ALL INDIA PG ENTERANCE EXAM 2009 [Subjectwise Q/A]
Anatomy
Physiolosy1. Superior gluteal nerve supplies a/e
a. gluteus medius
b. gluteus maximus
c. gluteus minimus
d. tensor fascia lata
ans. b. gluteus maximus
2. Neural tube closure starts from
a. Cervical
b. Thoracic
c. Lumbar
d. Cranial
ANS. a. cervical Ref Nelson 18th ed, p2443
3. COMPOSITE MUSCLES are all except
a. flexor digitorum superficialis
b. flexor carpi ulnaris
c. pectineus
d. biceps femoris
ans: b. flexor carpi ulnaris?
4. Stenosis of subclavian artery is common in which part
a. 1st part
b. 2nd part
c. 3rd part
d. equal in all parts
Ans: a. 1st part
5. Which is not a branch of splenic art
a. pancreatica magna
b. short gastric a
c.. hilar vessels
d. rt. gastroepiploic
ans d. rt. Gastroepiploic
6. ALL are the content of deep perineal pouch except
a. deep transverse perineal muscles
b. sphincter urethrae
c. root of penis
d. dorsal nerve of penis
ans c. root of penis
7. Anatomical snuff box contain
a. radial a
b. brachial a
c. interroseus a
d. ulnar a
ANS: a. RADIAL ARTERY
8. gastrointestinal lymphoid tissue found in
a. lamina propria
b. submucosa
c. mucosa
d. serosa
ANS SUBMUCOSA r 829 / Lamina propria ? Schwartz, greys page 1158 to 1159 the diagram
9. chief cells are found in
a. fundus
b. neck
c. pit
d. body
Ans: a. h 17th 1855/ c ?
10. Structure closely related to anterior commisure
a. orbit gyrus
b. uncus
c. optic chiasma
d. limen insulae
Ans: b.
11. Medulla blood supply all except
a. ant spinal
b. bulbar
c. basilar
d. post cerebellar a
Ans: c bdc 304
12. Trochlear n true a/e
a. supplies ipsilateral sup oblique
b. longest intracranial n
c. only nerve emerging dorsally from brainstem
d. enters sup. Orbital fissure outside annulus of zinn
Ans: a. h 17th 193/ b?
13. urogenital diaphragm composed of a/e
a. colles/scarpas? fascia
b. deep transverse perinii
c. perineal membrane
d. sphincter urethrae
Ans: a bdc 332
14. arteriovenous shunt
a. found in all organs
b. involved in thermoregulation
c. not under the control of ANS
d.
Ans: b
15. superior middle alveolar artery is a branch of
a. Palatal br of maxillary artery
b. nasal br of maxillary artery
c. inferior alveolar artery
d. Mandibular artery
Ans: a bdc 120
16. pain sensitive structure in brain is
a. middle cerebral artery
b. choroidal plexus
c. Dural sheath
d. Falx cerebri
Ans: b Ref-Hari16,85
17. Secretory pathway to parotid a/e
a. auticulotemporal nerve
b. greater petrosal nerve
c. tympanic plexus
d. otic ganglion
Ans: b. bdc 127
18. most common muscle to be congenitally absent
a. pectoralis major
b. teres minor
c. semimembranosus
d. soleus / gastronemius
Ans: a
19. popliteal artery not easy to palpate because
a. it is not superficial and not pass over prominent bony structure
b. it is not superficial
c. it does not pass over prominent bony structure
d.
Ans: a Norman L. Browse, An introduction to symptoms and signs of surgical disease, 1ed, p141
20. spongy urethra drains into which node
a. internal iliac
b. superficial inguinal
c. deep inguinal
d.
Ans: c. deep inguinal
bdc 350
21. congenital deformity of organ
a. malformation
b. deformation
c.
d.
Ans: a
22. sternberg camnal false is
a. encephalocele
b. can carry infectn to sphenoids
c. lies medial and post to foramen rotundum
d. lies lateral and ant to foramen rotundum
Ans: d
Biochemistry23. sleep is controlled by which centre
a. thalamus
b. hypothalamus
c. putamen
d. limbic cortex
ans b. hypothalamus h 173
24. sertoli cells function
a. testosterone secretion
b. seminal fluid secretion
c. aid in spermiogenesis
d. progesterone secretion
ans c. aid in spermiogenesis h 17th 2312
25. Which is seen in intrinsic pathway
a. Factor XII / XIII?
b. Factor XI
c. Factor IX
d. Factor VII
ANS FACTOR XII r 128?? IX?
