ALL INDIA PRE PG ENTRANCE EXAM 13 JAN 2008-POST RECALLS HERE

ALL INDIA PRE PG ENTRANCE EXAM 13 JAN 2008- PLAEASE POST RECALLS HERE,CHEERS.

.1 BASEMENT MEMBRANE DEGENERATION IS MEDIATED BY
RPT 2007 Q 32 MUDIT KHANNA
METALLOPROTEINASES

2.COLD ANTIBODY IMMUNE HEMOLYTIC ANEMIA FOLLOWING IS SEEN

DONATH LANDSTIENER AB
ANTI IgG
ANTI igM

3. PSYCHOMETRY

4. REACTIVE OXYGEN INTERMEDIATES ARE RELEASED BY
RPT 2007 Q 48
NADPH

5. HEMODIALYSIS ASSOCIATED AMYLOIDOSIS
RPT 2007
B2 MICROGLOBULIN

6. HODGKINS LYMPHOMA FOLLOWING IS CHARACTERISTIC
CD 10 AND 15
CD 15 AND 20
CD15 AND 30
. ENTEROCOCCI

8. ALL OF THE FOLLOWING ARE TRUE ABOUT V CHOLERA O 139 EXC
RPT 2007
SIMILAR TO EL TOR
DISCOVERED IN CHENNAI
PRODUCES O1 LIPOPOLYSACCHARIDE
.FOLLOWING ORGANISM IS IMPLICATED IN CROHN,S DISEASE
M.PARA TB
CHLYAMIDIA

10. PANCYTOPENIA WITH CELLULAR
CONGENITAL DYSERYTHRO ANEMIA

11. DRUG OF CHOICE IN PRE ECLAMPSIA
LABETALOL
METAPROLOL

12. PENCILLIN EFFECTIVE AGAINST PSEUDOMONAS
PIPERACILLIN

13. ALL OF THE FOLLOWING IS SEEN IN DEATH DUE TO SUFFOCATION EXC
THROTTLING
CHOKING
STRANGULATION
GAGGING
14. DISEASE WHERE SOFT TICK IS THE VECTOR
KFD
?
?

15. DHARMENDRA /ROEDLEY,S SCLAE
LEPROSY
TB

16.TREATMENT OF CHOICE FOR CML
IMATINIB

17 . DRUG OF CHOICE FOR SVT
VERAPMIL
DIGOXIN
DILTIAZEM

18. MOST COMMON THYROID CA
PAPPILLARY
MEDULLARY

19. KAWASAKI DISEASE ALL TRUE EXC
CORONARY ART ANEURYSM 25%
D O C I V IMMUNOGLOBULINS
MC IMMUNE MEDIATED VASCULITIS IN CHILDREN
?

