AIIMS NOVEMBER 2011 PAPER

-By aiimscorner
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1.Marker of bone formation are all except
1. osteocalcin
2. alkaline phosphatase
3. procollagen residue
4. Hydroxyproline
2.which is not occurring in child exposed to cold climate/
1. shiering
2. !exion of body like fetus postion
3. cutaneous asoconstriction
4. production of noradrenalilne to release energy from brown adipose tissue
3."riteria for primary hyperaldosteronism# all except
1. diastolic hypertension without edema
2. metabolic acidosis present
3. low secretion of rennin.
4. low secretion of aldosterone inspite of reduced olume of !uid
4.drug not used in multiple sclerosis
1. ifn 1a
2. $%& 1b
3. 'latiremer acetate
4. Mycophenolate
(. drug used in multiple sclerosis
1. ifn alpha
2. $%& beta
3. ifn gamma
). *remelanotide used for
1. +rectile dysfunction
2.,-./
3.012/.3.+ "3&"+1
4.M+.3/.3.$" 1+&3, "3&"+1
*remelanotide is a compound treatment for hemorrhagic shock and reperfusion
in4ury. $t functions by actiating the melanocortin receptors M"11 and M"41# to
modulate in!ammation and limiting ischemia $t was originally deeloped for use in
treating sexual dysfunction but this application was temporarily discontinued in
2556# after concerns were raised oer aderse side e7ects of increased blood
pressure. "urrently# 0alatin is in negotiations with the %83 to resume Human 0hase
2 studies using a new subcutaneous drug deliery system that appears to hae little
e7ect on blood pressure.
9.0ost operatie ileus maximum in:
1.stomach
2.duodenum
3. ileum
4. "olon
6.$f 4 nucleotide repeats code for a amino acid...what is no. of amino acid coded
possible:
1. 1)
2. )4
3. 4
4. 2()
;.Mi<uo phenomenon seen in oguchi disease
15.cranial patch drug used in pd=rotigotine
11.!aying seen in what type of lacerated wound >
a. tear
b. shearing force
c. aulsion
d. pressure
answer ? aulsion
12.according to organ transplantation act 1;;4 what punishment for doctor if found
guilt >
a. 2 yrs
b. morethan ( yrs
c. 4 yrs
d. 2=( yrs
answer = 2=( yrs
13.palataprint commonly taken from
a. anterior part of palate
b. lateral wall of palate
c. medial wall of palate
d. posterior palate
answ = anterior part of palate
14.3n alcoholic not drunk 3= 4 days beaten his neigbour now he came to know he
was in delerium tremens
answer = he was not responsible for act as per section 64 ipc
1(.noble pri<e for discoery of insulin
answ = banting and Macleod
1).drug used for non infectious ueitis in luminate
a. cyclosporin
b. in!iximab
c. methotrexate
d. oclosporin
answer ? oclosporin # 3 new agent for the treatment of noninfectious ueitis:
rationale and design of three ,-M$&3.+ @,ux -eitis Multicenter $nestigation of a
&ew 3pproach to .reatmentA trials of steroid=sparing =oclosporin
19.type d personality were recently found to risk for
a. coronary artery disease
b. depression
c. personality disorder
d. schi<ophrenia
answer = coronary artery disease
16.maximum punishment to doctor under 3543................2year
1;.ldl recptr true 3/+=
1.clathrin coated recptr on cell membrane#
2.taken by endocytosis#
3.present only at xtra hepatic site#
4.incrsd cellular chloesterol downregulates the receptors
25.which drug for ms improe the +8// >
1= interferone
2= glatarimate
3= &atali<umab
21.stack formula for age estimation frm dental pattern :
infant/
adults/
age 2(= (5/
B(5 yrs age
answer ? infants
22.ma4or determinant factor in gluconeogenesis in lier depends 5n
=1=alanine
2= leel of essential fatty acid in lier
3=380 in lier
4=
23.M30 C@ sbp D 2dbp A/3
24.3&.$"23'-,3&. 2% "H2$"+ %21 3&.$"23'-,3.$2&>
1= heparin
2= 2= +8.3
3= 2= 2E3,3.+
4= 3.2F .risodium citrate
2(.if u r in 0H"# which anticoagulant is used to sent the blood sample >
1= +8.3
2= 2= heparin
3= &3=% D 02.3//$-M
4= 02.3//$-M D
2).which of the following inhibit "0.1 on outer membrane of mitochondria> malonyl
co3
lady with hb=;# mc= (5 # ferritin=255 # tibc=2;4 fe= 35mg/dl
1A fe def
2A anaemia of chronic dGs
3A thalasemia minor
4Athalasssemia ma4or
29.HH$"H 2% .H+ %2,,2H$&' 82+/ &2. 3%%+". .H+ H318I H$&*+1' +J-3.$2&>
1= small population
2= 2= random mating
26.3/e brown seKuard syndrome
3Aipsilateral pyramidal tract features
*Ac/l dorsal column
"Ac/l spinothalmic
8Aipsilat planter extensor
2;.pt with femoral hernia # immidiate lateral to sac of hernia is:
1A femoral ein
2A femoral artery
3A femoral nere
4Alateral cutaneous nere of thigh
35.o<urdex = 9F dexamethasone
31.structure not passing ia oesophageal hiatus.......
