Saturday, November 15, 2008

49 - AIIMS november 2008 - 200 questions

ANATOMY:

1. in a subclavian artery block at the outer border of first rib all of the following vessels help in maintaining the circulation to upper limp except? 


a. thyrocervical trunk 
b. suprascapular a 
c. sub scapular a 
d. superior thoracic a. 

 

answer:

2. fascia around nerve bundle of brachial plexus is derived from? 


a. prevertebral fascia 
b. clavipectoral fascia 
c. deep cervical fascia 
d. pectoral fascia. 

 

Answer:

3.buccinator muscle is pierced by all except? 


a. buccal br of facial n. 
b. mucus gland of buccopharyngeal fascia. 
c. parotid duct 
d. buccal br of mandibular n. 

 

answer:

4.which of the following brainstem nuclei is not derived from alar plate? 


a. hypoglossal nuclei 
b. inferior olivary nucleus 
c. dentate nucleus 
d. substantis nigra 

answer:


5. which is not a permanent mucosal fold? 

a. gastric rugae 
b. spiral valve 
c. transverse rectal fold 
d. plica semilunaris

 

answer:


6. not a boundary of triangle of auscultation? 


a. scapula 
b. trapezius 
c. latissimus dorsi 
d. serratus anterior 

answer:


7.spleen projects into the following space of peritoneal cavity? 


a. greater sac 
b. paracolic gutter 
c. left subhepatic space 
d. infracolic compartment 

answer:


8. sternocleidomastoid is not supplied by? 

a. superior thyroid a. 
b. thyrocervical trunk 
c. occipital a 
d. post auricular a 

answer:


9.which of the following is the terminal group of lymph node in coeliac axis? 

a. preaortic 
b. lateral sacral 
c. para colic 
d. intermediate gp. 

answer:

PHYSIOLOGY :

10.nitrogen narcosis is caused due to? 


a. increased susceptibility of neurons for nitrogen 
b. nitrogen inhibits dismutase enzyme 
c. decrease in oxygen free radicals 
d. increased production of nitrous oxide 

answer:


11. CSF pressure depends primarily upon? 


a. rate of formation from choroid plexus 
b. rate of absorption 
c. cerebral blood flow 
d. blood pressure

answer:


12.all are non functional plasma enzymes except? 

a. lipoprotein lipase 
b. hormone sensitive lipase 
c. alkaline phosphatase 
d. prostate specific phosphatase 

answer:


13.maximum post prandial motility is seen in? 

a. ascending colon 
b. descending colon 
c. sigmoid colon 
d. transeverse colon 

answer:

 
14. vagal stimulation of heart causes? 

a. increased hr 
b. . increased rr interval 
c. . increased cardiac output 
d. . increased force of contraction 

answer:


15. true about weber feschner law? 

a. gradations of stimulus strength are discriminated approximately in proportion to the logarithm of the stimulus strength 
b. 
c. 
d. 

answer:


16.cells present in cerebral cortex are all except? 

a. bipolar cells 
b. purkinje cells 
d. golgi cells 
d. granule cells 

answer:

17. which does not lies in medulla? 


a. collecting duct 
b. jg apparatus 
c. vasa recta 
d. loop of henle 

answer:


18.mineralocorticoid receptors are present in all except? 

a. liver 
b. glomerular tubules 
c. colon 
d. hippocampus 

answer:


19. which is true?

 
a. clearance of a substance is greater than gfr if tubular secretion occours 
b. clearance of a subs is always increased if there is tubular secretion 
c. descending loh has hypotonic urine 
d. descending loh is permeable to solutes 

 

answer:

20. mean circulating filling pressure is? 


a. difference between central venous pressure and central arterial pressure 
b. mean atrial pressure 
c. arterialpressure taken just at the point when heart stops beating 
d. difference between systemic and pulmonary arterial pressure 

answer:


21.which is true about presynaptic inhibition? 

a. occours due to hyperpolarisation of presynaptic membrane 
b. occours due to inhibition of release of neurotransmitter from presynaptic terminal 
c. produces action potential 
d. 

answer:


22.circadian rhythm is controlled by? 

a. suprachiasmatic nucleus 
b. median eminence 
c. paramedian nu 
d. supraoptic nuclei 

answer:


BIOCHEMISTRY : 

23.dna without introns is? 

a. b dna 
b. z dna 
c. c dna 
d. mitochondrial dna 

 

answer:

24.all are true about glutathione except? 

a. converts hemoglobin to methemoglobin 
b. decreases free radicals 
c. helps in conjugation reaction 
d. co factor of various enzymes 

answer:

25. ribosome has followin enzymatic activity? 

