AII INDIA PRE PG EXAM 2009 Full Q with options

[salvi..]

.Hirsuitism is caused by all except?
1)cushing syndrome
2)acromegaly
3)hyperthyroidism
4)hyperprolactinaemia
Ans:3(hyperthyroidism
(Ref-Hari17,301t

[salvi..]

ankle joint has least chance of recurrent dislocation
b\c of mechanical efficiency in joint. considerable force required to dislocate it and normally a\w with fractures
Dislocation of the ankle without associated fracture or wound is an extremely rare injury. [1] Fahey and Murphy [2] classified tibio-talar dislocations into anterior, posterior, medial, lateral, superior or combinations of these basic displacements. Most of these are either open and/or with an associated fracture of the tibia, fibula or the talus itself. Of these the posterior-medial dislocation has been described most often in the literature. [1],[2],[3],[4],[5] Most authors have described this injury in young adult males. Falls, road traffic accidents and sports have been described as the most frequent causes of these injuries. Forced inversion or eversion with axial loading in a maximally planter-flexed foot is thought to be the cause of this injury. The patho-Anatomy of this injury has been dependent on findings during surgical repairs and has not been described accurately. We are reporting a case of closed posterior dislocation of the ankle without fracture in an 18-year-old male patient following road traffic accident. The most probable mechanism is forced forward displacement of the tibia leaving the talus behind. The patho-Anatomy as evident from the magnetic resonance finding is also being described. The injury is being described not only for its rarity but also to discuss its unique patho-mechanics, mechanism of trauma and its prevention.

[salvi..]

abrasion can be mistaken for
1)corrosive burn
2)ant bite
3)eczema
4)joule burns
ans.2 ant bite p.no 86 narayana reddy

[drsam]