26. intrinsic factor secreted by
a. chief cells
b. parietal cells
c. fundus
d. gastrin cells
ans parietal cells gan 491
27. when a person lies down which of the following occurs
a. immediate increased venous return
b. increased cerebral blood flow
c. increased heart rate
d.
Ans: a. gan 617 632
28. in fetus angiogenesis in eye promoted by a/e
a. EGF
b. TGF B
c. FGF
d. IL8
Ans: c?
29. Vasomotor centre of medulla true
a. stimulated by only baroreceptor not chemoreceptor
b. functional interaction with cardiovagal centre
c. independent from hypothalamus
d.
Ans: b? GAN 604
30. after starvation which site will have reduced glucose receptor
a. brain
b. rbc
c. adipose tissue
d. liver
Ans: c. harper 27th 140
31. angiotensin functions a/e
a. vasodilatation
b. increases thirst
c. stimulates adh release
d. stimulates aldosterone release
Ans: a. gan 456
32. renal Physiology a/e
a. dct recieves hypoosmotic solution always
b. afferent artery supplies glomerulus
c. control of GFR by afferent and efferent artery
d. 5% of cardiac output received by kidney
Ans: a gan 708/ d?
33. the following contractions of esophagus are stationary
a. primary
b. secondary
c. tertiary
d. quarternary
Ans: c.
34. facilitated diffusion is
a. requires carrier transport
b. along concentration gradient
c. is a form of active transport
d. requires creatinine phosphate
Ans: a
35. oxygen demand of heart
a. increases proportionately with heart rate
b. depends on systolic work/ duration of systole
c. is negligible when heart is at rest
d. is in constant relation with amount of work done
Ans: b. g 575
36. cyanosis does not occur in anaemia because
a. certain min amount of reduced hb has to be present
b. in anaemia oxygen saturation increases
c.
d.
Ans: a gan 684
37. hb dissociation curve is sigmoid because
a. binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules harper 27th 43
38. Action potential starts in the initial segment of axon because
a. unmyelinated
b. has least threshold
c. more ion channels
d. neurotransmitter relesed in proximal end
Ans: b.
39. Cellular regulatory mechanisms by neighbouring cells a/e
a. secretory vesicles
b. gap junctions
c. synapse
d. enzymes
Ans: b gan 491?
40. Diastolic pressure head in aorta is due to
a. Aortic wall elasticity
b. muscular arterioles
c. capillaries
d.
Ans: a gan 587
41. paneth cell is rich in
a. zinc
b. lysozyme
c.
d.
Ans: b. lysozyme gan 506,518 ??
42. synovial fluid characteristics a/e
a. formed by type a cells
b. follows non Newtonian fluid kinetics
c. viscosity is variable
d.
Ans: a.
43. functions of T helper cells are all except
a. cytotoxic
b. help in antibody formation
c. opsonisation
d. helps memory B cells
Ans: a gan 527
44. central chemoreceptors are most sensitive to
a. low O2
b. low CO2
c. high CO2
d. H+ concentration
Ans: d gan 675?? / c?
45. blood flow to muscles is increased during exercise
a. due to accumulation of active metabolites
b Increased BP
Ans: a gan 632
46. energy expenditure in resting state by
a. lean body mass
b. heart rate
c. adipose tissue
d.
Ans: a. HAR 486
FM47. CAP in lac operon is an example of
a. positive regulator
b. negative regulator
c. constitutive expression
d. attenuation
ans: a. positive regulator
48. Following sds page elecrophoresis protein weight is found to b 100 kD. After treatment with mercaptoethanol it shows 2 bands of 20 kd and 30 kd widely separated in elecrophoresis pattern. True statement is
a. the protein has undergone hydrolysis of S-S linkage
b. it is a dimer of 2 subunits of 20 and 30 kd
c. it is a tetramer containing 2 20kd and 2 30kd
d. protein break up due to non covalent linkage
Ans: c. q har27th24?
49. Least polar of the following groups
a. methyl
b. carboxyl
c. amino
d. phosphate
Ans: a
50. lipoprotein lipase true a/e
a. secreted by adipocytes
b. secreted by myocytes
c. does not need CII as cofactor
d.
Ans: c does not require apo c II as cofactor har 219
51. after cutting DNA with restriction enzymes segments joined by
a. dna ligase
b. DNA polymerase
c.
d.
Ans: a har 27th 336
52. splicing is brought about by
a. sn RNA
b. m RNA
c. r rna
d.
Ans: a. snRNA har 27th 31snRNA har 27th 319
53. 2,3 disphosphoglycerate not increased in
a. chronic anaemia
b. chronic hypoxia
c. inosine
d. hypoxanthine
Ans: d
54. Acetyl Co A can't directly form
a. Glucose
b. triglyceride
c. ketone
d.