a. peptidyl transferase 
b. amino acyl t rna synthetase 
c. peptidase 
d. 

answer:


26.which enzyme is responsible for carboxylation reaction? 

a. biotin 
b. 
c. 
d. thiamine pyrophosphate 

 

answer:

28. glowing of firefly is due to? 


a. ATP 
b. NADH 
c. GTP
d. phospho creatinine 

answer:


29. in carboxylation of clotting factors by vit k which amino acid is carboxylated? 

a. aspartate 
b. glutamate 
c. histamine 
d. histidine 

answer:


30. synthesis of a immunoglobulin in membrane bound or independent form is determined by? 

a. one turn two turn joining rule 
b. allelic exclusion 
c. class switching 
d. differential rna processing 

answer:


31. phosphorlase b is inhibited by? 

a. atp 
b. amp 
c. glucose 
d. calcium 

answer:


32. in metabolism of xenobiotics all of the followin reactions occour in phase one except? 

a. conjugation 
b. reduction 
c. hydrolysis 
d. oxidation

 

answer: 

33. which is not a second messenger? 


a. AMP 
b. guanyl cyclase 
c. DAG
d. IP3

answer:


34.structure of proteins can be determined by all except? 

  1. mass spectrometry 
  2. nmr spectrometry 
  3. hplc 
  1.  

 

answer:

 

35. functions of thiamine? 


a. co enzyme of pyruvate dehydrogenase and alpha keto dehydrogenase 
b. co enzyme of trans ketolase 
c. 
d. 

 

answer:

36.replacin alanine by which amino acid will increase the absorbance of proteins at 280nm? 


a. leucine 
b.tryptophan 
c. proline 
d. arginine 

answer:

PHARMACOLOGY : 

37. thalidomide is not used in? 


a. hiv related neuropathy 
b. erythema nodosum leprosum 
c. aphthous ulcer 
d. bechets ds 

answer:


38. drugs used for detrusor instability are all except? 

a. flavoxate 
b. solifenacin 
c. duloxetine 
d. tiaperetide 


answer:


39.which is not an alkylating agent? 


a.cyclophosphamide 
b. busulphan 
c.5fu 
d.melphalan 

answer:


40. ifosfamide belongs to which class?

 
a. alkylating agent 
b. anti metabolite 
c. taxanes 
d. antibiotics 

answer:


41. doc for refractory histiocytosis? 

a. cladarabine 
b. fludarabine 
c. cytosine arabinoside 
d. high dose methotrexate

 

answer:  

42. TNF alpha inhibitors are contraindicated in? 

a. SLE 
b. seronegative spondyloarthritis 
c. psoriatic arthritis 
d. rheumatoid arthritis 

answer:

43. true about alpha subunit of g protein? 

a. has gtpase activity 
b. 
c. 
d. 

answer:


44. question about herceptin ?

 

a.

b.

c.

d.

 

answer:  

45. true about acarbose are a/e? 


a. controls both pre and post prandial hyperglycemia 
b. it decreases fibrinogen level 
c. its an alpha glucosidase inhibitor 
d. it delays progression of diabetes

 

answer:  

46. a female has hypopigmented leison on centre of forehead.drug responsible is? 


a. hydroquinone 
b. ether metabolite of hydroquinone 
c. para tetra butyl catechol 
d. para tetra butyl phenol 

answer:


47. dose of which cephalosporin is not reduced in renal insufficiency? 

a. cefixime 
b. cefoperazone 
c. cefipime 
d.


answer:


48. true about ace inhibitors? 


a. half life of enlapril is more than lisinopril 
b. inhibit conversion of angiotensinogen to angiotensin i 
c. first dose hypotension is not seen if previous treatment with diuretics is stopped 
d.

 

answer:


49. which of the following does not contribute to digoxin toxicity? 

a. hyperkalemia 
b. hypercalcemia 
c. renal failure 
d. hypomagnesemia 

answer:


50. which drug used intreatment of osteoporosis causes both bone formation and decreased bone resorption? 

a.bisphosphonate 
b strontiun ranoxalate 
c. terapeptide 
d. calcitonin 

answer:


51. which of the following drugs can be used in renal failure? 

a.lorazepam 
b.metronidazole 
c.theophyllne 
d. acetaminophen 

answer:

52. a girl on sulphonamides developed abdominal pain and presented to emergency with seizure.what is the probable cause? 

a. acute intermittent porphyria 
b. congenital erythropoietic porphyria 
c. inf mononcleosis 
d. kawasakis ds 

answer:


PATHOLOGY : 

53. MHC is loccated on which chromosome? 

a. 10 
b. 6 
c. x 
d. 13 

answer:


