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JIPMER 2010 1.Vocalis Muscle is a part of a)Thyroarytenoid b)Cricoarytenoid c)Transverse arytenoid d)Posterior cricoarytenoid Ans: a)Thyroarytenoid 2.Non granular fungal disease is a)Cryptococcus b)Blastomycosis c)Candida d)Not recalled Ans: c)Candida 3.Adductor pollicis is supplied by a)Superficial branch of ulnar nerve b)deep branch of ulnar nerve c)radial nerve d)median nerve Ans: b)deep branch of ulnar nerve 4.In a patient, highest visual morbidity is seen in a)Nuclear cataract b)Intumescent cataract c)Posterior subcapsular d)blank Ans: c)Posterior subcapsular 5.After closed reduction of supracondylar fracture of humerus, flexion greater than 90 degree causes disappearance of radial pulse. The next line of management is a)Conservative b)Exploration for arterial rupture c)Keep elbow at 90 in cast d)Open reduction & internal fixation. Ans: d)Open reduction & internal fixation. 6. 1 cm coin lesion seen on chest x ray right upper lobe..FNAC shows adenocarcinoma.. management a) excision and observation b) excision and chemotherapy c) neoadjuvant chemotherapy followed by excision d) blank Ans: a) excision and observation 7. Magnesium sulphate contraindicated in a) placenta previa b) pre eclampsia c) epilepsy d) myasthenia gravis Ans: d) myasthenia gravis 8.Secondary brain injury seen in a) Concussion b) Diffuse axonal surgery c) Depressed skul fracture d) Intracrebral hematoma Ans: d) Intracrebral hematoma 9.With primary and secondary prevention approach, which of the following is possible? a) Control b) Eradication c) Elimination d) Not recalled Ans: a) Control 10.Joint between epiphysis and diaphysis? a) Syndesmosis b) Synchondrosis c) Fibrous joint d) Plain synovial joint Ans: b) Synchondrosis 11.Plasma potassium conc. raised with a) succinyl choline b) atracurium c) pancuronium d) Not recalled Ans: a) succinyl choline 12..beefy red bleeding ulcer ... a)chancroid b)syphilis c)donovanosis d)Not recalled Ans: c)donovanosis 13.Dyslexia is associated with lesion @ a)frontal lobe b)dominant parietal lobe c)non dominant parietal lobe d)temporal lobe Ans: dominant parietal lobe 14.Most common cause of Pseudocyst? Pancreatitis trauma cancer Ans: Pancreatitis 15.Amount of calories need to be reduced by an obese person to lose 1/2kg in a week ? 150 250 500 Ans:500 16.Fishnet appearance in immunoflorescence is seen in a.pemphigus vulgaris b.bullous pemphigoid c.dermatitis herpetiformis Ans: a.pemphigus vulgaris 17.which of these wil kill spores? alcohol phenol chlorine aldehyde Ans: aldehyde 18.superficial inguinal ring is a defact in a.EO aponeurosis b.IO aponeurosis c.transeversalis fascia d.transversus abdominis Ans: a.EO aponeurosis 19.60 yrs diabetic,swelling ankle joint ,xray shows soft tissue swelling,loose bodies and bony sclerosis.diagnosis is a.OA b.neuropathic joint c.gouty arthritis d.RA Ans: b.neuropathic joint 20.Methotexate is an a.antimetabolite b.alkylating agent c.antibiotic Ans: a.antimetabolite 21.immune complex disease seen in which hypersensitivity? type 1 type 2 type 3 type 4 Ans: type 3 22.all are seen in dermatomyositis except gottrons papules shawl sign calcinosis cutis mechanic's hand Ans: shawl sign 23.rieters disease is associated with 1.pseudomanas aeruignosa 2.staph aureus 3.strept pyogenes 4.chlamydia Ans: 4.chlamydia 24.true abt t/t squamous cell cancer of anal canal 1.abdominoperineal resection 2.wide excision with chemotherapy 3.chemo n radiotherapy combined Ans: 3.chemo n radiotherapy combined 25.all of the following are required for glycogen phosphorylase iin glycogenolysis? thiamine riboflavin FAD THFA Ans.the options are wrongly recalled 26.assessment of thyroid program effectiveness? 