DNB nov 2011

download DNB nov 2011

of 37

Transcript of DNB nov 2011

  • 8/3/2019 DNB nov 2011

    1/37

    a

    1. lower 1/4rth of vagina develpoes from urogenital sinus

    2. appendix of testis isremnantof==========paramesoneric duct

    3. cereals are deficient in===============lysine

    4. tardy ulnar nerve palsy is seenin=========#lateral condyle of humerus

    5. schizonts nt seen in peripheral blood -falciparum

    a

    a

  • 8/3/2019 DNB nov 2011

    2/37

    6. skin penetration=============strongyloids

    7. valgus deformity============tibia fibulalaterally in relation to long axis of femur

    8. at term ratio of wt of fetus to wt of placnta 6:1

    9. wt of uterus in nulliparous women - 50-60g

    a

    10. parathyroid develop from==========branchialpouches

    11. low osmolar ors sodium soncentration - 75

    12. creatine clarance is used tomeasure========GFR

    13.band nt covaerd by actin ==== H band

    14. all are orexins except========?leptin

    15. clavipectoral fascia is pierced by allexcept- medial pectoral nerve

    a

  • 8/3/2019 DNB nov 2011

    3/37

    16. highest ph of secreton=======pancreaticsecretion

    17. endemic cretins occur at iodine level of ===50mcg/d

    18. minimum leve of iodine at consumerlevel===== 15ppm

    19. thyroxins are from=======tyrosine

    20. carnitine is from lysine

    a

    21. White fibrocartilage is found in allexcept======= pinna

    22. alpha oxidation of fatty acids occurin====endoplasmicreticulum

    23. in chylomicrons proteins are aroundcholesterol+triglyceride+phospholipid

    24. coenzyme required for sulfiteoxidase======molybdenum

    25. tortional strenth of dna is relieved by===== helicase

    a

  • 8/3/2019 DNB nov 2011

    4/37

    26. PFK is allostrically activated by====fructose 2,6bisphosphate

    27. asteroid bodies are seen in sporotrichosis

    28. which of the following is chemokines ====leukotrieneb4

    29.Difference btw c/c active and c/c carrierhepatitis b

    30, risk for vertical transmission of hepatitisb 90%

    a

    31. coeliac diesease on biopsy whichantibody======antiendomysial

    32. all of the following are encapsulatedexcept==== e.coli

    33. antignic variation seen in all influenzavirus typeexcept==== H Influenza C

    34. testis are affected bt ntepididymisin==========syphilis

    35. characteristic feature of enterococi 6.5%nacl

    a

  • 8/3/2019 DNB nov 2011

    5/37

    36. compliments are formed in liver

    37. no of nuclei found in mature cyst of entamoeba=====4

    38. least nephrotoxic aminoglycoside ======doxycycline

    39. drug inhibiting cell wall formation======pencillin

    40. There was qn abt colon polyps and family history====Peutz jeghers s/d

    a

  • 8/3/2019 DNB nov 2011

    6/37

    41. antitubercular drug bacteriostatic=======erythromycin

    43. drugs used for obesity reduction==== all of the above

    44. QRS interval more than 0.16 indicates complete bundlebranch block

    45. thanatology study of death

    46. bone histology fixative used==== nothing

    47. fish tail appearance of stab wound is seen in====?Single edged

    48. medical etiquette is==== general moralprinciples in medical practice between members of theprofession

    49. all of the poisons caused uterine contractions except===quinine

    50. death sentence can b given by =====Sessions court

    a

  • 8/3/2019 DNB nov 2011

    7/37

    51. Selection bias is removed by=====randomization

    52 meningococcal meningitis prophylaxisDOC=====rifampicin

    53. study time place person description===== ?descriptive

    54. high false positive cases indicate==== Highsensitivity[ read park for those who thinkotherwise][besides low prevelance was not even in option]

