IMP QUESTIONE WITH ANSWERS

Discussion in 'Question Zone' started by Joseph., Nov 5, 2007.

  1. Joseph.

    Joseph. Guest

    Posterior communicating artery is the branch of –
    a- External carotid
    b- Internal carotid
    c- Ophthalmic
    d- Middle cerebra
    Ans: b- Internal carotid
    Ref: Student Gray’s anatomy different pages

    Which of the following is not true about trigone of bladder?
    a- Smooth mucosa
    b- Loosely attached to underlying mucosa
    c- Transitional epithelium lines it
    d- It is remnant of mesonephric duct opening into post uro-genital sinus
    Ans: b- Loosely attached to underlying mucosa
    Ref: Gray’s Anat. pg-399

    Which of the following characteristic are helpful in differentiating between cervical and lumbar vertebra?
    a- Foramina transverserium
    b- Articulas fact in the body
    c- Triangular vertebral cannal
    d- Heavy vertebral body
    Ans: a- Foramina transverserium
    Ref: Gray’s student’s ed/page-31

    Pronation and supination does not take place at which of the following joint –
    a- Superior radio ulnar
    b- Middle radio ulnar
    c- Inferior radio ulnar
    d- Radio carpal joint
    Ans: d- Radio carpal joint

    Which of these part of vertebral canal will show concavity back-wards in secondary curves -
    a- Cervical
    b- Thoracic
    c- Sacral
    d- Coccyx
    Ans: a- Cervical
    Ref: Gray’s students edn. Pg-15

    The anatomical structure passing from left to right are all except -
    a- Left brachiocephalic vein
    b- Hemiazygous vein
    c- Left gonadal vein
    d- Left renal vein
    Ans: c- Left gonadal vein
    Ref: pg-110 Student’s Gray’s anatomy

    All of the following structure crosses posterior to diaphragm from thorax to abdomen except -
    a- Thoracic duct
    b- Azygous vein
    c- Aorta
    d- Greater splanchinic nerve
    Ans: d- Greater splanchinic nerve
    Ref: BDC/3rd vol.1 / pg-161
    Student’s Gray’s / 135, 134

    Which one of the following is not a site of portasystemic anastomosis?
    a- Spleen
    b- Liver
    c- Gastroesophageal junction
    d- Anorectal junction
    Ans: a- Spleen

    Which of the following is not a branch of cavernous part of internal carotid artery -
    a- Cavernous branch of trigeminal ganglia
    b- Hypophyseal
    c- Opthalmic artery
    d- Chiasmal branches]
    Ans: c- Opthalmic artery
    Ref: BDC/3rd/81

    Primordial germ cell is derived from -
    a- Ectoderm
    b- Mesoderm
    c- Endoderm
    d- Mesodermal sinus
    Ans: c- Endoderm
    Ref: IB Singh Embryology pg-283
  2. Joseph.

    Joseph. Guest

    Centrineuraxial (spinal and epidural) anaesthesia is not contraindicated in -
    a- Platelets < 80,000
    b- Patient on aspirin
    c- Patient on oral anticoagulants
    d- Patient on I.V. UFH.
    Ans: b- Patient on aspirin
    Ref: Ajay Yadav 3rd p-123
    aippg.com
    Which one of the following is not a amide -
    a- Lignocaine
    b- Procaine
    c- Bupivacaine
    d- Dibucaine
    Ans: b- Procaine
    Ref: Ajay Yadav 2nd pg-105

    Which of the following is used to monitor respiration in neonate (not intubated) -
    a- Capnography
    b- Impedence pulmonometry
    c- Chest movements
    d- Infrared End Tidal CO2
    Ans: b- Impedence pulmonometry
    Ref: Senior Resident, Dept. of Anaesthesia/SGPGI/Lukhnow

    An ICU patient on atracurium infusion develops seizures after 2 days. The most probable cause is -
    a- Accumulation of landonosine
    b- Allergy to drug
    c- Due to prolong infusion
    Ans: a- Accumulation of landonosine
    Ref: Ajay Yadav anaesthesia 2nd pg-90
    aippg.com
    Which of the following is not used in controlling heart rate intraoperatively?
    a- Propanolol/Metoprolol
    b- Verapamil
    c- Esmolol
    d- Procainamide
    Ans: a- Propanolol/Metoprolol
    Ref: Antiarrythmics used intraoperatively
    Isotope used in RIA
    a- I131
    b- I123
    c- I125
    d- I127
    Ans: c- I125
    Ref: Internet references.

