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A 38-year-old woman complains to her physician of chronic pelvic pain that is much worse during her menstrual periods. Pelvic examination demonstrates an enlarged uterus with multiple palpable masses. Ultrasound shows that a large number of ball-like masses up to 6 cm diameter are present in the uterus. Most cases of this type of tumor are found at which of the following sites? | A: Intramurally in the cervix of the uterus B: Intramurally in the fundus or body of the uterus C: Submucosally in the cervix of the uterus D: Submucosally in the fundus or body of the uterus | Answer: B |
A 9-month-old girl is brought with PR bleed, vomiting, mass in right lumbar region with masked liver dullness. She is in shock like condition. Management should include all of the following EXCEPT? | A: Barium enema B: IV fluid C: Give O2 D: Nasogastric tube | Answer: A |
Which of the following is not a feature of consolidation | A: Increased vocal resonance B: Dull Percussion note C: Bronchial Breath sounds D: Tracheal shift to side of consolidation | Answer: D |
Cadaveric position of vocal cords ? | A: Midline B: 1.5 mm from midline C: 3.5 mm from midline D: 7.5 mm from midline | Answer: C |
Which one of the following phenomena is closely associated with slow wave sleep: | A: Dreaming B: Atonia C: Sleep walking D: Irregular hea rate | Answer: C |
2-year-old child presents with sho stature and cafe-au lait spots. Bone marrow aspiration yields a little material and mostly containing fat. What is your diagnosis: | A: Fanconi anemia B: Dyskeratosis congenita C: Tuberous sclerosis D: Osteogenesis imperfecta | Answer: A |
The following statements are true regarding Chlamydia except: | A: Erthromycin is effective for therapy of Chamydial infections B: Their cell wall lacks a peptidoglycan layer C: They can grow in cell free culture media D: They are obligate intracellular bacteria | Answer: C |
Which of the following tests is best for differentiating ACTH secreting pituitary tumour from Ectopic ACTH production? | A: 24 hour Urinary free coisol B: Overnight dexamethasone suppression test C: Low dose dexamethasone suppression test D: High dose dexamethasone suppression test | Answer: D |
Forceps delivery is done in all except: | A: Mentoposterior B: Deep transverse arrest C: After coming head D: Maternal heart disease | Answer: A |
Pentamidine therapy causes all, EXCEPT ? | A: Upper lobe infiltrates B: Cavitation C: Extrathoracic manifestation D: None | Answer: D |
True about hepatitis C virus are all except - | A: Most common cause of chronic infection B: Has live attenuated vaccine C: Spread by blood transfusion D: Is a flavivirus | Answer: B |
In IMNCI, pneumonia is classified by- | A: Fast breathing B: Wheezing C: Fever D: Chest indrawing | Answer: A |
Digestion of disaccharides occurs at ? | A: Mouth B: Stomach C: Small intestine D: Large intestine | Answer: C |
A 30 year old female patient complains of painless hard anterior neck mass. FNAC was inconclusive. Open thyroid biopsy was performed which revealed the fibrous nature of the mass, woody, non tender thyroid, mimicking carcinoma is observed. The diagnosis points towards | A: De Quervain's thyroiditis B: Riedel's thyroiditis C: Hashimoto’s thyroiditis D: None of the above | Answer: B |
A person's X-ray chest showing homogenous opacity on right side with shifting of mediastinum on opposite side. Most probable diagnosis is/are: | A: Collapse B: Pleural effusion C: Pneumothorax D: Consolidation | Answer: B |
All of the following causes coloured halos except | A: Corneal edema B: Retinal degeneration C: Foreign body D: Steroids | Answer: B |
Which of the following is not a function of liver ? | A: Production of albumin B: Detoxification of ammonia C: Production of vitamin K D: Metabolism of drugs | Answer: C |
An elderly woman suffering from schizophrenia is on antipsychotic medication. She developed purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this side effect - | A: Haloperidol B: Clozapine C: Fluphenazine D: Loxapine | Answer: B |
Cluster testing is used in the detection of- | A: STD B: Diabetes C: Measles D: Cancer | Answer: A |
Ethmoidal polyp is ? | A: Due to infection B: Single C: Recurrent D: Occurs in children | Answer: C |
Which of the following is not seen in Tuberous sclerosis ? | A: Shagreen patch B: Adenoma sebacecum C: McCollon Plaques D: Depigmented nevi | Answer: C |
