ALLINDIA 2008

ANATOMY 1. WhichofthefollowingisnottrueaboutDIPLOICVEINS? 1. Arepresentincranialbones 2. Developduringtheeighthweekofintrauterinelife 3. Theyaredevoidofvalves 4. Theyarethinwalledwithendothelialliningandelastictissueonly Ans.2 2. AllthefollowingbonescontributetotheformationofNasalseptumExcept(PGI2003) 1. Sphenoid 2. Lacrimal 3. Palatine 4. Ethmoid Ans.2 3. Whichofthefollowingthetypeofjointbetweenearossicles? 1. Primarycartilagionous 2. Secondarycartilagionous 3. Synovial 4. Fibrous Ans.3 4. WhichofthefollowingistheFINALCOMMONPATHWAYforhorizontalgaze? 1. Oculomotornulens 2. Abducensnuleus 3. Trochlearnuleus 4. Vestibularnuleus Ans.2 5. WhichofthefollowingcranialnervenucleusisNOTgeneralsomaticefferent? 1. Oculomotor 2. Trochlear 3. Facial 4. Abducens Ans.3 6. Which of the following is the nucleus of trigeminal nerve where the afferent arch (impulses)formassetorreflexarecarried? 1. Spinalnucleus 2. Mesencephalicnucleus 3. Sensorynucleus 4. Motornucleus Ans.2 7. Whichofthefollowingisconcernedwithpainandtemperature? 1. Pyramidaltract 2. Anteriorspinothalamictract 3. Lateralspinothalamictract 4. Dorsalspinocerebellartract Ans.3 8. Whichofthefollowingisnotcarriedbyposteriorcolumntract?

1. Touch 2. Pain 3. Pressure 4. Vibration Ans.2 9. Facialcolliculuslocatedatin? 1. Pons 2. Medulla 3. Midbrain 4. Interpeduncularfossa Ans.1 10. Whichofthefollowingisnotafeatureoflowerradialnerveinjury? 1. WeaknessofBrachioradialis 2. Inadilityofextendfingers 3. Paralysisofextersorcarpiradiolisbravis 4. Lossofsensationsoverdorsumofhand Ans.1 11. ThePhysiologicallockingoftheKNEEjointoccursasaresultof? 1. Medialrotationoftibiaoverthefixedfemur 2. Lateralrotationoffemurovertehtibia 3. Lateralrotationoftibiaoverthefemur 4. Lateralrotationoffemuroverthefixedtibia Ans.4 12. Coronaryligmentisbetween? 1. Menisciandsynovium 2. Posteriorhornsoftwomenisci 3. MenisciandTibia 4. MensiciandFemur Ans.3 13. WhichofthefollowingisthearterialsupplytoACL? (Anteriorcurciateligament)? 1. Fibularheadartery 2. Descendinggenicularartery 3. Superiorgenicularartery 4. Middlegenicularartery Ans.4 14. Analteredsensationovertheareaofgreatsephanousveininthelegmayoccurdueto injurytowhichofthefollowingnerve? 1. Femoralnerve 2. Tibialnerve 3. Suralnerve 4. Fibularnerve Ans.1 15. Whichofthefollowingispresentinthefreeedgeoftheperitonealreflectionthatforms oneofthebordersoftheparaduodenalfossa? 1. Middlecolicvein 2. Leftcolicvein 3. Splenicvein 4. Inferiormesentericvein Ans.4 16. Whichofthefollowingisnotatributaryofcavernoussinus?

1. Superifcialmiddlecerebralvein 2. Supeiorpeterosalsinus 3. Inferiorpetrosalsinus 4. Deepcerebralvein Ans.4 17. Whichofthefollowingarterysuppliesductusdeferens? 1. Cremastricartery 2. Inferiorepigastricartery 3. Middlerectalartery 4. Superiorvesicalartery Ans.4 18. Compositemusclesincludethefollowingexcept? 1. Pectinius 2. Adductormagnus 3. Rectusfemoris 4. Bicepsfemoris Ans.1 19. FollowingaretheDigastricmusclesexcept? 1. Occipitofrontalis 2. Sternocleidomastoid 3. Omohyoid 4. LigamentofTreitz Ans.4 20. LiningcellsoftheairpassagesandalveoliincludethefollowingEXCEPT 1. Kultiskycells 2. Claracells 3. Bruchcells 4. Langerhancells Ans.4 21. Bronchialarterysupplieslungsupto? 1. Tertiarybronchioles 2. Terminalbronchioles 3. Rspiratorybronchioles 4. Alveolarducts Ans.3 PHYSIOLOGY 1. InLewistripleresponsewhentheskinisfirmlystroked,theinitilareddeningatthatsite isduetowhichofthefollowing? 1. Arteriolardilatation. 2. Ruptureofcapillaries. 3. Capillarydilatation. 4. Increasedpermeabilityofcapillariesandpostcapillaryvenules. Ans.3 2. Whichofthefollowinghelpsinbridgingthefibrininaclotandstabilizestheclot? 1. FactorIII 2. FactorV 3. FactorVIII 4. FactorXIII Ans.4 3. GammacarboxylationofglutamicacidinclottingfactorsII,VIIandproteinC

1. VitaminK 2. VitaminC 3. VitaminA 4. VitaminE Ans.1 4. Rhfactoris 1. IgMantibody 2. Mucopolysaccharide 3. IgGantibody 4. Fattyacid Ans.2 5. Correctsequenceofthespermmovements: 1. Retetestisstraighttubulesefferenttubules 2. StraighttubulesRetetestisefferenttubules 3. Straighttubulesefferenttubulesepididymis 4. StraighttubulesRetetestisepididymis Ans.2 6. Whichofthefollowingistrueregardingrquirementoftemperatureforspermatogenesis? 1. Requirestemperaturehigherthancoretemperature 2. Requierestemperatureshouldbeconducive 3. Requirestemperaturelowerthancoretemperature 4. Requirestemperatureequaltocoretemperature Ans.3 7. Whichofthefollowingistrueregardingfertillzationandimplantation? 1. Morullaiscoveredbytrophoblast 2. Haploidcellsformationinboth 3. Morulaisactivelymotileinoviducts 4. BetaHCGsecretionisbyPeriembryonalstromaltissue Ans.4 8. TrueregardingbloodpressuremeasuredbySphygmonanometerincludeswhichofthe following? 1. Sameinapersonwhenmeasuredevenatdifferenttime 2. Islessthanintraarterialbloodpressure 3. IsequaltoBloodpressuremeasuredbyAneroidsyphygmanometer 4. Dependsonvelocityofbloodflow Ans.4 9. TrueaboutSecretininculdethefollwoingEXCEPT: 1. Itincreasesthealkalinityofbiliaryandpancreaticsecretion. 2. Itdecreasesgastricacidsecretion 3. Itdecreasesgastrinsecretionandgastricemptying 4. Increasesflowandvelocityofbile Ans.4 10. Whichofthefollowingishelpfulforfoldingofproteins? 1. Chaperones 2. Ribozymes 3. Scaffoldproteins 4. Apoproteins Ans.1 11. Basementmembranedamageismediatedby (AI2007) 1. Metalloproteases

2. Myeloperoxidase 3. superoxidedismutase 4. Capsases Ans.1 12. Sortingofproteinoccursinwhichofthefollowing? 1. Golgibodies 2. Ribosomes 3. Lysosomes 4. Mitochondria Ans.1 13. Whichofthefollowingisnottrueregardingp53? 1. controlstheproductionandencodes53KD 2. presentonchromosome17 3. arrestscellcycleinG1phase 4. Wildtypenonmutantp53resultsinmalignanciesinchildhood Ans.1 14. Lymphflowfromthefootis? 1. Increasedwhenanindividualrisesfromthesupinetostandingposition 2. Increasedbymassagingthefoot 3. Increasedwhencapillarypermeabilityisdecreased 4. Decreasedwhenthevalvesofthelegveinsareincompetent Ans.2 15. Whichofthefollowingistrueregardingphysiologicalchangesinbrainduringexercise? 1. Bloodflowisdecreased 2. Bloodflowisincreased 3. Bloodflowremainsunaltered 4. Bloodflowinitiallyisincreasedandthendecreases Ans.3 16. Whichofthefollowingtriggersmusclecontraction? 1. Bindingofcalciumtotropomyosin 2. BindingofcalciumtotropoininC 3. ATPbreasdown 4. Stabilitytotroponintropomyosincomplex Ans.2 17. WhichofthefollowingisNOTaSarcolemalprotein? 1. Perlecan 2. Dystrophin 3. Alphadystroglycan 4. Sarcoglycan Ans.1 18. Transportofneutralsubstancesacrossthecellsoccursvia? 1. Porin 2. Ionophore 3. Lipopolyscahrides 4. Cavolin Ans.1 19. Whichofthefollowingistheactiveformofcalciuminbody? 1. Ionisedcalcium 2. Calciumphosphate 3. Calciumcarbonate

