Anatomy
1 questionsPartial claw hand is caused by lesion involving the:
FMGE 2010 - Anatomy FMGE Practice Questions and MCQs
Question 1: Partial claw hand is caused by lesion involving the:
- A. Anterior interosseous nerve
- B. Radial nerve
- C. Median nerve
- D. Ulnar nerve (Correct Answer)
Explanation: ***Ulnar nerve*** - A lesion of the **ulnar nerve** causes a **partial claw hand** (also called "ulnar claw") because the **medial two lumbricals** (which flex the MCP joints and extend the IP joints of the 4th and 5th digits) and the **interossei** are paralyzed [1]. - This leads to hyperextension at the **metacarpophalangeal (MCP) joints** and flexion at the **interphalangeal (IP) joints** of the **4th and 5th fingers only** (hence "partial") [1]. - The lateral two fingers (index and middle) are spared because their lumbricals are supplied by the median nerve [1]. *Anterior interosseous nerve* - Injury to the **anterior interosseous nerve** primarily affects the **flexor pollicis longus**, **flexor digitorum profundus** (index and middle fingers), and **pronator quadratus**. - This results in the inability to make an "OK" sign (pinch sign) and does not typically cause a claw hand deformity. *Radial nerve* - A **radial nerve** lesion leads to **wrist drop** and the inability to extend the wrist and fingers. - This deformity is distinct from a claw hand, which involves hyperextension at the MCP joints and flexion at the IP joints. *Median nerve* - A **median nerve** lesion results in a "hand of benediction" or "ape hand" deformity, affecting the **thenar muscles** and the **lateral two lumbricals** [1]. - This involves paralysis of the thumb's opposition and the inability to flex the index and middle fingers, not the characteristic clawing of the 4th and 5th digits.
Forensic Medicine
4 questionsWhat is the age restriction for exhumation of a deceased person in medical jurisprudence?
A farmer presented with confusion, increased salivation, fasciculations, miosis, tachycardia and hypertension. Poison that can cause these manifestations:
Rape is defined under:
Pugilistic attitude is due to:
FMGE 2010 - Forensic Medicine FMGE Practice Questions and MCQs
Question 1: What is the age restriction for exhumation of a deceased person in medical jurisprudence?
- A. Under 18 years
- B. 16 years or older
- C. 21 years or older
- D. No age restriction (Correct Answer)
Explanation: ***No age restriction*** - In forensic medicine and medical jurisprudence, **exhumation can be performed on a body of any age** (infant, child, adult, or elderly). - Under **Section 176 of CrPC**, a Magistrate can order exhumation for medico-legal purposes without any age limitation on the deceased. - The decision to exhume depends on the **necessity for investigation**, not on the age of the deceased person. - Exhumation is commonly performed for re-examination, identification, or when new evidence emerges in criminal cases. *Under 18 years* - This is incorrect as there is no legal provision restricting exhumation based on whether the deceased was under 18 years of age. - Bodies of minors can be exhumed just as readily as adults when required for legal purposes. *16 years or older* - This age threshold has no relevance to exhumation procedures in Indian medical jurisprudence. - Exhumation is based on **legal necessity and magistrate's order**, not the age of the deceased. *21 years or older* - This is incorrect as age of the deceased person does not determine eligibility for exhumation. - Even bodies of young children or infants can be exhumed when required for forensic investigation or identification purposes.
Question 2: A farmer presented with confusion, increased salivation, fasciculations, miosis, tachycardia and hypertension. Poison that can cause these manifestations:
- A. Arsenic
- B. Opium
- C. Dhatura
- D. OPC (Correct Answer)
Explanation: ***OPC*** - The combination of **confusion**, increased salivation, **fasciculations**, **miosis**, and **tachycardia/hypertension** points towards **organophosphate poisoning (OPC)** due to excessive cholinergic stimulation. - Farmers are at high risk for OPC due to exposure to **pesticides**. *Arsenic* - **Arsenic poisoning** typically causes severe gastrointestinal symptoms such as vomiting, diarrhea, and abdominal pain, along with **garlic breath** and **neuropathy**. - It does not commonly present with prominent salivation, fasciculations, or miosis. *Opium* - **Opioid overdose** characteristically leads to **CNS depression**, **respiratory depression**, **pinpoint pupils (miosis)**, and **bradycardia** and **hypotension**. - It does not cause increased salivation, fasciculations, or tachycardia. *Dhatura* - **Dhatura poisoning** is characterized by **anticholinergic symptoms** such as **dry mouth**, dilated pupils (mydriasis), blurred vision, warm dry skin, **tachycardia**, and **agitation/delirium**. - It would not cause increased salivation, fasciculations, or miosis.