    Basal ganglia calcification is seen in all except -
    a- Hypoparathyroidism
    b- Wilson’s disease
    c- Perinatal hypoxia
    d- Fahr’s syndrome
    Ans: c- Perinatal hypoxia
    Ref: Chappman radiological differential diagnosis 3rd p-408.

    Radio contrast is contraindicated in all except:
    a- Renal failure
    b- Patient on metformin
    c- Dehydration
    d- Obesity
    Ans: d- Obesity
    Ref: Harrison 16th p-1704, 1646, Katjung 9th p-708, Chapmann Radiology D/D 3rd p-160
    aippg.com
    Which is not a deep heat therapy?
    a- Short wave diathermy
    b- Infra Red
    c- USG
    d- Microwave
    Ans: c- USG
    Ref: Internet

    A patient presents with loss of consciousness, Ct shows multiple spotty hemorrhage and full basal cistern. The most probable diagnosis is-
    a- Brain contusion
    b- Diffuse axonal injury
    c- Subdural hemorrhage
    d- Multiple infarct
    Ans: b- Diffuse axonal injury
    Ref: CDST 11th p-900, Harrison 16th p-2448
  3. R.dass

    R.dass Guest

    A 25 yrs old female presented with lower limb weakness, spasticity, urinary hesitancy and mid dorsal intradural enhancing mass in MRL. What is the diagnosis?
    a- Intradural Lipoma
    b- Meningioma
    c- Dermoid cyst
    d- Neuroepithelial cyst aippg.com
    Ans: b- Meningioma

    Transport of ascorbic acid to lens is done by -
    a- Choline
    b- Taurine
    c- Myoinositol
    d- Na+, K+ ATpase
    Ans: d- Na+, K+ ATpase
    Ref: Internet

    All of the following act through nuclear receptor except -
    a- Vitamin D
    b- Insulin
    c- Thyroid
    d- Steroid
    Ans: b- Insulin
    Ref: Harper p-445

    The urine analysis of a person showed green colour on Ferric chloride test, the person is suffering from -
    a- Alkaptonuria
    b- Phenyl Iketonuria
    c- Methyl malonic aciduria
    Ans: b- Phenyl Iketonuria
    Ref: Ghai 6th p-609

    Mucopolysaccharide Hyaluronic acid is present in -
    a- Acquous humor
    b- Vitreous humor
    c- Lens
    d- Cornea
    Ans: b- Vitreous humor
    Ref: Harper’s Biochemistry 27th ed. p-553

    All of the following are true about Proteoglycans except -
    a- Contains amino sugar
    b- Forms structural element of connective tissue
    c- Contains small amount of water aippg.com
    d- Chodritin sulphate in an example
    Ans: c- Contains small amount of water
    Ref: Harper’s Biochemistry 27th ed. p-118

    Northern blot is used for diagnosis of -
    a- mRNA expression
    b- DNA
    c- Protein
    Ans: a- mRNA expression
    Ref: Harper’s 27th ed. p-409

    All of the following is true about HMP pathway except -
    a- Occurs in cytosole
    b- Produces NADPH
    c- H+ acceptor is NADP
    d- End product is pyruvate
    Ans: d- End product is pyruvate
    Ref: Harper’s 27th ed. p-179

    Which one of the following is not a method of protein penification?
    a- Electrophoresis
    b- Centrifugation
    c- Densitometry
    d- Chromatography aippg.com
    Ans: c- Densitometry> b- Centrifugation
    Ref: Harper’s Biochemistry 27th ed. p-21