1.rt phrenic/
2.lt phrenic/
3.agus rt/
4.agus left/
32.ision 2525# who which them does not form part of it
1A who
2A unicef
3A orbis international
4Aiapb
3ns=a HH2>
33.patient with proptosis and pain after 4 hrs of in4ury###bruise in eye and frontal
area........
1.ca sinus thrombosis/
2. int carotid artery aneurysm/
3. carotico caernous Lstula/
4.sphenoid fracture/
34.a downs child mentally retarded# a/e
1A deleted 21
2A trisomy 21
3A robertsonian
4Amosaic
3(.0'+ causes worsening in infant=======
1.ps without sd
2....left hypoplastic hrt syndme
3...obstructie tapc
4. obstruction in aorta
3).efairen< acts
1.H$M$1 012.+3/+
2.H$M1nucleosidase
3.hi1 integrase
4.H$M entry into cell
39.Hhich retinal layer is most resistant to radiation
@aA 10+
@bA layers of rods N cones
@cA bipolar cell layer
@dA ganglion cell layer
3ns=a or b>
36."alciLcation around foramen of monro# with perientricular inLltrates with raise
$".# diagnosis>
1A ependymoma
2A/ub ependydomal=astrocytoma
3A &euronal=cyst
4A central neurocytoma
most common site of subependymal astrocytoma is foramen of munro..
3;. herpes <oster keratitis all occure except
a. pseudodendritic keratitis
b. anterior endothelial keratitis
c. sclero keratitis
d.endothelitis.
45.pt with urethral syndrome # microscopy full of polymorph # but no bacteria #
culture done in
1A mcGcoy cell
2A thayer martin
3A cooked meat
4A 00,2 broth
41. Lrst chemical barrier encountered for microorganism for common exposed sites
a. lyso<yme
b.acidic ph
c.'lycogen
d.lactose
42. on cholecystectomy...cbd stone seen surgeon has less expertise>>>
a.open cholecystectomy wid choledochoduodenostomy
b. conert it to open and then do "*8 remoal
c. laparoscopic cholecystectomy with lap choledocholithotomy
d.lap cholecystectomy with choledocholithotomy through cystic duct
43.a child with tlc=)5555 # hb=;.1 #"815D# "833=# M02D# "8119D# "81;= >>>>
1A3,,
2A3M,
3A M-,.$,$&+3'+ ,+-O+M$3
4A-&8$%%+1+&.$3..+8 ,+-O+M$3
answer is multilineage leukaemia cos cd markers were positie for both t. P * cells
44.all preent deliery of aftercoming head of fetus except
a.extended haed
b.hydrocephalus
c.placenta preia
d.incomplete dilatation of cerix
4(.baby born wid blisters..........best inestigation..
a.M81,
*.M3&2-E on blister !uid
46.NESTROFT @&aked +ye /ingle .ube 1ed "ell 2smotic. %ragility TestA as a
screening tool for detection of beta thalassemia
49.intraepidermal $g'=pemphigus
46..reatment of choice in idiopathic "3H in infants:
1. Hydrocortisone
2. 8examethasone
3. *etamethasone
4;.gallows traction=shaft femur
(5.8ilator pupillae supplied by
1.post ganglionic parasympathetic
2.post ganglionic sympathetic
3.3
rd
nere
4.
(1.spondylolisthesis least helpful in diagnosis=
1.ap x ray/
2.lateral x ray/
3.mri/
4.ct
(2.for conLrmation of 8&3 from autopsy sample is taken from
1.lier
2.spleen
3.kidney
4.brain
(3.Homen with infertility with b/l cornual block on hsg best 4 managent
1..uboplasty/
2.if/
3.hydrotubation/
4.hyseteroscopy/
.