20. HMB 45
MELANOMA

21 CA CERVIX CAUSED BY
HPV
HIV
EBV

22 MECHANISM OF ACTION OF CLOMIPHENE CITRATE

BLOCKC OESTOGEN RECEPTORS/NEGATIVE FEEDBACK MECHANISM AT HYPOTHALAMUS

23 UMBILICAL ARTERY DOPPLER ALL TRUE EXC
SYST/DYST RATIO DECREASED DUE TO NICOTINE
S/D RATIO INCREASED DUE TO NICOTINE
?

24. MC CAUSE OF MATERNAL MORTALITY IN INDIA
OBTETRIC HEMORRHAGE
ANEMIA
ABORTION

25. MC POST MEDIASTINAL TUMOUR
NERUGENIC

26. SURGICAL TREATMENT FOR PATENT DUCTUS ARTERIOSIS


27. CORONARY LIGAMENT OF KNEE


28. MOST SENSITIVE TEST FOR ACUTE KNEE INJURY
LACHMAN
ANT DRAWER,S

29. RETINOBLASTOMA WITH SECOND PRIMARY OSTEOSARCOMA DUE TO

MUTAION IN RB
DUE TO RADIATION
DUE TO CHEMOTHERAPY
?/

30. TREATMENT FOR LEPRA 2
STEROID
THALIDOMIDE

31 TREAYMENT FOR PUSTULAR PSORIASIS
DAPSONE
32. MC TYPE OS SEIZURE IN NEONATES
SUBTLE

33 DIFFUSE AXONAL INJURY
?
?
34 . MUELLARIAN DYSGENESIS A/E

UTERUS
VAGINA
CERVIX
OVARY

35. OKAZAKI FRAGMENT INVOLVED IN
SINGLE STRAND DNA SYNTHESIS
RNA


36. MEN 1 MC SEEN
SOMATOSTATINOMA
GLUCAGONOMA
INSULINOMA

37. VIT B 12 SHOULD BE GIVEN WITH FOLIC ACID BECAUSE A/E
VIT B12 ACTS AS CO ENZYME FOR ABSORPTION OF FOLIC ACID....?

38. CONGENITAL NEPHROTIC SYNDROME MUTATION SEEN IS
NEPHRIN
PODOCIN
39. Pneumocystis jevoricci all true /exc
only seen in immunocompromised
mc assoc with cmv

40 yaws all true exc
caused by t. pallidum sp. pertuneii

41. p53 all true exc
chromosome 17
54 kd protein

exam was a bit difficult for me as i wasnt well-prepared

m exhausted now after the exam....will have my lunch and then get back to u all

there was a question on V CHOLERA O 139.

hemodialysis associated amylodosis ??

COLD AIHA (cold antibody immune hemolytic anemia)
is medicated by

it is seen in black water fever,

trypanosomiasis,

mycoplasma (anti-I)

IM(anti-i)


organism implicated in crohns disease is--

Mycobacterium paratuberculosis

Several factors have been suggested in causation of crohns disease:

* genetic - in up to 20% of patients with Crohn's disease there is another family member affected by Crohn's or ulcerative colitis.
weak association with HLA-DR1 and DRQ5

* smoking

* infective organism - the following are suggestions, none are proven:
o Mycobacterium paratuberculosis
o persistence of measles virus; those born at the time of measles epidemics seem to be at higher risk

* diet - low intake of fibre from fruit and vegetables has been associated with the development of Crohn's

* immune mechanisms - may be a down-regulating of the normal mucosal immune response in Crohn's

chronic lymphoma

answer is---IgM

which view is taken to view T1-T2 vertebra ??

Train of four in anesthesia

commonest type of seizure in newborn?rpt aims nov 2007
clonic
tonic
subtle-correct answer
myclonic

most common cause of maternal mortality in India is

Haemorrhage
abortion
septicemia
obstructed labour

answer is haemmorhage

Drug used in preeclampsia is labetalol


Discussion-labetolol (alpha and beta-blocker) is a commonly used second-line agent - especially for resistant hypertension in the third trimester - other beta-blockers are less often used, especially before 28 weeks gestation, because of concerns that their use may lead to an inhibition of fetal growth

train of four for ventilator weaning

and open mouth odontoid view for c1- c2 fracture

42. phase 2 trials are done to detect
efficacy
tolerance levels
toxic dose

43. flumazenil all tru exc
benzodiazepine antagonist
opiod antgonist
benza ???

44. child with multiple hard lymph nodes with post mass ??

45. better to repair than remove which menisci injury
inner menisci injury
outer menisci injury

middle
acl with menisci

1mcc of ocular morbidity in india
1. cataract
2. ref errors

2 soft tick is vector for
1. tularemia
2. relapsing fever

All are zoonosis except

1. HIV
2. Plague
3.JE
4.TB

CHC in RCH
1. primary referral
2. secondary referral
3. tertiary referral
4. not a referrral

volvulus false is
sigmoidoscopy not done


TB of ileum wrong is
apple core


biliary obstruction not caused by
a duodenale
fasciola
clonorchis
ascaris

treatment of choice in chronic myeloid leukemia

imatinib

it is recommended that imatinib should be the first treatment considered for an adult with the Philadelphia-chromosome type of CML in the chronic phase.

It should also be an option for an adult who is diagnosed with the Philadelphia-chromosome type of CML in the accelerated or blast crisis phase. Imatinib should also be an option for an adult who:

-- was diagnosed with the Philadelphia-chromosome type of CML when he or she was in the chronic phase, and
-- has since gone on to the accelerated or blast crisis phase, but
--has not previously had imatinib.

but i think the question asked was for t1- t2 fracture. then it is oblique view i think. can someone confirm if it is thoracic or cervical fracture?

46. apolipoprotein c is involved in
?

47. best mode of investigationfor interstitial lung disease
hrct
mri

48. alcoholic who quit 1 yr back has stone in pancreatic duct ......relieved by analgesics treatment ...

