will post da answers wid references after pgi xam..............dont bother abt */^ symbols beside options.........will post some of the answers 2day..........plz discuss ur views abt appropriate answers 2 da questions wid references qouted along wid it



1. WESTERN BLOTTING IS DONE FOR
a) protein* ^
b) ds rna
c) DNA

2. TEACHER SLAPS A STUDENNT RESULTING IN DEAFNESS
a) griveous injury * ^
b) simple injury

3. ALL are B cell -markers EXCEPT
a) CD10 * ^ ( correct ans – confirmed on google)
B) CD135
C) CD19
D) CD21

4. TNF is used in alll the following EXCEPT
a) RA with HBV
b) RA with HCV
c) RA with pulmonary fibrosis
d) RA with HIV*

5. ARTICLE 377 deals with
a) rape
b) adultery
c) unnatural sexual offence* ^
d) incest

6. Public Behavior that is permanent consistent and liable to change is :
a) Attitude
b) Cultural Belief ^
c) Practice*
d) Knowledge

7. WASTE MEDICAL DRUGS EXPIRED ARE DISPOSED
a) in a secured land fill* ^
b) are kept for 10 yrs and then disposed
c) incinerated
d) in public waste system

8. Halter’s shakes is associated with
a) mercury * ^
b) arsenic
c) cadmium
d) lead

9. A heart pt on aspirin develops black stools
a) duodenal ulcer* ^
b) colonic cancer
c) intestinal TB
d) varices

10. whooping cough best sample for diagnosis
a) endotraceal aspirate*
b) cough plate culture
c) nasopharyngeal swab ^
d) blood

11. full thickness graft can obtained from all of the following EXCEPT
a) elbows * ^
b) supraclaviclular area
c) groin
d) axilla

12. COX-2 is associated with
a) cell adhesion
b) cell proliferation
c) cell migration*
d) cell differentiation

13. radiation induced brain necrosis is best diagnosed by
a) brain biopsy ^
b) pet SCAN * ^
c) MRI
d) CECT

14. highest potassium is found in
a) ileal fluid
b) rectal fluid* ^
c) bile
d) pancreatic secretion

15. which of the following is correct about phenytoin
a) zero order* ^
b) does not have interaction
c) excreted in unchanged form in urine
d) it is not an enzyme inducer

16. recently noble prize was given for
1) RNA i ^
2) lipoxosome
3) mitochondrial DNA
4)*



17. stability of alveoli is maintained by
1) negative interplueral pressure*
2) residual air in alveoli
3) by decreasing surface tension by surfactant
4)

18. in post ductal aortic stenosis the vascular supply to lower limb is maintained by all the following EXCEPT
a) suprascapular a
b) post interthoracic a
c) vertebral a* ^
d) intercostal a

19. VACCINE C/I IN PREGNANCY
a) MMR* ^
b) HBV
c) typhoid
d) Rabies

20. Voriconazole is used in all the following EXCEPT
a) aspergillosis
b) candidiasis
c) mucormycosis* ^ ( see Harrison)

21. medial most in femoris traingle
d) vein
c) nerve
b) artery
a) lymphatics* ^

22. Recurrent occipital headache in a girl, alng aith nausea vomiting, vertigo which is also seen in her mother
1) basilar migraine * ^
2) cervical spodylosis
3) Temporal Arteritis
4) vestibular neuronitis

23. NOT used in hyperkalemia with normal ecg
a) insulin+ glucose
b) exchange resins
c) clacium gluconate* ^
d) salbutamol

24.Recurrent plaques on glans which heal with residual hyperpigmentation
1. Apthous Balanitica
2. Fixed Drug Eruption * ^
3. Herpes Genitalis
4. Chlamydial inf.


25. substance p is produced by n
a) nerve terminal *
b) endothelium
c) plasma
d) macrophage ^ (google)

26. Which of the following is used in fungal staining
a) silver methamine ^ (google)
b) mucicaramine*
c)
d)

27. ANCA found in
a) R A
b) W G* ^
c) good pastuer
d) sjogren

28. a pt with RHD with prosthetic valve , heparin should be started
a) onset of lobour
b) 32 weeks
c) 36 wks * ^ (internet ref)
d) 40 wks

29. NOT a feature of antimortem burns
a) vesilcle with hyperemic base
b) air in [bleep]* ^
c) high protein content of fluid in [bleep]
d) pus formation

30. Which of the following is used in frozen lipid staining
a) PAS*
b) oil red O ^
c) mucicaramine
d)

31. In a female urinary control is by alll except
a) internal urethral sphincter* ^
b) external urethral sphincter
c) bulbosphongiosus
d) pubovaginalis

32. urothelium lines a/e
a) ureter
b) major calyx *
c) urinary bladder
d) membranous urethra^


33. which of the following is infective to mosquito
a) sporozoite
b) merozoites
c) gametocyte* ^
d)

34. immunositochemical staining used for gastrointestinal stromal tumour
a) CD117 ^

35. which of the following is false about japanese encephalitis
A) pigs are amplifiers
B) water tanks serve as breeding site* (as per WHO this is also wrong)
C) TRANSMITTED BY CULEX MOSQUETOES
D) two doses of vaccine ( correct answer= 3 doses)

36. falopian tube dysmotility is seen in
1) noonans
2) kartagener* ^
3) marfans
4)

37. regarding h.influenzae which of the following is false
a) less common below 2 months
b) most commonly cause meningitis
c) protein capsule is a virulence factor* ^
d)

38. IN barium swallow , posterior shadow of esophagus is ..........
a) lt atria* ^
b) knukle of aorta
c)
d)

39. was which is not true of these-
a) superior thyroid artery is a branch of external carotid artery
b) superior parathyroid is a branch of posterior division of sup. Thyroid artery * ^ (?)
c) thyroid ima artery is derived only from aortic arch ^ (?)
d) inferior thyroid artey is branch of thyrocervical trunk

40. immunofloroscence seen in pemphigus vulgaris
a) Fish net pattern* ^
b) Ig A linear deposition
c) Ig G inepidermal
d) Ig G dermo-epidermal


41. all the following can predoispose to bile duct cancer
a) chronic typhoid ^
b) parasitic infestation
c) choladocholithiasis
d) chronic Ulcerative Colitis*

42. the following are used in cardiac failure EXCEPT
a) nitrates *
b) nisteride
c) spironolactone
d) trimetazidine ^ (used only in angina)

43. false regarding OPV is
a) it is killed vaccine * ^
b) residual neuroparalysis is a side effect
c) requires subzero temp. for storage
d) induces mucosal n humoral immunity

44. which of the following drug is not converted to an active metabolite in liver
a) lisinopril * ^
b) enalapril
c)
d)

45. regarding flail chest all the following are true EXCEPT
a) at least fracture of three ribs at two places*
b) should be intubated if po2 less than 40% with 60 % oxygen
c) paradoxical movement may not be seen in concious patient ( correct answer)
d) sholud be treated with IPPV and fixation if condition severe

46. necrotising lymphadenitis is seen in ( i did not attempt or i answered D)
a) kikuchi disease ( this is correct answer)
b) kimura disease
c) hodgkins
d) castlemans

47. Contraceptive failure in A/E:
a. Aspirin*
b. Tetracyclines ^
c. Phenytoin
d. Rifampin

48. All are used under the supervised regimen except:
a. Rifampin
b. Pyrazinamide
c. Clofazimine
d. Dapsone* ^


49. Zn is a cofactor of
a) alcoholic DH ^
b) pyruvate DH
c) pyruvate decarboxylase
d) alpha keto acid DH*

50. ALL EXCEPT USE CAMP AS SECOND MESSANGER
a)CORTICOTROPIN ( ans is none)
b)DOPAMINE
c)GLUCAGON
d)VASOPRESSIN

51. TREATMENT OF CHOICE IN GENITAL WART IN PREGNANCY
a) SALICYLIC ACID WITH LACTIC ACID SOLUTION
b) PODOPHYLOTOXIN
c) IMIQIMOD
d) CRYOTHERAPY* ^

52. All the following about standard error are true except,
a) as the sample size increases, S.E. increases* ^
b) it is used for measuring standard deviation of group

53. Not deep to flexor retinaculum
a )ulnar nerve* ^
b) median nerve
c) FDP
d) FDS

54. 45 year old woman underwent cholecystectomy.It was found that adenoca was present but didnt extend beyond the muscle.what would u advice next
a) resection of liver and peri gall bladder tissue*
b) follow up with regular USG (correct answer)
c) chemotherapy
d) radiotherapy

55. pregnant lady with previous c/s,has hematuria. it is a sign of -
a) prolonged labour
b) cystitis
c) impending scar rupture *
d) urethral injury ^

56. Tissue from rat used in antinuclear antibody testing (I did not attemt or answered D)
a) LIVER (correct answer)
b) Kidney
c) Brain
d) ?

