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foot drop 2]S5 root not involved in a.adduction of thigh b.foot dorsiflexion c.extension of knee d.flexion of knee 3]not seen in the floor of 3rd ventricle is------- a.3rd nerve b.mamillary body c.optic 4]posterior cerebral circulation obstruction doest involve----- a.pons b.mid brain c.cerebellum d. 5]in anterior choroidal block not seen is------ a.homonymous hemianopia b.hemiplagia c.hemianesthesia 6]which of the following pases through foramen magnum---- a.vertebral artery b.sympathetic trunk c.12th nerve d.int carotid artery 7]structure not present below the pancreas head is--a) duodenum first part b) Aorta c) IVC d.cbd 8]utricular creast is present in----- prostatic urethra 9]nerve derived from trunk is--- a.supra scapular b.nerve to subclavius c.long thoracic nerve 10]spinal anesthesia is given at----- l2-l4 segment 11]low radial nerve palsy doest involve--- ecrl,ecrb,intrinsic muscles of hand 12]supracondylar# usually involes- a.anterior interosseus nerve b.median c.ulnar d.radial 13]not supplied by anterior division of mandibular nerve is--- a.lat pterygoid b.maseter c.medial pterygoib d.temporalis 14]pain of ethmoidal sinusoitis is mediated by---naso cilliary nerve 15]not a pneumatic bone is--- mandible, maxilla, ethmoid, frontal 16]vestibular schwannoma arises fromsuperior vestibular division 17]diaphragm is developed from all of the following structures except- a.septum transversarium b.cervical myotome c.pleuroperitoneal membrane d.dorsal mesocardium 18]aortic musculature derived from-para axial, intermediate, latral 19]epiphysial growth plate is an example of- a.primary fibrocartilagenous joint b.secondary fibro cartilaginous joint 20]Major arterial supply to femoral neck is--- a.profunda femoris b.lateral circumflex c.medial circumflex femoral 21]not a derivative of hypogastric sheatha.broad ligament 22]palpation of int carotid done atsuperior border of thyroid [/img] _________________ 1------anesthesia of sole of foot 2........adduction of thigh 3.........3rd nerve 4..........pons 5..........ataxia if it was in option the other three options which i had given happens in ant choroidal block 6............vertebral artery 7............1st part of duodenum 8............prostatic urethra 9.............supra scapular & nerve to subclavius 10...........l2---l4 11...........ecrl 12...........ant interosseus 13..........medial pterygoid 14..........nasocilliary nerve 15..........mandible 16...........sup division 17.........dorsal mesocardium 18.......... para axial 19.........primary cartelagenous 20...........profunda femoris/medial circumflex 21...........broad ligament 22............superior border of thyroid _________________ there will be no tomorrow if there is no today Physiology & biochemistry-------------------------------------------1]vitamin k is required for carboxylation of----glutamate 2]urea cycle occours in------ liver 3]decreased energy is seen in thiamine deficiency this is because- thiamine is the cofactor for alfa keto glutarate and pyruvate dehydrogenase 4]increased pcv in mountaineers is due to----- a.polycythemia and dehydration b.pulmonary edema
c.blood los 5]earliest sign of hypomagnesemia is-------- a.decreased dtr b.cvs depression c.hypertension d.convulsions 6.hcg levens are monitored by---- a.bio assays b.ria c.elisa d.latex agglutination 7] nitrates in intestine acts by--- inhibiting smooth muscle contraction 8]durig a body plethismography test a man gives an expiratory effort against a closed glottis what happens to preasure of body and box a.both increased b.body preassure increases box preassure decreases c.viceversa of b d.both decreases 9]cardio protective--- w3 fatty acid 10]false is--- a.level of ldl not associated with formation of foam cells b.hdl can decrease the oxidation of ldl into foam cell 11]vescicular sound heard in small airways because--- a.high Reynolds number b.lesser velocity c.lower radii of curvature d.higher total area of crossection 13]enzyme transferring nh3 ion from one molecule to other is- amino transferase 14]waxy translucent lines illuminantphosphorus 15]orthopnia is due to--- a.pooling in pulmonary circulation b.pooling in legs 16]compliance of lung is decreased in a/e- a.reduced surface tension b.chronic bronchitis c.pulmonary edema 17]oxygenated blood is present inumbilical vein 18]maximum water is reabsorbed from- jejunum 19]ab can be membrane bound or secretory due to- differential splicing 20]increased levels of all of the following is associated with atherogenesis except----- a.homocystine b. Ldl c. Apoe 21]Increased production of a mutant protein can be favoured bya.increased translation factors b.inducible promoter 22]right isomerism associated with- aspleenia 23]Gs alfa subunit gain in function mutationincreased gtpas activity 24]false is--- a.factor 10 common pathway b.extrensic pathway can be activated by availability of phospholipid layer c. Calcium is an important clotting factor d.intrnsic factor pathway can be studied invitro 25]Bmr depends onlean body mass 26]aldosterone receptors are not found inliver 27.two plznts are grown one flourescene and another in luciferase containing media in dark what happens 1. both plants wil glow 2. both wil not glow 3. first wil glow 4. second wil glow _________________ 1.........glutamate 2..........liver 3...........thiamine is the cofactor for alfa keto glutarate and pyruvate dehydrogenase 4.polycythemia + dehydration 5.decreased dtr 6..............probably ria not sure 7..........inhibiting smooth muscle contraction 8...........body preassure increases box preassure decreases 9........w3 fatty acid 10.........level of ldl not associated with formation of foam cells 11..........probably lower radii of curvature 13.........amino transferase 14.........no idea may be phosphorus 15..........again no idea i wrote pooling in pulmonaru circulation thats why we give head up bed position in these patients, but again i am simply guessing 16.......chronic bronchitis 17......umblical vein 18.........jejunum 19........differential 20.........apo e 21.........increased translation factors 22........aspleeneia 23.......increased gtpase activity 24........may be pathway can be activated by availability of phospholipid layer not sure though 25........lean body mass 26.......liver 27........seriously no idea what he is talking about _________________
