Tuesday, February 15, 2011

414 - JIPMER 2011 questions with answers - part 3

101.lobular ca breast histology?
A.Single file pattern
B.Pleomorphic cells in sheets
C.--
D.--

Ans:A.Single file pattern

102.A woman comes to er few hrs back with long bone fracture now complaints of breathlessness ,ther r petechial rashes over chest, auscultation findings r normal , abg p02 50, pc02-20mmhg...., diagnosis?
A. air embolism
B. fat embolism
C. pulmonary embolism
D.--
Ans:B. fat embolism

103.treatment of uveitis consists of:
a.antibiotic and steroid
b.steroid and cyclopegic
c.antibiotic and cyclopegic
d.steroid and mydriatic

Ans:b.steroid and cyclopegic

104.True regarding direct hernia ?
A.mc type in women
B. medial to inferior epigastric a
C. most of the times descends upto the bottom of scrotum
D.we need to open the sac while reducing at surgery

Ans :B. medial to inf epigastric a

105.paranoid schizophrenia is caused by intake of ?
A.Amphetamine
B.Heroin
C.Cannabis
D.
Ans:A.Amphetamine

106.Treatment of Stage A( Superficial and Submucosal )Bladder carcinoma is?
A.Local excision
B.Intravesical Chemotherapy
C.Radiotherapy
D.Chemotherapy

Ans:B>A(QUERY)

107.which is not considered for screening?
A.Disease burden
B.Physician's Knowledge of the the disease
C.Cost of the test
D.Treatment efficacy

Ans:B.Physician's Knowledge of the the disease(BEST ANS--QUERY)

108.pt with rhabdomyolysis with arf what should be done 1st?
A.mannitol
B. alkali diuresis
C.Dopamaine
D.--

Ans:B. alkali diuresis

109.A pt presents with hypotension in confused state & METABOLIC ALKALOSIS which of the following tests will best suggest the diagnosis?
1) urine ph
2) urine Na+
3) urine Cl-
4) urine k+

Ans:QUERY FOR NOW

110.treatment of leukoplakia consist of---
a.topical chemotherapy
b.excision biopsy of ALL lesions
c.ill fitted dencture reposition
d.Local Radiotherapy

Ans:c.ill fitted dencture reposition(OPEN FOR ARGUMENTS)

The treatment of leukoplakia mainly involves ****avoidance of predisposing factors — tobacco cessation, smoking, quitting betel chewing, abstinence from alcohol — and ***avoidance of chronic irritants, e.g., the sharp edges of teeth. A biopsy should be done, and the lesion surgically excised ****if pre-cancerous changes or cancer is detected.

111.Absence of which of foll makes dia of pul. embolism most unlikely:
A.Pleuritic chest pain
B.Hemoptysis
C.Tachypnoea
D.Wheezing

Ans:C.Tachypnoea
Reference:CMDT 2011 LINE TO LINE PICK

Indeed, no single symptom or sign or combination of clinical findings is specific to PE. Some findings are fairly sensitive: ***dyspnea and pain on inspiration occur in ***75–85% and 65–75% of patients, respectively.***** Tachypnea is the only sign reliably found in more than half of patients.

113.RPGN is chaecterised by-------
a.crescent formation
b.splliting of bm
c.neutrophil infiltration of iterstitium
d.---

Ans:a.crescent formation(REPEAT)

114.In which condition is there a pain before the onset of mensturation which relieves after the begining of menses?
A.Spasmodic Dysmenorrhea
B.Congestive Dysmenorrhea
C.Membranous Dysmenorrhea
D.Menorrhagia

Ans:B.Congestive Dysmenorrhea

Reference:Shaw Gynecology Page:265 LINE TO LINE PICK

115.M/C site of ectopic pregncy?
A.ampullary portion of fallopian tube
B.Isthmus
C.Interstitium
D.Abdomen

Ans:A.ampullary portion of fallopian tube(REEAT)

116.hypotension is caused by all except ?
A.Halothane
B.Propofol
C.Ketamine
D.?