1 neonatal thyroid level 2 urinary thyroxin level 3.serum thyroxine level Ans: 1 neonatal thyroid level 27.drug used by all route oral nasal IV thiopent diazepam ketamine Ans: Diazepam 28.drug used to prevent post op nausea and vomiting? propofol etomidate ketamine thiopentone Ans: Propofol (Etomidate causes post op nausea and vomiting) 29.Anaesthetic drug produced haematological problem halothane nitrous oxide xenon enflurane Ans: nitrous oxide 30.which of the following not a glycoprotein? FSH LH TSH ADH Ans: ADH 31.colour of urine in phenol poisoning? red green yellow blue Ans: Green (it is due to oxidation of hydroquinone and pyrocatechol) 32.a doctor leaves a swab in abdomen during surgery. under which doctrine wil a criminal suit be filed against him? criminal negligence civil negligence res ispa loquitor vicarious liability Ans: Res ipsa loquitor 33.a civil suit against a doctor must be filed within 6 months 1 year 2 years 4 year Ans: 2 years 34.disease produced due to cell wall fragility? HS PNH G-6-P-D deficiency Ans: HS 35.not present at birth? malleus incus stapes petrous temporal bone Ans: petrous temporal bone 36.which of the following is given to prevent bleeding after IUCD aspirin progesterone only pill combined oral pills tranexamic acid Ans: tranexamic acid 37.OCpills prevent all xcept ca colon ca endometrium ca breast Ans: ca breast It protects from benign breast diseases & not from ca breast. 38.short head of biceps atttached to coracoid process supraglenoid tubercle acromion process bicipital groove Ans: coracoid process 39.fracture of 1st metacarpal a.boxer b.barton c.Bennett fracture Ans: c.Bennett fracture 40.least common joint affected by ankylosing spondylitis temporomandibular joint sacroiliac joint hip joint lumbar spine Ans: Temporomandibular joint 41.Snuff box not formed by ext pollicis longus ext pollicis brevis abd pollicis longus abd pollicis brevis Ans: abd pollicis brevis 42.primary amenorrhoea is seen in all except a.kallman syndrome b.rokitansky syndrome c.ashermann syndrome d.turner's syndrome Ans: Asherman syn causes secondary amenorrhoea. 43.type of anemia in H.PYLORI infection? a.sideroblastic b.iron def. c.macrocytic d.normocytic Ans: b.iron def. 44.Middle ear cavity is connected anteriorly to a.nasal cavity b.pharynx c.mastoid antrum d.mastoid air cells Ans: b.pharynx 45.scarpa's fascia merges with a.inguinal ligament b.conjoint tendon c.tensor fascia lata d.-pubic creast Ans: c.tensor fascia lata 46.not a branch of facial nerve? chorda tympani lingual nerve greater superficial petrosal nerve nerve to stapedius Ans: Lingual nerve 47.chronic myeloproliferative disorder includes all except a.cml b.polycy.vera c.ess.thrombocytosis d.myelodysplasia Ans: d.myelodysplasia 48.not a content of adductor canal femoral artery femoral vein saphenous nerve Nerve to vastus lateralis Ans: Nerve to vastus lateralis 49.True regarding Warthin's tumor a.shows hot spot on tc scan b.most common tr of minor salivary glands c.most malignant tumor d.treatment is radiotherapy Ans: a.shows hot spot on tc scan 50.nerve supply of tensor facia lata? sup gluteal nerve inf gluteal nerve n. to obturator internus n.to rectus femoris Ans: superior gluteal nerve 51.vitamin B12 and folic acid absorption occurs in duodenum jejunum ileum colon Ans: Ileum 52.which amino acid undergoes hepatic deamination? alanine glutamate aspartate glycine Ans: Glutamate 53.uncommon tumor in vagina among the following mets from cervix mets from endometrium mets from choriocarcinoma primary vaginal tumor Ans: Primary vaginal tumour 54.tumor marker for dysgerminoma LDH CEA ca 19 ca 125 Ans: LDH 55.sinus located in falx cerebelli a) sigmoid sinus b) straight sinus c) occipital sinus d) superior petrosal sinus Ans: c) occipital sinus 57.muscle not supplied by ansa cervicalis? stylohyoid sternothyroid sternohyoid omohyoid Ans: Stylohyoid 58.inhibin secreted by a) granulosa cell b) theca cell c) corpus leuteum d) deciduas Ans: a) granulosa cell 59.most common cause of spontaneous abortions in first trimester a) chromosomal anomalies b) uterine anomalies c) intrauterine infections d)abruptio placenta Ans: a) chromosomal anomalies 60. reverse splitting of S1 seen in? severe MS sever AS sever PS Ans: Severe MS 61.A question about CTEV?? narrow heel cavus increased dorsiflexion forefoot adduction and supination.. Ans:Still searching 62.drug c.i in severe triglyceridemia fibrates simvastatin niacin cholestyramine Ans: cholestyramine 63.lepidic cells are seen in rhabdomyoma of heart myxoma of heart lepromatous leprosy glioblastoma Ans: myxoma of heart 64.schiller duval bodies seen in endodermal sinus tumour yolk sac tumour brenner tumour Ans: endodermal sinus tumour 65.wich is mc ovarian tumor seen in pregnancy Dermoid tumor, mucinouscystadenoma serous cystadenoma granulosa cell tumour Ans: Dermoid tumour 66.mosaic pattern of lamellar bone is classically seen in pagets ds osteoporosis osteopetrosis osteosarcoma Ans: Pagets ds 67.most common cause of congenital hypothyroidism thyroid dysgenesis maternal ab's inborn errors of thyroid hormone defects Ans: thyroid dysgenesis 68.most common site of ca stomach? lesser curvature greater curvature antrum fundus Ans: antrum 69.gamma knife cs 127 co 60 iridium 92 Ans: co 60 70.m.c cause of pseudopancreatic cyst? pancreatitis trauma Pancreatic surgery Pancreatic malignancy Ans.A.Pancreatitis 71.pt with v.s.d develops pulmonary htn. which is Not true? cyanosis initial resolution of symptoms return of the ventricle to original size Pruning of peripheral pulmonary arteries Ans: return of the ventricle to original size 72.non motile clostridia cl.tetanomorphum cl.histolyticum cl.septicum cl perfringens Ans: cl perfringens All clostridia are motile except cl perfringenes and cl tetani type IV 73.sucralfate has got significant interaction with phenoxy methyl penicillin ciprofloxacin phenytoin digoxin Ans: Digoxin It causes reduced absorption of quinine,digoxin and warfarin. 74.ivermectin is indicated in all except ascaris filariasis malaria oncocerciasis Ans: malaria 75.dicrotic pulse is seen in as with ar hocm dilated cardiomyopathy Ans: dilated cardiomyopathy 76.all of the following are seen in cardiac tamponade except. pulsus paradoxus warm periphery equal lt and rt atrial pressures Ans: warm periphery 77.nocturnal angina with diaphoresis ac severe MR ac severe AR ch severe MR ch severe AR Ans: ch severe AR 78.derivatives of urogenital sinus all except bladder ejaculatory duct prostatic urethra membranous urethra Ans: ejaculatory duct 79.kerley b lines pulmonary edema pulmonary hypertension bronchogenic ca pleural effusion Ans: pulmonary edema 80.hyaline membrane deposition is seen in ARDS , Pul edema CCF bronchiectasis Ans: ARDS Hyaline membrane formation is seen in ARDS in adults & in newborns 81.ig A deposition in glomeruli is seen in HSP alports mpgn rpgn Ans: HSP 82.cranial end of wolfian duct epoophoron paraepoophoron gartner cyst bartholin cyst Ans: Epoophoron 83.brucellosis all except d.o.c cephalosporin Transmitted by taking milk causes undulant fever g (-)ve bacillus Ans: DOC cephalosporin DOC – IM Steptomycin + Doxycycline 84.tall t waves seen in hyperkalemia hypokal hypocal hypercal Ans: hyperkalemia 85.hypocalcemia causes QT prlongation decreased qt interval widening of qrs prolonged pr interval Ans: QT prolongation 86.scala tympani and vestibuli is drained by aqueduct of cochlea vestibular aqueduct basilar membrane Ans. Still searching 87.Gold standard