    55. pearls index ===== failure rate/100 women years

    a

    56. isolation perod for hepatitis a----- 3 weeks

    57. time period between infection n max infectivity======generation time

    58. in children diarrhoea caused by ===== Rota

    59. ht in cm/ cube root of body wt==========PonderalIndex

    60. PQLI does nt include=========== income

    a

  • 8/3/2019 DNB nov 2011

    8/37

    61. hardness of water ---------- >3meq

    62. all except are vit A sources======????Sunflower seeds

    63. xerophlalmic child======3 doses of vit a 1lakh units

    64. NRR Of 1 when CPR>60%

    65. CAUSE OF FOOD Poisoning by canned food fromhome===botulinum

    a

    66. total demand of iron during pregnancy====1000mg

    67. janani suraksha yojana includes=== for promotinginstitutional deliveries

    68. screening is ==== secondary prevention

    69. Most important aspect for a screening test=== highsensitivity

    70. Prolonged PT N Normal APTT is found in? Ans-Factor 7deficiency

    a

  • 8/3/2019 DNB nov 2011

    9/37

    71. Rifampicin wrong statement- ans was optionb- it is used in the treatment of meningococcimea

    72, 73. Which Vitamin efficiency is seen in Blind loopSyndrome of Distal Ileum?Ans isVitB12

