ANSWERS

Question:1

Ans: (c)

Ref: Snell page 309(6th ed). Also the abdominal aorta splits at L4 and the spinal cord ends at L1.

Question:2

Ans: (b)

Ref: Gray's Anatomy p644(35th ed)

Question:3

Ans: (b)

Ref: Harrison 14th ed. p1348 and table 242-1

Question:4

Ans: (c)

Ref: Harrison p1652

Question:5

Ans:(b)

Ref:Harrison p1240."Right axis deviation seen in condition such as right ventricular

overload,infarction of lateral wall of left ventricle, dextrocardia, left pneumothorax or left

posterior fascicular block.

Question:6

Ans:(c)

Ref:Davidson 18th edn p 260

Question:7

Ans:(a)

Ref:CMDT 2000, Chap 12, p312.Harrison Table 90-5

Question:8

Ans:(d)

Ref:Harrison p2044, table 332-5

Question:9

Ans:?d

Ref:accoding to a similar question in NMS Step !

Question:10

Ans:(c)

Ref:

Question:11

Ans:(a)

Ref:DewHurst's OBG 6th edition, p205

Question:12

Ans:(b)

Ref:Dutta, p298

Question:13

Ans:(b)

Ref:Due to the teratogenecity of the ACE inhibitors

Question:14

Ans:(c)

Ref:Harrison p1331

Question:15

Ans:(d)

Ref:Park p156

Question:16

Ans:(d)

Ref: Park page 308. Its given as 6-12 in addition to the district hospital. So we feel d is a better choice

Question:17

Ans:(a)

Ref:Harrison p2209, Nelson 16th edition, p407

Question:18

Ans:(a)

Ref:Park, p314

Question:19

Ans:(c)

Ref:Refer Park

Question:20

Ans:(c)

Ref:Refer any micro text book

Question:21

Ans:(a)

Ref:It is calculated as Standard Deviation/Mean. So it is 3x100/12 = 25% See p436 of Mahajan's text book of preventive medicine

Question:22

Ans:(d)

Ref:Park p582

Question:23

Ans:(a)

Ref:Refer any statistics book, you will get the explanation

Question:24

Ans:(c)

Ref:Refer text book of Forensic Medicine by Reddy

Question:25

Ans:(d)

Ref: Refer text book of Forensic Medicine by Reddy

Question:26

Ans:(d)

Ref: Refer text book of Forensic Medicine by Reddy

Question:27

Ans:(a)

Ref:Harrison p2455

Question:28

Ans:(b)

Ref:Harrison p579-580

Question:29

Ans:(a)

Ref:Harrison p 733

Question:30

Ans:(c)

Ref:Harri p 1710

Question:31

Ans:(b)

Ref:Harrison p1709.Worldwide the commonest cause is a membrane in the IVC(Anderson's pathology p1415,10th edition)

Question:32

Ans:(c)

Ref:Harrison p670

Question:33

Ans:(b)

Ref:Harrison p681

Question:34

Ans:(c)

Ref:Clinical Practice of Transfusion Medicine p323

Question:35

Ans:(d)

Ref: ObstetricsDutta p 115

Question:36

Ans:(a)

Ref:ObstetricsDutta p 212

Question:37

Ans:(a)

Ref: ObstetricsDutta p199

Question:38

Ans:(c)

Ref:Old Bailey p839

Question:39

Ans:(b)

Ref:Synopsis of Emergency pediatric Medicine p687, Nelson p1527

Question:40

Ans:(b)

Ref:Harrison p576

Question:41

Ans:(c)

Ref:Harrison p710

Question:42

Ans:(b)

Ref:Harrison p550

Question:43

Ans:(b)

Ref:Old Bailey p799

Question:44

Ans:(b)

Ref:Refer any skin text book

Question:45

Ans:()

Ref:Sorry I could not find a defnite answer, it could be Astrocytoma according to a book called Cancer Medicine

Question:46

Ans:(a)

Ref:p258 Anderw's disease of Skin, 9th edition.....a very good book

Question:47

Ans:(b)

Ref:Old Ghai p282

Question:48

Ans:(?a)

Ref:According to Schwartz pretest

Question:49

Ans:(b)

Ref:Harrison p1746

Question:50

Ans:(b)

Ref:New Bailey p1092

Question:51

Ans:(b)

Ref:Harrison p1306

Question:52

Ans:( )

Ref:I still don't have a reference for this. This question was also asked in PGI June 1999. If you have the reference please sent it to [email protected]

Question:53

Ans:(b)

Ref:Harrison p2031

Question:54

Ans:(b)

Ref:It is a case of MEN 2.

