1. Proteus â€“ triple phosphate renal stone 2. Appetite stimulant a/e â€“ melanocyte stimulating hormone, melanocyte corticotropic releasing hormone, neuropeptide Y 3. non invasive diarrhoea a/e â€“ shigella, b.cereus, salmonella, y.enterocolitica 4. closely related to anterior commisure â€“ orbit gyrus, uncus, optic chiasma 5. Probability â€“ 6/25, 3/5, 2/5 6. IDEAS â€“ 7. Hernia â€“ loop/end colostomy, loop/end ileostomy 8. Anatomical snuff box â€“ radial a, brachial a, interroseus a, ulnar a 9. Foreign body sensation in the eye, arthritis â€“ tb, sarcoidosis 10. Immediately after eating dyspneoa, cyanosis â€“ allergy 11. Lupus anticoagulant â€“ increase in aPTT only, abortion in pregnant females, can occur without other signs of lupus 12. Milkman # - pseudo# 13. Punched out lesion in skull â€“ electrophoresis, calcium, alp 14. Least polar â€“ methyl, carboxyl, amino, phosphate 15. Nerve entrapment all except â€“ femoral, lat cut n of thigh, tibial, common digital 16. Mammography less sensitive in young women â€“ less gland & more fat 17. Medulla blood supply all except â€“ ant spinal, bulbar, basal, post cerebellar a 18. Trochlear n â€“ ipsilateral sup oblique, longest intracranial n, dorsal n, outside annulus of zinn 19. Vasomotor centre of medulla â€“ only baroreceptor not chemoreceptor 20. Chronic low back pain â€“ pain management, exercise, remove the etiology 21. Pauci immune glomerulonephritis â€“ microangiopathic, alport, sle 22. Coombs positive anaemia â€“ sle, ttp 23. juxta foveal telangiectasia a/e â€“ variant of coats, macular telangiectasia, 24. diabetic retinopathy treatment a/e â€“ seal the tear, remove peripheral retinal layers, vitrectomy, photocoagulation 25. narrow angle glaucoma avoid â€“ duloxetine, citalopram, fluphenazine, 26. valproate causes a/e â€“ weight gain, alopecia, liver damage, 27. uveal effusion a/e â€“ myopia, abnormal scleral structure, scleritis, cilio-choroid can get separated 28. nitrosamine â€“ hypotension and bradycardia 29. paravertebral block can go to a/e â€“ epidural space, subarachnoid space, paravertebral space, intercostals space 30. neuroblastoma â€“ most common extracranial solid tumour in children, >50% come with mets, lung mets common, invove aorta and branches at early stage. 31. monetary fund given to â€“ schizophrenia, dementia, mental retardation 32. normal curve â€“ mean=sd, mean=median, mean=variance 33. frequency distribution â€“ histogram 34. involvement of sweat gland and hair follicles â€“ lichen scrofulosum, military tb 35. all are direct cutaneous disease except â€“ psoriasis, reiterâ€™s disease, lichen planus 36. scarring alopecia â€“ t.capitis, androgenic alopecia, alopecia areata, lichen planus 37. adrenal adenoma a/e â€“ hypoechoic on non contrast ct, contrast appears early and washes out late, regular border 38. casper dictum â€“ 39. stellate wound â€“ 2 feet distance, distant shot, contact wound, close range 40. pedestrian with multiple abrasions â€“ primary impact, sec impact, tert impact. 41. para 3+0,CIN 3 in one quadrant on pap smear, what is the management â€“ cryosurgery, conisation, hysterectomy 42. thyroid papillary ca 2cm â€“ near total with rnd, hemithyroidectomy 43. follicular adenoma vs carcinoma â€“ hurthle cell, increased mitosis, vascular invasion 44. sertoli cells â€“ meiosis, spermatogenesis, seminal fluid, testosterone 45. obstructive azoospermia â€“ fsh and lh 46. smoking assoc with a/e â€“ ca larynx, nasopharynx, bladder, oesophagus 47. latest WHO scale of disability â€“ ideas 48. SEPS â€“ 49. commonest organ to be injured in bomb blast â€“ lung 50. causes pf hypercoagulability a/e â€“ paraproteinemia, infections, inflammatory bowel disease 51. features of pnh â€“ DVT, massive splenomegaly, 52. thromboembolism assoc with a/e â€“ pnh, diabetes 53. cannot be defined in operational terms â€“ mission, goal, objective, target 54. cannot be defined in operational terms â€“ mission, goal, objective, target 55. leptospirosis