Monday, March 18, 2013

490 - AP PG 2013 All questions with answers

1 all are derivates of nueral crest except=adrenal cortex

2 BRANCH of lumbar plexuses which emerge from anterior surface of psoas major muscle is genitofemoral shocked but its true

3 round window of middle ear is closed by sec tympanic membrane

4 portal vein formation lies posterior to the neck of pancreas

5 the knee joint is supported by all of the following ligament except inverted y shaped ligament of bigelow

6 stimulation of j receptors causes all of the following except hyper tension

7 the structures outside the blood brain barrier are all of the following except locus ceruleus

8 all are true regarding erythropoietin except its blood level is markedly decreased in anaemia

9 the major stimulus for receptive relaxation of the stomach is food in the stomach

10 deuterium oxide is used to measure the volume of total body water

11 all of the following similarities are true regarding dna and rna except pentose sugar is ribose

12 one of the following has energy rich bonds =GTP

13 co enzyme a contains panthoneic acid

14 blood levels of WOF aminoacids serve as an index of increased cvs risk =homocysteine

15 profuse watery diarrhoea in cholera is due to foollwing action of toxin=ADP ribolysation of stimulatory G protein

16anti platelet action of aspirin is due to inhibition of synthesis of TXA2

17 busipirone=5 ht agonist and anti anxiety

18 not correct abt sulfonyl urea is used in type 1 DM

19 vareniciline novel nicotonic antagonist approved for smoking cessation

20 not produced by cholinomimetics=urinary retention controversy

21 organism that does not grow at normal atmosphere tension but requires traces of o2 in metabolism is microaerophilic

22 intracellular survival of M.tb is due to prevention of fusion of phagosome with lysosome

23 entero test is done for giardiasis

24 all are vapour phase disinfectants except thiomersal

25 mice are used for isolation except echo virus

26 warthin finkedly cells are seen in measles

27 philadelphia chromosome was first discovered by nowell and hungerford

28 PTHrp produced by squamous epithelial cells of the skin

29 metastases of malignant tumour of brain =all of the above

30 centrilobular empysema=respiratory bronchiole

31 corbus disease=gangrenou balanitis

32 hodgkins lymphoma with negative cd 15 and cd 30=lymphocyte predominant

33 ames test for mutagenicity

34 macro orchidism in post pubertal males =fragile x syndrome

35 germ cell tumour of ovary= benign cystic teratoma

36 gila monster is a type of lizard

37 danbury tremors =mercury poisoning

38 min punishment for gang rape is 10 years

39 paltauf hemorrhage=drowning

40 masochism = sexual gratification is sought by being beaten ,tormented or humilated by ones sexual partner

41 a sequence of activities designed to implement policies and accomplish objectives is called programme

42 most commonly used measure of variation is standard deviation

43 e.coli indicator of bacterial quality and contamination of water

44 tiger mosquito =aedes

45 biological vector for q fever =tick

46 case control study for rare diseases

47 ICDS=integrated child hood development and services

48 social security none of the above

49 the instrument used to measure very low air movements in closed rooms=kata thermometer

50 principles of health education include all except punishment

51 non pancreatic gastrinomas are mostly located in duodenum

52 h pylori colonisation is a risk factor for all except adenocarcinoma of diatal stomach

53 the first choice of DMARD for intial treatment of moderate to severe ra is montherapy methotrexate

54 most common cause of increased red cell protoporohyrins is vitamin b 12 deficency

55 chronic pericardial effusion that is massive but rarely causes cardiac tamponade is myxoedema

56 holiday heart syndrome most friquently manifests as atrial fibrillation

57 essential component of multi drug regimen in treatment of staphylocoocal prosthetic valve endocarditis is vancomycin

58 autonomic neuropathy in type 1 and type 2 as all except anhidrosis of upper extremities

59 most common cause of growth hormone releasing hormone mediated acromegaly = chest or abdominal carcinoids

60 acute kidney injury caused by acyclovir is due to acute interstial nephritis

61 lesch nyhan syndrome is characterised by all except partial deficency of hprt

62 hyper prolactinemia is caused by all except hyperthyroidism

63 the drug of choice in pts with generalised epilepsy syndromes having mixed seizures is valproic acid

64 most cases of hemifacial spasm are related to vascular compression of facial nerve in pons

