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1)
A 65 year old female Kamala gives the history of severe unilateral
headache on the right side and complains of blindness since 2 days .On examination
there is a thick cord like structure on the lateral side of the head. The
ESR is 80 mm/Hr in the first hour. The most likely diagnosis is
a)
Temporal arteritis b) Migraine c) cluster headache d) sinusitis
Ans
(a)
2)
A 60 year old man complaining of chest pain since 6 hrs is diagnosed
as acute MI . Angiography showed the involvement of anterior descending branch
of left coronary artery The most probable site of involvement is
(a)
Anterolateral b) Posterior
c) Inferior d) Septal
Ans
(a)
3)
Pulmonary Kerley B lines are seen in all the following except
(a)
Pulmonary edema b) Mitral
valve disease c) Interstitial fibrosis d) Broncho nb alveolar Ca
Ans
(d)
4)
Infective endocarditis is least likely to occur in
(a)
ASD b) Small VSD c) MVP d) TOF
Ans
(a)
5)In
a patient with chronic AF with a regular beat of 60/min, the most probable
cause is
a)
sleep b) digitalis toxicity
c) Sino nodal block d) Hypothyroidism
Ans
(b)
6)An
HIV positive female has an indurated ulcer over the tongue. Laboratory findings
show growth in cornmeal agar at 20 Degrees, microscopy showing hyphae and
growth in human serum at 37 degrees show budding yeasts. The probable cause
is
a)Candida
albicans b)Histoplasmosis c)Blastomycosis d) Coccidiodomycosis
Ans
(a)
7)
Kallu, a 30 year old man, presented with subcutaneous itchy nodules over the
left iliac crest. On examination, they are firm, non tender and mobile .Skin
snips contain microfilaria and adult worms of
a)
Loa Loa b) Onchocerca volvulus c)
Brugia malayi d) Mansonella perstans
Ans
(b)
8)In
an ICU patient on invasive monitoring, all are causes of bacterial sepsis
except
a)Orotracheal intubation
b)Intra arterial line c)Humidified air d)Central venous catheter
Ans
(c)
9)
In Polycythemia vera, all the following are seen except
a)
thrombocytopenia b) increased GI bleed c)
thrombosis d) Transient visual loss
Ans
(a)
10)
A stem cell disorder affecting all the 3 cell lines - platelets, RBC’s and
leucocytes is
a)
Hemolytic anemia b) Paroxysmal cold haemoglobinuria c) PNH d) Blackfan Diamond
syndrome
Ans
(c)
11)
In beta thalassemia, there is
a)
increase in Beta chain , decrease in Alpha chain b) decrease in Beta chain,
increase Alpha chain c) decrease
in Beta chain, decrease Alpha chain d)
Increase in Beta chain, increase Alpha chain
Ans
(d)
12)
Non caseating granulomas are seen in all the following except
a)
Tuberculosis b) Byssinosis c) Hodgkin’s Lymphoma d) Metastatic carcinoma of
lung
Ans
(a)
13)
All are paraneoplastic syndromes except
a)
cerebellar degeneration b) Progressive Multifocal leukoencephalopathy c) Amyotropic
lateral sclerosis d) Opsoclonus myoclonus
Ans
(c)
14)
In Burkitts lymphoma, translocation seen is
a)
12-14 translocation b) 8-14 translocation c)
Ans
(b)
15)
Ingestion of arsenic causes
a)
Hepatic Ca b) Hepatic adenoma c) Noncirrhotic
portal fibrosis d) Hepatic cirrhosis
Ans
(c)
16)
In malignant hypertension, hyperplastic angiitis is seen in all except
a)
Peripancreatic fat b) Kidney c) Heart
d) Periadrenal fat
Ans
(c)
17)
In a chronic smoker, a highly malignant, aggressive and metastatic lung carcinoma
is
a)
Squamous cell Carcinoma b) Small cell Carcinoma c) Adenocarcinoma d) Large
cell Carcinoma
Ans
(b)
18)
All are true about Neisseria gonorrhea except
a)
Gram positive cocci b) causes stricture
urethra c) Involves seminal vesicles and spreads to epididymis d) drug of choice is Ceftriaxone
Ans
(a)
19)
A 30 year old male, Kallu, with a history of sexual exposure comes with a