Ans: C.Ketamine(REPEAT)

117.Fixed performance device:
A.venturi mask
B.nasal cannula
C.simple mask
D.non rebreathing mask

Ans :A.venturi mask

118.which of the following is not present in dhatura?
A.hyoscine
B.hyocyamine
C.Muscarine
D.stramonium

Ans : C.Muscarine

Reference:Forensic Medicine By Narayan Reddy
Pg:514

The main alkaloids are Atropine,Hyosine and Hyocynamine

Strmonium is the other name of Datura Stramonium

So better answer is Muscarine>Stramonium

119.administration of which of the following can prevent neural defects in newborn?
A.Folic acid
B.vit b 12
C.--
D.--
Ans :A. Folic acid

120.Receptor for vit b 12-IF compelex is located in?
A.ileum
B.colon
C.jejunum
D.Duodenum

Ans:A.ileum

121.Which of the following is best in studying the decline in percentage of alcohol usage in men and women over several years?
A.Pie Chart
B.Histogram
C.Frequency polygon
D.Line diagram

Ans:D.Line diagram(QUERY FOR MORE SOUND REFERENCE)

Reference:Park Page644

Line diagram is used to show the ****trend of events with the ***passage of Time
122.Urinary stone formed in patients with regional bowel enteritis is
A.ca oxalate
B.Urate
C.Phosphate
D.cysteine

Ans:A.ca oxalate

123.Antepartum bleed of fetal origin is?
A.vasa praevia
B.Circumvallate placenta
C.Abruptio placenta
D.Placenta praevia

Ans:A.vasa praevia(REPEAT)

124.All of the following drugs produce active metabolites except ?
A.Propanolol
B.Procainamide
C.Diazepam
D.Fexofenadine

Ans:D.Fexofenadine

125.Prolactin is secreted by
a) chromophobe cells
b) acidophilic cells
c) basophilic cells
d) Chromophill cells

Ans:b) acidophilic cells

126.vasopressin inhibited by ?
a) alcohol
b) carbamazepine
c) clofibrate
d) ?

ans. A(REPEAT)

127.most radio resistant in cell cycle
a) G1
b) early S phase
c) late s phase
d) G2

Ans:c) late s phase

128.Most common cause of End stage renal disease is?
A.DM
B.Hypertension
C.Chronic GN
D.--

Ans:A.DM /C. Chronic GN(WILL DECIDE LATER)

129.Post Kidney transplantation complication caused by CMV is?
1) parotitis
2) cholecystitis
3) pyelonephritis
4) GI Necrosis and stricture

Ans:4) GI Necrosis and stricture

CMV ulcerations occur in both the lower and the upper gastrointestinal tract, and it may be difficult to distinguish diarrhea due to GVHD from that due to CMV infection.

130.Which of the following is least protein bound?
A.Morphine
B.Sufentanyl
C.Meperidine
D.Fentanyl

Ans:A.Morphine

Morphine--30% protein bound

131.Cortex of ovary consist of all the following EXCEPT
a)graffian follicle
b)hilus
c)primordial follicle
d)corpus luteum

Ans:b)hilus(REPEAT)

132.Q: A 25 yr old male complains of paroxysm of unilateral head ache, associated with nasal discharge and tearing of eyes on the side of head ache, precipitated by bouts of alcohol, most likely diagnosis is

A. Cluster head ache
B. Migraine
C. Sinusitis
D. ??

Ans:A. Cluster head ache

133. Which of the following is affected in MEGALOBLASTIC anemia?

A. DNA
B. RNA
C. Globin
D. ??

Ans:A. DNA


134.Best advice to be given to a patient of newly diagnosed type 2 DM

A. Limit intake of carbohydrates
B. Follow consistent calorie diet intake.
C.stop sucrose
D.less than 10% of saturated fat

