User:Wild p53/Nov2010

1. Which of the following attains adult size before birth? A. Ear Ossicles (ans) B. Maxilla C. Mastoid D. Parietal bone

2. Spanish WINDLASS technique is a form of which type of execution? A. Garrotting (ans) p.no.165 reddy B. Mugging C. Bansdola D.Hanging

3. A teen age girl with nodulocystic acne also complaining of irregular menses. Drug of choice will be? A. Oral isotretinoin B. Oral acitretin C. Oral minocycline D. Cyproterone acetate

4. A woman has consumed several tabs of Amitryptiline. All of the following can be used as a part of her management except A. Barbiturate(bi-carbonate) to correct acidosis B. Gastric lavage C. Use Atropine as an antidote (ans) D. Diazepam for seizure control

5. Frontal Sinus can be best visualised by : A. Caldwell's view (ans) B. Water's view C. Towne's view D. Schuller's view

6. All of the following are true about Scalaneus anterior muscle EXCEPT: A. It is attached to the tubercle of second Rib B. It is anterior to the transverse cervical artery. C. It is pierced by the Phrenic nerve. D. It separates the subclavian vein from the subclavian artery.

7. A girl aged 20 yrs complains of headache while studying. Her vision is found to be normal. All of the following can be considered while evaluation except: 1. Family history of headache 2. Menstrual history 3. Self expectations 4. Her interest in studies

8. Which of the following is the least likely cause of Neonatal mortality in India? A. Prematurity B. Infection C. Birth Asphyxia D. Congenital anomalies (ans)

9. Which of the following is a non-essential metal/mineral? A. Sodium B. Manganese C. Iron D. Lead (ans)

10. In a certain population, there were 4050 births in the last one year. There were 50 still births. 50 infants died within 7 days where as 150 died within 28 days. What is the Neonatal mortality rate? A. 50 (ans) B. 62.5 C. 12.5 D. 49.4

11. Which of the vitamin deficiency lead to lactic acidosis? A. Riboflavin B. Thiamine (ans) 3. Niacin 4. Panthotheic acid

12. A 19 year old patient came to the out patient department with complaints of Primary Amenorrhea. She had well developed breast and pubic hair. However there was abscence of vagina and on USG her uterus was absent. Likely diagnosis is. A. XYY B. Mullerian agenisis (ans) C. Gonadal dysgenesis D. Kleinfelter's syndrome

13. Calculate the Pondreal index of a baby of weight 2000gm and length 50 cm at Birth. A)1.6 (ans:ponderal index=wt/ht3*100) B)2.2 C)2.6 D)1.0

14. Which one of the pair is not correct regarding Hepatitis B management: 1. Supportive care - acute viral hepatitis B 2. Antiviral drugs - chronic viral hepatitis B 3. Supportive care - chronic viral hepatitis B 4. Antiviral drugs - acute viral hepatitis B (ans)

15. A 40 year old man who met with a motor vehicle catastrophe came to the casualty hospital in an hour with severe maxillo facial trauma. His Pulse rate was 120/ min, BP was 100/70 mm hg, spo2 - 80% with oxygen .What would be the immediate management? 1. Intravenous access 2. Orotracheal intubation 3. Nasotracheal intubation 4. Tracheostomy (ans)

16. How much Pottassium is present in the Ringer Lactate solution? 1. 1 meq/L 2. 4 meq/L (ans) 3. 2 meq/L 4. 6 meq/l

17. Which of the following is not perrmeable through the Blood Brain Barrier? A. Water B. Lipophilic drugs C. Gas D. Proteins (ans)

18. All the following diseases are spread by Ticks except... A. Relapsing fever (ans) B. KFD C. Tularemia D. Tick paralysis

19. Which of the following is associated with poor prognosis in Ewings sarcoma? A. B2 microglobulin B. Fever C. Thrombocytosis D. Young age

20. All are derivatives of Septum Transversum EXCEPT: A. Falciform ligament B. Ligamentum teres C. Coronary ligament D. Lesser sac

21. Sputum can be disinfected by all EXCEPT: A. Autoclaving B. Boiling C. Cresol D. Chlorhexidine (ans)

22. Which one of the following is not included in Jone's Major criteria? A. Pancarditis B. Chorea C. Subcutaneous nodule D. High ESR (ans)

