A. S1
B. S2
C.P1
D. P2
8. Colonic bacteria act upon
dietary fibers to produce
A. Free radicals
B. Butyrates
C. Glycerol
D. Sucrose
BIOCHEMISTRY
9. True about end of third
round of Polymerase chain reaction
A. becomes 2 times
B. 4 time
C. 8 times
D. same
PHARMACOLOGY
10. Side effects of
Amphotericin B are all except
A. Azotemia
B. Glomerulonephritis
C.
D.
11. An AIDS patient is
receiving Zidovudine, Lemivudine and indanavir has been diagnosed TB. Which
ATT is to be avoided while prescribing ATT
A. Rifampicine
B. Isonaizid
C. Pyrazinamide
D. Ethambutol
12. Which ATT drug need no
modification with high serum creatinine and Renal failure
A. Rifampicine
B. Isonaizid
C. Pyrazinamide
D. Ethambutol
13. Metabolism of two drugs A (dotted
line) and B (normal line) is given. X axis denotes time in hour and Y axis
denotes concentration in blood. Which of the following is a true statement
A. The two drugs are antagonist
B. The two drugs are agonist
C.
D. A has higher peak levels than B
14. Propanolol is
contraindicated in a specific group because of increased risk of
A. Arrythmia
B. Postural hypotension
C. Asthma
D. Resp. depression
15. All of the following
cause Disufiram like reaction except
A. Bethamethasone
B. Cefamandole
C. Metonnidazole
D. Chlorpropamide
16. Metabolism of two drugs A
(dotted line) and B (normal line) is given. X axis denotes time in hour and
Y axis denotes concentration in blood. Which of the following is a true
statement
A. The two drugs are
antagonist
B. The two drugs are agonist
C.
D. A has higher peak levels
than B
17. A patient with congenital
QT prolongation presents with torso de pontice. Treatment should be
A. Metoprolol
B. MgSO4
C.
D.
18. Which of the following is
not used as a sclerotic agent
A. Acetic acid
B. Alcohol
C. Ethalamine oleat
D. Sodium tetradecyle
sulphate
19. Which of the following
drug causes altered metabolism of theophyllins
A. Amoxycillin
B. Erythromycin
C.
D.
20. Mandatory hemodialysis is
necessory in which type of posioning?
A. Organpphospahtes
B. Copper sulphate
C. Amphetamine
D. Methanol
PATHOLOGY
21. Prognosis of crescent
glomerulopathy depends upon
A. Number of crescent
B. Size of crescent
C. Hpertrophy of crescent
D.
22. Autopsy report of a man
shows that squamous epithelium was found in bronchi of lungs. This type of
transformation is called
A. Dysplasia
B. Metaplasia
C. Hypertrophy
D. Keratisation
23. Which of the following
is not a granulamatous disease
A. Leprosy
B. Tuberculosis
C. Mycoplasma
D. Histoplasmosis
24. A 5 year child of is
suffering from nephrotic syndrome is well responding to steroid therapy.
Finding on light microscopy will be
A. No finding
B. Glomerular Necrosis
C.Mesangial proliferation may lead to renal
failure in loag standing cases
D. Flattened foot process with polyanionic charges in the inner side of
basement membrane and outer side of endothelial memb.
25. Apoptosis includes all
except
A. Cell death
B. Chromosomal disturbance
C. Cell lysis, followed by
phagocytosis of cell debris by macrophages
D. Inflammation of cells
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26. Immortalisation of cancer
cells is done through
A. DNA ploymerase
B. t RNA synthetase
C. Epimerase
D. Telomerase
27. Cancer cells get their
energy from
A. Glycolysis
B. Oxidative phosphorylation
C. High no. of mitochondria
D. Anaerobic respiration
28. Reversible loss of
polarity and dysmorphism is a type of
A. Metaplasia
B. Dysplasia
C. Hyperplasia
D. Desmoplasia
29. Sickle cell trait does
not produce disease in a person because
A. 50% HbS conc. does not
interfere with oxygen carriage
B. Length of HbS is
insufficient to cause sickling
C. HbS dos not interect with
HbA
D.