test for pulmonary embolism... CT Angiography ventilation perfusion scanning MRI chest x-ray Ans: CT Angiography 88. left upper post part of peritoneal cavity k/a a.lesser sac b. hepato renal pouch c. upper end of supra colon ? d. upper end of infr colon? Ans. Still searching 89.what is not true about case fatality rate? a. its a ratio b. not use for acute cases c.represent killing power of disease d.useful epidemiological indicator Ans:d. uesful epidemiological indicator 90. a drug wich is alpha agonist and orally used produg used for autonomic insufficiency and postural hypotension a.metamphetamine b. mitodrine c. phenylephrine d. verapamil Ans.A.Mephenteramine 91.ac otitis media in chidren str pneumoniae strep pyogenes staph aureus h.influenza Ans: Str pneumonia 92.l4-l5 disc prolapse absent ankle jerk absent knee jerk absent abdominal reflex Ans? 93.cachetin other name tumor necrosis factor, IL_1, IL-12 Ans: TNF Cachetin/TNF is one of the major products of activated macrophages 94.determining factor for preload end diastolic volume contractility of heart sympathetic innervation to heart vascular resistance Ans: end diastolic volume 95.not a branch of post cord of brachial plexus long thoracic nerve Axillary n , radial n upper subscapular nerve Ans: long thoracic nerve 96.max NaHCO3 loss occurs in acetazolamide frusemide thiazide spirinolactone Ans: acetazolamide 97.not seen in thiazide diuretics metabolic acidosis hypercalcemia glucose intolerance hyperuricemia Ans: metabolic acidosis 98.dyslipedimia not seen with amprenavir atazanavir saquinavir nelfinavir Ans: atazanavir 99.during vigorous exercise respiration is limited inorganic phosphates(Not Known clearly) 100.all are seen with cocaine except seizures mi amantidine is the drug of choice Ans: amantidine is the drug of choice 101.rheumatic chorea all are seen except absent in sleep occurs in 3-4th decade lasts for 4 to 10 wks resolves spontaneously Ans: occurs at 3-4th decade 102.False about hartnup's disease defect in neutral aminoacid transport mental retardation is the common presentation most children are asymptomatic photosenitivity Ans: mental retardation is the common Presentation 103.photosensitivity is seen in SLE scleroderma RA gout Ans: SLE 104.false regardin bronchiectasis pts present with foul smelling and copiuos amt of sputum hemoptysis is the indication for surgery when ds is b/l surgery is usually indicated Ans: when ds is b/l surgery is usually indicated 105.string sign of cantor crohn's ds Ischemic bowel irritable bowel syndrome peptic ulcer disease Ans: crohn’s ds 106. In which of the tubercular infection steroid useda. a. Lymphadenitis b. Osteomylitis c. Endobronchial TB d. pulomary TB Ans: c. Endobronchial t. 107. max limit of cardiothoracic ratio in chidren below 2 yrs a. 0.40 b. 0.45 c. 0.50 d. 0.55 Ans: d. 0.55 108. diaphyseal tumor among the following a. chondromyxofibroma b. giant cell tumor c. chondroblastoma d.ewing's sarcoma Ans:d.ewing's sarcoma 109. bone to bone mets seen in a. osteosarcoma b.chondrosarcoma c.ewing's sarcoma d.enchondroma Ans: c.ewing's sarcoma 110.changes not seen when during accomodation to near reflex a. increase in curvature of lens b. contr of ciliary muscle c. convergence of visual axis d. dilation of pupils Ans. d. dilation of pupils 111.most common malignant intraorbital tumor in adults? a. malignant melanoma choroid b. retinoblastoma c.haemangioma d.rhabdomyosarcoma Ans: a. malignant melanoma choroids 112.false about pathological myopia a. ass with cataract b. ass with retinal degenaration c. shallow ant chamber d.large eyeball Ans: c. shallow ant chamber 113.topical glucocorticoids in eyes causes a. cataract b,glaucoma c.uveitis d.corneal anaesthesia Ans: b,glaucoma 