23. A 20 year old boy c/o faint hearing of voices, aggressive behavior since 2 days. He has fever since only 2 days. When asked his family says that he has been muttering to self and gesticulating. Likely Diagnosis is: 1. Dementia 2. Acute psychosis 3. Delirium 4. Delusional disorder

24. A person is able to abduct his arm, internally rotate it, place the back of hand on the lumbosacral joint. But is not able to lift it from back. What is the Etiology? 1. Subscapularis tendon tear (ans) 2. Teres major tendon tear 3. Long head of biceps tendon tear 4. Acromioclavicular jt. Dislocation

25. Which of the following is present normally in the urine of a pregnant women in the third trimester and lactating mother? A. Glucose (ans) B. Lactose C. Galactose D. Fructose

26. What is the reason that an infant can breathe while suckling breast milk? A. Small wide tongue. B. High place larynx C. Small pharynx D. Short soft palate

27. True about subendocardial hemorrhage are all except: A.)May be seen after head injury B.)Involves RV WALL (ans) ref. Reddy p.no.61 C.)Continuous pattern D.)Flame shaped hemorrhages

28. Chemical peeling is done by all except? A. .trichloroacetic acid B. Phosphoric acid (ans) C. Carboxylic acid D. Kozic acid

29. Which of the pairs is incorrect : A. V1-smooth muscles B. V2-collecting ducts C. V3-anterior pituitary D. V4-CNS

30. All are true regarding the spauldigs Disinfection protocal except.. A. Noncritical devices only decontamination is enuff, B. Semicritical substances are those which come in contact with the mucous membrane or nonintact skin C. Semicritical substances. Low level disinfection is enough D. Cardiac catheter is a critical device

31. Respiratory centre depression is caused by all except : A.) Opium B.) Strychnine (ans) C.) Barbiturates D.) Gelsemium ( http://www.ncbi.nlm.nih.gov/pubmed/14522437 )

32. A Bone marrow transplant receipient patient developed chest infection. ON chest Xray Tree on Bud appearance. The cause of this is A.) Klebsiella B.) Pneumocystis (most probably) C.) TB D.) RSV

33. All of the following can cause SLE like syndrome except: 1. INH 2. Penicillin (ans) 3. Hydralazine 4. Sulphonamide

34. A neonate is seen crying lustily with eyes closed and moving all his limbs. What is the Neonatal Behavioral response Scale? A. State 1 B. State 3 C. State 4 D. State 5

35. Late onset schizophrenia. All are true except: 1. Onset after 45 yrs 2. Onset btwn 20-30 yrs 3. Prognosis is poor 4. Olfactory hallucinations are seen.

36. A man 25 yrs old presents with renal failure. His uncle died of renal failure 3 yrs ago. ON slit lamp examination, keratoconus is present. Diagnosis

A.) ADPCKD B.) ARPCKD C.) Alports syndrome (ans) D.)Denysh-Drash syndrome

37. Characteristic of Bacilus cereus food poisioning is A. Presence of Fever B. Presence of Pain abdomen (ans) C. Abscence of Vomiting D. Abscence of Diarrhoea

38. Splenomegaly is least likely associated with A) CML, B) primary thrombocytosis, (ans) C) polycythemia ruba vera D) Myelofibrosis

39. All are true about starting of B-Blocker therapy in a case of heart disease except A. They should be started with optimum doses (ans) B. They should be graually incresed over weeks. C. Special precautions should be taken in cases of NYHA class III and IV D. Carvedilol and Metoprolol are the preferred drugs.

40. A patient met with Road Traffic Accident with subsequent injury to the left knee. Dial test was positive. What could be the cause? 1. Medial Collateral Ligament Injury 2. Medial Meniscal Injury 3. Lateral Meniscus Tear 4. Posterolateral instability of knee (ans)

41. The caecum is found to be placed below the stomach and in the midline. Which of the following abnormality must have taken place while rotation of the gut? 1. Mal rotation 2. Non rotation (ans) 3. Reverse rotation 4. Mixed rotation

42. Inclusions in oligodendrogliocytes is a feature of A.) Creutzfeld Jackobs B.) CIDP C.) HSV D.) Progressive multiple encephalopathy (ans)

43. Retinitis pigmentosa is a feature of all except A.) Refsum's disease B.) Hallavardian Spatz (ans) C.) NARP D.) Abetalipoproteinemia ( this is also known as bassen kornzweig syndrome )