30. All of the following
bacteria cause food poisoning through preformed toxin except
A. Enterotoxic E. coli
B. Sta. aureus
C. Botulinum
D. B. cereus
31. True about minimal change
GN is
A. It is a focal segmental GN
B. there is thickning of
basement membrane
C. there is Ig deposition /
mesengial cells
D. flatning of podocytes with
loss polarity
32. A child aged 2 years with
�positive family history�. On peripheral blood smear target cells are
seen. He has hypochromic microcytic anemia with Hb 6 gm%. Next investigation
of choice is
A. Hb electrophoresis
B. Coombs test
C. Liver function tests
D. Osmatic fragility test
33. Degenerative changes seen
in old age(cellular ageing) is
A. Increased abosorption of
nutrients
B. Increased oxydative
phosphorylation
C. Lipofuschin is increased
D.
MICROBIOLOGY
34. A patient as h/o Rhematic
fever 10 yrs back. He has developed acute bacterial endocarditis. Most
suspected bacteria is
A. Stap. aureus
B. Strept
C. Strept.
D. Strept.
35. A person who undergone a
tooth extraction, developed endocarditis. Likely bacterial cause is
A. St.
B. Staph. aureus
C. E. coli
D. Strepto. sanguis
36. Cystine deficient lactose
(CLED)media is preferred over McConkey agar because
A. Former prevents swarming
of proteus
B. It is a differential
medium
C. Prevents pseudomonas
growth
D. inhibit growth of candida
and Stap. aureus
37. A beta hemolytic bacteria
resistant to vancomycin, gentamycin and ampicillin. It shows growth in 6.5%
NaCl and bile is likely to be
A. Strep agalactiae
B. Strep pneumococcus
C. Enterococcus
D. Strep bovis
38. A patient present with
abscess. Microscopy shows florescence. Most likely organism is
A. Bacteroid
B. Proteus
C. St. cocci
D. E. coli
39. Which of the following
virus is a calci virus
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis E
40. Media used for culture of
Leigioneela pnemonai bacteria
A. Thayer martin medium
B. Choclate agar media
C. Bordet gangou media
D. Buffered charcol, yeast
extract with alpha Keto glutarate and antibiotic supplement
41. Auto infection is present
in
A. Ascaris
B. E. Vermicularis
C. P. westermani
D.
42. Northen blotting and
_____ test is done for
A. m RNA
B. DNA
C. Protein
D.
43. Entrovirus causes
A. Herpangina
B. Haemrrhagic fever
C.
D.
FORENSIC MEDICINE
44. In a case of posioning,
gastric lavage was done with silver nitrate solution, which turned black.
Most common probability is poisoning with
A. Tik 20
B. Malathione
C. Organophosphates
D. Celphos (Aluminium
phosphide)
45. Two farmers are brought
to emergency in an unconscious state. Gastric lavage was done. The fluid
obtained was smelling like that of bitter almonds. Most probably, poisoning
is with
A. Hydrocyanic acid
B. Malathion
C. Organophosphates
D.
46. A dead body is brought
to hospital. There is frothing from nose which increases in compression of
chest. This is a sign of death due to
A. Drowning
B. Asphyxia
C. Hanging
D. Poisoning
47. A drug abuser presents
with black tongue and staining of teeth. This suggest use of
A. Heroin
B. Cocaine
C. Hashish
D. Arsenic
PSM
48. Standard deviation is 1 and n = 100.
Standard error of distribution is
A. 10
B. 1.0
C. 0.1
D. .01
49. Mean systolic BP for 100 mean is 120.
Ideally, how many of them have systolic BP below 120
A. 70
B. 40
C. 50
D. 60
50. Cofficient of variance in IMR and
socioeconomic standard is
A. 1.0
B. +0.22
C. 0.80
D. +1.0
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51. Best indicator of health status in a community is
A. MMR
B. IMR
C. Crude death Rate
D. Crude Birth Rate
52. Human development index includes all of
the follwing except
A. Per capita income
B. Crude Death rate
C. Education
D. Life expectancy
53. Burden of disease in a community can be
judged by
A. Disability adjusted years
B. IMR
C. D.
54. Denominator used in calculation of Crude
Death Rate is on which date
A. 1 July
B. 31 March
C. 1 November
D. 1 January
55. Median of 3,5,2,10,10, 20,12 is
A. 20
B. 9
C. 10
D. 8.85
56. All of the following vaccines can be used
as post exposure vaccine except
A. Pertusis
B. Measles
C. Rabies
D. Hepatitis B
57. Percentage of values, that come and 1.96
Standard deviation is
A. 80
B. 85
C. 90
D. 95
58. False about case control study is
A. Study is carried out between diseased and
undiseased
B. Attributable risk can be measured
C. Easy to carry out
D. Less fund is required
59. Sentinal survillance is done for all of
the following except
A. Acute flaccid paralysis
B. Hepatitis B
C. Diarrhea
D. HIV infection
60. Additional calories, protein given to a
Pregnant women by anganwadi worker is
A. 300, 15
B. 500, 15
C. 300, 25
D. 500, 25
61. Two communities are best compared by
A. Direct standarisation
B.