114.characteristic of diabetic papillopathy bulging optic disc with telengiectatic vessels multiple hemorrhagic spots optic disc pallor cupping of optic disc Ans: bulging optic disc with telengiectatic vessels 115.vasectomy leads to A/E scrotal hematoma infection decreased libido anti spermin antibody Ans: decreased libido 116.Basophilic inclusion Bodies Seen In – a. Adeno Virus , b. Herpes. c.Measles d.pox viruses Ans: a. Adeno Virus 117.Which drug doesn’t causes neutropenia methotrexate ranitidine carbamazepine phenothiazines Ans: methotrexate 118.Which cell doesn’t take part in atherogenesis a..Neutrophil b. Platelet c. Monocyte d. smooth muscle Ans: b.platelet 119.Which Type Of Cell is not Increased By Steroid a. Rbc b. Platelets c. Monocyte d. Netrophil Ans: d.neutrophil 120. hpv vaccine employs all except? a. 6, b. 11, c. 16, d. 32 Ans: d. 32 121. thyroid binding proteins is increased by a. androgens b. estrogens c. asparginase d. glucocorticoids Ans: b. estrogens 122.Which Is Not A Risk Factor For Hcc a.Focal nodular hyperplasia b.hepatic adenoma c.OCP d.hep B Ans: a. Focal nodular hyperplasia 123.not true regarding inhaled glucocorticoids and beta2 agonists a. glucocorticoids are superior to beta 2 agonists for symptomatic relief b.beta 2 agonists are available as both lo9ng and short acting preparations c.glucocorticoids are used in management of acute severe asthma. d.combination of inhaled steroids and inhaled beta2 agonists can be used in treatment of asthma. Ans: a. glucocorticoids are superior to beta 2 agonists for symptomatic relief 124.primary ammnorhea not seen in? a. Asherman synd, b.kallman synd c.turner's syndrome d.testicular feminisation Ans: a. Asherman synd, 125.Staphylococal toxic shock syndrome toxin is.. a. Superantigen b.erythrogenic toxin c.endotoxin d.heat labile toxin Ans: a. Superantigen 126.best tt for relieving pain during intrapartum a.neuraxial block b.topical anaesthesia c.local anaesthesia d.GA Ans. a.neuraxial block 127.True about delirium a.it is behavioral change due to alteration in cerebral metabolism b.not associated with alcohol withdrawal c.treatment is with analgesics d.it is a progressive condition Ans: a.it is behavioral change due to alteration in cerebral metabolism 128.In starvation last change seen a.depletion of buccal fat b.depletion of subcutaneous fat c.loss of appetite d.pedal edema Ans. a.depletion of buccal fat 129.For the short time of starvation which organ doesntuse ketone bodies a. brain b.heart c.muscles (skeletal) d.kidney Ans. Brain 130.sample of spinal cord preseved in... a.oleander poisoning b.war gases c.Strychnine poisoning d.arsenic poisoning Ans: c.Strychnine poisoning 131.vesthbulo-ocular reflex mediated by a.neocerebellum b.flocculonodular lobe c.spinocerbellum d.neocortex Ans: b.flocculonodular lobe 132.not seen in hypervitaminosis A a. alopecia b. polyurea c. pseudotumor cerebri d. Hyperostosis Ans: b. polyurea 133.wernicke psychosis is due to a.alcohol dependency b.thiamine deficiency c.pyridoxine deficiency d.opium toxicity Ans: b.thiamine deficiency 134.wernicke hemianopic pupil is seen in lesion of a. optic radiation b. optic tract c. optic chiasma d. afferent tract Ans: b. optic tract 135.ATRA (all trans retinoic acid) is used in the treatment of a.ALL b.CML c.M4 AML d.acute promyelocytic leukaemia Ans: d.acute promyelocytic leukaemia AML-M3 136.vitilgo is most commonly ass with a. diabetes mellitus b. addisons ds c. hypothyroidism d. diabetes insipidus Ans: c. hypothyroidism 137.not true regarding poems syndrome a. multiple osteolytic lesion are seen b.associated with neuropathy c.plasma cell dyscrasia d.treated with steroids Ans: a. multiple osteolytic lesion are seen 138.spider leg appearence is seen