44. Which is Vitamin K dependent clotting factor? 1. Factor VII (ans) 2. Factor I 3. Factor XI 4. Factor XII

45. A 9 year old boy with inc. PT and elevated ptt. What is the Diagnosis? 1. Defect in extrinsic pathway 2. Defect in Intrinsic pathway 3. Platelet function defect 4. Defect in common pathway (ans)

46. A lady with 37 weeks of gestation ..pevious lscs....when examined her bp was 150/100 mm hg...urione albumin 3+...head at station -3..50 % effaced.pelvis adequate..what will the management ? 1. Antihypertensive regime and then induce labour 2. Wait and watch for 10 days 3. Induce labour spontaneously 4. Do Caesarean section

47. A 25year old male presents with painless sudden loss of vision, Ocular and systemic examination is not contributory. What is Probable diagnosis 1. Retinal detachment 2. Eale’s disease 3. Glaucoma 4. Cataract

48. Tensor tympani is supplied by A) facial B) glossopharyngeal C) trigeminal (ans) D) vagus

49. Which is not used in the treatment of hyperkalemia without ECG Findings? 1. Insulin + Glucose 2. Sodium Bicarbonate 3. Calcium Gluconate (ans) 4. Salbutamol

50. A newborn child presents with inverted foot and the dorsum of the Foot can not touch the anterior tibia. The most probable diagnosis: 1. Congenital vertical talus 2. Arthrogryposis Multiplex 3. CTEV (ans) 4.

51. Which of the following Anaesthetic agent causes adrenal suppression? A. Etomidate (ans) B. Thiopentone C. Ketamine D. Propofol

52. Bias can be eliminated by all except- A. Matching B. Blinding C. Randomization D. Multivariate analysis (ans): Multivariate analysis (MVA) is based on the statistical principle of multivariate statistics, which involves observation and analysis of more than one statistical variable at a time. In design and analysis, the technique is used to perform trade studies across multiple dimensions while taking into account the effects of all variables on the responses of interest.

Uses for multivariate analysis include: Design for capability (also known as capability-based design) Inverse design, where any variable can be treated as an independent variable Analysis of Alternatives (A0A), the selection of concepts to fulfill a customer need Analysis of concepts with respect to changing scenarios Identification of critical design drivers and correlations across hierarchical levels.

53. Most sensitive test in Ductal carcinoma in situ diagnosis is: A. Mammography B. MRI (ans): C. PET D. ????

54. Radiation exposure is the least in the following procedure: A. Micturating cystourethrogram (ans): B. IVP C. Bilateral nephrostom D. Spiral CT –stones-protocol

55. A patient after undergoing Thoracotomy complained of severe pain. He can be managed by: A. Intercostal cryo-analgesia B. Oral morphine C. Per rectal diclofenac D, I.V. Fentanyl

56. A 20 year old normal weight female complains of oligomenorrhea along with facial hair. Preliminary investigations reveal raised free testosterone levels. Which of the folllowing could be likely etiology? A idiopathic hirsuitism B PCOD C adrenal hyperplasia D. Testosterone secreting tumor

57.true about enterotoxigenic E coli : Not a common cause of travellers diarrhea / Spread by fomites / Common cause of watery diarrhea in children in developing countries(ans) / Causes invasive diarrhea

58. Murmur increases with Valsalva manoeuvre A)VSD B)HOCM (ans) C)MS D)AS

59. False about retropharyngeal abscess : A) always/can be on one side of the midline B)always/can be palpable digitally C)in front of the prevertebral fascia D)presents with dysphagia, dyspnoea,

60. A child H/O 8 blood transfusions in 2months Hb- 6, MCV low, WBC is normal, PLC also normal having hypochromic microcytic anemia, which investigation is not done next? A)pulmonary hemosiderin B)urinary hemosiderin C)bone marrow biopsy D)?

61. 8yrs child, no significant past history, bp- 180/110, urea high (???), creat also high, urine shows pus cells 15- 20, RBC 1 to 2, your diagnosis? A)PSGN B)? C)idiopathic RPGN D)Reflux nephritis ????

