AIIMS nov 1999 questions with answers
mail
corrections/questions/answers at contribute@aippg.com
1.
If
a missile enters the body just above the pubic ramus through the anterior
abdominal wall, it will most likely pierce which of the following
structures
a.Abdominal aorta
b.Left renal vein c.Urinary bladder d.Spinal cord
Ans: (c)
Ref: Snell page 309(6th ed). Also
the abdominal aorta splits at L4 and the spinal cord ends at L1.
2.
Which
of the following is not a boundary of the Koch's triangle a.Tendon of Todaro b.Limbus fossa ovalis c.Coronay sinus d.Tricuspid valve ring
Ans: (b)
Ref: Gray's Anatomy p644(35th
ed)
3.
Which
of the following aminoacids is associated with increased risk of Myocardial
infarction a.Methionine b.Homocysteine c.Ornithine
d.Valine
Ans: (b)
Ref: Harrison 14th ed. p1348
and table 242-1
4.
Kalloo
65 years presents with complaints of abdominal pain. On examination there was
distension of abdomen and the stools were maroon colored. He gives a past
history of Cerebro vascular accident and Myocardial infarction. What would be
the probable diagnosis
a.Ulcerative colitis
b.Crohn's disease
c.Acute mesenteric ischemia
Ans: (c)
Ref: Harrison p1652
5.
Which
of the following ECG changes is least likely in a patient with left
pneumothorax
a.Inversion of Twave b.Left axis deviation c.Small R wave d.Electrical alternans
Ans:(b)
Ref:Harrison p1240."Right
axis deviation seen in condition such as right ventricular
overload,infarction
of lateral wall of left ventricle, dextrocardia, left pneumothorax or left
posterior
fascicular block.
6.
A
patient presents 12 hours following a Myocardial infarction. Which of the
following enzymes will be elevated at this period [1] a.Lactate dehydrogenase b.Serum Glutamate Oxalo
acetate Transferase c.Creatinine Phospho Kinase d.Myoglobin
Ans:(c)
Ref:Davidson 18th edn p 260
7.
Which
of the following features denote a contraindication for surgical resection in a
case of carcinoma lung
a.Malignant pleural effusion
b.involvement of visceral pleura
c.Hilar lymphadenopathy
d.Consolidation of one lobe
Ans:(a)
Ref:CMDT 2000, Chap 12,
p312.Harrison Table 90-5
8.
Lalloo
50 years, a chronic smoker, presents with history of hemoptysis. He was having
trunkal obesity and hypertension. He had an elevated ACTH level
which was not suppressible with high dose dexamethasone. What would be
the most probable diagnosis
a.Bilateral adrenal hyperplasia
b.adrenal adenoma
c.pituitary tumor
d.ectopic ACTH producing lung
cancer
Ans:(d)
Ref:Harrison p2044, table 332-5
9.
When
the following aminoacids are separated by running them on agarose gel, at pH 7,
which one of them will migrate slowest to the anodic end a.Glycine b.Valine
c.Aspartic acid d.Lysine
Ans:?d
Ref:accoding to a similar
question in NMS Step !
10.
While
bathing a 6 month old child, his mother noted that there was a swelling in the
abdomen towards the left side. On examination there was an abdominal mass,
which showed calcification near the left kidney. What is the most probable
diagnosis
a.Lymphoma
b.Leukemia
c.Neuroblastoma
d.Renal cell carcinoma
Ans:(c)
Ref:
11.
A
G2P1+0+0, Diabetic mother presents at 32 weeks of
pregnancy. She gives a history of full term fetal demise during her last
pregnancy. Her sugar is now controlled and the child is stable. What is the
best plan of action
a.Await spontaneous
delivery b.Induce at 38 weeks c.Induce at 40 weeks d.Cesarian section at 38
weeks
Ans:(a)
Ref:DewHurst's OBG 6th edition,
p205
12.
Which
of the following is an absolute indication for Cesarian section in pregnancy
associated with heart disease a.Pulmonary stenosis b.Coarctation of Aorta c.Eisenmenger syndrome d.Ebstein's anomaly
Ans:(b)
Ref:Dutta, p298
13.
Basanti,
23 year old pregnant women presents with features of dilated cardiomyopathy.
Which of the following drugs you will not give to treat her
a.Digoxin b.ACE
Inhibitors c.Diuretics d.vasodilators
Ans:(b)
Ref:Due to the teratogenecity of
the ACE inhibitors
14.
The
?9 month old child of a diabetic mother presents with tachypnea and
hepatomegaly. Echo cardiography of the heart showed normal cardiac morphology
with asymmetric septal hypertrophy. Which of the following you will give to
treat this child a.Digoxin b.Frusemide c.Propranolol d.Isoptin
Ans:(c)
Ref:Harrison p1331
15.
Under
the National Polio Eradication Program, a case of Acute Flaccid Paralysis is
confirmed as Polio, under the following circumstances except a.If a case is lost to follow up b.If a case could not be
confirmed because the patient died before that
c.If a wild strain of polio virus is isolated from stool d.If a
patient develops paralysis 30 days after diagnosis of AFP
Ans:(d)
Ref:Park p156
16.
What
is the number of FRU units per district a.01-- 03 b.04 -- 06 c.07 --
09 d.10 -- 12
Ans:(d)
Ref: Park page 308. Its given as
6-12 in addition to the district hospital. So we feel d is a better choice
17.
Child
of Vasanthi, was weaned from breast milk on the fifth day and was given sugar
cane juice. The child developed hypoglycemia and hepatomegaly. Biochemical
examination showed hypophosphatemia and reducing substances in urine. The child
is probably suffering from which of the following enzyme deficiencies a.Aldolase B b.Fructokinase c.Glucose 6 Phosphatase d.Beta Galactosidase
Ans:(a)
Ref:Harrison p2209, Nelson 16th
edition, p407
18.
Sex
ratio in India according to the 1991 Census is a.929 b.972 c.934 d.1012
Ans:(a)
Ref:Park, p314
19.
Calculate
the median from the following values
1.9, 1.9, 1.9, 2.1, 2.4, 2.5, 2.5, 2.5, 2.9 a.1.2 b.1.9 c.2.25 d.2.5
Ans:(c)
Ref:Refer Park
20.
Which
of the following is not spread by Aedes mosquito a.Dengue fever b.Chickungunya
c.Japanese Encephalitis
d.Yellow fever
Ans:(c)
Ref:Refer any micro text book
21.
Median
weight of 100 children was 12kgs. The Standard Deviation was 3. Calculate the
percent coefficient of variance
a.25% b.35% c.45% d.55%
Ans:(a)
Ref:It is calculated as Standard
Deviation/Mean. So it is 3x100/12 = 25% See p436 of Mahajan's text book of
preventive medicine
22.
All
of the following are random sampling methods except a.Simple
random b.Cluster
sampling c.Stratified
random d.Quota Sampling
Ans:(d)
Ref:Park p582
23.
In
a group of persons taking part in a controlled trial of an antihypertensive
drug, the Blood Pressures were measured before and after giving the drug. Which
of the following tests will you use for comparison a.paired t test b.F test c.t test d.Chi square test
Ans:(a)
Ref:Refer any statistics book,
you will get the explanation
24.