57. occipito posterior position. management-
a)oxytocin
b) observation of the progress of the labour* ^
c) LSCS
d) ARM

58. vit responsible for seizure
a) pyridoxine/B6
b) b1
c) vt c
d) cyanocobalamine

59. high prolactin causes
1.high FSH * ^
2.elevated estradiol
3. elevated testosterone
4. increased libido

60. Which of the following is associated with > 20% risk of chromosomal anomalies?
a. omphalocele*
b. gastroschisis
c. cleft lip
d. spina bifida

61. ABO antigens not found in
a) csf * ^
b) semen
c) plasma
d) saliva


62. abo incompatibility not seen with
a) Frash frozen plasma
b) Cryoprecepitate*
c) platelet rich plasma
d) platelet concentrate

63. Widal test, all except one, are correct"
a. Even one high titer is not enough for conclusive diagnosis.
b. O antibody lasts longer and hence is not indicative of recent infection
c. Baseline titers differ depending on the endemicity of hte disease
d. H antibody cannot differentiate between types* ^

64.Young girl with repeated bouts of Pain legs, vomiting, headache. Physical exam and tests normal. Most likely:
1. gen. Anxiety disorder
2. Body Dysmorphic disorder
3. Somatoform pain disorder*
4. Somatisation Disorder ^

65. NOT true about Pseudogout:
1. Affects small joints* ^
2. Affects large joints
3. Chondrocalcinoisi
4. Calcium pyrophosphate crystals in jt. aspirate

66. Premature baby 1.5kg 32 wks born with emergency C.S. now develops resp. distress with grunting. Best management:
1. Moist Oxygen thru' headbox
2. Mechanical ventilation
3. C-PAP
4. Surfactant therapy plus mechanical ventilation* ^

67. True about Burkitt's Leukaemia:
1. CD 34 and Surface Ig both +ve
2. CD 34 - but surface Ig+ ^
3. CD 34+ but Surface Ig- *
4. both negative

68. Type of anaemia caused by Ileocaecal TB:
1. Iron - deficiency
2. Megaloblastic* ^
3. sideroblastic
4. Normocytic Normochromic

69. False about P53:
1. chromosome 17
2. 53 KDa protein
3. Arrests at G1 phase
4. wild p53 in normal chromosome lead to childhood tumours* ^

70. Cancers included in Lynch Syndrome(HNPCC) :
1. Breast, Ovary, Colon
2. Breast, Endometrium, Ovary
3. Breast, Endometrium, Colon*
4. Colon, Endometrium, Ovary ^

71. NOT a common cause of Vasculitis in adults:
1. Giant Cell Arteritis*
2. PAN
3. Kawasaki disease ^
4. HSP

72. Renal lesion in Wegener's Granulomatosis:
1. Interstitial Granuloma*
2. Granuloma within capillary walls
3. Focal necrotising GN ^ (Harrison)
4. Nodular Glomerulosclerosis

73. Not true about N. gonorrhoeae:
1. Exclusive human pathogen
2. Acute urethritis is MC maifestation in males
3. Highly sensitive to Penicillin* ^
4. Some strains may cause disseminated disease

74.Young girl with past H/O repeated pain over medial canthus and use of decongestants now presents with intense chills, rigors, diplopia on lateral gaze , Optic Disc congested. Most likely diagnosis:
1. Ethmoidal Sinusitis
2. Orbital Cellulitis
3. Cavernous Sinus Thrombosis*
4. Orbital Apex syndrome

75. Uterine blood flow at term:
1. 50-75 ml/min
2. 150-200 ml/min
3. 350-400 ml/min
4. >500 ml/min* ^

76. HLA B27 +ve in : ANS - Ankylosing Spondilitis*

77. radiotherapy is used in treatment of :
a) subglottic ca T3 N0 M0
b) supraglottic ca T3 N0 M0
c) glottic ca T3 N1 M0
d) nasophayngeal ca T3 N1 M0 ^

78. Not true abot prostatic Urehtra:
1. trapezoid cross-section ^
2. Presence of Verumontanum
3. Opening of Prostatic ducts*
4. Relation to Urethral Crest

79. Factor which prevents apoptosis of Memory Cells:
1. PDGF*
2. NGF ^ (ganong)
3. FGF ^ (google)
4. IGF

80. NOT related to development of dependance:
1. Personality
2. Family History
3. Pressure by peers
4. Intelligence* ^

81. Not a disorder of Personality:
1. Sensation seeking
2. Neuroticism
3. pleasure
4. problem solving * ^

82. NOT true about ASO titre:
1. ----------------
2. Major Jones' criteria* ^
3. ----------------------------
4. May not be elevated even in presence of Carditis

83.a child presents with periosteal reaction,fever,ESR raised after 1 month trauma. NEXT investigation will be :
a.MRI
B.PET
C. Hb and leucocyte counts *
D.Core biopsy

84. Maternal chromosome 15 deletion l/t:
1. fragile x syndrome
2. Prader willi Syndrome
3. Angelmann Syndrome* ^


85 Aniridia most likely to be associated with......... Nephroblastoma

86. AFP most likely to be raised in.............. Hepatoblastoma

87. HLA locus................ Short arm of chromosome 6

88. What does "C" in CRP stand for?
1. C- polysaccharide of Pneumococcus ^
2. Chondroitin Sulfate in series with ARP, BRP
3. Concanavalin A
4. cellular

89. Clue Cells................ Bact. Vaginosis ^

90. Call Exener Bodies............ Granulosa Cell Tumour

91. Metabolism of Benzopyridine, all true EXCEPT:
1. Epoxidation
2. Cytochrome reductase
3. Increased synthesis of Cyt. P450
4

92. Baby of diabetic mother develops seizures within 12 hrs. Most likely cause..........
!. Hypoglycemia* ^
2. Hypocalcemia

93 Thiazides can cause:
1. Hypokalaemic Met. Alkalosis
2. Hypouricaemia
3. Hypolipidaemia
4. Impotence* ^

94.NEONATE WITH RECURRENT INFECTION AND ABCESS diagnosed of kostmann synd (severe congenital neutropenia ) treatment..
A anti thymocyte globulin+cyclosporin
B anti thymocyte globulin+cyclosporin+gm-csf *
C g-csf ^
D gm-csf

95. Poor Prognosis in ALL:
1. TLC 4000-10000
2. Age < 2 yrs ^
3. Presence of testicular involvement at presentation
4. Presence of Blasts in periph. smear*

96. periventricular leucomalacia a/w
1.spastic diplagia
2.spastic quadriplegia
3 mental retardation
4 hypotonia

97. in an area with population of 10000 , a disease '' x '' has 20% prevalenc. A screening test which has 95% sensitivity and 80% specificity has been used for that disease . what is the positive predictive value of the this test ?
a) 53.6* ^
b) 40.2%
c) 73.4%
d) 20%

[snip]. which of following has maximum recall bias ?
a) cohort study
b) case contorl study * ^
c) cross sectional
d) randomised contol trial

99. fetal alchol syndrome has all features except ?
a) microcephaly
b) flattened face
c) increased growth of the body * ^

100. mic-2 mutation associated with-
a) osteosarcoma
b) ewing sarcoma* ^
c) alveolar soft tissue sarcoma
d) dermatofibrosarcoma protuberance

101. prognostically most imp in CDH Is :
a) size of the hiatus* ^
b) pulmonary hypertension
c) gestational age
d) time of surgery

102. decreased ALP seen in:
a) hypophosphatemia*
b) hyperphosphatemia
c) hepatitis A
d) PBC

103. SPONTANEOUS RYTHMIC RESPIRATION INITIATED IN
a) pre-botzinger complex* ^
b) DRG
c) pneumataxic centre
d) apneustic centre

104. in transtentorial herniation which of the following not seen?
a) ipsilateral mydriasis
b) ipsilateral hemiparesis
c) decerebrate posture*
d) cheyne stokes

105. On per rectal examination structures felt are in male are all except
1. prostate
2. Seminal vesicle
3. base of bladder
4. ureter * ^

106. which of the following polyp is benign
a) peutz jeggers
b) juvenile polyposis *
c) juvenile polyp ^
d) familial adenomatous polyposis

107. in hypertrophic pyloric stenosis
1) hyperkalemic meta alkalosis
b) hypokalemic metabolic alkalosis * ^
c) hyperkalemic meta acidosis
d) hypokalemic metabolic acidosis

108. for evaluation of meconium stained infant.. not a useful factor
1. heart rate
2. resp rate
3. colour
4. tone* (pls refer ghai for correct answer)

109. THE QUESTION WAS THE RISK FACTOR ASSOCIATION OF SMOKING WITH PANCREATIC CANCER WAS STUDIED IN A CASE CONTROL STUDY,THE VALUES WHICH WERE FOUND WERE:-
ODDS RATIO ____ 95% CONFIDENCE LIMITS
RISK A 3.0 1.1- 3.1
RISK B 2.0. 1.1- 2.0
RISK C 1.0. 0.5-1.0

wHICH IS TRUE:-

A) RISK A IS ASS MORE
B) RISK B IS ASS MORE
C) RISK C IS ASS MORE STRONGLY
D) ALL RISK A,B AND C ARE EQUALLY ASSOCIATED*

110. For desmoid tumour treatment of choice is
a) wide excision* ^
b) excision with radiotherapy
c) radiotherapy

111. First LA used was?
a) Procaine
b) Cocaine* ^
c) Benzocaine
d) Lignocaine

112. A person who is IV drug addict develops fever since 2 months with weakness. Which organism is responsible for this conditon
a) Kleibsella ( given in kaplan )
b) staph aureus * (correct answer??)
c) pseudomonas
d) E coli

113. 2.Semen stains on clothes identified by:-
a)Spectrometry
b)UV* (correct ans ?)
C)INFRARED RAYS
D)magnifyingLENS