62. In lung True about Hyaline membrane disease..... A.) FRC is reduced and closing volume increased (ans) B.) FRC is increased and closing volume increased C.) FRC is reduced and closing volume decreased D.) FRC is reduced and closing volume decreased

63. Gas used to measure diffusion in lung A.) CO (ans) B.) NO C.) CO2 D.) Nitrogen

64. Regarding Cochlear implant which of the following is true? 1. Can be done in cochlear malformation (ans) 2. Contraindicated in < 5 yrs 3. Indicated in mild to mod. Hearing loss 4. Implanted through oval window

65. Onion bulb appearence on nerve biopsy is seen in: A. Amyloid neuropathy B. Diabetic neuropathy.. C. CIDP (ans) D. Leprosy neuritis

66.cyanosis in trauma due to ? Early hypoxia/ late hypoxia / inadequate

67.Stocker's line are seen in A)pterygeum ANS B)pinguecula C)? D)?

68. Grading of abruptio placenta? A)page’s classification B)johnson C)mcaffe ??? D)apt

69. Not absorbed from the PCT A)Na+ B)Phosphate C)HCO3- D)H+

70. Hypoxemia is independent of ? A. Hb/ B. Fio2 / C. Altitude / D. Pco2(ans)

71.all true about fibronectin nephropathy except : A. Autosomal recessive (ans)/ B. Is charecterized by mesengial deposits / C. Does not have antibody or complement / D. Is charect by mesengial and endothelial deposits

72. A 35 yr old lady with chronic backache. On X ray she had a D12 collapse. But Intervertebral disc space is maintained. All are possible except A.) Multiple myeloma B.) Osteoporosis C.) Metastasis D) tuberculosis (ans)

73. Which one of the following is not a CT feature of Adrenal adenoma? A. Low attenuation B. Homogeneous density and well defined borders C. Enhances rapidly, contrast stays in it for relatively longer time and washes out late(ans) D. Calcification is rare.

74. A pt. With creatinine 2 has to undergo angiography,in order to prevent contrast induced nephropathy which of the following is not necessary? A) furosemide (ans) http://www.medscape.com/viewarticle/494060_6 B)half normal saline C)n-acetyl cysteine D)hemofiltratiom

75. Fogarthy catheter used for A)embolectomy (ans) B)TPN C) for uretric catheterization D)

76.GIST all except A)most common in duodenum (ans) B)necrosis and ulceration C)PET is used to assess D)well circumscribed

77.HER2/Neu significance is? A)diagnosis of cancer B)predicting the response to treatment (ans) C)? D)? 78.a farmer who had a single verrucous indurated plaque on the dorsum of the right foot, diagnosis? A)TB verrucae cutis B)Mycetoma C)Lichen planus D)verrucous vulgaris

79.a young athelete, vecuronium is absent, so sch was used, dose of 640mg%, his resp effort and movements diminished? Reason? A)abnormal pseudoache B)show phase2 block(ans) C)?? D)??

80.phenylketonuria,wat is treatment earliest part? 1.limiting the substrate for defiecent enzyme (ans) 2. giving missing amino acid 3.replacing enzyme

81.A patient with recurrent passing of renal stones for 10months, the dietary advice that is not needed? A)Protein restriction B)calcium restriction (ans) C)salt restriction D)take plenty of water

82.emergency contraception all except A)LNG oral B)LNG IUCD ANS.B (ans) C)oral mifepristone D)copper IUCD 83. Methotrexate resistance occurs by A)overproduction of dhfrase(ans) B)Decrease folate C)folate overproduction D)?

84. Hemorrhagic cystitis is caused by A)? B)? C)cyclophosphamide (ans)

85. Secondary hyperparathyroidism is all except A)rickets B)CRF C)osteoporosis (ans) D)osteomalacia

86. Child with PDA will not have A) Bounding pulses B)Pulmonary hemorrhage C)necrotising enterocolitis D)CO2 wash out ANS 87. Child with recurrent abdominal pain, bilious vomiting, condition was diagnosed by barium follow through, surgery was done, 3 things- mesentric widening, appendicectomy, cutting the Ladd's band, diagnosis? A)Caecal volvulus B)Mal rotation C)Acute appendicitis D)? 88. Best regimen for eclampsia is A)mgso4 B)Lytic cocktail C)Phenytoin D)Diazepam

89. Treatment for stage IIIB ca cx? A. Wertheims / B. Schauta’s / C. Interstitial brachytherapy (ans) D.

90. Retroperitoneal necrotic mass near left renal hilum in a young male. Diagnosis? A. Lymphoma(ans) / B. Germ cell tumour / C. Transitional cell tumour

91.young female with acute breathlessness and feeling of impending doom diagnosis? A. Panic attack(ans) B. ? C. ? D. ?