$n bho4ani s buk it is written as
"ornual block managed by operatie hysteroscopy
.ubal block by tuboplasty
$noperable cases and damaged tubes if is done
/o optn haing hysteroscopy is correct may be
(4.Oaryotyping of fetus can be done frm a/e
1."horionic illlus sampling/
2.cordocentesis/
3.amniocentesis/
4.fetal skin/
((..4 to .3 conerted by a/e
1.propanolol
2.propylthiouracil
3.methima<ole
4.amiodarone
().poly @3A tail on translation will gie rise to
polylysine
(9.least harm caused by damage to=
1.sma/
2.ima/
3.coeliac /
4.renal artery/
(6.all changes occurs in pregnancy except ?
1.increase in peripheral ascular resistance.
2.increase cardiac output
3.increase blood olume
4.
(;.Hrt in postmenopausal women gien for all except
aAaginal dryness
bAhot !ushes
"Acardioascular risk
dApreentn of osteoporosis
)5.rheumatoid arthritis best diagnosed by # most speciLc test>
anticitrulline antibody
)1.newborn hypoehoic midline mass bruit on ausculation
ein of galen malformation
)2.patient has papillary necrosis# inestigation that should not be done >...........
a./ickling test/
2.bacterial -.$ culture ?urine culture/
3.test for .*/QQ>>
4.
)3.cap operon
positie regulator
)4.F of endothelium destroyed in keratoplasty>
1.(F
2.15=25F
3.35=45F
4.(5=)5F
)(.*ipolar 2 disorder is C
1.Hypomania D depression
2.Hypomania D syndromic depression
3.
4.
)). hematuria with hypercalciuria what will be the associated Lnding
1. isomorphic rbc
2. rbc cast
3. nephrotic range proteinuria
4.
)9..ype 8 is associated with a 4=fold increased risk of mortality# recurrent M$# or
sudden cardiac death# independently of traditional risk factors# such as disease
seerity= Hikipedia
)6.situs inertus# sinusitis: diagnosis
1.kartgeners syndrome
2.
3.
4.
);.tb meningitis=
1.lymphocytosis #low glucose #high protein
2. lymphocytosis #normal glucose #high protein
3.
4.
lymphocytosis #low glucose #high protein
95. grp a streptococcus# best to diagnose by>
aAoptochin sensitiity
bAbacitracin sensitiity
cAcatalase negatie
dAbile solubility
91.re!ex nephropathy pt has
aA mpgn
bAfsgn
cA
dA
92.indications of '.. in preg a/e:
1. 0reious malformation.
2. 0olyhydramnios.
3. +clampsia.
4.01+M$2-/ -&+E0,3$&+8 8+3.H
93."ountertransferenceR1S is deLned as redirection of a psychotherapistGs feelings
toward a clientTor# more generally# as a therapistGs emotional entanglement with a
client.= Hikipedia
94.3 (5 year old man with aortic stenosis is doing exercise for 11 minutes according
to bruce protocol. +xercise stopped due to fatigue# 1egional pressure gradient is
)5mmHg between the two sides of the aortic ale. Hhat is the best management>
1. angiogram
2. aortic ale replacement
3. 3ortic ballooning to preent further derangement
4.
9(.maintenance of tidal olume
1 bronchial stretch receptors
2 4 receptors
3 carotid/aortic body
4. hering breuer re!ex
9).regular drinking of following preents uti.
1 grape 4uice
2 raspberry 4uice.
3 orange 4uice
4 cranberry
99.prothrombin time measurement ?
1.within 2 hr should be measured
2.immediately refrigerate to presere coagulant factor function
3. platelet rich plasma is reKuired
4. actiate with kaolin
96.m.c. "ause of 3ddisons disease in india
1 tb
2 post partum
3 autoimmune
4 hi
9;./uppose you are in a phc# then you will send blood collected for blood glucose
inestigation mixed with>
1.Heparin
2.0otassium citrate with Q
3.0otassium citrate with &a%
4.+8.3
ans:&afDcitrate
65.19 yr female with b/l inguinal hernias#sec sex charecters seen#no pubic hair#with
primary amennorhoe>
aAandrogen insensitiity
bAstar
cAmullerian agenesis
dAturners
61.normal function of oary is seen in>
aAmrkh
bAturners
cA
dA
62.short child with low t4 nd raised tsh nd swelling of pitutary # what is the
diagnosis>
aApitutary tumour
bAprimary hypothyroidism
cA./H secreting pituitary adenoma
dA./H resisitance
63.direct thrombin inhibitor newest drug>>
1.xomlatregan
2.danaparenaux
3.