1. Proteus –ans. triple phosphate renal stone
2. Appetite stimulant a/e – melanocyte stimulating hormone, melanocyte corticotropic releasing hormone, neuropeptide Y
3. non invasive diarrhoea a/e – shigella, b.cereus, salmonella, y.enterocolitica
ans b.cereus
4. motorcyclist frc
ans ring fractre
5. Probability – 6/25, 3/5, 2/5
ans 3/5
6. IDEAS – disability
7. Hernia – loop/end colostomy, loop/end ileostomy
ans end iliostomy
8. Anatomical snuff box – radial a
9. Foreign body sensation in the eye, arthritis –reactive
10. Immediately after eating dyspneoa, cyanosis – c1 def
11. Lupus anticoagulant – increase in aPTT only, abortion in pregnant females, can occur without other signs of lupus
12. Milkman # - pseudo#
13. Punched out lesion in skull – nxt dx to b done is ca level
14. Least polar – methyl, carboxyl, amino, phosphate
ans methyl
15. Nerve entrapment all except – femoral
16. Mammography less sensitive in young women – more glandular
17. Medulla blood supply all except – bulbar
18. Trochlear n – ipsilateral sup oblique, longest intracranial n, dorsal n, outside annulus of zinn
alll apr to b true bt it shd b annulus ........
19. Vasomotor centre of medulla – only baroreceptor not chemoreceptor
20. Chronic low back pain – pain management, exercise, remove the etiology
ans expt exercise
21. Pauci immune glomerulonephritis – microangiopathic
22. Coombs positive anaemia – sle
23. juxta foveal telangiectasia a/e – variant of coats, macular telangiectasia, ........
24. diabetic retinopathy treatment a/e – seal the tear, remove peripheral retinal layers, vitrectomy, photocoagulation
all are true
25. narrow angle glaucoma avoid – duloxetine, citalopram, fluphenazine,
26. valproate causes all of these n rest 1 left was da ans – weight gain, alopecia, liver damage
27. uveal effusion a/e – myopia, abnormal scleral structure, scleritis, cilio-choroid can get separated
28. nitrosamine – hypotension and bradycardia
29. paravertebral block can go to a/e – epidural space, subarachnoid space, paravertebral space, intercostals space
30. neuroblastoma – most common extracranial solid tumour in children, >50% come with mets, lung mets common, invove aorta and branches at early stage.
31. monetary fund given to – schizophrenia or mentel retardation ? help out
32. normal curve –mean=median
33. frequency distribution – histogram
34. involvement of sweat gland and hair follicles – lichen scrofulosum
35. all are direct cutaneous disease except – reiter’s disease
36. scarring alopecia – lichen planus
37. adrenal adenoma a/e – hypoechoic on non contrast ct, contrast appears early and washes out late, regular border ? help out
38. casper dictum – time since dth
39. stellate wound – contact wound
40. pedestrian with multiple abrasions – tert impact. or secondary
41. para 3+0,CIN 3 in one quadrant on pap smear, what is the management – hysterectomy
42. thyroid papillary ca 2cm – near total with rnd
43. follicular adenoma vs carcinoma – hurthle cell, increased mitosis, vascular invasion ? help
44. sertoli cells – spermatogenesis
45. obstructive azoospermia – fsh and lh nrml
46. smoking assoc with a/e – ca larynx
47. latest WHO scale of disability – ideas
48. SEPS – veins
49. commonest organ to be injured in bomb blast – lung
50. causes pf hypercoagulability a/e – paraproteinemia
51. features of pnh a/e – DVT rathr occr superficial
52. thromboembolism assoc with a/e – pnh
53. cannot be defined in operational terms –objective
54. cannot be defined in operational terms –objective
55. leptospirosis a/e – treatment of choice iv penicillin g, 10-15% mortality, rat urine
56. all true except – tetanus dust droplets
57. all true – hypochlorite virucidal, glutaraldehyde sporicidal, phenol require organic material
58. all true except – zinc def pulmonary problems
59. precocious puberty boy 5years with pubic hair, bp 120/90 – 17 a hydroxylase
60. positive urinary anion gap a/e– diarrhoea
61. water sample estimation a/e – clostridium recent contamination
62. nutritional survey a/e – 1 to 4 year mortality
63. q fever vector – aerosol
64. crude birth rate a/e – still born excl
65. imci includes all – malaria, resp infections, diarrhoea
66. trauma patient with gcs score 15, bp 100/80 next step – iv fluid with blood for cross matching
67. ductal carcinoma in situ investigation – mammography
68. calcification of post spinal ligament a/e – begins from thoracic level
69. neural tube closes from – cervical or cephalic/ help me
70. chronic renal failure patient with hyperkalemia immediate treatment glucose with insulin
71. after starvation which site will have less glucose receptor –adipose tissue
72. lipoprotein lipase a/e – adipocytes, myocytes, does not need CII as cofactor
73. child bites his fingers – hgprtase def
74. after cutting with restriction enzymes segments joined by – dna ligase
75. colon carcinoma a/e – mismatch repair
76. comet tail artefact – adenomyomatosis
77. aedes mosquito a/e - constant bite
78. dengue hmgic fever a/e – reinfection with diff serotype
79. hiv maximum transmission – homosexual
80. hiv enters – cd4
81. GIST which is increased max – cd 117
82. pancreatic transplant with bladder catheter – urine amylase, blood amylase, blood glucose
83. 29 yrs with diabetes, no ketonuria, father does not have DM ,ans dm1
84. RCC a/e – cushings
85. angiotensin a/e – vasodilatation
86. renal Physiology a/e – dct is always hypoosmotic
87. reversible ischaemia – thallium
88. maltese cross – blastomycosis, penicillium, candida
89. deep perineal pouch a/e – bulbourethral gland, urethral sphincter, root of penis
90. pelvic diaphragm a/e - colles fascia
91. aortic aneurysm rupture – posterior
92. m.c. site of subclavian artery constriction – 1st part
93. arteriovenous shunt a/e – not under the control of ANS
94. pseudomonas - ?
95. mifepristone used in – ectopic pregnancy
96. lactating female best contraceptive – barrier method
97. laproscopic sterilisation not done in – heart disease, hiatus hernia ............... neeed help
[snip]. incontinenti pigmenti a/e – 100% ophthalmic problems
99. neurofibromatosis a/e – autosomal recessive
100. trotters triad – seizures
101. tuberous sclerosis triad a/e– rhabdomyosarcoma
102. the following species of borrelia cause relapsing fever except – ????
103. pancreatic carcinoma a/e – 75% associated with p53 mutatn
104. gold standard test to diagnose insulinoma is 72 hrs fasting glucose
105. a 9 year old girl posted for tonsillectomy, massive haemorrhage with prolonged aPTT and normal PT – factor 9 def
106. simple random sampling – everyone has equal chance of being picked
107. incidence rate can be calculated from – prospective studies
108. all are analytical studies except – field trials
109. baby clinic a/e – bafter normal delivery breast feed within 4 hrs
110. target strategy in aids a/e – treatment of STD
111. chemoprophylaxis done for all except – cholera
112. vaccine with highest efficacy –tetanus
113. the following vaccine when contaminated causes toxic shock syndrome – measles vaccine
114. the following contractions of esophagus are stationary – primary, secondary, tertiary, quarternary ?? help
115. late expanding phase of population – birth rate stationary death rate falling, birth rate lower than death rate, falling death rates with low birth rate
116. fish odour from vaginal discharge – gardenella vaginalis
117. all the following are composite muscles except – flexor digitorum sup
118. the following joint has least chances for recurrent dislocation – ankle
119. hemochromatosis a/e – phlebotomy is not useful, common in females, complete penetrance. ?/???
120. a young female had following lab values mcv 70, hb 10 mg%, serum iron 60, serum ferritin 100, the diagnosis is – iron deficiency anaemia
121. facilitated diffusion is – requires carrier
122. oxygen demand of heart – increases in a constant proportion with heart rate
123. pulsatile large liver is seen in – tricuspid regurgitation
124. systolic thrill in left 2nd or 3rd intercostal space is seen in a/e – pulmonry stenosis
125. a down syndrome patient is posted for surgery, the necessary pre-op investigation to be done is – usg
126. zenkers diverticulum true statement is – barium xray lateral view
127. all are the uses of lithium except – major depression,
128. a female child was brought with complaint of generalised swelling of her body. She was passing fatty cast in her urine. No haematuria. The true statement is – no IgG or C3 deposition seen on renal biopsy
129. von hippel landau syndrome consists of a/e – gastric cancer
130. finnish type of nephrotic syndrome is due to mutation in – nephrin
131. renal polycystic disease in children all are true except – autosomal dominant
132. splicing is brought about by – sn RNA
133. superior middle alveolar artery is a branch of – palatine br of maxiilary
134. splenic artery gives all the following branches except – rt gastro epiploic
135. chemotherapy is given to all the following cancers except – (various stages of different cancers were in the options) t2 n1 mo ......
136. triple assessment of breast dis includes – history, clinical examination, obsrv
137. necrotising fasciitis a/e – due to group b haemolytic streptococcus, debridement is mandatory, involves trunk and lower limbs
138. the following cephalosporin doesn’t need dose modifications depending on gfr values – cefoperazone
139. tacrolimus side effect – nephrotoxicity
140. hand foot and mouth syndrome – capecitabin
141. amifostine – skin
142. small cell lung cancer true statement – it is chemosensitive
143. ifosphamide is – an alkylating agent
144. liquefactive necrosis is seen in – gangrene
145. reduces bone resorption and increases bone formation – strontium
146. the nephrotoxicity of cisplatin is increased by a/e – rifampicin
147. treatment of severe falciparum malaria – quinine or artesunate ??
148. hepatitis C true statement is – most common with liver transplantation
149. parvo virus B 19 false statement is – can cross the placenta in only <10% case
150. all cause traumatic asphyxia except – accidental strangulation.
151. true statement of RDA - RDA is dietry.............
152. restless leg syndrome seen in – chronic renal disease,
153. cyanosis does not occur in anaemia because – certain amount of reduced hb has to be present
154. 2,3 disphosphoglycerate not increased in - inosine, hypoxanthine
155. hb dissociation curve is sigmoid because – binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules
156. modafinil used in – narcolp
157. best non surgical treatment of stress incontinence – electrical stimulation
158. carpal tunnel syndrome caused by a/e acromegalyor diabetes
159. a lady with temporal field defects, galactorrhoea, most common cause – pituitary macroadenoma
160. sleep controlled by – hypothalamus
161. juvenile arthritis all are present except – rheumatoid nodules
162. bleomycin – reduces type 2 pneumocyte
163. hepatomegaly is caused by all except – hepatocyte porphyria
164. cancer larynx – HPV 6 ..............
165. limb defects with scarring of skin in new born – varicella virus
166. mitomycin C used in – strg webr
167. cell cycle specific antineoplastic drug – vinblastine
168. treatment of osteosarcoma are a/e – high dose methotrexate,…. ?? help with rest options
169. in subclinical folic acid deficiency the following drug will bring about vitamin B 12 deficiency
170. the following drug can be given safe in pregnancy - propylthiouracil
171. rapid correction of hyperglycemia using insulin alone will result in – hypokalemia
172. icd 10 includes all except – lack of exercise, alcoholism, poisoning, unhealthy food. ??
173. cheif cells are found in – neck, pit, fundus ?
174. risk factor 4 GB Ca a/e – stones
175. motorcyclist's fructure means – ring #
176. spastic paraplegia caused by all except – motor neuron disease, vit B 12 def ..................
177. all are true about eaton lambert syndrome except – positive tensilon test.
178. pain sensitive structures – dural venous sinus,choroid n may b falx too.
179. icd….
180. cystic fibrosis all are true except – defect in calcium channel
181. girl with abnormal sweat chloride test, next diagnostic test – transnasal potential difference
182. Rheumatoid factor will give false negative tests with – coombs test….
183. abrasions can be confused with – eczema or ant bite ?
184. newborn with hydrocephalous – toxoplasmosis
185. Disease which permanently alters finger print – leprosy
186. vaginal delivery allowed in all except - monochorionic monoamniotic twins
187. dysgerminoma marker – LDH
188. Rate of mineralisation of newly formed osteoid – fluro.........
189. sympathectomy done in all except – anhidrosis
190. intermittent claudication the pain is on takn last step
191. severe chronic limb ischaemia true is – rest pain
192. best graft for surgery below inguinal is – sapheous
193. superior gluteal nerve supplies all except – gluteus maximus
194. carotid artery emboli and CRVO are differentiated by – raised retinal artery pressure
195. intrinsic factor secreted by - parietal cells
196. priviliged converstaion is between – doctor notified dis
197. myodesis is c/i in ischemia
198. which factor is specifically a part of intrinsic clotting pathway – 9
199. Seen in acute inflammation classically – vasodilatation with leakage
200. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. this is – neutrophils
201. mammography can detect all except – adenosis
202. Athletes pubalgia is...hamstrings
203. SIRS includes all except thrombocytopenia
204. substance not fermented in human intestines – cellulose
205. Hb S differs in – stability
206. all are true regarding Hb S – glutamine replaced by valine, heterozygotes are protected against malaria,
207. Standing to sitting change in - increased venous return to heart
208. Actyl Co A can't directly form – Glucose
209. Dengue Hemorrhagic fever - Second Infection with different strain of virus the second time
210. 100 KD on SDS-PAGE, then second trial s-s
2x(20KD + 30KD)
211. Wilm's Tumor - National Wilm tumor staging system orthe b option?
212. Action potential starts in the initial segment of axon because – more ion channels
213. regulatory mechanisms by all except – g coupld
214. regarding lac operon, CAP is – positive regulator
215. E157:O7 culture -
216. not a cause of primary amenorrhoea - Sheehan
217. Chlamydia infection of the eyes, true statement a/e – mostly asymptomoatic
218. Salmonella non typhi -
219. edema – C 1 esterase deficiency
220. hyperaldosteronism a/e – metabolic acidosis
221. HepB infected neonate - both Vaccine and Immunoglobin
222. Hashimoto's thyroiditis true a/e – follicular destruction, increase in lymphocytes ..............
223. Diastolic pressure - Aorta elasticity
224. IMG –
225. Joint aspiration in acute gout shows - monosodium urate crystals
226. GIST most common marker – CD 117
227. all drugs can be given to a mother who is on 35th week of gestation except – methotrexate
228. neonate change seen – tacycardia
229. heat rupture – rbc rupture
230. won't be present in right heart failure - increased PCWP
231. - joule burn
232. parotid pathway all – auticulotemporal nerve.,ottic ,lesser petrosal all supply
233. sodium bicarbonate given to local Anaesthesia – quick and longer action
234. which prevents colon cancer – high fibre diet, selenium, antioxidants
235. Entero Virus won't cause haemorrhagic fever
236. meningitis leads to through – vestibular aqueduct
237. cardiac disease predictor – Lp a
238. Benign HTN - hyaline aterioscelerosis
239. micro RNA –
240. temporal arteritis all – can cause sudden blindness, elderly, females more than males
241. most common muscle to be congenitally absent – pectoralis major
242. popliteal artery not easy to palpate because – it is not superficial, and no bony structure to palpate
243. LHD increased in – retinoblastoma, galactosemia, glaucoma
244. intestinal absorption test – xylulose
245. lambda phage ans c
246. mc cause of superficial thrombophlebitis -i.v. line
247. pseudoclaudication - cauda equina syndrome
248. stellate ganglion block causes all except – bradycardia
249. lymphoid tissue seen in – sub mucosa
250. visual cycle – opsin combines with retinol
251. high tibial osteotomy for what ?
252. vocal cord sulci- vocal abuse
253. paneth cell – has more zinc
254. pulmonary artery pruning seen in ?
255. surgical staging of ovarian ca all done except – peritoneal wasing, peritoneal biopsy, mesenteric biopsy, palpation of organs ...
256. spongy urethra drainage into which node – deep inguinal
257. In which condition is d onset of condition to death the lowest – obstructed labou
258. About mesial temporal lobe epilepsy
259. angiogenesis requires a/e – il 8
260. weight of average Indian man – 60 kgs
261. synovial fluid characteristics –
262. functions of T helper cells are all except – cytotoxic
263. DMPA - 0.3% failure rate
264. tamoxifen side effect a/e ca. in opp brst
265. eclampsia –
266. fatty content in breast is found in a/e – galactocele
267. ageing –
268. thoracic outlet syndrome diagnosed by – clinical examination
269. apoptosis which cell organelle responsible – mitochondria
270. psammoma bodies seen in a/e – follicular cancer thyroid
271. the most bactericidal among the following – O2- metabolite
272. karyotyping used for – chromosomal abnormalities
273. central chemoreceptors are sensitive to – low O2
274. blood flow is increased during exercise due to – active metabolites produced