92. Caisson disease due to? A)Fat embolism B)Gas embolism (ans) C)? D)?

93. Thunderclap headache? A)? B)aneursymal SAH (ans) C)? D)?

94.not true about tetani infection in india : A.more in winter(ans)it occurs more in mth of july august / B. Soil and intestines of human as reservoir / C. Transmitted via open injuries and wounds / D. Herd immunity or cross immunity does not occur

95.all true except: A. Underlying brain inj always aassociated with outer fracture/ B. Subgleal fracture racoon eyes / C. Skull base fracture leads to caroticocavernous fistula / D. Post traumatic epilepsy occur in about 15% cases after cortical injury

96. toxic shock earliest mechanism: Vasodilatation(ans) / Endothelial injury / Mechanical pump failure

97.shock immediately after normal vaginal delivery ? A)amniotic fluid embolism B)PPH C)inversion(ans) D)?

98.what produced by the stomach has a role in control of food intake? A)gherlin (ans) B)IGF-1 C)orexin D)CCK

99. Reassortment of genome is in A)Hepadna B)rotaviruses(ans) C)astro D)???

100.Intranasal approach is usually done for all of the following EXCEPT? A)lacrimal gland B)optic nerve C)pituitary gland D)cerebellum

101. Anterograde amnesia is in A)following head trauma(ans) B)stroke C)?? D)??

102. A 32yr old mother who has a Down's boy of10yrs. Is now 9wks pregnant, she doesn't want another Down's. As her physician you should tell her. A)do a usg, it is diagnostic B)inc nuchal translucensy C)do a CVS, it is confirmatory (ans) D)she is not 35yrs so no problem

103.why is intrapleural pressure negative? A)alveolar pressure negative B)surfactant is equally distributed C)lymphatic drainage D)?

104.the problem of cytology study in solid tumours especially in CA Cx is A)increased mitotic rate B)inadequate sample C)bacterial contamination of the specimen D)?

105.not a channelopathy A)taysachs dis. (ans) B)liddle C)alport D)cystic fibrosis

106.Not used to introduce genome into the bacteria A)Bacteriophage B)electroporation C)FISH (ans) D)transfection

107.lacrimation, diarrhoea, tachycardia , bronchodilation seen in : A)mushroom B)atropine poisoning(ans) C)? D)?

108.a new born was given a drug, then found with respiratory distress : A)opoid (ans) B)? C)? D)?

109.amoebiasis not transmitted by A)vertical transmission(ans) B)oro rectal C)? D) 110.yr old man after heavy work and  frequent  travel complains of passing fresh blood PR for 7 days. No significant findings on PR examination and no other past history?????? What would u recommend next for the man?? A. Proctoscopy (ans)/ B. Refer him to a surgeon for sigmoidoscopy / C. Refer him to a genterologist for colonoscopy /(ans) D. Barium enema

111.gallows traction is used in relation to A)shaft femur (ans) B)neck femur C)shaft tibia D)tibial tuberosity

112.Ramelteon true except A)selective MT1, MT2 Agonist B)addiction liability (ans) C)Used for t/t of insomnia D)metabolized by cyp450

113.75 yr old man with dementia & tremors...periodic burst of wave eeg pattern:, diag:- A. Cjd / (ans) B. Alzheimers dis. / C. Lewy dis wid parkinsonism D. Herpes simplex enceph.

114. Clue cells seen in A)bacterial vaginosis(ans) B)? C)? D)?

115.mass drug treatment not for scabies(ans) / leprosy / filariasis 116.vaginal spinchter is formed by all except?? A)bulbospongiosis B)hexternal urethral sphincter C)internal urethral sphincter (ans) D)?

117. The histopath of kidney in wegener's granulomatosis? A)? B)focal necrotizing glomerulo C)? D)?

118.what is the cause of edema in nephrotic syndrome? A)low proteins in plasma (ans) B)sodium water retention C)? D)?

119.Pale infarct not in? A.kidney B.spleen C.heart D.lung (ans)

120.Woman treated with Lithium during preg fetus should be tested for ? A)Cardiac (ans) B)NTD C)? D)?