4. Boundtoalbumin Ans.1 20. Trueregardinghumanheart? 1. Conductionofimpulseformendocardiumtoinwards 2. Duringexercisesystoleisreducedmoreindurationmorethandiastole 3. HeartRateincreaseswithdenervation 4. Vagalstimulation,decreasesforceofcontraction Ans.3 BIOCHEMISTRY 1. HighenergyphosphatesareproducedinthefollowingEXCEPT: 1. HMPshunt 2. Oxidativereaction 3. TCAcycle 4. Glycolysis Ans.1 2. Gammacarboxylationinvolves: 1. VitaminC 2. VitaminK 3. VitaminD 4. VitaminA Ans.2 3. PhosphorylaseBinthemuscleisnormallykeptininhibitedstatedbywhichoneofthe following? 1. ATP 2. AMP 3. Calcium 4. Glucose Ans.1 4. Whichofthefollowingiswatersoluble? 1. VitaminK 2. Folicacid 3. VitaminA 4. Trpollin Ans.2 5. MainfunctionofApoproteinC? 1. Cholesterolsynthesis 2. TGtransport 3. IncreasesactivityofLipoproteinlipase 4. Fattyacidsynthesis Ans.3 6. Thrombinactivityisnotinhibitedby? 1. Chymotrypsin 2. HeparincofactorII 3. Alpha2antitrypsin 4. Alpha2macroglobulin Ans.1 7. Okazakifragmentsareformedduring? 1. Transcription 2. DSDNAreplication 3. SinglestrandedDNAreplication

4. Translation Ans.2 8. Reactiveoxygenintermediatesinlysosomesareproducedby? 1. NADPHoxidase 2. Superoxidedismutase 3. Castalase 4. Glutathioneperoxidase Ans.1 9. Whichofthefollowingisnotacomponentofinterphotorecepormatrix? 1. Matrixmetalloprotienases 2. TIMPs 3. SPACR 4. Mimecan Ans.4 PATHOLOGY 1. Delayedcontinuousvascularpermeabilityininfalammationisprimarilyduetowhichof thefollowing? 1. Endothelialcontraction 2. Retractionofendothelialvenulesandcapillaries 3. Directendothelialinjury 4. Angiogenesis Ans.2 2. WhichofthefollowingisTRUEregardingBradykinin? 1. Painininflammation 2. Decreasesvascularpremeability 3. Vasoconstriction 4. Bronchodilatation Ans.1 3. Apatienthasretinoblastoma.HeisalsolikelytodevelopMandibularozteosarcomaifthe pathogeneticcausesarethefollowingEXCEPT: 1. P53genemutation 2. Radiationinduced 3. Chemotherapyinduced 4. MutationofRbgene Ans.3 4. MajorproteincomponentinHaemodialysisassociatedamyloidosis? 1. Beta2Microglobulin 2. Transthyretin 3. Calcitonin 4. Prealbumin Ans.1 5. HMB45isimmunohistochemistrymarkerfor 1. Melanoma 2. PNET 3. Neurofibroma 4. Rhabdomyosarcoma Ans.1 6. Processunderwhichthedifferenceinexpressionofageneoccursaccordingtowhich parenthastransmittedisknownas 1. Genomicimprinting

2. Moscism 3. Anticipation 4. Penetrance Ans.1 7. WhichofthefollowingisNotamalignancy? 1. Plasmacytoma 2. Askintumor 3. Fibromatosis 4. Chloroma Ans.3 8. Whichofthefollowingoncogeneisagrowthfactor? 1. fos 2. jun 3. myc 4. sis Ans.4 9. Whichofthefollowingisthemostspecificmarkerforhodgkinsslymphoma? 1. CD15andCD68 2. CD15andCD30 3. CD15andCD45 4. CD30andCD68 Ans.2 10. TheColdagglutininsare? 1. AntiIgMab 2. AntiIgGab 3. Donnathlandsteinerantibody 4. AntiIgAab Ans.1 11. PoorprognosticfactorinAML: 1. Inv16 2. T(8,21) 3. Normalkaryotype 4. Monosomy7 Ans.4 12. Differentialdiagnosisforpancytopeniawithcellularbonemarrowinculdethefollowing EXCEPT: (AI2007) 1. Megaloblasticanemia. 2. Myelodysplasia. 3. ParoxysmalNocturnalHemoglobinuria. 4. Congenitaldyseryhtropoieticanemia Ans.1 13. HisroathologicalfindinginWipplesdisease? 1. Histiocyticinfiltrationinlaminapropria 2. Nonnecrotizinggranulomatouslesions 3. Proliferation 4. Eosinophilicinfiltrationinmucosa Ans.1 14. AllofthefollowingEXCEPTONEarenonproliferativeglomerulopathies? 1. Amyloidosis 2. MesangiocapillaryGlomerulonephritis

3. MembranousGlomerulonephritis 4. FocalsegmentalGlomerulonephritis Ans.2 15. CrescenticGlomerulopathiesinculdethefollowingEXCEPT: 1. HSP 2. Antibasementmembranedisease 3. Alportssyndrome 4. PSGN Ans.3 16. AntiphospholipidantibodysyndromeischaracterizedbythefollowingEXCEPT: 1. Recurrentabortions 2. Arterialthrombosis 3. Pancytopenia 4. Pulmonaryhypertension Ans.3 17. Ferruginousbodiesareseenin? 1. Silicosis 2. Asbestosis 3. Bagasosis 4. Bysinosis(lung) Ans.2 18. Whichofthefollowingisnotapathologicalfeatureofmalignanthypertension? 1. Segmentaldilationofvessels 2. Fibrinoidnecrosisofarterioles 3. Hyperplasticarteriolitis 4. Hyalinearteriosclerosis Ans.4 19. SpecificmarkerforSynovialsarcomais: 1. T(X,18) 2. T(9,22) 3. T(179) 4. T(11,14) Ans.1 20. Rossetesarecharacteristicallyseenin: 1. Retinoblastoma 2. Pulmonaryblastoma 3. Hepatoblastoma 4. Pancreatoblastoma Ans.1 21. Pickbodies(inPicksdisease) 1. Hyperphosphorylatedtau 2. Ubicutin 3. Alphasynclein 4. Betasynclein Ans.1 22. Biondiringtanglesareseenin 1. Amylodosis 2. CellsofCerebralcortex 3. Liningofthechoroidplexus 4. Pigmentarycellsofretina

Ans.3 MICROBIOLOGY 1. Which ofthefollowing streptococcal components cross reactoswith Synovial fluidin joints? 1. CarbohydrateCantigen 2. Polysaccharidecapsule 3. Hyaluronicacid 4. Cellwallantigen Ans.2 2. WhichoneofthefollowingisTRUEregardingPneumocystisjirovecii? 1. Occursonlyinimmunocompromisedindividuals 2. Sputumexaminationisveryhelpfulindiagnosis 3. Itcausespneumatosiscystoidesintestinaliswithformationofariinintestinalwall 4. MostcommonlyassociatedwithCMVinfection Ans.1 3. H5N1is 1. VirulentStrainofH.infuenzae 2. Birdfluvirus 3. StrainofplasmodiumcausingMalariafoundespeciallyinAndamanNicobarIsland 4. NewervaccineforHIV Ans.2 4. Followingareleastsusceptibletodisinfectantsandantiseptics? 1. Spore 2. Prions 3. Protozoa 4. Fungi Ans.2 5. Trueregardingprions 1. Itcontainsnuclearmateial 2. Infectious 3. Immunogenic 4. Nonpathogenic Ans.2 6. TrueaboutenterococciinculdethefollowingEXCEPT 1. E.fecalisanfE.arepathogenictohumans 2. Theyarepenicillinsensitive 3. Theygrowinbile 4. Endocarditisisknownpathogenicity Ans.2 7. AllthefollowingstatementsaretrueaboutV.cholerao139execpt? 1. ClinicalmanifestationsaresimilartoO1Eltorstrain 2. FirstdiscoveredinChennai 3. EpidemiologicallyindistinguishableformO1Eltorstrain 4. ProducesO1lipopolysaccharide Ans.4 8. Contrastrelatedreactionslikeedema,urticaria,rasharemediatedby? 1. IgEmediatedreaction 2. Anaphylactoidreaction 3. Cellmediatedimmunity 4. IgAmediatedreaction

Ans.1 9. WhichofthefollowingisNOTtrueregardingSuperantigens? 1. Producedduetobacterialandviralproducts 2. ActicatevarylargenumberofTcellsirrespectiveoftheirantigenicspecidicity 3. BindtothecleftintheMHCIIMolecules 4. BindsdirectlytothelateralaspectoftheTCRbetachain Ans.3 10. AllthefollowingaretrueaboutANTIGENPRESENTINGCELLSEXCEPT 1. Allleucocytes,endothelialandepithelialcellsantigenpresentingcells 2. MHCIImoleculesarepresentontheantigenpresentingcells 3. Theyareabundantinthethymicmedulla 4. Bcellsafteractivationdonotpresentantigen Ans.4 11. AllEXCEPTonearetrueregardingYaws: 1. CausedbyTreponemasubspeciesT.petenue 2. Itcrossreactswithantibodytiterofsyphilis 3. Itistransmittedsexually 4. Therecommendedtreatmentisbenzathinepenicillin Ans.3 12. Meningitisina65yearoldelderlyfemalecanbecausedbyallthefollowingEXCEPT? 1. Streptococcuspneumonae 2. HSV2 3. Listeriamonocytogens 4. Gramnegativebacteria Ans.2 PHARMACOLOGY 1. Therapeuticindexisindicatorof (orrisa2002) 1. Safety 2. Efficacy 3. Potency 4. Toxicity Ans.1 2. WhichoneofthefollowingisTRUEaboutPhaseIIclinicaltrial? 1. Largenumberofpatientsareincluded 2. Primaryaimistoestablishtherapeuticefficacy 3. Safety,andtolerabilityofadrugareassessed 4. Anewdrugapplicationissubmittedtoauthority Ans.2 3. Xenobioticsinvolvesallofthefollowingenzymesexcept? 1. Hydroxylation 2. Cytochromeoxidase 3. CytochromeP450 4. Methylation Ans.2 4. DrugscausingUrinediscolorationinculdethefollowingEXCEPT: 1. Quinine 2. Pyridine 3. Rifampicin 4. Nitrofurantoin Ans.1

5.