Ans: a harper27th 139
55. karyotyping used for
a. chromosomal abnormalities
b.
c.
d.
Ans:
56. Genomic imprinting
57. oxidation reduction reaction occurs with a/e
a. Hydroperoxidases
b. perosidases
c. oxidases
d. dehydrogenases
Ans a? har 96
58. All of the following about glutathion true except
a. Helps in conversion of haemoglobin to methaemoglobin
59. micro RNA role
a. RNA splicing
b. gene regulation
c. DNA confirmation
d.
Ans: b. harper 320
Microbiology60. A/E are traumatic asphyxia
a. railway accident
b. road traffic accident
c. accidental strangulation
d. stampede in crowd
ans. c. accidental strangulation reddy 163
61. stellate wound produced by
a. contact wound
b. from close range
c. 2 meters range
d. long range
ans. a. contact wound reddy 111
62. privileged communication
a b/w doctor & patient
b b/w doctor & concerned authority
c b/w doctor & guardian
d b/w doctor & court of law
ans b/w doctor & concerned authority parikh 6th 1.34
63. finger printing lost in
a HIV
b leprosy
c SCABIES
d.SCALDS
ANS b. LEPROSY
64. Caspers dictum is for
a. identification of body
b. time since death
c. type weapon used
d.
Ans: b. reddy 85
According to an old rule of thumb (Casper's dictum) one week of
putrefaction in air is equivalent to two weeks in water, which is equivalent to eight weeks buried in soil, given the same environmental temperature.
65. which organ is most commonly involved in blast injury
a. lung
b. liver
c. intestines
d. skeletal muscle
Ans: a. parikh 4.184
66. pedestrian injured in RTA with multiple abrasions due to
a. primary impact
b. secondary impact
c. secondary injury
d. tertiary impact
Ans: c?
67. abrasions can be confused with
a. eczema
b. chemical injury
c. ant bite
d. joules burn
Ans: c ref-narayan reddy 22nd151 , parikh 4.3
68. heat rupture due to high temperature
a. regular rupture
b. irregular rupture
c. boold clotted
d. vessels rupture
Ans: b reddy 143
PSM69. endemic relapsing fever is caused by a/e
a. B.duttonii
b. B.hermsii
c. B.recurrentis
d. B.parkeri
ans c. B. RECURRENTIS h 17th 1052
70. non invasive diarrhoea a/e
a. shigella
b. b.cereus
c. EIEC
d. y.enterocolitica
ans b.cereus h 17th 248
71. maltese cross flourescence may be seen in
a cryptococcus neoformans
b blastomycosis dermatidis
c penicillium maneffi
d candida
ans Cryptococcus
72. enterovirus does not cause
a. aseptic meningitis
b. pleurodynia
c. herpangina
d. haemmorhagic fever
Ans: d. h 1209
73. all true except
a. hypochlorite virucidal
b. glutaraldehyde sporicidal
c. phenol require organic material
d. ethylene oxide is an intermediate grade agent
Ans: c.
74. Pasturella multocida infection by
a. soil
b. animal bite
c.
d.
Ans: b h 801
75. parvo virus B 19 false statement is
a. can cross the placenta in only <10% cases
b. dna virus
c. causes anaemia
d.
Ans: a transplacental fetal infection incidence is <,10% h 17th 1116
76. E157:O7 culture
a. sorbitol mc konky media
Ans: a. sorbitol mc konky media h 17th 942
77. True about non typhoidal salmenellosis
a. can be transmitted by eating poultry products
b. can be diagnosed by blood culture better than stool sample
c. quinolones are effective
d. severe in neonates
Ans: b. HAR 960 /d?
78. Lambda phage a/e
a. phage undergoes lytic cycle as it fuses with host
b. lysogenic
c. fuses with the host chromosome and remains dormant
d.
Ans: ?
79. all are true except
a. streptodornase breaks dna
b. streptokinase is produced by A,C,G
c. streptolysin o acts in reduced state only
d. erythrogenic toxin is plasmid mediated
Ans: d. anant 191
PharmacologySPM
80. The vaccine having highest efficacy
a. measles
b. tetanus
c. pertusis
d. BCG
Ans: tetanus/ measles??