121.One of the following disorders is due to maternal disomy of chromosome 15 A)Prader Willi (ans) B)Angelman syndrome C)Hydatidiform mole D)Klinefelter's

122.ABO incompatibility characteristic blood picture: A)fragmented rbcs B)micro sphercytosis(ans) C)polychromasia d) elliptocytosis

123.Widmark test is used in A)time of death B)amount of alcohol content(ans) C)?

124.not used for the diagnosis of DM? A)D- Xylose (ans) B)FBS C)RBS D)OGT

125.a 3 day child vomits everything he feeds, refuses feed, has a distended abdomen, diarrhoea, in urine the benedicts test is positive, what is the substance in urine? A)sucrose B)glucose C)galactose (ans.) ?galactosemia D)fructose

126.All are true about bacterial killing except : A. MPO helps in formation of ocl / B. NADPH oxidase helps in formation of superoxide anion / C. Immune deficiency in Brutton's agammaglobinemia is not related to opsonization (ans)/ D. Chediak-Higashi syndrome there is failure of phagolysosome formation 127.Single gene is transferred from one bacteria to another containing restriction endonuclease. One of the following is true A)no protein is synthesised B)capping of protein is defective C)tailing is defective D)bacteria will die

128.Perineural invasion seen in : adenoid cystic carcinoma (ans)

129.Auto run over a child, there is a mark of the tyre tracks, it is an A)patterned bruise B)patterned abrasion C)imprint bruise D)imprint abrasion

130.Malignant pustule : cut. Anthrax(ans)

131.plasma sterilisation, organism used to test? A) bacillus subtilis B)b. Stearothermophilus C)? D)?

132.False about H influenza A)it needs factor X and V for growth B)protein capsule plays an important role in pathogenicity (ANS) C)it is a rare cause og meningitis in first 2 months of life D)m.c.invasive manifestation is meningitis

133.Baby with nasal flares, grunting but no retractions. Silverman score will be :-

134.Which of the followings is false abt C.perfringes A)food poisoning strains produce heat resistant spores B)show positive naegler reaction C)most important toxin is hyaluronidase (ans) D)cause gas gangrene

135.CSF rhinorrhea rx: A. Plugging B. Wait & watch & antibiotics / C. Blowing nose

136. Pacemaker of the respiratory centre : A)apneustic centre B)pre botzinger complex (ans) C)? D)?

137.one individual found some correlation between dietary factors and a disease, he did this by collecting data from the food manufacturers and hospitals respectively, such a study is? A)ecological (ans) B)cross sectional C)psephological study 138.A study found an association between protection b/w beta carotene and a disease X. But it may be due to decreased fibre in such diets, such a kind of occurrence is termed? A)? B)confounding factors C)? D)?

139.All supplied by sup gluteus n except : sup. Gluteal nerve(ans) /

140.Cock’s peculiar tumor is A)basal cell CA B)squamous cell CA C)sebaceous ulcerated cyst (ans) D)cylindroma

141.not a component of corpus cancer syndrome A)HTN B)DM C)obesity D)multiparity (ans)

142.What is cause of calcium excess in systemic granulomatous diseases ? A)Increased absorption 2)increased conversion to 1,25 OH (ans) C)dystrophic calcification D)Mutation in calcium sensing receptor

143.stone hard to break by ESWL is A)Ca oxalate B)uric acid C)struvite D)cystine (ans)

144.Not true about varicella infection ? Only single stage of lesion is present at (ans)a time/ Secondary attack rate is 90%/ lesions occurs in flexors/ reactivation occur in 10-15%cases

145.congenital cause of hypercoagulable states except A)protein C deficiency B)protein S deficiency C)MTHFR mutation D)lupus anticoagulant (ans)

146.An elderly lady wit past history of fracture neck of femur now presents wit confusion. Urea levels high. Ca level - 12. 5 . Not used immediately is :

A)Rehydrate the patient B)bisphosphonates (ans) C)furosemide D)?

147.Patient wit estrogen receptor positive breast ca can be treated wit wat drug : A)Tamoxifen (ans) B)? C)? D)?