Forensic-------------------------------------------------------------1.Hyperthermia is seen in a/e- a mao i b.alcohol c.bi nitro cresol d.amphetamine 2.bluish discoloration of mucosa nails and conjunctiva seen in- a.lead b.arsenic c.copper 3.traces of gunpowder detected by- a.uv light b.infra red light 4.rave drug is-ectacy 5.Which of the following can be used in bioterrorism-- a.c botulinum b.small pox 6.signature fracture is- depressed fracture 7.sparrow leg appearance on face seen with- a.burst of dash board screen b.vitrolage c.bullet wound not penetrating face 8.imprint of tyre on body- patterned bruise 9. not a way of dental analysis- fdi, 10.voilent shaking of child seen- a.#long bones ,b.orbital#, c.epidural haematoma d.spleen injury 11.most common cause of death in schizophrenia is _________________ 1.......alcohol 2.........lead 3.........infra red 4.........ectacy 5..........c botulinum acc to harrison i had written small pox and i am cursing bhatia grand test for it 6........... depressed fracture 7.......burst of dash board on face inspired by die another day movie 007 8.......patterned bruise acc to reddy 9........fdi and pammer methods are done dont remember the other two options need ur help here 10........it was sub dural hematoma not epi 11.......suicide coz sizophrenia is always associated with major depression any way if a drug increases the mortality in a group of patient it wont be ginen to him right. so in all probability its suicide _________________ Pharmacology-----------------------------1.chronic use of inh causes deficiency in- isonhiazide 2.True is- a.sulfonamide binds irreversibly to enzyme b.inhibition of malathion can be reversed by increasing the concentration of ach c.flouroacetate is a competitive inhibitor of aconitase 3.not used for controlling post menopausal flushes in a woman with harmone +ve tumors is- tamoxifen 4.amphotericin b causes deficiency in- potassium 5.not given to treat diabetic macular edema-tamoxifen 6.which progesterone is given in low dose ocp- a.norethensterone b.lovogestor c.madroxyprogesterone 7.in a patient with reduced renal function, what is done to decrease toxicity due to contrast agent-a.hypoosmotin solution b.fendopalm c.nacetyl cystine d.manitol 8.pregnant woman with new sputum +vet b what is to be done- start category 1 immidiately 9.drug of choice for central di is-desmopressin 10.patient taking lithium presenting renal toxicity signs what should not be given- diuretics 11.after taking penicillin patient presents with lymphadenopathy and shock hypotension probable causetype 3 hypersensitivity reaction 12.pregnant woman with sle not given in treatment- methotrexate 13.resistance to opoid action acquired in a/e- miosis 14.which is most commonly used for detoxification of opoid dependence- methadone 15.alcohol detoxification all are used except- a.disulfiram b.acramposate c.flumazenil d.buspirone 16.aflatoxin secreted by-aspergillus flavus 17.fluvistart false is- a.pure estrogen antagonist b.approved for breast cancer c.toxicity/efficacy les than srem 18.parentral nutrition not given- fibers, fat, cho, micro nutrient 19.anti depressant also used in spasic bladder,- a.immipramine b.fluvoxamine 20.muscarinic antagonists donot mediate- pupilary constricti 21.serotonin syndrome a/e- a.dantrolin given b.charecterised by increased temperature and hypertension c.sri can precipitate it d.always predictable and not idiosyncratic 22. true about mrsa a/e- resistance mediated by plasmids 23.tetracycile is used in prophylaxis for- cholera 24.pulmonary fibrosis/toxicity seen with-bleomycin 25.haemorrhage after giving primaquine cause-g6pd def 26.32 yr old hypothyroid patient with heart disease- a.give low dose levothyroxine b.thyroid mass implantation c.full dose levo 27not used in migrane prophylaxis- a.propranolol b.topiramate c.flunarizine d.phenytoin/ca channel blocker 28.antiviral which is an integrase inhibitor-raltigralvir 29.contraceptive not given in epileptic patient- ocp
30.alkalysation of urine done in- a.ifsophosphamide b.methotrexate c.platins d.arac 31.not a side effect of methotrexate- diarrhoea 32.given for treatment of varices- octreatide 33.meglitanide false is a. decreases post parendial hyperglycemia b. hypoglycemia less common than sulfonylureas c. it decreases insulin resistance d. it acts by releasing insulin 34.best inotropic drug for rv -a.dopamine b.milerinone c.digoxin d.amrinone 35.digoxin toxicity causes a/e- a.ventricular bigeminy b.bi ventricular tachycardia c.atrial fibrillation regularisation d.delayed av conduction 36.false about erotinib is- a.tyrosine kinase inhibitor given for epithelial tumor b.given for ncc c.food delays its absorption d.side effect rashes 37.after craniopharyngioma surgery first drug to be given in case of endocrinal insufficiency-cortiso 38.what is given for chemotherapy induced thrombocytopenia-opralutin 39.apripitant false is-a.a.nk1 agonist b.given for chemotherapy induced vomiting c.croses blood brain barrier d.metabolised by cyp450 40.ranulogin false is-a.anti angina b.glycemic control 41.false is-insulin is never required in typr 2 dm 42.not seen on giving intra thecal opoids- a Dysphonia b.itching c.fall in bp 43.true about buprenorphine at meu receptor is-- a. Partial agonist at MU Receptor c. Partial agonist at Kappa Receptor b. Full Agonist at Mu Receptor d. It is antagonist at Kappa receptor 44.which is not antiresorptive a.Etidronate b.Strontium c.Teriparatide d.alendronate _________________ Pharmacology-----------------------------1.chronic use of inh causes deficiency in- isonhiazide ans.....................pyridoxin ============================================== 2.True is- a.sulfonamide binds irreversibly to enzyme b.inhibition of malathion can be reversed by increasing the concentration of ach c.flouroacetate is a competitive inhibitor of aconitase ans.................option c -----------------------------------------------------------------------------------3.not used for controlling post menopausal flushes in a woman with harmone +ve tumors is- tamoxifen ans.........tamoxifen actually worsens flushes ------------------------------------------------------------------------------------4.amphotericin b causes deficiency in- potassium ans......its pottasium =============================================== 5.not given to treat diabetic macular edema-tamoxifen again tamoxifen causes macular edema so cant be given =============================================== 6.which progesterone is given in low dose ocp- a.norethensterone b.lovogestor c.madroxyprogesterone a and b both are given in low and ultra low dose in us products so which is used more commonly i dont know ============================================== 7.in a patient with reduced renal function, what is done to decrease toxicity due to contrast agent-a.hypoosmotin solution b.fendopalm c.nacetyl cystine d.manitol hypoosmotic agents actually decrease contrast induced side effects and acetyl cystine is reno protective