painless indurated ulcer over the penis with everted margins. The diagnosis
is
a)
Syphilis b) Chancroid ) LGV d) Granuloma inguinale
Ans
(a)
20)
All are features of peripheral neuritis in a patient with Hansens Disease
except
a)
Predominant sensory involvement b)
Decreased tendon reflexes c) Mutilations
d)
Ans
(b)
21)
A 32 year old male, Kallu, who recently visited a sea coast presented with
an ulcer over the left leg. The probable cause is
(a)
Pasturella multocida b) Micrococcus halophilus c) Vibrio vulnificus
d)
Ans
(a)
22)
An 8 year old boy, Kallu, is brought to the casualty with a history of consuming
something while playing outside in a play ground. On examination, there was
altered sensorium, hyperpyrexia, dilated pupils. Most probable cause is
a)
Dhatura poisoning b) Organophosphorus
poisoning c) Parthenium poisoning d) Barbiturate poisoning
Ans
(a)
23)
All the following viruses cause stomach and colon cancer except
a)
H pylori b) EB virus c) HBV d) HIV
Ans
(c)
24)
Which of the following is pathognomonic of renal disease
a)
Hyaline casts b) coarse granular casts
c) cystine oxalate crystals d) epithelial cells
Ans
(c)
25)
Hypoglycemia is seen in
a)
Acromegaly b) Cushings syndrome c)
Hypothyroidism d) Hypopitutarism
Ans
(d)
26)
A 76 year old male comes with a history of frequent falls and difficulty in
looking downwards and laterally. The diagnosis is
a)
Alzheimer’s disease b) Supranuclear
palsy c) Amyotropic lateral sclerosis
d) Oculomotor nerve palsy
Ans
(b)
27)
The commonest side effect of cisplatin in a patient using it for esophageal
carcinoma is
a)
ATN b) Thrombocytopenia c) Hepatic
failure d) Cardiomyopathy
Ans
(a)
28)
The most common late CNS complication of HIV is
a)
Dementia b) Ataxia c) Seizures d) Delirium
Ans
(a)
29)
In a patient with acute liver failure, the best prognostic indicator is
a)
Serum albumin b) Serum AFP c) Serum bilirubin d) Factor V estimation
Ans
(d)
30)
The commonest hepatotropic virus causing increased chronic carrier state is
a)
HEV b) HAV c) HBV d) HCV
Ans
(d)
31)
Regarding Addisonian pigmentation, all are true except
a)
involves moles and scars b) involves
palmar creases c) does not involve
oral mucosa d) involves sole pads
Ans
(c)
32)
In an HIV positive patient with tuberculosis, all are true except
a)
decreased cavitation b) increased
sputum positivity c) highly variable
tuberculin test d) decreased fibrosis
Ans
(b)
33)
In essential hypertension, changes seen in the heart are
a)
cardiac cell hyperplasia b) cardiac
cell hypertrophy c) increase in the
mitochondrial number d)
Ans
(b)
34)
In a 32 year old male presenting with the following blood chemistry : Na+
135, K+ 5.0, HCO3- 14.0, Cl- 116,
PO4 5.0, SO4 5.0, Mg 2.0, Ca 8.0, the anion gap is
a)
10 b) 15 c) 13 d) 20
Ans
(a)
35)
Pyramidal tract involvement with absent ankle jerk is seen in
a)
Frederick’s ataxia b) Subacute combined
degeneration of the spinal cord c) Lathyrism d) Tabes dorsalis
Ans
(b)
36)
A patient with BHP underwent TURP and developed altered sensorium. The cause
is
a)
Hyponatremia b) Hypernatremia c) Hypomagnesemia d) Hypokalemia
Ans
(a)
37)
A patient of BHP underwent TURP under bupivacaine spinal anesthesia. One hour
later, he developed nausea, vomiting and altered sensorium. The cause possibly
is
a)
Hypernatremia b) Water intoxication
c) Bupivacaine overdose d)
Rupture Bladder
Ans
(b)
38)
Neuroblastoma differs from Wilm’s tumor radiologically by all except
a)
same location b) intraspinal extension c) calcification d) aorta and IVC are not eroded but pushed aside
Ans
(d)
39)
A 60 year old male, Kallu, on CT scan was found to have a solid tumor involving
the inferior vena cava and renal vein. The tumor was within the Gerota’s fascia.