    Which one of the following is responsible for oxygen dependent killing?
    a- Superoxide dismutase
    b- Catalase
    c- Glutathione peroxidase
    d- NADPH oxidase
    Ans: d- NADPH oxidase
    Ref: Robbin’s Pathology 7th p-16
  4. R.dass

    R.dass Guest

    Biotin is used in -
    a- Beta ketoacid dehydrogenase deficiency
    b- Multiple carboxylase deficiency aippg.com
    Ans: b- Multiple carboxylase deficiency
    Ref: Harper’s 27th ed. p-502

    Study of protein elaborated by cell under different conditions -
    a- Genomics
    b- Proteinomics
    Ans: b- Proteinomics
    Ref: Harper’s Biochemistry 27th ed. p-28

    Regarding Triacylglycerol metabolism in adiposite all are true except -
    a- Storage from of lipid of body
    b- Metabolised by lipoprotein lipase
    c- Glycerol kinase is enzyme involved
    d- Dihydoxyacetone
    Ans: b- Metabolised by lipoprotein lipase
    Ref: Harper’s Biochemistry 27th ed. p-209

    About oxygenase all are true except -
    a- Incorporate 1 atom of O2 molecule
    b- Incorporate both atom of O2 molecule
    c- Required for reactions like hydroxylation of steroid
    d- Required for carboxylation of drugs
    Ans: d- Required for carboxylation of drugs
    Ref: Harper’s 27th ed. p-96, 97

    All are true for mRNA except -
    a- capping helps in attachment of mRNA to 405 ribosome.
    b- In eukaryote is regulated by GTP to GDP transformation.
    c- The 1st aminoacid is methionine
    d- Synthesized from DNA in 3’ - 5’.
    Ans: d- Synthesized from DNA in 3’ - 5’.
    Ref: Lippincott Biochemistry p-429, 435, 401

    The ‘C’ terminal of Adrogen receptor is essential for -
    a- Ligand binding site
    b- Target binding site
    c- Transcription efficacy.
    Ans: a- Ligand binding site
    Ref: Harper’s 27th ed. p-477

    The function of 2,4 DNP is -
    a- Uncoupler of electron transport chain
    b- Inhibits transport of ADP aippg.com
    Ans: a- Uncoupler of electron transport chain
    Ref: Harper’s 27th ed. p-107

    Blackening of urine occurs in -
    a- Maple syrup urine disease
    b- Alkaptonuria
    c- Phenyl ketonuria
    d- Isovalanic academia
    Ans: b- Alkaptonuria
    Ref: Ghai 6th p-610

    Clotting factor present in both plasma and serum is-
    a- Factor VIII
    b- Thrombin
    c- Factor V
    d- Factor VII
    Ans: d- Factor VII
    Ref: Ganong/22nd/539

    True about cardiac muscle re all except -
    a- Have multiple nuclei
    b- Have gap junctions
    c- Syncytium
    d- Branched aippg.com
    Ans: a- Have multiple nuclei
    Ref: Ganong/22nd/78
  5. R.dass

    R.dass Guest

    In EEG, Delta wave is seen in -
    a- Deep sleep
    b- 1st stage sleep
    c- Arousal
    Ans: a- Deep sleep aippg.com
    Ref: Ganong/23rd/194, 195

    Conversion of short term memory into long term memory occurs in
    a- Frontal cortex
    b- Hippocampus
    c- Amygdala
    d- Hypothalmus
    Ans: b- Hippocampus
    Ref: Internal Medicine 16th/2394

    Which of the following statement about small intestinal motility is not true?
    a- Abdominal distention increases motility
    b- Independent of stomach motility
    c- Acetylcholine increases small intestinal motility
    d- CCK increases small intestinal motility
    Ans: b- Independent of stomach motility
    Ref: Ganong/22nd/481, 485, 486