for kidney to any contrast injury so if the qn is as i had written my ans is acetylcystine if it were whats given to decrease side effects my ans is hypo osmotic solution hey seriously the answer could be any thing need ur help -----------------------------------------------------------------------------------8.pregnant woman with new sputum +vet b what is to be done- start category 1 immidiately ans.....its type 1 immideatly ------------------------------------------------------------------------------------9.drug of choice for central di is-desmopressin ============================================= 10.patient taking lithium presenting renal toxicity signs what should not be given- diuretics =============================================== 11.after taking penicillin patient presents with lymphadenopathy and shock hypotension probable causetype 3 hypersensitivity reaction =============================================== 12.pregnant woman with sle not given in treatment- methotrexate ============================================== 13.resistance to opoid action acquired in a/e- miosis ============================================== 14.which is most commonly used for detoxification of opoid dependence- methadone ============================================== 15.alcohol detoxification all are used except- a.disulfiram b.acramposate c.flumazenil d.buspirone thje qn was more like drug given to prevent relapse any ways the ans is flumazenil ============================================== 16.aflatoxin secreted by-aspergillus flavus =============================================== 17.fluvistart false is- a.pure estrogen antagonist b.approved for breast cancer c.toxicity/efficacy les than srem a and b are excluded probably even c . any body knows whats the option d?????? =============================================== 18.parentral nutrition not given- fibers, fat, cho, micro nutrient ans......fibers ============================================== 19.anti depressant also used in spasic bladder,- a.immipramine b.fluvoxamine ans.........the qn also had nocturnal enuresis, spastic bladder, depression so the ans is imipramine -----------------------------------------------------------------------------------
20.muscarinic antagonists donot mediate- pupilary constricti ----------------------------------------------------------------------------------21.serotonin syndrome a/e- a.dantrolin given b.charecterised by increased temperature and hypertension c.sri can precipitate it d.always predictable and not idiosyncratic ans is dantroline yes serotonin syndrome is predictable and not idiosyncratic thats why u dont give drugs which can precipitate it =============================================== 22. true about mrsa a/e- resistance mediated by plasmids ------------------------------------------------------------------------------------23.tetracycile is used in prophylaxis for- cholera ------------------------------------------------------------------------------------24.pulmonary fibrosis/toxicity seen with-bleomycin ----------------------------------------------------------------------------------25.haemorrhage after giving primaquine cause-g6pd def =============================================== 26.32 yr old hypothyroid patient with heart disease- a.give low dose levothyroxine b.thyroid mass implantation c.full dose levo ans......low dose =============================================== 27not used in migrane prophylaxis- a.propranolol b.topiramate c.flunarizine d.phenytoin/ca channel blocker ans is ca channel blocker it causes vasodilation further incresing migrane which acc to vasculogenic theory is due to increased vasodilation hope the explanation satisfies u ============================================== 28.antiviral which is an integrase inhibitor-raltigralvir ============================================ 29.contraceptive not given in epileptic patient- ocp ============================================== 30.alkalysation of urine done in- a.ifsophosphamide b.methotrexate c.platins d.arac ans..... it was specifically asked high dose of which drug the answer is cisplatin ============================================ 31.not a side effect of methotrexate- diarrhoea ans,,.. the question was about adverse effect of thalidomide a/e and the ans is diarrhoea as it causes constipation ----------------------------------------------------------------------------------32.given for treatment of varices- octreatide ----------------------------------------------------------------------------------33.meglitanide false is a. decreases post parendial hyperglycemia b. hypoglycemia less common than sulfonylureas c. it decreases insulin resistance d. it acts by releasing insulin