C.
D.
62. A number of men were given the drug A
with which, 40 % responded. Now instead of A, B drug is given and 60%
responded. Best statistical tool to measure significance of the study is
A. Chi Square test
B. Paired t test
C. Fischer test
D. Student�s T test
63. Tool to measure significance of
statistics for the cholesterol level of obese (n=12) and un obese (n=15)
persons is
A. Chi square test
B. Paired t test
C. Fisher test
D.
64. A graph which represent
height (on x axis) and time in months (on y axis) of a school going child
(y= a+bx) is likely to form a
A. Straight line
B. Parabola
C. Logistic curve
D. Sigmoid curve
65. In a population of 10000, there were 1200
live births in a year with death of 60 infants. IMR will be
A. 50
B. 12
C. 72
D. 75
66. Consider the metabolism of two drugs A
and B. X axis is the time and Y denotes the conc. What is the diffrence between
two drugs?
A. Rate of absorption
B. Bioavailability
C.
D.
67. Out of 100 exposed, five developed the
disease and 1 in 100 among unexposed develpoed the disease . Attributable
risk will be
A.80%
B. 60%
C. 100%
D. 40%
68. Which of the following in
not done to prevent KFD
A. Immunization
B. Personal protection
C. Deforestication
D. Avoiding of free roaming
of cattle
MEDICINE
69. A man visits of medical
outdoor with c/o fatigue and weakness. Various investigations were done and
CPK was found to be increased. CPK is released from
A. Muscle fiber
B. Nerve Fiber
C. Renal Tubule
D.
70. Immunlogical
investigation of choice for diagnosis of invasive ameabiasis
A. compliment fixation
B. PCR
C. Elisa
D. Indirect haemagglutination
test
71. In a hospital ward, one
patient has developed pus at the site of stiches after 48 hours of
operation. 3 more patients have developed same infection. What is the best
method to protect other patients?
A. Hand washing of hospital
staff before and after touching the patients
B. Formaldehyde fumigation
C. 1% hypochloride spray
D. Give antibiotics to all
patients
72. A middle age person had
binges of alcohol last night. Now he comes with palpitation and sweating. He
has h/o similer episodes. M/c cause is
A. Atrial flutter
B. Atrial fibrillation
C. Supra ventriculat
tachycardia
D. Ventricular ectopic beat
73. One person has got renal
transplantation. He has developed Hepatitis B. Treatment of choice is
A. Lemividine
B. Interferon
C. Interferon + Lemividine
D. Ribavarine
74. True statement about
toxoplasma is
A. Rare in females
B. It is common in immuno
competent person
C. Most commonly,
Asymtomattic
D. It is mainly an
arthopometic disease
75. A 27 year old patient was
given some drugs for fever 15 days back. Now he presets with massive
haemetmesis. Most likely cause is
A. NSAID induced gastritis
B. Duodenal ulcer
C. Oeso. varices.
D.
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76. Prian disease; false is
A. Caused by infective
protein particles.
B. Associated with HIV
C. Myoclonus is present in
10% cases.
D.Brain biopsy is
diagnostic./ Dementia is the most common finding.
77. Which of the following is
not seen in CNS of a HIV patient
A. Microglial nodules
B. Vaculo__pathy of post.
Cranial fossa
C. Perivascular giant cells
D. Temporal lobe _____
78. Plasmapheresis is
indicated in
A. HSP
B. Weg. granulomatosis
C. Ac. Renal rejection
D. Good pasture syndrome
79. A child has raised
unconjugated bilirubin, normal conjugated bilirubin and alkaline phosphate.