54.brca 1 is located on chromosome? 

a. 13 
b. 11 
c. 17 
d. 22 

answer:


55. gene for folate carrier protein is located on chromosome? 

a. 5 
b. x 
c. 21
d. 9 

answer:


56.all are true about thrombotic thrombocytopenic purpura except? 

a. microangiopathic hemolytic anemia 
b. thrombocytopenia 
c. normal complement level 
d. thrombosis 

answer:


57.essential for tumour metastasis is? 

a. angiogenesis 
b.tumorogenesis 
c. apoptosis 
d. inhibition of tyrosine kinase activity 

answer:


58. common complement component for both pathways is? 

a. c3 
b. c5 
c. c1q 
d. c8 

answer:


59.enzme responsible for respiratory burst is? 

a. oxidase 
b. dehydrogenase 
c. peroxidase 
d.catalase 

answer:


60.most potent stimulator of na├»ve t cell is? 

a. mature dendritic cell 
b. follicular dendritic cell 
c. macrophage 
d. b cell 

answer:

61.nitroblue tetrazolium test is used for? 

a. phagocytes 
b. complement 
c. t cell 
d. b cell 

answer:


62.hypersensitivity vasculitis is seen in? 

a. post capillary venules 
b. arterioles 
c. veins 
d. capillaries 

answer:


microbiology 

63. biosaftey precaution grade iii is practiced in all except? 

a. human influenza virus 
b. st louis encephalitis virus 
c. coxiella burnetti 
d. mycobacterium tuberculosis 

answer:


64.most common species of pseudomonas causing intravenous catheter related infections? 

a. p. cepacia 
b. p.areuginosa 
c. p.maltiphila 
d. p.mallei 

answer:


65.most sensitive diagnostic test for dengue is? 

a. igm elisa 
b. cft 
c. tissue culture 
d. electron microscopy 

answer:


66. a gardener has multiple vesicles on hand and multiple eruption s along the lymphatics. most common fungus responsible is? 

a. sporothrix shenkii 
b. cladosporium 
c. histoplasma 
d. candida 

answer:


67. which is not a rna virus? 

a. ebola 
b. simian 40 
c. rabies 
d. vesicular stomatitis virus 

answer:


68.true about prion is? 

a. are virus coded 
b. cause misfolding of proteins 
c. cleave protein 
d. defect in folding of proteins 

answer:


69. all are true about bacteriophage except? 

a. helps in transduction of bacteria 
b. imparts toxigenicity to bacteria 
c. can transper chromosomal gene 

answer:


70.a girl from shimla presented to opd with fever malaise and axillary and inguinal lymphadenopathy.culture shows stalactite growth.causative organism is? 

a.yersinia pestis 
b. francisella 
c. pseudomonas 
d.


answer:

 

71.true about carbohydrate antigen are all except? 

a. has low immunogenicity 
b. memory response seen 
c. causes polyclonal b cell stimulation 
d. does not stimulate t cell 

answer:


72.mechanism of action of pertusis toxin is? 

a. adp ribosylation 
b. 
c. 
d. acts through g alpha subunit 

answer:


73.which of the following is true about isotypic variation? 

a. subtle amino acid changes due to allelic differences 
b. changes in aa heavy and light chain in variable region 
c. changes in heavy n light chain in constant region responsible for class and subtype 
d. these are areas in antigen that bind specifically to antibody 

answer:


74.true about hybridoma technique are a/e? 

a. narmal activated b cellsmyeloma cells 
b. myeloma cells selective mutation in salvage pathway, vigorous proliferation in hat medium 
c. thymidine kinase and hgprt catalyse he salvage pathway 
d. aminopterin a folic antagonist, inhibits de novo nucleotide synthesis 

answer:



forensic medicine 


75. what is fallanga? 

a. beating on soles with blunt object 
b. 
c. 
d. 

answer:


76.hydrocution refers to? 

a. drowning in cold water 
b. electrocution in water 
c. post mortem immersion 
d. immersion in boiling water 

answer:


77.not a constituent of embalming fluid? 

a. phenol 
b. ethanaol 
c.formalin 
d. glycerine 

answer:


78. thanatology is study of? 