in a. adult polycystic kidney ds , b.cong multicystic kidney ds c.uretocoele d.horse shoe kidney Ans: a. adult polycystic kidney ds 139.EBV causes all except a. kaposi sarcoma , b.infectious monocytosis c.burkit lymphoma d.Duncan's disease Ans: a. kaposi sarcoma 140. marker for peroxisomes a. glutamate dhase b. glu 6 phosphatase c. 5' nucleotidase d. uric acid oxidase Ans: d. uric acid oxidase 141. most common complication of mumps in children? a.Meningoencephalitis b.orchitis c.arthralgia d.otitis media Ans: b.orchitis 142. post polio deformity of hip a.adduction,flexion b. abduction,flexion,external rotation c.abduction,flexion,internal rotation d.adduction,flexion,internal rotation Ans: b. abduction,flexion,external rotation 143. all except are features plummer vinson syndrome a.hypertrophy of oral mucosa b.postcricoid esophageal webs c.female predeliction d.association with esophageal carcinoma Ans: a.hypertrophy of oral mucosa 144. PUVA treatment is not used in a.melasma, b.psoriasis, c.cutaneous lymphoma d.vitiligo Ans: a.melasma 145. leukonychia is seen in a.hypoalbuminemia , b.Fe def anemia c.chronic renal d.melanoma Ans: a.hypoalbuminemia 146. In starvation last change seen a.depletion of buccal fat b.depletion of subcutaneous fat c.loss of appetite d.pedal edema Ans: a.depletion of buccal fat 147. drug used for treatment of hypercricemia in excess producers a.colcichine b.probenecid c.allopurinol d.furosemide Ans: c.allopurinol 148. drug not acting on cell wall a.dactinomycin b.bacitracin c.fosfomycin d.penicillin Ans: a.dactinomycin 149. m.c cause of death in 1-4 years of age in developing countries malnutrition diarrheal ds respiratory infection prematurity Ans: diarrheal ds 150. pincer grasp is seen at 5-6 months 7-8 months 9-11 months >12 month Ans: 9-11 months 151. cremastric reflex afferent is genitofemoral n femoral n. Obturator n Ilioinguinal n Ans: genitofemoral n 152. not a content of adductor canal femoral v femoral a saphanous n n to vastus lateralis Ans: n to vastus lateralis 153. Treatment of incisional hernia asoc with least recurrence Kelly’s procedure intraperitoneal mesh intramuscular mesh Ans: intraperitoneal mesh 154. Most common gene abnormal in Follicular ca thyroid. 1.H RAS.. 2.K RAS.. 3. N RAS.. 4..NTRK1 Ans: 3. N RAS 155. parkland formula %of burn area*body wt*8 %of burn area*body wt/4 %of burn area/(body wt*4) %of burn area*body wt*4 Ans: %of burn area*body wt/4 156. First sinus to develop in a growing fetus Maxillary Frontal Ethmoid Sphenoid Ans: Maxillary 157. which is more common in a paper mill worker bagassosis, byssinosis silicosis aasbestosis Ans: bagassosis 158.which of the following denotes “no of live births/no of females 15-45 in population” denotes a.gfr b.tfr c.nrr d.asfr Ans: a.gfr TFR=sum of age-specific fertility rate (15-49 years) 159.Decreased erythropoietin levels are seen in advanced Liver diseases Lung ds Cardiac disease renal failure Ans: renal failure (renal failure>liver ds) 160.feature of tb otitis media Painful purulent dischage Single,central perforation Ear ossicles never involved mutliple perforations of tm Ans: mutliple perforations of tm 161.which is true regarding treatment of meningioma a.surgery and observation b.preop chemo and surgery c.surgery and postop radio d.removal of dura Ans: c.surgery and postop radio 162.kartagener's syndrome includes all except a.situs inversus b.cong.bronchiectasis c.cong.emphysema d.ciliary dysfunction Ans: c.cong.emphysema "Kartagener's syndrome accounts for 20% of all cases of congenital bronchiectasis 163.decrease in BP causes a.inhibits vasoconstictor center b.disinhibits vasoconstrictor center c.decrease in heart rate d.peripheral vasodilatation Ans: b.disinhibits vasoconstrictor