    74. which is true about thymus ====contain hassalscorpuscles

    75. Klippel fiel======except B/ shortening of SCM

    a

    76. Nerve supply of mandible=== C2-3

    77. Definitive treatment of adenomyosis===hysterectomy

    78. MC site of endometriosis=== ovary

    79. Mid tracheostomy=== tracheal ring 3&4

    80. Othello syndrome

    a

  • 8/3/2019 DNB nov 2011

    10/37

    81. Qn on fetal breathing===== should not be absent for 1 hr inlast trimester

    82. A 40 yrs Lady wit Pheochromocytoma,mostcharacteristic symptom= paroxysmal hypertension

    83. Mees lines are seen in=== Arsenic poisoning

    84. Showing minimal tolerance to opioid dose====?Constipation

    85. Felon is seen in==== index finger

    a

    86. Iris pearls==== Leprosy

    87. Spina ventosa=== TB dactylitis

    88.. HRCT not indicated===?miliary TB

    89. Phlyctenular conjunctivitis==== topical steroid

    90. A/c uveitis==== topical steroid

    a

  • 8/3/2019 DNB nov 2011

    11/37

    91. Long term use of steroid=== open angleglaucoma

    92. Henneberts sign= Menieres disease

    93. All except cause ofovarianhyperstimulation===aspiration of cysts in ivf

    94. Renal failure ==== >70

    95. Bronciectasis with proteinuria==cystic fibrosis

    a

    96. Cause of Renal osteodystrophy in crf===Low vitamin d

    97.Not a common cause ofdiarrhoea=======hypercalcemia

    98. High fibre diet protective in== Colon CA

    99. Isotretinoin and beta carotene protects===Ca colon

    100.. Screening of CA colon= ? colonoscopy

    a

  • 8/3/2019 DNB nov 2011

    12/37

    101. Placenta frondosum and decidua basalis

    102. Pure beta emmitor- P 32

    103.earliest sign of inc ICT- sutural diastasis

    104.Retinoblastoma== B/l

    105 Retinoblastoma second most commonCa-Osteosarcoma

    a

    106. Stomach Ca all except=== inactivation of met

    107. Ca stomach assoc.- Vit B12

    108. Day care surgery Propofol

    109. Deep sea diving- O2 and Nitrogen

    110.Haloperidol toxicity=== Akathasia

    a

  • 8/3/2019 DNB nov 2011

    13/37

    111. Post staphyloma=== Pathological myopia

    112. Not a cause for night blindness=== ?highmyopics

    113. Dalen Fuchs nodules== symp ophthalmitis

    114. Not painful loss of vision== Papilledema

    115. Not cause of loss of vision in HTN=== ?papilledema

    a

    116. Syndrome x all except=== low insulin levels

    117. Not a primary prevention=== self breastexamination

    118. Primary atypical pneumonia all except==Klebsiella

    119. Wilms tumor===== hematuria initial presentation

    120. Seen only in females= retts s/d

    a

  • 8/3/2019 DNB nov 2011

    14/37

    121. Traveller with swollen knee and eyefinding=== Reiters s/d

    122. Maxilla T3= Surgery+radiotherapy

    123. Freys syndrome is due to cutting of==== facial nerve

    124. Schirmir test= facial nerve

    125. Pyridoxin from=====threonine

    a

    126. Serotonin from=== Raphe nucleus

    127 HCG max at== 9-11 weeks

    128 Amniocentesis=== 12-20 weeks

    129 Snow storm appearance== Hydatidiform mole

    130 A/c Meningoencephalitis=nageleria

    a

  • 8/3/2019 DNB nov 2011

    15/37

    131 Heart involvement= Trichinela spiralis

    132. Partial mole- 46 XX

    133 47 XXY- Klienfelters

    134 Turners s/d all except=== mentalretardation is characteristic

    135. N. gonorrhoea- ferments glucose producingacid

    a

    136. Greseingers sign- lateral sinus thrombosis

    137. Cereals are deficient in==== lysine

    138. Laser for iridotomy=== Nd yag

    139 Familial Hypercholestrolemia= AD

    140. Gastrinoma triangle=== gall bladder and cbd

    a

  • 8/3/2019 DNB nov 2011

    16/37

    141. For imaging of SDH== CT

    142. All except in treatment of a/cpancreatitis- interleukin 10

    143. All except in AIDS= hypogammaglobunemia

    144. Gamma globulins- plasma cells

    145. Androgen binding protein= sertoli cells

    a

    146 Semen from= vas deferens

    147. Cryptosporidium prophylaxis in AIDS-

  • 8/3/2019 DNB nov 2011

    17/37

    151.. MC malignant bone tumor== Mets

    152. MC retro peritoneal tumor== Liposarcoma

    153. Allens test= radial and ulnar artery

    154. Superficial palmar arch===extended thumb,distal border

    155. Hyperparathyroidism= radial border ofmiddle phalanx

    a

    156Nyphus herna 3a=== Direct

    157. Incidence of schizo=0.5%

    158 Cottons grading= subglottic stenosis

    159. strict aerobe===pseudomonas

    160. Missing cases by- ? sentinel surveillance

    a

  • 8/3/2019 DNB nov 2011

    18/37

    161. Iodide transport=== secondary active

    162. prostate== fibroglandular

    163. Prostate Ca= transrectal USG

    164. Vision==== decreased cis-retinal

    165. Meconium aspiration=== MC in post term

    a

    166.. Radiotherapy O2== immediately before orafter

    167. Pseudolymphoma all except===thiazide

    168. Earliest feature of c/c liver failure-Increased PT

    169. Most c/c hepatitis==== Hep C

    170. Flexor of abdomen===psoas

    a

  • 8/3/2019 DNB nov 2011

    19/37

    171. Physiological antagonism- prostacyclin andthromboxane a2

    172. Not an alkaloid===Neostigmine

    173. Resp depression in children== Opiods

    174. Not a side effect of epidural== headache

    175. Fastest acting antithyroid=== potassiumiodide

    a

    176. Not affected in OA==== ankle

    177. Not seen in severe MS= opening snap late

    178. Not true abt VSD=== large VSD causesinfundibular stenosis

    179. ASD with MR murmur and left axisdeviation==ostium primum asd

    180. Not causing uterine ca=== leiomyoma

    a

  • 8/3/2019 DNB nov 2011

    20/37

    181. RV infarct all except=== normal JVP

    182. Drug not given in hypertensive emergency=Clonidine

    183. Drug given in spinal in space betweenarachanoid and pia

    184. All except cause hirsuitism-mifepristone

    185. All except abt estrogen- used in treatmentof gynacomastia

    a

    186. INR in warfarin therapy- controversial,depends on d/s. Both 2.5 and 3.5 is correct. 3.5is better ans

    187. Most imp factor in DVT- immobility

    188. Heriditory spherocytosis MC causedby==spectrin

    189. PNH all except===high lap

    190. Most characteristic of Diabetic pregnancy-Caudal regression s/d

  • 8/3/2019 DNB nov 2011

    21/37

    a

    191. Milieu interior--ecf

    193: sin of gomorrah: oral coitus.

    194: pm luminiscent armillaria

    195. Young person with body harm n otherfeatures- Borderline

    personality disorder...