114. 13. EARLY NEONATAL SEPSIS MOST COMMONLY DUE TO (IN INDIA):-
A) GROUP B STREP*
B) E COLI
C) STAPH
D) PSEUDOMONAS

115. LOW SERUM HAPTOGLOBIN IN HEMOLYSIS MASKED BY:-
A) PREGNANCY*
B) LIVER DISEASE
C) BILE DUCT OBSTRUCTION
D) Malnutrition

116.Dissociative Anaesthesia in spinal cord diseases due to:
a) Dorsal column
b) deccusated lateral tract affection*
c) ANt spinothalamic tract
d) cilioretinal pathway

117. YR MALE WITH CONTROLLED THYROTOXICOSIS AND CARCINOMA RECTUM UNDERGOING LAPAROSCOPIC ABDOMINO PERINEL RESECTION FOUND TO HAVE DECREASED BLOOD PRESSURE AND HEART RATE END TIDAL CO2FOUND TO HAVE REDUCED FROM 40 TO 10 AND MILL WHILLER MURMUR WHAT IS THE CAUSE

A) AIR EMBOLISM* ^ (correct ans)
B) THYROID STROM
C) BLEEDING
D) HYPOXIA

118. Carisoprodol is a metabolite of
a) AMPHETAMINE
b) MEPROBAMATE ^ ( correct ans)
c) DOXYLAMINE
d) DIMETHADIONE *

119. HPV vaccine is
a) monovalent
b) bivalent
c) quadrivalent
d) both quadrivalent and bivalent* ^

120. Hirschprunng disease is due to
a) failure of migration of neural crest cells^ ( correct ans)
b) congenital def of muscular layer
c) loss of ganglions in sympathetic chain*

121. M gravis test to diagnose is
a) edrophonium test * ^
b) muscle biopsy
c) CPK
d) EMG

122 25 year old female patient presenting with dilated arch of aorta with AR, aorta resected on HPE shows panarteritis diagnosis is-

a) nonspecific aortitis ( takayasu’s) * ^
b) tuberculosis
c) PAN
d) wegener’s granulomatosis

123 A patient with non-united # lower 1/4 tibia, 4 cm shortening multiple sinuses,various puckered scars,wat to b done?
A)illizarov fixator* ^
b)external fixator
c) plating
d)nailing


124 blow out fracture of orbit leads to fracture in
a) posteriomedial wall of floor of orbit ^
b) roof of orbit
c) medial wall of orbit*

125.Most useful investigation in suspected ectopic pregnancy is
A) transvaginal USG ^
B) Culdocentesis
C) Serial HCG estimation*
D) MRI

126. A 10 yr old boy with scalp boggy swelling with multipl sinuses,easy pluckabl hair,lymph nodes enlargd in occipital region,wat to b done 4 diagnosis?
A) biopsy
b) culture
c) KOH stain* ^

127. Progesterone OF CHOICE in emergency contraception
A) Norgesterone
B) Micronised Progesterone
C) Levonorgesterol* ^
D) DMPA

128. A 35 year old lady with post coital bleeding management is
A) Clinical examination and pap smear* ^
B) Visual examination with lugol iodine
C) Visual examination with ACETIC ACID

129. Acoustic neuroma arises from
A) Superior DEVISION OF vestibular nerve
B) INFERIOR DEVISION OF vestibular nerve* ^
C) COCHLEAR NERVE
D) VIIth NERVE

130.stimulation of which of the following leads to elevated mood?
1) optic nerve
2) olfactory nerve
3) vagus nerve ^
4) TRIGIMINAL NERVE *

131. BUSPIRONE IS
1) RELEAVES ANXIETY ^(confirmed)
2) SEDATION*
3) INDUCTION OF SLEEP

132which of the following not used now a days...?
a) Radium 226* ^
b) Co 60
c) Cs 137
d) iridium192

133. investigation of choice for demonstration of vascular ring around airway?
1)catheter directed angiography (correct ans??)
2)CT
3)MRI*
4)PET



134.ONODI CELLS AND HALLER CELLS OF ETHMOID LOBYRINTH seen in relation to following respectively
A)OPTIC NERVE & FLOOR OF ORBIT
B)Optic nerve&Internal carotid a. ( correct ans)
c)
d)

135. most common tumour of eye lid..
a)Sebaceous Ca
b)BCC * ^
C)SCC
D)MALIGANT MELANOMA

136. WHICH OF THE FOLLOWING NOT SEEN IN DERMATOMYOSITIS..
A) GOTTRENS PAPULES
B) PERIUNGUAL TELANGIECTASIA*
C) SALMON RASH ^ (its heliotrope rash)
D) MECHANICS HAND

137. which statement is incorrect :
1) chemiluminescence :- excited electron in higher orbit comes to lower orbit by emitting energy in form of photon
2) bioluminescence:- is a form of chemiluminescence
3) phosphorescence :- absorbed radiation emitted as light
4)photochemiluminescence *

138. flumazenil, false is
A) it is a specific antagonist of bzd
B) it may be used to barbiturate poisoning* ^

Ans-Can be used in barbiturate poisoni

139. a 15 yr old boy died suddenly while playing in the field. ON AUTOPSY MYOCARDIAL FIBER HYPERTROPHY, FIBROSIS RETICULAR PATERN SEEN
A) dilated cmpathy
B) hypertrophic cardiomyopathy* ^
C) arrythmogenic heart disease
D) obstructive cardiomyopathy

140. a person has restricted eye movements in all directions, ptosis but no squint or diplopia
A)thyroid myopathy
B)CPEO ^ (congenital progressive ext ophthalmoplegia)
C)multiple cranial nerve palsies
D)MYESTHANIA GRAVIS*

141. NARP syndrome seen in
a) mitochondrial * ^
b) Glycogen storage
c) lysosomal storage
D) lipid storage

142. All are used in the treatment of visceral leishmaniasis except:
a. Sitamaquine
b. Paromomycin
c. Hydroxychloroquine ^ ( Harrison page1236)
d. miltefosine *

143. stability of ankle joint maintained by all except
A)cruciate ligaments * ^
B)collateral ligaments
C)tendons of muscles attached
D)close apposition of ARTICULAR SURFACES OF BONES



144. false about campylobacter
a. humans are the only reservoirs * ^
b.source of infection is poultry
c. campylobacteriosis is due to C jejuni
d.C.Jejuni sequalae is GBS

145. A MALE WITH AZOOSPERMIA ...ON EXAMINATION SIZE OF TESTIS NORMAL
FSH NORMAL TESTOSTERONE NORMAL...PROBABLE CAUSE...
A MALDESCENDED TESTIS
B KLINIFELTERS SYND
C KALLMAN SYND
D VAS OBSRUCTION *^

14668. PAIN IN EARLY LABOUR IS LIMITED TO DERMATOMES
1 T11 T12
2 S1 S3
3 L4L5
4 L2L3 *

147. Eruthromycin is given in intestinal hypomotility:
A)b'cos it binds to motilin receptors * ^ (correct ans)

148 74. a 67 yr male smoker with haemoptysis with cough....brochoscopic biopsy shows undifferntiated tumour...immunohistochemical marker useful is
1 cytokeratin
2 viamentin
3 calretinin
4

149. nephrotoxicity is seen with:
a. Azathioprine
b. leflunomide
c. mycophenolate mofetil
d. tacrolimus *^ (correct ans)

150. Blunt injury abdomen, hemodynamically stable, investigation of choice:
a. DPL
b. FAST *^ (correct ans)
c. CT
d.

151. BEST MARKER FOR DYSLIPIDEMIA
1 TG/CHOLESTEROL *
2LDL/HDL RATIO
3 CHOLESTEROL
4 APO A1

152. DEFECTIVE DNA REPAIR IS ASS e
1 XERODERMA PIGMENTOSUM* ^ (correct ans)
2 ALBINISM
3
4

153. TRUE IN ASTHMA..
1 INCREASED FRC REDUCED RESIDUAL VOLUME
2 INCREASED FRC INCRASED RESIDUAL VOL ^
3 REDUCED FRC REDUCED RESIDUAL VOLUME
4 REDUCED FRC INCRASED RESIDUAL VOL*

154. NITRATES NOT USED IN
1 CHF *
2 CYANIDE POISONING
3 ESOPHAGEAL SPASM
4 RENAL COLIC ^

155. THIRD NERVE PALSY WITH NORMAL PUPILLARY REACTION..
1 ANEURISM
2 DIABETES * ^
3 TRAUMA
4 RAISED ICT

156. HEAD ACHE WITH BITEMPORAL HEMIANOPIA WITH 6/6 VISION...SEEN WITH
1
2 TRAUMA
3 CHIASMAL LESIONS* ^
4 B/L CAVERNOUS LESIONS

Ans-Chiasmal lesion

157. WEAKEST AREA OF SCLERA ...
1 BEHIND RECTUS INSERTION* ^
2 LIMBUS
3 EQUATOR
4 INFRONT OF RECTUS

158. Injury to head of fibula, all are involved except:
a. common peroneal N
b. superficial peroneal
c. anterior tibial
d. tibial *

159. deep peronela nerve sensory innervation
A)1st web space
B)5TH WEB SPACE*
C)ANTERO LATERAL DORSUM OF FOOT
D)LATERAL PART OF LEG

160 SUDDEN THUNDERCLAP HEADACHE, UNCONSCIOUSNESS,IPSILATERAL ,DILATED PUPIL due to:-
a.ACUTE ISCHEMIA OF MIDBRAIN
B.ACUTE ANEURYSMAL HEMORRHAGE * ^
C.MENNGITIS
D.BRAIN STEM ENCEPHALITIS