a/e â€“ treatment of choice iv penicillin g, 10-15% mortality, rat urine 56. all true except â€“ leptospirosis rat urine, tetanus dust droplets, listeria refridgerated food 57. all true except â€“ hypochlorite virucidal, glutaraldehyde sporicidal, phenol require organic material 58. all true except â€“ zinc def pulmonary problems, milk alkali synd hypercalcemia, selenium def cardiac problem 59. precocious puberty boy 5years with pubic hair, bp 120/90 â€“ 11b hydroxylase, deoxycorticosterone, 17 a hydroxylase, aldosterone 60. positive urinary anion gap â€“ alcoholoic ketoacidosis, diabetic ketoacidosis, glue, diarrhoea 61. water sample estimation a/e â€“ clostridium recent contamination 62. nutritional survey a/e â€“ 1 to 4 year mortality, babies < 2.5 kg, mother hb < 11.5 63. q fever vector â€“ aerosol 64. crude birth rate a/e â€“ ratio, fertility indicator, still born excluded 65. imci includes a/e â€“ malaria, resp infections, diarrhoea, tb 66. trauma patient with gcs score 15, bp 100/80 next step â€“ iv fluid with blood for cross matching, immediate transfusion, take him to theatre immediately 67. ductal carcinoma in situ best investigation â€“ usg, mammography, mri, pet 68. calcification of post spinal ligament a/e â€“ begins from thoracic level 69. neural tube closes from â€“ cranial, caudal, lumbar 70. chronic renal failure patient with hyperkalemia immediate treatment before dialysis to reduce potassium levels â€“ calcium gluconate, sod bicarbonate, glucose with insulin 71. after starvation which site will have max glucose receptor â€“ brain, rbc, adipose tissue 72. lipoprotein lipase a/e â€“ adipocytes, myocytes, does not need CII as cofactor 73. child bites his fingers â€“ hgprtase def, adenosine deaminase def 74. after cutting with restriction enzymes segments joined by â€“ dna ligase, polymerase 75. colon carcinoma a/e â€“ mismatch repair genes, k ras, b cantenin, apc 76. comet tail artefact â€“ adenomyomatosis 77. aedes mosquito a/e - constant biters, eggs cannot survive more than one week without water, transmit dengue, 78. dengue hmgic fever a/e â€“ type 1 serotype, reinfection with the same serotype, reinfection with diff serotype 79. hiv maximum transmission â€“ homosexual, heterosexual, blood transfusion, needle prick 80. hiv enters via â€“ cd4, cd5, cd6, cd 56 81. GIST which is increased max â€“ cd 117, s 100 82. pancreatic transplant with bladder catheter â€“ urine amylase, blood amylase, blood glucose 83. 29 yrs with diabetes, no ketonuria, father does not have DM , grandfather has DM â€“ mody, dm1, DM 2 84. RCC a/e â€“ polycythemia, cushings, hypertension 85. angiotensin a/e â€“ vasodilatation, increases thirst, stimulates adh 86. renal Physiology a/e â€“ dct is always hypoosmotic, source of blood to glomerulus?afferent tubule, efferent tubule 87. reversible ischaemia â€“ muga, thallium 88. maltese cross â€“ blastomycosis, penicillium, candida 89. deep perineal pouch a/e â€“ bulbourethral gland, urethral sphincter, root of penis 90. pelvic diaphragm a/e - colles fascia, deep transverse perinii, superficial transverse perinii 91. aortic aneurysm rupture â€“ anterior, posterior, lateral, intraperitoneal 92. m.c. site of subclavian artery constriction â€“ 1st part, 2nd, 3rd, entire artery 93. arteriovenous shunt a/e â€“ found in all organs, thermoregulation, not under the control of ANS 94. pseudomonas multocida - ? 