[Guest]

1. Proteus –ans. triple phosphate renal stone
2. Appetite stimulant a/e – melanocyte stimulating hormone, melanocyte corticotropic releasing hormone, neuropeptide Y
3. non invasive diarrhoea a/e – shigella, b.cereus, salmonella, y.enterocolitica
ans b.cereus
4. motorcyclist frc
ans ring fractre
5. Probability – 6/25, 3/5, 2/5
ans 3/5
6. IDEAS – disability
7. Hernia – loop/end colostomy, loop/end ileostomy
ans end iliostomy
8. Anatomical snuff box – radial a
9. Foreign body sensation in the eye, arthritis –reactive
10. Immediately after eating dyspneoa, cyanosis – c1 def
11. Lupus anticoagulant – increase in aPTT only, abortion in pregnant females, can occur without other signs of lupus
12. Milkman # - pseudo#
13. Punched out lesion in skull – nxt dx to b done is ca level
14. Least polar – methyl, carboxyl, amino, phosphate
ans methyl
15. Nerve entrapment all except – femoral
16. Mammography less sensitive in young women – more glandular
17. Medulla blood supply all except – bulbar
18. Trochlear n – ipsilateral sup oblique, longest intracranial n, dorsal n, outside annulus of zinn
alll apr to b true bt it shd b annulus ........
19. Vasomotor centre of medulla – only baroreceptor not chemoreceptor
20. Chronic low back pain – pain management, exercise, remove the etiology
ans expt exercise
21. Pauci immune glomerulonephritis – microangiopathic
22. Coombs positive anaemia – sle
23. juxta foveal telangiectasia a/e – variant of coats, macular telangiectasia, ........
24. diabetic retinopathy treatment a/e – seal the tear, remove peripheral retinal layers, vitrectomy, photocoagulation
all are true
25. narrow angle glaucoma avoid – duloxetine, citalopram, fluphenazine,
26. valproate causes all of these n rest 1 left was da ans – weight gain, alopecia, liver damage
27. uveal effusion a/e – myopia, abnormal scleral structure, scleritis, cilio-choroid can get separated
28. nitrosamine – hypotension and bradycardia
29. paravertebral block can go to a/e – epidural space, subarachnoid space, paravertebral space, intercostals space
30. neuroblastoma – most common extracranial solid tumour in children, >50% come with mets, lung mets common, invove aorta and branches at early stage.
31. monetary fund given to – schizophrenia or mentel retardation ? help out
32. normal curve –mean=median
33. frequency distribution – histogram
34. involvement of sweat gland and hair follicles – lichen scrofulosum
35. all are direct cutaneous disease except – reiter’s disease
36. scarring alopecia – lichen planus
37. adrenal adenoma a/e – hypoechoic on non contrast ct, contrast appears early and washes out late, regular border ? help out
38. casper dictum – time since dth
39. stellate wound – contact wound
40. pedestrian with multiple abrasions – tert impact. or secondary
41. para 3+0,CIN 3 in one quadrant on pap smear, what is the management – hysterectomy
42. thyroid papillary ca 2cm – near total with rnd
43. follicular adenoma vs carcinoma – hurthle cell, increased mitosis, vascular invasion ? help
44. sertoli cells – spermatogenesis
45. obstructive azoospermia – fsh and lh nrml
46. smoking assoc with a/e – ca larynx
47. latest WHO scale of disability – ideas
48. SEPS – veins
49. commonest organ to be injured in bomb blast – lung
50. causes pf hypercoagulability a/e – paraproteinemia
51. features of pnh a/e – DVT rathr occr superficial
52. thromboembolism assoc with a/e – pnh
53. cannot be defined in operational terms –objective
54. cannot be defined in operational terms –objective
55. leptospirosis a/e – treatment of choice iv penicillin g, 10-15% mortality, rat urine
56. all true except – tetanus dust droplets
57. all true – hypochlorite virucidal, glutaraldehyde sporicidal, phenol require organic material
58. all true except – zinc def pulmonary problems
59. precocious puberty boy 5years with pubic hair, bp 120/90 – 17 a hydroxylase
60. positive urinary anion gap a/e– diarrhoea
61. water sample estimation a/e – clostridium recent contamination
62. nutritional survey a/e – 1 to 4 year mortality
63. q fever vector – aerosol
64. crude birth rate a/e – still born excl
65. imci includes all – malaria, resp infections, diarrhoea
66. trauma patient with gcs score 15, bp 100/80 next step – iv fluid with blood for cross matching
67. ductal carcinoma in situ investigation – mammography
68. calcification of post spinal ligament a/e – begins from thoracic level
69. neural tube closes from – cervical or cephalic/ help me
70. chronic renal failure patient with hyperkalemia immediate treatment glucose with insulin
71. after starvation which site will have less glucose receptor –adipose tissue
72. lipoprotein lipase a/e – adipocytes, myocytes, does not need CII as cofactor
73. child bites his fingers – hgprtase def
74. after cutting with restriction enzymes segments joined by – dna ligase
75. colon carcinoma a/e – mismatch repair
76. comet tail artefact – adenomyomatosis
77. aedes mosquito a/e - constant bite
78. dengue hmgic fever a/e – reinfection with diff serotype
79. hiv maximum transmission – homosexual
80. hiv enters – cd4
81. GIST which is increased max – cd 117
82. pancreatic transplant with bladder catheter – urine amylase, blood amylase, blood glucose
83. 29 yrs with diabetes, no ketonuria, father does not have DM ,ans dm1
84. RCC a/e – cushings
85. angiotensin a/e – vasodilatation
86. renal Physiology a/e – dct is always hypoosmotic
87. reversible ischaemia – thallium
88. maltese cross – blastomycosis, penicillium, candida
89. deep perineal pouch a/e – bulbourethral gland, urethral sphincter, root of penis
90. pelvic diaphragm a/e - colles fascia
91. aortic aneurysm rupture – posterior
92. m.c. site of subclavian artery constriction – 1st part
93. arteriovenous shunt a/e – not under the control of ANS
94. pseudomonas - ?
95. mifepristone used in – ectopic pregnancy
96. lactating female best contraceptive – barrier method
97. laproscopic sterilisation not done in – heart disease, hiatus hernia ............... neeed help
[snip]. incontinenti pigmenti a/e – 100% ophthalmic problems
99. neurofibromatosis a/e – autosomal recessive
100. trotters triad – seizures
101. tuberous sclerosis triad a/e– rhabdomyosarcoma
102. the following species of borrelia cause relapsing fever except – ????
103. pancreatic carcinoma a/e – 75% associated with p53 mutatn
104. gold standard test to diagnose insulinoma is 72 hrs fasting glucose
105. a 9 year old girl posted for tonsillectomy, massive haemorrhage with prolonged aPTT and normal PT – factor 9 def
106. simple random sampling – everyone has equal chance of being picked
107. incidence rate can be calculated from – prospective studies
108. all are analytical studies except – field trials
109. baby clinic a/e – bafter normal delivery breast feed within 4 hrs
110. target strategy in aids a/e – treatment of STD
111. chemoprophylaxis done for all except – cholera
112. vaccine with highest efficacy –tetanus
113. the following vaccine when contaminated causes toxic shock syndrome – measles vaccine
114. the following contractions of esophagus are stationary – primary, secondary, tertiary, quarternary ?? help
115. late expanding phase of population – birth rate stationary death rate falling, birth rate lower than death rate, falling death rates with low birth rate
116. fish odour from vaginal discharge – gardenella vaginalis
117. all the following are composite muscles except – flexor digitorum sup
118. the following joint has least chances for recurrent dislocation – ankle
119. hemochromatosis a/e – phlebotomy is not useful, common in females, complete penetrance. ?/???
120. a young female had following lab values mcv 70, hb 10 mg%, serum iron 60, serum ferritin 100, the diagnosis is – iron deficiency anaemia
121. facilitated diffusion is – requires carrier
122. oxygen demand of heart – increases in a constant proportion with heart rate
123. pulsatile large liver is seen in – tricuspid regurgitation
124. systolic thrill in left 2nd or 3rd intercostal space is seen in a/e – pulmonry stenosis
125. a down syndrome patient is posted for surgery, the necessary pre-op investigation to be done is – usg
126. zenkers diverticulum true statement is – barium xray lateral view
127. all are the uses of lithium except – major depression,
128. a female child was brought with complaint of generalised swelling of her body. She was passing fatty cast in her urine. No haematuria. The true statement is – no IgG or C3 deposition seen on renal biopsy
129. von hippel landau syndrome consists of a/e – gastric cancer
130. finnish type of nephrotic syndrome is due to mutation in – nephrin
131. renal polycystic disease in children all are true except – autosomal dominant