AnitmalarialusedresistantP.falciparummalariainchildhood? 1. Doxycycline 2. Chloroquine 3. Clindamycin 4. Tetracycline Ans.3 6. Antifungaldrugsarethefollowingexceptone 1. Ketoconazole 2. Undecylicacid 3. Ciclopirox 4. Cyclofacimine Ans.4 7. DrugofchoiceforDiphtheriachemoprophylaxis? 1. Doxycyclin 2. Erythromycin 3. Tertracyclin 4. Ampicillin Ans.2 8. Drugthatismosteffectiveinpseudomonasinfection? 1. Ampicillin 2. Piperacillin 3. Amoxicillin 4. Carbenicillin Ans.2 9. TreatmentofchoiceforNeurosyphilis? 1. Procainepenicillin 2. Benzathinepenicillin 3. OralpenicillinG 4. Ampicillin Ans.1 10. AllthefollowingareTRUEabourPenicillinGexcept? 1. Canbegivenorally 2. Mainmechanismofactionistubularsecretion 3. Probenaciddecreasesitssecretion 4. Betterthanceftriaxonefordisseminatedgonorrhea Ans.1 11. TrueregardingPenicillins? 1. EffecativeagainstGarmpositiveaswellasgramnegativebacteria 2. PenicillinGisnotsusceptibletoinactivationbybetalactamases. 3. PenicillinVhassmallerspectrumsimilartopenicillinG 4. PenicillinGismoreacidstablethanpenicillinV. Ans.1 12. Whichofthefollowingisnephrotoxic? 1. Streptomycin 2. Ciprofloxacin 3. Piperacillin 4. Cefotaxim Ans.4 13. Whichoffthefollowingantibioticinhibitsproteinsynthesis? 1. Doxycyclin

2. Nitrofurantoin 3. Cephalosporin 4. Penicillin Ans.1 14. DrugscontradicatedinG6PDdeficiencyincludeallexcept? 1. Quinine 2. Chloroquine 3. Primaquine 4. Pyrimethamine Ans.4 15. Drugsnoteffectiveintreatmentoftyphoid? 1. Amikacin 2. Cotrimoxazole 3. Ciprofloxacin 4. Ceftriaxone Ans.1 16. AllthefollowingareCORRECTregardingMethicillinresistanceofStaphEXCEPT 1. MRSAindicatesresistancetoallbetalactamases 2. MRSAresistanceisBetalactamaseindependent 3. ItisPlasmiddependent 4. At37Cresistanceismoreexpressed Ans.4 17. TrueabouttheSideeffectsofTETRACYLINEincludethefollowingEXCEPT 1. CancausePseudotumorcerebri 2. Teratogenicity 3. Discolorationofteethmayoccur 4. Superinfectioncanoccur Ans.2 18. Ipratopiumbromideisabsolutelycontraindicatedin 1. Asthma 2. Hypertensiion 3. Pepticulcer 4. Urinaryretention Ans.3 19. Heparininpregneatfemaleifgiven,shouldbesupplementedwith 1. Zinc 2. Calcium 3. Copper 4. Folicacid Ans.2 20. Paclitaxelactby 1. Topoismeraseinhibitor 2. InhibitionofMicrotubuleformation 3. Mitoticcellihibitor 4. Inhibits mitosis and exaggerates polymerization and casues the stabilization of the microtubules Ans.4 21. WhichoneofthefollowingisanticancerousdrugisaPeptide? 1. Doxorubicin 2. Valinomycin

3. Bleomycin 4. Asphartame Ans.3 22. DrugofchoiceforChronicmyeloidleukemia? 1. Imatinib 2. Cisplatin 3. Hydroxyurea 4. Methorexate Ans.1 23. ATRAisusefulintreatmentofwhichofthefollowingtypeofacutemyeloidleukemia (AML)? 1. Monocyticleukemia 2. Myelonocyticleukemia 3. Promyelocyticleukemia 4. Erythroleukemicleukemia Ans.3 24. LeucoverinisusedasRescuetherapyforpatientswhichofthefollowingdrugtheraph? 1. Asphargine 2. Methotrexate 3. 6mercaptopurine 4. Cyclophosphamide Ans.2 25. AdverseeffectsofTacrolimusincludethefollowingEXCEPT? 1. Nephrotoxicity 2. Diabetesmellitus 3. Neurotoxicity 4. Hirsuitism Ans.4 26. Drugsusedinrelievingpostoperativebladderspasmincludethefollowingexecpt? 1. Oxybutynin 2. Tiotrapium 3. Tolterodine 4. Darifenacin Ans.2 27. WhichoneofthefollowingisthecorrectmechanismofactionofCLOMIPHENEcitrate? 1. Bindstoestrogenreceptorsonly 2. Feedbackinhibitionofhypophysealpituitaryaxis 3. Antagonistofestrogenreceptors 4. Inhibitioonofovulation Ans.2 28. Flumazenilis 1. Agonistofdiazepam 2. DiazepamAntagonist 3. SSRI 4. Anticonvulsant Ans.2 FORENSICMEDICINEANDTOXICOLOGY 1. AlkalinisationofurinemaybeusefulintreatmentoftoxicitiesduetofollowingEXCEPT? 1. Amphetamine 2. Morephine

3. Phenobarbitone 4. Phencyclidine Ans.3 2. Diphrherialikecoilitiswiththickeningofascendingcolonandtransversecolonisfeature ofwhichofthefollowingtoxicity? 1. Phenol 2. Arsenic 3. Mercury 4. Lead. Ans.3 3. ACUTEYELLOWFATTYLIVERiscausedbywhichofthefollowingpoisoning? 1. Arsenic 2. Aconite 3. Lead 4. Oxalicacid Ans.1 4. EpithelialcellsofvaginaonglansinRape 1. Phenolphthalein 2. Lugolsiodine 3. Nitricacid 4. Postassiumiodide Ans.2 5. Whichofthefollowingisnotacauseofsuffocationdeath? 1. Smothering 2. Choking 3. Gagging 4. Throttling Ans.4 6. Bruisingofsofttissuesofanteriorneckwithfractureofthyroidcartilageandhyoidbone isseenin: 1. LigatureStrangulation 2. Throttling 3. Tracumaticasphyxia. 4. Hanging. Ans.2 7. Corporobasalindexisusedvfordetermining? 1. Race 2. Sex 3. Age 4. Stature Ans.2 8. PenetratinginjurytoNECKisdefinedas 1. More2cmdeepinjury 2. Injurytoanyinternalneckorgan 3. Violationofplatysma 4. Sharpinstrument Ans.3 9. InanewbornHydrostatictestmaybefalsenegativeduetowhichoneofthefollowing? 1. Artificalrespiration 2. Emphysema

3. Inhalationoflidquoramnil 4. Atelectasis Ans.4 COMMUNITYMEDICINE 1. Mostcommoncauseofmaternalmortalityinindia? 1. Anemiainpregnancy 2. PPH 3. Heartdisease 4. PIH Ans.2 2. InChronicnoncommunicablediseaseswhichofthefollowingisleastimportant? 1. Specificityoftheassociation 2. Sensitivityoftheassociation 3. Temporalassociation 4. Doseresponserelationship Ans.2 3. Bygivingequaltimeforinterveivingthecontrolandthecases,whichofthefollowing biasisavoided? 1. Selectionbias 2. Berkesonianbias 3. Measurementbias 4. Confoundingbias Ans.1 4. TrueregardingMeaslesincludethefollowingexcept? 1. Prodromalstageisnotinfectious 2. Oneattackofmeaslesgenerallyconferslifelongimmunity 3. HighSecondaryattackrate 4. Subclinicalinfectionnotseen. Ans.3 5. Maximumsaturatedfattyacidsarepresentin? 1. Palmoil 2. Groundnutoil 3. Cornoil 4. Soysbeanoil Ans.1 6. AllthefollowingareOrganophoshatesEXCEPT 1. Malathion 2. Aldrine 3. Abate 4. Diazinon Ans.2 7. WhichofthefollowingisnottrueaboutRECOMMENDEDDIETARYALLOWANCES (RDA)? 1. Itistheaveragedailyintakelevelthatmeetsthenutrientrequirementsofnearlyall healthypersons. 2. AnExpertgroupisrequiredtoformulateit. 3. It is defined statistically as 2 standard deviations above the estimated average requirement. 4. Totalnutrientconsumptiom,includingbothfoodandsupplements,shouldnotexceed RDAlevels.