Answer: death 

79.a man working as a pest killer comes to opd with pain abdomen and garlic odour in breath with transverse lines on nails.posoning is due to? 

a. lead 
b,arsenic 
c.mercury 
d. cadmium 

answer:


SOCIAL AND PREVENTIVE MEDICINE :


80.kaplan meier method is used for? 

a . survival 
b. prevalance 
c. incidence 
d. frequency 

answer:


81.incidence can be calculated by? 

a. case control study 
b. cross sectional study 
c. prospective study 
d. retrospective study 

answer:


82.all are true about cluster sampling except? 

a. sample size is same as that of simple random sampling 
b. 
c. 
d. 

answer:


83. false about indian reference female is? 

a. weighs 55 kg 
b. age 20-39yrs 
c. 8 hours of moderate work 
d. walking and recreation for 2 hours 

answer:






84. not true about breast milk is? 

a. maximum output is seen at 12 month 
b. breast milk protein is a reference protein 
c. calcium utilization from breast milk is more than cows milk 
d. coefficient of absorption of iron is 70% 

answer:


85.lepromin test is ured for? 

a. diagnosis 
b. treatment 
c. prognosis 
d. epidemiological investigation 

answer:

 

86.fish is a poor source of? 

a. iron 
b. phosphorus 
c. iodine 
d. vit a 

answer:


87.false about vaccines is? 

a. thiomersal is preservative in dpt 
b.kanamycin is preservative in measels 
c. mgcl2 is stabilizer used in opv 
d. neomycin is preservative in bcg 

answer:


88.true about bcg vaccination is? 

a. tuberculin test is positive after 6 weeks of vaccination 
b. inj site should be cleaned with spirit 
c. who recommends danish1331 strain for vaccine 
d. diluent uesd is either distilled water or normal saline 

answer:


89.shortest incubation period is of? 

a influenza 
b. hep b 
c. hep a 
d. rubella 

answer:


90.increase in false positive is seen in? 

a. high prevalance 
b. low prevalance 
c. high specificity 
d. high sensitivity 

answer:


91.plastic wrapper of surgical syringe should be discarded in? 

a blue bag 
b. black 
c. yellow 
d.red 

answer:

 

92. false about ddt is? 

a. contact poison 
b. residual effect lasts for 18 moths 
c. causes immediate dath 
d. permethrin has synergistic action 

answer:


 

93.all are larva control measures except? 

a. gambusia 
b. intermittent irrigation 
c. ddt 
d. paris green 

answer:


94.not a part of safe strategy? 

a. azithromycin 
b. vit a supplementation 
c. face wash 
d. sanitation 

answer:


95.goals of national population policy are a/e? 

a. bring down tfr to replacement level by 2015 
b. decrease imr to 30/1000 
c. decrease mmr to 100/100000 
d. 100% registretion of birth death and pregnancy 

answer:


96.best index of contraceptive efficacy is? 

  1. pearl index
  2. chandelers index 
  3.  


  4. answer:


97.test for efficacy of pasteurisation of milk is? 

a. methylene blue test 
b. phosphatase test 
c. 
d. 

answer:


98. incineration is not done for? 

a. waste sharp 
b. cytotoxic dugs 
c. human anatomical waste 
d.

answer:

 

99.cyclo developmental life cycle is seen in? 

a.filaria 
b. malaria 
c.yellow fever 
d,plague 

answer:


100. true about npu? 

a.it gives idea about quality of protein 
b. it is the ratio of total nitrogen retained by total n2 intake multiplied by 1oo 
c.

d.

 

answer:


101.true about maximum isolation period of enteric fever is? 

a. upto 3 days after starting the treatment 
b. till 3 consequtive negative stool and urine samples are obtained from the patient 
c. 
d. 

answer:


102.all are true about randomised controlled trial except? 

a. sample size depends upon hypothesis 
b. dropouts are excluded from analysis 
c. interviewers bias can be eliminated by double blinding 
d. groups are comparable on baseline characterstics. 

answer:



EAR , NOST AND THROAT  

103. use of nitrous oxide is contraindicated in? 

a. cochlear implant 
b. microlaryngeal surgery 

c. vitreoretinal surgery 
d. exentration operation 

answer:


104. all are true about nasolabial cyst except? 

a. arises from odontoid epithelium 
b. usually bilateral 
c. presents submucosally in anterior nasal floor 
d. usually presents in adulthood 

answer:



105.microwick microcatheter sustained release preparation is used in? 

a. medication to round window 
b. control of epistxis 
c. freis syndrome 
d. drooling of saliva 

answer:





ophthalmology 

106.all are seen in horners syndrome except? 

a. heterochromia iridis 
b. ptosis 
c. miosis 
d. apparent exophthalmos 

answer:


 

107. inclusion conjunctivitis is caused by? 

a. chlamydia psittaci 
b. chlamydia trachomatis 
c.

d.