Ans-ACUTE ANEURYSMAL HEMORRHAGE

161. rib notching is seen in a/e
1 bt shunt
2.pulmonary atresia wd vsd
3.
4.watersons shunt *

162. ELDERLY MALE WITH CHEST PAIN, COUGH AND SPUTUM in which culture on blood agar yields gram positive cocci. how to differentiate from normal commensals?
a. bile solubility test* ^
b. bacitracin
c.
d.CATALASE

163 tocolytic of choice in heart disease???????
1.nifidipine
2.mgso4 * ^
3.atosiban
4.ALCOHOL

164 113. baby wid 46xx has ext genitals of male, which of d following is not a possible dd of this condition
1.aromatase deficiency..
2.
3. mother has adrenal androgen tumor
4.anti mullerian hormone deficiency *^

165. GLASS GOW COMA SCALE ... EYE OPENING WITH PAINFUL STIMULUS ,IN APPROPRIATE VERBAL RESP TO PAIN,LOCALIZES TO PAIN..
1 8
2 10* ^
3 12
4 14

166. pt from Himachal pradesh wid small ulcer in leg...and inguinal lymphadenopathy.... which of d following stain wud u prefer for bipolar staining???
1.koh ( not sure abt option)
2.giemsa
3. waysons* ( the organism is Burkhodelia pseudomallei : stained by methelene blue and wright stain)
4. albert’s

167. MRKH has following features a/e
1.absent uterus
2.absent cervix
3.absent ovary * ^
4.absent vaginA

168. WHICH OF THE FOLLOWING IS LEAST NARCOTIC...
1 MORPHINE
2 CODEINE
3 HEROIN
4 PAPAVERINE*^ ( correct ans )

169. all d foll are used in d treatment of hyperK+ a/e
1.10ml of 10% calcium gluconate.
2.25-50ml NAHCO3.
3.50% dectrose * ^
4.per rectal exchnge resins

170. Murmur is increased with Valsalva manouvre in:
a. MS
b. AS
c. HOCM * ^(correct ans)
d.

171. karyotyping under light microscopy:
A) G-banding ( correct ans)
B) Q BANDING
C) C BANDING
D) FUdR BANDING *

172. A child posted for surg,pt in renal failure,muscle relaxant which can be used-
-ATRACURIUM ^

173. toxicity of CO limited to its diffusion d/t
a) high affinity 2 hb* ^ (lange pulmonary Physiology )
b) alveolar memb less permeable to CO
c)
d)

174. Pt with limited scleroderma and one month h/o shortness of breath.
with
a) FVC Expected 84% Pt 80%
b) FEV1 Expected 88% Pt 82%
c) DLCO expected 100% Pt 55%

a. Interstitial lung disease *
b. Pulmonary HTN (correct ans)
c.
d. diaphragmatic weakness

175. A child with chronic diarrhea for last one year. stool sample reveal 100 micron ova in intestine , all are differentials except
a) G. discoides
c) FASCIOLA GIGANTICA
d) ophisthorcis viverrani*

176. which of the following isimpact indicator for evaluation of ASHA's performance
a) Number of meetings attended
b) number of institutional deliveries
c) reduction in infant mortality * ^
d) hours of training

177. All are included in NRHM except-
a) strengthening of JSY
b) formation of patient and social welfare societies *
c) State and district health mission
d) recruitment and training of ASHA

178. Transection at mid-pons:
a. rapid, shallow breathing
b. apneusis * ^
c. HYPOXIA
d. DEEP BREATHING

179. glucose transporter in myocyte is
a) GLUT1
B) GLUT2
C) GLUT3*
D) GLUT.4^

180. Sensitive test for Chlamydia:
a. culture
b. nucleic acid amplification * ^

181. left phrenic nerve runs?
a. ant to scalneus ant
b. post to brachial plexus.
c ant to hilum
d posterior to hilum of lung *

182. 2 MONTH OLD MALE BABY WITH VIGOROUS APPETITE EATS WELL BUT VOMITS AFTER FEEDING WHICH IS DOAGNOSIS?
1)CHPS * ^
2)HIRCHISPRUNGS DISEASES
3)
4)

183. 1 weak before incidence recall is called as
A) recent memory *
B) remote memory
C) WORKING MEMORY
D) delayed memory

184. Which of the following is false?
a) FOOD POISONING CAUSING STRAINS OF cl.perfringes PRODUCE HEAT resistant spores
b) shows positive negler's reaction
c) most imp toxin is hyaluronidase* ^
d) cl.perfringes is the most common cause of gas gangrene

185. which of the following is false?
a) bcl-6-burkitts lymphoma
b) bcl-2-follicula n mantle cell lymphoma
c) CD-10 mantle cell lymphoma *^

186. tumors ass wit organisms all except-
A) hepatocellular ca
B) non sclc *^ (correct ans)
C) gastric ca
D) nasopharyngeal ca

187. growth chart a/e
A) tool 4 educating mothers
B) position of dot more imp than direction * ^ ( correct ans)
C) btwn top 2 line SHOWS ROAD TO HEALTH
D) lowermost line-children below 3rd percentile

188. caustic poison corrodes mucosa coz
A) its hygroscopic *
B) it hs glue like action
C) its programmed 2 stick
D) it hs affinity 4 mucosa

189. effective leprosy control prog a/e
A) high new case detection rate *
B) INCREASING NO OF CHILDREN AFFECTED
C) decreased type 2 disability

Ans-Increase in number of children affected

190. 17 yr girl with amenorrhoea,absent breasts,hypoplastic uterus-
A) turners * ^
B) androgen insensitivity syndr
C) Klinefelter’s syndrome

191.TRUE ABOUT BRANCHIAL ARCH DERIVATIVES
A) BRANCHIAL SINUS MOST COMMONLY FROM 2ND ARCH * ^
B) BRANCHIAL CYST MORE COMMON THAN BRANCHIAL SINUS
C) SURGICAL EXCISION OF B. SINUS NOT ALWAYS INDICATED

192. True about rhabdomyolysis
a) it can cause ARF * ^(correct ans)

193.syphilis test for monitoring treatment is
1 vdrl *^ (correct ans)
2 treponema imobilisation
3 flourescent trepo antige
4 dark field microscopy

194.Regarding seminoma,all true except?
a) cryptorchidism is a risk factor
b) opposite side testis also at risk for cancer
c) orchidopexy prevents tumor occurrence* ^

195. RELIABILITY of a test - GIVES SAME VALUE ON REPEATED TEST

196. A child was having Wilms tumour in Rt kidney and also showed nephroblastomatosis in his Lt kidney in peri renal tissue, which of the following is true?
a) Chance of LN involvement increased
b) Chance of wilm’s tumour in Lt kidney increased
c) Poor prognosis

197. chromosomal instability is seen in which of the following disorders?
a) ataxia telengiectasia
b) albinism
c)

198. A PATIENTS PRESENTS IN A MEDICAL OPD WITH INCREASED BILIRUBIN WITH 50%DIRECT BILLIRUBIN OTHER

LIVER FUNCTION WERE FOUND TO BE NORMAL WHAT COULD BE THE CAUSE

a) SEPSIS

b) ROTOR’S SYNDROME * ^

c) GILBERT SYNDROME

d) HEREDITARY GLUCURONYL TRANSFERASE DEFICIENCY

199.

200.

199. All nerves are involved in entrapment neuropathy except
a) femoral
b) median
c) ulnar
d)?

1.NOBLE PRIZE RECENTLY GIVEN FOR THE DISCOVERY OF:-
A)RNAi
b)beta transcription factor
c)Mitochondrial DNA
D)lipoxins

Ans-RNAi

2.Semen stains on clothes identified by:-
a)Spectrometry
b)UV
C)INFRARED RAYS
D)magnifyingLENS

Ans-uv

3. SECTION 377 DEALS WITH:-
A) UNNATURAL OFFENCES
B) RAPE
C) INCEST
D) adultary

Ans-Unnatural sexual offeces

4 .LIPID DETECTION IN FROZEN SAMPLE WITH:-
A)OIL RED O
B)MUCICARAMINE
C)PAS
D)

Ans-Oil Red O

5.ODD`S RATIO/CONFIDENCE 95% LIMITS (TABLE) IN RISK FACTOR ASSOCIATION:-
A)A HAS HIGHEST RISK ASS
B)B HAS HIGHEST
C) C HAS HIGHEST
D) ALL HAVE EQUAL ASSOCIATION
ans b

6. PPV VALUE:-
A) 54 %
B) 47%
C) 17%
D) 97%

Ans-54%

7. DRUG ADDICTS IV most commonly asss with which bacteria:
-a) Kleibsella
b) staph aureus
c) pseudomonas
d) E coli


Ans-pseudomonas........ new kaplan edition


8. Recall bias most commonly ass which study design:-
a)CASE CONTROL
B) COHORT
C) COHORT-CASE CONTROL
D) CROOS SECTIONAL STUDY

Ans-Case control

9.Hyperkalemia without ECG changes treated with al except:-
a)calcium gluconate
b)salbutamol
c)Na bicarbonate
d)Insulin with dextrose


Ans-a

10.Hypertrophic pyloric stenosis ass with:-
a)Hypokalemic alkalosis
b)hyperkalemic alkalosis
c)hypokalemic acidosis
d)hyperkalemic acidosis

Ans-Hypokalemic alkalosis

11.Hematuria during labour in previous LSCS is sign of:-
A) Impending rupture of scar
B) URETHRAL TRAUMA
C) CYSTITIS
D) ?