Widmark's
formula is used for measurement of blood levels of a.Benzodiazepines
b.Barbiturates c.Alcohol
Ans:(c)
Ref:Refer text book of Forensic
Medicine by Reddy
25.
Cherry
red color in post mortem staining is a feature of poisoning with
a.Nitrites
b.aniline c.Phosphorus d.Carbon Monoxide
Ans:(d)
Ref: Refer text book of Forensic
Medicine by Reddy
26.
Elevated
levels of cyanide is seen in death due to which of the following a.Cold b.Scald c.Starvation d.Thermal burns
Ans:(d)
Ref: Refer text book of Forensic Medicine by Reddy
27.
Kalloo
45 years old, having a 10 year history of alcoholism, presents with complaints
of confusion, ataxia, ophthalmoplegia and peripheral neuropathy. What is the
most probable diagnosis a.Wernicke's encephalopathy b.Korsakoff's psychosis c.Delerium tremens d.Alcoholic hallucinations
Ans:(a)
Ref:Harrison p2455
28.
Lalloo,
60 yrs of age, a known case of cirrhosis liver, presents with increased levels
of Alpha feto protein , hepatomegaly 3 cm below costal margin. USG showed
lesions involving the right lobe of the liver. What is the most probable
diagnosis a.Focal nodular
hyper plasia b.Hepato cellular
carcinoma c.Hepatic adenoma d.metastasis
Ans:(b)
Ref:Harrison p579-580
29.
What
is the most common mode of inheritance of von Williebrand's disease
a.Autosomal dominant
b.Autosomal recessive c.X linked recessive d.Co dominant
Ans:(a)
Ref:What
is the most common mode of inheritance of von Williebrand's disease
a.Autosomal dominant
b.Autosomal recessive c.X linked recessive d.Co dominant
Ans:(a)
Ref:Harrison p 733
30.
20
year old boy, presented with severe hematemesis. On examination there was no
hepatomegaly, mild splenomegaly present. On endoscopy esophageal varices were
seen. What is the most probable diagnosis a.Cirrhosis liver b.Budd Chiari syndrome c.Non cirrhotic portal fibrosis d.Veno occlusive disease
Ans:(c)
Ref:Harri p 1710
31.
What
is the most common cause for Budd Chiari syndrome a.Right ventricular failure b.PNH c.valve in hepatic
veins d.Nephrotic syndrome
Ans:(b)
Ref:Harrison p1709.Worldwide the
commonest cause is a membrane in the IVC(Anderson's pathology p1415,10th
edition)
32.
Which
of the following is not seen in Paroxysmal Nocturnal Hemoglobinuria a.Hypocellular bone marrow
b.Hemosiderinuria
c.Increased LAP score d.Pancytopenia
Ans:(c)
Ref:Harrison p670
33.
All
of the following are seen in polycythemia rubra vera except a.Increased Vit B12 binding
capacity (>900micromols/dL)
b.decreased LAP score
c.Leucocytosis
d.increased platelets
Ans:(b)
Ref:Harrison p681
34.
What
is the size of the microfilter used in blood transfusion sets a.50micro meters b.150 micro
meters c.170 micro
meters d.250 micro
meters
Ans:(c)
Ref:Clinical Practice of
Transfusion Medicine p323
35.
All
of the following are part of Manning's criteria except a.Fetal respiratory movements b.Non stress test c.Fetal body
movements d.Vibroacoustic stimulation
Ans:(d)
Ref: ObstetricsDutta p 115
36.
A
patient with choriocarcinoma, is not responding to the usual doses of
methotrexate. She is having jaundice. Which drug will you prefer for further
treatment
a.Actinomycin D
b.Cyclophosphamide
c.Cisplatin
d.Chlorambucil
Ans:(a)
Ref:ObstetricsDutta p 212
37.
Which
of the following is the most reliable indicator of Ectopic gestation a.No
gestational sac in USG b.Arias
Stella reaction c.Culdo
centesis showing blood in the posterior cul-de-sac d.Absence of the normal doubling of hCG levels
Ans:(a)
Ref: ObstetricsDutta p199
38.
A
22 year old lady present with pain in the right iliac fossa. On examination
there was tenderness and guarding . Which of the following should not be done
in this case
a.Put patient Nil
orally b.give
I.V.glucose c.Inj. Pethidine I.M. d.Plain X ray abdomen
Ans:(c)
Ref:Old Bailey p839
39.
A
child presents with history of blunt injury abdomen associated with splenic
trauma. On examination the child is stable. Which of the following is the
treatment of choice
a.Splenorrhaphy
b.Observation
c.Splenectomy
d.Arterial embolisation
Ans:(b)
Ref:Synopsis of Emergency pediatric Medicine p687, Nelson p1527
40.
Which
of the following is true about carcinoma colon a.Lesion on the left side of the colon
presents with features of anemia b.Solitary metastasis is liver
is not a contraindication for surgery
c.mucinous carcinoma has a good prognosis d.Duke's A stage should
receive adjuvant chemotherapy
Ans:(b)
Ref:Harrison p576
41.
A
patient with Hodgkin's lymphoma is having a single cervical lymphnode. Biopsy
showed lymphocyte predominant variant. Which of the following is the treatment
of choice a.Chemotherapy with
Radiotherapy b.Chemotherapy only c.Radiotherapy only d.No treatment
needed
Ans:(c)
Ref:Harrison p710
42.
Lalloo,
a 55 year old chronic smoker, presents with complaints of hoarseness of voice.
On examination there is a single enlarged painless lymphnode in the left
supraclavicular area. What is the next step to be done a.Excision biopsy of the node b.Laryngoscopy and Chest X ray
c.CT scan
d.Sputum for AFB
Ans:(b)
Ref:Harrison p550
43.
A
girl presents with complaints of melena. On examination there are pigmented
lesions involving her mouth and lips. Two of her sisters also had similar
complaints. Which of the following is the most probable diagnosis a.Kronchite
Canada syndrome
b.Puetz Jegher's syndrome c.Gardner's syndrome
Ans:(b)
Ref:Old Bailey p799
44.
30
year old Basanti presents with light brown lesions involving both her cheeks.
The lesions had never been erythematous. Which of the following is the most
probable diagnosis a.SLE b.Chloasma c.Air borne Contact Dermatitis
d.photodermatitis
Ans:(b)
Ref:Refer any skin text book
45.
All
the following malignancies are associated with HIV except a.Astrocytoma b.Non Hodgkin's lymhoma c.Gastric adenocarcinoma d.Kaposi's sarcoma
Ans:()
Ref:Sorry I could not find a
defnite answer, it could be Astrocytoma according to a book called Cancer
Medicine
46.
Babloo,
5 years, presents with small hypopigmented scaly macules on his cheek. Some of
his classmates also have similar lesions. Which of the following is the most
probable diagnosis a.Pityriasis alba b.Pityriasis
rosea c.Pityriasis versicolor d.Indeterminate leprosy
Ans:(a)
Ref:p258 Anderw's disease of
Skin, 9th edition.....a very good book
47.
A
11 month old child presents with complaints of respiratory distress. On
examination there is bilateral crepitations and wheezing . Which of the
following is the most likely cause a.pneumonia b.respiratory
syncitial virus c.adenovirus d.rhinovirus
Ans:(b)
Ref:Old Ghai p282
48.