 

answer:


108.maximum refractory index is of? 

a. cornea 
b. ant surface of lens 
c.centrum of lens 
d. post surface of lens 

answer:



109.what is seen in 6th nerve palsy of left side? 

a. diplopia in left gaze 
b. accomodative pareisis of left eye 
c. ptosis of left eye 
d. adduction weakness of left eye 

answer:




110.whiich enzyme is defective in refsums disease? 

a. phytanic acid oxidase 
b. succinate thiokinase 
c. malonate dehydrogenase 
d.

 

answer:



medicine 

111. a 9 yr old girl has difficulty in combing hairs and climbing upstairs since 6 months.she has gowers sign positive and maculopapular rash ovr metacarpo phalangeal joints.what shuold be the next appropriate investigatio to be done? 

a. esr 
b. ra factor 
c. creatine kinase 
d. electromyography 

answer:



112.antibody found in myositis is? 

a. anti jo1 
b anti scl 70 
c. anti ds dna 
d.

 

answer:



113.a girl on exposure to cold has pallor of extermities followed by pain and cyanosis. in later ages of life she is prone to develop? 

a. sle 
b. scleroderma 
c. ra 
d. systemic sclerosis 

answer:



114. which radiological feature would help differentiate rheumatoid arthritis with sle? 

a. erosion 
b. juxta articular osteoporosis 
c. subluxation of mcp joint 
d. swelling of pip joint 

answer:

 

115.all are seen in reiters syndrome except? 

a. subcutaneous nodules 
b. oral ulcers 
c. keratoderma belanorrhagicum 
d. circinate balanitis 

answer:



116.which of the organism causes reactive arthritis? 

a. ureaplasma urealyticum 
b. group a beta hemolytic streptococci 
c. borrelia burgdorferi 
d.

 

answer:



117.all are true about metachromatic leucodystrophy except? 

a. follows an indolent course and slow to progress 
b. tissue biopsy is diagnostic 
c. presents as visual loss and speech abnormality 
d. involves deep cortical neurons 

answer:



118. most common cause of mononeuritis multiplex in india is? 

a. hansens disease 
b. ra 
c. tb 
d. pan 

answer:



119.wiskott aldrich syndrome is characterised by all except? 

a. thrombocytopenia 
b. autosomal recessive 
c. failure of aggregation of platelets in response to agonists 
d. eczema 

answer:



120.spontaneous csf leak occours in all except? 

a. increased ict 
b. partial or complete empty sella syndrome 
c. pseudotumour cerebri 
d. low risk encephalocoele 

answer:



121. true about fluorescent antibody detection test in diagnosis of plasmodium falcifarum are a/e? 

a. it’s a immunochromatic test 
b. detection of histidine rich protein 1 
c. detection of lactate dehydrogenase antigen 
d. detection of aldolase antigen 

answer:


122.microangiopathic hemolytic anaemia is seen in a/e? 

a. antiphosphplipid antibody syn 
b.ttp 
c. microscopic polyangitis 
d. metallic cardiac valves 

answer:


123. which of these is not a marker of active replicative phase of chronic hepatitis b? 

a. hbv dna 
b. hbv dna polymerase 
c. anti hbc 
d. ast &alt 

answer:


124.vasodialation in spider naevi is due to? 

a. hepatotoxin 
b. estrogen 
c. testosterone 
d. dhea 

answer:

 

125. in a emphysematous patient with [bleep] leison which is the best investigation to measure lung volumes? 

a. body plethysmography 
b. helium dilution 
c. trans diaphragmatic pressure 

d. dlco 

answer:

 

126.a 29 yr old unmarried female presents with dyspnea, her chest x ray is normal, fvc-92% fevi/fvc-89% dlco-59%. on exercise her oxygen saturation drops from 92% to 86%.what is the diagnosis? 

a. alveolar hypoventillation 
b. primary pulmonary hypertension 
c. interstitial lung disease 
d. anxiety 

answer:


127.a man on 10 days course of cephalosporins on 8th day of treatment develops hign grade fever and rashes all over the body.what is the diagnosis? 

a. partially treated meningitis 
b. type iii hypersensitivity reaction 
c. kawasaki’s ds 

d.

answer:

 

128. which is false about acrodermatitis enteropathica? 

a. triad of diarrhoea dmentia dermatitis 
b. low serum zinc levels 
c. symptoms improve with zinc supplementation 
d.