Ans.2 8. TruestatementsregardingNutritionalsurveillanceincludethefollowingEXCEPT 1. Diagnosticapproach 2. DonebyParaclinicalstaff 3. RequiresAccurateweightmeasurement 4. Accurateheightmeasurement Ans.3 9. Which one of the following statements is FALSE regarding Gomez classification of proteinenergymalnutrition? 1. 50%ofBostanstandards 2. GradedaspercentageofHeightforage 3. Itisbasedonhospitaldeathrate 4. 72%ofthestandardsfallsingradeIIproteinenergymalutrition Ans.2 10. Slingpsychrometerisusedforassessing: (Kar2005,ESIS2005) 1. Airvelocity 2. Radiantheat 3. Relativehumidity 4. Airtemperature Ans.3 11. MostcommoncauseofocularmorbidityinIndia? (SGPGI99andAI2006) 1. Refractiveerror 2. Conjunctivitis 3. Refractiveerror 4. Trachoma Ans.1 12. WHOdefintionofLowvision? 1. Visionmorethan6/60andlessthan6/18inbettereye 2. Visionmorethan6/60andlessthan3/60inbettereye 3. Visionmorethan3/60andlessthan6/18inbettereye 4. Visionmorethan3/60andlessthan3/18inbettereye Ans.1 13. According to the concept of the iceberg phenomenon of discease, the waterline representsthedemarcationbetweenwhichofthefollowing? 1. Undiagnosedandundiagnosed 2. Symptomaticandpresymtomatic 3. Carrierandsufferers 4. Apparentandinapparent Ans.4 14. ThepowerfulconceptofKAPispracticedinIndiaforwhichofthefollowing? 1. HIV/AIDS 2. Familyplanning 3. Cancer 4. Malaria Ans.2 15. Integrated management of childhood illness (IMCI) targets the following diseases EXCEPT 1. Malaria 2. Neonataltetanus 3. Otitismedia

4. HIV Ans.2 16. FunctionsofconcurrentlistincludethefollowingEXCEPT 1. MonitoringMedicalprofessionals 2. Stoppingthespreadofcommunicabledisease 3. Vitalstatistics 4. Eduction Ans.1 17. AccordingtorevisedRCHprogramme,CHCisreferredas 1. Firstreferralunit 2. IIFRU 3. IIIFRU 4. ItisnotincludedinaccordingtonewRCHprogramme Ans.4 18. TrueregardingnationalandinternationallawsaccordingtoIndianconstitutionareallthe followingEXCEPT? 1. Healthiscentralgovernmentresponsibility 2. Ratificationfromworldcongresstolookbacktocontrol 3. IndiaisaSignatorytotheAlmaAtaDeclaration1978 4. IntellectualofIndiaisAlignedtoWorldtradeOrganizationobligetions Ans.1 19. Delphimethodisusedfor 1. Coupleprotectionrate 2. Qualitativeanalysisofdata 3. Qualitativeanalysisofdata 4. Managersconductmeetingandtakecommondecisionabouthealth Ans.2 20. Trueregardingstandarddeviation(SD)? 1. Itismeasureofdispersionofvariabilityfromamean 2. ItismeasureofMagnitudevariability 3. ItismeasureofChancevariablity 4. Itismeasureofnumericalvaribility Ans.1 21. ThefollowingaredrawbacksofCalender(safe)METHODofcontraceptionexceptone: 1. Ifcycleisirregular,thismethodofcontraceptionisdifficult 2. Ithashighfailurerateupto10per100womanyears 3. Itisapplicableduringthepostnatalperiod 4. Ectopicpregnanciesandembryonicabnormalitieshavebeenreportedtoresultformthe useofsafeperiodmethod. Ans.3 22. WhichofthefollowingisindicatorofCOMPLETEDFAMILTYSIZE? 1. Totalfertilityrate 2. Netreproductionrate 3. Birthrate 4. Grossreproductionrate Ans.1 23. Mostcommonoccupationalcanceris? 1. Bladdercancer 2. Skincancer 3. Lingcancer

4. Oralcancer Ans.3 24. VaccineContraindicatedinpregnancy: 1. MMR 2. Polio 3. Rabies 4. HepatitisB Ans.1 25. AllececptoneisfalseregardingLivevaccines: 1. Majorandminorantigensareused 2. Boosterdoseisnotrequiredbecauseitgiveslifelongimmunity 3. Lowtemperatureshouldbemaintainedforstorage 4. Twolivevaccinesshouldnotbegivenaonetime Ans.4 26. Grading of which of the following disease in done with the use of Bacterial index, Dharmendrasscale,andRidleysscale? 1. Leprosy 2. Syphilis 3. Tuberculosis 4. Cholera Ans.1 27. FollowingareZOONOTICdiseasesEXCEPT 1. HIV 2. TB 3. Japaneseencephlitis 4. Plague Ans.1 28. SofttickTRANSMITS? 1. Indianticktypus 2. Relapsingfever 3. KFD 4. Tularemia Ans.2 29. DiseaseTransmittedthroughsoilincludethefollowingexcept: 1. Anthrax 2. Brucellosis 3. Tetanus 4. Coccidiomycosis Ans.2 30. IsolationisleasteffectiveinallEXCEPT 1. Mumps 2. Measles 3. HepatitisA 4. Pneumonicplague Ans.4 OPHTHALMOLOGY 1. ThebestaccountedfunctiontoMIP26inlens? 1. Glucosetransport 2. Regulationofwatercontent 3. Ionicbalalnce

4. Anerobicglycolysis Ans.2 2. WhichofthefollowingisseenwithSarcodosis? 1. Bandkeratopathy 2. Angiodstreak 3. Choroidplaques 4. Cataractanigra Ans.1 3. WhichofthefollowingismostcharacteristicfeatureofVonRecklinghausendisease? 1. DeformedanteriorchamberwithreducedangleofAC 2. Glaucoma 3. Choroidalhemangioma 4. Subretinalneovascularization Ans.2 4. Persistent hyperplastic primary vitreous (PHPV) is associated with which of the following? 1. Patausyndrome 2. Downsyndrome 3. Tuberoussclerosis 4. SturgeWebersundrome Ans.1 5. Interactableglaucomacharacteristicallyoccursduewhichoneofthefollowing? 1. Diffuseirismelanoma 2. Anteriorirismelanocyteproliferation 3. Posterioruvealmelanocyteproliferation 4. Lensenlargement Ans.2 ENT 1. ABBEESTLANDERFLAPisusedforreconstructionof: 1. Tongue 2. Lip 3. Cheek 4. Nose Ans.2 2. FalseaboutAllergicFungalsinusitis? 1. TypeIhypersensitivity 2. Orbitalextension 3. CTshowshyperdensesinusinfiltrates 4. Eosinophilrichmucin Ans.2 3. TheelectrodeofCochlearimplantisinsertedat 1. Roundwindow 2. Lateralsemicircularcanal 3. Ovalwindow 4. Vestibularaquiduct Ans.1 4. A36yearsoldfemalesingerhashoarsenessofvoicesince56months.Shegiveshistory ofvoiceabuseandcomplainsofheartburnanddyspepsia.Indirectlaryngoscopyregeals welldefinednodulesoneeachatthejunctionofmidandanterioronethirdsofthetrue

vocal cords on eigher side. She has no pain in the throat or no fever. Which of the followingstatementswillbecorrectregardingherinitialtreatment? 1. Microlaryngoscopicexcision 2. MicrolaryngoscopyguidedCO2ablationofthenodes 3. Speechtherapyandvoicerestwithprotonpumpinhibitor 4. Ruleoutlaryngealtuberculosis Ans.3 5. A 70 years old male presented with conductive deafness in left ear. His left typanic membraneeppearsdull.Onexaminationhehas3cmelargedcervicallymphnode.On tympanometry, type B tympanogram is seen. Which of the following is most likely diagnosis? 1. Nasopharyngealcarcinoma 2. Tuberculosis 3. CPangletumor 4. CSOM Ans.1 6. Hypoesthesia over the area of posterosuperior aspect of the external auditory canal (Histelbergersign)isfeatureaf: 1. Glomustumor 2. Vestibularschwannoma 3. Meneiresdisease 4. Otosclerosis Ans.2 7. A newborn with Bilateral microtia and atresia of external auditory canals should be operatedatwhatage? 1. Below1year 2. 57year 3. Puberty 4. Adulthood Ans.2 8. WhichofthefollowingisdifficulttovisualizeorexamineonIndirectlaryngoscopy? 1. Truevocalcord 2. Anteriorcommmisure 3. Epiglottis 4. Falsevocalcord Ans.2 MEDICINE 1. RegardingPATENTDUCTUSARTERIOSUS(PDA)Falseis? 1. Malesmorecommonlyaffectedthanfemale 2. Associatedwithmaternalrubellainfectionduringearlypregnancy 3. CommoninPrematureinfantswhereitoccursduetohypoxia 4. Patentductusshouldbesurgicallyligatedanddivided Ans.1 2. Rightsidedaorticarchismostcommonlyassociatedwith: 1. Truncusarteriosus 2. VSDwithpulmonaryatresia 3. TetrologyofFallot 4. CorrectedTGA Ans.3

3.