65 most common cause of cardioemboli stroke is non rheumatic atrial fibrillation,this will trigerr doubts i think but in many journals its given

66 extra renal manifestations of ADPKD INCLUDE ALL EXCEPT splenic cyst i think

67 focal seizures in bacterial meningitis are usually due to cortical venous thrombosis with haemorrhage

68 patchy specific lesions are seen on small bowel biopsy except whipple disease

69 nicotonic acid significantly reduces plasma levels of LPa

70 in pts with severe structural lung disease most common infective agent= to cause pneumonia=P.AERUGINOSA

71 MOST COMMON LIFE threatening complication of squamous cell carcinoma of lung=hyper calcemia

72 predsominant cause of diarrhoea in elderly patients in chronic care insitutions is C.difficile

73 bronchiectasis predominant central airways is seen in ABPA

74 ALL ARE S/E OF interferon are reversible upone dose cessation of therapy except autoimmune thyroiditis

75 in juvenile pernicious anemia all are present except parietal cell bodies

76 haemolytic anemia can occur in patients with severe alcholic hepatitis =zieve syndrome
77 in vertebral osteomyelitis ,anterior erosion of superior end plate of vertebra are typically the first feature to become evident in TB

78 aplastic anemia with pancreatic in sufficency and malabsorption is seen in shwachmann diamond syndrome

79 the areas most often invoved in lesions of toxoplasmosis in cns includes all except meninges

80 autosommal recessive hyper ig e syndrome is characterised by all except deficency in tyk-2 ,its is dock 8 mutation

81 all are primary causes of nephrotic syndrome in infants except sle

82 regarding reye syndrome false is condition usually observed in children less than 3 years

83 hemorrhagic cystitis is associated with cyclophoshamide

84 18 month old boy with prominent eye ball and abdomen=neuroblastoma

85 triad of chorioretinitis ,microcephaly and intracerebral calcification=toxoplasmosis

86 5yr girl with joint pain ,iridocyclitis=JRA

87 7 YR OLD BOY short stature ,large skull ,prominent forehead ,saddle shaped nose,scoliosis normal intelligence=noonans syndrome

88 immediately after birth .the preventable cause of mental retardation are all except
hurler syndrome

89 associated with large ant fontanelle =all of the above

90 an agreesively looking thin and tall 15 year old with long limbs and small testis= chromosomal analysis

91 relative humidity of alevolar air=100%

92 emergence reaction is found with ketamine

93 signs and symptoms of local anaesthetic toxicity except diarrhoea

94 one bar=15 psi

95 drugs used for tb prophylaxsis= isoniazid

96 in tb to be positive at least 1 in 10,000org per ml of sputum

97 most common cause of hemothorax =iatrogenic

98 hypercalcemia in sarcoidosisis result of increased production of 1,25 di hydroxy vitamin d

99 sycosis barbe=staph

100 golden yellow on woods lamp=tinea versicolor

101 false statement regarding pompholyx is a type of exogenous eczema

102 zidovudine=nucleoside reverse transcriptase

103 acetic acid test=hpv

104 groove sign=LGV

105 confabulation =koraskoff syndrome

106 thought broad casting =thoughts being projected into environment

107 red colour in doppler examination denotes flow towards ultrasonic probe

108 which component of radiographic contrast media provides most useful radio opacity=iodine

109 stereotactic radiosurgery is commonly used to treat tumors of spinal cord

110 the radiation detecting system used in gamma camera is scintillation detector

111 which does not require bowel preparation before contrast study=megaloblastic anemia

112 treatment for carcinoid appendix >2cm in size is right hemicolectomy

113 most common cause of pancreatic ascites= chronic pancreatitis

114 annular pancreas is treted by duodenostomy

115 pringle manoeuvre= liver injuries

116 definitive treatment for caroli disease whose liver function is preserved is biliary drainage

117 nodular seminal vesicle on rectal examination= LGV

118 retractile testis is best treated by reassurance

119 chordae is most often associated with hypospadias

120 most widely used investigation for lower limb venous in sufficency=doppler ultrasound imaging

