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Cardiac output is increased by all except
A: Exercise B: Pregnancy C: Hot atmosphere D: Standing from lying down
Answer: D
An 8 year old boy presented with fever and bilateral cervical lymphadenopathy with prior history of sore throat. There was no hepatomegaly. The peripheral blood smear shows >20% lympho plasmacytoid cells. The most likely diagnosis is:
A: Tuberculosis B: Infectious Mononucleosis C: Acute lymphoblastic leukemia D: Influenza
Answer: B
Regarding Good pasture's syndrome all are true except
A: Auto immune disease B: Anty body against collagen type IV alpha3 chain of GBM and pulmonary capillaries C: Diffuse bilateral pulmonary infiltrates D: Slowly progressive Renal failure
Answer: D
A 60-year-old man with diabetes acutely develops double vision and discomfort in his left eye. On examination, there is ptosis of the left eyelid, the eye is rotated down and out, and the pupil is 3 mm and reactive to light. The right eye is normal. Which of the following is the most likely diagnosis?
A: fourth nerve palsy B: diabetic autonomic neuropathy C: third nerve palsy D: sixth nerve palsy
Answer: C
Lethal midline granuloma arises from ?
A: T-cells B: B-cells C: NK cells D: Macrophages
Answer: C
In near vision what is the change?
A: Power of lens decreases B: Depth of focus increases C: Lateral recti contraction D: Zonular tension increases
Answer: B
In a community of 5000 people, the crude bih rate is 30 per 1000 people. The number of pregnant female is?
A: 150 B: 65 C: 175 D: 200
Answer: A
A young male presents with fever, followed by headache, confusion, focal seizures and right hemiparesis. MRI shows bilateral frontotemporal hyperintense lesion. Which of the following is the most likely diagnosis?
A: Acute pyogenic meningitis B: Herpes simplex encephalitis C: Neurocysticercosis D: Carcinomatous meningitis
Answer: B
The shake test shown below can be done to know:
A: Whether vaccine was exposed to heat B: Whether vaccine had been frozen at some point of time in the cold chain C: Whether expiry date of vaccine has reached D: Whether the vaccine needs to be mixed with normal saline
Answer: B
Largest embrasure lies between:
A: Maxillary central incisors B: Maxillary central and Lateral incisor C: Maxillary canine and first premolar D: Maxillary lateral incisor and canine
Answer: C
Absence of lamina dura in the alveolus occurs in:
A: Rickets B: Osteomalacia C: Deficiency of vitamin C D: Hyperparathyroidism
Answer: D
Drug of choice for hypertension in pregnancy-
A: Hydralazine B: Methyldopa C: Labetalol D: Nifedipine
Answer: B
Most common ophthalmic complication of diabetes mellitus is
A: Retinopathy B: Cataract C: Rubeosis iridis D: Vitreous hemorrhage
Answer: A
Hyaline casts are seen in
A: Acute tubular necrosis B: Thrombotic microangiopathy C: Normal urine D: Pyelonephritis
Answer: C
Absense of taste sensation is termed as:
A: Hypogeusia B: Ageusia C: Dysgeusia D: Partial ageusia
Answer: B
Hutchinsons secondaries In skull are due to tumors in
A: Lung B: Breast C: Adrenal D: Liver
Answer: C
Which of the following constitute grievous injury-
A: Incised wound of scalp B: Incised wound of thigh C: Fracture Tibia D: Laceration of the scalp
Answer: C
NiTi alloy shows superelasticity through:
A: Conversion from Austenite to Martensite phase B: Conversion from Martensite to Austenite phase C: M wire phase D: Austenite + Martensite + R phase
Answer: A
Assessment of obesity by following measurement except
A: Quetelet’s index B: Broca index C: Sullivan’s index D: Corpulence index
Answer: C
An elderly house wife lost her husband who died suddenly of Myocardial infarction couple of years ago. They had been staying alone for almost a decade with infrequent visits from her son and grandchildren. About a week after the death she heard his voice clearly talking to her as he would in a routine manner from the next room. She went to check but saw nothing. Subsequently she often heard his voice conversing with her and she would also discuss her daily matters with him. This however, provoked anxiety and sadness of mood when she was preoccupied with his thought. She should be treated with:
A: Clornipramine. B: Aiprazolam C: Electroconvulsive therapy. D: Haloperidol.
Answer: D
All endothelial cells are involved in the production of thrombomodulin EXCEPT those found in:
A: Hepatic circulation B: Cutaneous circulation C: Cerebral microcirculation D: Renal circulation
Answer: C
Heme is conveed to bilirubin mainly in:
A: Kidney. B: Liver. C: Spleen D: Bone marrow.