All the following can be done except
a)
chest X-ray to rule out pulmonary metastasis
b) pre-operative radiotherapy is not favorable c) IVC invasion is inoperable d) pre-operative biopsy is not indicated
Ans
(c)
40)
A male patient, Kamal, aged 50 years presents with gradually progressive hard
scrotal swelling on the right side. All the following can be done except
a)
inguinal exploration b) chest Xray to rule out pulmonary metastasis c) CT
abdomen d) biopsy through the scrotal
skin
Ans
(d)
41)
Orhcidectomy is done in all the following except
a)
male breast cancer b) filarial epididymo-orchitis c) seminoma testes d) prostate
cancer
Ans
(b)
42)
The treatment of choice in congenital hydrocele is
a)
Eversion of the sac b) Excision of the sac
c) Herniotomy d) Lord’s procedure
Ans
(c)
43)
In a patient with pheochromocytoma, all the following are seen except
a)
diarrhea b) orthostatic hypotension
c) episodic hypertension d)
weight gain
Ans
(d)
44)
Splenectomy is done in all the following except
a)
splenic abscess b) hereditary spherocytosis
c) sickle cell anemia d) myelofibrosis
Ans
(c)
45)
A patient with recurrent attacks of cholelithiasis had, on ultrasound examination
, a dilated CBD of 1 cm. The next best line in management is
a)
ERCP b) PTC c) intravenous cholangiogram
d) cholecystostomy
Ans
(a)
46)
A 40 year old male, Kallu, a chronic alcoholic, diagnosed as cirrhosis presents
with a lump in the right lobe of the liver. Serum AFP levels are not elevated.
The diagnosis is
a)
fibrohyperplasia b) hepatocellular
carcinoma c) hepatocellular adenoma
d)secondary from carcinoma colon
Ans
(a)
47)
A 60 year old male diagnosed to have carcinoma stomach had, on CT scan of
the abdomen, a mass measuring 4x4 cm in the antrum with involvement of celiac
nodes and right gastric nodes. The management of choice is
a)
palliative b) subtotal gastrectomy c)
total gastrectomy d) chemotherapy
and radiotherapy
Ans
(b)
48)
A 70 year old male, Kamal, presents with lower GI bleed for the last 6 months.
On sigmoidoscopic examination, there is a hard non-obstructing mass of 4 cms
about 3 cms above the anal verge. The treatment of choice is
a)
anterior resection b) abdominoperineal resection c) defunctioning anastomosis d) colostomy
Ans
(b)
49)
A 14 year old girl, Salu, a regular swimmer presents with sudden onset of
pain abdomen, abdominal distension and fever of 390, but without
obliteration of the liver dullness. The diagnosis is
a)
ruptured typhoid ulcer b) ruptured
ectopic pregnancy c) primary bacterial
peritonitis d) UTI with PID
Ans
(c)
50)
Left sided pulmonary hypertension is best treated by
a)
splenectomy b) central spleno-renal shunt c) portocaval shunt d) distal
lienorenal shunt
Ans
(b)
51)
A 28 year old male, Mallu, a chronic alcoholic, presents with sudden onset
of epigastric pain that is radiating to the back. All the following can be
seen except
a)
hypocalcemia b) increased serum amylase c)
low serum lipase d) increased LDH
Ans
(c)
52)
A 28 year old male patient is brought to the casualty with severe hypotension
following a car accident. On examination no external bleed or injuries are
seen. The cause of hypotension is possibly
a)
intrathoracic and abdominal bleed b)
fracture rib c) intracranial bleed d)
neurogenic shock
Ans
(a)
53)
On prenatal ultrasound examination, the diagnostic feature of congenital diaphragmatic
hernia is
a)
absence of gas bubble under the diaphragm
b) mediastinal shift with normal heart axisc) peristalsis in the thoracic
cavity d) a cyst behind the left atrium
Ans
(c)
54)
A 40 year old male, Kallu, a chronic smoker, presents with claudication and
a medial leg ulcer. For the past one month, he gives a history of rest pain.
All the following can be used to relieve the rest pain except
a)
Omentoplexy b) conservative amputation c) lumbar sympathectomy d) femoropopliteal bypass
Ans
(c)
55)
A male patient aged 30 years following a road traffic accident presents with
fracture of 4th to 10th ribs and respiratory distress.
He is diagnosed to have flail chest and PaO2 is < 60%. The treatment
of choice is
a)
fixation of ribs b) strapping of the chest
c) IPPV with oral intubation d)
tracheostomy
Ans
(c)
56)
A post-operative patient presents with duodenal leak and peritonitis with
massive contamination. The appropriate management of choice is
a)
duodenostomy + feeding jejunostomy + peritoneal lavage b) total parenteral nutritionc) duodenojejunostomy
d) four quadrant peritoneal lavage
Ans
(a)
57)
A 52 year old male executive is seen in the casualty with hypotension, vomiting
bright red blood at home and in the hospital. There is no previous suggestive
history. The estimated blood loss is around 2 liters. The diagnosis is
a)
esophageal varices b) gastritis c) duodenal ulcer d) Mallory-Weiss tear
Ans
(c)
58)
All are true about the right kidney except
a)
it is related to the duodenum b) it
is lower than the left kidney c) the
right renal vein is shorter than the left
d) right kidney is preferred over the left for transplantation
Ans
(d)
59)
Grade IV esophageal varices, on barium swallow appears as
a)
a thick band b) mucosal folds
above the carina c) mucosal folds
below the carina
Ans
(?)