He has raised urobilinogen in urine but no bile salt and conjugated
bilirubin in urine. Most likely diagnosis is
A. Viral Hepatitis
B. Haemolytic anaemia
C. Obstructive jaundice
D. Hepatic cirrhosis
80. Bablu, age 10 years has
h/o sore throat 3 days back. Now he has developed haematuria. Most likely
diagnosis is
A. IgA Nephropathy
B. Post streptococcal GN
C. ATN
D.
81. Hyperventilation lead to
muscle weakness because of
A. Increased potassium
outside of cells
B. Decreased calcium in serum
C.
D.
82. If urinalysis shows RBC
casts, likely source is
A. Kidney
B. Ureter
C. Bladder
D. Urethra
83. Difference between
fibrolamellar cancer and classical HCC are all, EXCEPT
A. More in women
B. Better prognosis than HCC
C. Increase AFP >1000 is
diagnostic
D.
84. A man with fever wt loss
and cough, mantoux is 17 x 19 mm induration, sputum cytology negative for
AFB. Diagnosis:
A. Pulmonary tuberuosis
B. Fungal pnemonia
C. Viral pneumonia
D. Bacterial Pneumonia
85. Allergic reactions
followed by a bee bite is mediated through
A. IgE
B. IgA
C. IgM
D. IgD
86. A woman has septic
abortion done; vegetation on tricuspid valve is likely to go to:
A. Lung
B. Liver
C. Spleen
D. Brain
87. Lokesh 26 yr old boy
presents upper GI bleeding . On examination, there is splenomegaly, no
ascites, no hepatomegaly; esophageal varices present on UGIE. Diagnosis is
A. Budd chiari syndrome
B. Non cirrhotic portal
fibrosis
C. Cirrhosis
D. Veno occlusive disease
88. An elderly hypertensive
man has abdomianl pain, found to have fusiform dilatation of the descending
aorta. Likely cause is
A. Mycotic aneurysm
B. Atherosclerosis
C. Right ventricular failure
D. Syphilis aortitis
89. TSEDR (EDTR) stands for
A.
B. Study for early detection
of diabetic retinopathy
C.
D.
90. Cause of gout in Glucose
6 phosphatase deficiency is
A. Acculumation of pentose
sugars
B. Acculumation of glucose 6
phosphates
C.
D.
91. Which of the following
is not a congenital myopathy
A. Nemalin myopathy
B. Z disc myopathy
C. Takasayku disease
D.
92. Hemant Kumar, Age 40
years, present with hypoaesthesia on face and horner�s syndrome on right
side with paresthesia of right leg and right hand. Most likely involved
artery is
A. Superior cerebeller
B. Inferior basillar
C. Postero inferior
cerebeller
D. Antero inferior cerebeller
93. Polycystic kidney is
most commonly associated with
A. Berry aneurysm of Circle
of willis
B. Aneurysm of thoracic aorta
C. Fusiform aneurysm
D. Saccular aneurysm
94. False statement about
polycystic kidney is
A. It is associated with
cysts of pancreas, kidney and liver
B. Hypertension is rare
C. Infection is common
D. Autosomal dominent
95. A has given birth to a
normal baby last year. This year, after delivery, she has developed PPH on
second day. Her APTT is increased, factor VIII is 10% of normal. BT, TT and
PT are normal. Most likely condition is
A. Lupus anticoagulent
B. Inherited Hemophilia A
C. Acquired Haemophilia
D. DIC
96. A 12 yr old girl Pallavi
has 4x6 right overian dysgerminoma with intact membrane; which is the best
treatment for her
A. Right oopherectomy
B. Bilateral oopherectomy
C. Radiotherapy
D. Bilateral oopherectomy +
hyterectomy
97. Granulomatous change is
not seen is
A. Weg. granulomatosis
B. Giant cell arteritis
C. Microscopic PAN
D. Chus strus disease
98. Tall QRS interval is seen
in
A. Glycogen Storage diseases
type II
B. Hurler syndrome
C. Hunter syndrome
D.
99. A lady presents with
complaints of hemoptysis and foul smelling. Her chest X ray appears to be
normal. What is the next best investigation
A. Bronchoscopy
B. High Resolution CT
C. Sputum cytology
D. USG
100. A patient with bacterial
endocarditis on mitral valve. Embolus from this area is least likely to go
to
A. Brain
B. Spleen
C. Mesentery
D. Lungs
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101. Most reliable sign of
acute infection with Hepatitis B is presence of
A. HbsAG
B. IgG
C.IgM Hbc
D. IgM Hbe
102. True about vertical
transmission of Hepatitis B virus is
A. Presence of IgG in baby is
diagnostic
B. Presence of IgM Hbc is
diagnostic
C.