Ans-Impending rupture of scar

12. VACCINE CONTRAINDICATED IN PREGNANCY:-
A)MMR
B)DIPHTHERIA
C)HEPATITIS B
D)RABIES

Ans-MMR

13. EARLY NEONATAL SEPSIS MOST COMMONLY DUE TO
A) GROUP B STREP
B) E COLI
C) STAPH
D) PSEUDOMONAS

Ans-E.Coli(

14. LOW SERUM HAPTOGLOBIN IN HEMOLYSIS MASKED BY:
A) PREGNANCY
B) LIVER DISEASE
C) BILE DUCT OBSTRUCTION
D) MALNUTRITION

Ans-3

15. LEARNED BEHAVIOUR which is permanent but can be changed:-
a) Cultural belief
b) Attitude
c) Knowledge
D)

Ans-2 ...repeat q

16.Dissociative Anaesthesia in spinal cord diseases due to;-
a) Dorsal column
b) decussating branches of lateral spinothalamic tract
c) ANt spinothalamic tract
d) cilioretinal pathway

Ans-3... infact lateral are spared

17. First LA used in clinical Anaesthesia :-
a) Cocaine
b) procaine
c) Lidocaine
d) Bupivacaine

Ans-Cocaine

18. Mil wheel Murmur :-
A) AIR EMBOLISM
B)
C)
D)

Ans-Air Embolism

19. NON VIGOROUS RESUSCIATION IN MECONIUM STAINED( ????) :-
A) COLOUR
B) TONE
C) RESP RATE
D) HR

Ans tone

20. clue cells are found in
A) CHLAMYDIA TRACHOMATIS
B)trichomonas
C)bacterial vaginosis
D)GONORRHEA

Ans-Bacterial vaginosis


21. HPV vaccine is
a)monovalent
b)bivalent
c)QUADRIVALANT
d)BIVALANT AND QUADRIVALANT

Ans- d

22. Hirschprug disease is due to
A)loss of ganglion cells in sympathetic chain
B)failure of migration of neural crest cells from cranial to caudal direction
C) atrophy of longitudinal muscles

Ans-failure of migration of neural crest cells from cranial to caudal direction

23.Hatters shake is due to
A)mercury
B)lead
C)arsenic
D)COPPER

Ans-Mercury

24. A patient with non-united # lower 1/4 tibia,multiple DISCHARGING sinuses,various puckered scars,wat to b done?
A)illizarov fixator
b)external fixator
c) plating
d)nailing

Ans-Ilizarov techinique

25.blow out fracture of orbit leads to fracture in
A)posterior wall of floor of orbit
B)roof of orbit
C)medial wall of orbit
D)MEDIAL PART OF FLOOR OF ORBIT

Ans d

26.Most useful inveestigation in suspected ectopic pregnancy is
A)transvaginal USG
B)Culdocentesis
C)Serial HCG estimation
D)MRI???

Ans-Transvaginal USG(Repeat)

27. A 10 yr old boy with scalp boggy swelling with multipl sinuses,easy pluckabl hair,lymph nodes enlargd in occipital region,wat to b done 4 diagnosis?
A)biopsy
b)culture
c)KOH med
d)?

Ans- KOH mount

28. Progesterone OF CHOICE in emergency contraception
A)Norgesterone
B)Micronised Progesterone
C)Levonorgesterol
D)DMPA

Ans- a
29. A 35 year old lady with post coital bleeding management is
A)Clinical examination and pap smear
B)Visual examination with lugol iodine
C)Visual examination with ACETIC ACID
D)

ans a

30. Call exner bodies are seen in
A)Granulosa cell tumour
B)YOLK SAC TUMOR

Ans-Granulosa cell tumor

31.Occipito posterior position in labour management is
A)oxytocin drip
B)ARTIFICIAL RUPTURE OF MEMBRANES
C) WAIT AND WATH
D)CESSERIAN SECTION

Ans-Wait&Watch(Repeat) nw changed..its c.section

32. Acoustic neuroma arises from
A)Superior DEVISION OF vestibular nerve
B)INFERIOR DEVISION OF vestibular nerve
C) COCHLEAR NERVE
D)VIIth NERVE


Ans- a

33. In post ductal coarctation of aorta,collaterals TO LOWER LIMB are formed by all except
A)Vertebral artery
B)SUPRASCAPULAR artery
C)INTERCOSTAL artery
D)INTERNAL THORACIC artery

ans a

34. Malignat risk in all except
A)Juvenile polyposis
B)Juvenile Polyp
C)PEUTS JAGER SYNDROME
D)APC???

Ans-b

35. Vitamin deficiency that DOES NOT leads to seizure IN NEONATE
A)pyridoxin
B)niacin
C)VITAMIN C
D)VIT B12

Ans-Pyridoxine

36.b cell marker are a/e
A)cd 19
B)cd 20
C)cd 10
D) CD135

Ans-CD135

37.stimulation of which of the following leads to elevated mood?
1)optic nerve
2)olfactory nerve
3)vagus nerve
4)TRIGIMINAL NERVE

Ans Olfactory nerve

38.which of the following not used now a days...?
a)Radium 226
b).Co 60
c). Cs 137
d option iridium192
ans a

39. investigation of choice for demonstration of vascular ring around airway?
1)catheter directed angiography
2)CT
3)MRI
4)PET

Ans- mri

40. RADIOTHERAPY IS TOC FOR
1)NASOPHARYNGEAL CA T3N1
2)SUPRAGLOTTIC CA T3NO
3)GLOTTIC T3N1
4}SUBGLOTTIC T3NO


ans 1

41. BUSPIRONE IS
1)RELEAVES ANXIETY
2)SEDATION
3)INDUCTION OF SLEEP
4)

Ans-Relives anxiety

42.ONODI CELLS AND HALLER CELLS OF ETHMOID LOBYRINTH seen in relation to following respectively
A)OPTIC NERVE & FLOOR OF ORBIT
B)Optic nerve&Internal carotid a.

Ans-Optic nerve&Internal carotid a.

43. most common tumour of eye lid..
a)Sebaceous Ca
b)BCC
C)SCC
D)MALIGANT MELANOMA

Ans- BCC

44. SUBSTANCE P IS RELEASED IN RESPONSE TO PAIN IN PERIPHERY...
1)NERVE TERMINALS
2)MAST CELLS
3)ENDOTHELIUM
4)PLASMA

ans 1

45.YOUNG FEMALE WITH WEAKNESS OF GAZE IN ALL DIRECTION INTERMITTENT PTOSIS ,PROXIMAL MUSCLE WEAKNESS,FATIGUABILITY, MOST USEFUL TEST ...
1)MUSCLE BIOPSY
2)CPK
3)EDROPHONIUM TEST
4)EMG

Ans-4

46. WHICH OF THE FOLLOWING NOT SEEN IN DERMATOMYOSITIS..
A)GOTTRENS PAPULES
B)PERIUNGUAL TELANGIECTASIA
C) SALMON RASH
D)MECHANICS HAND

Ans-Salmon rash

47. outdated drugs AND CYTOTOXIC WASTE are disposed by
A) dumping in a landfill
B)Destruction&Disposal in landfill
C)STORE FOR MONTH AND BURRIAL
D)INCINERATION???

Ans-Destruction&Disposal in landfill

48. HEAPARIN IS INTRODUCED IN CARDIAC PATIENT WITH PREGANCY..
A)32
B 36
C 40 WKS
D AT THE TIME OF LABOUR

Ans-36weeks

49. chemilumiscence
phosphorence
photochemilumiscence
electroluminance
ans electroluminence

50. cox 2 inhibits what
A)cell differentiation
B)cell migration
C)cell adhesion
D)cell proliferation
ans d

51. flumazenil, false is
A)it is a specific antagonist of bzd
B)it may be used to barbiturate poisoning

Ans-Can be used in barbiturate poisoning

52.phenytoin, true is
A)it is excreted unchanged
B)it is not teratogenic
C)SHOWS ZERO ORDER KINETICS
D)

Ans-shows zero order kinetics

53. a 15 yr old boy died suddenly while playing in the field. ON AUTOPSY MYOCARDIAL FIBER HYPERTROPHY, FIBROSIS RETICULAR PATERN SEEN
A)dilated cmpathy
B)hypertrophic cardiomyopathy
C)arrythmogenic heart disease
D)obstructive cardiomyopathy

Ans-hocm



54. 6. a person has restricted eye movements in all directions, ptosis but no squint or diplopia
A)thyroid myopathy
B)CDEM
C)multiple cranial nerve palsies
D)MYESTHANIA GRAVIS

Ans-3..... also given in fts

55. NEONATE WITH RECURRENT INFECTION AND ABCESS diagnosed of kostmann synd ....treatment..
A anti thymocyte globulin+cyclosporin
B anti thymocyte globulin+cyclosporin+gm-csf
C g-csf
D gm-csf

Ans-GCSF(Kostmann syndrome also known as Severe Congenital Neutropenia (SCN) is a rare inherited form of Severe Chronic Neutropenia usually detected soon after birth. It was discovered in 1956 by Swedish doctor Kostmann)