132. splicing is brought about by – sn RNA
133. superior middle alveolar artery is a branch of – palatine br of maxiilary
134. splenic artery gives all the following branches except – rt gastro epiploic
135. chemotherapy is given to all the following cancers except – (various stages of different cancers were in the options) t2 n1 mo ......
136. triple assessment of breast dis includes – history, clinical examination, obsrv
137. necrotising fasciitis a/e – due to group b haemolytic streptococcus, debridement is mandatory, involves trunk and lower limbs
138. the following cephalosporin doesn’t need dose modifications depending on gfr values – cefoperazone
139. tacrolimus side effect – nephrotoxicity
140. hand foot and mouth syndrome – capecitabin
141. amifostine – skin
142. small cell lung cancer true statement – it is chemosensitive
143. ifosphamide is – an alkylating agent
144. liquefactive necrosis is seen in – gangrene
145. reduces bone resorption and increases bone formation – strontium
146. the nephrotoxicity of cisplatin is increased by a/e – rifampicin
147. treatment of severe falciparum malaria – quinine or artesunate ??
148. hepatitis C true statement is – most common with liver transplantation
149. parvo virus B 19 false statement is – can cross the placenta in only <10% case
150. all cause traumatic asphyxia except – accidental strangulation.
151. true statement of RDA - RDA is dietry.............
152. restless leg syndrome seen in – chronic renal disease,
153. cyanosis does not occur in anaemia because – certain amount of reduced hb has to be present
154. 2,3 disphosphoglycerate not increased in - inosine, hypoxanthine
155. hb dissociation curve is sigmoid because – binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules
156. modafinil used in – narcolp
157. best non surgical treatment of stress incontinence – electrical stimulation
158. carpal tunnel syndrome caused by a/e acromegalyor diabetes
159. a lady with temporal field defects, galactorrhoea, most common cause – pituitary macroadenoma
160. sleep controlled by – hypothalamus
161. juvenile arthritis all are present except – rheumatoid nodules
162. bleomycin – reduces type 2 pneumocyte
163. hepatomegaly is caused by all except – hepatocyte porphyria
164. cancer larynx – HPV 6 ..............
165. limb defects with scarring of skin in new born – varicella virus
166. mitomycin C used in – strg webr
167. cell cycle specific antineoplastic drug – vinblastine
168. treatment of osteosarcoma are a/e – high dose methotrexate,…. ?? help with rest options
169. in subclinical folic acid deficiency the following drug will bring about vitamin B 12 deficiency
170. the following drug can be given safe in pregnancy - propylthiouracil
171. rapid correction of hyperglycemia using insulin alone will result in – hypokalemia
172. icd 10 includes all except – lack of exercise, alcoholism, poisoning, unhealthy food. ??
173. cheif cells are found in – neck, pit, fundus ?
174. risk factor 4 GB Ca a/e – stones
175. motorcyclist's fructure means – ring #
176. spastic paraplegia caused by all except – motor neuron disease, vit B 12 def ..................
177. all are true about eaton lambert syndrome except – positive tensilon test.
178. pain sensitive structures – dural venous sinus,choroid n may b falx too.
179. icd….
180. cystic fibrosis all are true except – defect in calcium channel
181. girl with abnormal sweat chloride test, next diagnostic test – transnasal potential difference
182. Rheumatoid factor will give false negative tests with – coombs test….
183. abrasions can be confused with – eczema or ant bite ?
184. newborn with hydrocephalous – toxoplasmosis
185. Disease which permanently alters finger print – leprosy
186. vaginal delivery allowed in all except - monochorionic monoamniotic twins
187. dysgerminoma marker – LDH
188. Rate of mineralisation of newly formed osteoid – fluro.........
189. sympathectomy done in all except – anhidrosis
190. intermittent claudication the pain is on takn last step
191. severe chronic limb ischaemia true is – rest pain
192. best graft for surgery below inguinal is – sapheous
193. superior gluteal nerve supplies all except – gluteus maximus
194. carotid artery emboli and CRVO are differentiated by – raised retinal artery pressure
195. intrinsic factor secreted by - parietal cells
196. priviliged converstaion is between – doctor notified dis
197. myodesis is c/i in ischemia
198. which factor is specifically a part of intrinsic clotting pathway – 9
199. Seen in acute inflammation classically – vasodilatation with leakage
200. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. this is – neutrophils
201. mammography can detect all except – adenosis
202. Athletes pubalgia is...hamstrings
203. SIRS includes all except thrombocytopenia
204. substance not fermented in human intestines – cellulose
205. Hb S differs in – stability
206. all are true regarding Hb S – glutamine replaced by valine, heterozygotes are protected against malaria,
207. Standing to sitting change in - increased venous return to heart
208. Actyl Co A can't directly form – Glucose
209. Dengue Hemorrhagic fever - Second Infection with different strain of virus the second time
210. 100 KD on SDS-PAGE, then second trial s-s
2x(20KD + 30KD)
211. Wilm's Tumor - National Wilm tumor staging system orthe b option?
212. Action potential starts in the initial segment of axon because – more ion channels
213. regulatory mechanisms by all except – g coupld
214. regarding lac operon, CAP is – positive regulator
215. E157:O7 culture -
216. not a cause of primary amenorrhoea - Sheehan
217. Chlamydia infection of the eyes, true statement a/e – mostly asymptomoatic
218. Salmonella non typhi -
219. edema – C 1 esterase deficiency
220. hyperaldosteronism a/e – metabolic acidosis
221. HepB infected neonate - both Vaccine and Immunoglobin
222. Hashimoto's thyroiditis true a/e – follicular destruction, increase in lymphocytes ..............
223. Diastolic pressure - Aorta elasticity
224. IMG –
225. Joint aspiration in acute gout shows - monosodium urate crystals
226. GIST most common marker – CD 117
227. all drugs can be given to a mother who is on 35th week of gestation except – methotrexate
228. neonate change seen – tacycardia
229. heat rupture – rbc rupture
230. won't be present in right heart failure - increased PCWP
231. - joule burn
232. parotid pathway all – auticulotemporal nerve.,ottic ,lesser petrosal all supply
233. sodium bicarbonate given to local Anaesthesia – quick and longer action
234. which prevents colon cancer – high fibre diet, selenium, antioxidants
235. Entero Virus won't cause haemorrhagic fever
236. meningitis leads to through – vestibular aqueduct
237. cardiac disease predictor – Lp a
238. Benign HTN - hyaline aterioscelerosis
239. micro RNA –
240. temporal arteritis all – can cause sudden blindness, elderly, females more than males
241. most common muscle to be congenitally absent – pectoralis major
242. popliteal artery not easy to palpate because – it is not superficial, and no bony structure to palpate
243. LHD increased in – retinoblastoma, galactosemia, glaucoma
244. intestinal absorption test – xylulose
245. lambda phage ans c
246. mc cause of superficial thrombophlebitis -i.v. line
247. pseudoclaudication - cauda equina syndrome
248. stellate ganglion block causes all except – bradycardia
249. lymphoid tissue seen in – sub mucosa
250. visual cycle – opsin combines with retinol
251. high tibial osteotomy for what ?
252. vocal cord sulci- vocal abuse
253. paneth cell – has more zinc
254. pulmonary artery pruning seen in ?
255. surgical staging of ovarian ca all done except – peritoneal wasing, peritoneal biopsy, mesenteric biopsy, palpation of organs ...
256. spongy urethra drainage into which node – deep inguinal
257. In which condition is d onset of condition to death the lowest – obstructed labou
258. About mesial temporal lobe epilepsy
259. angiogenesis requires a/e – il 8
260. weight of average Indian man – 60 kgs
261. synovial fluid characteristics –
262. functions of T helper cells are all except – cytotoxic
263. DMPA - 0.3% failure rate
264. tamoxifen side effect a/e ca. in opp brst
265. eclampsia –
266. fatty content in breast is found in a/e – galactocele
267. ageing –
268. thoracic outlet syndrome diagnosed by – clinical examination
269. apoptosis which cell organelle responsible – mitochondria
270. psammoma bodies seen in a/e – follicular cancer thyroid
271. the most bactericidal among the following – O2- metabolite
272. karyotyping used for – chromosomal abnormalities
273. central chemoreceptors are sensitive to – low O2
274. blood flow is increased during exercise due to – active metabolites produced