A
patient presents with features suggestive of chronic pancreatitis. ERCP
examination showed "chain of Lakes" appearance. Which of the
following is the most appropriate management for this patient a.Side to side pancreatico
jejunostomy b.Distal pancreatic resection and
end to side anastomosis. c.Whipple's resection d.sphincterotomy
Ans:(?a)
Ref:According to Schwartz
pretest
49.
A
patient presents with a pancreatic pseudocyst 5cm in size, 3 weeks duration.
What is the best method to manage this case a.External drainage b.USG and follow
up c.cystogastrostomy d.Needle aspiration
Ans:(b)
Ref:Harrison p1746
50.
Kalloo,
25yrs, presented with a mass in the right iliac fossa. On laprotomy it was
found to be a carcinoid 2.5cms in diameter. What is the next step in
management
a.Segmental resection
b.Right hemicolectomy
c.Appendicectomy d.do yearly 5-HIAA
Ans:(b)
Ref:New Bailey p1092
51.
A
patient presents with head ache, intermittent claudication and dizziness. Which
of following may be the underlying cause a.Tetrology of Fallot b.Coarctaion of aorta c.Patent ductus
arteriosus d.Atrial septal
defect
Ans:(b)
Ref:Harrison p1306
52.
A
needle aspiration from the thyroid nodule of a patient with pituitary tumor and
pheochromocytoma shows which of the following a.Follicular carcinoma b.Medullary carcinoma c.Anaplastic carcinoma d.Papillary carcinoma
Ans:( )
53.
Kalloo
45 years presents with a swelling in the thyroid gland and a lymphnode in the
neck. Aspiration of the node shows amyloid material. What is the management of
choice for this patient a.
Hemithyroidectomy with neck dissection b.Total thyroidectomy with
neck dissection c.Total thyroidectomy with
neck irradiation d.Hemithyroidectomy
Ans:(b)
Ref:Harrison p2031
54.
A
patient presents with intermittent head ache. On examination there is
hypertension and a thyroid nodule. Which of
the following steps is to be taken next a.Urine HIAA levels b.Urine VMA and aspiration of the thyroid nodule
Ans:(b)
Ref:It is a case of MEN 2.
55.
Basanti,
40 yrs, underwent subtotal thyroidectomy. In the recovery room she developed
stridor. There was some staining of the wound with blood. Which of the following
is the least likely cause
a.Tracheomalacia
b.Bilateral recurrent nerve palsy
c.Hematoma formation d.Hypocalcemia
Ans:(d)
Ref:Probable explanation Old
Bailey p522. Most cases of hypocalcemia presents on days 2-5
56.
After
thyroidectomy, a patient developed a wound hematoma in the ward associated with
respiratory distress. Which of the following is the next best step to do a.Orotracheal intubation b.immediate opening of the wound c.observation d.Send the patient to the theatre
to remove the clots
Ans:(b)
Ref:Old Bailey p522
57.
A
post thyroidectomy patient presents with tingling and perioral paresthesia.
Serum calcium level was 7 mg/dL. Which of the following is the best line of
management
a.Oral vitamin D3 b.Oral vitamin D3 with
calcium c.I.V.calcium gluconate d.Observation
Ans:(c)
Ref:
58.
Bowel
does not get strangulated in which of the following a.Recto
uterine pouch b.Omental
bursa
c. Ileo-colic recess d.Para duodenal and peritoneal recess
Ans:(a)
Ref:Old Bailey p823
59.
Vocal
cord paralysis is due to involvement of which of the following nerves
a.External laryngeal b.Internal laryngeal c.Recurrent laryngeal d.Superior laryngeal
Ans:(c)
Ref:
60.
Vasanti,
28 year old, presents with complaints of tightness of fingers. There is also
history of dysphagia. Which of the following is the probable diagnosis a.Dermatomyositis b.Scleroderma c.Rheumatoid arthritis
Ans:(b)
Ref: Harrison p1892
61.
A
lady approaches a physician for contraceptive advice. On examination there were
two symmetrical ulcers on vulva, which were well defined with a firm base.
Which of the following is the most likely cause a.Syphilis
b.Chancre
c.Herpes d.Malignancy
Ans:(a)
Ref:
62.
Carcinoma
endometrium with involvement of inguinal nodes belongs to which stage a.StageI b.Stage II c.Stage III
d. Stage IV
Ans:(d)
Ref:Dewhurst's OBG p564
63.
Cone
biopsy is indicated in all the following conditions except a.Micro invasive carcinoma b.indefnite diagnosis on colposcopy c.CIN III d.Cervical metaplasia
Ans:(d)
Ref:Harrison p609
64.
Pap
smear from a lady shows CIN grade III.
Which of the following is the next step in management a.cone biopsy b.punch biopsy c.large loop
excision d.colposcopy directed biopsy
Ans:(d)
Ref:
65.
A
patient is diagnosed to have CIN II. She approaches you for advice. You can
definitely tell her the risk of lesion progressing to malignancy as
a.5% b.15% c.60% d.30%
Ans:( )
Ref: The progress rate for CIN
III is 18% by 10yrs and 36% by 20 yrs(Dew Hurst). So the answer could be 5%
66.
A
child presents with multiple permeating lesions involving all the bones in
body. Which of the following is the most probable diagnosis a.Neruoblastoma b.Histiocytosis X c.Metastasis from
osteosarcoma d.Metastasis
from Wilm's tumor
Ans:(b)
Ref:Robbin's page 685
67.
A
70 year old man presents with urinary retention and back pain. Which of the
following investigations is needed next a.Serum acid phosphatase b.Serum alkaline phosphatase c.serum electrophoresis d.serum calcium
Ans:(a)
Ref:
68.
Which
of the following is not seen after trans urethral resection of prostate a.Hyponatremia b.Hypernatremia c.Transient blindness d.convulsions
Ans:(b)
Ref:Old Bailey p978
69.
A
patient is having benign prostatic hyperplasia. He is having a blood pressure
of 180/110mmHg and a serum Creatinine of 3.5. Which of the following drugs is
not to be used to treat him a.Prazocin b.Enlapril c.Amlodipine
d.Metoprolol
Ans:(b)
Ref: Enlapril is excreted mainly
by kidney and Metoprolol mainly by liver. Patient's creatinine is high
70.
A
patient presents at 32 weeks of pregnancy with suspected antepartum hemorrhage.
Her blood pressure is 80/60mmHg. Which of the following is the next step in
management
a.Immediate cesarian section
b.careful observation c.blood transfusion
Ans:(c)
Ref:
71.
Scanty,
foul smelling, painless discharge from the ear is a characteristic feature of
which of the following lesions a.Acute otitis media b.otitis externa c.central perforation d.cholesteatoma
Ans:(d)
Ref: Text book of ENT by Dingra
72.
A
70 year old man presents with complaints of tinnitus. Which of the following is
the most probable diagnosis a.labrynthitis b.acoustic trauma c.ASOM d.acoustic
neurinoma
Ans:(d)
Ref:Text Book of ENT Scott
Brown, p3/21/10
73.