    Enzyme not stable at acidic pH is all except -
    a- Trypsin
    b- Chymotrypsine
    c- Pepsin
    d- Carboxypeptidase
    Ans: c- Pepsin
    Ref: Ganong/22nd/468, 471

    Which of the following hormone in not secreted by kidney?
    a- Renin
    b- Angiotensin I aippg.com
    c- 1,25-Dihydroxycholecalciferol
    d- Erythropoietin
    Ans; b- Angiotensin I
    Ref: Ganong/22nd/454

    A granular endoplasmic reticulum is involved in the synthesis of -
    a- Vitamin
    b- Lipid
    c- Protein
    d- Carbohydrate
    Ans: b- Lipid
    Ref: Ganong/22nd/18

    Botulinum toxin involve all of the following except -
    a- Neuro : Muscular Junction
    b- Postganglionic parasympathetic ganglia
    c- Peripheral ganglia
    d- CNS
    Ans: d- CNS
    Ref: Ganong/22nd/87

    Site of RBC formation in adult is -
    a- Long bones
    b- Flat bones
    c- Liver
    d- Spleen aippg.com
    Ans: b- Flat bones
    Ref: Ganong/22nd/515

    Papez circuit in limbic system involve -
    a- Anterior thalamic nuclei
    b- Pulvinar nuclei
    c- Anterior hypothalamic nuclei
    d- Interlaminar nuclei
    Ans: a- Anterior thalamic nuclei
    Ref: Ganong/22nd/256
  6. Joseph.

    Joseph. Guest

    In the process of learning and memory all of the following are true except -
    a- It involves change in the level of nmeurotransmitter at synapse
    b- There is proliferation of neurone
    Ans: b- There is proliferation of neurone aippg.com
    Ref: Ganong/22nd/270, 269, Harrison 16th/2395

    Brocas area is involved in -
    a- Word formation
    b- Word interpretation
    Ans: a- Word formation
    Ref: Ganong/22nd/273

    FAB L3 refers to -
    a- Pre B ALL
    b- T cell ALL
    c- B cell ALL
    d- Mixed AL
    Ans: c- B cell ALL
    Ref: Harrison/16th/642

    Tumor marker for Paget’s disease of the breast is -
    a- HMB 45
    b- CEA
    c- S100
    d- 1 Synaptophysine
    Ans; b- CEA

    Autosomal recessive trait seen in child, despite normal parent is due to -
    a- Uniparetal Disomy
    b- Mosaicism
    c- Maternal Inheritence aippg.com
    Ans; a- Uniparetal Disomy
    Ref: Nelson /17th/389

    Basement membrane damage is mediated by -
    a- Oxidase
    b- Metalloproteinase
    c- Hydroxylase
    Ans: b- Metalloproteinase
    Ref: Internet References, Basis/7th/111

    Absolute indication for Bone Marrow biopsy -
    a- Hairy cell leukemia
    b- Acute leukemia
    c- Megaloblastic anemia
    d- Gaucher’s disease
    Ans; b- Acute leukemia
    Ref: Clinical diagnosis and management by John Bernard Henry/20th/541

    For diagnosis of systemic amyloidosis which of the following test is done -
    a- kidney biopsy
    b- Rectal biopsy
    c- Skin biopsy
    d- Electrophoresis
    Ans: b- Rectal biopsy
    Ref: Basis Pathology /7th/264

    Autoimmune haemolytic anemia is seen in -
    a- T cell lymphoma
    b- B cell lymphoma
    c- AML
    d- ALL
    Ans: b- B cell lymphoma
    Ref: Basis Pathology /7th/673, 674

    The mode inheritance reflected by the given pedigree is -
    a- Autosomal dominant aippg.com
    b- Mitochondrial
    c- Autosomal recessive
    d- X-linked dominant
    Ans: b- Mitochondrial
    Ref: Harrison/16th/374-375
  7. Joseph.