[sukhi]

Q; HYPERCALCEMIA seen in a/e -
a) hyperparathyroidism
b)
c)
d)celiac ds

q; NEPHROTOXICITY seen in all except-
a)gentamiciin
b)vancomycin
c)tacrolimus
d)

q;targeted intervention include all except-
a)stds
b)behavioral change

Q; SYSTOLIC THRILL in a/e-
a)pulmonary stenosis
b)vsd

q;VIT. A .....
A)PRIMARY preven.
b)health promotion

Q; subclinical folate def aggravated by-
a)phenytoin
b)b-12
c)

q; increased risk of breast cancer-
a)atypical hyperplasia

[raman.]

Q.Drug which can be used in renal failure:
a. Cefime
b. Cefoperazone
c. Cephaloridine
d. Cefuroxime

Ans. b. Cefoperazone

Q.Has highest efficacy:
1 measles
2 tetanus
3 pertusis
4 BCG

Ans: tetanus

Q.Chemprophylax not used in:
1 cholera
2 plague
3 meningo cocal meningitis
4 typhoid

Ans: typhoid

Q.Stenosis of subclavian artery is common in which part

a) 1st part
b) 2nd part
c) 3rd part
d) equal in all parts

Ans:a) 1st part

Q. bleomycin toxicity affects which type of cells...

1) type 1 pneumocyte
2) type 2 pneumocyte
3) endothelial cell.
4) alvmacrophag
Ans: type 2 pneumocyte

Q.Doc in cerebral malaria:
a. Chloroquin
b. Quinine
c. Mefloquin
d. Artemether

Ans. b. Quinine

Psammoma bodies seen in a/e
a. Follicular ca thyroid
b. Rcc
c. Serus cystadenona
d. Meningioma

Ans. a. Foll ca thyroid

Neural tube closure starts from-
a. Cervical
b. Thoracic
c. Lumbar
d. Cranial

Ans??

[raman.]

Q1. all are traumatic asphyxia except
1.railway accident
2.road traffic accident
3.accidental strangulation
4.stampede

Q2.extensive abrasions are found on the body of a pedestrian lying by the road side. What is the cause

1. primary impact injury
2.secondary impact injury
3.secondary injury
4.postmortem artifact

Q3. vaginal delivery allowed in all except
1. monochorionic monoamniotic twins
2. first twin cephalic and second breech
3. extended breech,
4. mento anterior

Q4. creamy and fishy odour vaginal discharge is seen in
1. trichomonas vag
2.candida albicans
3.gardnerella vag
4. chlamydia trachomatis


Q5. Dysgerminoma marker

1. beta hcg
2. AFP
3.LDH
4.CA-A 19-9

Q6. Rate of mineralization of newly formed osteoid
1. vonkossa stain
2.alzarin red
3. Biopsy
4. Flourescence

Q7. osteosarcoma, used all except
1.high dose methotrexate
2.cyclophosphamide
3. cisplatin
4. Etoposide

Q8. DMS IV include benefit for
1. schizophrenea
2. bipolar affective disorder
3. mental retardation
4. dementia

Q9. Vaccine with best efficacy
1. TT
2. DPT
3. Measles
4. Typhoid

Q10. when patient with hyperglycemia is given insulin result is-
a.hypokalemia
b.hyperkalemia
c.hyponatremia
d.hypernatremia

Q11. pain sensitive structure in brain is-
a.middle cerebral artery
b.choroidal plexus
3. Dural sheath
4. Falx cerebri

Q12. Superior gluteal nerve supplies all except:
1. gluteus medius
2.gluteus maximus
3. gluteus minimus
4. tensor fascia lata

Q13. Intermittent claudication:
1.pain in the limb
2. pain on the start of walking
3. pain at the end of walking
4. pain only on doing excersise

Q14. 20yrs. old male with Hb-10 MCV 70 serum iron 65 serum ferritin 100 what is the diagnosis
a.iron deficiency
b.minor thallasemia
c.folate deficiency
d.b12 deficiency

Q15. Person with sub clinical folate def., following drugs will ppt folate def except
1. alcohol
2. chloroquine
3.sulfasalazine
4.phenytoin

Q16. Carotid artery emboli and CRVO are differentiated by?
1. Dilated veins
2. Tortuous veins
3. ophthalmodynamometry
4. arterial pressure

Q17. investigations of choice for DACTAL CARCINOMA IN SITU –
a.mammograpy
b.mri
c.pet
d.ultrasound

Q18. stellate wound is:
a. contact wound
b. from close range
c. w/i 2 meters range
d. long range

Q19. . Basic defect in Hb S is
a. altered function
b. altered solubility
c. altered stability
d. altered O2 binding capacity

Q20. COMPOSITE MUSCLES are all except:
a. flexor digitorum superficialis
b. flexor digitorum profundus
c. pectineus
d. biceps femoris

Q21. Which of these is a set point which is framed for a long term plans, but yet something that can not be quantified/measured?
a. Target
b. Goal
c. Objective
d. Mission

Q22. Which of these is an FDA approved indication for use of modafinil as an adjunct?
a. Major depression and associated lethargy
b. Narcolepsy
c. Obstructive sleep apnea
d. Shift work disorder

Q23. Which is seen in intrinsic pathway?
a. Factor XII
b. Factor XI
c. Factor II
d. Factor VII

Q24. Ifosamide belongs to which class ?
1. Alkylating agents
2. Antimetabolite
3. Folate antagonists
4. Plant Alkaloids

Q25. which of the following is cell cycle specific
1. ifosamide
2. bleomycin
3. cisplatin
4. cyclophosphamide

Q26. sleep is controlled by which centre

a.thalamus
b. hypothalamus
c. putamen
d. limbic cortex


Q27. Which is not a branch of spleenic art

1. a.pancreatica magna
2. short gastric a
3. hilar vessels
4. rt. gastroepiploic (ans)

Q28. sup. gluteal n suppplies all except

1. gl.maximus (ans)
2. gl.minimus
3. gl.medius
4. tensor f.lata

Q29. gastrointstinal lyphoid tissue found in-

1.lamina propria
2.submucosa
3.mucosa
4.serosa

Q30. maltese cross in fluoroscence is seen in?