A
55 year old smoker presents with complaints of hemoptysis. On bronchoscopic
examination, there was a lesion in the distal trachea which was growing in to
the lumen. Which of the following is the most probable diagnosis a.Squamous
cell carcinoma b.adenoid cystic
carcinoma c.squamous papilloma d.Muco Epidermoid carcinoma
Ans:(a)
Ref:Robbin's 6th Edition p744
74.
After
hyperventilating for some time, holding the breath is dangerous since a.it can lead
on to CO2 narcosis
b.due to the lack of stimulation by CO2 anoxia can go into
dangerous levels c.decreased CO2 shift
the ODC to the left d.
alkalosis can lead on to tetany
Ans:(b)
Ref:
75.
Blood
gas measurements of a patient shows the following values pH 7.2 p CO2 80mmHg, pO2 46mmHg.
Which of the following could be the most probable diagnosis a.acute
asthma
b.acute exacerbation of COPD
c.ARDS d.severe pneumonia
Ans:(b)
Ref:
76.
Sulfur
granules in actinomycosis are composed of a.organisms b.Neutrophils and lymphocytes c.monocytes d.eosinophils
Ans:(a)
Ref:Harrison p991
77.
In
lipoprotein lipase deficiency which of the following is increased a.VLDL b.LDL c. HDL d.Chylomicrons
Ans:(d)
Ref:Harrison p 2142
78.
Lipid
lowering agents Statins, act in all the following ways except a.decreased hepatic cholesterol
synthesis
b.decreased LDL receptors
c.Inhibiting HMG Co-A reductase d.decreasing VLDL
Ans:(b)
Ref:Harrison p 2147
79.
Statin
induced myopathy is not exacerbated by which of the following drugs
a.Nicotinic acid
b.Enlapril c.Erythromycin d.Clofibrate
Ans:(b)
Ref:Harrison p 2147
80.
What
is the attitude of the lower limb following posterior dislocation of hip a.abduction,
flexion and internal rotation b.adduction, flexion and
internal rotation c.abduction flexion and
external rotation d.adduction
flexion and external rotation
Ans:(b)
Ref:
81.
A
child falls from a height and lands on his fully outstretched hands. On
examination there is pain and swelling over his right elbow. The probable
diagnosis is a.Fracture both bones
forearm b.Supra condylar fracture of
humerus
c.posterior dislocation of elbow. d.Fracture olecranon
Ans:(b)
Ref:
82.
A
man was diagnosed to have myositis ossificans progressiva at the age of 20
years. He died five years later. What is the most probable cause of death a.starvation and chest infection b.myocarditis c.hypercalcemia d.hyperphosphatemia
Ans:(a)
Ref:PostGraduate text book of
Clinical Orthopedics, p61
83.
A
patient is having a left tibial fracture which is on POP cast for two months.
Now he needs mobilization of a single crutch. On which side will you use this
crutch a.Any side b.left side c.right side
d.both sides
Ans:(?c)
Ref:
84.
A
10 year old child presents with a mass on his thigh which was found to be
arising from the diaphysis and involving the soft tissues. The child was having
fever also. What is the most probable diagnosis a.Osteosarcoma b.Ewing's sarcoma c.chondrosarcoma
d.malignant fibrous histiocytoma
Ans:(b)
Ref:Harrison p613
85.
Histology
of Ewing's sarcoma shows small round cells. These cells are filled with which
of the following a.Iron b.Fat c.Mucin d.Glycogen
Ans:(d)
Ref:Harrison p613
86.
A
50 year old patient presents with a lesion in the midline involving the sacrum
which is sclerotic. What is the likely diagnosis a.osteosarcoma b.chordoma
c.metastasis
Ans:(b)
Ref:Anderson pathology p1807
87.
A
child was taken to the doctor by his mother,
complaining that there is decrease in his school performance. His
teacher says that he frequently squeezes his eyes and says that there is
difficulty in seeing the black board. What is the most probable diagnosis a.Myopia b.Hyperopia c.Presbyopia
Ans:(a)
Ref:
88.
Basanti,
a 20 year old female presents with complaints of difficulty in reading near
print. On examination there is ptosis and diplopia in looking in all
directions. What is the most probable diagnosis a.Lateral rectus palsy b.Oculomotor palsy c.presbyopia d.Myasthenia gravis
Ans:(?b)
Ref:
89.
25
year old Kalloo, presents with one day history of pain and redness associated
with watering from his left eye. This was associated with intolerance to light.
What is the most probable diagnosis a.Acute anterior uveitis b.acute posterior
uveitis c.epidemic
keratoconjunctivitis
Ans:(a)
Ref:Explanation-Epidemic
Keratoconjunctivitis is bilateral in 90%of cases
90.
Which
of the following is the commonest infection which causes blind ness in adult
men a.Toxocara b.Toxoplasma gondii c.Tenia solium d.Plasmodium falciparum
Ans:(b)
Ref:Provided by Ophthal PGs
91.
All
the following anatomical changes will predispose to primary angle closure
glaucoma except a.small
cornea
b.flat cornea c.anterior chamber shallow d.short axial length of eye ball
Ans:(b)
Ref:Text book of Ophthalmology
by Kansky
92.
In
a hypertensive patient with glaucoma which of the following is not used
a.Dipivefrine b.Beta blockers c.alpha agonist d.laser
trabeculoplasty
Ans:(?a)
Ref:
93.
A
patient complains of evening halos and occasional head aches for some months.
On examination anterior chamber of both the eyes are shallow and the intra
ocular pressure is normal. This condition represents what stage of
glaucoma
a.constant instability
b.prodrome c.absolute d.acute
Ans:(b)
Ref:Parson p217
94.
A
five year old child presents with mild proptosis and loss of vision of one eye.
On examination direct pupillary reflex is absent and consensual reflex is
present. What is the most probable diagnosis
a.Retinoblastoma
b.optic disc angioma c.optic nerve glioma d.optic sheath
meningioma
Ans:(b)
Ref:Walsh and Hoyt's clinical
neuroophthalmology p682
95.
A
48year old lady presents with unilateral mild axial proptosis . There is no
history of redness or pain. Which of the following is the most appropriate
investigation a.CT
scan to rule out meningioma b.USG to
rule out orbital pseudotumor
c.T3 and T4 measurement to rule out thyrotoxicosis d.Thyroid scan
Ans:(?c)
Ref:Again Ophthal PGs in AIIMS
96.
Ramesh
60 years, presents with generalized bone pain . On examination there is
elevated ESR of 100mm, serum globulin 7, lytic lesions in the skull, serum
creatinine of 3.5mg/dL and serum calcium of 11mg/dL. What is the most likely
diagnosis
a.Waldenstrom'smacroglobulinemia b.Multiple myeloma
c.Hyperparathyroidism
Ans:(b)
Ref:Harrison p 715
97.
Blood
turbulence is increased in which of the following situations a.Multiple myeloma b.lukemia
c.polycythemia
d.anemia
Ans:(d)
Ref:
98.
Serum
alkaline phosphatase in increased in which of the following diseases
a.osteoporosis b.Paget's disease c.hypoparathyroidism d.Multiple myeloma
Ans:(b)
Ref:Harrison p 715 and p2267
99.