A17yearoldathletehadatypicalchestpainandcollapsedsuddenlyonthegroundwhile playingfootball.Hehadnosignificantpasthistorybuthegavehistorythatoneofhis sibiling had sudden death. On 2D echo asymmetrical thickening of the ventricular septumwasseen.Whichofthefollowingislikelydiagnosis? 1. Dilatedcardiolyopathy 2. HeterophicObstructivecardiomyopathy(HOCM) 3. ArrythmogenicRightVentricularDysplasia 4. Coarctationofaorta Ans.2 4. Coarctationofaortaismostcommonlyassociated: 1. Bicuspidaorticvalve 2. TOF 3. PDA 4. VSD Ans.1 5. WhichofthefollowingcausesTorsadesdepontis? 1. Digitalis 2. Quinidine 3. Lignocaine 4. Flecainide Ans.2 6. DrugofchoiceforSupraventricularTachycardia? 1. Verapamil 2. Diltaizim 3. Digoxin 4. Phenytoin Ans.1 7. BenefitsoferythropoietininCRFallexcept 1. Improvesanemia 2. Decreasedinreticulocytecount 3. Increasedhemotocrit 4. Decreasestherequirementforbloodtransfusion Ans.2 8. MostcommoncauseofConnssyndrome? 1. Corticaladenoma 2. Adrenalhyperplasia 3. Carcinoma 4. Pheochromocttyoma Ans.1 9. Cushingsdiseaseischaracterizedbywhichofthefollowing? 1. Increasedurinarycatecholamines 2. IncreasedACTHandcortisol 3. IncreasedADH 4. IncreasedHIAAanddecreasedcortisol Ans.2 10. Hypertrighycerdemia, increased cholesterol and VLDL with chylomicron remnants accumlationissuggestiveof: 1. HypercholetrolemiaTypeI 2. HypercholetrolemiaTypeIIA 3. HypercholetrolemiaTypeIIB

4. HypercholetrolemiaTypeIII Ans.4 11. All the following EXCEPT one help to differentiate acute Pyelonephritis from uncomplicatedUTI 1. WBCcast 2. Organismcountinexcessof108 3. TomHarshfalproteinantibodies 4. Decreasedconcentratingability Ans.2 12. TesticularfeminizationsyndromeischaracterizedbythefollowingEXCEPT 1. Normaldevelopedbreasts 2. Absentvagina 3. Pubichairs 4. XYkaryotype Ans.2 13. VitaminB12andfolicacidaregiventogetherbecause 1. Tohavebettercorrectionofanemia 2. IfFolicacidisgivenaloneneurologicalmanifestationsoccur 3. Toimprovetheprognosis 4. Fordoseconvinience Ans.2 14. CausesofDyingbackneuropathyincludethefollowingEXCEPT: 1. Leadpoisoning 2. Vascliticneuropathy 3. Diabeticneuropathy 4. GullianBarrieSyndrome Ans.4 15. ConussyndromeischarachterizedbythefollowingEXCEPT 1. Lowersacralandcocxygealsegementinvolvement 2. AbsentKneeandanklereflexes 3. Flexorplantarresponse 4. Saddleanesthesia Ans.2 16. ExtramedullarySpinalcordtumorischarachterizedbythefollowingexcept? 1. Descendingsensoryloss 2. UMNLsignsapperearlyinthecourseofdisease 3. Lateralspinothalmictractinvolved 4. Brownsequardsyndromeoccursiflesionislocatedlaterally Ans.4 17. TrueaboutHereditaryHemochromatosisincludethefollowingexcept? 1. Gonadalatrophy 2. Skinpigmentationoccurs 3. Diabetesmellitus 4. Desferoxamineisthetreatmentofchoice Ans.4 18. TrueregardingTertiarysyphilis? 1. Itisthemostinfectiousstageofsyphilis 2. AllPatientswithprimarysyphilisprogresstotertiarystageifuntreated 3. Gummaareseen 4. Itcontainshighnumberofspirocheteinthelesions

Ans.3 19. A40yearoldfemalepresentsjaundiceandanemiasinceonemonth.Herbloodpicture showsmultiplespherocytes.Whichofthefollowinginvestigationshouldbeadvised? 1. Coombstest 2. Osmoticfragility 3. Hbelectrophoresis 4. PCV Ans.1 20. Ringsideroblastsareseenin 1. Anemiaofchronicdisease 2. Thalassemia 3. Leadpoisoning 4. Myelodysplasticsyndrome Ans.4 21. A32yearsoldlabtechnicianhasHBsAgpositiveandHBeAgnegative.AST,ALTand alkalinephosphatenormal.Whatshouldbelineofmanagement? 1. Lamivudine 2. Interferon 3. Lamivudineandinterferon 4. Serialfollowup Ans.4 22. Most early and common reaction associated with patients receiving Cellular blood componenttransfusionis? 1. FebrileNonhemolytictranfusionreaction 2. Hemolytictransfusionreaction 3. Allergicreaction 4. TransfusionrelatedInfections Ans.1 23. WhichofthenfollowingisfalseaboutGVHD? 1. IstheresultofTcellinteractionwithantigensonthegraft. 2. Itmostoftenfirstbecomesapparent2to4weeksposttransplant 3. Highgraderequireaggressivetherapy 4. TheincidenceofacuteGVHDishigherinrecipientsofstemcellsfrommismatchedof unrelateddonors Ans.1 24. Most common neuroendocrine pancreatic tumor associated with Multiple Endocrine Neoplasiatype1? (AI2007) 1. Insulinoma 2. Gastrinoma 3. Glucagonoma 4. Somatostatinoma Ans.2 PEADIATRICS 1. ChorionicVillousSamplingisusefulinthediagnosisofthefollowingEXCEPT? 1. Thalassemia 2. Duchennemusculardystrophy 3. Neuraltubedefect 4. Downsyndrome Ans.2 2. Mostcommontypeofseizureinneonates?

1. Tonic 2. Clonic 3. Subtle 4. Myoclonic Ans.3 3. Newbornhasrespiratorydistressatbirth.Hehasscaphoidabdomenandabsentbreat sound on left side. After giving bag and mask ventilation, an endotracheal tube is inserted.HisPulse Impulse(PMI)isshiftedtoright.Whichofthefollowingwouldbemostappropriatenext step? 1. Takethenewbornimmediatelyforsurgery 2. Putanasogastrictube 3. Takeachestxraytoconfirmthepositionoftheendotrachealtube 4. AssessendtidalPCO2toconfirmintubation Ans.2 4. A71/2yearoldgirlpresentswithbreathlessnessandfeversince67days.Shehasnon productive cough since 6 months. Xray chest shows hyperlucency in the lungs and pulmonaryfunctiontestsshowsobstructivepattern.Themostprobablediagnosiswill be: 1. Lobaremphysema 2. Bronchiolitisobliterans 3. Follicularbronchiolitis 4. Pulmonaryalveolarmicrolithiasis Ans.2 5. Afulltermnewbornfemaleweighing3.5kgdeliveredbyuncomplicatedvaginaldelivery, developed respiratory distress immediately after birth. On chest xray groung glass hazinessthelungsisseen.Babyisputonmechanicalventilationandsurfactantisgiven. But there is no improvement with surfactant and higher intravenous antibiotics, and insteadtheconditonofbabydeterioratedwithincreasinghypoxemia.Afulltermfemale sibling diedwithinaweekwiththesimilarcomplaints. ECHOstudyoftheheartis normal.Usualbacterialculturesarenegative.Themostpossiblediagnosisis: 1. Totalanomalouspulmonaryveinconnection 2. Meconiumaspirationsyndrome 3. Neonatalalveolarproteiniosis 4. Disseminatedherpesinfection Ans.3 6. Mostcommoncauseofdelayedpubertyinmales? 1. Constifutionaldelay 2. Klinefilterssyndrome 3. Turnersyndrome 4. Downsyndrome Ans.1 7. Whichofthefollowingisthefirstsignofpubertyinfemales? 1. Pubarche 2. Thelarche 3. Menarche 4. Growthspurt Ans.2 8. A6yearoldboyhasgrosshematuriaoffandonsince2yearswithdysmorphicRBCsin urineexamination.Thereisnosignificantfindingonperabdominalexamination.TheC3

complement levels normal and antinuclear antibodies are negative. What is the most likelydiagnosis? 1. Willmstumor 2. Renalcalculi 3. Acuteglomerulonephritis 4. IgAnephropathy Ans.4 9. WhichoneofthefollowingformanagementofEnuresishasleastchancesofrelapse? 1. Oxybutynin 2. Desmopressin 3. BedAlarm 4. Imipramine Ans.3 10. GeneresponsibleforCongenitalnephroticsyndrome? 1. Podocin 2. Alphaactinin4 3. NPHS2 4. Nephrin Ans.4 11. TrueregardingKAWASAKIDISEASEincludeswhichoneofthefollowing? 1. Itismostcommoncauseofvasculitisinchildren 2. Upto25%patientsgenerallydevelopcoronaryaneurysms 3. LNbiopsyisdiagnostic 4. Igisusedintreatmentonlyinpatientswithaneurysm Ans.2 12. Probioticsmaybeusefultopreventwhichoneofthefollowingdisease? 1. Necrotizingenterocolitis 2. Antibioticassociatedcolitis 3. Breastmilkjaundice 4. Neonatalsepsis Ans.2 13. 21hydroxylasedeficiencyischaracterizedbythefollowingEXCEPT 1. Mostcommoncauseofcongenitaladrenalhyperplasia 2. Femalespresentwithambiguousgenitaliaatbirth 3. AssociatedwithMetabolicalkalosiswithhypokalemia 4. Boyspresentwithprecociouspuberty Ans.3 14. A12yearsoldpatienthashugehepatomegalywithepisodesofhypoglycemiainbetween mealsandnochangeafterglucagonandepinephrine.Whatisthemostlikelydiagnosis? 1. VonGerkesdisease 2. Corlsdisease 3. Pompesdisease 4. McArdlesdisease Ans.1 15. InapregnantfemalewiththeFirstbabysuferingfromin21hydroxylasedeficieny,the Steriodtherapyshouldbestartedatwhichofthefollowingtiming? 1. Beforepregnancywhenconceptionisanticipated. 2. Assoonasdiagnosisofpregnancyisconfirmed. 3. Afterdeterminingthesexofthebaby. 4. AfterChoroinicVillousSamplinghasbeendoneandthediagnosishasbeenconfirmed.