    Joseph. Guest

    Which of the following is a feature of irreversible cell injury in electron microscopy?
    a- Swelling of endoplasmic reticulum
    b- Amorphous densities in mitochondria
    c- Disaggregation of ribosome aippg.com
    d- Damage to cell membranes
    Ans: b- Amorphous densities in mitochondria
    Ref; Robbins/6th/9

    Virus laden cell is specifically killed by -
    a- T cell
    b- Neutrophil
    c- Complement
    d- NK cell
    Ans: d- NK cell
    Ref: Basis Pathology /7th/201, 198

    Brown’s sign is seen in -
    a- Acoustic Neuroma
    b- Otosclerosis
    c- Meinier’s disease
    d- Glomus juglarae
    Ans: d- Glomus juglarae
    Ref: Dhingra/3rd/139

    Which one of the following is the commonest site involved in CSF rhinorrhoea?
    a- Ethmoid bone
    b- Frontal sinus
    c- Petrous part of temporal bone
    d- Sphenoidal sinus
    Ans: a- Ethmoid bone
    Ref: Dhingra/3rd/202, CSDT - 11th p - 983

    About rhinophyma true statement is -
    a- Due to involvement of sweat gland
    b- Is a hypertrophied sebaceous gland
    Ans: b- Is a hypertrophied sebaceous gland
    Ref: Dhingra/3rd/177

    In trauma to the temporal bone with injury to VIIth cranial nerve. Which is true?
    a- Longitudinal fracture
    b- Transverse Fracture
    c- Always associated with CSF leak aippg.com
    d- The paralysis of VIIth cranial nerve is always complete
    Ans; b- Transverse Fracture
    Ref: Dhingra ENT - 139

    Earliest nerve affected in Acoustic neuroma is -
    a- CN VII
    b- CN X
    c- CN V
    d- CN IX
    Ans: c- CN V

    Rhinolalia clausa is caused by all except-
    a- Palatal paralysis
    b- Adenoid
    c- Allergic rhinitis
    d- Nasal polyp
    Ans: a- Palatal paralysis
    Ref: Dhingra/3rd/380

    In the case of temporal bone fracture the investigation of choice will be -
    a- MRI
    b- Ct Scan
    c- Plane X-ray lateral view
    Ans: b- CT scan
    Ref: Dhingra ENT - 3rd, Harrison - 16th p - 2448-9

    Cherry red spot is found in all of the following except -
    a- Nimen Pick’s disease
    b- GMI gangliosidosis aippg.com
    c- Krabbe’s disease
    d- Multiple sulfatase deficiency
    Ans: c- Krabbe’s disease
    Ref: Basak/3rd/242
  8. Joseph.

    Joseph. Guest

    Which one of the following retinal disease is transmitted as Autosomal Dominant trait?
    a- Bardet - biedle syndrome
    b- Gyrate atrophy
    c- Best disease aippg.com
    d- Bassen Kornzweig syndrome
    Ans: c- Best disease
    Ref: Rudolph’s pediatrics/21st/26, 21, 9

    Absence of lamina cribrosa occurs in:
    a- Optic nerve hypoplasia/agenesis
    b- Morning glory syndrome
    c- Drusen
    d- Non opthalmia
    Ans: b- Morning glory syndrome
    Ref: Basak/3rd/262

    Cat eye syndrome is -
    a- Partial Trisomy 21
    B- Partial Trisomy 18
    c- Partial Trisomy 13
    d- Partial Trisomy 22
    Ans: d- Partial Trisomy 22
    Ref: www.webmet.com/hw/vision

    Childhood blindness is associated with all except:
    a- Glaucoma
    b- Opthalmia neonatorum
    c- Malnutrition
    d- Congenital dacryocystitis
    Ans: d- Congenital dacryocystitis
    Ref: Khurana/3rd/342, 425, CPDT 17th/ch-15

    SAFE strategy for Trachoma includes all of the following except
    a- Screening aippg.com
    b- Antibiotics
    c- Face wash
    d- Environmental improvement
    Ans: a- Screening
    Ref: Basak/3rd/370

    Which of the following does not handle free radicle in lens?
    a- Vitamin A
    b- Vitamin B
    c- Vitamin C
    d- Catalase
    Ans: d- Catalase
    Ref: Internet and Parson/275

    All statements are true about pailloedema except:
    a- Collection of extracellular fluid
    b- Disruption of neurofilament
    c- Stasis of axoplasmic transport
    d- Swelling of the axom
    Ans: b- Disruption of neurofilament
    Ref: Khurana/3rd/285, Parson 19th/367, Harrison 16th.