95. mifepristone used in â€“ threatened abortion, fibroid, ectopic pregnancy 96. lactating female best contraceptive â€“ barrier method, lactational amenorrhoea 97. laproscopic sterilisation not done in â€“ heart disease, hiatus hernia [snip]. incontinenti pigmenti â€“ 100% ophthalmic problems, x linked dominant, skin rash, associated with eye problems 99. neurofibromatosis a/e â€“ autosomal recessive 100. trotters triad â€“ deafness, palatal palsy, trigeminal neuralgia, seizures 101. tuberous sclerosis triad â€“ facial angiomatosis, mental retardation, seizures, rhabdomyosarcoma 102. the following species of borrelia cause relapsing fever except â€“ 103. pancreatic carcinoma a/e â€“ 75% associated with p53 mutation, 5 year survival for stage 3 is 10-15% 104. gold standard test to diagnose insulinoma â€“ c peptide levels, 72 hrs fasting glucose, glucose value < 32mg% 105. a 9 year old girl posted for tonsillectomy, massive haemorrhage with prolonged aPTT and normal PT â€“ factor 8 def, factor 9 def, vWF def 106. simple random sampling â€“ everyone has equal chance of being picked 107. incidence rate can be calculated from â€“ prospective studies 108. all are analytical studies except â€“ field trials, case control, cohort, ecological 109. baby clinic a/e â€“ baby 24hrs with mother, after normal delivery breast feeding within 4 hrs, 110. target strategy in aids a/e â€“ education, treatment of STD, antiretroviral treatment, condoms 111. chemoprophylaxis available for all except â€“ meningitis, typhoid, cholera, 112. vaccine with highest efficacy â€“ measles, dpt, oral typhoid, tetanus 113. the following vaccine when contaminated causes toxic shock syndrome â€“ measles vaccine 114. the following contractions of esophagus are stationary â€“ primary, secondary, tertiary, quarternary 115. late expanding phase of population â€“ birth rate stationary death rate falling, birth rate lower than death rate, falling death rates with low birth rate 116. fish odour from vaginal discharge â€“ gardenella vaginalis, trichomonas vaginalis, candida 117. all the following are composite muscles except â€“ flexor carpi ulnaris, flexor digitorum profundus, pectineus, biceps femoris 118. the following joint has least chances for recurrent dislocation â€“ ankle, hip, shoulder, knee 119. hemochromatosis a/e â€“ phlebotomy is not useful, common in females, complete penetrance. 120. a young female had following lab values mcv 70, hb 10 mg%, serum iron 60, serum ferritin 100, the diagnosis is â€“ thalassemia trait, chroinic iron deficiency anaemia, megaloblastic anaemia, folic acid def 121. facilitated diffusion is â€“ requires carrier transport, does not depend upon electrical gradient, is a form of active transport, requires creatine phosphate 122. oxygen demand of heart â€“ increases in a constant proportion with heart rate, depends on systolic work, is negligible when heart is at rest 123. pulsatile large liver is seen in â€“ tricuspid regurgitation, aortic aneurysm, mitral regurgitation 124. systolic thrill in left 2nd or 3rd intercostal space is seen in a/e â€“ subpulmonic vsd, pink TOF, ebsteins anomaly 125. a down syndrome patient is posted for surgery, the necessary pre-op investigation to be done is â€“ echocardiography, ct brain, x ray cervical spine 126. zenkers diverticulum true statement is â€“ lies above the cricopharyngeus muscle, barium xray lateral view, it is not a true diverticulum, is congenital 127. all are the uses of lithium except â€“ major depression, anxiety, vascular headache, neutropenia 128. a female child was brought with complaint of generalised swelling of her body. She was passing fatty cast in her urine. No haematuria. The true statement is â€“ no IgG or C3 deposition seen on renal biopsy, her C3 levels could be low, she is suffering from a nephritic type of kidney diasease, alport syndrome 129. von hippel landau syndrome consists of a/e â€“ gastric cancer, renal cell carcinoma, phaechromocytoma, cerebral and retinal haemangiomas. 