Ans.4 16. TrueaboutCerebellarastrocytomaincludethefollowingEXCEPT 1. Commoninfirsttwodecadeoflife 2. MoreCommoninfemalesthanmales 3. Lowgradetumor 4. Goodprognosis Ans.2 SURGERY 25. Whichofthefollowingisnotanabsorbablesuture? 1. Polypropylene 2. Catgut 3. Polyglactin 4. Polyceprolate Ans.1 20. Inparotidsurgeries,theanatomicalmarkersforlocalizationofthefacialnerveinclude thefollowingEXCEPT: 1. Posteriorbellyofdiagastric 2. Tragarpointer 3. Retrogradedissectionbytracingitsbranches 4. Inferiorbellyofomohyoid Ans.4 207. IntheDiffuseaxonalinjury,thetypicallocationoflesionsinthebraininclude 1. Parasaggitalregion 2. Cerebralcortex 3. Ventricles 4. Whitematterofcerebralhemispheres,corpuscallosumandtheupperbrainstem Ans.4 20. WhichofthefollowingisCORRECTregardingpuerperalmastitis? 1. InfantsGITistheusualsourceforcausativeorganism 2. Itshouldbetreatedwithantibioticsonly 3. Itmaydevelopinabscess,whenincisionanddrainagemayberequired 4. E.coliismostcommonorganismcausingit Ans.3 20. Migratorythrombophlebitismayseenwiththemalignanciesinvolvingfollowingorgans EXCEPT: 1. Prostate 2. Lung 3. GIT 4. Pancreas Ans.1 21. A23yearoldfemalecomplainsonnippledischargesincefewdays.Oneexaminationthe dischargeappearsbloodstainedandcomingoutfromasingleduct.Ultrasoundofthe breast reveals a welldefined small mass lesion within a dilated duct. Which of the followingwouldbethemostappropriatechoicefortreatmentofthispatient? 1. Excisionofthelesion 2. Simplemastectomy 3. Microdochotomy 4. ModifiedRadicalmastectomy Ans.3 21. MostcommontypeofThyroidcarcinoma?

1. Papillary 2. Follicular 3. Medullary 4. Anaplastic Ans.1 212. ComplicationsHemithyroidectomyincludethefollowingEXCEPT: 1. Woundhematoma 2. InjurytoExternalbranchofSuperiorlaryngealnerve 3. Recurrentlaryngealnerveinjury 4. Hypocalcemia Ans.4 21. Anewbornhasaposteriormediastinalcysticmasswithseveralvertebralanomalies.The mostlikelydiagnosiswouldbewhichofthefollowing? (AIIMS2002Nov) 1. Neuroblastoma 2. Bronchogeniccyst 3. Neuroentericcyst 4. Myelocystocele Ans.3 24. Mostcommonposteriormediastinaltumor? (Karnataka2001,AIIMS2002,PGI2003 JUNE,Maharashtra2005) 1. Dermoid 2. Lymphoma 3. Neurofibroma 4. Lipoma Ans.3 21. Thymomaismostcommonlyassociatedwithwhichofthefollowing? 1. Myastheniagravis 2. GuillainBarresyndrome 3. hypothyroidism 4. Sarcoidosis Ans.1 21. Which one of the following would be the most important indication for THORACOTOMYinapatientofthoracictrauma? 1. Thoracostomytubedrainoutput 2. Associatedinjuries 3. Dyspnea 4. Hemodyamicstatus Ans.1 217. A42yearoldfemalecomplainsofdysphagiatobothliquidsandsolidssince2years.The dysphagiaisnonprogressive.Bariumexaminationrevealsdilatationofentireesophagus withnarrowingatthegastroesophagealjunctionlevel.Whichofthefollowingwillbethe mostlikelydiagnosis? 1. Esophagealstricture 2. Achalasiacardia 3. Cardiactumorofstomach 4. Esophagealmalignancy Ans.2 21. An18yearsoldyoungmalehaspresentedtoemergencydepartmentwithhistoryofroad sideaccidentandinjurytoleftlowerchestandupperabdomen.Onexaminationheis havinghypotensionbuttheconsciousnessisgood.Hisabdomenissoftandnontender

onexamination.Withresuscitationthepatientishemodynamicallystabilized.AchestX rayperformedrevealsfracture ofleft8and9thribs,howeverthereis noevidence of pneumothorax or hemothorax. Which of the following will be the best approach for furthermanagementofthispatient? 1. Immediatelaparotomy 2. Abdominalimagingforassessmentofinjurytoabdominalviscera 3. Obsevationofthepatient 4. CTstudyofthorax Ans.2 21. ASurgeonistooperatea20yearoldmalewithIdiopathicThrombocytopenicPurpura (ITP) for splenectomy. His platelet counts at present are 50,000/cumm. He decides to supplementthepatientwithplatelettherapy.Atwhichofthefollowingtimingshouldhe asktheanesthetisttostartgivingplatelettherapy? 1. Justbeforetakingincision 2. Whileclosingtheabdominalsuture 3. Soonafterligationofthesplenicsrtery 4. Twohoursbeforethesurgery Ans.3 220. A Surgeonhasperformedresection ofaliverhemangiomaarealefttothefissure for ligamentum venosum (umbilical ligament and ligament). Which of the following segmentsofliverhemighthaveresected. 1. Segments1and4a 2. Segments2and3 3. Segments2,3,and4 4. Segments1,2,and4 Ans.2 22. AllthefollowingcancauseobstructionofhepatobillarysystemEXCEPT: 1. Ankylostomaduodenale 2. Ascarislumbricoides 3. Clonarcissinensis 4. Fasciolahepatica Ans.1 22. A45yearsoldfemalepresentedwithdyspepsiaandnauseasince45days.Shehasno abdominalpainandthereisnopasthistoryofanyabdominalcomplaints.Ultrasound study of abdomen shows a 1.5 cm solitary calculus in gall bladder with no signs of cholecystitis and normal bile ducts. There is no family history of gall stones or malignancy.Sheisrelievedofhersymptomsinnextfewdays.Whichofthefollowing willbebestlineofmanagementforthispatient? 1. ImmediateLaparoscopiccholecystectomyevenifsheisasymptomatic 2. ManageconservativelyandcallherforLaparoscopiccholecystectomyafter2months 3. Manageconservativelyandcallherforopencholecystectomyafer2months 4. Laparoscopiccholecystectomyonlyifsheissymptomatic Ans.4 22. A42yearsoldfemalepresentedwithacuteabdominalpain,nauseaandvomitingsince 1215 hours. She is febrile, Abdominal examination reveals tenderness in right hypochondriumandnoothersignificantfinding.Ultrasoundstudyofabdomenshowsa calculusingallbladderwithsignsofacutecalculussholecystitis.Whichofthefollowing wouldnotbecorrectregardinghermanagement? 1. SheshouldnotbeimmediatelytakenforlaparoscopicCholecystitisinacutephase 2. ConservativemanagementwithIVfluids,analgesics,andantibioticsisrecommended

3.

4. Ans.1 22. Achronicalcoholicpatientcomplainsofacuteabdominalpainsince12dayswhichis radiatingtoback.Thepainofthepatientgetscompletelyrelievedwithanalagesics.He giveshistoryofoneepisodeofsimilarcomplaints6monthsback.Ultrasoundstudyofthe abdomen reveals changes of CHRONIC PANCREATITIS with pancreatic calcification andcalculiinthedilatedpancreaticductinthetailregion.Whichofthefollowingwould bemostsuitablecourseofactioninthetreatmentofhispatient? 1. Lateralpancreaticojejunostomy 2. PerctaneousUltrasoundguidedremovalofthecalculi 3. Resectionofdistalportionofthepancreas 4. Conservativemanagementwithanalgesicsandantibiotics Ans.4 22. A 32yearold adult had abdominal injury following a vehicular injury. Radiological investigationsrevealedsevereinjurytoduodenum,theadjacentpancreticheadandthe terminalbiliarytractinjury.Whichofthefollowingshallbethecorrectsurgicalapproach formanagementofthispatient? 1. RouxenYsurgery 2. PrimaryDuodenodeuodenostomy 3. SurgicalRepairofbileductanddamagedpartofduodenum 4. Pancreaticodudenectomy(Whipplesoperation) Ans.4 6. Whichofthefollowingwouldbethebestlineofmanegementformaintenanceofthe nutritionofapatientwhohasundergonemajorpancreaticsurgery? 1. Feedinggastrostomy 2. Totalparenteralnutrition 3. Feedinggastroduodenostomy 4. Feedingjejunostomy Ans.4 22. TrueaboutVOLVULUSOFCOLONarethefollowingstatementsEXECPT: 1. Sigmoidvolvulusismorecommonthancecal 2. CommoninPsychiatricillpatients 3. Pasthistoryofacuteabdominalpainwithpassageoflargeamountofgasbyfaltustube insertion 4. Sigmoidoscopyandinsertionofflatustubearecontraindicated Ans.4 22. WhichofthefollowingisimplicatedinpathogenesisofChronsdisease? 1. Mycobacteriumaviumparatuberculosis 2. Mycoplasma 3. CMV 4. Streptococci Ans.1 29. A42yearsoldmalepresentswithchronicdiarrheasincemonths.Colonoscpicbiopsyof thecolonrevealedCryptitis,Cryptbranching,Cryptthickening,Cryptulcers,andCrypt abscessesonmicroscopicexamination.Whichofthefollowingismostlikelydiagnosis basedonhistologicalfeatures? 1. Ulcerativecolitis 2. Microscopiccolitis

