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E$am "ame #78 9 71 ay %#11

1. One of the following is not a criteria for screening test

a) Availability of effective treatment

b) Availability of medical personnel

c) Adequate knowledge of the condition

d) Expectation of benefits of screening far more than the risk

Review:SPMEpidemiology

2. The following situations are associated with rise of temperature after death

E!E"T

a) #urns

b) !eat Strokes

c) Pontine !emorrhage

d) Septicemia

Review:"M#eath$Post Mor% &hanges ' Autopsy(% urns does not cause post mortem

caloricity *% !eat Stroke is a cause of post mortem caloricity +% Pontine !emorrhage is a

cause of post mortem caloricity ,% Septicemia is a cause of post mortem caloricity

$. %ollowing are true of &yasanur forest disease e'cept

a) -ransmitted by soft tick

b) !aused by retrovirus

c) .ncubation period is +/ days

d) 0illed vaccine available

Review:Microbiology1irology

(. "ellagra li)e dermatitis occurs in

a) #ermato myositis

b) !arcinoid syndrome

c) S2E

d) 2ymphoma

Review:Medicine

*. +Rat,tail+ appearance on barium swallow e'amination is seen in:

a) Achalasia cardia

b) &arcinoma oesophagus

c) !iatus hernia

d) #iffuse esophageal spasm

Review:SurgerEsophagus ' Stomach

-. Trial of labour is contraindicated in all e'cepta) inor !"/

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b) Ma3or &P#

c) Elderly Primi

d) ad obstetrical history

Review:45&ontracted Pelvis$ Abnormal 6terine Action

0. hich of the following can be given orally

a) &ytosine arabinoside

b) Actinomycin#

c) #oxorubicin

d) esna

Review:Pharmacology

3. A (3 year old man was admitted with a history of wea)ness for two months on

e'amination cervical lymph nodes were found enlarged and spleen was palpable 2cm below costal margin hemoglobin was 14.* g5dl platelet count 2$0 ' 14657 and

total leucoleucocyte count (4'14657 which include 348 mature lymphoid cells with

coarse clumped chromatin #one marrow revealed nodular lymphoid infiltrate. The

peripheral blood lymphoid cells were positive for !/,169 !/,*9!/,24 and !/,2$

and were negative for !/,06 # and %!,0. The histopathological e'amination of

lymph node in this patient will most li)ely e'hibit effacement of lymph node

architecture by:

a) A pseudofollicular pattern with proliferation centers

b) A Monomorphic lymphoid roliferation centers

c) Predominantly follicular patternd) A diffuse proliferation of medium to large lymphoid cells with high mitoric

rate

Review:Medicine!ematological Malignancies

6. After ( wee)s of ead trauma9 patient presents with features of irritability and

altered sensorium.

a) !hronic subdural hematoma

b) Extradural hematoma

c) .ntraparenchymal bleedd) Electrolyte imbalance

Review:Sugery7eurology

14. ;n A "atient wih a

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Review:Psychiatry

11. "russa)>s space is situated in:

a) Epitympanum

b) Mesotympanum

c) !ypotympanum

d) Ear canal

Review:E7-EarPrussak8s space lies medical to pars flaccida$ lateral to neck of malleus

and above the lateral process of Malleus% Anteriorly$ posteriorly and superiorly it is

bounded by lateral malleal ligament% Posteriorly$ it also has a gap through which it

communicates with epitympanum%

12. hich of the following intravenous anesthetic agents is the drug of choice in patient

with =O!&

a) -hiopentone sodium b) Propanidid

c) &etamine

d) Althesin

Review:Anesthesia.ntravensous Ana Agents0etamine is intravenous anesthetic agent

of choice in patient with S!4&0

1$. Each one of the following features is seen in phenyl)etonuria9 e'cept:

a) Sei9ures

b) Ec9emac) Recurrent ?; infections

d) 8Musty8 urine

Review:Medicine7urti$ Meta disorder

1(. ,lin)ed dominant disorder

a) @it,/ resistant ric)ets

b) !unter8s syndrome

c) !emophila

d) &olor blindness

Review:ME#.&.7E

1*. ;n high ris) population !! epatocellular carcinomalB is best detected by:

a) C=?

b) &-

c) M:.