4.
64.a 2( yr old female with mc((#rbc count 4.(#with normal wbc count
aAthal minor
bAthal ma4or
cAanemia of chronic diseases
dAiron def anemia
6(.Kuestion on primary hyperaldosteronism all except= ans=metabolic acidosis
present
6).indications of systemic steroids in psoriasis
1 pustular
2 impetigo herpetiformis
3 psoriatic arthropathy
4
$mpetigo herpetiformis is a form of seere pustular psoriasis occurring in
pregnancyR1SR2S which may occur during any trimester.
methotrexate is contraindicated so steroids are gien.
69.Kuestion was which is true for octreotide
aSstimulates growth hormone
bSused in secretory diarrhoea
cSused orally
dScontraindicated in acromegaly
octeotride=gien in secretory diahroea# 2ctreotide @brand name /andostatin#
&oartis 0harmaceuticalsA is an octapeptide that mimics natural somatostatin
pharmacologically# though it is a more potent inhibitor of growth hormone#
glucagon# and insulin than the natural hormone.
answer is b
66.mrsa cannot b gien is ?
1.cefaclor
2.cotrimoxa<ole
3.cipro!oxacin
4.ancomycin
6;.to produce insulin by bacteria #initial material is ?
1. m rna of beta pancreatic cell of human
2. 8&3 of beta pancreatic cell of human
3. m rna of beta pancreatic cell of bacteria
4. 8&3 of beta pancreatic cell of bacteria
;5.lower limb weakness# subdural mass
1 lipoma
2 meningioma
3
4 neuronal cyst
;1.Material not reKuired in protein synthesis=
1.rna polymerase#
2.aminoacyl transferases#
3.ribosomes
4.peptidyl transferase
;2.which of the following is not inoled in translation in eukaryotes>
1 ribosome
2 peptidyl transferase
3 aminoacyl t1&3
4 1&3 polymerase
;3.autoclae indicator=
1.clostridium tetani#
2.bacillus stereothermophilus
3.
4.
3ns=b
;4.lier capsule compartments formed by all except
1 .ductal
2 cystic
3 gall bladder
4 umbillicus
;(.mc site of cholangiocarcinoma.....perihilar repeat
;).direct standardtion Kuestion =age distribution repeat
;9./,+ J-+/.$2&=
) .+/./ 218+1+8# 4 02/$.$M+# 2 &+'3.$M+# .2 8$3'&2/+ /,+ H+ M-/. O&2H
prior probability of sle#sensitiity#speciLcity.repeat Kuestion
;6.thia<ide drug usage# what changes will occur within 24 hours of use of the
thia<ides in excretion of
=1.&a P 2.k excretion inceased#3.ca decrease
;;..reatment of choice for Oawasaki disease =i immunoglobulin
155.old pt male deelops respi infection# with feer# dry cough# organism grown on
charcoal yeast extract only then the organism grows
1.burkholderia
2.legionella
3.hemophilus
4.
151.pustular lesion on shin#recurrent oral mucosal ulcers>
1.*ehcets syndrome
2.0emphigus
3.
4.
152.0releukemic conditions all except
a.pnh
b.paraoxysmal cold hemoglobinuria
c.myelodysplasia
d.aplastic leukemia
153.ileoanal anastomosis most common complication=
1.poucitis#
2.pelic abscess#
3.perineal complications
4.small bowel obstruction
104.. herpes zoster keratitis all occure except
a. pseudodendritic keratitis
b. anterior endothelial keratitis
c. sclero keratitis
d.endothelitis
105.LDL levels 500, triglyceride 150, which will be present in the patient
1.tendon xanthoma
2.planar xanthoma
3.
4.
15).not an indicator of acute pancreatitis
1 amylase
2 cck pentagastrin
3
4
159.man with accident and forehead abrasion #trauma proptosis appeared after 4
days of in4ury
diagnosis>
.he Kuestion gien at top# repeat
156.brin<olamide= reersible noncompetitor
15;.a<ithromycin prophylaxis in trachoma gien when prealence aboe>
1.6F
2.)F
3.4F
4.15F
115.phagocytosis causes complement actiation by
ans:c3b and fc
111.steroid resistant gene in &/:
&0H/ 2
not used as prognostic marker in pancreatitisU
ans:amylase
112.M1$ Lnding characteristic of caernous angioma=
1.popcorn like appearance
2.phlebectasia
3.