    196 female with nl breast but no pubic hair-testicular feminization s/d

    197 dev in female[tanner staging]=====stage 3 of breast

    198 long acting insulin- glargine

    200 difficult itubation all except=== increasedthyromental distance

    a

  • 8/3/2019 DNB nov 2011

    22/37

    201 patient with liver and renalprob..anaesthesia=== atracurium

    202 impotence quaod hoc=== towards a specificfemale

    203 vit d synthesis which layer===?Keratinocytes

    204 60 yr old woman with regurgitation offood=== hiatus hernia

    205 giant hernia=== bochdalek hernia

    a

    206 % of breech at term=== 3%

    207 MCC of perinatal mortality in twins Pre

    term

    208 Kuppuswamy all except== housing standards

    209. Preterm baby apnea a/e...

  • 8/3/2019 DNB nov 2011

    23/37

    211. Most hepatotoxic- olendralone

    212. MC thyroid ca in children- papillary

    213. Ors discarde..? 24hrs

    214. Pneumo peritoneum ioc.... Xray erec chest

    215. Mantle cell lymphoma not asso... CD 23

    a

    216. ICD... Not is unicef

    217. Paraneoplastic syndrome asso wit rcc a/e..?Acanthosis nigricans

    218Congenital rubella all except- Hydrocephalus

    219. Immediate death not seen after RTA-septicaemia

    220. FFA transported by- ? albumin

    a

  • 8/3/2019 DNB nov 2011

    24/37

    221. HbA1c decreased most by== biguanides

    222.Measure of assoc- Relative risk

    223. abt paralytic squint truestatement=====diplopia

    224. Next one was miotics in squint=====paralytic

    225-Philadelphia chromosome- 9,22

    a

    226- Fast breathing in 3 yr old child- ?>40

    227-Not seen with HUS- thrombocytosis

    228Multiple sclerosis early feature- ?opticneuritis

    229. Benzoic acid detoxification- glycine

    230-Communicability of d/s- secondary attackrate

    a

  • 8/3/2019 DNB nov 2011

    25/37

    231- Prevelance of pop with 30,000 n 300 cases-10/thousand

    232Addition of glucose to stored blood==ph decrease

    233 all except in INH- vision deterioration

    234 All except in caffeine withdrawl-weight gain

    235 All except in nicotine withdrawl-??

    a

    236 LDH increase in testicular tumor-lymphoma

    237 Seen in horners=== anhydrosis

    238 all except in recurrent abortion- TORCH

    239 Sterilization- ans is option b ie abt theage

    240 All except in severe UC- severe initial attack

    a

  • 8/3/2019 DNB nov 2011

    26/37

    241 Source of epistaxis after ligation of ECA==ant ethmoidal art

    242 Meliodosis is caused by==== burkholderiapseudomallei

    243 Which is most sensitive toatropine-----salivary glands

    244. Stimulus for peripheral and centralchemoreceptors in children--? Increased CO2

    245Increased pressure on carotid will leadto---? Decreased heart rate and decreased