A 35 yr old pregnant female at 40 weeks gestational age presents with pain and regular uterine contractions every 4-5min . On arrival the patient is in a lot of pain and requesting relief immediately. Her cervix is 5 cm dilated. What is most appropriate method of pain control for this patient | A: Intramuscular morphine B: Pudendal block C: Local block D: Epidural block | Answer: D |
Schistosomiasis is an example of - | A: Meta-zoonoses B: Cyclo-zoonoses C: Direct-zoonoses D: Sporo-zoonoses | Answer: A |
Treatment of hydatid cyst | A: Excision of cyst B: Percutaneous drainage C: Conservative management D: None | Answer: B |
The structure damaged in the given condition is responsible for all except: | A: Taste sensation of ant 2/3rd tongue B: Lacrimal gland secretion C: Parotid gland secretion D: Platysma contraction | Answer: C |
H. pylori has been implicated in all, except | A: Gastric ulcer B: Gastric carcinoma C: Gastric lymphoma D: GIST | Answer: D |
A 41 year old man presented with swelling over parotid area. He has only mild pain. Which is the commonest tumor of the parotid? | A: Pleomorphic adenoma B: Monomorphic adenoma C: Wahin's tumor D: Adenocarcinoma | Answer: A |
Depression is not a side effect of | A: Propanolol B: Oral contraceptives C: Reserpine D: Flupenthixol | Answer: D |
Of the following permanent teeth, which is least likely to have two roots? | A: Maxillary canine B: Mandibular canine C: Maxillary first premolar D: Mandibular first premolar | Answer: A |
Drug of choice for pregnant female suspected of having a baby with congenital adrenal hyperplasia | A: Dexamethasone B: Betamethasone C: Hydrocoisone D: Prednisolone | Answer: A |
The drug that inhibits uterine contractility and cause pulmonary edema is : | A: Ritodrine B: Nifedipine C: lndomethacin D: Atosiban | Answer: A |
A patient presents with diarrhoea. analysis of stool on wet mount shows mobile protozoa without RBCs and pus cells. The diagnosis is - | A: Balantidium coil B: Giardiasis C: Trichomonas hominis D: Entamoeba histolytica | Answer: B |
A clinical study involves patients diagnosed with carcinoma whose tumor stage is T4N1M1. The patients' survival rate 5 years from the time of diagnosis is less than 50%, regardless of therapy. Which of the following clinical findings is most likely to be characteristic of this group of patients? | A: Cachexia B: Cardiac murmur C: Icterus D: Loss of sensation | Answer: A |
Thiopentone is absolutely contraindicated in | A: Porphyria B: Moribund patients C: Increased intracranial pressure D: Meningitis | Answer: A |
True regarding the rubens valve is | A: Is a non-rebreathing valve B: Will not allow spontaneous respiration C: Is a pressure reducing valve D: May jam in expiratory position | Answer: A |
Loeffler's medium is- | A: Indicator medium B: Selective medium C: Enrichment medium D: Enriched medium | Answer: D |
All are true about halothane except - | A: Tachycardia B: Hepatitis C: Bronchodilatation D: Uterine relaxation | Answer: A |
A man coming from a mountain whose wife died 6 months prior says that his wife appeared to him and asked him to join her. The diagnosis is | A: Normal grief B: Grief psychosis C: Bereavement reaction D: Supernatural phenomenon | Answer: B |
Ocular manifestation in giant cell arteritis? | A: Arteritic AION B: Nonarteritic AION C: Papilledema D: Horners Syndrome | Answer: A |
A 43-year-old man suddenly develops odynophagia. Which organism is most likely to be isolated on throat culture? | A: Mononucleosis B: S. aureus C: Normal pharyngeal flora D: Group A streptococci | Answer: C |
Which disease is associated with the Father of Public Health? | A: Malaria B: Cholera C: Tuberculosis D: Plague | Answer: B |
Caloric test is done for | A: Semicircular canal B: Macula C: Saccule D: Cochlea | Answer: A |
In humans, effective renal blood flow is ? | A: 425 B: 525 C: 625 D: 725 | Answer: C |
Typhoid carriers are detected by following except ? | A: Isolation of bacteria from urine B: Isolation of bacteria from bile C: Vi antigen D: Widal test | Answer: D |
Which of the following statements regarding live vaccines is false? | A: Two live vaccines cannot be administered simultaneously B: Booster doses are not required when live vaccines are administered C: Single dose gives life long immunity D: Live vaccine contains both major and minor antigens | Answer: A |
Magnan's symptom is seen in: | A: Datura B: Cocaine C: Opium D: Cannabis | Answer: B |
The earliest manifestation of increased intrcranial pressure following head injury is | A: Ipsilateral pupillary dilatation B: Contralateral pupillary dilatation C: Altered mental status D: Hemiparesis | Answer: C |