76
year old man presents with lytic lesions in the vertebra. X ray skull showed
multiple punched out lesions . The most likely diagnosis a.Multiple myeloma b.hyperparathyroidism
Ans:(a)
Ref: Harrison p714
contribute questions to your
free PG entrance site….
100.
Basanti,
an 8 year old girl, presents with recent onset of genu valgum and difficulty in
walking. On X-ray examination there is metaphyseal widening and osteoporosis.
Investigations showed a serum calcium of 11mg/dL, serum phosphorus of 2.5 mg/dL
and Alkaline Phosphatase of 30KAU.PTH was elevated The possible cause is a.Hypophosphatemic rickets b.nutritional rickets c.primary
hyperparathyroidism d.azotemic renal dystrophy
Ans:( )
Ref:The features are suggestive
of primary hyperparathyroidism. The points against are the age and the
symptoms. Refer Harrison p 2255 and reach a conclusion
101.
Recurrent
Giardiasis is associated with a.C1 esterase
deficiency b.Common variable
immunodeficiency
c.Di George syndrome d.C8 deficiency
Ans:(b)
Ref:Harrison p 1789
102.
Which
of the following best denotes classical complement pathway activation in immuno
inflammatory conditions a.C2, C4
and C3 decreased b.C2 and C4 normal C3
is decreased c.C3 normal
and C2, C4 decreased
Ans:(a)
Ref:Harrison p 1771
103.
Vasanti,
a 25 year old girl, presents with complaints of fever and weakness. On
examination there is splenomegaly of 3cm below the costal margin. Hb is 8
mg/dL TLC is 3,000/mm3 ,
platelet count is 80,000/mm3. Which of the following is the least
likely diagnosis a.Acute lymphocytic lukemia
b.Anemia of chronic disease c.Aplastic
anemia d.Megaloblastic
anemia
Ans:(c)
Ref:Harrison p 673
104.
A
child with Ventricular septal defect developed Eisenmenger syndrome. What is
the correct sequence of events which leads to this change
a.Left to right shunt, Right ventricular hypertrophy, Pulmonary
hypertension, Right to left shunt b.Left to right shunt,
Pulmonary hypertension, Right ventricular hypertrophy, Right to left shunt c.Left to right shunt, Right
ventricular hypertrophy, Right to left shunt, Pulmonary hypertension d. Pulmonary
hypertension, Right to left shunt, Right ventricular hypertrophy, Left to right
shunt
Ans:(a)
Ref:Old Ghai p239,242
105.
A
child is diagnosed to have acute gastro enteritis. The doctor wants to sent a
stool sample to a lab in the periphery which is 16 - 18 hrs away. Which of the
following mediums should he use to sent this sample a.Charcol cotton bud b.Carry Blair
medium c.sterilized jar d.A
medium with high CO2 content
Ref:
Ans:(c)
106.
Laparotomy
of a lady with a suspected ovarian tumor showed bilaterally enlarged ovaries
with smooth surfaces. Histology showed mucin secreting cells with a signet ring
appearance. What is the likely diagnosis a.primary adenocarcinoma of
ovary b.granulosa cell tumor
c.Krukenberg tumor
d.Dysgerminoma
Ans:(b)
Ref: Harrison p606
107.
Lalloo
54 years, who is a known diabetic patient develops cirrhosis. There is
associated skin hyperpigmentation and restrictive cardiomyopathy. Which of the
following is the best initial test to diagnose this case a.Total Iron
Binding Capacity b.Serum ferritin c.Serum
copper
d.Serum ceruloplasmin
Ans:(b)
Ref:Harrison p2151
108.
A
child presents with complaints of oliguria, abdominal distension and diarrhea.
On examination there is deep jaundice. Hepatomegaly was present measuring 4cm
below the costal margin. Conjugated bilirubin in blood was 38mg/dL, and there
was urine urobilinogen and bile pigments. Hemoglobin was 4mg/dL and serum
creatinine was 3 mg/dL. Which of the following tests is of least importance to
diagnose this case a.G-6-PD level in
blood b.Serum ceruloplasmin c.reticulocyte count d.leptospiral antibody level
Ans:( )
Ref:
109.
A
farmer rearing sheep, presented with complaints of fever and weakness for the
last one month. There is generalized lymphadenopathy. There was also associated
hepatomegaly. Biopsy of liver showed non-caseating granuloma. These are most
likely due to infection with a.Brucella melitensis b.Brucella canis c.Francisella
tularensis d.Yersinia pestis
Ans:(a)
Ref:CMDT2000, p1360
110.
A
child presents with complaints of abdominal colic and hematuria. USG showed a
renal stone 2.5cm in diameter in the
renal pelvis. The next step in management of this case is a.ESWL b.pyelolithotomy c.nephroureterostomy
d.Conservative
Ans:(?a)
Ref:
111.
A
hemophiliac patient is going to undergo a tooth extraction under monitored
anaesthetic care. Which of the following is not true under this situation a.Factor 8 cryoprecipitate
may be needed b.HIV screening
should be done for all cases c.Dental extraction
should be done only under General anesthesia d.The dose of lignocaine is same as their normal
counterparts
Ans:(c)
Ref:
112.
Which
of the following is true regarding Mallet finger a.avulsion of extensor tendon at the base of the
distal phalanx b.fracture of
the distal phalanx c.fracture of the
proximal phalanx d.avulsion of tendon at the base of the middle phalanx
Ans:(a)
Ref:
113.
The
most effective way of preventing tetanus is a.Surgical debridement and toilet b.hyperbaric
oxygen c.antibiotics d.Tetanus toxoid
Ans:(d)
Ref:Park
114.
Best
epidemiological tool for investigation of Hepatitis B is a.Anti HBs Ag b.Anti HBc Ag c.Anti Hbe Ag d.HBc Ag
Ans:(b)
Ref:I don't have a reference for
that, but traditionally this is the answer
115.
A
pregnant lady is diagnosed to be HBs Ag positive . Which of the following is
the best way to prevent infection to the child a.Hepatitis B immunization to mother b.Hepatitis B vaccine to the child
c.Full course of Hepatitis B vaccine and immunoglobulin to the child
d.Hepatitis B immunoglobulin to mother
Ans:(c)
Ref:
116.
A
lady of 24 weeks of gestation presents with complaints of abdominal pain. On
examination there is a tender mass in the lower abdomen which is in continuity
with the uterus. Which of the following is the most likely diagnosis
a.Hyaline change in myoma
b.Red degeneration of fibroid
c.premature placental separation
Ans:(b)
Ref:
117.
Fothergill's
repair for prolapsed uterus will not lead to a.first trimester abortions b.cervical distocia c.premature labor d.premature rupture of membrane
Ans:(a)
Ref:Shaw's textbook of
Gynecology, chapter on prolapse of uterus. Fothergill can lead to second
trimester abortions but not in first trimester, and the fibrosis of cervix
after amputation can lead on to dystocia
118.
A
patient presents with post coital bleeding. On speculum examination there is a
friable mass in the cervix. What is the next step in management a.punch
biopsy b.coloposcopy
directed biopsy c.6 monthly
pap smear
Ans:(?a)
Ref:
119.
A
five year old child of normal intelligence presents with features of hypotonia.