4.
113.al<heimers disease all are seen except
1 aphasia
2 acalculia
3 apraxia
4 agnosia
114.epidermoid and arachnoid cyst di7erentiation
1 smooth margin
2 contrast enhancement
3 "/% in %,3$1
4
11(.3fter 1.3 a young male presented with non pulsatile retroperitoneal
hematoma.on table $M- was done.rt kidney not isualised left kidney showed
immediate excretion of dye.what is next step in m/t
a nephrectomy
b explore proximal renal essels# open 'erotaGs fascia n explore kidney
c perform on table angiography
d retrograde pyelography
11)."haracteristic thing secreated in breast milk
1 linoleic acid
2 palmitic acid
3 arachidonic acid
4 docosahexaenoic acid
119."omponent of 31. gien to preent maternal to child transmission
1 lamiudine
2 neirapine
3 staudine
4
116.a pt present with sudden b/l loss of ision with loss of light perception. More on
rt side. 0upillary re!ex# optokinetic nystagmus are normal. 0t can touch to his Lnger
on closing his rt eye but not on closing lt. Hhat is diagnosis>
1 optic neuritis
2 anterior ischaemic optic neuropathy
3 cm retinitis
4 %untional ision loss
11;.all r true abt sociali<ed medicine except
1 decreases competition among practitioners for patients
2 state incorporation for free medicine
3 itself states utili<ation of health facilities
4
there was one Kuestion on socialised medicine also
125.all r seen in 3rd nere palsy except
1 ptosis
2 diplopia
3 miosis
4 eye moes laterally
1otigotine transdermal patch in the treatment of 0arkinsonGs disease and restless
legs syndrome.
8opamine agonists are e7ectie in delaying leodopa=induced dyskinesia in early
0arkinsonGs disease @08A and reducing motor !uctuations in adanced 08.
1otigotine# a noel dopamine receptor agonist# improes motor function in both
early and adanced 08 using a transdermal route of administration. 3 smaller# but
conincing body of data# supports its ability to ameliorate the symptoms of restless
legs syndrome as well. .he side=e7ect proLle mimics other dopamine agonists# with
the addition of application=site reactions# most of which are mild=to=moderate.
3dantages oer existing dopamine agonists include once=daily administration#
absence of food interactions# maintenance of stable plasma leels and utility in
patients with swallowing diVculties.
121.all r true abt oxygenase except
1 incorporate one atom of 22
2 incorporate both atoms of 22
3 hydroxylation
4 help in carboxylation reaction of steroids
122.lid retraction is caused by
1.apraclonidine
2.brimonidine
3.latanoprost
4.traaprost
123.'ranulosa cell tumor marker
1.inhibin
2."3=1;=;
3."3 (
4.
124."hild presents with lesions on extensor surface of elbow# mother giing h/o
bronchial asthma
1.airborne contact dermatitis
2.atopic dermatitis
3.
4.
12(."ytoskeletal endothelial retraction ad4ustment occurs in in!ammation=
1.early increase in permeability
2.late increase in permeability
3.
4.
12).about forcep deliery all except this is is inaccurate>
1= the 30 diameter of head is 1( degree to the axis
2= it the presentation is ertex n face with mentoantr
3=the presenting part is at <ero station
4=caput succedum
.$n this era of +*M# it is tempting to think that all the diVcult decisions practitioners
face hae been or soon will be soled and digested into practice guidelines and
computeri<ed reminders. Howeer# +*M proides practitioners with an ideal rather
than a Lnished set of tools with which to manage patients. .he signiLcant
contribution of +*M has been to promote the deelopment of more powerful and
user=friendly +*M tools that can be accessed by busy practitioners. .his is an
enormously important contribution that is slowly changing the way medicine is
practiced. 2ne of the repeated admonitions of +*M pioneers has been to replace
reliance on the local Wgray=haired expertW @who may be wrong but is rarely in doubtA
with a systematic search for and ealuation of the eidence. *ut +*M has not
eliminated the need for sub4ectie 4udgments. +ach systematic reiew or clinical
practice guideline presents the interpretation of WexpertsW whose biases remain
largely inisible to the reiewGs consumers. Moreoer# een with such eidence# it is
always worth remembering that the response to therapy of the WaerageW patient
represented by the summary clinical trial outcomes may not be what can be
expected for the patient sitting in front of a physician in the clinic or hospital. $n
addition# meta=analyses cannot generate eidence when there are no adeKuate
randomi<ed trials# and most of what clinicians confront in practice will neer be
thoroughly tested in a randomi<ed trial. %or the foreseeable future# excellent clinical
reasoning skills and experience supplemented by well=designed Kuantitatie tools
and a keen appreciation for indiidual patient preferences will continue to be of
paramount importance in the professional life of medical practitioners.