130. finnish type of nephrotic syndrome is due to mutation in â€“ nephrin, podocin 131. renal polycystic disease in children all are true except â€“ autosomal dominant, renal and hepatic cysts 132. splicing is brought about by â€“ sn RNA, m RNA 133. superior middle alveolar artery is a branch of â€“ 134. splenic artery gives all the following branches except â€“ gastro epiploic, short gastric, pancreatica magna 135. chemotherapy is given to all the following cancers except â€“ (various stages of different cancers were in the options) 136. triple assessment of cancer breast includes â€“ history, clinical examination, biopsy 137. necrotising fasciitis a/e â€“ due to group b haemolytic streptococcus, debridement is mandatory, involves trunk and lower limbs 138. the following cephalosporin doesnâ€™t need dose modifications depending on gfr values â€“ cefoperazone 139. tacrolimus side effect â€“ nephrotoxicity, neurotoxicity 140. hand foot and mouth syndrome â€“ capecitabine, carboplatin, cisplatin 141. amifostine â€“ salivary gland, skin, GIT, brain 142. small cell lung cancer true statement â€“ it is chemosensitive, does not involve the bone marrow 143. ifosphamide is â€“ an alkylating agent 144. liquefactive necrosis is seen in â€“ gangrene, tuberculosis 145. reduces bone resorption and increases bone formation â€“ teraparatide, strontium, alendronate, calcitonin 146. the nephrotoxicity of cisplatin is increased by a/e â€“ rifampicin, vancomycin, gentamycin, 147. treatment of severe falciparum malaria â€“ quinine, chloroquine, artesunate, artemether 148. hepatitis C true statement is â€“ most common cause for liver transplantation, does not cause liver cancer, dna virus, cannot infect a person already infected with hepatitis B 149. parvo virus B 19 false statement is â€“ can cross the placenta in only <10% cases, dna virus, causes anaemia 150. all cause traumatic asphyxia except â€“ railway accident, road accident, trampled by crowd, accidental strangulation. 151. true statement of RDA - RDA is defined statistically as 2 standard deviations (SD) above the EAR to ensure that the needs of most individuals are met 152. restless leg syndrome seen in â€“ chronic renal disease, hyperkalemia, hypocalcemia 153. cyanosis does not occur in anaemia because â€“ certain amount of reduced hb has to be present, in anaemia oxygen saturation increases 154. 2,3 disphosphoglycerate not increased in - chronic anaemia, chronic hypoxia, inosine, hypoxanthine 155. hb dissociation curve is sigmoid because â€“ binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules 156. modafinil used in â€“ obstructive sleep apnoea 157. best non surgical treatment of stress incontinence â€“ pelvic floor muscle training, bladder training, electrical stimulation 158. carpal tunnel syndrome caused by a/e â€“ hyperthyroidism, acromegaly, diabetes, cushing 159. a lady with temporal field defects, galactorrhoea, most common cause â€“ pituitary macroadenoma, craniopharyngioma 160. sleep controlled by â€“ thalamus, hypothalamus 161. juvenile arthritis all are present except â€“ rheumatoid nodules, uveitis, fever 162. bleomycin â€“ reduces type 1 pneumocyte, reduces type 2 pneumocyte, reduces alveolar macrophage 163. hepatomegaly is caused by all except â€“ gaucher, niemann pick, hepatocyte porphyria 164. cancer larynx â€“ HPV 6 and HPV 11 165. limb defects with scarring of skin in new born â€“ varicella virus 166. mitomycin C used in â€“ 167. cell cycle specific antineoplastic drug â€“ vinblastine 168. treatment of osteosarcoma are a/e â€“ high dose methotrexate,â€¦. 169. in subclinical folic acid deficiency the following drug will bring about vitamin B 12 deficiency 170. the following drug can be given safe in pregnancy - propylthiouracil 171. rapid correction of hyperglycemia using insulin alone will result in â€“ hypokalemia 172. icd 10 includes all except â€“ lack of exercise, alcoholism, poisoning, unhealthy food. 173. cheif cells are found in â€“ neck, pit, fundus 174. risk factor 4 GB Ca a/e â€“ >5mm polyp, stones, increase in size of polyp 175. motorcyclist's fructure means â€“ ring #, comminuted #, separation of suture b/w anterior half and posterior half of skull. 176. spastic paraplegia caused by all except â€“ motor neuron disease, vit B 12 def 177. all are true about eaton lambert syndrome except â€“ positive tensilon test. 178. pain insensitive structure â€“ dural venous sinus. 179. icdâ€¦. 