49 fat lady with gb stone relieved by analgesics, treatment

29.persistent hyperplastic primary vitreous
down
patau
sturge weber
tuberous sclerosis

MEn1 most common seen in glucagonoma



7-8% of insulinoma patients have MEN-I syndrome

approximately 20-25% of gastrinoma patients have MEN-I syndrome

5-20% of glucagonomas occur as component of MEN-I syndrome

so the answer is obvious then

patient with pulmonary htn,multiple nodules over head n neck area.All true except-
-bone morphogenetic factor

postop urinary retention?which drug s used?

it was fracture between c1-c2 for sure.

growth factor neoplasis
1. sis
2. kit

child with posterior mediastinum cyst, vertebral body defect
1. myelocele
2. bronchogenic cyst
3. neuroblastoma


.politcisation?
.physiological locking of knee?
.great sephanous vein ,varicosity in leg,nerve 4.involved-femoral,sural,tibial

nino- you sure it is glucagonoma? i think its gastrinoma.

pollicization ------surgical construction of a thumb from a finger.

low vision definition by who?best corrected vision between 6/18 to 6/60

50 diffuse oesophagial spasm diagnosis by
barium meal
endoscopy

51. sudden onset pain in scrotum no fever, redness all true exc
if torsion and not treated will lead to
treat with antibiotics


52. probiotics used in
necrtizing enterocolitis

53. spermatogensis all true /exc
temp lesser than core temp reqd
optimum conditons of testosterone metabolism

54. neck penetrating traume definition
2 cm deep
injury to vital structure
penetrating platysma

55. all take part in formation of nasal septum exc
ethmoid
sphenoid


56. train of four
weaning of ventilation
treatment of met acidosis

57. congenital adrenal hyperplasia all true exc
if seen in males manifested late during puberty
mc seen in females

58. earliest sign in order of puberty
breast budding

59. tubectomy procedures with highest recanalisation
isthmic-isthmic region
isthmic ampulary

60. tubectomy procedures
hulka clip
? ? ring

61 all are carried by post cplumn exc
temp
pressure
movement

62. following c/i for normal vaginal delivery following c/s
history of classical cs
breech

63. delay in puberty
due to delay in constitutional growth

64. professional singer with nodules over vocal cord, 6 months hoarseness treatment
antibiotics with ppi
biopsy to rule out ca
cordectomy


66. rib notching on x ray
coarctation of aorta


67.child after delivery develops hypoxemia, no response to surfactant.......ground glass appearance......normal echo?
proteinosis

68. child soon after delivery develops hypoxia, intubation which is followed by shift of ????immediate measure to be done

confirm et tube by x ray

69. palpable purpura in lady with rashes all over trunk limbs buttocks........
henoch schonlein purpura
meningococceimia

70.preferential expression of genetic.....depending on parental
genomic imprinting



65 erythropoietin causes all exc
decrease the requirement for repeated transfusions
^ hematocrit
^ hb

ipratropium bromide is contraindicated in
urinary retention
asthma
hypertension
i think the answer is urinary retention

pustular psoriasis treatment--

Patients with erythrodermic or generalised pustular psoriasis often require systemic therapy from the outset. Methotrexate and cyclosporin usually

who low vision-- best corrected vision of 3/18 and 6/60

salpingitis is best detected by....hysterosalpingograpgy,laproscopy,hysteroscopy,sonosalpingography

for interstitial lung diseasse best investigation i s

HRCT (high resolution computed tomography)


quotes0---- * high-resolution CT may reveal extensive disease, even at a time when the chest X-ray appears normal

* pattern of CT change is a predictor of type of disease process:
o a 'ground-glass' pattern on CT is suggestive of response to treatment and is thought to be a good prognostic factor
o a coarse reticular pattern denotes a more fibrotic stage of the disease

i think the option was t. pertunae..............and the fourth option was that it spreads thru venereal route.( sexual route )...............but actually its a non venereal treponema.....................

god some body confirm this for me.........i am very sure that i could not have ignored t. pallidum...........if i hjave then i cant afford to do sillly mistakes atleast...........please concurr.........

diffuse esophageal spasm is best diagnosed by Barium swallow

On barium swallow there is abnormal peristalsis - corkscrew oesophagus - with uncoordinated contractions.

hemodialysis associated amyloidosis


view for c1-c2 vertebra

train of four seen in


rt sided arch of aorta seen in

corrected tga
truncus arteriosus
....
...