ans..... it decreases insulin resistance =============================================== 34.best inotropic drug for rv -a.dopamine b.milerinone c.digoxin d.amrinone i have doubt abt it may be its no releasing amnirone which is preffered on right heart failiure as it may specifically act on pulmonary vasculature decreasing afterload again its a wild concept need ur help in finding the right answer =============================================== 35.digoxin toxicity causes a/e- a.ventricular bigeminy b.bi ventricular tachycardia c.atrial fibrillation regularisation d.delayed av conduction ans...... may be ventricular tachy cardia digoxin slows conduction regularisation of af is the most imp sign of digoxin toxicity ------------------------------------------------------------------------------------36.false about erotinib is- a.tyrosine kinase inhibitor given for epithelial tumor b.given for ncc c.food delays its absorption d.side effect rashes erotinib is given in non small cell carcinoma what was option b was it scc or nscc if it was scc then thats the answer if it was nscc the ans may be food decreases absorbtion ============================================== --------------------------------------------------------------------------------------------------------37.after craniopharyngioma surgery first drug to be given in case of endocrinal insufficiency-cortiso -------------------------------------------------------------------------------------38.what is given for chemotherapy induced thrombocytopenia-opralutin --------------------------------------------------------------------------------------39.apripitant false is-a.a.nk1 agonist b.given for chemotherapy induced vomiting c.croses blood brain barrier d.metabolised by cyp450 ans,,,,,,nk1 agonist its actually an antagonist ---------------------------------------------------------------------------------40.ranulogin false is-a.anti angina b.glycemic control ans...glycemic control ----------------------------------------------------------------------------------41.false is-insulin is never required in typr 2 dm =============================================== 42.not seen on giving intra thecal opoids- a Dysphonia b.itching c.fall in bp ans is dysphionia ----------------------------------------------------------------------------------43.true about buprenorphine at meu receptor is-- a. Partial agonist at MU Receptor c. Partial agonist at Kappa Receptor b. Full Agonist at Mu Receptor d. It is antagonist at Kappa receptor ofcourse its partial agonist ---------------------------------------------------------------------------------44.which is not antiresorptive ans.....teriparatide
a.Etidronate b.Strontium c.Teriparatide d.alendronate[/quote] _________________ Pathology------------------------------------1.necrotising lymphadenitis seen in-kikuchi disease 2.sterile pyurea seen in-1.chronic pyelonephritis a.wilmss tumour b.tuberculosis c.cystitis d.chronic pyelonephritis 3.in a disease with platelet dysfunction what happens- a.normal number increased bt b.decreased number increased bt 4.psamoma bodies not found in-follicular ca thyroid 5.d/d between follicular adenoma and carcinoma- vascular invasion 6.not an immune mediated disease- sickle cell anemia 7.not due to abnormal protein folding- tb 8.not associated with erythema nodosum pregnancy 9.histopathology of nodule in leg shows fibroblastic foci with neutrophilic infiltration likely diagnosis sweats syndrome 10.type of antibody seen in apla- gpi,ana 11.most charecteristi finding in acute inflammation- increased vascular permiability 12.increased free radical injury is associated with increased levels of a/e superoxide dismutase , gutathion peroxidase 13.alt and classical pathway both activate c3 14.pirions- catalise folding of other protein 15.chimerism is seen in- a. singleton pregnancy b.monoamniotic .monochorionic c.diamniotic monochorionic 16.cell organelle involved in apoptosis -mitochondria 17.hybrids are obtained by using the following technique except- 1)attaching inactive viral particle on cell membrane 2)adding ethylene glycol 3)applying a small electric current 18.slide fixing in pathology done bya.formaldehyde b.alcohol c.picric acid d.glutraldehyde 19.false about xanthogranuloma- caused by tb 20. most potent stimulant of naive t cell- mature dendritic cell 21.malignancy associated with nf syndromeA.jml B. Acute lymphoblastic leukemia C. Aml 22.coarctation of aorta mc associated with bicuspid valves 23.aml poor prognostic factor24.on fist time exposure to ova cells type of ab produced is- igm 25.hb h disease occours due to -loss of 4 alfa genes 26.phagocytosis all are true except >5 micrometer engulfed <5micrometer engulfed 27.narp is- mitochondrial disorder 28.cavitation pneumonia is seen in- staphylococcus 29.nesidoblastoma false is a. Occurs in adults more than child b.episodes of hypoglycaemia are seen c. Histopathology shows Hyperplasia of Islet cells d. Diazoxide is used in treatment 30.not a true neuronal tumor a.Neuroblastoma b. Gangliocytoma c. Ganglioglioma d.ependymoma 31.true abt gastric carcinomaa.occult bleeding in stool not seen b.achlorhydia predispose c.always scc d)radiosenstive 32.decreased calcium increased phosphate and increased pth investigation not done is- urine routine 33.killing power in phagolysosome is due to- oxidase 34. c in crp stands for- cho polysaccharide of pneumococcus Microbiology--------------------------------1.je false is- a.in epidemics only 2-3 cases seen in a village b.mosquito bite is always associated c.70% infants 2.a sewer worker presents with flu like symptoms liver studie abnormal trearment done isa.sulfonamide b.quinolone 3.yaws not true isa. transmitted non-venerally b.caused by t.pertenue c. Secondary yaw can involve bones d. Last stages involve heart & nerves 4.coryni bacterium diptheriae a/e- toxin production chromosomally mediated 5.enterococcus 6.prolonged carrier state not seen in measles 7.most common cause of migrating visceral larva migrans is- toxocara, strongyloidosis, visceral leishmaniasis 8.patient comes with a history of fever cough not responding to treatment x rays shows signs of pneumonia grams staining shows gram +ve branching filaments partly acid fast probable cause-
a.actinomycosis b.nocardiosis c.aspergillus 10.uncomplicated uti is diagnosed by a/e a. pus cell per field b.bacilli stained by gram stain c.nitrate test +ve 11.patient comes with lymphadenopathy and hypotension after being bitten by rat what staining is to be done- waysons stain 12.bile solubility to differentiate pneumococcus 13.poly saccharide capsule helps in pathogenesis of a/e- a.H.inflluenzae b.Strep pneumoniae c.N.meningitidis d.bordetella pertusis 14.parvo virus false is a.has affinity for erythrocyte p antigen b.causes transient aplastic crisis c.about only 10%of cases it crosses the placent d.spread by respiratory route 15. not transmitted transplacentally- hsv 16.true about Chlamydia trachomatis is- culture of pus for isolation of organism 17.leptosporiosis true is- a.rats acts as reservoir b.feco oral route c.50%cases liver and kidney involved 18.clostridium tetani false is- a.incubation period 7-10 days b.person to person contact c.heat resistant d.3 doses of vaccination 19.c.jejuni false is- a.commonest cause of