Question:55

Ans:(d)

Ref:Probable explanation Old Bailey p522. Most cases of hypocalcemia presents on days 2-5

Question:56

Ans:(b)

Ref:Old Bailey p522

Question:57

Ans:(c)

Ref:

Question:58

Ans:(a)

Ref:Old Bailey p823

Question:59

Ans:(c)

Ref:

Question:60

Ans:(b)

Ref: Harrison p1892

Question:61

Ans:(a)

Ref:

Question:62

Ans:(d)

Ref:Dewhurst's OBG p564

Question:63

Ans:(d)

Ref:Harrison p609

Question:64

Ans:(d)

Ref:

Question:65

Ans:( )

Ref: The progress rate for CIN III is 18% by 10yrs and 36% by 20 yrs(Dew Hurst). So the answer could be 5%

Question:66

Ans:(b)

Ref:Robbin's page 685

Question:67

Ans:(a)

Ref:

Question:68

Ans:(b)

Ref:Old Bailey p978

Question:69

Ans:(b)

Ref: Enlapril is excreted mainly by kidney and Metoprolol mainly by liver. Patient's creatinine is high

Question:70

Ans:(c)

Ref:

Question:71

Ans:(d)

Ref: Text book of ENT by Dingra

Question:72

Ans:(d)

Ref:Text Book of ENT Scott Brown, p3/21/10

Question:73

Ans:(a)

Ref:Robbin's 6th Edition p744

Question:74

Ans:(b)

Ref:

Question:75

Ans:(b)

Ref:

Question:76

Ans:(a)

Ref:Harrison p991

Question:77

Ans:(d)

Ref:Harrison p 2142

Question:78

Ans:(b)

Ref:Harrison p 2147

Question:79

Ans:(b)

Ref:Harrison p 2147

Question:80

Ans:(b)

Ref:

Question:81

Ans:(b)

Ref:

Question:82

Ans:(a)

Ref:PostGraduate text book of Clinical Orthopedics, p61

Question:83

Ans:(?c)

Ref:

Question:84

Ans:(b)

Ref:Harrison p613

Question:85

Ans:(d)

Ref:Harrison p613

Question:86

Ans:(b)

Ref:Anderson pathology p1807

Question:87

Ans:(a)

Ref:

Question:88

Ans:(?b)

Ref:

Question:89

Ans:(a)

Ref:Explanation-Epidemic Keratoconjunctivitis is bilateral in 90%of cases

Question:90

Ans:(b)

Ref:Provided by Ophthal PGs

Question:91

Ans:(b)

Ref:Text book of Ophthalmology by Kansky

Question:92

Ans:(?a)

Ref:

Question:93

Ans:(b)

Ref:Parson p217

Question:94

Ans:(c)

Ref:Walsh and Hoyt's clinical neuroophthalmology p682, its optic nerve glioma. Sorry for the printing mistake

Question:95

Ans:(?c)

Ref:Again Ophthal PGs in AIIMS

Question:96

Ans:(b)

Ref:Harrison p 715

Question:97

Ans:(d)

Ref:

Question:98

Ans:(b)

Ref:Harrison p 715 and p2267

Question:99

Ans:(a)

Ref: Harrison p714

Question:100

Ans:( )

Ref:The features are suggestive of primary hyperparathyroidism. The points against are the age and the symptoms. Refer Harrison p 2255 and reach a conclusion

Question:101

Ans:(b)

Ref:Harrison p 1789

Question:102

Ans:(a)

Ref:Harrison p 1771

Question:103

Ans:(c)

Ref:Harrison p 673

Question:104

Ans:(a)

Ref:Old Ghai p239,242

Question:105

Ans:(b)

Ref:

Question:106

Ans:(c)

Ref: Harrison p606

Question:107

Ans:(b)

Ref:Harrison p2151

Question:108

Ans:( )

Ref:

Question:109

Ans:(a)

Ref:CMDT2000, p1360

Question:110

Ans:(?a)

Ref:

Question:111

Ans:(c)

Ref:

Question:112

Ans:(a)

Ref:

Question:113

Ans:(d)

Ref:Park

Question:114

Ans:(b)

Ref:I don't have a reference for that, but traditionally this is the answer

Question:115

Ans:(c)

Ref:

Question:116

Ans:(b)

Ref:

Question:117

Ans:(a)

Ref:Shaw's textbook of Gynecology, chapter on prolapse of uterus. Fothergill can lead to second trimester abortions but not in first trimester, and the fibrosis of cervix after amputation can lead on to dystocia

Question:118

Ans:(?a)

Ref:

Question:119

Ans:(c)

Ref:Nelson's p1887

Question:120

Ans:(b)

Ref:

Question:121

Ans:(b)

Ref:Harrison p 1914, 1915

Question:122

Ans:(b)

Ref:Andrew's text book of Dermatology

Question:123

Ans:(b)

Ref:Harrison p715

Question:124

Ans:(b)

Ref:CMDT2000 p 675

Question:125

Ans:(b)

Ref:

Question:126

Ans:(a)

Ref:

Question:127

Ans:(?c)

Ref:Check p28 of Harrison

Question:128

Ans:(c)

Ref:

Question:129

Ans:(a)

Ref:Harrison p198. Bronchoscopy seems to be a better alternative, since the history is neither suggestive of brochiectasis/carcinoma & harrison says most common site for hemoptysis is from the tracheobronchial tree. So for that bronchoscopy is superior.

Question:130

Ans:(?b)

Ref:Depending on a similar question from surgery pretest.