On examination there was tongue fasciculations and he keeps his body in a frog
like position. What is the most probable diagnosis a.Down's syndrome b.Guillain Barre
syndrome c.Spinal muscular
atrophy d.Limb girdle
atrophy
Ans:(c)
Ref:Nelson's p1887
120.
Babloo,
a 4 year old boy, presents with history of seizures. On examination there is
hypopigmented patches on his face. There is mental retardation also. What is
the most likely diagnosis
a.Neurofibromatosis
b.Tuberous sclerosis
c.Sturge Weber syndrome
d.incontinentia pigmenti
Ans:(b)
Ref:
121.
ANCA
is not associated with which of the following diseases a.Wegener's granulamatosis b.Henoch Schonlein purpura c.microscopic PAN d.Churg Strauss syndrome
Ans:(b)
Ref:Harrison p 1914, 1915
122.
A
child presents with a solitary white well defined patch of his right thigh.
What is the diagnosis a.Piebaldism b.Nevus achromicus c.acral vitiligo d.albinism
Ans:(b)
Ref:Andrew's text book of
Dermatology
123.
What
is the best prognostic indicator of multiple myeloma at the time of
diagnosis
a.number of myeloma cells in the marrow b.beta2 microglobulin c.alkaline phosphatase
level d.hyper calcemia
Ans:(b)
Ref:Harrison p715
124.
What
is the line of management of a case of moderate to severe hepatic insufficiency
with portal hypertension, according to the modified Pugh's classification a.sclerotherapy b.orthotopic liver
transplantation c.shunt surgery d.conservative
Ans:(b)
Ref:CMDT2000 p 675
125.
A
five year old male child presents with complaints of fever and abdominal
distension. He is having vomiting for the last five days. On examination there
are 6 -- 8 pus cells/hpf in urine. WBC count shows 78% neutrophils. What is the
best line of management a.send
urine for culture and sensitivity and wait for results b.send for urine culture
and sensitivity and start i.v.antibiotics immediately c.send urine for culture, do an USG and
start choroquine
Ans:(b)
Ref:
126.
What
is the treatment of choice in a pregnant lady having Plasmodium vivax
infection a.chloroquine
b.chloroquine+primaquine c.quinine d.chloroquine+pyrimethamine
Ans:(a)
Ref:
127.
Which
of the following is not a feature of idiopathic cholestasis associated with
pregnancy a.serum bilirubin of 2
mg/dL b.serum alkaline phosphatase of
30 KAU
c.SGPT of 200 units
d.prolongation of prothrombin time
Ans:(?c)
Ref:Check p28 of Harrison
128.
A
pregnant lady presents with fulminant hepatitis. Which of the following is the
most likely causative agent
a.Hepatitis A b. Hepatitis B c.Hepatitis E d. Hepatitis D
Ans:(c)
Ref:
129.
A
lady presents with complaints of hemoptysis. Her chest X ray appears to be
normal. What is the next best investigation
a.bronchoscopy
b.High Resolution CT
c.sputum cytology
Ans:(a)
Ref:Harrison p198
130.
A
boy presents with one episode of painless gross hematuria. An excretory urogram
showed a filling defect towards the lower renal infundibulum 1.5 cm in size.
What is the next investigation to be done a.cystoscopy b.ultrasonography c.retrograde pyelography d.urine cytology
Ans:(?b)
Ref:Depending on a similar
question from surgery pretest.
131.
All
are true regarding treatment with aminophylline except a.it decreases the oxygen tension
b.its dose is to be decreased in smokers c.it increases the
contractility of the diaphragm d.interaction with erythromycin can
increase its toxicity
Ans:(b)
Ref:Harrison page 1424
132.
What
is the treatment of choice for myoclonic epilepsy in children a.phenytoin b.phenobarbitone c.sodium valproate d.ethosuximide
Ans:(b)
Ref:Harrison page 1424
133.
A
patient is having normal lung compliance and increased airway resistance. What
is the most economical way of breathing for him a.slow and deep b.slow and shallow c.rapid and deep d.rapid and shallow
Ans:(?a)
Ref:Will give you the reference
soon
134.
A
45 year old man presents with history frequent falls. He has difficulty in
looking down also. What is the most probable diagnosis a.Normal pressure hydrocephalus b.Parkinson's disease c.Alzheimer's disease d.Progressive supranuclear palsy
Ans:(d)
Ref:Harrison p2360
135.
Impotence
is a feature of which of the following a.Multiple sclerosis b.Poliomyelitis c.Amyotropic lateral sclerosis
d.Meningitis
Ans:(a)
Ref:Harrison table 376-1
136.
Non
immune hydrops is not a feature of which of the following a.chromosomal
abnormalities b.alpha thalassemia c.renal malformations in
fetus d.fetal cardiac abnormalities
Ans:(c)
Ref:William's obstetrics 28th
edition p994
137.
A
boy presents two weeks after an injury to his left eye. He complaints of
bilateral pain and redness and watering from right eye. What is the probable
diagnosis a.endophthalmitis b.optic neuritis c.sympathetic irritation d.sympathetic ophthalmitis
Ans:(d)
Ref:
138.
A
29 day old child presents with features of congestive cardiac failure and left
ventricular hypertrophy. There was an associated short systolic murmur. Which
of the following is the most likely cause
a.Tetrology
of Fallot b.Ventricular septal
defect c.Transposition of Great arteries d.Rheumatic fever
Ans:(?b)
Ref:The left ventricular
hypertrophy could be a point against VSD
139.
A
five year old child presents with left ventricular hypertrophy and central
cyanosis. Which of the following is the underlying cardiac lesion
a.Partial anomalous pulmonary venous drainage b.Tricuspid atresia c.Eisenmenger syndrome d.Tetrology of Fallot
Ans:(b)
Ref:Ghai
140.
The
murmur of HOCM is decreased in which of the following a.supine position b.standing position c.valsalva maneuver d.amyl nitrate inhalation
Ans:(a)
Ref:Harrison p1234
141.
A
young lady presents with hypertension. DTPA scan was normal. USG showed a small
kidney on left side. What is the next investigation a.DMSA b.Digital subtraction angiography
c.CT scan abdomen d.Retrograde pyelogram
Ans:(b)
Ref:Harrison p1559
142.
A
breast fed child presents with hyper natremia (serum sodium >170mEq/L). His
urine sodium is 70mEq/L. Which of the following is the most likely cause a.Diabetes insipidus b.acute tubular necrosis c.severe dehydration d.excessive intake of sodium
Ans:(?d)
Ref:No reference till now.Please
wait
143.
Which
of the following values are suggestive of acute tubular necrosis a.urine osmolality >500 b.urine sodium >40 c.Blood urea nitrogen/plasma creatinine
>20 d.Urine
Creatinine / plasma creatinine >40
Ans:(b)
Ref:Harrison table 270-3
144.
What
is the management of a case of bullet injury to left side of the colon
presenting at 12 hrs after the incident a.Primary closure b.proximal colostomy and
bringing out the distal part as a mucus fistula c.resection and primary
anastomosis
d.proximal defunctioning colostomy
Ans:(b)
Ref:Old Bailey p23
145.
Endoscopy
of a patient having peptic ulcer disease showed features of chronic antral
gastritis.Which of the following dyes will you use to stain a specimen taken
from the stomach
a.PAS
b.gram stain
c.Warthin starry stain
d.Zeihl Nielson stain
Ans:(c)
Ref:Harrison p1599
146.