180. cystic fibrosis all are true except â€“ defect in calcium channel 181. girl with abnormal sweat chloride test, next diagnostic test â€“ transnasal potential difference 182. Rheumatoid factor will give false negative tests with â€“ coombs testâ€¦. 183. abrasions can be confused with â€“ eczema, chemical, ant bite 184. newborn with hydrocephalous â€“ toxoplasmosis 185. Disease which permanently alters finger print â€“ leprosy 186. vaginal delivery allowed in all except - monochorionic monoamniotic twins, first twin cephalic and second breech, extended breech, mento anterior 187. dysgerminoma marker â€“ LDH 188. Rate of mineralisation of newly formed osteoid â€“ von kossa stain, alizarin stain 189. sympathectomy done in all except â€“ anhidrosis, intermittent claudication 190. intermittent claudication the pain is on taking - 1st step, last step, on exercise 191. chronic limb ischaemia true is â€“ rest pain, pain on exercise 192. best graft for surgery below inguinal is â€“ 193. superior gluteal nerve supplies all except â€“ gluteus maximus 194. carotid artery emboli and CRVO are differentiated by â€“ raised retinal artery pressure 195. intrinsic factor secreted by - chief cells, parietal cells 196. priviliged converstaion is between â€“ doctor and court, doctor and patient 197. myodesis is c/i in 198. which factor is specifically a part of intrinsic clotting pathway â€“ 9, 7, 13 199. Seen in acute inflammation classically â€“ vasodilatation with leakage, vasoconstriction 200. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. this is â€“ neutrophils, granulation tissue formation, granulomatous reaction, scar 201. mammography can detect all except â€“ adenosis 202. Athletes pubalgia is\ 203. SIRS includes all except 204. substance not fermented in human intestines â€“ cellulose, pectin, fruit 205. Hb S differs in â€“ solubility, o2 affinity, stability 206. all are true regarding Hb S except â€“ glutamine replaced by valine, heterozygotes are protected against malaria, 207. Standing to sitting change in - increased venous return to heart 208. Actyl Co A can't directly form â€“ Glucose 209. Dengue Hemorrhagic fever - Second Infection with different strain of virus the second time 210. 100 KD on SDS-PAGE, then second trial â€“ 2x(20KD + 30KD) 211. Wilm's Tumor - National Wilm tumor staging system 212. Action potential starts in the initial segment of axon because â€“ unmyelinated, less exiting potential required, more ion channels 213. regulatory mechanisms by all except â€“ secretory vesicles, gap junctions, act on neighbouring cells 214. regarding lac operon, CAP is â€“ positive regulator, negative regulator, 215. E157:O7 culture 216. not a cause of primary amenorrhoea - Sheehan 217. Chlamydia infection of the eyes, true statement a/e â€“ can be cultured, penicillin is the treatment, mostly asymptomoatic 218. Salmonella non typhi - 219. edema â€“ C 1 esterase deficiency 220. hyperaldosteronism a/e â€“ metabolic acidosis 221. HepB infected neonate - both Vaccine and Immunoglobin 222. Hashimoto's thyroiditis true a/e â€“ follicular destruction, increase in lymphocytes 223. Diastolic pressure - Aorta elasticity 224. IMG â€“ 225. Joint aspiration in acute gout shows - monosodium urate crystals 226. GIST most common marker â€“ CD 117, S 100 227. all drugs can be given to a mother who is on 35th week of gestation except â€“ chloroquine, methotrexate, sulphadiazine 228. neonate change seen â€“ bradycardia 229. heat rupture â€“ regular rupture, irregular rupture 230. won't be present in right heart failure - increased PCWP 231. - joule burn 232. parotid pathway all except â€“ auticulotemporal nerve 233. sodium bicarbonate given to local Anaesthesia â€“ quick and longer action, delayed and longer action 234. which prevents colon cancer â€“ high fibre diet, selenium, antioxidants 235. Entero Virus won't cause â€“ aseptic meningitis, pleurodynia, herpangina, haemorrhagic fever 236. meningitis leads to vestibulitis through â€“ hyrtle fissure, endolymphatic sac, cochlear