81. Chemprophylaxis not used in
a. cholera
b. plague
c. meningococal meningitis
d. typhoid
Ans: d. typhoid park 19th 106
82. Which is the latest guideline used in calculating disability
a. absentism from job
b. economic productivity
c. fever
d. loss of sleep
ans a. absentism from job
83. incidence can be calculated by
a. case control study
b. cross section study
c. prospective study
d. retrospective study
ans c. prospective study park 19th 71
84. indian reference man has weight
a. 70kg
b. 50kg
c. 60kg
d. 55kg
ans 60kg park 500
85. When the variables follow standard distribution
a. mean = median
b. median = variance
c. mean = 2 median
d. standard deviation = 2 variance
Ans: a. mean = median mahajan 6th ed 81
86. Mode of transmission of Q fever
a. Ticks
b. Mites
c. Aerosols
d. Mosquito
Ans: c. aerosols park 19th 252
87. Vitamin A prophylaxis is the example of
a. primordial prevention
b. health promotion
c. specific protection
d. disability limitation
ans c. specific protection park 19th 39
88. finnish type nephrotic syndrome is due to
a. nephrin gene
b. alpha actinin
c. TRP6
d. PODOCIN
ANS: a. nephrin gene
89. imci includes a/e
a. malaria
b. resp infections
c. diarrhoea
d. TB
ans: d. TB
90. hiv maximum transmission
a. homosexual
b. heterosexual
c. blood transfusion
d. needle prick
ANS: c. blood transfusion park 289
91. all are analytical studies except
a. field trials
b case control
c. cohort
d ecological
ANS: a. FIELD TRIAL park 19th 58
92. baby friendly hospital all are true except
a. breast feeding on demand
b. initiates breast feeding within 4 hours of normal delivary
c. allow mothers & infants to remain together 24 hours day
d. train all health care staff
ans: b. park 444
93. intended outcome of a program not measurable in operational term and need not be achived at the end
a. TARGET
b. MISSION
c. GOAL
d. objective
Ans: c?? d. park 721
94. intended outcome of a program not necessary measurable in operational term need not be achived at the end
a. TARGET
b. MISSION
c. GOAL
d. objective
Ans. c.??
95. On a given day a hospital had 50 admissions. 20 girls and out of which 10 needed surgery and out of 30 boys 20 needed surgery. so what is the probability of picking up a person requiring surgery.
a. 3/5
b. 2/6
c. 6/5
d. 1/2
Ans: a.
96. latest WHO scale of disability
a. IDEAS
b. ICDH-…
c. WHO-DAS
d.
Ans: a.
97. DMS IV include benefit for
a. schizophrenia
b. bipolar affective disorder
c. mental retardation
d. dementia
Ans: c.
98. continous data is represented by
a. histogram
b. simple bar diagram
c. linear plot
d. multiple bar diagram
Ans: a. mahajan 20
99. all true about spread of infection except
a. leptospirosis rat urine
b. tetanus dust droplets
c. listeria refrigerated food
d. legionella aerosol
Ans: b h 17th 898
100. water sample estimation a/e
a. clostridium perfringes spores denote recent contamination
b. multiple tubes used to collect bacterial count
c. …. is added to water to remove residual chlorine
d.
Ans: a park 580
101. nutritional survey a/e
a. 1 to 4 year mortality
b. babies < 2.5 kg
c. mother hb < 11.5
d.
Ans: c park 519
102. crude birth rate a/e
a. it is ratio
b. good fertility indicator
c. still born excluded
d.
Ans: a
103. aedes mosquito a/e
a. repeated biters
b. eggs cannot survive more than one week without water
c. transmit dengue
d. incubation period in mosquito is 7-8 days
Ans: a. park 625 / b?
104. dengue hmgic fever caused by
a. type 1 serotype
b. reinfection with the same serotype
c. reinfection with diff serotype
d.
Ans: c. h 1239
105. simple random sampling
a. everyone has equal chance of being drawn
b. sample size eual to that of cluster sampling
c.
d.
Ans: a. park 703
106. preventive strategy in spread of aids a/e
a. behaviour education
b. treatment of STD
c. antiretroviral treatment
d. condoms
Ans: c park 17th 357
107. the following vaccine when contaminated causes toxic shock syndrome
a. measles vaccine
b. BCG
c. DPT
d. oral polio
Ans: a. park 129
108. late expanding phase of population
a. birth rate stationary death rate falling
c. birth rate lower than death rate
c. falling death rates with low birth rate
d. birth rate falls and death rates declines still further
Ans: d. park 19th 379
109. true statement of RDA
a. average daily requirement of all nutrients
b. average daily requirement of all nutrients except energy +/_ 2SD
c. indicates adequacy of intake
d.
110. icd 10 includes all except
a. lack of exercise
b. alcoholism
c. poisoning
d. unhealthy food.
Ans: c. poisoning is icd 9? D?
111. Benign HTN
a. hyaline aterioscelerosis
b. cystic medial necrosis
c. fibrinoid necrosis
d.
Ans: a.