56. NARP syndrome seen in
a)mitochondrial
b)Glycogen storage
c)lysosomal storage
D)lipid storage

Ans-Mitochondrial disease

57. ANCA associated with...
A) HSP
B)
C
D WEGENERS

Ans-Wegners

58.All are used in the treatment of visceral leishmaniasis except:
a. Sitamaquine
b. Paromomycin
c. Hydroxychloroquine
d. miltefosine

Ans-c

59. stability of ankle joint maintained by all except
A)cruciate ligaments
B)collateral ligaments
C)tendons of muscles attached
D)close apposition of ARTICULAR SURFACES OF BONES

Ans-Cruciate ligaments

60. a teacher slapped a student, she suffered from 25% hearing loss which was healed by surgery, what kind of injury is this
A)simple
B)griveous
C)dangerous

Ans-grevious

61. most appropriate marker of gist-
A) CD117

Ans-CD117

62.most common sequelae to periventricular leukomalacia is
A)spastic diplegia
B)spastic quadriplegia
C)

Ans-Spastic diplegia

63. false about japanese encephalitis
A)pigs are amplifiers
B)water tanks serve as breeding site
C) TRANSMITTED BY CULEX MOSQUETOES
D) two doses of vaccine

Ans-2 doses of vaccine

64 false about campylobacter
a. humans are the only reservoirs
b.source of infection is poultry
c. campylobacteriosis is due to C jejuni
d.C.Jejuni sequalae is GBS

Ans-humans are the only reservoirs

65. IN WEGNERS GLOMERULONEPHRITIS CHARCTERSTIC FEATURE SEEN IS...
1 GRANULOMAS IN THE VESSEL WALL
2 FOCAL NECROTIZING GLOMERULO NEPHRITIS
3 NODULAR GLOMERULO SCLEROSIS
4 Interstitial Granuloma

Ans-GRANULOMAS IN THE VESSEL WALL

66. A MALE WITH AZOOSPERMIA ...ON EXAMINATION SIZE OF TESTIS NORMAL
FSH NORMAL TESTOSTERONE NORMAL...PROBABLE CAUSE...
A MALDESCENDED TESTIS
B KLINIFELTERS SYND
C KALLMAN SYND
D VAS OBSRUCTION
Ans-Vas obstruction

67. Anti TNF alpha not used in??
A) RA+Hep B
B) RA+Hep C
C) RA+HIV
D) RA+PULMONARY FIBROSIS
ans c

68. PAIN IN EARLY LABOUR IS LIMITED TO DERMATOMES
1 T11 T12
2 S1 S3
3 L4L5
4
ans 1

69. the uterine blood flow at term?
ans 500to 600ml

70. HLA IS PRESENT ON..
1 SHORT ARM CHR 6
2 LONG ARM CHR 6
3 SHORT ARM CHR 3
4 LONG ARM CHR 3


Ans-Short arm chromosome 6
71. FALSE ABOUT P 53
1 PRESENT ON CHR 17
2 ARREST CELL CYCLE IN G1
3 WT 53 Kda
4 non mutated wild p53 is ass with neoplasms in childhood
Ans-non mutated wild p53 is ass with neoplasms in childhood

72. Eruthromycin is given in intestinal hypomotility:
A)b'cos it binds to motilin receptors


Ans-Binds to motilin receptors

73. zn is a cofactor of
A)alcoholic DH
B)pyruvate DH
C)pyruvate decarboxylase
D)alpha keto acid DH

Ans a

74. a 67 yr male smoker with haemoptysis with cough....brochoscopic biopsy shows undifferntiated tumour...immunohistochemical marker useful is
1 cytokeratin
2 viamentin
3 calretinin
4


Ans Cytokeratin

75. nephrotoxicity is seen with:
a. Azathioprine
b. leflunomide
c. mycophenolate mofetil
d. tacrolimus

Ans-Tacrolimus

76. ALL EXCEPT USE cAMP AS SECOND MESSANGER
A)CORTICOTROPIN
B)DOPAMINE
C)GLUCAGON
D)VASOPRESSIN

Ans vasopressin

77. Blunt injury abdomen, hemodynamically stable, investigation of choice:
a. DPL
b. FAST
c. CT
d.

Ans-dpl....if nt ct in option

78. ANIRIDIA IS ASS WITH
1 NEPHROBLASTOMA
2 MEDULLOBLASTOMA
3 HEPATOBLASTOMA
4.RETINOBLASTOMA

Ans-Nephroblastoma(WAGR)

79. All are assoc with foetal alcohol syndrome except
1. microcephaly
2. overgrowth

Ans-overgrowth

80. infant of diabetic mother...cause of seizures?
1. hypoglycemia
2. hypocalcemia
3. hypomagnesemia
4. HYPOXIA

Ans Hypoglycemia

81. what is most medial in the femoral triangle
1. lymphatics
2. nerve
3. vein
4. artery

Ans-Lymph node
82. what does not pass below the flexor retinaculum
1. ulnar n
2. median n.
3. flexor dig sup
4. flexor dig profundus

Ans-Ulnar nerve

83. what is not seen in pseudogout
1. small joints affected
2. large joints affected
3. chondrocalcinosis
4. deposition of ca pyrophosphate

Ans-small joints affected

84. girl presents with pain in legs, recurrent vomiting and headache...all physical investigations normal
1. somatoform pain disorder
2. somataisation
3. conversion disorder

Ans-1

86. BEST MARKER FOR DYSLIPIDEMIA
1 TG AND CHOLESTEROL
2LDL/HDL RATIO
3 LDL/CHOLESTEROL
4 APO A1


Ans-LDL/HDL ratio

87. Radiation induced necrosis of brain- most sensitive:
a. CT
b. MRI
c.PET
d. BIOPSY

Ans-PET

88. DEFECTIVE DNA REPAIR IS ASS e
1 XERODERMA PIGMENTOSUM
2 ALBINISM
3
4

Ans-XERODERMA PIGMENTOSUM

89. TREATMENT OF CHOICE IN GENITAL WART IN PREGNANCY
A)SALICYLIC ACID WITH LACTIC ACID SOLUTION
B)PODOPHYLOTOXIN
C)IMIQIMOD
D)CRYOTHERAPY

Ans 1

90. TRUE IN ASTHMA..
1 INCREASED FRC REDUCED RESIDUAL VOLUME
2 INCREASED FRC INCRASED RESIDUAL VOL
3 REDUCED FRC REDUCED RESIDUAL VOLUME
4 REDUCED FRC INCRASED RESIDUAL VOL

Ans-Increased RV&FRC

91. WHICH OF THEM IS NOT A PERSONALITY DISORDER?
A) SENSATION SEEKING
B) NEUROTISM
C) PLEASURE
D) PROBLEM SOLVING

Ans-Problem solving

92. NITRATES NOT USED IN
1 CHF
2 CYANIDE POISONING
3 ESOPHAGEAL SPASM
4 RENAL COLIC

Ans-Renal colic

93. THIRD NERVE PALSY WITH NORMAL PUPILLARY REACTION..
1 ANEURISM
2 DIABETES
3 TRAUMA
4 RAISED ICT

Ans-Diabates


94. lynch syndrome associatd wd??
1 breast,colon,ovary
2.breast,endomet,ovary
3.breast,colon,endomet
4. colon,endomet,ovary

Ans-??
most probably d but all seen

95. HEAD ACHE WITH BITEMPORAL HEMIANOPIA WITH 6/6 VISION...SEEN WITH
1
2 TRAUMA
3 CHIASMAL LESIONS
4 B/L CAVERNOUS LESIONS

Ans-Chiasmal lesion

96. WEAKEST AREA OF SCLERA ...
1 BEHIND RECTUS INSERTION
2 LIMBUS
3 EQUATOR
4 INFRONT OF RECTUS

Ans-Behind rectus insertion(Repeat)

97. sumthng dat is consistent,..........and subject to change?????
1. knowledge
2 cultural belief
3 attitude
4 practise

Ans-3

NOT FELT WITH P/R EXAMINATION
1 ANORECTAL RING
2 PROSTATE
3 URETER
4 BULB OF PENIS

Ans-Ureter

99. Injury to head of fibula, all are involved except:
a. common peroneal N
b. superficial peroneal
c. anterior tibial
d. tibial

Ans-Tibial nerve

100. deep peronela nerve sensory innervation
A)1st web space
B)5TH WEB SPACE
C)ANTERO LATERAL DORSUM OF FOOT
D)LATERAL PART OF LEG

Ans-1st web space

101. history of nasal congestion AND PAIN AROUND MEDIAL CANTHUS with RIGT SIDED proptosis, chemosis DEFECTIVE RIGHT GAZE...fever...
A):Cavernous sinus thrombosis
B)ORBITAL CELLULITIS
C) ETHMOID SINUSITIS
D)Orbital apex synd

Ans-2

102. 62.a child presents with periosteal reaction,fever,ESR raised after 1 month trauma. inv of choice
a.MRI
B.PET
C.CT SCAN
D.Tc scan

Ans-4

103. TRANSTENTORIAL HERNIATION RESULTS IN ALL EXCEPT;
A.IPSILATERAL HEMIPARESIS
B.IPSILATERAL OCULOMOTOR PARESIS
C.DECERBRATION
D.CHEYNE STOKES RESP

Ans-Ipsilateral hemiparesis

104. 71.DRUG NOT USED IN CHF..
1 NTG
2 SPIRONOLACTONE
3 NISIRITIDE
4 TRIMETAZIDINE

Ans-Trimetazidine

105. SUDDEN THUNDERCLAP HEADACHE, UNCONSCIOUSNESS,IPSILATERAL ,DILATED PUPIL due to:-
a.ACUTE ISCHEMIA OF MIDBRAIN
B.ACUTE ANEURYSMAL HEMORRHAGE
C.MENNGITIS
D.BRAIN STEM ENCEPHALITIS