campylobacteriosis b.polutry source of infection c.humans are reservoir d.associated with gbs 20.mc fungal infection in a non aids patient isA.aspergillus B. Candida C. Cryptococcus D. Muco 21.mc cause of meningo encephalitis in children is- entero virus 22.8 yr old with sign of meningitis and ear infections with ring enhancement in the fronto temporal lobe all can cause it except a.hinfuenzeae b.staphylococcus c.pneumococcus d.pseudomonas 23.whooping cough specimen is collected from nasopharyngial swab 24.false abt pneumococcus- a.capsule helps in virulence b.mc cause of otitis media _________________Pathology------------------------------------1.necrotising lymphadenitis seen in-kikuchi disease ============================================== 2.sterile pyurea seen in-1.chronic pyelonephritis a.wilmss tumour b.tuberculosis c.cystitis d.chronic pyelonephritis ans............tb =============================================== 3.in a disease with platelet dysfunction what happens- a.normal number increased bt b.decreased number increased bt ans.......number normal bt increased ============================================== 4.psamoma bodies not found in-follicular ca thyroid ============================================= 5.d/d between follicular adenoma and carcinoma- vascular invasion ============================================= 6.not an immune mediated disease- sickle cell anemia ============================================== 7.not due to abnormal protein folding- tb ============================================== 8.not associated with erythema nodosum pregnancy ============================================= 9.histopathology of nodule in leg shows fibroblastic foci with neutrophilic infiltration likely diagnosis sweats syndrome ============================================== 10.type of antibody seen in apla- gpi,ana ans..... i have written ana some say gpi since apla was asked not sle =============================================== 11.most charecteristi finding in acute inflammation- increased vascular permiability =============================================== 12.increased free radical injury is associated with increased levels of a/e superoxide dismutase , gutathion peroxidase both options are right some say glutathion peroxidase is more apropriate =============================================== 13.alt and classical pathway both activate c3 =============================================== 14.pirions- catalise folding of other protein ============================================ 15.chimerism is seen in- a. singleton pregnancy b.monoamniotic .monochorionic c.diamniotic
monochorionic ans........mono amniotic dizygotic though also seen in vanishing twin syndrome which was also in the option ============================================== 16.cell organelle involved in apoptosis -mitochondria ============================================== 17.hybrids are obtained by using the following technique except- 1)attaching inactive viral particle on cell membrane 2)adding ethylene glycol 3)applying a small electric current ans.......1)attaching inactive viral particle on cell membrane =============================================== 18.slide fixing in pathology done bya.formaldehyde b.alcohol c.picric acid d.glutraldehyde =============================================== 19.false about xanthogranuloma- caused by tb =============================================== 20. most potent stimulant of naive t cell- mature dendritic cell ========================================== 21.malignancy associated with nf syndromeA.jml B. Acute lymphoblastic leukemia C. Aml ans.....jcl ============================================== 22.coarctation of aorta mc associated with bicuspid valves ============================================== 23.aml poor prognostic factorits abt translocation ============================================== 24.on fist time exposure to ova cells type of ab produced is- igm ============================================== 25.hb h disease occours due to -loss of 4 alfa genes ============================================== 26.phagocytosis all are true except >5 micrometer engulfed <5micrometer engulfed ans...........<5 micrometer its called pinocytosis not phagocytosis ============================================== 27.narp is- mitochondrial disorder ============================================= 28.cavitation pneumonia is seen in- staphylococcus ============================================== 29.nesidoblastoma false is a. Occurs in adults more than child b.episodes of hypoglycaemia are seen c. Histopathology shows Hyperplasia of Islet cells d. Diazoxide is used in treatment option a is correct==================================== 30.not a true neuronal tumor a.Neuroblastoma b. Gangliocytoma c. Ganglioglioma d.ependymoma ependymoma =============================================== 31.true abt gastric carcinomaa.occult bleeding in stool not seen b.achlorhydia predispose c.always scc d)radiosenstive option b ============================================== 32.decreased calcium increased phosphate and increased pth investigation not done is- urine routine =============================================== 33.killing power in phagolysosome is due to- oxidase =============================================== 34. c in crp stands for- cho polysaccharide of pneumococcus =============================================== Microbiology--------------------------------1.je false is- a.in epidemics only 2-3 cases seen in a village b.mosquito bite is always associated c.70% infants ans.............. dont know ============================================== 2.a sewer worker presents with flu like symptoms liver studie abnormal trearment done isa.sulfonamide b.quinolone