    A child presents with unilateral proptosis which was compressible and increased on bending forward. No thrill or bruit was present. MRI shows retroorbital mass with enhancement with echogenic shadows. What is the most probable condition?
    a- Orbital AV malformation
    b- Orbital Varix
    c- Orbital encephalocele
    d- Neurofibromatosis
    Ans: b- Orbital Varix
    Ref: Basak/3rd/284-5

    Which of the following statements about mycosis fungoides is mot true?
    a- It is the most common skin lymphoma
    b- Pautriers micro abscesses are common
    c- It has a indolent course and good prognosis
    d- It presents with diffuse erythroderma aippg.com
    Ans: c- It has a indolent course and good prognosis
    Ref: Harrison 16th/653, Robbins 6th/1191

    An infant presented with erythematous lesions on cheek, extensor aspect of limbs, mother has history of bronchial asthma, the probable diagnosis is:
    a- Air borne contact dermatitis
    b- Atopic dermatitis
    c- Seborrhic dermatitis
    d- Infectious exzematoid dermatitis
    Ans: b- Atopic dermatitis
    Ref: Harrison 16th/288
  9. Joseph.

    Joseph. Guest

    Pityriasis rosea is a -
    a- chronic relapsing disease
    b- It is an autoimmune disease
    c- Caused by dermatophytes
    d- Self resolving
    Ans: d- Self resolving aippg.com
    Ref: Harrison 16th/292

    Spalding sign is seen in -
    a- Putrefaction
    b- Saponification
    c- Maceration
    d- Mummification
    Ans: c- Maceration
    Ref: Reddy/23rd

    Mercury causes Nephrotoxicity by involving -
    a- DCT
    b- PCT
    c- Loop of Henle
    d- Collecting duct
    Ans: b- PCT
    Ref: Reddy/23rd/451

    Burtonian line is seen in -
    a- Mercury poisoning
    b- Lead poisoning
    c- Copper poisoning
    d- Arsenic poisoning
    Ans: b- Lead poisoning
    Ref: Reddy/23rd/473

    Acrodynia is seen in the poisoning of -
    a- Lead poisoning
    b- Arsenic poisoning
    c- Mercury poisoning
    d- Phenol poisoning
    Ans: c- Mercury poisoning
    Ref: Reddy/23rd/451

    All of the following are arylsulphate except -
    a- Parathione
    b- Malathione
    c- TIK-20
    d- Folidol aippg.com
    Ans: b- Malathione
    Ref: Reddy/20th ed./436

    Epiphyseal tumor is -
    a- Osteoclastoma
    b- Chondromyxoid fibroma
    c- Osteosarcoma
    d- Ewing sarcoma
    Ans: a- Osteoclastoma
    Ref: Maheswary

    About posterior cruciate ligment true statement is -
    a- Prevent posterior displacement of tibia
    b- Attaches to lateral femoral condyle
    c- Intra Synovial
    d- Inserted on medial side of medial femoral condyle
    Ans: a- Prevent posterior displacement of tibia
    Ref: Oxford textbook of surgery/2nd /46.

    A 15yrs old boy presented with mass in lower femur, which on X-ray was found to have Codman’s triangle and surgery appearance. the diagnosis is:
    a- Ewing’s Tumour
    b- Osteosarcoma
    c- Osteoclastoma
    d- Osteomyelitis
    Ans: b- Osteosarcoma
    Ref: Maheswary 2nd

    Claw hand is caused by lesion of-
    a- Ulner nerve
    b- Median nerve
    c- Axillary nerve aippg.com
    d- Radial nerve
    Ans: a- Ulner nerve
  10. Joseph.