60)
A female patient presents with pigmentation of the lips and oral mucosa and
colonic polyps. Her sister also has the same history. The diagnosis is
a)
Peutz-Jeghers’ syndrome b) Carcinoid
c) melanoma d) villous adenoma
Ans
(a)
61)
The commonest site of carcinoma prostate is
a)
Transitional zone b) Central zone c) Peripheral zone d) Anterior zone
Ans
(c)
62)
Dissociative sensory loss is seen with
a)
Tabes dorsalis b) Syringomyelia c)
Ans
(b)
63)
In a patient with raised IgA levels, the commonest finding is
a)
proteinuria b) GI bleed c) hematuria
d) hypertension
Ans
(c)
64)
In a patient with choledochal cyst, bile diversion into the small intestine
is contraindicated because of risk of
a)
malignancy b) recurrent cholangitis
c) pancreatitis d) increased gall stones
Ans
(a)
65)
Thyrotoxicosis differs from malignant hyperthermia by
a)
muscle rigidity b) CPK c) hypothermia d)
Ans
(b)
66)
In a female with sudden onset of severe headache, on CT, a diagnosis of subarachnoid
hemorrhage was made. The most common site of subarachnoid hemorrhage is
a)
subdural venous sinuses b) middle meningeal artery c) Berry aneurysm rupture d)
basilar artery
Ans
(c)
67)
Chamavati, a 30 year old female from rural Assam with a history of chronic
tobacco chewing since 15 years of age, presents with difficulty in opening
the mouth. On oral examination, no ulcer is seen. The diagnosis is
a)
non-ulcerative carcinoma of buccal mucosa
b) submucous oral fibrosis c)Temporomandibular
joint arthritis
Ans
(b)
68)
A 40 year old female patient, Chamavati, presents with a lump that is gradually
increasing in the parotid region. On oral examination, the tonsil was pushed
medially. On biopsy, pleomorphic adenoma was diagnosed. The appropriate treatment
is
a)
Superficial parotidectomy b) Lumpectomy c)
Enucleation d) Conservative total
dissection
Ans
(a)
69)
A female patient, 45 years of age, with a family history of breast carcinoma
showed diffuse microcalcification on mammography. On biopsy, intraductal carcinoma
in situ was found. The appropriate management is
a)
simple mastectomy b) quadrantectomy
c) radical mastectomy with axillary sampling
d) chemotherapy with CMF regime
Ans
(c)
70)
Tram track appearance on CT scan of the head is seen in
a)
Sturge Weber syndrome b) von Hippel
Lindau disease c) Tuberous sclerosis
d) neurofibroma
Ans
(a)
71)
A patient presents with minimal pleural effusion on the right side. The best
method to detect this would be
a)
right side chest Xray b) Left sided chest Xray
c) Left lateral decubitus chest Xray
d) Right lateral decubitus chest Xray
Ans
(d)
72)
A 40 year old farmer with a history of recurrent attacks of porphyria complains
of itching when exposed to the sun and maculopapular rash on sun-exposed areas.
His symptoms are exaggerated in the summer. The diagnosis is
a)
Seborrheic dermatitis b) Contact dermatitis
c) Psoriasis d) Porphyria cutanea
tarda
Ans
(d)
73)
An 8 year old boy presents with a well defined annular lesion over the buttock
with central scarring that is gradually progressing over the last 8 months.