ans..............benzyl penicillin ============================================== 3.yaws not true isa. transmitted non-venerally b.caused by t.pertenue c. Secondary yaw can involve bones d. Last stages involve heart & nerves ans.................option d =============================================== 4.coryni bacterium diptheriae a/e- toxin production chromosomally mediated =============================================== 5.enterococcus my friends dont think there was any qn abt enterococcus ============================================== 6.prolonged carrier state not seen in measles ============================================== 7.most common cause of migrating visceral larva migrans is- toxocara, strongyloidosis, visceral leishmaniasis ans............toxocara cannis ============================================= 8.patient comes with a history of fever cough not responding to treatment x rays shows signs of pneumonia grams staining shows gram +ve branching filaments partly acid fast probable causea.actinomycosis b.nocardiosis c.aspergillus ans...........actinomycosis =============================================== 10.uncomplicated uti is diagnosed by a/e a. pus cell per field b.bacilli stained by gram stain c.nitrate test +ve ans............organisms <1000 in urine 100000 organisms favour the diagnosis of uti ============================================== 11.patient comes with lymphadenopathy and hypotension after being bitten by rat what staining is to be done- waysons stain =============================================== 12.bile solubility to differentiate pneumococcus ============================================= 13.poly saccharide capsule helps in pathogenesis of a/e- a.H.inflluenzae b.Strep pneumoniae c.N.meningitidis d.bordetella pertusis ans...............bordetella pertusis =============================================== 14.parvo virus false is a.has affinity for erythrocyte p antigen b.causes transient aplastic crisis c.about only 10%of cases it crosses the placent d.spread by respiratory route ans...........option c =============================================== 15. not transmitted transplacentally- hsv hsv is not acquired transplacentally its acquired while the baby passes through the genietal tract =============================================== 16.true about Chlamydia trachomatis is- culture of pus for isolation of organism =============================================== 17.leptosporiosis true is- a.rats acts as reservoir b.feco oral route c.50%cases liver and kidney involved i have written rats acts as reservior =============================================== 18.clostridium tetani false is- a.incubation period 7-10 days b.person to person contact c.heat resistant d.3 doses of vaccination ans.................heat resistant the organisms are not heat resistant their spores may be, does c tetani produce spores????? ============================================= 19.c.jejuni false is- a.commonest cause of campylobacteriosis b.polutry source of infection c.humans are reservoir d.associated with gbs ans is c ===============================================
20.mc fungal infection in a non aids patient isA.aspergillus B. Candida C. Cryptococcus D. Muco ans........aspergillus ============================================= 21.mc cause of meningo encephalitis in children is- entero virus ============================================= 22.8 yr old with sign of meningitis and ear infections with ring enhancement in the fronto temporal lobe all can cause it except a.hinfuenzeae b.staphylococcus c.pneumococcus d.pseudomonas all 4 options are given in harrison strangely abt organisms causing fronto temporal abcess as a complication of ottitis media, staphylococcus has not been named in harrison, its name though figures in abcesses due to other complications ============================================== 23.whooping cough specimen is collected from nasopharyngial swab ============================================= 24.false abt pneumococcus- a.capsule helps in virulence b.mc cause of otitis media preventive medicine-------------------------------------1.skew is calculated as a.mean-mode/standard deviation b.mode-mean/std deviation c.std deviation d.std deviation/mean-mode 2.punnet square is for-- a.genotype of offspring b.statistical analysis 3.orthotoludin test done for chlorine 4.not true abt hospital waste management is a.red bag contents can be source of contamination b.human anatomical waste disposed in yellow bag c.black bag for incineration ash d.blue bag contents always disposed in secure landfill 5.abt mmr true is denominator has total live births 6. incidence of fetal spread of aids is decreased by a/e vaginal delivary 7.test for pasteurisation phosphatise test 8.not endemic in india is yellow fever 9. not a cause of resurgence of malaria is use of bed nets 10.resistant to ddt a/e phlebotomas 11.indoor pollutant a/e a]co b)nitrogen dioxide c)radon d)mercury vapours 12.false negetives demonstrated by graph 13.5 factors determine a disease occourance, which test is suitable in this case multivariate, anova 14.National screening programme doest include for- a.dm b.ca cervix c.breast ca d.dental carries 15.mckeons model for medical awareness for tb shows decreased incidence of tb due toa.increased awareness and knowledge b.medical advancement c.social & env factor d)behav modfn 16.who stratergies for public health doest include leadership 17.not a deliberate mosquito control measure alkaline soap water 18.sampling method applied when groups are divided into subgroups and samples are taken a.stratified sampling b.cluster sampling c.simple random sampling 19.hdi includes a/e education,gdp, life expectancy at birth, life expectancy at 1 yr of age 20.dietary recommendation are a/e a. To avoid alcohol consumption b. Salt intake should be less than 5gm/day c. Saturated fat is about 10% of whole diet d.Cholesterol intake should be 100 gm/1000 kcal/day _________________ Orthopaedics-------------------------------1.blounts disease is- a.genu valgum b.genu varum c.genu rectavatum d.meninscal tear 2.reimplantation first thing to be done is bone 3.teenage girl complains ofpain while walking upstairs or after prolonged standing cause is 1. A.Chondromalacia of patella b. Patellar Fracture c. Torn Meniscus d. Bipartite Patella 4.child presents with limp pain in femoral triangle diagnostically most appropriate test done is mri 5.best investigation for bone metastasis bone scan 6.osteoarthritis grade 3 management conservative 7. a50 yr lady referred by orthoped with history of sprained ankle 2 mths back.. f/b recovery.. however she now complains of severe pain in that ankle with inability to flex that foot.. physician notes edema n shiny skin in local examination...prob dx: a fibromyalgia b chr. regional pain synd1 c chr. regional pain synd 2 d.peripheral neuropathy _________________