    peripheral resistance

    a

    246. Male with loss of interest,nl sleep===dysthymia

    247. MCC of pyomyositis==== Staph Aureus

    248. All except palpable purpura===== cryoglobulinemia

    249. First centre activated before skilledvoluntary movement==premotor cortex

    250. Narcolepsy is d/t lesion in=====hypothalamus

  • 8/3/2019 DNB nov 2011

    27/37

    a

    251. Time to reach the triggering velocity=====rheobase

    252. Hyoid bone excised in====== thyroglossalcyst

    253. sistrunk operation for===== thyroglossalcyst

    254. K ions are most imp in===== iCF

    a

    256. Qn on panel discussion

    257. Odorant/odor receptor present in NEURONS OFOLFACTORY EPITHELIUM

    258. All except dimorphic fungi====cryptococcus

    259. Vaginal smear shows budding yeast====

    Candida

    260. Whiff test is for==== bacterial vaginosis

  • 8/3/2019 DNB nov 2011

    28/37

    a

    261. All except topical steroids====hydrocortisone cypionate

    262. Earliest lesion in tuberous sclerosis===shagreens patch

    263. Fn of otolith organs====maintain head position inspace

    264. Imaging MC sinus with osteomas==== Frontal

    265. drug inhibiting cell wall formation=======cycloserine

    a

    267. Skin test in Hydatid=== Casonis test

    268. Not a continous cell line==== WI 38

    269 Lung Ca in which cranial irradiation- smallcell ca

    270 Risk factor for choriocarcinoma- after hydatidiformmole

  • 8/3/2019 DNB nov 2011

    29/37

    a

    271 MOA of Imatinib- Competitive inhibition ofbcr-abl tyrosine kinase

    272 Distal Acoustic shadow is seen==== calculi

    273 Marker of fetal contamination==== E coli

    274. Treatment of choice for septal hematoma -incision and drainage

    275. CIDOFOVIR - respiratory papillomatosis

    a

    276. Wooden workers - adenocarcinoma

    277. Delayed onset polyneuropathy after OPpoisoning== 1-4 weeks

    278. Not an effect of atropine=== decreased far vision

    279. Drug causing hypertrophic pyloric

    stenosis== Erythromycin

    280. Not a cause of gum hyoertrophy==== TB

  • 8/3/2019 DNB nov 2011

    30/37

    a

    281. PCR- Taq polymerase

    282. All except low high AFP levels=== Trisomy21

    283. OA affects ===== DIP

    284. Type 2 cholangiocarcinoma== division ofboth ducts and not extending outside

    285. Chlorination== hypochlorous acid andhypochlorite ions

    a

    286. Best prognosis among breast ca- colloidcarcinoma

    287. Chromosomes condensed in===prophase

    288. DNA synthesis occurs in==== S phase

    289 Hiatal hernia MC complication====

    esophagitis

    290. MC virus assoc with Ca cervix------- HPV 16

  • 8/3/2019 DNB nov 2011

    31/37

    a

    291. Late deceleration all except===== headcompression

    292. Erythropoiesis in 6th month==== liver

    293 Bacillary angiomatosis=== B. henslae

    294. metachromatic granules seen in====C.diphtherium

    295. Hodgkins and NHL differ by======?? Nodaland local involvement

    a

    296. Congenital cataract involving visualaxis--- Immediately operate

    297. True abt PSGN- hypocomplimentemia occurs

    298. All except about myxoma------ MC involvesright side

    299. Position in post dislocation hip==== FADIR

  • 8/3/2019 DNB nov 2011

    32/37

    a

    300. Child comes with pronated forearm and nlx-ray==pulled elbow301. True abt Klumpkesparalysis====== InvolvesC8-T1

    302. Uterine art is a branch of- Internal Iliacart

    303. Rx for asymptomatic bacteruria- all of theabove

    304. Chagas d/s- T. cruzi

    305. Epidemic keratoconjunctivitis- Adeno

    a

    306. Abductor of vocal cord- Post cricoarytenoid

    307. Hep b is not secreted in==== stool

    308. Not an epiphysis===== friction

    309. Malignant hyperthermia==== ryonadinereceptor

    310. Time for healing======?6months

  • 8/3/2019 DNB nov 2011

    33/37

    a

    311. All children of PEM should get==== blood transfusion

    312. Ganglion=== collection of neurons outsideCNS

    313. Innate immunity----- carbohydrate sequencein cell wall

    314. Craniosacral outflow==== Parasympreganglionic

    a

    315. Kideny exposed post, all injured except===lat cutaneous nerve of thigh316. All except oliguric renal failure====aminoglycoside

    317. Dobutamine preferred over dopamine=== lessarrythmias

    318. Lignocaine with adrenaline==== 1:200000

    319. Genu valgum=== tibia lateral with respectto knee

    320. Small cell Ca marker====vimentin

  • 8/3/2019 DNB nov 2011

    34/37

    a

    321. Window period in HIV=== onset of infectionto presence of antibody

    322. Glycogen phosphorylase=== pyridoxalphosphate

    323. Co factor in sulphur containing amino acidmet---- folic acid

    324. LCHAD deficiency---- fatty liver ofpregnancy325. Adrenaline route in shock==== s/c

    a

    326. Homonymous hemianopia==== optic tract

    327. Content of epiplococele=== omentum

    328. GBS=== autoimmune causing demyleinating

    329. Not used in Rx of endometriosis=== estrogen

    330. Oligodentrocyte=== myelin formation

  • 8/3/2019 DNB nov 2011

    35/37

    a

    331. Nail biting, hair pulling can be reversedby-- ?cbt332. OX-19 is positive in===== epidemic typhus

    333. Pre operative evaluation of strictureesophagus- ?endoscopy

    334. CCR 5 mutation in HIV-------????increasedresistance

    335. Generation time in leprosy====12-14 days

    a

    336. Microtubule formation inhibited by====vincristine

    337. Infection from ear to CNS=== cochlearacqueduct

    338. Medical student with dental cariesetc====bulimia nervosa

    339. True about gastric secretion===acid secreted most inpylorus

    340. Most commonly used tuning fork in ENT===512 Hz

  • 8/3/2019 DNB nov 2011

    36/37

    a

    341. Disease not under integrated diseasesurveillance project- Herpes Zoster

    342. Pain in fibroid is d/t all except=====Hyaline degeneration

    343. Normal anionic gap==== Hyperchloremicacidosis

    344. Increased 17 hydroxy cortisol has no rolein pregnancy coz of====coz bound form is moreand free form normal

    345. Hepatitis C infection------ becomes chronic

    a

  • 8/3/2019 DNB nov 2011

    37/37

    346. Annexin V is marker of==== apoptosis

    347. First affected in LA===== sympathetic preganglionic

    348. All except in apomorphine induced vomiting==cannabinoid agonists

    349. Wrappers of syringe in===== Black bag

    350. Episodic weakness is seen in allexcept===hyperglycemia