Ans-ACUTE ANEURYSMAL HEMORRHAGE(Repeat)

106. rib notching is seen in a/e
1 bt shunt
2.pulmonary atresia wd vsd
3.
4.watersons shunt

ans 4

107. Which of the following is associated with > 20% risk of chromosomal anomalies?
a. omphalocele
b. gastroschisis
c. cleft lip
d. spina bifida

Ans-omphalo

108. What does "C" in CRP stand for?
1. C- polysaccharide of Pneumococcus
2. Chondroitin Sulfate in series with ARP, BRP
3. Concanavalin A
4. cellular

Ans- 3

109. ELDERLY MALE WITH CHEST PAIN, COUGH AND SPUTUM in which culture on blood agar yields gram positive cocci. how to differentiate from normal commensals?
a. bile solubility test
b. bacitracin
c. OPTPCHIN
d.CATALASE


Ans-bacitracin

110. NOT TRUE IS
1 SUPERIOR THY ART IS BR OF EXT CAROTID
2 INF THY IS BR OF THYRO CERVICAL TRUNK
3 PARATHYROID ART IS BR OF POST DEV OFSUP THY ART
4 THYROIDEMA ART IS INVARIABLY A BR OF ARCH OF AORTA

Ans-THYROIDEMA ART IS INVARIABLY A BR OF ARCH OF AORTA

111. tocolytic of choice in heart disease?
1.nifidipine
2.mgso4
3.atosiban
4.ALCOHOL

Ans-1

112. HIGH prolactin DUE TO
1.high FSH
2.elevated estradiol
3. elevated testosterone
4.

Ans-elevated FSH

113. baby wid 46xx has ext genitals of male, which of d following is not a possible dd of this ctd?????????
1.aromatase deficiency..
2.
3. mother has adrenal androgen tumor
4.anti mullerian hormone deficiency


Ans-anti mullerian hormone deficiency

114. OCP FAILS WHEN USED WITH ALL EXCEPT...
1 ASPRIN
2 TETRACYCLINE
3 PHENYTION
4 RIFAMPICIN

Ans-1

115. NECROTIZING LYMPHADENITIS IS SEEN IN
1 KIMURA DISEASE
2 KIKUCHI DISEASE
3 HODGKINS
4 SARCOIDOSIS??

Ans-Kikuchi disease

116. Premature baby 1.5kg 32 wks born with emergency C.S. now develops resp. distress with grunting. Best management:
1. Moist Oxygen thru' headbox
2. Mechanical ventilation
3. C-PAP
4. Surfactant therapy plus mechanical ventilation

Ans-1

117. True about Burkitt's Leukaemia:
1. CD 34 and Surface Ig both +ve
2. CD 34 - but surface Ig+
3. CD 34+ but Surface Ig-
4. both negative
ans 2

118. Type of anaemia caused by Ileocaecal TB:
1. Iron - deficiency
2. Megaloblastic
3. sideroblastic
4. Normocytic Normochromic

Ans-Megaloblastic anemia

119. NOT a high risk factor for Cholangio CA:
1. Cl. sinensis infestation
2. Ulcerative Colitis
3 CHRONIC TYPHOID
4. Choledocholithiasis

Ans-Chronic typhoid

120. which is NOT a prodrug:
1. Fosinopril
2. Enalapril
3. --------
4. Lisinopril

Ans-Lisinopril

121. NOT a common cause of Vasculitis in adults:
1. Giant Cell Arteritis
2. PAN
3. Kawasaki disease
4. HSP

Ans-Kawasaki disease

122. Not true about N. gonorrhoeae:
1. Exclusive human pathogen
2. Acute urethritis is MC maifestation in males
3. All strains are highly sensitive to Penicillin
4. Some strains may cause disseminated disease

Ans-All strains are highly sensitive to Penicillin

123. Recurrent plaques on glans which heal with residual hyperpigmentation
1. Apthous ulcer
2. Fixed Drug Eruption
3. Herpes Gestationalis
4. Chlamydial inf.

Ans-2

124. Uterine blood flow at term:
1. 50-75 ml/min
2. 150-200 ml/min
3. 350-400 ml/min
4. >500 ml/min
ans 4

125. HLA B27 +
A) Ankylosing Spondilitis

Ans-Ankylosing spondylitis

126. Hyperkalemia WITHOUT ECG changes. All used in t/t EXCEPT:
1. Insulin-Glucose
2. Calcium Gluconate
3. Sodi- Bicarb
4. Salbutamol

Ans-Calcium gluconate

127. Not true abot prostatic Urehtra:
1. Trapezoid in cross-section
2. Presence of Verumontanum
3. Opening of Prostatic ducts
4. CONTAINS Urethral Crest

Ans-1

128. Infective stage for mosquito in case of Plasmodium
A) gametocyte
B)SPORAZOIT

Ans-Gametocyte

129. NOT related to development of dependance:
1. Personality
2. Family History
3. Pressure by peers
4. Intelligence

Ans-Intelligence

130. Young boy with multiple flaccid [bleep] and oral mucosal lesions. Most likely finding:
1. FISH NET IgG in epidermis
2. Linear igG in DEJ
3. Linear IgA in dermal papillae
4. Granular IgA in reticular dermis

Ans- FISH NET IgG in epidermis

131. Young girl with past H/O repeated pain over medial canthus and use of decongestannts now presents with intense chills, rigors, diplopia on lateral gaze , Optic Disc congested. Most likely diagnosis:
1. Ethmoidal Sinusitis
2. Orbital Cellulitis
3. Cavernous Sinus Thrombosis
4. Orbital Apex syndrome

Ans-2

132. NOT true about ASO titre:
1. ----------------
2. Major Jones' criteria
3. ----------------------------
4. May not be elevated even in presence of Carditis

Ans-Major jones criteria

133. 7 yr old boy, H/O trauma 2 months back, now presents with fever and acute pain over thigh. Femoral shaft shows lesion with laminated periosteal reactions. Next mangement:
1. Core FEMOR biopsy.
2. Tc99 MDP sacn
3.---------
4. Hb, Leucocyte counts

Ans-2

134. Maternal chromosome 15 DISOMY ASSOCIATED WITH
1. fragile x syndrome
2. Prader willi Syndrome
3. Angelmann Syndrome.

Ans-Angelman synd

135. Next line of mangement for AdenoCa GB penetrating muscular layer BUT NOT SEROSA. NO METASTSIS FOUND DURING SURGERY AND INVESTIGATIONS
1. Immediate plan for segmental hepatectomy
2. Wait with serial USGs
3. Chemotherapy

Ans-3

136. Thiazides can cause:
1. Hypokalaemic Met. Alkalosis
2. Hypouricaemia
3. Hypolipidaemia
4. Impotence

Ans-Impotence

137. Poor Prognosis in ALL:
1. TLC 4000-10000
2. Age < 2 yrs
3. Presence of testicular involvement at presentation
4. Presence of Blasts in periph. Smear

Ans-3

138. GLASS GOW COMA SCALE ... EYE OPENING WITH PAINFUL STIMULUS ,IN APPROPRIATE VERBAL RESP TO PAIN,LOCALIZES TO PAIN..
1 8
2 10
3 12
4 14

Ans-10

139. pt from Himachal pradesh wid small ulcer in leg...and inguinal lymphadenopathy.... which of d following stain wud u prefer for bipolar staining???
1.koh??
2.giemsa
3. waysons
ans 3


140. Widal test, all except one, are correct"
a. Even one high titer is not enough for conclusive diagnosis.
b. O antibody lasts longer and hence is not indicative of recent infection
c. Baseline titers differ depending on the endemicity of hte disease
d. H antibody cannot differentiate between rypes.

Ans-O antibody lasts longer and hence is not indicative of recent infection

141. Memory cells escape apoptosis b'cos of;
a. nerve growth factor
b. PLATELET DERIVED GROWTH FACTOR
c. FIBROBLAST GROWTH FACTOR
d.

142. MRKH has following features a/e
1.absent uterus
2.absent cervix
3.absent ovary
4.absent vaginA

Ans-Absent ovary

143. WHICH OF THE FOLLOWING IS LEAST NARCOTIC...

1 MORPHINE
2 CODEINE
3 HEROIN
4 PAPAVERINE

Ans-Papaverine

144. ABO antigens not found in
a) csf
b) semen
c) plasma
D)SALIVA

Ans-CSF

145. abo incompatibility not seen with
a) ffp...........
b)prp
c) pt. conc.
D) CRYOPRACIPITATE

ans cryo
146. voriconazole is used for all d foll a/e
1.aspergillos
2.candida albicans
3.candida tropicalis
4.mucormycos

Ans-candida trop
147. MIC-2 positive in
a. Ewing's
b. Osteosarcoma
c.
d.