D.
103. PAN is commonly due to
A. Hepatitis B
B. CMV
C. Cox
D.
104. False about Familial
Adenomatous Polyposis coli
A. Colonic mucosal
hyperplasia
B. Decreased c myc
C. Mucin production
D. Associated with apl gene
105. Lithium causes
A. Ebstien anamoly
B.
C.
D.
PEDIATRICS
106. A 10 year old child
present with mental retardation, delayed bone age and epiphysial
fragmentation. Most common cause can be
A. Hypopitutarism
B. Hypothyroidism
C. Hypo
D.
107. At birth, a neonate has
cyanosis with normal heart size. There was oligemia of lung fields. Most
likely condition is
A. TOF
B. TA
C. TGV
D.
108. A newborn with large VSD
and short systolic murmur, had congestive heart failure, which improved
spontaneously. Most likely cause of spontaneous improvement is
A. Closer of septal defect
B. Aortic regugitation
C. Septic endocarditis
D. Pulmonary vascular changes
109. According to WHO,
anaemia is diagnosed in a 6 month child when hemoglobin is less than
A. 10 g/L
B. 115 g/L
C. 110 g/L
D. 105 g/L
110. A neonate with jaundice
and clay white stools. On liver biopsy giant cells were seen. diagnosis is
A. Physiological jaundice
B. Neonatal hepatitis with
extrabiliary atresia
C. Neonatal hepatitis with
physiological jaundice
D. Hepatic cirrhosis
111. Respiratory distress is
common in children because of all except
A. Adult Hb has more affinity
for oxygen
B. Immature respiratory
system
C.
D.
112. A Child with cataract,
Lens is having sugar alcohol
A. Uridyl 1 6 glucophosphate
B. Lactase
C.
D.
PSYCHIATRY
113. A patient is taking
lithium for pyciatric illness since 6 months. He presents to the medical OPD
with sign and symptoms of dehydration. Lithium blood level is 1.95 mEq/L.
Cause of these symptoms could be
A. Lithium toxicity
B. Drug reaction
C. Progressed disease
D. Dehydration
114. Basanti age 27 years,
female thinks her nose bigger than usual size. She has visited three plastic
surgeons and all said that she is normal. She is not referred to
psychiatrist for this problem. Most likely diagnosis is
A. Delusion disorder
B. Schizophrenia
C. Somatization
D. Autism
115. Chandu age 35 years
suffers sudden palpitations and apprehension. He is sweating lasting 10
minutes, with dooming of death. Diagnosis is
A. Hysteria
B. Cystic fibrosis
C. Panic attack
D. Generalized anxiety
disorder
116. A 70 years old person
present with one month h/o delusion, third person hallucination, personality
disturbances. He also has prospognosia and memory loss. Most likely
diagnosis is
A. Schizophrenia
B. Dementia
C. Dementia precox
D. Deliium
117. A 16 year old girl has
cut her wrist for committing suicide. On inquiry, he father told that she
has done this before many times and once again, cause of this behavior is
fight with her mother and brother. She has h/o mood upset. Most likely cause
is
A. Hysteria
B. Borderline personality
C. Adjustment disorder
D.
118. A 4 year old introvert
children remains calm and quite. He is not intesrested in playing outside.
If any one disturbs him in his work, he becomes upset. Most likely, he is
suffering from
A. Hysteria
B. Hyperactive disorder
C. Autism
D.
SKIN
119. Most comman type of
melanoma is
A. Acral Lentigo
B. Sup. spreading
C. Nodular
D.
120. Malignant changes most
commonly occur in which type of melanoma
A. Junctional nave
B. Nodular
C. Sup. spreading
D.