sign of aortitis
ascending aorta calcification
desc aorta calcif

1.H5N1 STRAIN-BIRD FLU
2.CRYPT BRANCHING, CRYPT ABSCESS SEEN IN
3.MC SEIZURE IN NEONATES--RPT Q
4.WHICH IS A PROLIFERATING GN--MEMBRANOUS, FOCAL SEGMENTAL, MESANGIOCAPILLARY, ?
5.BLOOD SUPPLY TO VAS DEFERENS--SUPERIOR VESICAL, MIDDLE RECTAL, INF EPIGASTRIC,CREMASTERIC
6.CYTOGENETIC ABNORMALITY IN SYNOVIAL SARCOMA-t(X;18)
7.RINGED SIDEROBLASTS SEEN IN--
8.WHICH IS NOT A MUSCLE PROTEIN--DYSTROPHIN,SARCOGLYCAN,DYSTROGLYCAN,?
9.WHICH HAS WORSE PROGNOSIS--INV16,t(15:17), MONOSOMY7,NORMAL CYTOGENETICS

10.FALSE ABT DIPLOIC VEINS--THIN WALLED, PRESENT IN SKULL BONES, VALVALESS, DEVELOP BY 8TH WEEK OF INTRAUTERINE LIFE
11.TRIBUTARIES OF CAVERNOUS SINUS ALL EXCEPT--INF PETROSAL SINU, SUP PETROSAL, SUPRF MIDDLE CEREBRAL VEIN , DEEP CEREBRAL VEIN
12. CAUSE OF INTRACTABLE GLAUCOMA--LENS SWELLING, DIFFUSE IRIS MELANOMAS, PIGMENT CELL ?HYPERPLASIA OF ANTERIOR SURFACE OF IRIS, POSTERIOR IRIS ? THICKENING

77. radiosensitive phase of cell cycle
g2 m
g1
s

78. son suffering frm cancer.......father is depressed but does his work......
somatisation disorder
adjustment

79 route of sperms
rete testis>ant??

80.secretin causes
decreased gastric juice secrtn
?

81. right sided aortic arch
corrected tga

82. h5 ni strain
bird flu

83. prions are
infectious
made up of bacteria and virus particle

84. ringed sideroblasts seen in..
aml
?

85. all are proliferative nephrotic syndr exc
membranous
focal segmental
mesangiocapillary

86. abbe estlader flap
lip
tongue

87. all are malignant exc
fibromatosis

88. vaccine c/i in pregnancy
mmr
rabies
hep b

89. mother with previous hisory of cah, present preg advise
steroids before conception
check for usg sex determination n the decide

90 BLOOD SUPPLY TO VAS DEFERENS-
-SUPERIOR VESICAL
MIDDLE RECTAL

91. WHO DEFINITION OF BLINDNESS
BEST CORRECTED 6/18........3/60


92.INTERNATIONAL AND INDIAN LAW ALL TRUE EXC
HEALTH CENTRAL GOVT RESPONSIBILITY
INDIA SIGNITORY TO ALMA ATTA DECL


93. bradykinin
pain

94. least relapse in nocturnal enuresis
desmopressin
bed alarm

95. migratory thrombophlebitis seen with a/e
ca lung
prostate
git

96. hitselbergers sign.

97. useful in premenstural syndrome
ssri
progesterone

98.FALSE ABT DIPLOIC VEINS--
THIN WALLED,
PRESENT IN SKULL BONES,
VALVALESS,
DEVELOP BY 8TH WEEK OF INTRAUTERINE LIFE

99.TRIBUTARIES OF CAVERNOUS SINUS ALL EXCEPT--
INF PETROSAL SINU,
SUP PETROSAL,
SUPRF MIDDLE CEREBRAL VEIN ,
DEEP CEREBRAL VEIN

100.CAUSE OF INTRACTABLE GLAUCOMA
--LENS SWELLING
, DIFFUSE IRIS MELANOMAS,
PIGMENT CELL
?HYPERPLASIA OF ANTERIOR SURFACE OF IRIS, POSTERIOR IRIS ?
THICKENING

101 NIGRO's staging of epidermoid Ca Anal Canal

104. hepatic resection close to left of ?
1 and 4a
?