Question 3: Rape is defined under:
- A. Sec. 320 IPC
- B. Sec. 375 IPC (Correct Answer)
- C. Sec. 351 IPC
- D. Sec. 376 IPC
Explanation: ***Sec. 375 IPC*** - **Section 375 of the Indian Penal Code (IPC)** specifically defines **rape**. It outlines the various circumstances under which a sexual act is considered rape, focusing on the absence of consent. - The section has been amended several times to broaden its scope and strengthen protections for victims, particularly after significant legal reforms. *Sec. 320 IPC* - **Section 320 IPC** defines **"Grievous Hurt,"** which includes severe injuries like emasculation or deprivation of any joint or part of the body. - This section deals with the classification of serious bodily harm, not sexual offenses. *Sec. 351 IPC* - **Section 351 IPC** defines **"Assault."** It refers to making any gesture or preparation intending or knowing it to be likely that such gesture or preparation will cause any person present to apprehend that he who makes it is about to use criminal force to him. - This section addresses acts that create an apprehension of immediate criminal force, not the act of rape itself. *Sec. 376 IPC* - **Section 376 IPC** deals with the **"Punishment for Rape."** While it is directly related to rape, it specifies the penalties for the offense, not its definition. - This section lays down the various terms of imprisonment and fines that can be imposed on a person convicted of rape, including aggravated forms of the crime.
Question 4: Pugilistic attitude is due to:
- A. Lipogenesis
- B. Protein coagulation (Correct Answer)
- C. Carbohydrate coagulation
- D. Lipolysis
Explanation: ***Protein coagulation*** - Pugilistic attitude, a defensive posture resembling a boxer, is a characteristic finding in extensively burned bodies due to **heat-induced muscle contraction**. - This contraction is caused by **thermal coagulation of proteins** within the muscles, leading to their shortening and stiffening. - **Flexor muscles are stronger than extensors**, so when heat causes protein coagulation, flexors contract more, producing the characteristic flexed posture with arms and legs drawn up. *Lipogenesis* - **Lipogenesis** refers to the metabolic process of synthesizing fatty acids and triglycerides for energy storage, which is unrelated to the physical changes observed in burned bodies. - This process is mainly involved in **fat metabolism** and not in post-mortem muscular changes. *Carbohydrate coagulation* - While carbohydrates are present in the body, their primary role is energy storage and structural support, and they do not undergo **coagulation** in a manner that would cause muscle contraction. - **Thermal effects on carbohydrates** mainly involve denaturation and caramelization, neither of which explains the pugilistic attitude. *Lipolysis* - **Lipolysis** is the metabolic process of breaking down lipids and triglycerides into fatty acids and glycerol, primarily for energy release. - This process is the opposite of lipogenesis and is not responsible for the **muscle stiffening and contraction** seen in the pugilistic attitude.
Internal Medicine
1 questionsMost common cause of erectile dysfunction in men under 40:
FMGE 2010 - Internal Medicine FMGE Practice Questions and MCQs
Question 1: Most common cause of erectile dysfunction in men under 40:
- A. Vascular
- B. Drug induced (Correct Answer)
- C. Diabetes
- D. Psychological
Explanation: ***Drug induced*** - In men under 40, **medication side effects** are a significant and often overlooked cause of erectile dysfunction [4]. - Common culprits include **antidepressants** (especially SSRIs), **antihypertensives** (like beta-blockers and thiazide diuretics), and some **antihistamines** [2]. *Vascular* - While vascular issues are the **most common cause overall** in older men, they are less prevalent in younger men unless associated with severe underlying conditions like **uncontrolled hypertension** or **dyslipidemia** [2]. - **Atherosclerosis** and reduced blood flow to the penis are the primary mechanisms, which typically manifest later in life [2]. *Diabetes* - **Diabetes** can cause erectile dysfunction through **peripheral neuropathy** and **vascular damage**, leading to impaired nerve function and blood flow [3]. - Although it can occur at any age, its prevalence as a cause of ED generally **increases with the duration and poor control** of the disease, making it less likely to be the *most common* cause in men under 40. *Psychological* - **Psychological factors** such as stress, anxiety, depression, and relationship problems are **very common** contributors to erectile dysfunction in young men [1]. - However, direct **drug-induced ED** is often a primary or exacerbating factor that should be carefully considered, especially given the widespread use of various medications in this age group [2].