 

answer:


129.which of the following is not a minor criteria for multiple myeloma? 

a. multiple lytic bone leisons 
b. plasmacytosis of 20% in bone marrow 
c. plasmacytoma on tissue biopsy 
d. igg- 3g/dl iga-1.5g/dl 

answer:


130.which of the following features of uremia will not improve with hemodialysis? 

a. peripheral neuropathy 
b. percarditis 
c. seizures 
d. metabolic acidosis 

answer:


131.not a major framingham criteria for diagnosis of chf? 

a. hepatomegaly 
b. cardiomegaly 
c. s3 gallop 
d. paroxysmal nocturnal dyspnea 

answer:


132.a 54 yr old smoker man comes with fever hemoptysis weight loss and oligoarthritis. seriaal skiagram shows fleeting opacities.what is the diagnosis? 

a. allergic bronchopulmonary aspergillosis 
b. ca lung 
c. tb 
d. wegeners granulomatosis 

answer:


133.misfolded proteins are seen in a/e? 

a. prion ds 
b. multiple sclerosis 
c. amyloidosis 
d. creutzfeldt jacob ds 

answer:


134.zinc deficiency causes a/e? 

  1. pulmonary fibrosis 
  2. b.
  3. c.
  4. d.

 

answer:

 

SURGERY :

135.in a maLe after laproscopic cholecystectomy carcinoma gall bladder stage ia was detected on histopath. what is the next appropriat management? 

a. conservative and follow up 
b. radical portal lymphadenectomy 
c. radiotherapy 
d. 

answer:


136. boundary of triangle of dom are formed by all except? 

a. peritoneal fold reflection 
b. coopers ligament 
c. testicular vessels 
d. vas defrens 

answer:


137.most common site of curlings ulcer in a burns patient is? 

a. duodenum 
b. ileum 
c. colon 
d. oesophagus 

answer:


138.most common site of peripheral aneurysm? 

a. femoral a. 
b. popliteal a 
c. brachial a 
d. radial a 

answer:


139. the children hospital of eastern ontario pain scale(cheops) for rating post operative pain in children includes a/e? 

a. cry 
b. touch 
c. torso 
d. oxygen saturation 

answer:


140. a man comes to emergency with steb injury to left flank.he has stable vitals what would be the next step in management? 

a. cect 
b. celiotomy/scopy 
c. diagnostic peritoneal lavage 
d. laparotomy 

answer:


141. recurrent gist is diagnosed by? 

a. pet scan 
b. mibg 
c. mri 
d. usg 

answer:

 

142. nicoladoni’s sign is also known as? 

a. branhams sign 
b. murray sign 
c. 
d. frei sign 

answer:


143.not a complication of total parenteral nutrition? 

a. congestive cardiac failure 
b. metabolic bone disease 
c. essential fatty acid deficiency 
d.hypophosphatemia 

answer:


144. surgery not done in morbid obesity? 

a. ileal transposition 
b. pancreatico biliary diversion 
c. sleeve gastrectomy 
d. gastric bypass 

answer:


145.a person with multiple injuries develops fever tachycardia tachypnea and a periumbilical rash. diagnosis is? 

a. fat embolism 
b. pulmonary embolism 
c. 
d. 

answer:


146. glomus tumour is seen in? 

a.pituitary 
b. adrenal 
c. liver 
d. finger 

answer:


147. hunterian ligature is used in? 

a. varicose vein 
b. popliteal aneurysm 
c. av malformation 
d. limb ischemia 

answer:

 

148.treatment of medullary carcinoma thyroid? 

a. surgery alone 
b. radioiodine ablation 
c. surgery and radiotherapy 
d. chemo and radiation 

answer:


149.in a patient of carcinoma breast supraclavicular lymph nodes are positive for metastasis.stage is? 

a.ii 
b. iiib 
c. iiic 
d. iv 

answer:


150.best test to diagnose gerd and quantify acid output is? 

a. esophagogram 
b. endoscopy 
c. 24 hour ph monitoring 
d. manometry 

answer:


151.virchows triad includes a/e? 

a. injury to vein 
b. venous thrombosis 
c. venous stasis 
d. hypercoagulability of blood 

answer:


152.a 25 year male presented with pain abdomen, on usg mixed echogenicity was found at left renal hilum and a multifocal necrotic mass is detected.probable diagnosis is? 

a. metastatic germ cell tumour 
b. transitional cell carcinoma 
c. lymphoma 
d. metastatic malignant melanoma 

answer:


153.most common site of cholangio carinoma? 

a. distal biliary tree 
b. hilum 
c. intrahepatic biliary duct 
d. multifocal 

answer:


154.true about gleasons staging? 

  1. score from 1-10 
    b. high score is associated with bad prognosis 
    c. helps in grading of tumour 
    d. helps deceide treatment modality 


answer:


155.most common cause of acute mesentric ischemia? 

a. thrombosis 
b. embolism 
c.non occlusive mesentric ischemia 
d.