Obsteretics and gynaecology---1.clue cells seen in-bacterial vaginosis 2.fallopian tube cilliary motility impaired in- katageners 3.which surgery for stress incontinence has highest suces rate- a.kelly b.brusch colpo suspension c.sling d.vaginal tape 4.cholestasis in pregnancy is diagnosed by measuring bile acids 5.not a cause of primary amennorhoea sneehans syndrome 6.timing of ovulation determined by a/e estrous cycle 7.post menopausal bleeding usg shows 8mm thickening of endometrium next investigation endometrial biopsy 8.33 wk 1500 gm baby born after cs management is oral intubation and oral feeding 9.xo genotype commonly associated with gonidal dysgenesis 10.open ntd shows elevated levels of acetylcholie esterase 11.Earliest abnormality to be diagnosed by tv usg- anencephaly 12.mefipristone is used in abortion 13.give sedatives and bed rest 14.clue cells seen in bacterial vaginosis 15.pcod false is increased prolactin 16.shoulder dystocia not done is fundal preasure 17.contraindicated in a pregnant rheumatic fever patient is ergots 18.pregnancy can be successfully continued with minimal maternal risk in wpw syndrome 20.maternal weight is not influenced by smoking 21.placenta previa management a/e cervical encircalage 22.virilisation of a female infant is due to a/e placental sulfatase deficiency 23.niot a evidence based treatment of menorrhagia ethamsylate _________________ Paediatrics----------------------------------1.baby 33 wks delivered after cs weighing 1500 gm should be started on 1. nil oral and iv fluids 2.oral nasogastric tube / aternate oralroute 3..TPN 2.18 yr old boy presents with malina , haematemasis and spleenomegaly probable cause a.malaria dic b.extra hepatic portal vein obstruction c.bile duct occlusion d.cirrhosis 3. pathological laryngophagial reflux presenting symptom respiratory symptoms 4.5yr old chid presents with abdominal pain followed by diarrhoea probable cause is polyp 5.major prognostic factor for cdh ispulmonary hypertension 6.child borm to dm mother presents with convulsions after 16 hrs probable cause is hypoglycemia 7.bronchiolitis obliterans 8.malignant childhood tumor causing b/l proptosis a.t cell tumors b.rhabdomyo sarcoma c.all d.aml 9.asd can be differentiated from vsd by a. Pulmonary congestion b. Aortic shadow c.enlarged la 10.b/l adrenal haemorrhage 11.pentalogy of fallot-asd _________________ Medicine----------------------------------------1.minerelocorticoid receptors are seen in a/e liver 2.ecg can diagnose a block in a/e a.lcd, b. left, c. Right ,d. lad 3.a patient comes to opd with epigastric pain radiating to back on usg gall stones and a swollen pancreas seen. Serum amylase was not elevated probable cause a. acute pancreatits b.acute cholicystitis c.io 4.first sign of pulmonary pleuthora is a. diameter of the decending Rt pulmonay artery >16mm b.diameter of the main pulmonay artery >16mm c. diameter of the lt pulmonay artery >16mm 5.basilar migrane 6.girl presents with rapid weight gain growth failiure and dry shiny skin probable cause a.thyroid dysfunction b.dysharmongenesis 7.normal fsh and lh seen in vas obstruction 8.a patient presents with a goitre, high tsh and low t4 probable diagnosis a.central hypothyroidism b.thyroid hormone receptor defect c.dysgenesis d.dyshormogenesis 9,best test for myasthenia gravis edrophonium test 10. incomplete compensation with pco2 30, p02 105, ph 7.45 probable cause is a.resp alkalosis b.metabolic acidisis 11.in uncompentated dka not true is .pco2 levels are normal or increased 12.fasting hypoglycaemia is not due to a)glucagon excess a]increased glucagon levels b) glucose 6 phospatase deficiency
c) glycogen synthase deficiency d)ureamia 13.for diagnosing insulinoma useful tests are a/e d xylulose test 14.cjd 15.normal parathyroid levels with increased phosphate and decreased ca is seen in pseudohypoparathyroidism 17.best method for monitoring cardiac function in intraoperative mi is A.ecg B. Invasive arterial pressure C. Central venous pressure D. Trans esophageal echocardiogram 18.not given for prophylaxis in migrane is- a.topiramate b.phenytoin c.levatriacitam d.flunarizine 19.raise in end tidal co2 in thyroid surgery with tachypnea and hypertension is seen in a/e a.thyroid storm b.anaphylaxis 20.pheochromocytoma true a/e B. 95% occur in the abdomen C. They secrete catecholamines D. They arise from sympathetic ganglion A. 90% are malignant 21.for diagnosis of diabetes insipidus _________________ Surgery----------------------------------------1.a person comes with 5 yr history of painless haematuria on 4 occasions the urine is filled with clotted blood which investigation would be diagnostically most revealing a.x ray kub b.urine routine and microscopy c.rcug d.dpta 2.in a person with single kidney a fungating mass was seen in the lower pore of kidney next step in management a.partial nephrectomy b.radical nephrectomy with dialysis c.radical nephrectomy with immediate renal transplant d.observation 3.gcs-10 4.hepatic lobe left to falciparum ligament 2 and 3 5.patient with stab wount with omentum coming out of wound, vitals are stable next step in management is a.immidiate laprotomy b.fast c.wound debridment and closure 6.bladder ca stage 2 true is 7.gastro esophagial reflux gold standard for diagnosis 24 hr dual ph monitoring 8.while doing turp most common site for stricture formation in urethra a.navicular fossa B. Bulb C. Prostatic membranous urethra D. Bladder neck 9.turp in done upper to verumontanum so as to avoid injury to 10.commonest sign of pulmonary pleuthora is right side > 16 11.which organ is not used for transplantation from a cadaver a.liver b.lung c.bladder d.blood vessels 12.best repair for stress incontinence is kellys 13.patient presents with epigastric pain radiating to back with normal serum values. Diagnosis was made after ct and usg after which operation was don what was the surgical procedure performed pancreatojejunostomy 14.patient who had surgery for duodenal ulce presents with epigastric pain more during night which gets realieved on taking food probable diagnosis is 15.amoebic liver abcess 1cm below capsule with size 3*4 cm true statement is 16.hollow viscous perforation next step in management 17.circumferential phimosis management is 18.ranula is 19.secondary haemorrhage occours after 6 days 20.tripple phosphate stone seen in proteus infection 21.c/i in medical management of gall stones radioluscent stone 22.aspiration of food management A.cricothyroidectomy B. Emergency tracheostomy C. Humidified oxygen D. Heimlich maneuver 23.cryptorchidic testes to be repaired by 12 months 24.sebaceous ulcerated cysts are found in association A. Gardner s syndrome B. Turcot syndrome C. Torre Maura syndrome 25.superior vena cava syndrome is caused by- A. Lymphoma A.malignant lymphoma B. Small cell lung ca C. Nscc D. Secondary tumours 26.Blaschisko line is a.lymphatic lines b.blood vessel c. nerve d.line of development _________________ Skin-----------------------------------------------1.Cicatrising alopecia with perifolicular whiteness is most commonly associated with a. Nail dystrophy b. Whitish lesion in the buccal mucosa c. Arthritis d. Discoid Plaques in the face