Answer: C
All of the following cause osteonecrosis except -
A: Sickle cell anemia B: Corticosteroid use C: DIC D: None of the above
Answer: D
Which of the following is involved in tumor metastasis cascade -
A: Fibronectin B: E-Cadherin C: Type IV collagenase D: Tyrosine kinase
Answer: B
Which of the following anti-tubercular drug is avoided in a HIV positive patient on zidovudine, lamivudine and indinavir therapy who develops TB?
A: Pyrazinamide B: Isoniazid C: Ethambutol D: Rifampicin
Answer: D
TRUE about RU - 486 is :
A: Used for inducing aboion in early week of pregnancy B: Used along with contraceptive pill C: Acts on the cytoplasmic receptor D: Used for preventing ectopic implantation
Answer: A
Which of the following is sign of severe Dehydration in a child
A: Lethargy B: Irritability C: Increased duration of skin pinch D: Suken eyes
Answer: A
Which of the following statements about contrast in radiography is true -
A: Ionic monomers have three iodine atoms per two paicles in solution B: High osmolar contrast agents may be ionic or non ionic C: Gadolinum may cross the blood brain barrier D: Iohexol is a high osmolar contrast media
Answer: A
A 6-year-old child presents with lesions on face, covered with honey colored crusts. Pruritus is present. The possible cause can be:
A: Impetigo B: Herpes C: Chickenpox D: Molluscum contagiosum
Answer: A
In Medullary Carcinoma thyroid Tumour marker is-
A: TSH B: Calcitonin C: T3, T4 and TSH D: Alpha Feto protein
Answer: B
Xylitol affects the MS stains by:
A: Reduced adhesion are seen. B: Less virulence properties are seen. C: Less acid production are seen. D: Anyone of the above.
Answer: D
Spigelberg criteria is used in:
A: Ovarian pregnancy B: Abdominal pregnancy C: Cervical pregnancy D: Tubal pregnancy
Answer: A
Hemiparesis is NOT a feature of -
A: Carotid artery occlusion B: MCA occlusion C: ACA occlusion D: Vertebral artery occlusion
Answer: D
Calculate degree of freedom Material Location X Y Glass 8 23 Cupboard 56 3 Metal 1 14
A: 1 B: 2 C: 3 D: 4
Answer: B
Which of the following enzyme of TCA cycle is analogous to Pyruvate dehydrogenase complex?
A: Isocitrate dehydrogenase B: Alpha ketoglutarate dehydrogenase C: Malate dehydrogenase D: Succinate dehydrogenase
Answer: B
Auditory area located in which lobe:
A: Temporal B: Parietal C: Frontal D: Occipital
Answer: A
Classical symptom of endocervical polyp is
A: Cervical prolapse B: Dyspareunia C: Intermenstrual bleeding D: Dysmenorrhea
Answer: C
For teletherapy, isotopes commonly used are
A: 1-123 B: Cs-137 C: Co-60 D: Tc-99
Answer: C
The most likely inheritance pattern depicted in the following pedigree is:
A: Autosomal dominant B: X-linked recessive C: X-linked dominant D: Autosomal recessive
Answer: C
Which vitamin required for hydroxylation of proline
A: A B: D C: C D: K
Answer: C
Afferents to basal ganglia rests in
A: Striatum B: Globus pallidus C: Striatum D: Subthalamus nuclei
Answer: A
Maximum contraction of gall bladder is seen with:
A: CCK B: Secretin C: Gastrin D: Enterogastrone
Answer: A
The most impoant stimulant of respiratory centre is:
A: Alkalosis B: Decrease PCo2 C: Increase PCo2 D: Decrease Pao2
Answer: D
An 80-year-old woman presents with a 4-hour history of fever, shaking chills, and disorientation. Her blood pressure is 80/40 mm Hg. Physical examination shows diffuse purpura on her upper arms and chest. Blood cultures are positive for Gram-negative organism. Which of the following cytokines is primarily involved in the pathogenesis of direct vascular injury in this patient with septic shock?