 

answer: 

156.a woman noticed mass on breast with bloody discharge. 
histopath revealed duct ectasia.treatment is? 

a. microdochectomy 
b. lobectomy 
c. radical duct excision 
d. simple mastectomy 

answer:

PAEDIATRICS :

157. a 7 yr old girl with non productive cough, mild stridor for 3 months duration. patient is improving but suddenly developed wheeze productive cough mild fever and hyperlucency on cxr and pft shows obstructive curve.diagnosis is? 

a. bronchiolitis obliterans 
b. hemosiderosis 
c. pulmonary alveolar microlithiasis 
d. follicular bronchitis 

answer:


158. 3.5 kg term male baby born of uncomplicated pregnancy developed respiratory distress at birth not responded to surfactant, echo is normal, cxr shows ground glass appearance. culture negative.apgar score 4 and 5 at 1 and 5 min.hostory of i month female sibling died before.diagnosis? 

a. tapvc 
b. meconium aspiration 
c. neonatal plmonary alveolar proteinosis 
d. diffuse herpes simplex infection 

answer:


159. all are true about congenital rubella except? 

a. igg persists for more than 6 months 
b. igm antibody is present at birth 
c. most common anomalies are hearing and heart defects 
d. increased congenital malformation if infection after 16 weeks 

answer:


160. a 10 yr old child is always restless inattentive to study and always wants to play outside.parents are extremely distressed.what would you advise? 

a. it’s a normalbehaviour 
b. behaviour therapy 
c. it’s a serious illness requires medical treatment 
d. needs change in environment 

answer:


161.a 2yr old child brought to emergency at 3 am .child has barky cough and stridor only while crying. narmal hydration rr-36/min t-39.6 c .what will be your next step? 

a. racemic epinephrine nebulisation 
b. high dose dexamethasone inj 
c. nasal was for influenza/rsv 
d. antibiotics and blood culture 

answer:


162.bad prognostic factor for all is? 

a. age 2-8 years 
b. tlc<50000>
c. hyperdiploidy 
d. t(9:22), t(8:14),t(4:11) 

answer:


OBSTETRICS AND GYNAECOLOGY : 

163.in mc roberts manoeuvre hip is flexed against mothers abdomen.this leads to injury of which nerve? 

a. lumbosacral trunk 
b. obturator n 
c. femoral n. 
d. lateral cutaneous n of thigh 

answer:


164. all are done in management of shoulder dystocia except? 

a. fundal pressure 
b. mc roberts manoeuvre 
c. suprapubic pressure 
d. wood s manoeuvre 

answer:


165.a 25 year old married nullipara undergoes laproscopic cystectomy for ovarian cyst which on histopath reveals serous ovarian adenocarcinoma.what should be the next management? 

a. serial ca-125 and follow up 
b. hysterectomy and salpingooophorectomy 
c. hysterectomy + radiotherapy 
d. radiotherapy 

answer:




166. safest vasopressor in pregnancy is? 

a. ephedrine 
b. phenylephrine 
c. methoxamine 
d. mephentine 

answer:


167.fallopian tube dysmotility is seen in? 

a. noonan syn 
b. turner syn 
c. kartagener syn 
d. marfan syn 

answer:


168.all of the following investigations are used in figo staging of carcinoma cervix except? 

a. cect 
b. ivp 
c. cystoscopy 
c. proctosigmoidoscopy 

answer:


169.clue cells are found in? 

a. candidial vaginosis 
b. bacterial vaginosis 
c. trichomoniasis 
d. 

answer:

 

170. best indicator of ovarian reserve is? 

a. fsh 
b. estradiol 
c. lh 
d. fsh/ lh ratio 

answer:


171. a pregnant lady acquires chicken pox 3 days prior to delivery.she delivers by normal vaginal route.which of the following statements is true? 

a. both mother and baby are safe 
b. give antiviral tt to mother before delivery 
c. give antiviral tt to baby 
d. baby will develop congenital varicella syndrome 

answer:


172. earliest detectable congenital malformation by usg is? 

a. anencephaly 
b. spina bifida 
c. meningocoele 
d. cystic hygroma 

answer:


173.all of the following should be done to prevent the transmission of hiv from mother to baby except? 

a. vit a supplementation to mother 
b. no breast feeding 
c. vaginal delivery 
d. zidovudine to mother 

answer:





174.a 45yr old lady with dub has 8mm thickness of endometrium.next step in management? 

a. histopathology’ 
b. hysterectomy 
c. progesterone 
d.ocp 

answer:


175. all are true about pcod except? 

a. persistently elevated lh 
b. increased lh/fsh ratio 
c. increased dheas 
d. increased prolactin 

answer:


176.a female at 37 wks of gestation has mild labour pain for 10 hours and cervix is persistently 1cm dialated non effeced.what will be next appropriate management? 