The diagnosis is
a)
annular psoriasis b) lupus vulgaris
c) tinea corporis d)
Ans
(b)
74)
In adult polycystic kidney, all are true except
a) Cysts
are seen in the liver, spleen and the pancreas b) Hematuria occurs
c) Hypertension is rare
d) Autosomal dominant transmission is seen
Ans (c)
75)
In thymoma, all are seen except
a)
red cell aplasia b) hyperalbuminemia c)
hypogammaglobulinemiac) Hypertension is rare
d) Autosomal dominant transmission is seen
Ans (c)
75)
In thymoma, all are seen except
a)
red cell aplasia b) hyperalbuminemia c)
hypogammaglobulinemia d) myasthenia
gravis
Ans
(b)
76)
An adult presents with oval scaly hypopigmented macules over the chest and
the back. The diagnosis is
a)
Leprosy b) Lupus vulgaris c) Pityriasis versicolor d) Lichen planus
Ans
(c)
77)
The characteristic nail finding in lichen planus is
a)
pitting b) pterygium c) Beau’s lines
d) Hyperpigmentation of the nails
Ans
(b)
78)
In an 8 day old child with no history of consanguinity in the parents, the
mother reports blisters and peeling off of the skin at the site of handling
and pressure. There was a similar history in the previous child which proved
to be fatal. The diagnosis is
a)Bullous
pemphigoid b) Congenital syphilis c) Congenital epidermolysis bullosa d)etterer-Siwe disease
Ans
(b/d)
79)
The most common complication of hypermature sclerotic cataract is
a)
dislocation of the lens b) phakomorphic
glaucoma c) uveitis d)
Ans
(a)
80)
A 14 year old boy complains of pain during reading . On examination, his both
eyes are normal and vision with non Snellen’s reading is 6/5. He still complains
of pain on occluding one eye. The diagnosis is
a)
myopia b) pseudomyopia c) hyperopia d) emmetropia
Ans
(b)
81)
A 16 year old boy complains of pain in the right eye. After refractometry
, he was prescribed a + 3.5 D sphere lens. The cover test is normal. There
is no heterophoria. The diagnosis is
a)
organic amblyopia b) anisometric amblyopia
c) emmetropic amblyopia d) toxic amblyopia
Ans
(?)
82)
A patient complains of pain in both eyes with congestion, blurring of vision,
photophobia and mucopurulent discharge since one day. Many cases have been
reported from the same community. The causative agent is probably
a)
adenovirus b) enterovirus 70 c) herpes simplex d)
Ans
(b)
83)
A male patient with a history of hypermature cataract presents with a 2 day
history of ciliary congestion, photophobia, blurring of vision and on examination
has a deep anterior chamber in the right eye. The left eye is normal. The
diagnosis is
a)
phakomorphic glaucoma b) phakolytic
glaucoma c) phakotoxic glaucoma d)phakoanaphylactic uveitis
Ans
(d)
84)
A 60 year old male patient operated for cataract 6 months back now complains
of floaters and sudden loss of vision. The diagnosis is
a)
vitreous hemorrhage b) retinal detachment
c) central retinal artery occlusion
d) cystoid macular edema
Ans
(a)
85)
A 12 year old boy presents with recurrent attacks of conjunctivitis for the
last 2 years with intense itching and ropy discharge. The diagnosis is
a)
vernal conjunctivitis b) phlyctenular
conjunctivitis c) trachoma d) viral conjunctivitis
Ans
(a)
86)
A 25 year old lady presents with severe sudden onset of pain, corneal congestion,
photophobia and deep anterior chamber in the right eye. The left eye is normal.
Xray pelvis shows sacroiliitis. The diagnosis is
a)
anterior uveitis b) posterior uveitis
c) intermediate uveitis d) scleritis
Ans
(a)
87)
A 30 day old neonate was presented with a history of photophobia and excessive
lacrimation. On examination, both the lacrimal duct systems are normal, but
there was a large cornea and corneal haziness. The diagnosis is
a)
megalocornea b) keratoconus c) congenital glaucoma d) Hunter’s syndrome
Ans
(c)
88)
In high spinal anesthesia, seen are
a)
hypotension and bradycardia b) hypotension
and Tachycardia c) hypertension and
bradycardia d) hypertension
and tachycardia
Ans
(a)
89)
A patient selected for surgery who was induced with thiopentone i.v through
one of the antecubital veins complains of severe pain of the whole hand. The
next line of management is
a)
give i.v propofol through the same needle
b) give i.v ketamine through the same needle
c) give i.v lignocaine through the same needle d) leave it alone
Ans
(c)
90)
A patient who was on aspirin for a long period was selected for an elective
surgery. What should be done?
a)
stop aspirin for 7 days b) infusion of fresh frozen plasma c) infusion of platelet concentrate d) go ahead with the surgery maintaining adequate hemostasis
Ans
(a)
91)
A patient in the ICU was on invasive monitoring with intraarterial cannulation
through the right radial artery for the last 3 days. Later, he developed swelling
and discoloration of the right hand. The next line of management is
a)
stellate ganglion block b) brachial
block c) radial nerve block on the
same side d) application of lignocaine
jelly over the site
Ans
(a)
92)
A 3 year old child with severe sensorineural deafness was prescribed hearing
aids, but shows no improvement. The next line of management is
a)
cochlear implant b) fenestration surgery
c) stapes mobilization d)
Ans
(a)
93)
A 4 year old girl diagnosed as having multiple juvenile papillamotosis of
the larynx presents to the casualty with mild respiratory distress. The next
line of management is
a)
tracheostomy b) microlaryngoscopy c) broad spectrum antibiotics d) systemic steroids
Ans
(b)
94)
A 28 year old female presents to the casualty with gradually increasing respiratory
distress since 4 days. She gives history of hospitalization and mechanical
ventilation with orotracheal intubation for 2 weeks. Now, she was diagnosed
as having severe tracheal stenosis. The next line of management is
a)
tracheal resection and end to end anastomosis
b) tracheal dilatation c) systemic
steroids d)laser
excision and stent insertion
Ans
(d)
95)
A 30 year old male, following excision of the 3rd molar for dental
caries presents with trismus, fever of 39.50 and swelling pushing
the tonsil medially and spreading laterally posterior to the middle sternocleidomastoid.