129.$&M+/.$'3.$2& 2% "H2$"+ %21 meningial carcinamatosis>
1.&on contrast ".
2."ontrast M1$
3./0+".
4.0+.
126. episodic anemia D4aundice..all except
1.'=) 08
2./ickle cell
3.0&H
4.Hereditary spherocytosis
12;.,eaking meningomyelocele..what inestigation
1.wound culture
2.blood culture
3.urine culture
4.1ectal swab
135.inestigation of choice for <enkers dierticulum>
1.endoscopy
2.barium swallow
3.M1$
4.oesophageal manomatry
15test were done 4m one sample hb ranging from ;.1 to 12.2...
3ns. ,ow Malidity n low reliability>>
131= H3M test==repaet again==ans '0$ anchor
132=only neurons a7ected==repeat..3&/=spinocerebellar ataxia
133= non blanching purpura lower limb=$g3 ..M28$%$+8 10.==a&/ = H+&2"H
/"H2,+$&
134.3 patiemt has normal 0.#0lat count and inc a0..#factor 6 leels gien as )5
iu/ml# no bleeding history# diagnosis>
1.%actor $E def.probably
2..halassemia
3.%actor M$$$ inhibitors
4.,upus anticoagulant
13(.1F pilocarpine gien#large non responding pupil#cause is
a.adies pupil
b.pharmacological blockage
c.uncal herniation
d.
136.patient with recurrent joint pains n pettiechial hemorrhages-
diagnosis-
a]megakariocytic thrombocytopenia
b]amegakarocytic thrombocytopenia
c]platelet function defect
d]factor viii inhibitors
137. month pregant lady on r! valproate.regularly seeking advice for valproate therapy"wts n!t
management##
1.immediately taper off valproate and start lamotrigine
$.carbama%apine
3.continue valproate with monitoring of dose
.both valproate and lamotrigine
13&. which of the following does not present with eosiniphilia and '()..
a. drug induced interstitial nephritis
b. atheroembolic phenomena
c. contrast nephropathy
d. *'+
13,. which is the only drug effective in -.// in multiple sclerosis#
a. interferon gamma
b. interferon beta
c. glatiramer acetate
d. natali%umab
10. 1-!perimental 2acteroides fragilis bacteremia in a primate model3 evidence that 2acteroides
fragilis does not promote the septic shock syndrome.1
11. c4c aicoholic wid painless 15degee deviation of little finger-r!
1.observation
$.percutaneous fasciotomy
3.subtotal fasciotomy
.total fasciotomy
1$.6ady with pain in great toe" but sensation intact on the toe" level of disc prolapsed#
1.63-6
$.6-65
3.65-/1
. /1-/$
13.7hich of the following is not the function of gut flora#
1.degradation of mucin
$.production of vitamin k
3.decreased proliferation of epithelial cells
.
(' is best diagnosed by#
8g' ()4
8g9 ()4
8g: ()4
anti ;;* antibody
1. .patient with pain in thumb# index Lnger# middle Lnger# what test will you not
do come to a diagnosis>
1.Lnkanstein test
2.phalen test
3.tinels sign
4.tourniKuette
14(.-niersal deLnition of M$ all except>
1./udden death can be M$
2.&ew abnormal wall motion with raised cardiac biomarkers
3.3 times troponin leels
4.1eperfusion in (=9F leads to eleation of troponin leels
14)."orrect match of drug and its metabolic en<yme are all except>
1.digoxin=p glycoprotein
2.simastatin= glucuronisation
3. erapamil=cyp 334
4. 28) for a drug
149.patient has in4ury in the base of right thumb# which muscle should be tested>
1.abductor pollicis
2.extensor pollicis
3.
4.
146.Hhich is not a marker of bone formation>
1.3lkaline phosphatase
2.2steocalcin
3.0rocollagen peptide
4.
14;.Hhich is not true
1.3nkle brachial index X5.( indicate seere ischemia
2./moking is more speciLc for peripheral ascular disease than for cardioascular
disease
3.3*$ changes during exercise than at rest
4.
1(5.&ot true of isoen<ymes>
1.same classiLcation
2.same rate of work
3.same Kuarternary structure
4.