Acute calculus cholecystitis is usually due to impaction of stone at the neck of gall bladder OnHIDAacutechoecystitisisevidentifgallbladderisnotvisualized

3. Chronsdisease 4. Amoebiccolitis Ans.1 23. Fissureinanocanbebestdiagnosedby: 1. Clinicalexaminationandvisulization 2. DigitalRectalExamination 3. Anoscopy 4. Endosonography Ans.1 23. WhichofthefollowingiscorrectabouttheNigroregimenforepidermoidcarcinomaof analcanal? 1. Externalbeamradiotherapyandchemotherapyasasubstituteforsurgery 2. Brachytherapyandchemotherapy 3. Chemotherapyandsurgery 4. Externalbeamreditherapyandchemotherapywithsurgery Ans.1 23. A newborn as admitted to intensice care unit for respiratory distress and is kept on ventilator support. The bady developed tense abdominal distension and poor general conditonoveraperiodoftime.Theybadyhadtachycardiaalso.Evaluttionfornecrotizing enterocolitis revealed bowel perforation. Which of the following would be correct regardingmanagement? 1. Immediatelaparotomy 2. Bilateralabdominaldrains 3. Highflowoxygentherapy 4. ExtracrporalMembraneOxygenationandsurgeryafterstabilizationofthepatient. Ans.4 23. Anewbornhasnotpassedmeconiumsincebirth.Shehassevereabdominaldistension. Erectabdominalxrayrevelasmassivegasunderbothdomesofdiaphragm.Whichofthe followingismostlikelydiagnosis? 1. Perforationofstomach 2. Rectalatresia 3. Colonicpouch 4. Meconiumileus Ans.2 24. Anewbornbabywithanalatresiahasabdominaldistensionwithmeconuriasincebirth. Whichofthefollowingshouldbethepossibletreatmentforthispatient? 1. Pullthroughoperation 2. Anorectoplastywithfistularepair 3. Transversecolostomy 4. Sigmoidcolostomy Ans.2 25. MostcommonmusculoskeletalabnormalityassociatedwithEpispadias? 1. Osteoporosis 2. Oteomalacia 3. Separationofpubicbones 4. Absentbilateralsuperiorpubicrami Ans.3 26. A20yearoldmalepresentedwithacutescrotalpainovernight.Thepatientdeniedany history of sexually transmitted diseases and stated he was not having any urinary

symptomsorurethraldischarge.Urineanalysisisnormal.Whichofthefollowingwould bewrongregardingmanagementofthispatient? 1. AnultrasoundDopplerstudywillbediagnosticiftesticulartorsionissuspected 2. Thepatientshouldbetakenforimmediatesurgery 3. Patientshouldbemanagedwithanalgesicsandantibioticsonly 4. Ifpatientisnotoperatedthetestiswillbelost Ans.3 37. Whichofthefollowingwouldbethemoststerilemethodforcollectionofurinesample? 1. Sampletakenviaperurethralcatheter 2. Cleantakeformtheurinebag 3. Midstreamcleancatchurine 4. Suprapubicpuncture Ans.4 28. InUretericcolicduetocalculus,painoccursbecauseof? 1. DistensionoftheRenalcapsule 2. Intramuralirritationofureter 3. Hyperperistalsisoftheureter 4. Referredpain Ans.1 29. A30yearsoldmalehaserectiledysfunction.Whichofthefollowingshouldbethefirst lineinofficeinvestigationinevaluationofthispatient? 1. Arterial(Penile)ColorDopplerstudyasinterlineinvestigationforevaluationoferectile dysfunctionina30yearoldmale 2. Cavernosometry 3. Sildenafiltest 4. IntraterialDSA Ans.1 ORTHOPAEDICS 1. Pollicisationis? 1. Amputationofthumb 2. Equalizationoffingers 3. Toetothumbtransplantion 4. Reconstructionofthumb Ans.4 2. An8yearsonldboycomplainsofrestrictedmobilityandbodyachesince45months.On examinationhehasmultiplenodulesontheback,limbsandthenapeofneck.Hisjoints movementsarereduced.Xrayshowsareasofheterotopicossificationinthesofttissuesat varioussites.Whichofthefollowingwouldbewrongregardingthispatient? 1. SmallHaluxrigidus 2. OverexpressionofBoneMorphogenicProtein4 3. Lifeexpectancyisnormal 4. Pneumoniascanoccur Ans.3 3. A70yearolddiabeticfemalehaspainandswellingofleftanklesince56months.She hasdifficultyinwalking.Xrayrevealsdisorganizedjoint,sclerosisofarticularmargins, multiple osteophytes and new bone formation in adjacent soft tissue. Which of the followingshouldnotbethelinemanagement? 1. Immbolizationofthejoint 2. Aspirationandcompressionbandaging 3. Arthrodesisoftheanklejoint

4. TotalAnklereplacement Ans.4 4. A30yearoldHIVpositivemalewhoisonantiretroviraltherapyhaspaininrighthip jointsince2months.Hehasdiffifultyinabductionandinternalrotation.Whichofthe followingismostlikelydiagnosis? 1. Septicarthritis 2. Osteoarthritis 3. Avascularnecrosis 4. Tuberculousarthritis Ans.4 5. Whichofthefollowingisidealsiteforharvestingbonegraft? 1. Iliaccrest 2. Distalendofhumerus 3. Distalendoffemur 4. Fibula Ans.1 6. Itiswisetokeepandrepairthemeniscusratherthanremovingitwhentheinjuryisto whichofthefollowing? 1. Medialpartofmeniscus 2. Midpartofmeniscus 3. Lateralpartofmeniscus 4. Associatedwithcollateralligamentinjury Ans.3 7. WhichofthefollowingtheSAFEtesttobeperformedinapatientwithacutelyinjured kneejoint? 1. Lachmantest 2. Pivotshifttest 3. McMurraystest 4. Appleysgrindingtest Ans.1 8. WhichofthefollowingisNOTTRUEregardingtubercularosteomyelitis? 1. ItisaSecondaryTB 2. Periostealreactioniscommonlyseen 3. Sequestrationisuncommon 4. Inflammationisminimum Ans.2 OBESTETRICSANDGYNECOLOGY 1. Bestreversalaftertubectomyisinwhichofthefollowingtype? 1. Isthemoisthemic 2. Isthemoampullary 3. Ampulloampullary 4. Cornualimplantation Ans.1 2. Leastfailurerateisseenwith? 1. YoonRing 2. Hulkasclips 3. Unipolarcoagulation 4. Bipolarcoagulation Ans.3 3. BesttreatmentforPremestrualsyndrome?

1. Antiprostaglandins 2. SSRI 3. Progestin 4. Anxiolytics Ans.2 4. Whichoftheinvestigationisbestfordiagnosisofacuteendosalpingitis? 1. Hysterosalpingography 2. Hysteroscopy 3. Sonosalpingography 4. Laparoscopy Ans.4 5. Carcinomacervixiscausedby? 1. HPV 2. HIV 3. HepatitisB 4. HSV Ans.1 6. TrueregardingsquamouscarcinomaofcervixincludeallthefollowingEXCEPT: 1. Occursatsquamocolumnarjunction 2. Type16and18HPV 3. Mostcommonpresentingfeatureispostcoitalbleeding 4. CTisrecommendedforstaging Ans.4 7. A45yearsoldfemaleisfoundtohaveSimplehyperplasiawithatypiaonendometrial biopsy.Thebestmanagementwouldbe: 1. Progestogentherapy 2. Hysterectomy 3. MIRENAIUCDinsertion 4. SerialFollowup Ans.2 8. MullerianductanomalymayincludethefollowingEXCEPT 1. Absentuterus 2. Absentvagina 3. Absentovary 4. Absentcervix Ans.3 9. A 52yearold female has a 2cm soft swelling in the valva, just outside the vaginal introitus.Whilewalkingshehaslocalpainanddiscomfortinwalking.Thetreatmentof choiceforthispatientwouldbe? 1. Antibiotics 2. Incisionanddrainage 3. Marsuplisation 4. Surgicalexcision Ans.4 10. RecurrentabortionsareseenwiththefollowingEXCEPT 1. Syphilis 2. Rhincompatibility 3. TORCH 4. Geneticabnormalities Ans.2