center 165. insulin acts through all except a.tyrosine kinase receptor b.membrane na-k atpase c.inducing hexokinase activity d.inhibiting lipolysis Ans: c.inducing hexokinase activity 166.ca cervix with inv of upper 1/3 vagina but not the parametrium is a.stage IIA b.IIIA, c.IIB d.IVB Ans: a.stage IIA 167. bladder injury is most common after a.abd.hysterectomy b.vag.hysterectomy c.lap.hysterectomy Ans. c.lap.hysterectomy 168. acute emphysematous cholecystitis is caused by a.pseudomonas b.clostridium c.e.coli d.klebsiella Ans: b.clostridium 169. which is an enzyme inhibiter griseofulvin phenytoin rifampicin disulfiram Ans: disulfiram 170. which occurs in phase 1 reaction methylation, hydration, conjugation glucuronidation Ans: hydration 171. cleft lip is repaired at 2-3month 4-5m, 1 year 7-8 months Ans: 4-5m, 172.Level of tracheostomy determined by Cricoid cartilage, 1st tracheal ring, 2nd tracheal ring Thyroid cartilage Ans: Cricoid cartilage 173. bone destruction due to increased osteolysis is osteoporosis osteopetrosis Osteomalacia Mets from ca prostrate Ans: osteoporosis 175. tractional retinal detqchment cause? Proliferative diabetic retinopathy Choroidal melanoma Retinoblastoma Pathological myopia Ans: Proliferative diabetic retinopathy 176. hypercalcemia is caused by all except a.breast ca b.sarcoidosis c.milk alkali syndrome d.frusemide Ans: d.frusemide 177. acetyl co a carboxylase is stimulated by Thymine pyrophosphate Pyridoxal phosphate Niacin Biotin Ans: Biotin Since Biotin is responsible for Carboxylation reaction.. 178. superior mesentric artery syndrome –causes are all except? Sudden loss of wt Long mesentry highly attached lig. of traitz seat belt injury Ans: long mesentry, 179. not a branch of ophthalmic artery sup orbital, supra trochlear, sup. Temporal ethmoidal artery Ans: sup. Temporal 180.Clue cells are seen in Bact vaginosis, candida, trich. Aspergillosis Ans: Bact vaginosis 181.grey colour teeth yellow flurosence Tetracycline Porphyria Sulphonamides Chloramphenicol Ans: Tetracycline 182. function of ubiquitin Destruction of intracellular protein Endocytosis Takes part in apoptosis Plays an important role in acute inflammation Ans: Takes part in apoptosis 183.mc site of fracture of mandible Neck of mandible, Condyle of mandible Angle of mandible Body of mandible Ans: Condyle of mandible 184. m/c cause of acute otitis media in children Strept pyogen, strept pneumonia staph h.influenza Ans: strept pneumonia 185. lady with prolactinoma n bitemporal heminopia –mc cause? Pituitary Microadenoma, Macroadenoma CAH CA breast with mets to pituitary Ans: Macroadenoma 186. h pylori causes all except MALT lymphoma Gastric adeno CA Type A gastritis Type B gastritis. Ans: Type A gastritis 187. most common esophageal motility disorder Achalasia, DES, inapprapiate esophageal contraction schatzki ring Ans: Achalasia "Achalasia is the most common esophageal motility disorder,with 0.5 new cases per 100000 population per year" 188. testesterone secreted by setoli cells leydig cells granulose cells adrenal medulla Ans: leydig cells 189. one of the following is receptor defectHuntington’s disease Leber’s hereditary optic neuropathy familial Hypercholesterolemia niemann pck disease Ans: familial Hypercholesterolemia 190. rntcp target level 80%detection n 85% cure 70%detection 85% cure 50%cure rate and 50% detection 100% cure rate and 100% detection Ans.b.The target level is actually 70% detection & 85% cure rate.. 191. advanced life support.drugs used except ca vasopressin nor adrenaline amiodarone Ans: vasopressin 192. mc site for fertilisation Isthumus , ampulla, cornua interstitium Ans: ampulla 193. which is not a selective cox2 inhibitor Valdecoxib reofecoxib celecoxib Piroxicam