aqueduct, vestibular aqueduct 237. cardiac disease predictor â€“ Lp a, homocysteine, chlamydial antibody 238. Benign HTN - hyaline aterioscelerosis 239. micro RNA â€“ 240. temporal arteritis a/e â€“ can cause sudden blindness, elderly, females more than males 241. most common muscle to be congenitally absent â€“ pectoralis major, teres minor, gastrocnemius, soleus 242. popliteal artery not easy to palpate because â€“ it is not superficial, and no bony structure to palpate 243. LHD increased in â€“ retinoblastoma, galactosemia, glaucoma 244. intestinal absorption test â€“ xylulose, fat in stools 245. lambda phage 246. mc cause of superficial thrombophlebitis - trauma, infection, i.v. line 247. pseudoclaudication - cauda equina syndrome 248. stellate ganglion block causes all except â€“ bradycardia 249. lymphoid tissue seen in â€“ lamina propria, adventitia 250. visual cycle â€“ opsin combines with retinol, NADP is reduced, NAD is reduced 251. high tibial osteotomy for what 252. vocal cord sulci- vocal abuse? 253. paneth cell â€“ has more zinc, more lysozyme 254. pulmonary artery pruning seen in 255. surgical staging of ovarian ca all done except â€“ peritoneal wasing, peritoneal biopsy, mesenteric biopsy, palpation of organs 256. spongy urethra drainage into which node â€“ internal iliac, superficial inguinal, deep inguinal 257. In which condition is d onset of condition to death the lowest â€“ post partum hmge, antepartum hmge, obstructed labour, septicaemia 258. About mesial temporal lobe epilepsy 259. angiogenesis requires a/e â€“ VEGF, FGF, TGF 260. weight of average Indian man â€“ 60 kgs 261. synovial fluid characteristics â€“ 262. functions of T helper cells are all except â€“ cytotoxic, help in antibody formation, opsonisation 263. DMPA - 0.3% failure rate, less effective than OCP in reducing endometrial carcinoma 264. tamoxifen side effect â€“ thromboembolism, endometrial canrcinoma 265. eclampsia â€“ 266. fatty content in breast is found in a/e â€“ trauma, galactocele 267. ageing â€“ free radical 268. thoracic outlet syndrome diagnosed by â€“ clinical examination, ct scan, mri 269. apoptosis which cell organelle responsible â€“ mitochondria 270. psammoma bodies seen in a/e â€“ follicular cancer thyroid, papillary cancer thyroid, serous cyst adenoma ovary, meningioma 271. the most bactericidal among the following â€“ O2- metabolite 272. karyotyping used for â€“ chromosomal abnormalities 273. central chemoreceptors are sensitive to â€“ low O2, low CO2, high CO2, H+ concentration 274. blood flow is increased during exercise due to â€“ active metabo275 hcv -true is dna virus,doesn't cause coinfection with hbv,?? 276 igc angiography -occult cnv (ans) 277 scar on skin +hypoplasia limbs-cong varicella synd(harrison) 278 heriditary hemochromatosis true excpt-iron def 279 post tonsilectomy bleed in a child coagulatn defct ,aptt incrased-hemophilia b 280 clot stabilisation factor-13 281 idc classification?? 282 similar 283hiv complicationsall excpt-cardiac tamponade,effusion,thromboemb(ans harrison), 284 conjunti foreign body sensation with arthritis h/o trip -reiters synd 285 neuroblastoma true is a/e??spreads through vessels,abdominal mass?? 286 one more question with ideas289 dose reduction needed in renal failure all except-rifampicin 290 thyroid ca indicated by all excpt-collumnar cells in follicles,microcalcification,?? 291 rooooming in includes all except-breast feeding initiation after 4 hrs of vag delivery 292 c wave in JVP 293 7. Moderate grade risk factor of Breast carcinoma- atypical hyperplasia 294 one on Genomic imprinting 295 Colon carcinoma single most imp prognostic factor 296. congenital deformity of organ- malformation 297 oxidation reduction occurs with all except- Hydroperoxidases, perosidases, oxidases 298 Folic def all except- Chloroquine 299. diagnostic test for insulinoma-72 hr fastin test 300.vaginal delivery is contraindicated in-monochorionic monoamniotic twins,mento anterior position..