112. Chronic diseases depend on a/e
a. dose response relationship
b. temporal relationship
c. biological plausability
d. consistency
Ans a. park 19th 84
*(302). STEPS
a. assessing risk factors of incidence of non communicable diseases
b. assessing incidence of non communicable diseases
c. assessing treatment compliance of non communicable diseases patients
d. assessing rate of mortality of non communicable diseases
Ans: ?
Pathology113. Person with sub clinical folate def., following drugs will ppt folate def except
a. alcohol
b. chloroquine
c. sulfasalazine
d. phenytoin
ans. b. chloroquine h 17th 649
114. Drug which can be used in any degree of renal failure:
a. Cefepime
b. Cefoperazone
c. Cephaloridine
d. Cefuroxime
Ans: b.
115. Ifosamide belongs to which class
a. Alkylating agents
b. Antimetabolite
c. Folate antagonists
d. Plant alkaloids
ans: a. alkylating agent katzung 882
116. Rx of osteoporosis drug that both decreases bone resorption and increases bone deposition.
a. ibandronate
b. teriparatide
c. strontium ranelate
d. calcitonin
ans stronsium ranelate ref-Harisson 17th edn,pg no 2407
117. H2 hand foot syndrome caused by
a. cisplatine
b. mitomycine
c. cytarabine
d. capecitabine
ans capecitabine
118. which of the following is cell cycle specific
a. ifosamide
b. bleomycin
c. cisplatin
d. vincristine
Ans: b. katzung 881?
119. tacrolimus is
a. hepatoxic
b. nephrotoxic
c. ototoxic
d.?
Ans: b.
120. Most effective drug in complicated falciparum malaria
a. cloroquine
b. quinine
c. artisunate
d.artimether
Ans: c h 1289
121. Appetite stimulant a/e
a. melanocyte stimulating hormone
b. melanocyte corticotropic releasing hormone
c. neuropeptide Y
d.
Ans: msh h 17th 464
122. all of the following drugs are used in narrow angle glaucoma except
a. duloxetine
b. citalopram
c. fluphenazine
d. clozapine
ans. ?
123. valproate causes a/e
a. weight gain
b. alopecia
c. liver damage
d. osteomalacia
Ans: d. kat 387
124. all are the uses of lithium except
a. major depression
b. generalized anxiety disorder
c. vascular headache
d. neutropenia
Ans: a
125. amifostine is protective in a/e
a. salivary gland
b. skin
c. GIT/ kidney
d. CNS
Ans: d
126. the nephrotoxicity of cisplatin is increased by a/e
a. rifampicin
b. vancomycin
c. gentamycin
d.
Ans: a.
127. Which of these is an FDA approved indication for use of modafinil as an adjunct
a. Major depression and associated lethargy
b. Narcolepsy
c. Obstructive sleep apnea
d. Shift work disorder
Ans: c? h 178? q.[snip] 17 h.. d??
128. bleomycin toxicity affects which type of cells
a. type 1 pneumocyte
b. type 2 pneumocyte
c. endothelial cell.
d. alveolar macrophage
Ans: type 2 pneumocyte/ c?
129. true about nitroglycerine/ nitric oxide? except
a. hypotension and bradycardia
b. vasodilation
c. methaemoglobinemia
d.
Ans: a. kat 187
130. topical mitomycin c is used in
a. sturge weber
b. laryngeal stenosis
c. endoscopic angiofibroma
d. skull osteomyelitis
Ans: a/b
Medicine131. Psammoma bodies seen in a/e
a. Follicular ca thyroid
b. RCC
c. Serous cystadenoma
d. Meningioma
Ans. a. Follicular ca thyroid
132. organelle that plays a pivotal role in apoptosis
a. cytoplasm
b. golgi complex
c. mitochondria
d. nucleus
ans: c. mitochondria rob 29
133. colon carcinoma a/e
a. mismatch repair genes
b. k ras
c. b cantenin
d. apc
Ans: beta catenin h 17th 574
134. coagulative necrosis is seen in
a. gangrene
b. tuberculosis
c. sarcoidosis
d. some fungal infection
Ans: a/b?
135. Seen in acute inflammation classically
a. vasodilatation with increased vascular permeability
b. vasoconstriction
c. leucocyte margination
d.
Ans: a r 50
136. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. Microscopically seen is
a. neutrophils
b. granulation tissue formation
c. collagen and fibroblasts
d. scar
Ans: b. r 579?
137. Basic defect in Hb S is
a. altered function
b. altered solubility
c. altered stability
d. altered O2 binding capacity
Ans: b harper 27th 47? a. h 594 16th edn 91-1 table
138. intestinal absorption test
a. xylulose absorption
b. fat in stools
c.
d.