Ans: Piroxicam 194.regarding typhoid fever true xcept Mostly affect 3-4th decades Man is the only reservoir Can cause perforation of intestine Rose spots seen in 2nd week of illness Ans: Mostly affect 3-4th decades 195.fungal spores formed by condensation of hyphal elements Arthrospore, Conidiospore Basidiospores Ascospores Ans: Arthrospore 196.rotator cuff injury –which is true? Active abd affected more than passive Passive >active abd Both active and passive abduction equally affected Doesn’t affect abduction Ans: Active abd affected more than passive 197.which is responsible for depolarisation of cochlea a. potassium influx b.sodium influx c.potassium efflux d.sodium influx Ans: a. potassium influx 198. drug used in alzheimers disease Physostigmine Neostigmine Rivastigmine Edrophonium Ans: Rivastigmine 199.cyclic trend of influenza is mainly due to? antigenic drift antigenic shift Von Magnus phenomenon High herd immunity Ans: antigenic drift 200. av nodal delay is due to Secondary to SA nodal delay AV node is refractory to fast impulses Low rhytmicity of AV node Junctional fibres of the AV node are very small in size. Ans: Junctional fibres of the AV node are very small in Size 201. clergymans knee – Infrapatellar bursitis Suprapatellar bursitis Prepatellar bursitis Ischial bursitis Ans: Infrapatellar bursitis 202. not an epithelial tumour? a.serous cystadenoma b.clear cell carcinoma c.mucinous cystadenoma d.hilus cell tumour Ans: d.hilus cell tumour 203. in sicle cell anaemic crisis a/e Bone pain Can cause dactylitis increased spleen size acute lung syndrome Ans: increased spleen size Autosplenectomy is seen in sickle cell anemia. 204. child with recurrent fracture + wormian bones a.osteogenesis imperfecta b.Down’s syndrome c.cong. hypothyroidism d.battered baby syndrome Ans: a. osteogenesis imperfect 205. general public at risk due to a. uranium b.thorium c.radium Ans: radium 206. Pitutary stalk damage-all of following can occur except? a.hypothyrodism b.diabetes insipidus c.hyperprolactinemia d.cushing’s syndrome Ans: d.cushing’s syndrome 207. menieere’s disease –true? a. low freq SNHL b.high freq SNHL c.surgery is the only treatment available d.more common in females Ans: a. low freq SNHL 208. which is not an action of disulfuram a. it inhibits phosphodiesterase b.inhibits aldehyde dehydrogenase c. The combination of naltrexone plus disulfiram should be avoided d. The drug inhibits the metabolism of many other therapeutic agents, including phenytoin, oral anticoagulant ans:a. a. it inhibits phosphodiesterase 209. migratory thrombophelebites-mc cause? Pancreatic ca Prostrate ca Bronchogenic ca Breast ca Ans: Pancreatic ca 210. ambylopia and blindness..which poisoning? a.opioid poisoning b.metanol c.cocaine d.aconite poisoning Ans: b.metanol 211. dopamine-all are true except? a.at low doses improves renal circulation b.has positive inotropic action c. it decreases blood flow in splanchnic circulation d.has action on both alpha and beta receptors Ans: c. it decreases blood flow in splanchnic Circulation 212. Example of killed virus vaccine Hep B japanese encephalitis polio yellow fever Ans: japanese encephalitis 213. Amino acid which undergoes highest amount of deamination: a)Alanine b)Aspartate c)Glutamate d)Not recalled. Ans: c)Glutamate 214. naloxone can antagonise all except a.analgesia b.constipation c.vomitting d.itching Ans: Itching 215. mc tumor of appendix a.adenocarcinoma b.carcinoid c.metastasis d.adenoma Ans: b.carcinoid 216.All are true components of Saint’s triad? a.gall stones b.renal stones c.diverticulosis d.hiatus hernia Ans: b.renal stones 218.A mount of Fluid for maintanence in a child <10kgs a)1ml/kg/hr b)2ml/kg/hr c)5ml/kg/hr d)10ml/kg/hr Ans: c)5ml/kg/hr