d) 7one

Review:Surgery2iver6sg is not very sensitive for liver tumors and it is difficult to

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distinguish in cirrhosis but it is the screening%

1-. !lub foot !TE@B should be treated at the age of

a) (;(* years of age of child

b) %rom the day of birth

c) *+ years of age of child

d) After epiphyseal fusion

Review:4rtho&ongenital #isorder

10. ;nfective arthritis of hip in infants is referred to as

a) Tom smiths arthritis

b) Perthe8s disease

c) &aries Sicca

d) 7one of the above

Review:orthopaedics

13. All the following conditions represent a type ;; hypersensitivity reaction e'cept

a) autoimmune hemolytic anemia

b) myasthenia gravis%

c) transfusion reaction

d) hay fever

Review:5eneral Pathology.mmunopathology-ype .. hepersensitivity reaction is

mediated by antibodies binding to the cell surface of targets cells% .n hemolytic anemiaand transfusion reactions$ the destruction of red blood cells s mediated by cytotoxic .g5

or .gM antibodies% Antibodies to acetylcholine receptors at the neuromuscular 3unction

cause myasthenia gravis% 5oodpasture syndrome is caused by antibodies to the globular

domain of collagen type .1% Antibodies to the thyroidstimulating hormone

a) 1omiting

b) blurring of vision

c) convulsions

d) rashes

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Review:Paediatricscardio vascular System

21. 8 of ovarian tumours of non epithelial origin in child hood is:

a) *;=

b) +;=

c) ,;=

d) >;=

Review:45

22. The best drug to control hypertension during intravenous anaesthesia is

a) Sodium introprusside

b) 2abetolol

c) !ydrala9ine

d) 7ifedipine

Review:Anesthesia.ntravensous Ana Agents

2$. 7ate' agglutination in !=% for Antigen is done in

a) &ryptococcus

b) !istoplasma

c) -oxoplasmosis

d) &andida

Review:MicrobiologyMycology

2(. =imple,random sampling

a) Everyone has equal chance of being drawn

b) Sample si9e equal to that of cluster sampling

c) Ad3acent number is considered while taking sample

d) Each portion of sample represents a corresponding stratum of universe

Review:SPM

2*. hich to'in of steptococcus causes hemolysis

a) Steptolysin 4

b) Steptolysin S

c) Steptodornase

d) oth A '

Review:MicroacteriologyStreptococci produce two ?hemolysins?$ streptolysin 84?

and steptolysin 8S8 Streptolysin 4 is oxygen labile$ antigenic and AS4 appears in sera

following streptococcal infection Streptolysin S is an oxygen stable hemolysin and so is

responsible for the meolysis seen around steptococcal colonies of the surface of blood

agar plates%

2-. All are components of gun powder e'cept

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a) &harcoal

b) 2ead peroxide

c) Potassium 7itrate

d) Sulphur

Review:"M.n3uries ' @ounds

20. ypocomplementemia is seen in all e'cept

a) Minimal change disease

b) Mesangiocapillary glomerulonephritis

c) &hronic lobular glomerulonephritis

d) #ense deposit disease

Review:PA-!4245

23. /enominator while calculating the secondary attac) rate includes:

a) All the people living in next fifty houses

b) All the close contacts

c) All susceptible amongst close contact

d) All susceptible in the whole village

Review:SPMEpidemiology

26. The pro'imal convoluted tubules

a) Absorb most of the water and salts of the glomerular filtrate

b) :eabsorb half the glucose in the glomerular filtrate

c) &ontain 3uxta glomerular cells which secrete renin

d) Are the main target cells for antidiuretic hormones

Review:Medicine0idney

$4. The first costochondral

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$2. This serious complication of neuroleptic drugs

a) 7euroleptic Malignant Syndrome

b) #ystonia

c) #yslexia

d) Malignant hyperthermia

Review:Psychiatry5eneral

$$. eight loss may be seen in all of the following e'cept

a) 6remia

b) Pheochromocytoma

c) Adrenal insufficiency

d) .nsulinoma

Review:Medi!epatology

$(. A pt presents with bleeding from the ear9pain tinnitus and progressive deafness.On