1(1. which is not due to defect in normal moement of brain tissue>
1.lissinocephaly
2.schi<<enencephaly
3.polymicrogyria
4.focal cortical brain maldeelopment
1(2./yndromic management in $&8$3 includes which of them>
1.primary chancre and herpes
2.chancroid and herpes
3.chancroid# herpes and primary chancre
4.chancroid and primary chancre
1(3. diabetes mellitius diagnosed when
1.fasting blood glucose is 155 and post prandial 145
2. fasting blood sugar 12( and 2 hr posprandial blood sugar is 1;;
3.
4.
answer = fasting blood sugar more than 12( and 2 hr pp blood sugar more than 1;;.
1(4.&ot a direct somatoform disorder>
1./omati<ation
2.%ibromyalgia
3."hronic fatigue syndrome
4.$rritable bowel syndrome
1((./omatic passiity is a feature of>
1.
2.
3.8epression
4.0aranoid schi<ophrenia
1().3 hibernating heart can be diagnosed by>
1.echo
2.dobutamine
3.thallium scan
4.
1(9. 3ll of the foll are present in superLcial perineal pouch except>
1.sphincter muscles
2.posterior scrotal neres
3.bulbospongiosus
4.
1(6. 3 45 nm gap 4unction between tropocollagen arms contains which ion>
1."a
2.%e
3. "arbohydrate
4.
1(;. 3drenaline#dopamine# '3*3# serotonin receptors are>
1.9 times
2.4 times
3.ligand gated
4.
1)5.$f a doctor indulges in giing false medical certiLcate to a patient then he is
liable to be prosectuted under>
1.139 $0"
2.1(9 $0"
3.1;9 $0"
4.
1)1. $ncorrect $0" match>
1.Murder 355 $0"
2.3ttempt to murder 359>
3.3ttempt to suicide
4.
1)2. 0atient 4 days after refraining from alcohol deeloped delirium tremens and
assaults his neighbour# which is true# according to $ndian "rpc>
1.He is not responsible under ipc 64
2.0artially responsible
3.%ully responsible for the act
4.
1)3.,ady on long term hemodialysis deeloped carpel tunnel# on biopsy# it was
%ound to be due to amyloidosis. Hhat type is the amyloid will be present>
1. *eta2 microglobulin
2.3myloid light chain
3.3..1
4.
1)4. 3n $"- pt on central line gien 3mikacin D cefta<idime. "ulture grew gram
positie bacteria in chain# he is /tarted on ancomycin for 2 weeks but bacteria still
persisted. Hhich is it>
1./taphylococcus aureus
2."oagulase negatie /taphylococcus
3. +nterococcus fecalis
4.'rp3 streptococcus
1)(. *acteroides all except>
1.commonly leads to sepsis and dic
2.not always responsie to metronida<ole
3.
4.
1)). 0atient with 4aundice and white stools. Hhich of the foll en<ymes is not raised>
1.(Ynucleotidase
2. alkaline phosphatase
3.aminotransferase
4.gamma glutamyl transferase
1)9. 0atient deelops paralysis with bowel bladder inoled M1$ showed dorsal
myelopathy and intradural enhancing lesion at dorsal leel.cause>
1.&%/
2. meningioma/
3.ependymoma/
4.central neuroma/
1)6. /$38H true is all except>
1.serum &a can be as low as 12(/
2.urine sodium is normal or slightly low/
3.aptans are new %83 approed drugs for its 1x/
4.
1);. 0t deelops myelopathy post trauma. Ht dose of methyl pred to be gn>
1. 35mg/kg within 3hrs/
2.4(mg/kg within)hrs/
3.)5mg/kg within ;hrs/
4.9(mg/kg within 12hrs
195. Hhich therapy is not for deep tissue penetration>
1. short wae diathermy/
2.microwae/
3.ultrasound/
4.infrared therapy/
191. 3ll are limb girdle dystrophies except=
1.sarcoglycaopathies
2.dystrophinopathies
3.dysferlinopathy
4.calpainopathy
192. "hymotrypsinogen is a
1.
2.