A: Interferon-g B: Transforming Growth Factor-b (TGFb) C: Platelet-derived growth factor D: Tumor necrosis factor-a
Answer: D
A patient with blood pressure of 90/60 mm Hg presents with pronounced cyanosis. Blood drawn from peripheral veins is observed to be chocolate brown in colour. The most likely diagnosis is:
A: Methaemoglobinemia B: Hypovolemic shock C: Cardiogenic shock D: Hemorrhagic shock
Answer: A
A pregnant woman with fibroid uterus develops acute pain in abdomen with low grade fever and mild leucocytosis at 28 weeks ,the most likely diagnosis is
A: Preterm labour B: Torsion of fibroid C: Red degeneration of fibroid D: Infection in fibroid
Answer: C
Call Exner bodies are found in -
A: Granulosa Cell Tumour B: Embryonal cell carcinoma C: Choriocarcinoma D: Androblastoma
Answer: A
Monteggia fracture is -
A: Fracture of the proximal ulna with radial head dislocation B: Radial head subluxation C: Tear in interosseus membrane between radius and ulna with proximal ulna fracture D: Distal radius Fracture with injury to Distal radio ulnarjoint
Answer: A
Commonest cause of esophageal perforation: March 2007
A: Boerhaave syndrome B: Carcinoma of esophagus C: Acid ingestion D: Instrumentation
Answer: D
Sensory supply for skin over angle of jaw is
A: Opthalmic nerve B: Mandibular nerve C: Cervical plexus D: Maxillary nerve
Answer: C
Population covered by a community health centre?
A: 5000 B: 30,000 C: 100,000 D: None
Answer: C
The fastest type of nerve fibers are
A: A B: B C: C D: All
Answer: A
A 26-year-old patient presents with suspected pneumococcal meningitis. CSF culture is sent for antibiotic sensitivity. Which empirical antibiotic should be given until culture sensitivity result come?
A: Penicillin G B: Ceftriaxone + metronidazole C: Doxycycline D: Cefotaxime + vancomycin
Answer: D
Form of vitamim D which is measured in serum ?
A: Cholecalciferol B: 25 hydroxyvitamin D C: 1,25 dihydroxyvitamin D D: 24,25 dihydroxyvitamin D
Answer: D
High speed includes the R.P.M between
A: 20000-50000 B: 50000-100000 C: 100000-200000 D: above 200000
Answer: B
Which of the following factors are present in the final common terminal complement pathway?
A: C4 B: C3 C: C5 D: Protein B
Answer: C
Peptic ulcer is caused by
A: H. pylori B: Campylobacter jejuni C: Pneumocystis carinii D: Crypto sporidium
Answer: A
All are resected in whipples operation except:
A: Duodenum B: Head of pancreas C: Portal vein D: Common bile duct
Answer: C
Prevalence of a disease depends upon the following?
A: Incidence B: Duration C: Both of the above D: None of the above
Answer: C
The most common histologic type of thyroid cancer is -
A: Medullary type B: Follicular type C: Papillary type D: Anaplastic type
Answer: C
Transection of the brain stem at the mid-pontine level with bilateral vagotomy causes ______
A: Ceasation of spontaneous respiration B: Continuation of regular breathing C: Irregular but rhythmic respiiration D: Apneusis
Answer: D
The ureteric bud develops from ?
A: mesonephric duct B: metanephric duct C: pronephric duct D: genital sinus
Answer: A
True about treatment of carcinoma left colon with acute obstruction
A: Haman's procedure B: Left colectomy with anastomosis C: Proximal colostomy D: All
Answer: D
Superantigens true is -
A: They bind to the left of the MHC B: Needs to processed before presentation C: They are presented by APC'S to T cells D: Directly attached to lateral aspect of TCR b chain
Answer: D
Which of the following is true about colour vision
A: Independent of wavelength of light B: Depends on intensity discrimination C: Involves opponent colour cells D: Minimum at fixation point
Answer: C
In which of the following ahritis erosion are not seen
A: Rheumatoid ahritis B: Systemic lupus ehematosus C: Psoriasis D: Gout
Answer: B
Alvarado score is used for
A: Acute cholecystitis B: Acute appendicitis C: Acute apncreatitis D: Acute epidydimitis
Answer: B
Indication of fetal distress is:
A: Decrease in fetal scalp blood pH B: Meconium staining C: Late deceleration of heart rate D: All of the above
Answer: D
AED stands for?
A: Automatic external defibrillator B: Automated external defibrillator C: Automatic electrical defibrillator D: Automated electrical defibrillator
Answer: B
Fructose intolerance is due to deficiency of ?
A: Aldolase B B: Fructokinase C: Triokinase D: Aldolase A
Answer: A
Which cardiovascular change is physiological in last trimester of pregnancy?
A: Mid-diastolic murmur B: Occasional atrial fibrillation C: Shift of apical impulse laterally and upwards in left 4th intercostal space D: Cardiomegaly
Answer: C
Na-K ATPase
A: 3 Na out / 2K in B: 3Na in / 2K out C: 2Na out / 3K in D: 2Na in / 3K out
Answer: A
Which of the following anaesthetic modality is to be avoided in sickle cell disease?