The diagnosis is
a)
parapharyngeal abscess b) retropharyngeal
abscess c) Ludwig’s angina
d) submental abscess
Ans
(a)
96)
A 20 year old male, following a road traffic accident was brought to the casualty.
His right leg is shortened, internally rotated and adducted. The diagnosis
is
a)
fracture neck of femur b) anterior dislocation of the hip c) posterior dislocation of the hip d) trochanteric fracture
of the femur
Ans
(c)
97)
An 8 year old boy presents with a gradually progressing swelling and pain
since 6 months over the upper tibia. On Xray, there is a lytic lesion with
sclerotic margins in the upper tibial metaphysis. The diagnosis is
a)
Osteogenic sarcoma b) Osteoclastoma
c) Brodie’s abscess d) Ewing’s sarcoma
Ans
(c)
98)
An 8 year old boy with a history of fall from 10 feet height complains of
pain in the right ankle. Xrays taken at that time are normal without any fracture
line. But after 2 years, he developed a calcaneovalgus deformity. The diagnosis
is
a)
undiagnosed malunited fracture b)
avascular necrosis talus c) tibial
epiphyseal injury
Ans
(c)
99)
A 6 year old boy has a history of recurrent dislocation of the right shoulder
. On examination, the orthopedician puts the patient in the supine position
and abducts his arm to 90 degrees with the bed as the fulcrum and then externally
rotates it but the boy does not allow the test to be performed. The test done
by the orthopedician is
a)
apprehension test b) sulcus test c)
Ans
(a)
100)
Regarding bone remodelling, all are true except
a)
osteoclastic activity at the compression site b) osteoclastic activity at
the tension site c) osteoclastic
activity and osteoblastic activity are both needed for bone remodelling in
cortical and cancellous bones d) osteoblasts
transforms into osteocytes
Ans
(?)
101)
A child is spinned around by his father by holding both hands. While
doing this the child started crying and does not allow his father to touch
his elbow.The diagnosis is
a)
pulled elbow b) radial head dislocation
c) Annular ligament tear d)
Fracture olecranon process
Ans
(a)
102)The
structures piercing the clavipectoral fascia are all except:
a)
Cephalic vein b) Thoraco acromial
artery c) Lateral pectoral nerve d) Lateral pectoral artery
Ans
(d)
103)
Crossed oculomotor palsy is seen in occlusion of
a)
Anterior cerebral artery b) Middle
cerebral artery c) Posterior cerebral
artery d) Superior cerebral
artery
Ans
(c)
104)
Erection of penis is mediated by all the following except
a)
Nervi erigentes b) Pudendal nerve c) Sacral plexus d) Hypogastric plexus
Ans
(d)
105)
Active transport of chemicals across the cell membrane is mediated by:
a)
Channel protein b) Carrier protein c) G protein d) Na+- K+ ATPase.
Ans
(b)
106)
In a patient with respiratory rate of 14/min, tidal volume of 500 ml with
a vital capacity 7000ml, the alveolar ventilation/minute is
a)
2000 ml b) 4900ml c) 7000ml d) 7700ml.
Ans
(b)
107)
During sigmoidoscopy, if the rectum is inflated with gas, increased peristalsis
is seen in
a)
Whole intestine b) Distal colon c) Proximal colon d) Whole colon
Ans
(?)
108)
In an unacclimatised person suddenly exposed to cold, the physiological effect
seen is
a)
Hypertension b) Tachycardia c) Shift of blood from shell to core d) Non shivering thermogenesis
Ans
(?)
109)
Spuriously high BP is noted in all the following except
a)
Obesity b) Thick calcified vessels c) Small cuff d) Auscultatory gap
Ans
(a)
110)
Cerebellar herniation presents with all the following except
a)
Loss of consciousness b) Autonomic
disturbances c) Neck stiffness d) Pupil dilatation
Ans
(c)
111)
Positive feedback is seen in all the following except
a)
LH Surge b) Stimulation of the gastric secretion by histamine and gastrin c) thrombolytic activity in the coagulation
cascade d) Entry of Ca into the sarcoplasmic
reticulum
Ans
(d)
112)Vitamin
K is needed for the post translational modification of
a)
Carboxylation b) Methylation c) Hydroxylation d) Transketolation
Ans
(a)
113)
Amber codon refers to
a)
Initiating codon b) Mutant codon c) Stop codon d) Codon coding for multiple amino acids
Ans
(?)