148. Man wid poor stram of urine,post voidal residual vol 400ml,urea 90,creat 3.5,B/L hydronephrosis.prost enlarged n has BPH.most ideal treatment at this time wud be A. B'/l nephrostomies B. Folleys catheter (ans) C. Turp D. R/O malignancy

149.a child of birth weight 1.5 kgs born at 30 weeks of gestation presents with moderate respiratory difficulty...wht will be the appropriate management A)CPAP B)surfactant and mechanical ventilation C)humidified oxygen D)

150.not true about hepatitis b: A. Age dependent prognosis / B. Viremia 1 month before jaundice/ C. Enzymes of liver elevated / D. Vertical transport more important than horizontal transport (ans) 151.highly suggestiv of respiratory distress syndrome : air bronchogram(ans)

152.Most associated with heart disease? A)HDL B)LDL(ans) C)VLDL D)Chylomicron

153.60yr old man, both HTN and DM for 10years, there is reduced vision in one eye, on fundus examination there is a central bleed in retina and the fellow eye is normal, the diagnosis? A)Diabetic retinopathy B)retinal tear C)hypertensive retinopathy D)optic neuritis

154.boy with left sided abdominal pain for 2 days .. Passes black stools for 3 episodes in 2 years. He gets fatigued during this time. Best useful for working diagnosis : A)pallor B)look for splenomegaly(ans) C)?? D)??

155.Vi polysaccharide vaccine true is: A)causes local reaction B),amy side effects C)C/I in something D)can be given with yellow fever and hepatitis(ans)

156.Patient in microcytic hypochromic anemia, serum iron is low, ferritin 800, percentage saturation 64, diagnosis? A)atransferrinemia B)iron defeciency anemia C)DMT1 mutation. D)?

157. What is the treatment of threshold ROP? A) photocoagulation(ans) B) controlled o2 trtmnt C)retinal reattachment D)antioxidants

158. Not a stimulus for normal respiration? A)stretch B)j receptor (ans) C)oxygen D)pco2

159.not true about appetite stimulating neuropeptide yy : A. 36 amino acid / B. Reduce thermogenesis / C. Level decrease during fasting (ans) D. Stimulated by melanocorticotropin. http://www.bioscience.org/news/scientis/obesity2.htm

160. Earliest site of involvement of OM ? A)epiphysis B)diaphysis C)metaphysis (ans) D)site of entry of nutrient artery

161.carbonic anhydrase reacts with EDTA what is true: A)it chelates the metal ion of the enz B)it combines with the substrate and forms a suicide inhibitor C)combines with the substrate and doesn't react with the enzye ??? D) edta changes the confrontation of the enzyme

162.kreb cycle inhibitor acetyl coa reacts with and oxeloacetate condenses with : A. FLUROACETEATE(ans) / B. FUMARATE / C. MALONATE / D. Arsenite

163. Not the minor criteria of multiple myeloma A)plasmacytoma on biopsy (ans) B)lytic bone lesions C)? D)?

164.maternal and fetal blood differentiated by : apt test(ans)/ kleihuear betke test.

165.All can cause candidiasis EXCEPT A)DM B)HIV C)HTN (ans) D)pregnancy

166.a pt is suffering frm neurosyphilis. The best test to use in monitoring of response to treatment is by : A)VDRL (ans) B)? C)? D)?

167. Bad prognosis in AML? A)monosomy B)? C)? D)?

168. Not a mediator of inflammation: A)INF B)MPO(ans) C)TNF D)PG

169. Reason for 20 times more CO2 diffusion is due to: A)less dense B)more soluble in plasma(ans) C)less molecular weight D)less pco2 in the alveoli

170.in the case of implantation surgery..which of the following is to be done first ? Vascular surgery / bone(ans) / nerve /

171.what is the expectant management for placenta praevia ? Brand andrews method / credos method / macaffee s and nicholas regimen / macaffes n johnson(ans)

172.which of the following is not developed from mesentery? A. Spleen / B. Liver / C. Kidney / (ans) D. Pancreas

173.Which of the following prevents entry of ADP into & ATP out of mitochondria? A. Rotenone / B. Oligomycin / C. Atractyloside(ans) / D. Antimycin 174.among the following find the wrong match ? A. Anti LKM1 -DRUG INDUCED HEPATITIS / B. Anti LKM2 - chronic hepatitis D(ans) / C. Anti LKM 1 -autoimmune hepatitis / D. Anti LKM 2 - chronic hepatitis

175.Aluminium Phosphide poising false is: A. Releases phosphene gas / B. Inhibits cytochrome a oxidase / C. Oesophageal stricture

176.Gall bladder CA from an organism acquired while eating fish? A)gnathostoma B)? C)C. Sinensis (ans) D)?