Ans: b. h 1877
139. fatty content in breast is found in a/e
a. traumatic fat necrosis
b. galactocele
c. hamartoma/ adenosis?
d. seborrheic keratitis
Ans: d?
140. ageing true
a. free radical injury
b. accumulation of harmful mutations in somatic cells
c.
d.
Ans: a. robbins 7th 42
141. most bactericidal of these:
a. cationic basic protein
b. lactoferrin
c. lysozyme
d. reactive o2 species
Ans: d. r 61,75
142. clot stabilisation factor-13
143. hypersensitive pneumonitis is type of
a. type 3 hypersensitivity
b. type 4 hypersensitivity
Ans: b (Harrison)
144. Hirsutism is caused by A/E
a. cushing syndrome
b. acromegaly
c. hyperthyroidism
d. hyperprolactinaemia
Ans c. hyperthyroidism h 17th 301
according to harrison hyperthyroidsm causes hirsuitism.answer should b hyperprolactinemia
145. calcification of post spinal ligament a/e
a. begins from thoracic level
posterior longitudnal ligament
b. some CT finding was given
c. t1wi and t2w2 both are hypointense
d. begins from lumbar level
Ans: ?
146. WHICH IS EXPRESSED BY GIST
a. CD 117
b. CD 34
c. CD 45
d. S100
ANS: a. CD 117 r 827
there is difference of percentage CD 117 PRESENT IN 95 % & CD 34 present in 60-80 %.
147. which of the following pair is incorrect
a. selenium deficiency causes cardiomyopathy
b. zinc deficiency causes pulmonary fibrosis
c. increased calcium causes iron deficiency
d. vitamin A deficiency occures after 6 months to 1 year of low vitamin a diet
ans: b. Harrison 17th table 71-2??
148. In obstructive azoopermia
a. FSH & LH both increase
b. FSH & LH both normal
c. FSH decrease but LH increase
d. FSH & LH both decrease
ans b. FSH & LH both normal h 2314
149. which nerve escapes entrapment synd
a. femoral
b. radial / common digital?
c. tibial
d. lat cut n of thigh
ans femoral?? Tibial?
150. hiv enters via
a. cd4
b. cd5
c. cd6
d. cd 56
ANS a. CD4 h 17th 1139
151. C wave in jvp is due to
a. atrial contraction
b. tricuspid valve bulging into right atrium
c. right atrial filling
d. rapid ventricular filling
ans: b. tricuspid valve bulging into right atrium
152. 4year old boy present with recurrent chest infections. Sweat chloride test was done showed values of 36 & 42. What is the next best investigation to confirm the diagnosis
a. 72 hour fecal estimation
b. CT chest
c. trans epithilial nasal potential difference
d. DNA analysis of delta f 508 mutation
ans: c. trans epithelial nasal potential difference
153. tuberous sclerosis triad HAVE a/e
a.facial angiomatosis
b mental retardation
c seizures
d rhabdomyoma
ans: d rhabdomyoma h 2607
154. a 29 year old male was taking oral hypoglycemic drugs and he never had ketonuria in his life . his grandfather had diabetes and his father who is only son of his grandfather did not have the disease. the type of DM the person can never have is
a. pancreatic DM
b. MODY
c. type I
d. type II
ANS TYPE I DM h 2279?? mody??
155. 24 year old male presenting with abdominal pain, rashes, palpable purpura, arthritis / foamy histiocytes and intense neutrophilic infilterates in a patient presenting with fever and lymphadenopathy ....diagnosis is
a. HSP
b. sweet synd
c. meningococcimea / ENL
d. hemochromatosis / rauf daufman disease
ANS: Sweet synd??
156. pulsating large liver seen in
a TR
b AR
c MR
d MS
ANS TR h 1479
157. Systolic thrill is heard in Ist and 2nd Intercostal space in all except
a. Pink tetralogy of fallot
b. Ebstein's anomaly
c. valvular Pulmonary stenosis / tricuspid atresia?
d. sub pulmonic VSD
Answer: A) Pink tetralogy of fallot?? Ebsteins?
the answer is ebstein's anomaly
ref:ghai-in fallot's syst. thrill SEEN IN 30% CASES..