A: General anaesthesia B: Brachial plexus block C: IV. Regional Anaesthesia D: Spinal
Answer: C
Raynaud's phenomenon seen in all EXCEPT:
A: Scleroderma B: Dermatomyositis C: Juvenile rheumatoid ahritis D: SLE
Answer: C
All of the following can cause osteoporosis, except -
A: Hyperparathyroidism B: Steroid use C: Flurosis D: Thyrotoxicosis
Answer: C
Protein of muscle which helps in relaxation is
A: Nebulin B: Titin C: Desmin D: Calcineurin
Answer: B
Levamisole is used as all except -
A: Single dose in ascariasis B: Immunostimulant C: Paralysis of worms by depolarisation D: Immunodepressant in high doses
Answer: D
Which of following is not absorbed in PCT:
A: Bicarbonate B: Sodium C: Phosphate D: H+
Answer: D
IPD records of patients are preserved for how many years ?
A: 1 year B: 3 years C: 5 years D: 7 years
Answer: B
The matrix band for restoring a Class-I with lingual extension is
A: Tofflemire B: Ivory No.8 C: Barton D: T band
Answer: C
Auditory pathway passes through -
A: Medial geniculate body B: Lateral geniculate body C: Reticular formation D: Cerebellar fornix
Answer: A
Durck granuloma is seen in
A: Congenital syphilis B: Cat scratch disease C: Histoplasmosis D: Cerebral malaria
Answer: D
All vaccines are given in disaster,except ?
A: Cholera B: Influenza C: Measles D: Tetanus
Answer: A
The goal of NRR=1 can be best achieved by use of following contraceptive methods -
A: Condom 72/year B: IUCD C: Vasectomy D: Oralpills
Answer: C
All of the following agents can be given for induction of anaesthesia in children, EXCEPT:1
A: Halothane B: Servoflurane C: Morphine D: Nitrous oxide
Answer: C
Which of the following agents is of value in the postoperative care of the hemophilic patient?
A: Vitamin K B: Monsel's solution C: Aminocaproic acid D: Factor 8 cryoprecipitate
Answer: C
A 6-year old child who presented with perianal pruritus, excoriation of skin and nocturnal enuresis was found to be infected with a parasite causing autoinfection. The causative agent is diagnosed by the -
A: NIH swab method B: String test C: Hetrazan test D: Encysted larvae on muscle biopsy
Answer: A
A histological section of the left ventricle of a deceased 28-year-old male shows classic contraction band necrosis of the myocardium. Biological specimens confirm the presence of cocaine and metabolites. Activity of which of the following enzymes was most likely increased in the patient's myocardial cells sholy prior to his death?
A: Phosphoenolpyruvate carboxykinase B: Phosphofructokinase-1 C: Pyruvate dehydrogenase D: Succinate dehydrogenase
Answer: B
All are hypercoagulable states, except :
A: Protein C resistance B: Factor V Leiden deficiency C: Antiphospholipid antibody D: Polycythemia
Answer: B
Parasites not transmitted through soil:
A: Pin worm B: Hookworm C: Tapeworm D: Roundworm
Answer: C
Which of the following does not undergo phosphorylation by protein kinases?
A: Threonine B: Tyrosine C: Asparagine D: Serine
Answer: C
All the following are indications for termination of pregnancy in an APH patient except
A: 37 weeks B: IUD C: Transverse lie D: Significant bleeding
Answer: C
Note a delayed type of hypersensitive reactions -a) Arthus reactionb) Bronchial asthmac) Hemolytic anemiad) Multiple sclerosis
A: ab B: bc C: abc D: bcd
Answer: C
Which of the following is the investigation of choice in a pregnant lady at 18 weeks of pregnancy with past history of delivering a baby with Down's syndrome :
A: Triple screen test B: Amniocentesis C: Chorionic villous biopsy D: Ultrasonography
Answer: B
Hypersensitivity angitis is seen in -
A: SLE B: Polyaeritis nodosa C: Henoch schonlein purpura D: Buergers disease
Answer: C
Train of four is characteristically used in concern with-
A: Malignant hypehermia B: Non -depolarizing neuromuscular blockers C: Mechanical ventilation D: To check hemodynamic parameters
Answer: B
The commonest site of lodgement of a pulmonary embolus is in the territory of -
A: Rt. lower lobe B: Rt. upper lobe C: Lt. lower lobe D: Lt. upper lobe
Answer: D
Plummer vinson syndrome is characterised by all except
A: Glossitis B: Esophagal webs C: Megaloblastic anemia D: Esophagal dysplasia
Answer: C
Which of the following drug is an enzyme inducer?
A: Rifampicin B: Isoniazid C: Ketokonazole D: Erythromycin
Answer: A
Trantas spots are seen in –
A: Vernal conjunctivitis B: Eczematous conjunctivitis C: Ophthalmia nodosa D: Tularemia
Answer: A