105 genital warts rx
imuiqimoid

106.all are anti fungal exc
clofazamine

107. pain in ureteric colic
peristalsis
stretch

108. physiological locking of knee
tibia fixed femur ext rotn
tibia fixed femur int rotn

109. vein in the para duodenal fossa
inf mesentric

110. ipratropium bromide c/i


111. facial colliculus
mid brain
pons
medulla

112.complex muscle a/e
rectus femoris

113. diphtheria chemoprophylaxis
tetracycline
erythromycin

114. pt with c/o chest pain, sweating, restlessness,bought to casualty..apprehension.....ecg, x ray normal.....with supportive measure asymptomatic
panic attack


115. ileo caecal tb a/e
apple core appearance


116 complex muscle a/e
add magnus
rectus fem

117. PACLITAXEL mode of action a/e
inhibit foilc acid
assembly of tubular dimers?/

118. pollicisation

119. pustular psoriasis rx
cyclosporine
prednisolone
methotrexate

120. salphingitis inv
hysteroscopy

121. renal scan
dtpa
dmpa
mag

122 saturated fatty acid max seen in
ground nut oil


123. dementia precox term coined by
schneider
bleuler

124.heparin when given in pregnancy its to be supplemented with
zinc
calcium
folic acid

125. measurement ? index to determine
race
sex
age

126. FATTY YELLOW LIVER SEEN IN
A)ACONITE
B)ARSENIC

127. equal interview with both sections decreases which bias
berkesonian

128. mc occupational ca
bladder
bone

129. signs of aortitis

130.tacrolimus all are side effects exc
hirsuitism
nephrotox
neurotox

131. child with anal atresia and passage of meconuria rx
colostomy

132.effect of exercise on cerebral blood flow
no effect
^^^
??/

133.bp measured by spyghmomanometer, later when measured by aneroid
increases
lesser than intra arterial


134. hbsag +, asl/alt normal, hbeag neg next line of management
regular follow up
interferon

135.what helps in lymph drainage from foot
? foot massage

136. upto what level does bronchial artery supplies blood
? respiratory bronchiole

137. bartholins abscess rx
marsupialisation
incision drainage
surgery

138. tb osteomyelitis rx
ankylosis + bandage
arthrodesis
?

139.rape victim....??? filter paper ???what test confirms presence of semen
phenolpthalien

140.mc congenital infections
cmv with toxoplasma
rubella with toxoplasma
cmv with rubella

141. growth factor assoc with protooncogene
myc
fas
ras

142. meningitis in elderly caused by a/e
hsv 2
listeria

143. coarctation of aorta assoc with
bicuspid aortic valve



144. delphis method.

145.pointer for facial n during parotid surgery is
tragus

146. resistant falci malaria in child rx is
doxy
tetra
clinda
chloroquine

147. enteric fever rx by a/e
tmp smz
ciplox
amikacin

148. ac pancreatitis preferred route of nutrition
post jejunostomy feeding tube

149.# 9, 10 rib with pain upper abdomen, hemodynamically stable

150. ANOMALY ASSOCIATED WITH EPISPADIAS

151.von hippal lindau assoc with ophthalmic lesion
capillary hemangioma

152. sarcoidosis occular manifestation
band keratopathy

153. earliest x ray sign of pulm hypertension
kerley b
pleural effusion

154 GVHD ??? CHILD

155 was which one is LEAST resistant to antiseptics:

1) prions
2) cysts
3) spores
4) fungi

Pancytopenia with cellular marrow seen in
PNH
Myelodysplaastic syndromes
megaloblastic anaemia
congenital dyserythrocytic anaemia

drug of choice in severe PIH
alpha methyl dopa
labetolol
nifidipine
atenolol

disease transmitted by soft tick
KFD
tularemia
tick typhus
relapsing fever - ans

Earliest sign in CXR in pulmonary venous hypertension
Kerley b lines
pleural effusion

Earliest sign in CXR in LA hypertrophy
widening of carina
lifting of left main bronchus
double shadow in right heart border

About Squamous cell Ca Cx all are true except
Arise in squamocollumnar junction
HPV 16 & 18 associated with high risk
common symptom is post coital bleeding
CT scan necesary for staging

treatment for B/l microotia and external auditory canal atresia should be done
before 1 yr
delayed till 6 yrs
after puberty

all are true about PDA except
2/3 rd occur in females
common in preterm babies
tretment is ligature and cutting

coronary ligament of knee is situated
between two anterior attachment of meniscus
?
?

cruciate ligament of knee is supplied by
anterior synovial artery
middle
posterior
circumflex artery

The most useful test that can be in acute injury of the knee
Apleys
Lachmans
?