e'amination there is a red swelling behind the intact tympanic membrane which

blanches on pressure with pneumatic speculum. anagement includes all e'cept

a) :adiotherapy

b) Surgery

c) .nterferons

d) Preop embolisation

Review:E7-EA:Sreelatha

$*. A 04, year,old intensive care unit patient complains of fever and sha)ing chills. The

patient develops hypotension9 and blood cultures are positive for gram negative

bacilli. The patient begins bleeding from venepuncture sites and around his %oley

catheter. 7aboratory studies are as follows: ct:$38 #!:1*94445m7 "latelet

count: (494445m7 normal 1$49444 to (449444B "eripheral blood smear: fragmented

R#!s "T: elevated "TT: elevated "lasma fibrinogen: 04 mg5d7 normal 244 to (44B

The best course of therapy in this patient is

a) egin heparin

b) -reat underlying disease

c) egin plasmapheresisd) 5ive vitamin 0

Review:Medicine!ematology-his patient with gramnegative bacteremia has

developed disseminated intravascular coagulation% .ntial treatement is directed at

correcting the underlying disorderin this case infection% "or the patient who continues to

bleed$ supplementation of platelets and clotting factors

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a) E#!

b) S#!

c) .ntracranial hemorrhage

d) .ntraabdominal bleed

Review:Sugery7eurology

$0. !oral red,fluorescence in wood>s 7amp seen in:

a) Porphyria cutanea tarda

b) Erythrasma

c) 2iverdoreticularis

d) !ypomelanosis

Review:#ermatology

$3. Tryptophan 7oad test helps in the evaluation of deficiency of

a) 7iacin

b) :iboflavin

c) Pyridoxine

d) "olic acid

Review:iochemistry1itamins

$6. The most effective way to prevent pain on in mg of lignocaine with the drug before in3ection

c) &ool the drug to , centigrade before in3ection%

d) .n3ect C +> mg of lignocaine as a 8ier8s lock8 C +; (*; secs before in3ection of

propofol

Review:Anesthesia.ntravensous Ana Agents-he most effective analgestic method was

.1 lignocaine$ given as a ier8s block before the in3ection of propofol% 4f (;; the

patients treated with lignocaine ,; mg with a rubber tourniquet at the forearm for +; to

(*;s before the in3ection of propofol$ approximately D; would not have any pain who

would have had pain had they not received lignocaine% Metoclopramide is also a

surprisingly effective method for reducing pain on in3ection% -hei presumably reflects itstructural similiarity to the local anaesthetics%

(4. "rimary @esicoureteral refle' results form

a) 7eurogenic bladder

b) 7onneurogenic bladder dysfunction

c) &ongenital incompetence of valvular mechanism

d) ladder outlet obstruction

Review:Paediatrics

(1. hich of the following statements is incorrect regarding polycystic ovarian disease

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a) Elevated 2! hormone

b) &an cause infertility

c) May be assoiciated with abnormal glucose tolerance test

d) :esults in postdated pregnancy

Review:45

(2. !arcinosarcoma may arise in

a) 6terus

b) &ervix

c) 1agina

d) 4vary

Review:Pathology"emale 5enital -ract&arcinosarcomas or malignant mixed

mullerian tumors are the tumors of endometrium with stormal differentiation% -hey

consist of endometrial adenocarcinoma in which malignant stromal differentiation takes

place% -he stroma tends to differentiate into a variety of malignant mesodermal

components$ including muscle% &artilage and even osteoid% .- ususally occurs in

postmenopausal woman%

($. /rug of choice for cutaneous larva migrans is

a) Mebenda9ole

b) 7irida9ole

c) !etra9an

d) -hiabenda9ole

Review:Pharma&hemotherapy

((. The centre of ossification appears in the lower end of femur by

a) +D weeks of .6 life

b) +, weeks

c) +* weeks

d) +; weeks

Review:"M.dentification

(*. &,wire is used in

a) &irclage

b) "ixing forearm bones

c) Prior to plating

d) All of the above

Review:4rthopaedics"ractures and #islocations

(-. "ost mortem wound best differs from the antemortem wound by

a) 5aps on incising b) 7o clots

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c) Absence of erythema and cellular changes

d) :emovable stain

Review:"M#eath$Post Mor% &hanges ' Autopsy.n antemortem bruising$ there is

swelling$ damage to the epithelium$ extravasation coagulation and filtration of the tissues

with blood and colour changes% -hese signs are absent in postmortem wounds%

&ontusions produced immediatley before death show a marked decrease in the acidic

mucopolysaccharides of the connective tissue ground substance$ as demonstrated by