121 myoglobinuria is associated with flame burns i think multiple answers

122 most commonly used formula for burns resuscitation is parkland formula

123 commonest site of peripheral aneurysm is popliteal

124 lobular =bilateral

125 limb compartment syndrome is best treated by fasciotomy

126 gas bloat syndrome is acomplication of nissen fundoplication

127 commest graft used for cabg=long saphenous vein

128 giant cell reparative granuloma of jaw is treated by curretage

129 commonest cause of esophageal perforation is iatrogenic

130 chromic cat gut is delayed absorbable synthethic suture material

131 ischiorectal fossa is at an increased risk of infection due to poor blood supply

132 thumb printing sign= ischemic colitis
133 warthin tumour second most common benign tumour of parotid gland

134 pts presenting with abd pain ,shock need imediate laparatomy excep[t ruptured liver hemangioma

135 acute diverticulitis except coservative treatment may be successful in severe attack

136 lower esophageal sphincter is relaxed by all except prostaglandin f2

137 superficial spreading melanoma best prognosis

138 fourneirs gangrene false obvious cause is evident

139 facial disproportionate growth is characteistic of all of the aboe

140 dieulafoys lesion arteriovenous malformation

141 the commonest deformity in ctev is equinovarus

142 histologically tumour osteoid is found in osteosarcoma

143 swan neck deformity is seen in rheumatoid arthrits

144 PTH does not lead to increased tubular reabsorption of phosphates

145 radiograph shows looser zones in osteomalcia

146 caries sicca = shoulder tb

147 not a external fixator knowles pin

148 spondylolysis=defect in pars interarticularis

149 thomas splint intially used for immobilisation in treatment of tb of knee joint

150 inter trochanteric # complications except non union it should be mal union

151 dysphonia plica ventricularis voice produced by ventricular folds

152 lupus of larynx mostly affects anterior part

153 thumb sign =acute epiglottis

herpangina= coxsachie

155 recruitment phenomenon=menieres disease

156 gate way of tears =killian dehiscence

157 cold caloric test is done with dundas grant tube

158 early laryngeal cancer which neither impaired cord mobility nor invaded cartilage orcervical lymph nodes is best treated by hemilaryngectomy

159 tripod #=zygoma

160 gelles test= otosclerosi

161aqueos flare in iridocyclitis is due to proteins
162 lasik=excimer

163 cobblestone apperance=spring catarrah

164 sub conjuctival hemorrhage in children is seen with whooping cough

165 acute hydrops is seen in keratoconus

166 ciliary staphyloma is due to scleritis

167 drugs efective against chlamydia except

168 gram negative diplobacilli=moraxella lacunata

169 hema=soft lens

170 corneal thickness=pachymeter

171 brow presentation mento vertical

172 not true abt nonoxynol-9 as contraceptive failure rate is 10/hwy

173 not correct aboutpop mainly cause ovulation

174 hormone releasing iucd mirenareleases 20 micro gram levonorgestrol

175 life span of cut -380 a=10 years

176 lymphatics from glans of clitoris drain directly into external iliac
177 mrkh except inguinal testis

178 nulli parous with third degree prolapse= shirodkars operation

179 not present in kallman syndrome=b/l absence of vas deferens

180 present in pcos except raised serum hormone binding globulin

181 brenner tumour=epithelial tumour

182 acidity of vagina=doderlein bacilli

183 HCG are increased in all except endodermal sinus tumour

184 all are cause of deep dyspareunia except senile atrophy of vagina due to menopause

185 inferior vesical artery does not contribute to formation of azygous arteries of vagina

186in pregancy least cvs disease with maternal mortality among options pda

187 risk of scar rupture in lscs=.2to 1.5%

188 drug contraindicated in pregnany in malaria=primaquine

189 serum creatine is decreased during pregnancy

190 dangerous placenta previtype 2 posterior

191 obstetric conjugate= distance betweninner surface of pubis to sacral promontry

192 couvelaire uterus =severe form of concealed haemorrhage

193 multi gravida 20 wks hb 6 pregnant ideal management= parentral iron therapy

194 precipitate labour 1 +2 stage less than 2 hours

195 for USD OF CHRONIC POLYHYDRAMINOS ,afi should be more than 25 cm

196 all assoc wit oligohydraminos except rhesus

197 not a feature or severe pre eclampsia =convulsions

198 for rhesus positive new born of rhesus negative mother all are indications for exchange transfusion except total bilirubin level 10 mg/dl

199 during normal involution uterus beomes pelvic organ by 2 weeks

200 after 72 hours of unprotected coitus emergency contraception of choice cu-T

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