True about Bochdalek hernia is - | A: Seen on right side B: Anterior position C: Differential diagnosis for pleuropericardial cyst D: All | Answer: C |
Which bone do not contributes to the medial wall of the orbit? | A: Ethmoid B: Lacrimal C: Frontal D: Zygoma | Answer: D |
Swan neck deformity - | A: Flexion at PIP and DIP joint B: Extention at PIP and DIP joint C: Flexion at PIP and Extention at DIP joint D: Extention at PIP and Flexion at DIP joint | Answer: D |
A 55-year-old man with recent onset of atrial fibrillation presents with a cold, pulseless left lower extremity. He complains of left leg paresthesia and is unable to dorsiflex his toes. Following a successful popliteal embolectomy, with restoration of palpable pedal pulses, the patient is still unable to dorsi- flex his toes. The next step in management should be | A: Electromyography (EMG) B: Measurement of anterior compartment pressure C: Elevation of the left leg D: Immediate fasciotomy | Answer: D |
Which of the following is not a CT feature ofAdrenal adenoma – | A: Low attenuation B: Homogenous density and well defined borders C: Enhances rapidly, contrast stays in it for a relatively longer time and washes out late D: Calcification is rare | Answer: C |
Most common cause of death in primary amyloidosis is? | A: Respiratory failure B: Cardiac failure C: Renal failure D: Septicemia | Answer: B |
Pyoderma-gangrenosum is most commonly associated with - | A: Ulcerative colitis B: Crohns disease C: Amoebic colitis D: Ischemic colitis | Answer: A |
AML transformation common in - a) Aplastic anemia b) MDS c) Megakaryocytic thrombocytopenia d) None | A: ab B: bc C: d D: ca | Answer: A |
Which of the following is false about mucocele of gallbladder | A: Complication of gallstones B: Treatment is early cholecystectomy C: Obstruction at neck of gallbladder D: Gallbladder is never palpable | Answer: D |
Most Common Tumour of Eyelid is: | A: Sebaceeous Ca B: BCC C: SCC D: Malignant melanoma | Answer: B |
Intolerance to loud sound, nerve affected is | A: 5th nerve B: 7th nerve C: 10th nerve D: None | Answer: B |
Thyroid hormone formation involves many steps. Which of the following amino acid is the precursor for thyroxine? | A: Glycine B: Tyrosine C: Phenylalanine D: Iodine | Answer: B |
Once the enamel formation is complete, the tooth will erupt after approximately: | A: One year B: Two years C: Three years D: Four years | Answer: C |
Sputum positive patient who should be quarantined: | A: Pregnant women B: Old people C: Children above 6 years D: Children below 6 years | Answer: D |
Ca 125 is used in diagnosis of - | A: Ovarian cancer B: Gall bladder cancer C: Carcinoids D: Bronchogenic cancer | Answer: A |
Which of these pathologies is the most common benign tumour of the parotid gland? | A: Mumps B: TB C: Heerfordt syndrome D: Pleomorphic adenoma | Answer: D |
A patient has ecchymosis and petechiae all over the body with no hepato-splenomegaly. All are true except | A: Increased megakaryocytes in bone narrow B: Bleeding into the joints C: Decreased platelet in blood D: Disease resolves itself in 80% of Patients in 2-6 | Answer: B |
Which body pa is represented superiorly and medially within the postcentral gyrus? | A: Upper limb B: Lower limb C: Abdomen D: Genitalia | Answer: B |
A 62 year old man has a 25 year history of alcoholism and liver disease. He visits his physician complaining of pain and swelling of his legs. A decrease in which of the following is the most likely cause of the peripheral edema? | A: Capillary hydrostatic pressure B: Interstitial colloid osmotic pressure C: Interstitial hydrostatic pressure D: Plasma colloid osmotic pressure | Answer: D |
Most common cause of dissecting hematoma is | A: Hypeension B: Marfan's syndrome C: Iatrogenic D: Kawasaki | Answer: A |
Charcot's triad include | A: Fever, pain, jaundice B: Fever, vomiting, jaundice C: Fever, Jaundice, Abd, distension D: Fever, chills, jaundice | Answer: A |
Die is commonly seen in - | A: MlAML B: M2AML C: M3AML D: M4AML | Answer: C |
Thermoregulatory response activated by cold is | A: Cutaneous vasodilatation B: Anorexia C: Increased voluntary activity D: Increased respiration | Answer: C |
Humans become infected by M.tuberculosis commonly by | A: Ingestion B: Contact C: Inhalation D: Inoculation | Answer: C |
Umbilical cord usually separates in newborns on: | A: Day 1 B: Day 2-3 C: Day 7-10 D: After 1 month | Answer: C |
Delayed pubey is when primary amenorrhea is seen without development of secondary sexual characters beyond the age of? | A: 12 years B: 14 years C: 16 years D: 18 years | Answer: C |