Alcain blue or dialy9ed iron technique% .n post mortem wounds$ margins are sharp and

well defined%

(0. hich one of the following is least li)ely to cause hypernatraemia

a) .1 saline infusion

b) !yperosmolar nonketotic diabetic coma

c) #igoxin therapy

d) #iabetes insipidus

Review:Medicine7urti$ Meta disorder

(3. The highest calories is in

a) Animal meat

b) Egg

c) Sweet potato

d) Milk

Review:P ' SM

(6. ;n a normal distribution curve9 the true statement is

a) MeanS#

b) MedianS#

c) Mean * Median

d) Mean Mode

Review:SPMStatistics

*4. /eclining death rate and more declining birth rate the stage isa) 2ate expanding

b) Early expanding

c) !igh stationary

d) #eclining

Review:SPM#emo$ "P$ M&!

*1. istiocytes are seen in all e'cept

a) !andSchuller&hristian disease

b) 2ettererSewe syndromec) Eosinophilic granuloma

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d) &hloroma

Review:PA-!4245

*2. ypere'tension of the metacarpophalangeal

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b) &ysteine

c) Arginine

d) 4rnithine

Review:4pthal6veal -ract

-$. Oligohydramnios is seen in:

a) :enal agenesis

b) 4esophageal atresia

c) Exomphalos

d) 7eural tube defect

Review:45#isorders of Aminotic "luid 1olume

-(. "rimary structrure deformity of an organ is called as

a) Malformation

b) #eformation

c) #ysmorphism

d) Syndrome

Review:Anatomy

-*. Epidemic dropsy is due to

a) Sanguinarine oil

b) 4AA

c) #rug induced

d) Ergot alkaloids

Review:SPM

--. hich of the following types of uman papilloma virus is implicated in the

causation of !a.cervi'

a) D

b) ((

c) (D

d) ,*

Review:4bs#yplasias and &arcinoma of &ervix!P1 plays an important role in the

development of &.7% !P1 infected cells koilocytes% !P1 with high oncogenic risk

-ypes (D$(/$+($ >/

-0. %ollowing are causes of uncon

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Review:Medi!epatology

-3. =omatostatin inhibits all e'cept

a) .nsulin

b) 5!

c) -hyroxine

d) Epinephrine

Review:Pharma

-6. The dose of high,dose contrast study isFF m75)g

a) (

b) *

c) +

d) ,

Review:6rology

04. 7E;? disease is due to the accumulation of:

a) 5lycogen

b) Pyridoxine

c) Sphingomyeline

d) 2ipofuscin

Review:PaediatricsMetabolic #isorders ' 5enetics

01. T!A cycle substrate level phosphorylation occurs at

a) succinate dehydrogenase

b) Malonate reduction

c) -hiokinase

d) "ructase

Review:iochemistry&A:4!#:A-E ME-A42.SM

02. @it #12 is absorbed in

a) Stomach

b) .leum

c) #uodenum

d) Fe3unum


0$. A patient was operated for colonic carcinoma and later a solitary nodule was found

in the liver Treatment of choice is

a) Surgery

b) :adiation

c) &hemotherapy

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d) &onservative treatment

Review:Surgery2iver

0(. "neumography is a method of e'amination for peritoneal or retropertoneal

structures9 gas used as contrast agent in this e'aminationsa) 4xygen

b) 7itrogen

c) &4*

d) Any of the above

Review::adiology #iagnosis#iagnosis

0*. All are routine complications of 7=!= e'cept

a) ladder in3uries

b) "loating head

c) Anaesthetic ha9ards

d) 6teine lacerations

Review:45

0-. "atella completely ossify by the age of

a) D years

b) (; years

c) (, years

d) *( years

Review:"orensic

00. "ro'imal convoluted tubule necrosis occurs with GGG poisoning

a) Phenol

b) Arsenic

c) Ammonia

d) Alcohol

Review:Pathology

03. hich one of the following produces lung abscess

a) Mycoplasma pneumoniae

b) Pneumococcal pneumonia

c) viral pneumonia

d) 7one of the above

Review:PA-!4245

06. %ractures common in elderly women are all e'cepta) &lavicular

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b) &olles

c) .ntertrochanteric

d) 7eck of femur


34. /ownbeat nystagmus is characteristic of

a) Posterior fossa lesions

b) 1estibular lesions

c) 2abyrinthine lesions

d) &erebellar lesions

Review:Medicine7eurology

31. "osterior belly of digastric is supplied by

a) Mandibular nerve

b) !ypoglossal nerve

c) Accessory nerve

d) "acial nerve

Review:

32. Organism multiplying and developing in the hosts is called as all ;ndia 2444B

a) &yclopropagative

b) &yclodevelopmental

c) #evelopmental

d) All

Review:PSM

3$. ool sorters disease is

a) Pneumonic form of anthrax

b) Pneumonic plague

c) !ydatid disease of the lung

d) &aused by psittacosis

Review:MicroacteriologyPulmonary anthrax is called the wool sorters disease

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Review:Medicine:heumatology

3*. All are the drugs causing pulmonary fibrosis e'cepte

a) usulfan

b) Methotrexate

c) #oxorubicin

d) leomycin

Review:Pharma

3-. ood disorder is seen in

a) paranoid state

b) orderline personality state

c) Schi9oid state

d) !ysterical state

Review:PsychiatryMood #isorders

30. "rivilaged communication

a) etween doctor and patient

b) etween doctor and concerned authority

c) etween doctor and guardian

d) etween doctor and court of law

Review:"M

33. =ubacute combined degeneration occurs due to deficiency of

a) 1itamin D

b) "olic acid

c) Pyriodoxine

d) 1itamin (*


36. "atients who undergo e'tracorporeal shoc) wave lithotripsy are at increased ris)

fora) 1enous air embolism

b) Pneumothorax

c) Peripheral neuropathies

d) !ypotension with regional anesthesia

Review:Anesthesia5eneralAnesthesia fr extracorporeal shock wave lithotripsy may be

accomplished with either general anesthesia ore epidural anesthesia% @hen a patient is

submerged in the stainless steel tub$ the peripheral vasculature becomes compressed by

the hydrostatic pressure$ resulting in an increase in preload% :emoving the patient from

the tank has to opposite effect% .n patients who have received epidural anesthesia$ there isan increased incidence of hypotension after they emerge from the bath caused by

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epiduralinduced sympathectomy

64. 7eft atrial hypertrophy is seen radiological as E!E"T

a) #ouble cardiac density

b) 2eft bronchial elevation

c) :ight ant% 4blique view in barium swallow

d) 2eft ant% 4blique view in barium swallow

Review::adiology #iagnosis#iagnosis

61. ;C?R in C=? is diagnosed and assessed by

a) !ead to abdomen and femur to abdomen ration

b) Ponderal index

c) Amniotic fluid index

d) All of the above

Review:45

62. Arcuate eminence of the petrous temporal bone is caused by

a) Anterior semicircular canal

b) Posterior semicircular canal

c) 2ateral semicircular canal

d) &ochlea

Review:Anatomy

6$. ;n hippocampus EE? waves are

a) Alpha waves

b) eta waves

c) -heta waves

d) #elta waves

Review:Physiology&7S

6(. etastatic calcification is seen in all e'cept

a) Addison8s disease

b) Sarcoidosis

c) 1itamin # excess

d) !ypoparathyroidism

Review:PA-!

6*. %racture femur in infants is best treated by

a) 4pen reduction

b) &losed reduction

c) .M nailing

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d) 5allow8s splinting


6-. 7east common mode of transmission of ;@

a) !omosexual contact

b) !eterosexual

c) .1 drug abuse

d) -ransfusion of blood products

Review:Medicinenfections

60. =uperior cerebral veins drain into

a) 5reat cerebral vein

b) 1ein of galen

c) Superior sagittal sinus

d) .nferior sagittal sinus

Review:

63. hich statement about angioneurotic edema is false

a) &( esterase inhibitor deficiency is a cause

b) Angiotensinconverting en9yme deficiency

c) Pitting edema of the face$ lips and mucous membrane

d) Extreme temperature can provoke it%

Review:Medicine

66. a

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