All
are done as part of radical mastoidectomy except a.closure of the Eustachian tube b.removing the
cochlea c.removal of the ossicles
d.exteriorisation of the mastoid
Ans:(b)
Ref:
147.
All
the following can lead on to trophic ulcers in the fingers except a.cervical disc prolapse b.subacute combined degeneration of
spinal cord
c.leprosy
d.syringomyelia
Ans:(b)
Ref:Harrison p2388, 2456
148.
Zileuton
is
a.5 lipooxygenase inhibitor
b.TX A2 inhibitor
c.Leukotriene receptor antagonist
Ans:(a)
Ref:Tripathi
149.
In
calculating crude birth rate which of the following is used as denominator a.women in 15-49
yrs age group b.all persons in 15-49
yrs age group c.mid year population
d.all live births
Ans:(c)
Ref:Park
150.
The
calculate infant mortality rate you take mortality of which of the following
age group a.less
than 7 days
b.less than 28 days c.less than1-4 days d.less than 1 year
Ans:(d)
Ref:Park
151.
If
the greater tuberosity of the humerus is lost which of the following movements
will be affected
a.adduction and flexion
b.abduction and lateral rotation c.medial rotation and adduction
d.flexion and medial rotation
Ans:(b)
Ref:Snell's text book of anatomy
152.
The
prognosis of soft tissue sarcoma depends on which of the following a.tumor
grade b.tumor
size c.histological
type d.nodal
metastasis
Ans:(a)
Ref:Harrison p1012
153.
While
calculating the incubation period for measles in a group of 25 children, the
standard deviation is 2 and the mean incubation period is 8 days. Calculate the
standard error a.0.4 b.1 c.2 d.0.5
Ans:(a)
Ref:Park
154.
Chemoprophylaxis
is not indicated in which of the following
a.measles
b.cholera c.meningococcemia
d.plague
Ans:(a)
Ref:
155.
Which
of the following is true regarding Nisseria meningitidis infection a.In
India the sero type B is the most common cause b.all strains are uniformly sensitive to
sulfonamides
c.in children less than 2 years the vaccine is not effective d.it is the most common
cause of meningitis in children
Ans:(c)
Ref:Traditionally this is the
answer. I will come up with a reference
156.
Extrapyramidal
symptoms are not seen in a.paralysis
agitans b.carbon
monoxide poisoning c.cerebro vascular accident d.multiple sclerosis
Ans:(d)
Ref:Harrison p2413 table 376-2
157.
According
to the WHO, what is the minimum bacteriological standard for drinking
water
a.all the samples should not contain coliform organisms b.3 consecutive
samples of water should not contain any coliforms c.3 coliforms in a 100ml
Ans:(?a)
Ref:Please refer Park
158.
Starvation
and diabetes mellitus can lead on to ketoacidosis. Which of the following
features is in favor of ketoacidosis due to diabetes mellitus a.increase
in glucagon/insulin ratio, increased cAMP and increased blood glucose b.decreased insulin, increased free fatty acids
which is equivalent to blood glucose c.decreased insulin, increased free fatty
acids which is not equivalent to blood glucose
Ans:(a)
Ref:Harrison p2071
159.
If
correlation between weight and heights are very strong what will be the
correlation coefficient
a.+1 b.>1 c.0 d.- 1
Ans:(a)
Ref:Park
160.
A
lady presents with a history of fracture radius, which was put on plaster of
paris cast for 4 weeks. After that she developed swelling of hands with shiny
skin.What is the most likely diagnosis a.rupture of extensor policis longus tendon b.myositis
ossificans c.reflex
sympathetic dystrophy d.malunion
Ans:(c)
Ref:
161.
In
hand surgery which area is called "No man's land" a.proximal phalanx b.distal phalanx c.between distal palmar
crease and proximal phalanx d.wrist
Ans:(c)
Ref:
162.
While
doing below knee amputation which of the following is the most important
technical consideration
a.posterior flap should be longer than the anterior flap b.anterior flap should be longer
than the posterior flap
c.stump should be long
d.stump should be short
Ans:(?c)
Ref:Old Bailey p169. For
ischemic limbs the posterior flap should
be long. For amputations in general the stump seems to be more important
163.
For
breast reconstruction which of the following is not used a.Transverse rectus abdominus myocutaneous
flap b.Transverse rectus
abdominus free flap
c.Pectoralis major myocutaneous flap d.Lattismus dorsi
myocutaneous flap
Ans:(?c)
Ref:Provided by Surgery PGs
164.
Kalloo,
a 24 year old occasional alcoholic has got a change in his behavior. He has
become suspicious that people are trying to conspire against him though his
father states that there is no reason for his fears. He is getting
hallucinations of voices commenting on his actions. What is the most probable
diagnosis a.Delerium tremens b.Alcohol induced psychosis
c.Schizophrenia
d.Delusional disorder
Ans:(c)
Ref:He is an occasional
alcoholic, which rules out alcohol induced psychosis. He is having typical
third person auditory hallucinations and paranoid delusions, also his age is
typical for schizophrenia.
165.
Lalloo
40 years has recently started writing books. But the matter in his book could
not be under stood by any body since it contained words which were not there in
any dictionary and the theme was very disjoint. Now a days he has becomes very
shy and self absorbed. When he addresses people he speaks about metaphilosophical
ideas. What is the likely diagnosis a.Mania b.Schizophrenia c.A genius
writer d.delusional
disorder
Ans:(b)
Ref:This is a classical case of
schizophrenia, characterized by neologisms, loosening of association, thought
disorder. The point that he is shy and self absorbed rules out mania.
166.
A
patient was on treatment with trifluperazine for some time. He presents with
complaints of hyperthermia, lethargy and sweating. What is the next step in
management
a.do a CT scan brain and a hemogram b.Hemogram, electrolyte levels and
creatinine
c.ECG, chest X ray and hemogram d.Hemogram, CPK and RFT
Ans:(d)
Ref:This is a case of malignant
hyperthermia, for which d seems to be the best investigations
167.
Vasanti,
45 years , was brought to casualty with abnormal movements which included
persistent deviation of neck to right side. One day before she was prescribed
Haloperidol 5mg three times daily from the psychiatry OPD. She also had an
alternation with her husband recently. Which of the following is the most
likely cause for her symptoms a.acute drug dystonia b.conversion reaction c.acute psychosis d.cerebro vascular accident
Ans:(a)
Ref:Acute dystonias due to drugs
occur withing 1-5dys after starting the drug, and the dystonic features of this
lady are more in favour of a drug induced dystonia than a conversion disorder.
168.
A
patient presents with pain in the hip joint and the knee joint. There is defective adduction of his hip joint.
Which of the following nerves is most likely involved a.femoral nerve
b.obturator nerve c.saphenous nerve d.sciatic nerve
Ans:(b)
Ref:Snell
169.
A
patient was undergoing abdominal surgery under local anesthesia. He suddenly
developed sharp severe pain. Which of the following structures will be
responsible for his pain
a.parietal peritoneum
b.liver parenchyma
c.colon d.small intestine
Ans:(a)
Ref:
170.