1. cryptococcus neoformans
2. candida albicans
3. blastomycosis
4. pencillium marfeni

[raman.]

Q31. Which of these is not done in advanced proliferative diabetic retinopathy?

a. Removal of epiretinal membranes
b. Vitrectomy
c. Exo-photocoagulation
d. Reattachment of retina


Q32. Regarding pancreatic cancer, all true except:

a. More than 75% have p53 mutations
b. More common in people with familial pancreatitis
c. 3-6 m survival in stage 3
d. 15-20% survival on 5 yrs


Q33. A girl aged 8yrs has been admitted for dialysis. She has serum K of 7.5meq/l. Which is the fastest way to reduce the hyperkalemia?

a. Kayexelate enema
b. Infusion of insulin+glucose
c. Iv calcium gluconate
d. Iv NaHCO3
answer will be b

second way

A girl aged 8yrs has been admitted for dialysis. She has serum K of 7.5meq/l. Which is the quickest step in stabilising her?

a. Kayexelate enema
b. Infusion of insulin+glucose
c. Iv calcium gluconate
d. Iv NaHCO3

answer will be c

Q34. On a given day a hospital had 50 admissions. 20 girls, out of which 10 needed surgery and out of 30 boys which were admitted 20 needed surgeries. What is the probability of picking up a person requiring surgery?

1. 3/5
2. 2/6
3. 5/26
4.1/2

[raman.]

Q36.Pain sensitive area of brain A/E:
1)Dural sinuses
2)middle meningeal a.
3)Falx cerebri
4)Choroid plexus
Ans:4
Ref-Hari16,85


Q37.ICG angiography is primarily indicated in
1.minimal classical CNV
2.Occult CNV
3.angioid streaks with CNV
4.polypoidal choroidal vasculopathy

Ans:2)Occult CNV

[jeevan]

type of fracture in motorcyclist accident?
1.ring fracture
2.fracture separating antr and postr part of base of skull
ans:2

[sm]

q----trotter's triad include all except
q-----uric acid stone found in
q------diagnostic of thoracic outlet syndrome
q-------true abt DMPA all except
q-------organ not protected by amifostine during radiotherapy
q------true abt reference man
q------misoprost used in
q------not true abt xanthogranulomatous disease
q------true abt pigmenti incontenti
q------prunning of artery in xray seen inq
q------true abt lambdaphage all except
q------CT finding of adrenal adenoma
Q------SOD. BICARBONATE ADDED IN LOCAL ANAESTHESIA FOR

[dreamanaesthesia]

Ultimate Analysis
1. Evidence based treatmrnt of mennohragia A/E Ethamsylate
2. ICG Indocyanin green angiography is done for occult CNV
3. Motor cyclists fracture- base of skull div into 2 halves each moving independently
4. paravertebral block spreads in a/e answer : subarachnoid
5. not a composite muscle.....f.digitorum suprficialis
6. sympathetectomy is not indicated in...a)intermittent claudication
7. doc fr complicated f.malaria...a)quinine
8. smokig doesnt cause which cancer- NP Carcinoma
9. restless leg synd-ans is renal failure
10. When light falls ob retina- visual pigment hydrolysis
11. Popliteal Artery is not superficial
12. Pectoralis minor
13. creamy n fishy odour vaginal discharge seen in- G vaginalis
14. a renal Physiology q- all are true except renal blood flow is 5% of cardiac output
15. Trochlear n – ipsilateral sup oblique, longest intracranial n, dorsal n, outside annulus of zinn MILKMANS FRACTURE- pseudofracture
16. BLUNT TRAUMA ABD NOT IN SHOCK VALUES NORMAL.MX- IVF+ Blood sampling
17. . Proteus –ans. triple phosphate renal stone
18. Appetite stimulant a/e – melanocyte stimulating hormone
19. . non invasive diarrhoea a/e –, b.cereus
20. . Probability –ans 3/5
21. latest WHO scale of disability – ideas
22. Hernia – loop/end colostomy, loop/end ileostomy
23. Anatomical snuff box – radial a
24. Foreign body sensation in the eye, arthritis –reactive
25. Immediately after eating dyspneoa, cyanosis- Anaohylaxis
26. c1 def
27. Lupus anticoagulant – increase in aPTT only, abortion in pregnant females, can occur without other signs of lupus , cause life threatening bleeding
28. Punched out lesion in skull – nxt dx to b done is ca level, or electrophoresis
29. . Least polar – methyl,
30. Nerve entrapment all except – femoral
31. Mammography less sensitive in young women – more glandular
32. Medulla blood supply all except – bulbar, PICA,Basilar artery
33. Vasomotor centre of medulla – only baroreceptor not chemoreceptor
34. Chronic low back pain – pain management, exercise, remove the etiology
35. Pauci immune glomerulonephritis PAN
36. Coombs positive anaemia – sle
37. juxta foveal telangiectasia a/e – variant of coats, macular telangiectasia
38. diabetic retinopathy treatment a/e – seal the tear, remove peripheral retinal layers, vitrectomy, photocoagulation
39. narrow angle glaucoma avoid –fluphenazine
40. valproate causes all of these n rest 1 left was da ans – weight gain, alopecia, liver damage
41. uveal effusion a/e – myopia, abnormal scleral structure, scleritis, cilio-choroid can get separated
42. Nitroglycerine adv eff a/e – hypotension and bradycardia , Met hb, fall in PO2


43. neuroblastoma – most common extracranial solid tumour in children, >50% come with mets, lung mets common, invove aorta and branches at early stage.
44. monetary fund given to – schizophrenia or mentel retardation
45. normal curve –mean=median
46. frequency distribution – histogram, simple bar , line diagram
47. involvement of sweat gland and hair follicles – lichen scrofulosum, papulonecrotic
48. all are direct cutaneous disease except – reiter’s disease
49. scarring alopecia – lichen planus
50. adrenal adenoma benign features a/e – hypoechoic on non contrast ct, contrast appears early and washes out late, regular border microcalcification, oncocytoma
51. casper dictum – time since dth
52. . stellate wound – contact wound
53. pedestrian with multiple abrasions – tert impact. or secondary
54.
para 3+0,CIN 3 in one quadrant on pap smear, what is the management – hysterectomy
55. thyroid papillary ca 2cm – near total with rnd or modified rnd
56. . follicular adenoma vs carcinoma, vascular invasion
57. sertoli cells – spermiogenesis, meiosis, testosterone
58. obstructive azoospermia – fsh and lh nrml
59. SEPS – veins
60. commonest organ to be injured in bomb blast – lung
61. causes pf hypercoagulability a/e – paraproteinemia. ?
62. features of pnh a/e massive splenomegaly

63. cannot be defined in operational terms –objective
64. . cannot be defined in operational terms –objective

65. leptospirosis a/e – treatment of choice iv penicillin g, 10-15% mortality, rat urine
66. . all true except – tetanus dust droplets
67. all true – hypochlorite virucidal, glutaraldehyde sporicidal, phenol require organic material
68. precocious puberty boy 5years with pubic hair, bp 120/90 – 17 a hydroxylase, 11 OH lase
69. positive urinary anion gap a/e– diarrhea
70. water sample estimation a/e – clostridium recent contamination
71. nutritional survey a/e – 1 to 4 year mortality /??
72. . q fever vector – aerosol
73. . crude birth rate a/e – still born excl???
74. . imci includes all – malaria, resp infections, diarrhea TB
75. ductal carcinoma in situ investigation – mammography
.
76. . calcification of post spinal ligament a/e – begins from thoracic level??
77. neural tube closes from – cervical or cephalic
78. chronic renal failure patient with hyperkalemia immediate treatment glucose with insulin , calcium gluconate
79. adipose tissue.. provides energy at rest, starvation
80. . lipoprotein lipase a/e – adipocytes, myocytes, does not need CII as cofactor
81. child bites his fingers – hgprtase def