11. Whichofthefollowingisthemostcommonpredisposingfactorforplacentaaccreta? 1. Tubalsurgeries 2. Recentcurettage 3. Previouscesareansection 4. Placentaprevia Ans.3 12. Contraindication Vaginal delivery in female with previous cesarean section includes whichoneofthefollowing? 1. Previousclassicalcesareansection 2. Ovvipitotransverseposition 3. Anaemiainpreganacny 4. Diabeticmother Ans.1 13. Allthefollowingarethepartofactivemanagementofthirdstageoflabourexceptone: 1. Earlyclampingofcord 2. Uterinemassage 3. Givinguterinetonicdrugwithinoneminuteafterthebirthofbady 4. Controlledcordtraction Ans.1 14. DrugnotusedinmanagementofPPH? (AI2003) 1. Mesoprostal 2. Syntocinon 3. Synergometrine 4. Mefipristone Ans.4 15. Inductionoflabouriscontraindicatedin (CUPGEE2000) 1. Postdatedpregnancy 2. Heartdisease 3. Diabetes 4. Preeclampsia Ans.2 16. IVergometrineshouldnotusedinmanagementofwhichofthefollowing? (Kerala 97) 1. Heartdseasewithpreganancy 2. Anaemiainpregnancy 3. PPH 4. Diabeticmother Ans.1 17. Antihypertensiveofchoiceinseverepregnancyinducedhypertension(PIH)? 1. Alphamethyldopa 2. Labetalol 3. Hydralazine 4. Nifedepine Ans.2 18. Modeofactionofaborationsticksincriminalaboration: (AIIMS2006Nov) 1. Separationofplacenta 2. Uterinecontractions 3. Nervestimulationofuterus 4. Necrosis&infectionofuterinewalllinings Ans.2

DERMATOLOGY 1. Apregnantfemalecomplainsofsuddenonsetofmultiplegeneralizedvesiculobullous lesionsalmostalloverthebodyassosicatedwithpainwihtoutanyrednessorswellingof joints.Onexaminationthelesionsarefoundtohavepustulartipswithsurroundingred hue. She is diagnosed having pustular psoriasis. Which of the following is the most appropriatedrugtobeusedinmanagementofthispatinet? 1. Dapsone 2. Isotretinoin 3. Prednisolone 4. Methoterxate Ans.3 2. A30yearoldmanwithhistoryofmultipleexposurespresentswithpainfulindurated ulcerontheglanspenissince5days.Theunderminedsloudhededgesofmarginswere noted.Themostporobablediagnosisis? 1. Chancroid 2. PrimaryChancre 3. Herpesgenitalis 4. LGV Ans.1 3. Immunomodulatorusedintreatmentofgenitalwarts? 1. ATRA 2. Podophylline 3. Imiquimod 4. Prednisolone Ans.3 4. TreatmentofchoiceforTypeIIleprareaction? 1. Steroids 2. Thaladmiode 3. Colfazamine 4. Chloroquine Ans.1 5. A 50yearoldfemale presents with extensive flaccid bullous oralandskin lesions in suprabasallayerofepidermis.Thelikelydiagnosisis? 1. Pemphigusvulgaris 2. Dermatitisherpitiformis 3. Epidermolysisbullosa 4. Bullouspemphigoid Ans.1 6. A 42 years female has palpable purpura with rash over but rocks and thghs, Pain in abdomen,andarthropathy.Likelydiagnosisis? 1. Sweetsyndrome 2. HSP 3. Purpurafulminans 4. Meningococcemia Ans.2 7. A38yearoldBengalimanpresentswithcomplainsofmultiplepappularlesionsoverthe body especially involving the palms and soles. The lesions are not painful. He has pigmentationofskinovertheabdomen.Healsohasverticalwhiteridgesoverthenails. Whichofthefollowingisthemostlikelydiagnosis? 1. Xerodermapigmentosa

2. Chronicarsenicpoisoning 3. Lichenplanus 4. Erythrodemoplasiaverruciformis Ans.2 8. Amiddleagedchronicalcoholicmancomplainsofburingsensationinthemouth.On examinationhehasthickened,dry,smoothtonguewithabsenceofthefilliformpapillae. MCVis100.Whichofthefollowingshouldbefirstlineofapproachinthemanagement ofthispatient? 1. EstimationofVitaminB12levels 2. Brushbiopsy 3. StartAntifungaltherapy 4. Sendpatienttosurgeonforincisionalbiopsy Ans.1 9. A30yearoldmalecomplinsofsuddenlossofhairofhead,beard,andoftheeyebrows. Onexaminationgaryingofhairisseenwithmultiplepatchyareasofhairlosswithour scarring are seen involving the head, beard, as well as the eyebrows. Which of the followingisthemostlikelydiagnosis? 1. Androgeneticalopecia 2. Telogeneffluvium 3. Anageneffluvium 4. Alopeciaareata Ans.4 RADIOLOGY 1. Photoelectriceffectis 1. Interactionbetweenhighenergyincidentphotonandtehinnershellelectronofanatom 2. Interactionbetweenincidentphotonandtheoutershellelectronofanatom 3. Interactionoftheincidentphotonwiththenucleusofanatom 4. Interactionbetweenaphotonandelectriccurrent Ans.2 81. Ribnotchingisacharacteristicfeatureofwhichoneofthefollowing? 1. Coarctationofaorta 2. Rickets 3. VSD 4. Myopathies Ans.1 22. Flaringofanteriorendsofribsischaractericticallyseenin? 1. Neurofibromatosis 2. Scurvy 3. Rickets 4. Hypothyroidism Ans.3 83. BestradigraphicviewforfractureofC1,C2vertebrae? 1. APview 2. Odontoidview 3. Lateralview 4. Obliqueview Ans.2 24. Investigationofchoiceindiffuseesophagealspasm? 1. Manomatory 2. Esophagoscopy

3. Bariumexaminationshowingtertiarycontractions 4. CTthorax Ans.1 85. AllthefollowingarediagnosticbariumfollowthroughfeaturesofIleocecaltuberculosis EXCEPT: 1. Pulledupcontractedcaecum 2. Wideningofileocecalangle 3. ApplecoreappearanceofCaecum 4. Stricturesinvolvingterminalileum Ans.3 86. Whichofthefollowingisvirtuallydiagnosticofaortitisonchestxray? 1. Calcificationindescendingaorta 2. Calcificationofascendingaorta 3. Calcificationofpulmonaryartery 4. Focaloligemia Ans.2 87. Earliestfeatureofpulmonaryvenoushypertension 1. KerleyBlines 2. Upper(Cephalic)lobardiversionofvessels 3. Leftatrialenlargement 4. Pleuraleffusion Ans.2 88. Earliestsignofleftatrialenlargement? 1. Elevationoftheleftmainbronchus 2. Doublecardiacshadow 3. Wideningofcarina 4. Medistinalshift Ans.1 89. WhichoneofthefollowingregardingAntenatalassessmentofumbilicalarteriesbyColor Dopplerstudyistrue? 1. TheassessmentoftheflowvelocitiesandtheS/Dratioisusefultoevaluatetheoutcome inhighriskpregnancies. 2. In otherwise normal pregnancies the increased S/D ratio is normal in smoker and nicotineabusingfemales. 3. ThereisdecreasedS/Dratioinsmokerandnicotineabusingpregnantfemales. 4. Thereduceddiastolicflowattermindicatesgoodprognosis. Ans.1 90. Anewbornbabyhasnotpassedmeconiumfor48hourssincebirth.Shehasvomitingand distensionofabdomen.Themostappropriateinvestigationforevaluationwouldbe? 1. Anrectalmanometry 2. Rectalbiopsy 3. LowerGIcontraststudy 4. FecalTrypsinestimation Ans.3 91. Transrectalultrasonographoy(TRUS)incarcinomaprostateismostusefulfor? 1. Seminalvesicleinvolvement 2. Measurementofprostaticvolume 3. GuidingtheDiagnosticbiopsies 4. Todetectfocalareahypoechoicofmalignancy Ans.3

29. GFRismeasuredwithwhichofthefollowing? 1. Iodohippurate 2. Tc99mDTPA 3. Tc99mMAG3 4. Tc99mDMSA Ans.3 29. Mostradiosensitivephaseofcellcycle? 1. G1 2. G2 3. S 4. G2M Ans.4 29. Investigationofchoiceforinterstitiallungdisease: 1. ChestXray 2. HRCT 3. CECT 4. MRI Ans.2 95. WhichofthefollowingimagingmodalitiesismostsensitivetodetectearlyrenalTB? (AIIMSMay2003;AIIMS2002NOV) 1. IVU 2. USG 3. CT 4. MRI Ans.1 PSYCHIATRY 1. ThetermDementiaprecoxwascoinedby: 1. Bleuler 2. Kraeplin 3. Hippocrates 4. SigmundFreud Ans.2 2. A 19 yearoldmale came to emergency department with complains of chest pain, sweating, and palpitations. He was extremely worried of his symptoms. His systemic examination was normal except fortachycardia. Chest xray, ECG, otherworkups for heart were normal. Which of the following would be the most likely cause for this patientssymptoms? 1. Phobia 2. Acutemyocardialinfarction 3. Anxietyneurosis 4. Panicattack Ans.4 3. Which of the following is NOT a clinical feature of posttraumatic stress disorder (PTSD)? 1. Flashbacks 2. Hyperarousal 3. Hallucinations 4. Emotionalnumbing Ans.3

4.

A45yearoldmanwithcomplaintsofmildchestpainsince45wk.Hehaslostinterestin generalandhis favoriteleisureactivities andnothing seems tocheerhimup.Hehas difficultyfallingasleepatnightandhisappetiteisdecreased,althoughgoestohisoffice, works,andsocializeswell.Ondeepprobinghetellsthathissonhasbeendiagnosed havingleukemiaandisontreatmentforthesame.Nowheisworriedwhetherhisson willbeinsustainedremissionsornot.Themostlikelydiagnosisis? 1. Depression 2. Somatoformdisorder 3. PosttraumaticStressDisorder 4. Adjustmentdisorder Ans.4 5. AllthefollowingcanbeusefulinthetreatmentofAnxietyexcept? 1. Risperidone 2. Clonazepam 3. Sertaline 4. Buspirone Ans. 1