While
doing central venous catheterization of a patient through internal jugular
vein, the patient suddenly developed respiratory distress and hypoxemia. What
would be the likely cause
a.pneumothorax b.tamponade
c.hypovolumia d.septiciemia
Ans:(a)
Ref:
171.
Which
of the following is true regarding cortical blindness a.Direct and consensual reflex absent in both the eyes b.Direct and consensual reflexes are present in both the
eyes c.Direct reflex present
and consensual reflex absent on the affected side d.Direct reflex present and
consensual absent on the normal side
Ans:(b)
Ref:
172.
A
low lander goes to the mountains. When he reaches about 50,000 feet high, he
develops dyspnea. Which of the following
is the correct explanation for his symptom a.Carbon dioxide wash out b.increased blood flow to the pulmonary
tissues c.CNS depression
Ans:(a)
Ref:Ganong
173.
All
the following are radiological features of mitral stenosis except a.straight left heart border b.oligemia of
upper lung fields c.pulmonary hemo siderosis d.lifting of the left bronchus
Ans:(b)
Ref:Harrison p1314
174.
The
sodium content of the filtrate in renal medulla is very high because a.at the loop of henle and vasa recta there
is a counter current mechanism b.increased blood flow to vasa recta
c.increased absorption of sodium from PCT
Ans:(a)
Ref:Ganong
175.
Which
of the following is the most common cause of late neurological deterioration in
a case of cerebro-vascular accident a.rebleeding
b.vasospasm c.embolism d.hydrocephalus
Ans:(b)
Ref:Harrison p2345
176.
Head
trauma patient presents four weeks after his injury with features of
irritability and altered sensorium. What is the most likely diagnosis a.electrolyte imbalance b.chronic subdural hematoma
Ans:(b)
Ref:
177.
If
a patient on digitalis develops ventricular tachycardia, which of the following
drugs you will not use in management a.amiodarone
b.quinidine c.phenytoin
d.lidocain
Ans:(b)
Ref:Tripathi
178.
An
85 year old man under went Trans urethral resection of prostate. A histological
examination of his specimen showed foci of adenocarcinoma. What is the next
step in management
a.endocrine therapy b.no furthur treatment c.radical surgery d.hormone therapy
Ans:(b)
Ref: Old Bailey p984
179.
Skin
graft survival within 48hrs of transplantation is due to a.new vessels growing from the
side
b.plasmatic imbibition
Ans:(b)
Ref:New Bailey, chapter on skin
grafts and plastic surgery
180.
Which
of the following drugs is used to reverse the effect of d-tubocurarin a.atropine b.neostigmine c.physostigmine
Ans:(b)
Ref:Tripathi
181.
Which
of the following congenital malformations is seen in a child of a mother who is
on treatment with oral anticoagulants a.craniofacial malformations b.renal agenesis c.long bone defects
Ans:(d)
Ref:This choice I missed
initially. This was chondrodysplasia punctata. If this was there in the choices
this is the answer, otherwise it is craniofacial abnormalities
182.
Which
of the following is least likely to cause interstitial nephritis on chronic
use
a.methicillin b.cephalothin
c.heparin d.ampicillin
Ans:(c)
Ref:Tripathi
183.
What
is the right time in the menstrual cycle to do endometrial biopsy as a part of
investigation for infertility a.3--5 days b.12--14 days c.17--19 days d.22--24 days
Ans:(d)
Ref:
184.
Which
of the following is the best method to assess the adequacy of replacement fluid
in a case of shock a.decrease in
thirst b.increase in
urine out put c.blood
pressure d.increased
Pa O2
Ans:(b)
Ref:Bailey
185.
Which
of the following is not associated with increase in intracranial pressure a.increase in blood pressure
b.respiratory depression c.tachycardia d.deterioration of consciousness
Ans:(c)
Ref:Harrison
186.
Which
of the following is not a myeloproliferative disease a.polycythemia rubra vera
b.acute myeloid lukemia
c.chronic myeloid lukemia
d.essential thrombocytosis
Ans:(b)
Ref:Harrsion p679
187.
Too
much false positives in a test is due to which of the following a.high prevalence b.tests with high
specificity c.tests with high
sensitivity d.low prevalence
Ans:(c)
Ref:Park p112
188.
According
to the Central Birth and Death registration act of 1969, birth is to be
reported within a.10 days b.14 days
c.7 days d.4 days
Ans:(b)
Ref:Park
189.
Which
of the following gives the best idea regarding the morbidity in a
community
a.sentinal surveillance
b.active surveillance
c.passive surveillance
Ans:(b)
Ref:Park
190.
Which
of the following studies is best for calculating the incidence of a
disease
a.case control study
b.cohort study
c.cross sectional study
Ans:(b)
Ref:Park
191.
A
patient suffers a decelerating injury in which the pituitary stalk was damaged.
Which of the following in least likely to occur a.Diabetes insipidus
b.Diabetes mellitus
c.thryoid insufficiency
d.adreno cortical insufficiency
Ans:(b)
Ref:
192.
Which
of the following is not a feature of Mullerian dysgenesis a.46XX karyotype b.absent vagina b.absent uterus d.ovarian agenesis
Ans:(d)
Ref:Harrison p2105
193.
A
patient gets recurrent urticaria while doing exercising and on exposure to
sunlight. Which of the following is the most likely cause a.chronic idiopathic
urticaria b.universal dermographism
c.cholinergic urticaria
Ans:(c)
Ref:Harrison p1864
194.
On
complete hydrolysis of DNA we will get all the following except a.Deoxy pentose sugar b.phosphoric acid c.adenosine
d.purine bases
Ans:(c)
Ref:It was a direct pick from a
practice question in Lippincott's text book of Biochemistry, chapter on DNA
195.
Which
of the following is true about autoclaving a.it kills by denaturation of
proteins b.presence of air is good for
the killing of organisms c.it is best for oils and jellys d.kills all organisms except HIV
Ans:(a)
Ref:Anantha Narayan, but there
are supporters for b also
196.
Which
of the following methods is best for controlling an out break of Methicillin
resistant staph aureus infection of wounds in a post operative ward a.using of a face mask by the
personnal
b.washing the hands thoroughly before and after dressing the wounds c.thorough
fumigation of the room d.pre operative vancomycin to every patients
Ans:(d)
Ref:Harrison p883
197.
Transition
temperature of lipid bilayers of cell membranes is increased by a.cholesterol b.saturated fatty
acids c.unsaturated fatty acids
d.hydrocarbons
Ans:(b)
Ref:
198.
Regarding
the vessels in the umbilical cord which of the following are true a.there are two
arteries and two veins b.there are two
arteries and the right vein c.there are two arteries and left vein d.there is only one
artery and one vein
Ans:(c)
Ref:Obstetrics Dutta
199.
What
is the average protein requirement of a reference Indian
man
a.50gms b.60gms c.80gms d.40gms
Ans:(b)
Ref:Park
200.
A patient presents with
complaints
of sciatica. On radiological
examination, there were sclerotic
lesions involving his pelvis, verte-
brae and ribs. There were also
sclerotic lesions on his skull. Which
of the following markers is most likely to be elevated in this patient a.CEA b.Prostate specific antigen
Ans:(b)
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