2021 P2 Q103
Q1. A 6-week-old infant presents with unconjugated hyperbilirubinemia. Which of the following could be a likely diagnosis?
- Dubin Johnson syndrome
- Galactosemia
- Rotor syndrome
- Congenital hypothyroidism
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 136
2022 P1 Q23
Q2. Which of the following are correct in respect of jaundice?
1. Patients complain of darkening of urine before they notice jaundice
2. Jaundice is usually detectable with a serum bilirubin level of over 1.8 mg/dL
3. In Gilbert syndrome, jaundice is more noticeable after fasting
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 147
2022 P1 Q102
Q3. A 3-day-old newborn presents with jaundice since birth. Examination reveals pallor and hepatosplenomegaly. The newborn also has a cephalhematoma. Which one of the following is the most important indicator to the diagnosis of pathologic jaundice?
- Pallor
- Hepatosplenomegaly
- Clinical jaundice since birth
- Cephalhematoma
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 167
2023 P1 Q83
Q4. Consider the following statements with regard to jaundice:
1. Presence of scleral icterus indicates a serum bilirubin level of at least 3 mg/dL.
2. If the examiner suspects scleral icterus, the second site to examine is underneath the tongue.
3. In long-standing jaundice, the skin may become green due to reduction of bilirubin to biliverdin.
4. Sclerae have a particular affinity for bilirubin due to its high elastin content.
Which of the statements given above are correct?
- 1 and 3 only
- 2 and 4 only
- 1, 2 and 4 only
- 1, 2, 3 and 4
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 229
2023 P1 Q84
Q5. Carotenoderma, due to ingestion of excessive amounts of carotene-containing fruits and vegetables, can be distinguished from jaundice by sparing of which of the following?
- Palms
- Soles
- Nasolabial folds
- Sclerae
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 230
2025 P1 Q96
Q6. A 32 year old man presents with history of recurrent jaundice over the previous decade. Family gives history of the patient having episodes of facial grimacing. Which one of the following is a clinical clue to the diagnosis?
- Adenoma sebaceum in the mid face
- Erythema nodosum on the skin
- Kayser-Fleischer rings in the cornea
- Osler’s nodes at the finger tips
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 405
2021 P1 Q103
Q7. A 6-week-old infant presents with unconjugated hyperbilirubinemia. Which of the following could be a likely diagnosis?
- Dubin Johnson syndrome
- Galactosemia
- Rotor syndrome
- Congenital hypothyroidism
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 100
2025 P1 Q22
Q8. Consider the following with regard to Gilbert Syndrome
I. Autosomal recessive trait of a mutation in gene for UDP-glucuronyl transferase enzyme.
II. Elevation of unconjugated bilirubin.
III. No stigmata of chronic liver disease other than jaundice.
IV. Early Liver biopsy recommended in patients with possible Gilbert Syndrome. Which of the above are correct ?
- I and II only
- II and III only
- I, II and III
- III and IV
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 377