Dementia precox is named after
Bleuler
Schneiden

Osteosarcoma occuring as second primary tumor in a case of retinoblastoma is due to
mutation in Rb gene
Mutation in p53 gene
due to irradiation therapy
due to chemotherapy

DOC for Lepra 2
Thalidomide
steroid

G6PD does not matter in traetment with
quinine
pyrimethamine
chloroquine
primaquine

Diffuse axonal injury is characterised by
predominant white matter hemorrhages, in basal ganglia and corpus collosum

drug not useful in relieving post op urinary spasm
toltoredine
darifenasine
ipratropamide

treatment of pustular psoriasis in pregnancy nearing term
steroids

leucovorin rescue given in
methotrexate therapy

okazaki fragments seen in
ds DNA replication
Single stranded DNA replication
RNA transcription

Most common tumor seen in MEN I
gastrinoma - ans
somatostatinoma
glucagonoma
insulinoma

megaloblastic anaemia is treated with folate and b12 because
folate acts as coenzyme for b12 metabolism
b12 alone will result in improvement of anaemia but worsening of neurological symptoms

erythropoietin traeatment results in all except
incresed hb
incresed haematocrit
increased MCV
decreased reticulocyte count

an alcoholic presenting with hb 11.5g%, PCV -35%, MCV 100%. next step of investigation
evaluate thiamine levels














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COLD AIHA (cold antibody immune hemolytic anemia)
is medicated by

answer is---IgM


- paclitaxel moa is
a- 5f u antagonist
b- topoisomerase 2 inhibitor?


clomiphene citrate moa

virus causing ca cx

.alcoholic n chronic smoker with swollen tongue and atrophy of ?? papillae.wat wud u do

surgical biopsy of tongue
.....
.....
.....

therapeutic index is measure of
safety
potency
efficacy
toxicity

chr diarrhoea with cryptitis,crypt abscess....

uc
crohn's
microscopic colitis


dying back neuropathy seen in?-DM , amyloidosis?


whast is not side effect of tacrolimus
a)neurppathy B) hirsuitism C) nephropathy d) ?


KAP studies - hiv, cancer ??


hitselbergers sign..loss of sensation in EAC a)mastoiditis B) vestibular
scwanoma


migratory thrombophlebitis-lung , prostate pancreas git


least relapse in nocturnal enuresis wit..a) bed alarm, b) desmopressin c) imipramine d)??

soil transmitted infection
a.tetanus
b.cocidiomycosis
c.brucella

ferruginous bodies r seen in ..a)silicosis, b)asbestosis, c)byssinosis, d)bagassosis


perforated necrotizing enterocolitis in neonate..rx...conservative/ drain/ laparotomy with resection anastomosis/ extracorporeal memb oxygenation


delphis method is used in..any1 remebers d option?
a question on epidemiology of non communicable diseases wat si not imp/ not seen...temporal association, specificity, dose response realtoinship..d) ??


which is not apointer for facial n during parotid surgery xcpt- tragus, inf belly of omohyoid, digstric, retrograde desectiion of peripheral branch

intra ductal mass breast mass 25 yrs
a.radical duct exision
b.microchodotomy
c.radical mastectomy

useful in premenstural syndrome
progesterone, ssri...


not seen in post traumatic sterss disorder
hyperarousal, emotional numbing, hallucinations D)??

Couple of strange named staging and bodies made me vexed and dizzy...

NIGRO's staging of epidermoid Ca Anal Canal..
Another one related to Golgi body
One related to Family planning..


ferruginous bodies r seen in ..a)silicosis, b)asbestosis, c)byssinosis, d)
bagassosis.


which is not a digastric muscle
occipitofrontalis, sternocliedomastoid, omohyoid, lig of trietz


which is not a cmplx muscle a) pectinius, b) biceps femoris, c) adductor magnus d) rectus femoris

a patient in 3rd decade of life presenting with swelling pain in scrotum, o/e swollen , reddened and tender all are true except
the probable diagnosis is torsion testis
if torsion is confirmed, treat with antibiotics and antiinflammatories
if torsion and if not treated , he may loose his testis

all take part in nasal septum except
ethmoid
sphenoid
palatal bone
lacrimal

A woman given birth to a cong. adrenal hyperplasia child. for the next child
steroid therapy started in prepregnancy
steroid therapy started as soon as pregnancy is confirmed
after chorionic villous sampling
after the sex of the fetus is known