121. MC site of lentogo acral
melanoma
A. Trunk
B. Palm
C. Sole
D. Face
122. Ramavtar, 40 years
present with scarring alopesia, thinning of nail plate and macular lesions
on the skin. Most likely diagnosis is
A. Dermatophytosis
B. Lichan Planus
C. Psoriasis
D. Sec. Syphillis
123. A lady give birth to
child to multiple congenital defects including cleft palate, neural tube
defects, ASD and microcephaly. which of the following drug is responsible
A. Erythromycin
B. Isotretenoin
C. Ibuprofen
D. Amoxicillin
124. An 8 year old boy
presents with a well defined annular lesion over the buttock with central
scarring that is gradually progressing over the last 8 months. The diagnosis
is
A. Annular psoriasis
B. Lupus vulgaris
C. Tinea corporis
D.
125. A psoriasis patient was
taking steroids since 6 months. When he stopped taking steroids, he
developed papular lesions all over the body. Most likely cause is
A. Papular Psoriasis
B. Drug reaction
C.
D.
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126. Acne vulgaris is a
infection of
A. Sebaceous gland
B. Apocrine gland
C. Sweat gland
D. gland
ANAESTHESIA
127. Clinical signs of
hypercarbia includes all except
A. Hypertension
B. Bradycardia
C. Cold clammy skin
D. Miosis
128. A hemophiliac patient is
going to undergo a tooth extraction under monitored anaesthetic care. Which
of the following is NOT true under this situation
A. Factor 8 cryoprecipitate
may be needed
B. HIV screening should be
done for all cases
C. Dental extraction should
be done under anesthesia
D. The dose of lignocaine is
double to their normal counterparts
SURGERY
129. A patient presents with
cancer of kidney, which has involved inferior venacava. Wrong statement
about management of this patient is
A. Surgery is to be done
B. Involvement of inferior
venacava is a contraindication for surgery
C. surgery
D.
130. A 25 year old patient
has Seminoma testis, stage I. Treatment of choice is
A. High inguinal orchidectomy
with Radiotherapy
B. Scrotal orchiedectomy
C. Radiotherapy +
chemotherapy
D. High inguinal Orchidectomy
131. A patient has carcinoma
tongue, with involvement of lower neck lymphnodes. Treatment of choice is
A. Radical neck surgery
B. Surgery above omohyoid
C. Surgery above hyoid
D. Radiotherapy
132. A person has got
hypertrophy of one parathyroid gland, resulting in to hyperparathyroidism.
Best treatment is this patient would be
A. 3� parathyroidectomy
B. Removal of all parathyroid
tissue
C. Removal of affected
parathyroid gland
D. Remove half od the pth
gland
133. Treatment of choice for
single solitary thyroid nodule is
A. Subtotal thyroidectomy
B. Total thyroidectomy
C. Hemi thyroidectomy
D. Radioactive iodine
134. Chandu, diagnosed with
Acute pulmonary right ventricular embolism TOC is
A. Thrombolytic Drug
B. Lowmolecular wt heparin
C.
D.
135. A person has viral
induced ulcer in the oesophagus. Biopsy is to be taken from which part of
ulcer
A. Base
B. Edge
C. Indurated area
D. Mucosa
136. Gopal, age 35 yr has
varicose veins with gigantism of the limb. Most likely cause of gigantism is
A. Simple incompetence of F saph.
valve
B. Deep vein thrombosis
C. Arterio venous fistula
D. Increased pressure in
femoral artery
137. Pulsatile varicose veins
are seen in
A. Tricuspid incompetence
B. Right ventricular failure
C. Thrombosis of veins
D. Klipple Trenaunay syndrome
138. Which of the following
skin lesion is permanent
A. Salmon patch
B. Strawberry angioma
C. Portwine stain
D.
139. A 12 year boy developed
pain in right side of testis, which was soon followed by swelling. False
statement is
A. Torsion testis should be
considered.
B. While operating for
torsion testis, opposite testis should also be fixed prophylactically
C. Previous h/o pyeurea is
essential for diagnosis of Torsion testis
D. On Doppler USG, absence of
blood flow in testicular artery is found
140. False about urethral
injury is
A. It is less common in
females
B. Blood at urethral meatus
is diagnostic
C. Catheter should be
introduced immediately
D.
141. A 45 year old woman
presents with firm to hard lump, which was first observed by herself. On
examination, the lump is mobile. Most confirmatory investigation is
A. FNAC
B. USG
C. Mammography
D. Excision biopsy
142. Long standing case of
multinodular goitre has undergone malignant change. Most likely malignancy
to develop is
A. Follicular ca
B. Papillary ca
C. Medullary ca
D. Anaplastic ca
143. TOC of warthism's tumour
A. Sup. peridectomy
B. Total peridectomy
C. Radical peridectomy
D.