Question:131

Ans:(b)

Ref:Harrison page 1424

Question:132

Ans:(c)

Ref:Harrison table 365-8

Question:133

Ans:(?a)

Ref:Will give you the reference soon

Question:134

Ans:(d)

Ref:Harrison p2360

Question:135

Ans:(a)

Ref:Harrison table 376-1

Question:136

Ans:(c)

Ref:William's obstetrics 28th edition p994

Question:137

Ans:(d)

Ref:

Question:138

Ans:(?b)

Ref:The left ventricular hypertrophy could be a point against VSD

Question:139

Ans:(b)

Ref:Ghai

Question:140

Ans:(a)

Ref:Harrison p1234

Question:141

Ans:(b)

Ref:Harrison p1559

Question:142

Ans:(?d)

Ref:No reference till now.Please wait

Question:143

Ans:(b)

Ref:Harrison table 270-3

Question:144

Ans:(b)

Ref:Old Bailey p23

Question:145

Ans:(c)

Ref:Harrison p1599

Question:146

Ans:(b)

Ref:

Question:147

Ans:(b)

Ref:Harrison p2388, 2456

Question:148

Ans:(a)

Ref:Tripathi

Question:149

Ans:(c)

Ref:Park

Question:150

Ans:(d)

Ref:Park

Question:151

Ans:(b)

Ref:Snell's text book of anatomy

Question:152

Ans:(a)

Ref:Harrison p1012

Question:153

Ans:(a)

Ref:Park

Question:154

Ans:(a)

Ref:

Question:155

Ans:(c)

Ref:Traditionally this is the answer. I will come up with a reference

Question:156

Ans:(d)

Ref:Harrison p2413 table 376-2

Question:157

Ans:(a)

Ref:Please refer Park 16th edition page 496

Question:158

Ans:(a)

Ref:Harrison p2071

Question:159

Ans:(a)

Ref:Park

Question:160

Ans:(c)

Ref:

Question:161

Ans:(c)

Ref:

Question:162

Ans:(?c)

Ref:Old Bailey p169. For ischemic limbs the posterior flap should be long. For amputations in general the stump seems to be more important

Question:163

Ans:(?c)

Ref:Provided by Surgery PGs

Question:164

Ans:(c)

Ref:He is an occasional alcoholic, which rules out alcohol induced psychosis. He is having typical third person auditory hallucinations and paranoid delusions, also his age is typical for schizophrenia.

Question:165

Ans:(b)

Ref:This is a classical case of schizophrenia, characterized by neologisms, loosening of association, thought disorder. The point that he is shy and self absorbed rules out mania.

Question:166

Ans:(d)

Ref:This is a case of malignant hyperthermia, for which d seems to be the best investigations

Question:167

Ans:(a)

Ref:Acute dystonias due to drugs occur withing 1-5dys after starting the drug, and the dystonic features of this lady are more in favour of a drug induced dystonia than a conversion disorder.

Question:168

Ans:(b)

Ref:Snell

Question:169

Ans:(a)

Ref:

Question:170

Ans:(a)

Ref:

Question:171

Ans:(b)

Ref:

Question:172

Ans:(a)

Ref:Ganong

Question:173

Ans:(b)

Ref:Harrison p1314

Question:174

Ans:(a)

Ref:Ganong

Question:175

Ans:(b)

Ref:Harrison p2345

Question:176

Ans:(b)

Ref:

Question:177

Ans:(b)

Ref:Tripathi

Question:178

Ans:(b)

Ref: Old Bailey p984

Question:179

Ans:(b)

Ref:New Bailey, chapter on skin grafts and plastic surgery

Question:180

Ans:(b)

Ref:Tripathi

Question:181

Ans:(d)

Ref:This choice I missed initially. This was chondrodysplasia punctata. If this was there in the choices this is the answer, otherwise it is craniofacial abnormalities

Question:182

Ans:(c)

Ref:Tripathi

Question:183

Ans:(d)

Ref:

Question:184

Ans:(b)

Ref:Bailey

Question:185

Ans:(c)

Ref:Harrison

Question:186

Ans:(b)

Ref:Harrsion p679

Question:187

Ans:(c)

Ref:Park p112

Question:188

Ans:(b)

Ref:Park

Question:189

Ans:(b)

Ref:Park

Question:190

Ans:(b)

Ref:Park

Question:191

Ans:(b)

Ref:

Question:192

Ans:(d)

Ref:Harrison p2105

Question:193

Ans:(c)

Ref:Harrison p1864

Question:194

Ans:(c)

Ref:It was a direct pick from a practice question in Lippincott's text book of Biochemistry, chapter on DNA

Question:195

Ans:(a)

Ref:Anantha Narayan, but there are supporters for b also

Question:196

Ans:(d)

Ref:Harrison p883. Also there is a similar question in Harrison based pretest

Question:197

Ans:(b)

Ref:

Question:198

Ans:(c)

Ref:Obstetrics Dutta

Question:199

Ans:(b)

Ref:Park

Question:200

Ans:(b)

Ref:

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