Ans-Ewings

148. all d foll are used in d treatment of hyperK+ a/e
1.10ml of 10% calcium gluconate.
2.25-50ml NAHCO3.
3.50% dectrose
4.per rectal exchnge resins

Ans-3

149. Low serum alkaline phosphatase in:
a. primary biliary cirrhosis
b. hyperphosphatemia
c. hypophosphatemia
d. hepatitis A

Ans-Hypophosphatasia

150. Murmur is increased with Valsalva manouvre in:
a. MS
b. AS
c. HOCM
d.

Ans-HOCM

151. karyotyping under light microscopy:
A) G-banding
B) Q BANDING
C) C BANDING
D) FUdR BANDING

Ans-G banding

152. TRANSITIONAL CELL EPI SEEN IN A/E:
A)URETERS
B)MEM URETHRA
C)MAJOR CALYX
D)BLADDER

Ans- Membraneous urethra(Repeat)

153. ALL R CONTENTS OF VAGINAL SPHINCTER EXP:
EXT.URETHRAL SPHINCTER
INT.URETHRAL SPHINCTER-ANS
BULBOSPONGIOSUS
PUBOVAGINALIS

Ans-Internal urethral sphincter(Repeat)

154. A child posted for surg,pt in renal failure,muscle relaxant which can be used-
-ATRACURIUM

Ans-Atracurium(Hoffman elimination)



156. Pt with limited scleroderma and one month h/o shortness of breath.
with
FVC slightly decreased
FEV1 markedly increased(compared to predicted)
DLCO markedly decreased


a. Interstitial lung disease
b. Pulmonary HTN
c.
d. diaphragmatic weakness

Ans-1

157. A child with chronic diarrhea for last one year. stool sample reveal 100 micron ova in intestine , all are differentials except
a) G. discoides
b) Chlonorchis sinensis
c) FASCIOLA GIGANTICA
d) ophisthorcis viverrani
ans 3

158. rx of desmoid tumors
a)wide excision
b) wide excision + RT
c) RT
d)SIMPLE EXCISION

Ans-Wide excision
159. All are "impact" indicator for evaluation of ASHA's performance- EXCEPT
a) Number of meetings attended
b) number of institutional deliveries
b) reduction in infant mortality
c) hours of training

Ans-Number of institutinal delivaries

160. All are included in NRHM except-
a) strengthening of JSY
b) formation of patient and social welfare societies
c) State and district health mission
d) recruitment and training of ASHA

Ans-3

161. Transection at mid-pons:
a. rapid, shallow breathing
b. apneusis
c. HYPOXIA
d. DEEP BREATHING
ans 1
162. not given in under directly observed therapy-
a) clofazimine /ETHAMBUTOL
b) Dapsone
c) Rifampicin
d) pyrazinamide

Ans-Dapsone

163. yr old man receiving aspirin for M.I. prophylaxis for last 2 yr. He passed black stool for 1 day. no abnormality found in abdominal exa. probable dia:
A. Duodenal ulcer
B. Ca colon
C. Esophagial varix
D. Iliocecal TB.

Ans-Duodenal ulcer

164. which statement is incorrect :
1) chemiluminescence :- excited electron in higher orbit comes to lower orbit by emitting energy in form of photon
2) bioluminescence:- is a form of chemiluminescence
3) phosphorescence :- absorbed radiation emitted as light
4)electro.....................
ans

165. glucose transporter in myocyte is
a) GLUT1
B) GLUT2
C) GLUT3
D) GLUT.4

Ans-GLUT 4

166. Stain used in identifying fugii is
a) methanamine
b) nigrosin
c) ....
c) ...

Ans-Mucicarmine

167. Sensitive test for Chlamydia:
a. culture
b. nucleic acid amplification
c.
d.

Ans-Nucleic acid amplification

168. CARISOPRODOL ACTIVATION FORMS WHICH METABOLITE
a) AMPHETAMINE
b) MEPROBAMATE
c) DOXYLAMINE
d) DIMETHADIONE

Ans-Meprobamate

169. Ba swallow, posterior indentation seen with:
a, left atrium
b. aortic knuckle
c. aberrant right subclavian
d. sling of pulmonary artery

Ans-4

170. highest concentration of potassium is seen in-
a) bile
b) pancreatic juice
c) ileal secretions
d) RECTUM

Ans 4

171. 25 year old female patient presenting with dilated arch of aorta with AR, aorta resected on HPE shows panarteritis diagnosis is-
a) nonspecific
b) tuberculosis
c) ....
d) ....

Ans-1

172. false about Hemophilus influenzae is-
a) it needs facor X and V for growth in culture media
b) capsule plays an important role in pathogenicity in type b
c) It's a rare cause of meningitis in first two months of life
d).....
ans 2

174. Method for diagnosing whooping cough-
a) cough plate culture
b) sputum smear
c).....
d).... nasopharangeal swab
ans 4

176. ascending diffuse aneurysm of aorta in a hypertensive female caused by
1.nonspecific aortoarteritis
2.tubercular aortoarteritis
3.PAN
4.wageners granulomatosis
ans 1


177. SPONTANEOUS RYTHMIC RESPIRATION INITIATED IN
a)pre-botzinger complex.
b)DRG
c)pneumataxic centre
d)apneustic centre

Ans-Prebotzinger complex

178.in transtentorial herniation which of the following not seen?
a)ipsilateral mydriasis
b)ipsilateral hemiparesis
c)decerebrate posture
d0cheyne stokes

ans 2

178.MONTHOLD MALE BABY WITH VIGOROUS APPETITE EATS WELL BUT VOMITS AFTER FEEDING WHICH IS DOAGNOSIS?
1)CHPS
2)HIRCHISPRUNGS DISEASES
3)?
4)?

Ans-CHPS

179. YR MALE WITH CONTROLLED THYROTOXICOSIS AND CARCINOMA RECTUM UNDERGOING LAPAROSCOPIC ABDOMINO PERINEL RESECTION FOUND TO HAVE DECREASED BLOOD PRESSURE AND HEART RATE END TIDAL CO2FOUND TO HAVE REDUCED FROM 40 TO 10 AND MILL WHILLER MURMUR WHAT IS THE CAUSE
A) EMBOLISM
B)THYROID STROM
C)BLEEDING
D)HYPOXIA

Ans-embolism

180. THE RISK FACTOR ASSOCIATION OF SMOKING WITH PANCREATIC CANCER WAS STUDIED IN A CASE CONTROL STUDY,THE VALUES WHICH WERE FOUND WERE:-
ODDS RATIO ____ 95% CONFIDENCE LIMITS
RISK A 3.0 1.1- 3.1
RISK B 2.0. 1.1- 2.0*
RISK C 1.0. 0.5-1.0
WHICH IS TRUE:-

A) RISK A IS ASS MORE
B) RISK B IS ASS MORE
C) RISK C IS ASS MORE STRONGLY
D) ALL RISK A,B AND C ARE EQUALLY ASSOCIATED
ans 2

181. 1 weak before incidence recall is called as
A)rececent memory
B)remote memory
C)WORKING MEMORY
D)

Ans-recent memory

182. which of the following is false?
a)FOOD POISONING CAUSING STRAINS OF cl.perfringes PRODUCE HEAT resistant spores
b) shows positive negler's reaction
c)most imp toxin is hyaluronidase
d)cl.perfringes is the most common cause of gas gangrene
ans 4

183. which of the following is false?
a)bcl-6-burkitts lymphoma
b)bcl-2-follicula n mantle cell lymphoma
c)CD-10 mantle cell lymphoma
d.................
whats the d option?
a and b definately false

184. flumazenil, false is
A)it is a specific antagonist of bzd
B)it may be used to barbiturate poisoning as it they act on the same receptor-gaba A
C)GIVEN INTRAVENOUSLY
D)ACTS ON GABA A channel in case of bzd


Ans-may be used to barbiturate poisoning as it they act on the same receptor-gaba A

185. full thickness graft can obtained from all of the following EXCEPT
a)elbow
b)supra claviclular
c)groin
d)axilla
ans 2

186. recurrent occipital headache in a girl, which is also seen in her mother
1)basilar migraine
2)cervical..
3temporal arteritis
4)vestibular neuritis?

Ans- Basilar migraine


187. regarding flail chest all the following are true EXCEPT
a)at least fracture of2 ribs bilaterally
b)should be intubated if po2 less than 40% with 60 % oygen
c)paradoxical breathin is nt seen in conscious pt
d)if overlapping is seen then shud be treated with open reduction

Ans 1


188. diff btwn antimortem n pm burns all except
A)vesilcle with hyperemic base
B)pus
C)vesicle with air
D)INFLAMMATORY red line

Ans-vesicle with air

189 tumors ass wit organisms all except-
A)hepatocellular ca
B)non sclc
C)gastric ca
D)nasopharyngeal ca

Ans-noc sclc

190. growth chart a/e
A)tool 4 educating mothers
B)position of dot more imp than direction
C)btwn top 2 line SHOWS ROAD TO HEALTH
D)lowermost line-children below 3rd percentile

Ans-position of dot more imp than direction

191. caustic poison corrodes mucosa coz
A)its hygroscopic
B)it hs glue like action
C)its programmed 2 stick
D)it hs affinity 4 mucosa

ans 4

192. effective leprosy control prog a/e
A)high new case detection rate
B)INCREASING NO OF CHILDREN AFFECTED
C)decreased type 2 disability

Ans-Increase in number of children affected

193. 17 yr girl with amenorrhoea,absent breasts,hypoplastic uterus-
A)turners
B)gonadal dysgenesis
C)androgen insensitivity syndr

what was option d?


194. A robust male baby with vigourous feeding and immediate vomiting at 2 mths. diagnosis?
A. brain tumour.
B. C.H.P.S
C paralytic ileus.
D hirschprungs
ans 2