2.2months after having a painless penile ulcer a patient presents with mucocutaneous lesion and oral ulcers causative organism is treponema pallidium 3.pseudoisomorphism phenomenon not seen in a/e A.psoriasis B. Lichen planus C. Vitiligo D. Plane warts radiology-----------------------------------1.aortic knob is masked by a.upper lingual b.lower lingual c.apex of lower lobe d. post part ofupper lobe 2.ct scan is least useful in diagnosing a. 1 cm of aneurysm in artery b.1 cm of lymph node in thyroid ca c.1 cm of pancreas mass in tail d. 1 cm of .... 3.dose of radiation associated with haematological crisis a. 2.5-5 CGY b. 10 cgy c. 100 cgy d. 200 cgy 4.about contrast radiography true is a.3 parts of iodine with 2 parts of solvent b.injection into artery is associated with 1/3 times more complication than injection into a vein Ophthalmology----------------------------1.late endopthalmitis after iol implantation pseudomonas 2.superior oblique paralysis will result in defective vision if he looks of vertical on looking down 3.leukokoria in one eye and two small nodules at periphery of disc in other eye treatment 4.floaters with sudden los of vision cause retinal tear 5.argyl robertsonian pupil false is consensual reflex normal 6.slowly expanding central macular vision los with no genetic history probable cause is staggerds syndrome Ent------------------------------------------------1.not true abt use of naf in otosclerosis is naf decreases osteoblastic activity 2.cavernous sinus thrombosis 3.while performing laser surgery for larynx it catches fire what should not be done by a.100%oxygen after discontinuing the anesthesia b.flushing with sterile water c.remove pvc tube d.steroids and antibiotics 4.endolymphatic hydrops seen n miners disease 5.onodi and hellar cells are found in Anesthesia------------------------------------1.la + vasoconstrictive drug is not given in digital anesthesia 2.sickle cell anemia not given is regional iv block 3.not a definite airway is laryngial mask airway 4.convulsions is seen due to the use of which anesthetic a.ether b.halothane c.sevoflurane d.desflurane 5.while giving epidural anesthesia a person suddenly develops dysphonia and collapses possible cause a.total spinal block b.anaphylaxis c.vasovagal syncope 6.anesthetic not given in hypertensive patient ketamine 7.patient remembers the events occurring during operation this can be prevented by bisspectral 8.true abt epidural opoids are all except a.act on dorsal horn cells b.can cause itching c.nausea and vomiting d.resp and cvs depression Psychiatry-----------------------------------1.a 5yr history of schizophrenia patient started on haloperidol 2 days back comes with neck rigidity orofaciolingual movements protruded tongue probable cause a.acute dystonia b.akathesia c.neuroleptic malignant syndrome 2.not seen in alcoholic trmens opthalmoplegia 3.woman after loosig job diagnosed as depression true is ssri are the most effective 4.imbecile false is iq level 50-70 Orthopaedics-------------------------------1.blounts disease is- a.genu valgum b.genu varum c.genu rectavatum d.meninscal tear 2.reimplantation first thing to be done is bone 3.teenage girl complains ofpain while walking upstairs or after prolonged standing cause is 1. A.Chondromalacia of patella b. Patellar Fracture c. Torn Meniscus d. Bipartite Patella 4.child presents with limp pain in femoral triangle diagnostically most appropriate test done is mri 5.best investigation for bone metastasis bone scan 6.osteoarthritis grade 3 management conservati _________________ Anatomy-----------------------------------------------------------1]true abt.injury to common peronial nerve causes a/e- a.anesthesia of sole of foot b.# of neck of fibula c.foot drop 2]L5 root not involved in a.adduction of thigh b.foot dorsiflexion c.extension of knee d.flexion of knee 3]not seen in the floor of 3rd ventricle is------- a.3rd nerve b.mamillary body c.optic 4]posterior cerebral circulation obstruction doest involve----- a.pons b.mid brain c.cerebellum d.
5]in anterior choroidal block not seen is------ a.homonymous hemianopia b.hemiplagia c.hemianesthesia 6]which of the following pases through foramen magnum---- a.vertebral artery b.sympathetic trunk c.12th nerve d.int carotid artery 7]structure not present below the pancreas head is--a) duodenum first part b) Aorta c) IVC d.cbd 8]utricular creast is present in----- prostatic urethra 9]nerve derived from trunk is--- a.supra scapular b.nerve to subclavius c.long thoracic nerve 10]spinal anesthesia is given at----- l2-l4 segment 11]low radial nerve palsy doest involve--- ecrl,ecrb,intrinsic muscles of hand 12]supracondylar# usually involes- a.anterior interosseus nerve b.median c.ulnar d.radial 13]not supplied by anterior division of mandibular nerve is--- a.lat pterygoid b.maseter c.medial pterygoib d.temporalis 14]pain of ethmoidal sinusoitis is mediated by---naso cilliary nerve 15]not a pneumatic bone is--- mandible, maxilla, ethmoid, frontal 16]vestibular schwannoma arises fromsuperior vestibular division 17]diaphragm is developed from all of the following structures except- a.septum transversarium b.cervical myotome c.pleuroperitoneal membrane d.dorsal mesocardium 18]aortic musculature derived from-para axial, intermediate, latral 19]epiphysial growth plate is an example of- a.primary fibrocartilagenous joint b.secondary fibro cartilaginous joint 20]Major arterial supply to femoral neck is--- a.profunda femoris b.lateral circumflex c.medial circumflex femoral 21]not a derivative of hypogastric sheatha.broad ligament 22]palpation of int carotid done atsuperior border of thyroid [/img]