolar carcinoma
 A:-Multiple nodular lesions
 B:-Consolidative pattern
 C:-Perihilar opacity with cavitation
 D:-Single nodular lesions
 Correct Answer:- Option-D
Question94:-The commonest type of emphysema
 A:-Irregular
 B:-Centriacinar
 C:-Panacinar
 D:-Paraseptal
 Correct Answer:- Option-B
Question95:-The pneumoconiosis which can be seen commonly in tobacco smokers is
 A:-Anthrocosis
 B:-Byssinosis
 C:-Siderosis
 D:-Silicosis
 Correct Answer:- Option-A
Question96:-The type of pneumoconiosis in which eggshell calcification of hilar lymph nodes is seen in chest X-ray is
 A:-Anthracosis
 B:-Berylliosis
 C:-Coalworkers pneumoconiosis
 D:-Silicosis
 Correct Answer:- Option-D
Question97:-Bronchial carcinoma can be associated with all except
 A:-Acanthosis nigricans
 B:-Myesthenia gravis
 C:-Hypercalcaemia
 D:-SIADH
 Correct Answer:- Option-B
Question98:-All are true about asbestosis except
 A:-Asteriod bodies are characteristic
 B:-Begins in the lower lobe and subpleurally
 C:-Marked diffuse pulmonary interstial fibrosis
 D:-Pleural plaques most common manifestation
 Correct Answer:- Option-A
Question99:-All are true about silicosis except
 A:-Most prevalent chronic occupational disease in the world
 B:-Quartz is most commonly implicated form
 C:-Initial lesions tend to localize in the lower lung zone
 D:-There is no known clear association of silica and development of lung cancer
 Correct Answer:- Option-C
Question100:-Bedaquiline is not started in MDR TB in all the situations, except
 A:-Pyrazinamide and at least 4 second line drugs are not available according to sensitivity tests
 B:-Uncontrolled cardiac arrhythmia requiring medication
 C:-Prolonged QT interval (more than 450 ms)
 D:-Presence of chorioretinitis
 Correct Answer:- Option-A

Exam: Senior Lecturer in Tuberculosis and Respiratory
Medicine(Pulmonary Medicine)
Kerala Public Service Commission