Chorionic villous sampling is indicated in a previous child with all the following except
neural tube defects
downs

21 alpha hydroxylase deficiency all are true except
it its the commonest cause for CAH
females present with ambiguous genitalia
males attain puberty earlier
most common in females

earliest sign of puberty in girls
pubic and axillary hair
growth spurt
breast bud
menarche

highest recanalisation is seen in
isthmo isthmic
isthmo ampullary
ampullo ampullary
cornual

least failure rates in endoscopic tubectomy is seen with

best investigation for endosalpingitis
HSG
hysteroscopy
laproscopy
ultrasound with ----

singer with voice abuse, C/o hoarseness, reflux, multiple nodules seen treatment is
Immediate microscopic excision
Direct Laryngoscopic biopsy
speech therapy and PPI
cordectomy

right sided aorta is seen with
TOF
corrected TGA
truncus arteriosus

45 yrs old male presents with sleep deprivation, headache, and low mood. he interacts reasonably well with others. his son has leukemia and he has absented himself from work. diagnosis is
somatoform disorder
depression
adjustment disorder

tratment of premenstrual symptoms
progestins
anti prostaglandins
anti anxiety drugs
SSRI

25 year old male wlile he was excersing developed chest pain, palpitation, sweating, shortness of breath, syncope. he immediately was taken to hospital. all symptoms were abolished, except for tachycardia. ecg and echo was normal. diagnosis
Panic attack
vasovagal atack
acute MI

a 25 year old male suddenly died while he was undergoing an atheletic event. autopsy showed interventricular septal thickening. diagnosis
HOCM
right ventricular conduction abnormality

drug acting by inhibiting protein synthesis
cefotetan
amox
penicillin
doxycycline

following are antifungal except
ciclopirox
undecyclenic acid
ketoconazole

Q.Earlest radiological manifestaiton of PUlmonary venous hypertension:

1.cephalisation of veins
2.Kerley B lines
3.PL. effusion
4. ???

most probably Cephalisation of the veins or prominence of upper veins is the answer(also referred to as the "bat's wing" appearance.) similar questions asked before but framed differently


post translational modifications occur in golgi body

Well the options for liver resection question was...1a and 4, 1 and 4b,2 and 3, 1 and 3. When mass was somewhere to the left of falciparum ligament in liver the surgeon would dissect..

ferruginous bodies r seen in ..a)silicosis, b)asbestosis, c)byssinosis, d)bagassosis


anwer is asbestosis


ferruginous bodies---
fine fibers coated with amorphous protein and ferritin, found in lungs, and usually taken as evidence of exposure to asbestos inhalation.
May be associated with the occurrence of mesotheliomas

peptide which is used as anti tumour..a)bleomycin. b)doxorubicin/dacarbazine, c)valinomycin, d)?? i think d ans is bleomycin tripathi says its a glycopeptide

imunomodulator used topically in warts..imiquimod podophylline


not a antifungal..clofacimine, ciclopirox, fluconazole


clofazimine

Clofazimine is an antileprotic agent.
ciclopirox is a topical antifungal agent
fluconazole is a triazole antifungal for systemic use

contraindication to ipratropium bromide.....is it urinary retention?


pain in uerteric stone is d/t
a)stretching of renal capsule b) increased peristalsis of ureter, c)irritation of intramural ureter


its mainly due to increased peristalsis and spasm of the ureter
...irritation also contributes to the pain


coronary ligament of knee

Portions of the articular capsule of the knee joint which connect the circumference of the menisci with the margins of the condyles of the tibia.


Which vein lies in the para duodenal space:
1. Middle colic
2. Left Colic
3. Splenic
4. Inferior mesentric

migratory thrombophlebitis is seen in all expect
ca lung
ca prostate
ca git


ileocaecal tb....pulled up caecum,narrow terminal ileum,apple core appearance of caecum,change in angle of ileocaecal juncn???

least relapse in nocturnal enuresis wit..a) bed alarm, b) desmopressin c) imipramine d)??


Enuresis alarms are the most effective treatment of nocturnal enuresis - children are 13 times more likely to achieve 14 consecutive dry nights with alarm treatments as compared to placebos

reponse rates are good, about 70-90%. Some 20-30% relapse but will often respond to retreatment. Average duration is 6 months; 1 month for retreatment.