a. sedation and wait 
b. augmentation with syntocinon 
c. cesarean section 
d. amniotomy 

answer:


177.a woman comes with obstructed labour and grossy dehydrated investigations reveal fetal demise.what will be the management?

a. craniotomy 
b. decapitation 
c. cesarean section 
d. forceps extraction 

answer:


178.investigation of choice in cholestasis of pregnancy? 

a. bilirubin 
b. bile acids 
c. alk phosphatase 
d. alt&ast 

answer:


179.a female has history of 6 weeks amenorrhoea,usg shows empty sac,serum beta hcg -1000iu.what would be next management? 

a. medical management 
b. repeat hcg after 48 hours 
c. repeat hcg after 1 week 
d.

answer:



orthopaedics 

180. velpeau sling and swath bandage is used in? 

a. acromio c lavicular dislocation 
b. shoulder dislocation 
c. fracture scapula 
d. fracture clavicle 

answer:


 

181. in post radical neck dissection syndrome all are seen except? 

a. shoulder drooping 
b. restricted range of movement of shoulder joint 
c. shoulder pain 
d. normal electromyographic finding 

answer:

 

182. rissers localiser cast is used in the conservative management of? 

a. dorsolumbar scoliosis 
b. idiopathic scoliosis 
c. kyphosis 
d. spondylolisthesis grade iii 

answer:


183. watson jones operation is done for? 

a. valgus deformity 
b. muscle paralysis 
c. neglected clubfoot 
d. hip 

answer:


184. trendelenberg test is positive due to injury to? 

a. sup gluteal n 
b. inf gluteal n 
c. obturator n 
d. tibial n 

answer:


185. joint not involved in ra according to 1987 modified ara criteria is? 

a. metatarsophalangeal 
b. tarsometetarsal 
c. ankle 
d. elbow 

answer:


186.in posterior compartment syndrome which passive movement causes pain? 

a. dorsiflexion of foot 
b. fooot inversion 
c. toe dorsiflexion 
d. foot abduction 

answer:

 

187.most common cause of insertional tendinitis of tendoachilles is? 

a. improper shoe wear 
b. runners and jumpers 
c. overuse 
d. intraleisonal steroid inj 

answer:

dermatology 

188.child presents with linear verrucous plaques on the trunk with vacuolisation of keratinocytes in s. spinosum and s. granulosum.diagnosis is? 

a. incontinenta pigmenti 
b. delayed hypersensitivity reaction 
c. naevus 
d. linear darriers disease 

answer:


189.in cengenital dystrophic epidermolysis [bleep] defct is seen in? 

a. laminin 4 
b. collagen type 7 
c. 
d. 

answer:

radiology 

190.a pt comes with proptosis and abducent n palsy. a dark homogenous mass on t2w mri is seen which shows intense enhancement with contrast.diagnosis is? 

a. cavernous hemangioma 
b. meningioma 
c. astrocytoma 
d. glioma 

answer:


191.central dot sign is seen in? 

a. carolis disease 
b. primary sclerosing cholangitis 
c. polycystic liver disease 
d.liver hamartoma. 

answer:


192. on usg diffuse thickening of gall bladder with hyperechoic shadow at neck and comet tailing is seen in? 

a. xanthogranulomatous cholecystitis 
b. adenomyomatosis 
c. adenomyomatous polyps 
d. cholesterol crystals 

answer:


193. ct index. true is? 

a. by reducing kvp by 50% radiation dose is reduced to half 
b. 
c. 
d. 

answer:

psychiatry 

194. type two schizophrenia(tj crow) is characterised by all except? 

a. negative symptoms 
b. poor response to tt 
c. disorganised behaviour 
d. ct scan abnormal 

answer:


195.according to disabilities act 1995. seventh disability as it is usually referred to is? 

a. neurological abnormality 
b. mental illness 
c. substance abuse 
d. disability due to road traffic accident 

answer:


196. cognitive model of depression is given by? 

a. godfrey 
b. beck 
c. 
d. 

answer:


197.most recent marker of ect is? 

a. 5-hiaa 
b. csf dopamine 
c. brain derived growth factor 
d. thyroxine 

answer:

anaesthesia 

198. fastest route of absorption of local anaesthetic is? 

a. intercostal 
b. epidural 
c. brachial 
d. caudal 

answer:


199. all of the following cause neurolept malignant syndrome except? 

  1. amantadine 
    b. haloperidol 
    c. metoclopramide 
    d. domperidone

 
answer:


200. which drug acts through alpha subunit of gaba receptor?

 a.

b.

c.

d.

 

answer: 

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