Pediatrics
2 questionsJuvenile court deals with cases of children up to the age of:
In males, first pubertal sign is:
FMGE 2010 - Pediatrics FMGE Practice Questions and MCQs
Question 1: Juvenile court deals with cases of children up to the age of:
- A. 21 years
- B. 16 years
- C. 18 years (Correct Answer)
- D. 15 years
Explanation: ***18 years*** - Under the **Juvenile Justice (Care and Protection of Children) Act, 2015** in India, a "juvenile" or "child in conflict with law" is defined as a person who has **not completed 18 years of age**. - Juvenile courts (Juvenile Justice Boards) have jurisdiction over individuals who are **under 18 years** at the time the offense is alleged to have been committed. - This is the standard age limit for juvenile justice system in India. *21 years* - This exceeds the age limit for juvenile court jurisdiction in India. - Age 21 has significance for other legal purposes but not for defining a juvenile under the JJ Act. - Once a person attains 18 years, they are tried under regular criminal law. *16 years* - This is below the actual age limit set by the JJ Act, 2015. - The Act specifically defines the upper age limit as 18 years, not 16 years. - A 16 or 17-year-old would still be considered a juvenile under Indian law. *15 years* - This is well below the statutory age limit for juvenile jurisdiction. - Using 15 years as the cutoff would incorrectly exclude 16 and 17-year-olds from juvenile court jurisdiction. - The JJ Act, 2015 clearly establishes 18 years as the threshold.
Question 2: In males, first pubertal sign is:
- A. Pubic hair development
- B. Hoarseness of voice
- C. Penis enlargement
- D. Testicular enlargement (Correct Answer)
Explanation: ***Testicular enlargement*** - The first noticeable sign of puberty in males is typically **testicular enlargement**, followed by other changes. - This enlargement is due to the increase in the size of the **seminiferous tubules** and the production of sperm. *Pubic hair development* - While pubic hair development is an important pubertal sign, it usually follows **testicular enlargement**, appearing as the second or third sign. - It is driven by the increase in **adrenal androgens** and **testosterone**. *Hoarseness of voice* - The voice change or **deepening (hoarseness)** usually occurs later in puberty, as the larynx grows and vocal cords lengthen. - This is a secondary sexual characteristic mediated by **testosterone**. *Penis enlargement* - **Penis enlargement** typically begins after testicular enlargement has been established, usually around a Tanner stage 3. - This growth is also directly stimulated by increasing levels of **testosterone**.
Surgery
2 questionsWhat is the percentage of total body surface area represented by the palm of an adult burn patient?
Xenograft is transplantation of tissue:
FMGE 2010 - Surgery FMGE Practice Questions and MCQs
Question 1: What is the percentage of total body surface area represented by the palm of an adult burn patient?
- A. 1% of total body surface area (Correct Answer)
- B. 18% of total body surface area
- C. 27% of total body surface area
- D. 9% of total body surface area
Explanation: **1% of total body surface area** ✓ - The **palm rule** is a quick method for estimating burn size, stating that an adult's palm (including fingers) represents approximately **1% of their total body surface area (TBSA)**. - This rule is particularly useful for scattered burns or when the **Rule of Nines** is difficult to apply. *18% of total body surface area* - According to the **Rule of Nines**, 18% of TBSA represents either the entire front of the trunk, the entire back of the trunk, or both entire legs. - This percentage is significantly larger than the area covered by an adult's palm. *27% of total body surface area* - This percentage does not directly correspond to a standard anatomical region in either the **Rule of Nines** or the **palm rule** for burn estimation. - It would represent a combination of multiple body parts, far exceeding the area of a single palm. *9% of total body surface area* - The **Rule of Nines** assigns 9% of TBSA to an arm, the head and neck (in adults), or half of a single leg. - While a quick estimation, this is much larger than the area of a single palm.
Question 2: Xenograft is transplantation of tissue:
- A. From same species
- B. From genetically identical twins
- C. From a different species (Correct Answer)
- D. From one part of body to another
Explanation: ***From a different species*** - A **xenograft** (or heterograft) is the transplantation of cells, tissues, or organs from **one species to another**, such as from a pig to a human. - This type of transplant faces significant immunological challenges due to the **genetic disparity** between the donor and recipient. *From same species* - This describes an **allograft** (or homograft), where tissue is transplanted between genetically distinct individuals of the **same species**. - Examples include organ transplants between unrelated humans. *From genetically identical twins* - This describes an **isograft** (or syngeneic graft), which involves transplantation between **genetically identical individuals**, such as monozygotic twins. - These grafts typically have the **highest success rate** due to minimal immune rejection. *From one part of body to another* - This describes an **autograft**, where tissue is transplanted from one site to another **within the same individual**. - Examples include a skin graft from the thigh to a burned area on the arm or a **coronary artery bypass graft** using a leg vein; these grafts are not rejected as they originate from the patient's own body.
About FMGE 2010 Questions
This page contains 17 questions from the FMGE 2010 paper, organised across 7 subjects for focused practice. Every question comes with the correct answer and a detailed explanation to help you understand the underlying concept. Subject-wise organisation lets you target specific areas and identify which topics carried the most weight in this particular year.
Practising year-wise papers is essential for understanding how the FMGE exam evolves — you can spot trending topics, gauge difficulty shifts, and benchmark your readiness against a real paper. To take your preparation further, download the Oncourse app for AI-driven performance insights, spaced repetition of questions you got wrong, and a personalised study plan built around your FMGE goals.