Most common cause of central precocious pubey in girls: | A: Exogenous estrogen B: Idiopathic C: CNS tumor D: Hypothyroidism | Answer: B |
Which test is used to compare kapian-meier survival curve- | A: T-test B: Chi-square test C: Log rank test D: Whitneys test | Answer: C |
Apoptotic bodies are | A: Clumped chromatin bodies B: Pyknotic nucleus without organelles C: Cell membrane bound with organelles D: No nucleus with organelles | Answer: C |
According to Hellin's law chances of twins in pregnancy are: | A: 1 in 60 B: 1 in 70 C: 1 in 80 D: 1 in 90 | Answer: C |
All of the following are true about OPSI (Overwhelming Postsplenectomy Infection), Except: | A: Maximum risk is within 1 year of splenectomy B: Begins with mild appearing prodrome C: May present with septic shock D: Usually does not respond to antibiotic treatment | Answer: A |
"La-facies sympathique" is a condition seen in cases of | A: Hanging B: Strangulation C: Myocardial insufficiency D: Railway accidents | Answer: A |
In acute inflammation the tissue response consists of all except | A: Vasodilation B: Exudation C: Neutrophilic response D: Granuloma formation | Answer: D |
Which of the following analgesics should not be given in acute MI ? | A: Methadone B: Morphine C: Buprenorphine D: Pentazocine | Answer: D |
This condition is best treated by: | A: Intra-keloidal injection of triamcinolone B: Wide excision and grafting C: Wide excision and suturing ( D: Deep X-ray therapy | Answer: A |
Which joint is commonly involved in osteochondritis dissecans? | A: Ankle joint B: Knee joint C: Wrist joint D: Elbow joint | Answer: B |
renal papillary necrosis is caused by ? | A: alcohol B: cocaine C: heroin D: morphine | Answer: A |
Bilateral spider leg sign on IVP is suggestive of: | A: Polycystic kidney B: Hydronephrosis C: Hypernephroma D: Renal stones | Answer: A |
Which of the following will you like to give to a pregnant patient to decrease the risk of neural tube defects in the offspring, if your patient is receiving antiepileptic drugs ? | A: Folic acid B: Vitamin A C: Vitamin E D: Pyridoxine | Answer: A |
Which is the only living pa of Hydatid cyst? | A: Adventitia B: Germinal epithelium C: Laminated membrane D: Parenchyma of the organ | Answer: B |
Von Langenbeck repair is used for treatment of: | A: Cleft lip B: Cleft palate C: Septal detion D: Saddle nose | Answer: B |
Which of the following is not recommended in the treatment of Chronic Low Back Pain: | A: NSAIDs B: Bed Rest for 3 months C: Exercises D: Epidural steroid Injection | Answer: B |
Fatty acid synthase complex contain the following enzymes except: | A: Enoyl reductase B: Ketoacyl reductase C: Acetyl: CoA carboxylase D: Dehydratase | Answer: C |
Not a type of Inguinal hernia | A: Gibbon's hernia B: Valpeall's hernia C: Pantaloon's hernia D: Sliding hernia | Answer: B |
Which is false regarding Gram positive cocci ? | A: Staph. saprophyticus causes UTI in females B: Micrococci are oxidase positive C: Most enterococci are sensitive to penicillin D: Pneumococci are capsulated | Answer: C |
Brugada syndrome is characterized by | A: ST elevation B: Prolonged PR interval C: Prolonged QT interval D: Tall T waves | Answer: A |
Malaria causing nephrotic syndrome - | A: P. vivax B: P. Falciparum C: P. malariae D: P. Ovale | Answer: C |
Commonest site for colonic diverticula is- | A: Ascending colon B: Sigmoid colon C: Transverse colon D: Descending colon | Answer: B |
Drug of choice for acute severe asthma is: September 2006 | A: Sho acting beta 2 agonists B: Long acting beta 2 agonists C: Oral theophylline D: Inhaled ipratropium bromide | Answer: A |
False statement regarding myocardial infarction and depression is: | A: Depression is a risk factor for MI B: MI is a risk factor for depression C: SSRI's can be used post MI for treatment of depression D: Only cognitive behavioral therapy is used after MI | Answer: D |
Regarding Fanconi anemia, the wrong statement is: | A: Autosomal dominant B: Bone marrow show pancytopenia C: Usually aplastic anemia D: It is due to defective DNA repair | Answer: A |
According to WHO, what is given to prevent PPH by active management of third stage of labour? | A: IV PGF2 alpha agonist B: IM oxytocin C: IV ergometrine D: Perrectal prostaglandins | Answer: B |
A multipara with 34 weeks pregnancy tachycardia, fever, hepatospleenomegaly, pallor has : | A: Malaria B: Iron deficiency anaemia C: Physiological anaemia D: Megaloblastic anaemia | Answer: A |