114)
At physiological pH, the most stable amino acid is
a)
Histidine b) Lysine c) Arginine d) Leucine
Ans
(a)
115)
In cystinuria, amino acids excreted are all the following except:
a)
Ornithine b) Arginine c Lysine
d) Histidine
Ans
(d)
116)
Dietary triglycerides are transported by
a)
Chylomicrons b) LDL c) VLDL d)
HDL
Ans
(a)
117)
In which of the following reaction, thiamine is not used
a)
Alpha ketoglutarate to succinyl CoA b)
Glucose to pentose c) Oxidative decarboxylation
of Alpha keto amino acids d) Lactate
to pyruvate
Ans
(d)
118)
In chromatography, mass movement of the substances is seen in
a)
Electrophoresis b) Diffusion c) Osmosis
d) Paper chromatography
Ans
(a)
119)
The type of chromatography in which proteins are bound to another substance
is
a)
Hydrophobic chromatography b) Absorption
( Affinity ) chromatography
Ans
(b)
120)
The end-product of citric acid cycle used in detoxification of ammonia in
brain is
a)
Oxaloacetate b) Alpha keto glutarate
c) Succinate d) Citrate
Ans
(b)
121)
Right parietal lobe lesions cause all the following except
a)
ideomotor apraxia b) Self neglect
Ans
(?)
122)
Investigation of choice for blood grouping in old blood stain on the cloth
is
a)
Precipitin test b) Benzidine test c) Acid dilution test d) Hemin crystals
Ans
(d)
123)
Interleukin secreted by the macrophages stimulating lymphocytes is
a)
IL 1 b) INF Alpha c) TNF Alpha d) IL 6
Ans
(a)
124)
Following injection of lymphokines, the same class of immunoglobulins are
produced. This is referred to as
a)
Clonal selection b) Class switching
c) d)
Ans
(a)
125)
A patient receiving allopurinol requires dose reduction of
a)
6 mercapto purine b) cyclophosphamide
c) Azathioprine d) Cimetidine
Ans
(a)
126)
An elderly hypertensive has diabetes mellitus and bilateral renal artery stenosis.
The best management is
a)
Enalapril b) Verapamil c) Beta blockers d) Thiazides
Ans
(a)
127)
A female suffering from psychosis, taking phenothiazines now complains of
sudden onset of high grade fever, muscle rigidity and altered sensorium. The
diagnosis is
a)
Malignant hyperthermia b) Neuroleptic
malignant syndrome c) Tardive dyskinesia
d)akathesia
Ans
(b)
128)
A patient on cisapride for Barrets ulcer suffers from pneumonia. The physician
prescribes erythromycin. Which of the following is the correct statement
a)
Increase the dose of cisapride needed b)
Increase the dose of erythromycin needed c) Increased risk of Ventricular arrythmias present d) Decreased bioavailability of cisapride
Ans
(c)
129)
A 60 year old male comes to the casualty with acute retention of urine since
12 hours. On examination there was distended bladder . His son gives a history
of taking some drugs by the patient since 2 days as he is suffering from depression
. The most likely drug is
a)
Amitryptiline b) Chlorpromazine c) Haloperidol d)
Ans
(a)
130)
Kallu, a 22 year old male suffers from decreased sleep, increased sexual activity
, excitement and spending excessive money excessively for the past 8 days.
The diagnosis is
a)
Acute mania b) Acute psychosis c) Schizophrenia d) Psychosexual disorder
Ans
(a)
131)
Rathi, a 26 year old female diagnosed to be suffering from depression now
for the past 2 days had suicidal tendencies, thoughts and ideas. The best
treatment is
a)
Amitryptiline b) Selegiline c) Haloperidol + Chlorpromazine d) ECT
Ans
(d)
132)
Kallu, a 22 year old single unmarried man is suffering from sudden onset of
3rd person hallucinations for the past 2 weeks. He is suspicious
of his family members and had decreased sleep and appetite. The diagnosis
is
a)
Schizophrenia b) Acute psychosis c) Acute mania d) Delirium
Ans
(b)
133)
A 60 year old male suffering from auditory hallucinations is says that people
staying upstairs are talking about him and conspiring against him. He dropped
a police complaint against them but the allegations were proved to be wrong.