82. after cutting with restriction enzymes segments joined by – dna ligase
83. . colon carcinoma a/e – mismatch repair APC B Catenin K ras
.
84. GB comet tail artefact – adenomyomatosis
85. aedes mosquito a/e - constant bite virus takes 7-8 days to develop???
86. dengue hmgic fever a/e – reinfection with diff serotype
87. hiv maximum propensity for transmission – Blood transfusion
88. hiv enters – cd4
89. GIST which is increased max – cd 117
90. pancreatic transplant with bladder catheter – urine amylase, blood amylase, blood glucose
91. 29 yrs with diabetes, no ketonuria, father does not have DM MODY DM1 DM 2
92. RCC a/e – cushings
93. angiotensin a/e – vasodilatation
94. myocardium reversible ischaemia – thallium
95. maltese cross – blastomycosis, penicillium, candida cryptococcosis aspergillus
Urogenital diaphragm contains
96. a/e – bulbourethral gland, urethral sphincter, root of penis
97. aortic aneurysm rupture – posterior anterior
98. . m.c. site of subclavian artery constriction – 1st part
99. arteriovenous shunt a/e – not under the control of ANS, all the organs have shunt vessels
100. mifepristone used in – ectopic pregnancy, molar preg, threatened abortion
101. lactating female best contraceptive – barrier method

102. laproscopic sterilisation not done in – heart disease, hiatus hernia obesity...............
103. incontinenti pigmenti a/e unilateral; 100 % ???
104. neurofibromatosis a/e – autosomal recessive
105. tuberous sclerosis triad a/e– rhabdomyosarcoma mr ???
106. . the following species of borrelia cause endemic relapsing fever except – ????
107. pancreatic carcinoma a/e – 75% associated with p53 mutatn, stage 3 ds has 6 mnth survival, 5 yr survival
108. gold standard test to diagnose insulinoma is fast up to 72 h with serum glucose, C-peptide, and insulin measurements every 4–8 h.
109. a 9 year old girl posted for tonsillectomy, massive haemorrhage with prolonged aPTT and normal PT – factor 9 def 5 def
110. simple random sampling – everyone has equal chance of being picked
111. . incidence rate can be calculated from – prospective studies
112. all are analytical studies except – field trials, ecological st
113. baby clinic a/e – bafter normal delivery breast feed within 4 hrs
114. target strategy in aids a/e – treatment of STD???’
115. chemoprophylaxis done for all except typhoid
116. vaccine with highest efficacy –tetanus
117. the following vaccine when contaminated causes toxic shock syndrome – measles vaccine
118. the following contractions of esophagus are stationary – primary, secondary, tertiary, quarternary
119. late expanding phase of population – birth rate stationary death rate falling, birth rate lower than death rate, falling death rates with low birth rate
120. fish odour from vaginal discharge – gardenella vaginalis
121. the following joint has least chances for recurrent dislocation – ankle
122. hemochromatosis a/e – phlebotomy is not useful, common in females, complete penetrance. Genetically heterogenous
123. a young female had following lab values mcv 70, hb 10 mg%, serum iron 60, serum ferritin 100, the diagnosis is – iron deficiency anaemia
124. facilitated diffusion is – requires carrier
125. . oxygen demand of heart – increases in a constant proportion with heart rate????
126. pulsatile large liver is seen in – tricuspid regurgitation
127. systolic thrill in left 2nd or 3rd intercostal space is seen in a/e – pulmonry stenosis ebsteins snomaly
128. . a down syndrome patient is posted for surgery, the necessary pre-op investigation to be done is – usg echo
129. zenkers diverticulum true statement is – barium xray lateral view
130. . all are the uses of lithium except – major depression anxiety vascular headache
131. a female child was brought with complaint of generalised swelling of her body. She was passing fatty cast in her urine. No haematuria. The true statement is – no IgG or C3 deposition seen on renal biopsy
132. . von hippel landau syndrome consists of a/e – gastric cancer cerebellar ocular hemangioblastoma
133. . finnish type of nephrotic syndrome is due to mutation in – nephrin
134. renal polycystic disease in children all are true except – autosomal dominant
135. splicing is brought about by – sn RNA
136. superior middle alveolar artery is a branch of – palatine br of maxiilary
137. splenic artery gives all the following branches except – rt gastro epiploic
138. chemotherapy is given to all the following cancers except – (various stages of different cancers were in the options) t2 n1 mo ...... t1 no mo glottic ca may be the answer
139. triple assessment of breast dis includes
140. necrotising fasciitis a/e – due to group b haemolytic streptococcus, debridement is mandatory, involves trunk and lower limbs
141. . the following cephalosporin doesn’t need dose modifications depending on gfr values – cefoperazone
142. tacrolimus side effect – nephrotoxicity
143. hand foot and mouth syndrome – capecitabine
144. amifostine radioprotective in a/e CNS – skin
145. small cell lung cancer true statement – it is chemosensitive
146. ifosphamide is – an alkylating agent
147. Coagulative necrosis in TB
148. . reduces bone resorption and increases bone formation – strontium
149. the nephrotoxicity of tacrolimus is increased by a/e – rifampicin
150. hepatitis C true statement is – most common with liver transplantation
151. parvo virus B 19 false statement is – can cross the placenta in only <10% case DNa virus??/
152. all cause traumatic asphyxia except – accidental strangulation. Railway accidents???
153. true statement of RDA
154. cyanosis does not occur in anaemia because – certain amount of reduced hb has to be present
155. . 2,3 disphosphoglycerate not increased in - inosine, hypoxanthine
156. . hb dissociation curve is sigmoid because – binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules
157. modafinil used in – narcolp
158. best non surgical treatment of stress incontinence – electrical stimulation pelvic exercise????
159. carpal tunnel syndrome caused by a/e acromegalyor diabetes amyloidosis
160. . a lady with temporal field defects, galactorrhoea, most common cause – pituitary macroadenoma
161. sleep controlled by – hypothalamus thalamus??/
162. juvenile arthritis all are present except – rheumatoid nodules
163. . bleomycin – reduces type 2 pneumocyte???
164. hepatomegaly is caused by all except – hepatocyte porphyria??
165. cancer larynx – HPV 6 more virulent
166. limb defects with scarring of skin in new born – varicella virus herpes
167. mitomycin C used in – strg webr endoscopic tr of angiofibroma
168. cell cycle specific antineoplastic drug – vinblastine

169. treatment of 35 mnth pregnancy are a/e – high dose methotrexate,….
170. . in subclinical folic acid deficiency the following drug will NOT bring about vitamin B 12 deficiency ? chloroquine
171. the following drug can be given safe in pregnancy - propylthiouracil
172. icd 10 includes all except – lack of exercise, alcoholism, poisoning, unhealthy food. ??
173. cheif cells are found in – neck, pit, fundus ?
174. risk factor 4 GB Ca a/e – stones ???

