2020 P1 Q38
Q1. A 60-year-old patient is admitted in emergency with seizure, aphasia and altered sensorium. He has a fever and headache for the preceding 3 days. The CSF examination is unremarkable. What would be the probable diagnosis?
- Multiple sclerosis (MS)
- Tubercular meningitis
- Pyogenic (bacterial) meningitis
- Viral encephalitis
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 16
2020 P1 Q47
Q2. A 35-year-old man presents with history of low grade fever and headache for last five weeks. Clinical examinations are remarkable for signs of meningitis. He undergoes lumbar puncture (LP) and a day later reports worsening headache. Which one of the following features is NOT consistent with diagnosis of “Post-LP” headache?
- Post-LP headache usually begins within 48 hours
- Post-LP headache worsens in sitting position
- Post-LP headache is most severe upon waking up
- Post-LP headache may improve with caffeine intake
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 19
2022 P1 Q45
Q3. Which of the following are correct regarding tuberculous meningitis?
1. Acid-Fast Bacilli are infrequently seen on direct smear of CSF
2. CSF culture for MTB is the gold standard for diagnosis
3. Xpert MTB/RIF assay is a preferred initial diagnostic option
Select the correct answer using the code:
- 1 and 2 only
- 2 and 3 only
- 1 and 3 only
- 1, 2 and 3
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 153
2023 P1 Q94
Q4. Which of the following are the features of post-lumbar puncture headache?
1. Dull aching occipitofrontal headache
2. Worse on waking but improves during the day
3. Recumbency usually improves the headache within minutes
Select the correct answer using the code:
- 1 and 2 only
- 2 and 3 only
- 1 and 3 only
- 1, 2 and 3
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 232