Ans:A. Limit intake of carbohydrates

Reference:CMDT 2011 and Harrison Medicine


Diet

A well-balanced, nutritious diet remains a fundamental element of therapy. The American Diabetes Association (ADA) recommends about 45–65% of total daily calories in the form of carbohydrates; 25–35% in the form of fat (of which *******< 7% are from saturated fat), and 10–35% in the form of protein. In patients with type 2 diabetes, *******limiting the carbohydrate intake and substituting some of the calories with monounsaturated fats, such as olive oil, rapeseed (canola) oil, or the oils in nuts and avocados, can lower triglycerides and increase HDL cholesterol. Patients with type 1 diabetes or type 2 diabetes who take insulin should be taught "carbohydrate counting," so they can administer their insulin bolus for each meal based on its carbohydrate content. In obese individuals with diabetes, an additional goal is weight reduction by caloric restriction (see Chapter 29: Nutritional Disorders). 135. In a screening test for Ca Breast The sensitivity is 90(ninety)% specificity is [snip](ninety eight)%,what is the chance of a patient with Ca breast to be detected negative in screening conducted in two consecutive years.. A.1/10 B.2/10 C.1/100 D.2/100 Ans: C.1/100 Explanation: Sensitivity=True positivity rate is 90%=0.9 False negative rate=100-sensitivity=10%=0.1 So for 2 yrs of consequitive false negative in a patient with carcinoma breast.we need to apply multiplication rule of probability That is:0.1 X 0.1=1/100 136.Which of the following is false regarding Peritonsilar abcess? A.Usually presents with trismus B.The accumulation of pus is lateral to the superior constrictor muscle C.It does not involve the floor of mouth D.It causes bulge of the uvula/soft palate Ans: C.It does not involve the floor of mouth “”Peritonsillar space is located ***lateral to the superior constrictor muscle”” “””Progressive inflammation and suppuration may extend to directly involve the ****soft palate, the lateral wall of the pharynx, and, occasionally, the base of the tongue.””” “””Many patients present with ipsilateral referred otalgia with swallowing. ****Trismus (ie, a limitation in the ability to open the oral cavity) of varying severity is present in ***all cases, reflecting*** lateral pharyngeal wall and pterygoid musculature inflammation.””” “”As the degree of inflammation and infection proceeds, symptoms include progression in the ****floor of the mouth, the parapharyngeal space, and the prevertebral space.”” 137. Most common serious complication of end colostomy is? A.Parastomal hernia B.prolapse C.obstruction D.bleeding Ans: A.Parastomal hernia Reference:Shwartz surgery and Emergency medicine a comprehensive study guide Most common late complication of End colostomy is Parastomal hernia. More serious complications of end colostomy include necrosis, retraction, stenosis, and parastomal hernias. 138. aromatic enzyme complex is involved in the biosynthesis of A.Cholesterol B.Adrenal hormones C.vitamin D3 D.Estradiol/estrogens Ans: D.Estradiol/estrogens 139. Blunt injury to which region causes max vascular injury a.Inferior dislocation of clavicular region(option unclear) b.Knee dislocation c.Elbow dislocation d.Tibial plateau fracture Ans: b.Knee dislocation (Most probably—shall review more references) High yield Orthopedics A knee dislocation is a difficult injury for the junior surgeon to diagnose. It represents a disabling and limb-threatening injury.Where doubt exists, the patient must be admitted for vascular observation and treatment, in that popliteal artery injury occurs in 35% to 45% of all knee dislocations. 140. which shouldnt be refrigrated before primary innoculation ? a) CSF b) urine c) sputum d) pus Ans: a) CSF(REPEAT) Reference:Anatanarayan csf should not be refrigerated bcoz h.influezae s killed. 141. Most common organ injured in blunt injury ?? a. liver b. spleen c. intestine d. Kidney Ans: b. spleen 142. which of the following occur in ischemic cardiac tissue A.increased ATP B.increased anaerobic glycolysis C.increased PH D.Increased release of Ca Ans: B.increased anaerobic glycolysis 143.Biconcave shape of RBC is useful for all except? A.Helps in passing through capilaries B.Helps in cellular metabolism C.Increased surface area diffusion of gases D.Prevent osmotic lysis Ans: B.Helps in cellular metabolism 144.Regarding appendicitis in CHILDREN, all are true except? A.localised pain is single most imp reliable sign B.vomiting precedes abd pain C.80 % cases perforation occurs in children less than 5 yrs D.60%perf in 48hrs answer: B. 146. Neovascularisation of iris is seen in? A.diabetic maculopathy B.hypertensive retinopathy C.primary open angle glaucoma D.CRVO Ans: D CRVO > A.diabetic maculopathy
147. Modified biophysical profile includes?
A.Fetal tone and breathing
B.Fetal movements and tone
C.NST and AFI
D.—

Ans:C.NST &AMNIOTIC FLUID INDEX
148. all from wolfian duct except

a. eoophoron
b. paraoooporon
c. gartner duct
d . bartholin duct

Ans: d . bartholin duct

149. Antibiotic prophylaxis is indicated in all the following for prevention of endocarditis EXCEPT: (contributed by dragonliver4ever)
a)cardiac catheterisation
b)prostectomt
c)cystescopy
d)Dental procedures

Ans: a)cardiac catheterisation(REPEAT)
150. rubor in inflammation due to
A.Decreased tissue oncotic pressure
B.Decreased oncotic pressure in arterioles
C.Constriction of the capillaries
D.Dilatation of the arterioles

Ans: Dilatation of arterioles.

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