144. Pradeep was operated for
carcinoma penis. He has developed paresthesia at the base of penis and
scrotum. Most likely possibility is accidental damage to
A. Pudendal nerve
B. Ilioinguinal nerve
C. Genital branch of genito
femoral nerve.
D.
145. Which of the following
statement is false
A. Circumcision of penis
anytime before puberty provides 100% protection against penile carcinoma
B.Personal hygeine can be
preventive
C.Will involve inguinal lymph
node earlier
D. LN metastasis need
resection of penis
146.A patient is having
lesions over buttock with central scarring and peripheral clearing,
investigation done is
A. Skin biopsy
B. KOH preparation
C.
D.
147. TOC of pleomorphic
adenoma
A. Sup. peridectomy
B. Total peridectomy
C. Radical peridectomy
D.
148. Likelyhood of dumping
syndrome , billous vomiting and diarrhea is minimum with
A. Highly selective vagotomy
B. Gastrojejunostomy
C.
Gastrojejunostomy+pyleroplasty
D. Truncal vagotomy
149. Basanti, 40 yrs,
underwent subtotal thyroidectomy. Within 2 hours she developed stridor.
Which of the following is the least likely cause
A. Tracheo malacia
B. Bilateral recurrent nerve
palsy
C. Hematoma formation
D. Hypocalcemia
150. Kheratilal age 50 years
presents with gradually progressive hard scrotal swelling on right side. All
of the following can be done excpet
A. Inguinal exploration
B. Transcrotal biopsy
C. CT abdomen
D. Chest X ray to rule out
pulmonary metasis
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151. Most common site of
admentioma
A. Molar region on mandible
B. Mental symphysis
C. Molar region of maxilla
D. Angle of mandible
152. Mandible is most
commonly involved in which of the following tumour
A. Amleoblastoma
B. Osteoid osteoma
C. Brown tumour
D.
153. A 34 year old man
presents with foul smell from mouth and regurgitation. A sac is present at
cricopharnyngeal region. Treatment of choice is
A. Excision of sac
B. Excision of sac with
myotomy
C. Myotomy
D. Radiotherapy
154. Parasagital
Rhabdomyosarcoma is best diagnosed by
A. MRI
B. HRCT
C. SPECT
D. CEC
155. Calcification in kidney,
irregular hydrocalcified ureter and contracted urinary bladder is most
commonly associated with
A. TB
B. Schistosomiasis
C. Nephroblastoma
D.
156. True about consideration
of conservative treatment in a case ureteric stone is
A. Small size (<6mm)
B. Not responding since 15
days
C. Small stones can be
removed through urethra
D.
157. False about bladder
stone is
A.
B. KUB is always diagnostic
C. Rare in Indian children
D.
158. False about uretero
pelvic junction obstruction
A. It is commonly due
crossing vessels
B. It can be diagnosed
antenatally
C. DTPA with diuretics is
useful in diagnosis
D. Endoscopic pyeloroplasty
is contraindicated
159. In a case of
pheochromcytoma, which chemical is released in excess
A. Epinephrine
B. Norepinephrine
C. Dopamine
D.
160. Diabetes c/o renal pain
fever.C.T. Scan shows irregularly enlarged kidney, calculi,fat shadow.
Diagnsosis is
A. Lymphoid Granulomatosis
B. Xanthogranulomatous
pyelonephritis
C. Renal abscess
D. chronic pyelonephritis
161. Fat laden histiocytes
seen in
A. Lymphoma
B. Post gastrectomy
C. Sigmoid ring ca stomach
D.
162. A 60 yr old man presents
with Prostatic enlargment. IOC
A. Transrectal USG
B.
C.
D.
163. All are true about
varicocoele except
A. More common on right side
B. infertility can occur
C. Affects 10% young
D. High chances of detection of early renal
ca.
Ans. A Ref.
164. Maxillary tumour with
staging T3M0N0. TOC would be
A. Maxillectomy
B. Radiotherapy
C. Maxillectomy +
Radiotherapy
D. Chemotherapy
ORTHOPAEDICS
165. A 35 year old man is
taking oral steroids for his problem since 14 years. He has developed pain
in scarpa�s triangle and abduction+extension deformilty of hip. Most
common cause could be
A. Avascular necrosis of
femur head
B. Septic arthritis
C. senile arthritis
D.