177.all are brilliantly translucent except ? A)vaginal hydrocele B)cystic hygroma C)meningocele D)lipoma (ans)

178. Horner syndrome not due to A)carotid aneurysm B)medial medullary syndrome (ans) C)multiple sclerosis D)treatment of reynauds phenomenon

179. Eradication of small pox all except : A)subclinical infection does not spread B)very efficient vaccine C)cross immunity with animal pox present (ans) D)life long immunity

180.patient with mitral stenosis is having surgery tomorrow, there is some liver compromise, which of the following may be given? A)halothane B)enflurane C)xenon (ans) D)sevoflurane (ans)

181.which is used in overactive bladder? A)duloxetine B)darifinacin (ans) C)flavoxate D)oxybutynin All three drugs can be used in overactive bladder but darfenacin stands out to be best.

182.CHILD WITH phocomelia anomaly due to drug taken by mother A)tetracycline B)thalidomide (ans) C)? D)? 183.Charcot's triad all except A)palpable gall bladder(ans) B)fever C)jaundice D)pain

184.which of the following is used to treat ostoporosis in post menopausal women, Which is the SERM? A)? B)Raloxifen (ans) C)? D)?

185. Loss of lacrimation is due to damage to A)Greater petrosal nerve(ans) B)nasociliary nerve C)?? D)??

186.a boy is having diarrhoea, rhinorrhea, sweating, associated with withdrawal of: A)cocaine B)heroin (ans) C)marijuana D)LSD withdrawal

187.Rate of newly synthesized osteoid mineralizaion can be best estimated by A)tetracyclin labeling (ans) B)alizarin red stain C)immunofluoresence D)von kossa stain

188.In a study it is observed that the right ovary ovulates more than the left, all are possible explanations for the cause except? A)anatomical asymmetry B)difference in blood supply to both sides C)right handedness D)some embryological basis

189.continuous testosterone : leads to azoospermia (ans)

190.if you want to make N/S from 10% dextrose in 100ml, how should you add the two? A)20ml of N/S to 80ml of 10% Dextrose B)40ml to 60ml C)60ml to 40ml D)80ml to 20ml

191. Indication of sx. In BPH? A. 1.prostate wt. 75gm. B. 2.b/l hydronephrosis (ans) C. 3.needs 3day course of antibiotic fo4. D.

192.a pt with prosthetic valve developed infective endocarditis after 8 mnths of surgery causative organism will be : A. Staph. Epidermidis(ans) / B. Staph aureus/ C. Viridans

193.a patient on ventilator developed pulonary infection. He ws prescribed amikacin and ceftriaxone inj. On culture it ws found to be klebseilla,the pus sent for culture revealed an ESBL producing organism, your course of action : A)cahnge the cephalosporin for a quinolone B)change the ceph for another ceph C)change the ceph for imepenem(ans) D)dont change the regime, just increase the dose

194.patient with a 6th cranial nerve palsy, T2 weighted MRI, Hyperintense shadow which shows contrast enhancement, diagnosis? A)Schwannoma B)meningioma C)cavernous hemangioma (ans)

195.METHICILLIN RESISTANT STAPH OUTBREAK IN HOSPITAL. BEST STEP 2 AVOID IT IS : washing hands(ans)

196.12 YR BOY FOUND 2 HAVE DUCHENNE MS DYSTROPHY. GENE WS DEFECTIVE IN PROMOTER REGION. TRUE IS:

197.39year old female, previous laproscopic surgery was uneventful, PT normal, aptt increased. What is the next test? A)factor 8 B)aggregation test (???) C)russel viper venom test (ans) D)ristocetin aggregation

198.a child had a skin infection, a catalase negative organism was isolated, another hero doctor isolated a similar organism from the throat of the child/ or another child ????? The difference between the organisms from the two sites? A)M protein (ans) B)? C)capsule D)?

199.Na- 140, K-4.7, Cl-112, HCO3-16, pco232, ph-7.3, diagnose? A)Anion gap Met acidosis B)Non Anion gap met acidosis C)? D)?

200.endometrial cancer involving 50% of endometrium, extending to vagina, lymph nodes negative with positive peritoneal cytology is staged as A)3a B)3b (ans) C)3c1 D)3c2

woman with h/o 8 transfusion in the past, hb 40gm/l RBC2.1,TLC 5700,MCV 60fl,normocytic n microcytic cells seen. Further inv should include a/e