175. spastic paraplegia caused by all except – motor neuron disease, vit B 12 def .lead neuropathy................
176. all are true about eaton lambert syndrome except – positive tensilon test. Glucocorticoids
177. pain sensitive structures –,choroid
178. cystic fibrosis all are true except – defect in calcium channel
179. girl with abnormal sweat chloride test, next diagnostic test – transnasal potential difference
180. Rheumatoid factor will give false negative tests with – coombs test
181. abrasions can be confused with –ant bite
182. newborn with hydrocephalous – toxoplasmosis
183. Disease which permanently alters finger print – leprosy
184. vaginal delivery allowed in all except - monochorionic monoamniotic
185. dysgerminoma marker – LDH
186. Rate of mineralisation of newly formed osteoid – fluro.....Alizarin von kossa....
187. sympathectomy done in all except – int mitten claudi
188. 190. intermittent claudication the pain is on takn last step only on exercise
189. severe chronic limb ischaemia true is – rest pain ulcer ?//
190. best graft for surgery below inguinal is – sapheous
191. superior gluteal nerve supplies all except – gluteus maximus
192. carotid artery emboli and CRVO are differentiated by – raised retinal artery pressure??
193. intrinsic factor secreted by - parietal cells
194. priviliged converstaion is between – doctor notified dis
195. myodesis is c/i in ischemia children
196. which factor is specifically a part of intrinsic clotting pathway – 9 12?
197. Seen in acute inflammation classically – vasodilatation with leakage
198. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. this is – neutrophils collagen scar?
199. mammography can detect all except – adenosis ???
200. Athletes pubalgia is...hamstrings?/
201. SIRS includes all except thrombocytopenia leukocytosis
202. substance not fermented in human colon– cellulose starch
203. Hb S differs in – stability function
204. all are true regarding Hb S except – glutamine replaced by valine, heterozygotes are protected against malaria,
205. Standing to sitting change in - increased venous return to heart
206. . Actyl Co A can't directly form – Glucose
207. 100 KD on SDS-PAGE, then second trial s-s
2x(20KD + 30KD)
208. Wilm's Tumor - National Wilm tumor staging system orthe b option?
209. . Action potential starts in the initial segment of axon because – more ion channels lowest threshold??
210. regulatory mechanisms by all except – g coupld ??
211. regarding lac operon, CAP is – positive regulator or negative
212. E157:O7 culture – XLD or sorbitol maconkey
213. not a cause of primary amenorrhoea - Sheehan
214. Chlamydia infection of the eyes, true statement a/e – mostly asymptomoatic??
215. Salmonella non typhi –
216. edema – C 1 esterase deficiency
217. hyperaldosteronism a/e – metabolic acidosis
218. HepB infected neonate - both Vaccine and Immunoglobin
219. Hashimoto's thyroiditis true a/e – follicular destruction, increase in lymphocytes orphan annie nucleus..............
220. pressure - Aorta elasticity
221. Joint aspiration in acute gout shows - monosodium urate crystals
222. neonate change seen Bradycardia229. heat rupture – rbc rupture
223. +ve jugulo hepatic reflex Which won't be present increased PCWP??
224. Extensive abrasion in pedestrian secondary injury
225. parotid pathway all except–,Greater petrosal
226. sodium bicarbonate given to local Anaesthesia – quick and longer action
227. which prevents colon cancer – high fibre diet,
228. Entero Virus won't cause haemorrhagic fever
229. meningitis leads to labyrinth through – vestibular aqueduct ???
230. cardiac disease predictor – Lp a
231. Benign HTN - hyaline aterioscelerosis
232. micro RNA – Splicing??
233. temporal arteritis all – can cause sudden blindness, elderly, females more than males
234. LDH increased in vitreous in – retinoblastoma
235. intestinal absorption test – xylulose
236. lambda phage
237. mc cause of superficial thrombophlebitis -i.v. line
238. pseudoclaudication - cauda equina syndrome
239. stellate ganglion block causes all except – bradycardia horners
240. Streptococcus pyogenes a/e plasmid mediated streptodornas edna streptokinase
241. lymphoid tissue seen in – sub mucosa lamina propria
242. visual cycle – hydrolysis of pigment
243. high tibial osteotomy a/e 30 degree correctn cancellous bone252. laryngeal pseudo sulci- vocal abuse gerd tb
244. paneth cell – has more zinc , formy
245. pulmonary artery pruning seen in ? PAH
246. Surgical staging of ovarian ca all done except – peritoneal wasing, peritoneal biopsy, mesenteric biopsy, palpation of organs ... ]
247. spongy urethra drainage into which node – deep inguinal Superficial inguinal
248. In which condition is d onset of condition to death the lowest – obstructed labou APH PPH
249. About mesial temporal lobe epilepsy
250. angiogenesis requires a/e – il 8 VEGF
251. weight of average Indian man – 60 kgs
252. synovial fluid characteristics – non newtonian coeff of viscosity secreted by type 1 cells
253. functions of T helper cells are all except – cytotoxic memory B
254. DMPA - 0.3% failure rate
255. tamoxifen side effect a/e ca. in opp brst
256. eclampsia – RF Cereb hrge
257. fatty content in breast is found in a/e – galactocele seborrheic keratosi
258. thoracic outlet syndrome diagnosed by – clinical examination best diagnosis
259. apoptosis which cell organelle responsible – mitochondria
260. the most bactericidal among the following – O2- metabolite basic cationic protein
261. karyotyping used for – chromosomal abnormalities
262. central chemoreceptors are sensitive to – low O2 high pco2
263. blood flow is increased during exe in muscles coz of metabolite
264. ------not true abt xanthogranulomatous disease Tb??/
265. Pasteurella multocida- Animal bite
266. Not hypercoagulable state- DM/?
267. Structure lateral to anterior perforated substance insula?
268. contraceptive of choice in breast feeding condom minipill
269. HIv Cardiac manifestation all except aneurysm tamponade
270. Most imp factor for prognosis of ca colorectal ca- size and type?
271. Acetyl CoA not converted to glucose
272. Acute leukemia and leukocytosis in a child warrants a/e hydration alkalinization immediate chemotherapy allopurinol
273. About HRT all true exc Dermal estrogen has less chance of thromboembolism than oral estrogen ???
274. Necrotizing fascitis a/e always fasciotomy unilateral beta streptococci
275. Paediatric volume status best measured by preload strke vol cardiac output HR
276. Hirsuitism all exc hyperthyroidism
277. Most comm. Cause of death in pt with total hip replacement pneumonia thromboembolism
278. HYpercalcemia in a/e celiac ds
279. Oxidation reduction occurs with a/e hydroperoxidases peroxidases oxygenases
280. STEPS non communicable ds ???
281. Listeria ??? refrigerated food can cause infn is true
282. Congenital defrormity of an organ is malformation
283. Genomic imprinting
284. uveal effusion myopia???
285. Splenic artery’s br a/e rt gastroepiploic
286.

[superman.]

*Contraction of esophagus that is stationary-
a. primary
b. secondary
c. tertiary
d. quartenary

*Parastomal hernia MCC-
a. loop colostomy
b. end colostomy
c. loop ileostomy
d. end ileostomy

*Blood supply of medulla a/e
a. ant spinal
b. bulbar
c. basilar
d. post cerebellar

[jimmy.]

WHICH DRUG IS MOST EFFECTIVE FOR SEVERE COMPLICATED FALCIPARUM MALARIA?

1.CHLOROQUININE
2. QUININE
3.ARTEMETHER
4.ARTESUNATE

I AM SURE ABT QUES EXACT LINES AND CHOICES. ANSWER SHUD BE CHLOROQUININE B\C THEY HAV NOT MENTIONED THAT MALARIA IS RESISTANT TO CHLOROQUININE. AND IF NOT RESISTANT CHLOROQUININE IS MOST EFFECTIVE DRUG\DOC IN MALARIA

[btra.]

in case of severe hyperglycemia if we give only insulin which of the following will happen?
a)hypo Na
b)hyper Na
c)hypo K
d)hyper K
answer is b that is hypernatremia..

[drsaw.]

Q. Myodesis is contraindicated in...
1) children
2) tumor
3) ischemia
4) paralysis
Ans:3)ischemia

"MYODESIS is not recommended for ischemic patients .Instead the surgeon wil probably employ the technique of myoplasty". Source-ACA Fact sheet on limb loss definitions

[sandy.]

white vaginal discharge with fishy odour >

1) b.vaginosis
2) gardenerella
3)
4)

ans : b.vaginosis but it has greyish-white discharge....and gardenerella may
also mimic vaginosis so that option is also correct probably

[soman.]

Q.Sup gluteal nerve supplies a/e:
a)Gluteus maximus b)Gl minimus
c)Gl medius d)Tensor fascia lata


Ansa)Gluteus maximus


Q.Smokin is not associated with ... 1)Ca esophagus
2)ca larynx
3)ca nasopharynx, 4)ca urinary bladder

Ans:3)Ca nasopharynx

Smoking increases the risk for carcinoma oral cavity,pharynx,esophagus,larynx,stomach,colon,Bladder

[jiya.]

Q.1) WHICH IS THE LATEST GUIDELINE USED IN CALCULATING DISABILITY?

a)absentism 4m job
b)economic productivity
c)fever
d)loss of sleep


Q.2)WHICH OF THE FOLLOWING DOSEN'T DECREASE THE RISK OF HIV TRANSMISSION?

A)PROVIDING ART
b)treating S.T.D.
C) PROVIDING CONDOMS
d) educational awareness