166. A 11 year old child has
weight of 70 Kg. He presents with limitation of abduction and internal
rotation of hip. M/c cause could be
A. Slip epiphysis
B. Perthes disease
C.
D.
167. Mohd. Khaled, age 50
years has some problems and been subjected to various investigations. The
value obtained are Hb = 8; ESR =90; TLC=4500; neutrophils=60; lymphocytes
=35; eosinophils = 2; basophils =3. What is the most likely condition
A. Myeloma
B. Waldenstrom�smacroglobulinemia
C.
D.
168. Gopal, 19 yrs has small
circumscribed sclerotic swelling over diaphysis of femur bone. Most likely
condition is
A. Osteoclastoma
B. Osteosarcoma
C. Ewings sarcoma
D. Osteoid osteoma
169. Painful arc syndrome is
absent in
A. Supraspinatus tendonitis
B. Complete rupture of
supraspinatus tendon
C. Fracture of greater
tuberosity of humrus
D. Subacromial bursitis
170. All are true about
myeloma except
A. B Z proteins have all
types of chain
B.
C.
D.
171. Which band is seen in
iliotibial contracture
A. Zame
B. Charle
C. Osler
D. Ober's
GYNAE & OBSTETRICS
172. Phosphatidyl in lungs
appear at
A. 20 weeks
B. 28 weeks
C. 35 weeks
D. 38 weeks
173. A diabetic mother has
just delivered. Baby is likely to be suffering from
A. Cardiac anamoly
B. Tocolytics should be given
to all
C. Betamethasone causes
hyperlycemia
D.
174. In third trimester of a
pregnent lady, a normal finding is
A. apex beat in 4th
intercostal space
B. Cardiac Hypertrophy
C. Atrial fibrillation on
and off
D. Sub diastolic murmur.
175. Hypothalamic amenorrhea
is present in
A. Kallaman syndrome
B. Sheehan syndrome
C. Asheman syndrome
D.
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176. A G3P3 lady had her last
delivery 6 years back. Now she presents to gynae OPD with cold skin and
pruritis vulva. She has no axillary & pubic hairs. All of the following
can be given for her benefit except
A. Thyroid extract
B. Ehtynil oestradiol
C. Prednisolone
D. Insulin
177. Begum Yasina has
amenorrhea since last 6 weeks. Now she comes to OPD with complains of light
abdominal pain and slight bleeding PV. On examination, uterine cavity is
empty and there is some fluid in pouch of douglus. Most likely condition is
A. Ectopic pregnancy
B. Threatned abortion
C. Missed abortion
D. Vaginal pathology
178. Longest duration of
ectopic pregnancy is seen in
A. Ampullary area
B. Interstitial area 12 20
wks
C. Infundibular area
D. Cornual 16 20 weeks
179. Ethynil estriol conc. in
newer low dose OCP is
A. 30 mcg
B. 25 mcg
C. 35 mcg
D. 20 mcg
180. pH of amniotic fluid is
A. 7.0 7.1
B. 7.1 7.3
C. 7.2 7.4
D.
181. Bilateral ovarian cancer
with capsule breached, ascites and positive malignant cells in peritoneal
cavity. Correct staging for this condition is
A. I
B. II
C. III
D. IV
182. Preeti, age 27 years has
a h/o of cesarian section in previous delivery. She is pregnant again and
present to emergency with hypovolumic shock. All of the following are sure
sign of ruptured scar except
A. Fetal bradycardia
B. Maternal bradycardia
C. Vaginal bleeding
D. Haematuria
183. False statement about
semen analysis is
A. Mobility is directly
related with quality of semen
B. Best sample is that which
is collected in vicinity of laboratory
C. An abstinence period of 6
weeks is mandatory
D. Absence of fructose is
directly related with obstruction in ejaculatory duct or congenital absence
of vas deference and seminal vesicle.
184. Call exner bodies are
present in
A. Granulosa cell tumour
B. Hylus cell tumour
C. Dysgerminos
D.
185. Basanti, age 29 years is
from Bihar referred to a district hopital. She is pregnant and has signs of
encephalopathy. Most likely cause is infection with
A. Hepatic encephalopthy of
pregnancy
B. Hepatitis E
C. Hepatitis C
D. Hepatitis B