Some evidence suggests that alarms may be more effective than dry bed training, desmopressin and imipramine

desmopressin - 12-40% cure rate; of benefit in up to 80%..drug must be used with caution because of the risk of hyponatraemic convulsions..
should not be used for longer than 3 months without a review

tricyclic antidepressants - for example, imipramine--the effect is temporary in the majority of cases, with a high relapse rate, and long term cure in 25%

1.not seen in PTSD-----hallucination,hyperarousal,*,*
2.rt sided aortic arch------corrected tga????*,*,*
3.neonatal seizures-----subtle
4.facial colliculus at what level?
5.flatulent dyspepsia in otherwise normal female......immediate lap.cholecystectomy,open after 1/2 months,lap after 1/2 months,wait til biliary colic
6.h5n1----bird flu
7.25 yr male with findings of only tachycardia....normal ecg n xray...came with palpitation,breathlesness,chest pain....angina,panic attack,*,*
8.man with son havin diagnoised of leukemia....adjustment disorder,depression,*,*
9.cavernous sinus tributaries???
10.chest n abdo trauma....hemodynamically stable....next?.....further radiographic studies or laprotomy?
11.diptheria prophylaxis?
12.testes...lower temp than core body temp
13.ca cervix....post coital bleed?

dying back neuropathy----

is name for distal axonal degeneration...the most likely anwswer to me seems DM rather than amyloidosis...any comments ?? plz confirm frm a standard refernce

Axonal degeneration, sometimes referred to as the "dying-back" phenomenon, results in axonal degeneration at the most distal extent of the axon. Axonal degenerative polyneuropathies are usually symmetric, and as the disorder progresses, the axons typically degenerate in a distal-to-proximal gradient. Axonal degeneration is the most common type of pathologic reaction in generalized polyneuropathies, and it is often attributed to a "metabolic" etiology.

Coronary ligament is located B/w ...???

Blood supply of cruciate ligament...??

Lens transport protein [name??] is concerned with..??

Concurrent list does not encompass...??

brucellosis can nt cum fm soil


yes..u r right... brucellosis comes frm consumption of unpasteurised milk or cheese

or occupational exposure: farm workers, meat packers, slaughter men,
lab workers

but any idea abt coccidio

useful in premenstural syndrome
progesterone, ssri...


its SSRI

see this--
Serotonin specific reuptake inhibitors are effective in reducing the physical and psychological symptoms of the premenstrual syndrome.

Response rates are:


70% with SSRIs

30% with tricyclic antidepressants

20% with placebo

The therapeutic index of a drug is defined as the ratio of the toxic dose to the therapeutic dose.

The therapeutic index is large when the toxic dose is much larger than the therapeutic dose.


commonest cause of delay in puberty is constitutional delay in growth


what was the options & the question on effects of erythropoeitin ??



jt bw ossicles of middle ear-
ans-synovial

synovial sarcoma which is seen
tX:21
t11:14
t...???


therapeutic index is measure of
safety
potency
efficacy
toxicity

chr diarrhoea with cryptitis,crypt abscess....

uc
crohn's
microscopic colitis
uc
crohn's
microscopic colitis

Earlest radiological manifestaiton of PUlmonary venous hypertension:

1.cephalisation of veins
2.Kerley B lines
3.PL. effusion


Pulmonary hypertension occurs as a result of increased resistance to pulmonary venous drainage. It is often associated with diastolic dysfunction of the left ventricle; diseases affecting the pericardium or mitral or aortic valves; or rare entities such as cor triatriatum, left atrial myxoma, extrinsic compression of the central pulmonary veins from fibrosing mediastinitis, and pulmonary venoocclusive disease. Pulmonary venous hypertension affects the pulmonary veins and venules, producing arterialization of the external elastic lamina, medial hypertrophy, and focal eccentric intimal fibrosis. Microcirculatory lesions include capillary congestion, focal alveolar edema, and dilatation of the interstitial lymphatics. Although these lesions are potentially reversible, regression may take years after the underlying cause is removed. In some patients pulmonary venous hypertension triggers reactive vasoconstriction in the pulmonary arterial bed and results in proliferative changes of the intima and media that can produce severe elevations in pulmonary artery pressure. Clinically it may be confusing and appear as if two separate disease processes are occurring simultaneously.

i marked Kerley B lines hope it is right