in ebsteins-RARE...AND AGAIN I CHECKED WITH A CARDIOLOGIST...HE SAYS IT COMES IN ALL THE GIVEN OPTIONS BUT..THE RAREST OF THEM ALL IS EBSTEIN'S(REASON-ITS ASSOC. WITH ASD RATHER THAN A VSD MOST OF THE TIMES) sgdd
158. Cardiac manifestations of HIV A/E
a. Cardiomyopathy
b. aortic aneurysm
c. recurrent artrial emboli
d. Cardiac tamponade
Ans: b Ref-Hari17th,1174
159. spastic paraplegia is caused by a/e
a. vitb12 deficiency
b. cervical spondylosis
c. MOTOR NEUROPATHY
d. LEAD POISONING
ANS:LEAD POISONING?? CERVICAL SPONDYLOSIS? IT IS A REPEAT ALL INDIA QUESTION vannu2006
160. pseudoclaudication seen due to COMPRESSSION OF
a. femoral A
b. poplitial A
c. cauda equina
d radial A
ans: c. cauda equina
161. intermittent claudication
a. pain in the limb
b. pain on the start of walking
c. pain at the end of walking
d. pain on doing exercise
Ans: d. h 1168
162. 20yrs. old male with Hb-10 MCV 70 serum iron 65 serum ferritin 100 what is the diagnosis
a. iron deficiency
b. thallasemia trait
c. folate deficiency
d. b12 deficiency
Ans: b.
163. A girl aged 8yrs has been admitted for dialysis. She has serum K of 7.5meq/l. Which is the fastest way to reduce the hyperkalemia
a. Kayexelate enema
b. Infusion of insulin+glucose
c. Iv calcium gluconate
d. Iv NaHCO3
Ans: b.
164. Gut bacteria cant ferment
a. cellulose
b. pectin
c. lignin
d. starch
Ans: a HAR 116 /d?? c. sabiston
little starch is reaching the colon.. The bateria are not known to possess any amylase... They can act on cellulose to convert it to butyric acid.. Its only partial but it occurs..dreamanaesthesia
165. Foreign body sensation in the eye with right knee swelling in a 29 yrs old man
a. tb
b. sarcoidosis
c. reiters disease
d.
Ans: c h 17th 2113
166. Immediately after eating dyspneoa, cyanosis and not being able to breath after few hours
a. angioneurotic edema
b. food stuck in larynx
c. esophagus rupture
d. MI
Ans: a h 2066
167. Multiple punched out lesions in skull in a 65 yrs old man, which is best or diagnosis
a. serum electrophoresis
b. calcium
c. alp
d. bone scan
Ans: a. h 704
168. Pauci immune glomerulonephritis in
a. microangiopathic polyangitis
b. alport
c. sle
d. HSP/ goodpasteurs?
Ans: a rob 977 /d?
169. Coombs positive anaemia in
a. sle
b. ttp
c.
d.
Ans: a. h 659
170. scarring alopecia caused by
a. lichen planus
b. androgenic alopecia
c. alopecia areata
d. tinea capitis
ans a. lichen planus h 322
171. all are direct cutaneous disease except
a. psoriasis
b. reiter’s disease
c. lichen planus
d.
Ans: b h 2066
172. involvement of sweat gland, dermal appendages and hair follicles with epitheloid granuloma
a. lichen scrofulosum
b. military tb
c. papulonecrotic tuberculide
d.
Ans: a?
173. hypercoagulability a/e
a. burns
b. hemmorhage
c. infections
d. surgery of 1 hr duration
Ans:
174. causes of DVT a/e
a. OCP
b. polycythaemia
c. IBD
d. PNH
Ans: c/ d pnh h 660?
175. features of pnh a/e
a. DVT
b. massive splenomegaly
c.
d.
Ans : b massive splenomegally h 17th 661
176. positive urinary anion gap a/e
a. alcoholoic ketoacidosis
b. diabetic ketoacidosis
c. glue poisoning
d. diarrhea
Ans: d h 17th 290
177. Which does not occur in RCC
a. polycythemia
b. cushings
c. malignant HT
d.
Ans: c h 17th 592, rob 4 pg 1018
178. incontinenti pigmenti
a. 100% ocular problems
b. x linked dominant
c. skin lesions present
d. associated with eye problems
Ans: a.
179. neurofibromatosis a/e
a. autosomal recessive
b. neurobifromas
c. cataract
d. scoliosis
Ans: a.
180. von hippel landau syndrome consists of a/e
a. gastric cancer
b. renal cell carcinoma
c. phaechromocytoma
d. cerebral and retinal haemangiomas
Ans: a. r 1414
181. necrotising fasciitis a/e
a. most commonly due to group A beta haemolytic/ group b? streptococcus
b. debridement is mandatory
c. involves trunk and lower limbs
d.
Ans: a h 17th 801
182. hepatitis C true statement is
a. important cause for liver transplantation
b. does not cause liver cancer
c. dna virus
d. doesn't cause coinfection with hbv
Ans: a. h 1990
183. restless leg syndrome seen in
a. chronic renal disease
b. hyperkalemia
c. hypocalcemia
d.