The diagnosis is
a)
Schizophrenia b) Depression c) Dementia d) Delusional disorder
Ans
(a)
134)
In India the commonest cause of juvenile onset of DM is
a)
MODY b) Fibrocalcific pancreatopathy
c) Gall stones d) IDDM
Ans
(b)
135)
A neonate has central cyanosis and short systolic murmur on the 2nd
day of birth. The diagnosis is
a)
TGV b) TOF c) VSD d) ASD
Ans
(a)
136)
An 8 year old female child following URTI developed maculopapular rash on
the face spreading onto the trunk which cleared on the 3rd day
without desquamation and tender post auricular and suboccipital lymphadenopathy.
The diagnosis is
a)
Measles b) Rubella c) Erythema infectiosum d) Kawasaki disease(Mucocutaneous LN Syndrome)
Ans
(b)
137)
A 4 month old HIV positive child following URTI ,developed sudden onset of
breathlessness. The chest Xray shows hyperinflation. The O2 saturation was
greater than 90%. The treatment of choice is
a)
Nebulized acyclovir b) i.v Ganciclovir
c) Ribavirin d) Cotrimoxazole
Ans
(c)
138)
All of the following are features of systemic juvenile Rheumatoid arthritis
except
a)
Rash b) fever c) Hepato Splenomegaly d)
Uveitis
Ans
(d)
139)A
child climbs with alternate steps , builds a tower of 8-9 cubes , tells “I”
but not his name and cannot say his age and sex. The probable age is
a)
24 Months b) 36 Months c) 30 Months d) 48 Months
Ans
(c)
140)
A child suffering from acute diarrhea is brought to the casualty and is diagnosed
as having severe dehydration with pH of 7.23 , Serum Na -125 , Serum K- 3
, Hco3 16. The best IV fluid of choice is
a)
3% saline b) Normal saline c) N/3 saline + 10 % dextrose d) N/3 saline + 5% dextrose
Ans
(?)
141)
A child with recent onset of URTI after 2 days presents with acute onset of
breathlessness, cough and fever. All of the following can be given except
a)
Antibiotics b) Antipyretics c) O2 inhalation d) Morphine
Ans
(d)
142)A
6 month old child having severe dehydration comes to the casualty with weak
pulse and unrecordable BP. Repeated attempts in gaining IV access has failed.
The next best step is
a)
Venesection b) Jugular vein catheterization
c) Intraosseous IV Fluids d)
Try again
Ans
(c)
143)
A 6 year old child with acute onset of fever of 104 F developed febrile seizures
and was treated. To avoid future recurrence of seizure attacks what should
be given
a)
IV diazepam infusion over 12 Hrs b) Paracetamol 400 mg + Phenobarbitone daily c)pararacetamol 400 mg 6th Hrly
d) Oral diazepam 6th Hrly
Ans
(c)
144
) An 8 year old child suffering from recurrent attacks of polyuria since childhood
presents to the paediatrics OPD. On examination, the child is short statured,
vitals and BP are normal. Serum Cr 6 Mg %, HCO3 16 mEq , Na 134, K 4.2 On
USG bilateral small kidneys The most likely diagnosis is
a)
Polycystic Kidney disease b) Medullary
cystic Kidney disease c) Nephronophthisis
d) Reflux nephropathy
Ans
(c)
145)
A 40 year old male presents with recurrent bouts of vomiting since 9 months
because of pyloric obstruction. The
compensatory biochemical change is
a)
Respiratory acidosis b) Respiratory alkalosis
c) Metabolic acidosis d) Paradoxical
aciduria with hypo natremia and hypo chloremia
Ans
(d)
146)A
diabetic female at 40 weeks of pregnancy delivered a baby by elective CS.
Soon after birth the baby developed respiratory distress. The diagnosis is
a)
Hyaline membrane disease b) Transient
tachypnea of the newborn c) Congenital
diaphragmatic hernia d) Tracheo esophageal
fistula
Ans
(a)
147)All
are prognostic indicators of PIH except
a)
Serum Uric acid b) Low platelets c) Serum Na d) Elevated liver enzymes
Ans
(c)
148)
In a woman on subdermal progesterone implant , the menstrual abnormality seen
is
a)
Amenorrhea b) Menorrhagia c) Metrorrhagia d) Polymenorrhoea
Ans
(c)
149)
Kalavathi ,a 29 year old nulliparous woman complains of severe menorrhagia
and lower abdominal pain since 3 months. On examination, there is a 14 weeks
size uterus with fundal fibroid . The treatment of choice is
a)
Wait and watch b) Myomectomy c) GnRH analogues d) Hysterectomy
Ans
(c)
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