3.<ymogen
4.carboxypeptidase
193..echniKue used to compare a new lab test from gold standard test>
1.1egression analysis
2."orrelation analysis
3.*altin and 3ltimore method
4.Oimoro and /amletor techniKue
194. 19yr girl with oarian tumor. -sg shows predominant solid components "a 12(
negatie# 3%0 negatie# 3,0 raised# most likely diagnosis>
1.8ysgerminoma
2.+ndodermal sinus tumor
3.malignant teratoma
4.mucinous cystadenocarcinoma
19(. $g3 deposits in dermal papilla. 8iagnosis>
1.8ermatitits herpetiformis
2.pemphigus
3.*ullous pemphigoid
4.$g3 dermatosis of childhood
19). 0anic disorder inoles all the following except>
1./erotonin
2.'lutamate
3.'3*3
4.8opamine
199. ++' slowing during induction of anesthesia is due to>
1.Oetamine
2.&itrous oxide
3.+arly hypoxia
4.Hypothermia
196.3nterior dislocation patient most likely to gie history of>
1.3bduction and internal rotation
2.3dduction and external rotation
3.3bduction and external rotation
4.3dduction and internal rotation
19;.Hhich of the following is false about al<heimers disease>
1.&umber of &% tangles correlates with seerity of disease
2.
3.
4. &umber of &% tangles correlates with dementia
165.&ot a ultrasound feature of "H0/>
1. ;(F sensitiity by ultrasound
2.thickness of pylorus B4mm
3.channel length B1)mm
4.gastric component raised/increased
161.Hhich is not a symptomatic "M 4unction disorder>
1.2dontoid dysgenesis
2.*asiliar descent
3.1heumatoid arthritis
4.3nkylosing spondylitis
162.&ot a complication of Hypertensie disorder of pregnancy>
1.
2.pre=eclampsia
3.
4.fetal macrosomia
163.Hhich of the statements about renal function is not true>
1.oncotic pressure of Lltrate is eKual to glomerular capillaries
2.if a7erent arteriole is asoconstricted# then pressure in glomerular capillaries will
fall
3.
4.
164.Hhich is not true of M1$>
1.scar shows late enhancement
2.akinetic ob4ects donot improe with contrast
3.
4.
16(.&ot true about drug resistance mechanism>
1.most common mechanism is production of neutrali<ing substances
2.if plasmid mediated always transferred ertically
3. alteration of target in pneumococcal resistance
4.complete remoal of target is cause of resistance to ancomycin
16)."hromosomal mutations can be identiLed from all except.
1. single stranded polymorphism
2.dideoxy nucleotide trail seKuencing
3.agarosge gel electrophoresis
4.8enaturing 'radient 'el +lectrophoresis @8''+A
169./ubtelomeric mutation can be detected by all except>
1.%$/H
2.
3.
4.laser diode index>
166.$n eyeQ>>>QQQQQ disease treatment inestigation of choice# preoperatie>
1.
2.intra=arterial angiography
3.
4.
16;.Hhich of the following has been shown by eidence based medicine that is
used in medicine these days is not true>
1.
2.
3.monitoring blood glucose and preenting hyperglycemia has been shown to be
e7ectie in recoery in $"- patients
4.303"H+ score B2(# dinopaeraux should be stopped>
1;5.$f the same amino acid is coded by di7erent codons # it is called>
1.
2.frameshift mutation
3.degeneracy
4.
1;1. all of the following are reKuired in 0"1 except
1. deoxyribonucleotides
2. thermostable en<yme
3.dideoxyribonucleotides
4. magnesium/ssdna..@not sure of this optionA
1;2. &ot true for myelopathy
1.sensory loss of facial area
2.brisk 4aw 4erk
3.brisk pectoral 4erk
4.
1;3. Hhich of the following is not true>
1.%etus can extract "o2 rapidly from placenta
2.3pgar score at 1 minutes shows need for immediate resuscitation
3.
4..3pgar score if poor at 9 minutes relates to neonatal death
1;4. 'ene inoled in idiopathic steroid resistant nephrotic syndrome mutation is
1.03E
2.&0/H2
3.3,+
4.H2E$$
1;(. Hhich of the following has ,+3/. chances to progress to multiple sclerosis
a=optic nere inolement
b= absence of oligoclonal antibodies in csf
c= trunkal ataxia
d= pyramidal inolement
e.poor recoery
not sure about b#c#d option
1;). 8etrimental e7ects of hypothermia are all except.
a. cardiac arrythmias
b. reersible coagulopathy
c.
d.
1;9. dopamine# norepinephrine# serotonin all hae the following type of receptors>
aA 2 pass
bA 4 pass
cA 9 pass
dA ) pass
1;6.Muscles inoled in osteoarthritis>
1.Hamstring only
2.Jaudriceps only
3.*oth hamstring and osteoarthritis
4.>
1;;.