Ans: a. h 174
184. carpal tunnel syndrome caused by a/e
a. hyperthyroidism
b. acromegaly
c. addisons
d. cushing
Ans: addisons h 2154
185. a lady with temporal field defects, galactorrhoea, most probable cause
a. pituitary macroadenoma
b. craniopharyngioma
c.
d.
Ans: a h 2202
186. juvenile arthritis all are present except
a. rheumatoid nodules
b. uveitis
c. fever
d.
Ans: a
187. hepatomegaly is caused by a/e
a. gauchers ds
b. niemann pick
c. hepatic porphyria
d. hurlers ds
Ans: c. harrison 2438
188. recurrent laryngeal papillomatosis false
a. most commonly by HPV 6 and HPV 11
b. HPV 6 is more virulent
c. caused by exposure during delivery in mothers birth canal
d. HPV is a DNA virus
Ans: b? STELL AND MARAN HEAD AND NECK SURGERY 4TH 235
189. all are true about eaton lambert syndrome except
a. positive tensilon test
b. spares bulbar and ocular muscles
c. muscle contraction improves with repeated stimuli
d.
Ans: b.? h 2674 a?
190. cystic fibrosis all are true except
a. defect in calcium channel
b.
c.
d.
Ans: a
191. Rheumatoid factor will give false positive tests with
a. coombs test
b. hbsag
c.
d.
Ans: a
192. chronic limb ischaemia true is
a. rest pain
b. pain on exercise
c.
d.
Ans: a csdt 12th 798
193. SIRS includes all except
a. thrombocytopenia
b. leucocytosis
c. oral temperature > 38 degree C
Ans: thrombocytopenia h 17th 1696
194. all are true regarding Hb S except
a. glutamine replaced by valine
b. heterozygotes are protected against malaria
c. increase in sticky patch due to substitution of nonpolar residue by polar residue
d. single base substitution lead to RFLP
Ans: c harper 27 47
195. Chlamydia infection, true statement a/e
a. can be cultured
b. vaginal swab used for diagnosis
c. symptomatic
d. women taking ocp are carriers
Ans: c?
196. Angioneurotic edema false
a. C 1 esterase deficiency
b. Angiotensin converting enzyme deficiency
c. pittin in nature
d.
Ans: c. pittin in nature h 17th 2066??
197. hyperaldosteronism a/e
a. metabolic acidosis
b. hypokalemia
c. hypernatremia
d. hypertension
Ans: a. h 17th 288
198. Joint aspiration in acute gout shows
a. monosodium urate crystals
Ans: a
199. won't be present in right heart failure
a. increased PCWP
b. pulsatile liver
c. increased JVP
d.
Ans: a. r 563
200. Best marker for stratification of cardiovascular risk
a. Lp a
b. homocysteine
c. chlamydial antibody
d. CRP
Ans: a. park 306 / d?
201. temporal arteritis true a/e
a. can cause sudden b/l blindness
b. in elderly women
c. females more than males
d. worsens on warmth exposure
Ans: d. h 96
202. False about mesial temporal lobe sclerosis
a. obliteration of fornices
b. hippocampal sclerosis
c. distinction between grey n white matter is lost
d. temporal lobe sclerosis
Ans: ?
203. hereditary hemochromatosis true except
a. females more than males
b. genetically heterogeneous
c. complete penetrance
d. phlebotomy is not done
Ans: a?
204. Not seen in Idiopathic pul haemosiderosis
a. eosinopenia
b. iron deficiency anaemia
c.
d.
Ans: a eosinopenia r 746 /b?
205. when patient with hyperglycemia is given insulin result is
a. hypokalemia
b. hyperkalemia
c. hyponatremia
d. hypernatremia
Ans: b.? d H 2285
206. International Prognostic Index of lymphoma a/e
a. haemoglobin
b. serum pr
c. LDH
d.
Ans: d? h 17th 692
207. Xanthogranulomatous pyelonephritis false
a. causative organism is tb
Ans: causative organism is tb r 1001
208. leptospirosis all except
a. transmitted by rodent urine
b. penicillin iv is tt in severe cases
c. 5 to 15 percent mortality in severe cases
d. antibody can b detected in a week
Ans d har 1050
209. positive hepatojugular reflux is found in conditions except
a. tricuspid regurgitation
b. right heart failure
c. decreased afterload
d.
Ans : decreased afterload
210. hypercalcemia a/e
a. celiac disease
b. hyperparathyroidism
c. milk alkali
d. sarcoidosis
Ans: a h 2380,1880
211. in a patient of acute myeloblastic leukemia with high leucocytosis what shouldn't be done
a. hydration
b. immediately start chemotherapy
c. allopurinol
d. alkalinsation of urine
Ans: b. h 680
Reply With Quote
Bookmarks