    Joseph. Guest

    Meralgia paraesthetica is due to involvement of which of the following nerve-
    a- Femoral nerve
    b- Genitofemoral nerve
    c- Lateral cutaneous nerve of thigh
    d- Medial cutaneous nerve of thigh aippg.com
    Ans: c- Lateral cutaneous nerve of thigh

    Most common type of injury to spinal cord is-
    a- Flexon
    b- Extension
    c- Compression
    d- Flexon rotation
    Ans: a- Flexon
    Ref: Maheswary 2nd/144

    Tube (Cyllinder) cast is applied for the fracture of -
    a- Shoulder
    b- Hip
    c- Pelvis
    d- Knee
    Ans: d- Knee
    Ref: Maheswary 2nd/13

    Which of the following is not true case of congenital tortiocollis?
    a- Seen only in cases o breech vaginal delivery
    b- It can disappear spontaneously
    c- It is also known as Sternomastoid tumour
    d- Untreated, neglected cases can result in plagiocephaly
    Ans: a- Seen only in cases o breech vaginal delivery
    Ref: Maheswary 3rd/272

    Osteoarthritis of knee involves:
    a- Hamstring
    b- Quadriceps
    c- Both A & B
    d- Gestrocneimius
    Ans: b- Quadriceps
    Ref: Internal References

    Bohler angle measurement gives the reference for:
    a- calcaneum
    b- Talus aippg.com
    c- Navicular
    d- Cuboid
    Ans: a- calcaneum
    Ref: Internet

    Burst Fracture of spine is a -
    a- Compression Fracture
    b- Extension injury
    c- Direct injury
    Ans: a- Compression Fracture
    Ref: Maheswary 2nd/144

    All of the following investigations are needed for the diagnosis of osteosarcoma, except:
    a- MRI of femur
    b- Bone marrow biopsy
    c- Bone scan
    d- CT chest
    Ans: b- Bone marrow biopsy
    Ref: Harrison/16th/561

    Indicators of bone formation includes all of the following except:
    a- Osteocalcin
    b- Alkaline phosphatase
    c- Hydroxyprolin
    d- Bone scan aippg.com
    Ans: c- Hydroxyprolin
    Ref; Internal Medicine p-2281

    CSF picture in tubercular meningitis is -
    a- Increased protein, increased sugar, increased lymphoma
    b- Increased protein, decreased sugar, increased lymphoma
    c- Decreased protein, increased sugar, increased lymphoma
    d- Decreased protein, decreased sugar, increased lymphoma
    Ans: b- Increased protein, decreased sugar, increased lymphoma
    Ref: Nelson 17th
  11. R.dass

    R.dass Guest

    What is pentalogy of Fallot?
    a- TOF with PDA
    b- TOF with ASD
    c- TOF with CoA aippg.com
    Ans: b- TOF with ASD
    Ref: Nelson 17th, Stemann Dictionary 26th/1322

    Commonest childhood malignancy is -
    a- Leukemia
    b- Lymphoma
    c- Neuroblastoma
    d- Wilm’s tumor
    Ans: a- Leukemia
    Ref: Ghai 6th

    A one year old child with bronchial asthma. The treatment given for prophylaxis:
    a- Theophyllin (long acting)
    b- Oral ketotifen
    c- Inhaled beta 2 agonist
    d- Oral leukotrience receptor antagonist
    Ans: c- Inhaled beta 2 agonist
    Ref: Ghai 6th/356-357

    Moro reflux disappear at -
    a- 5 months
    b- 3 months
    c- 7 months
    d- 6 months
    Ans: d- 6 months
    Ref: Ghai 6th/146, Nelson/17th/1979

    Which of the following appears 1st in child?
    a- Creeping
    b- Crawling
    c- Mirror play
    d- Pincer grasp
    Ans: c- Mirror play
    Ref: Ghai 6th/44

    A 6yrs old child with an IQ50 So, can do which of the following task-
    a- Draw a triangle
    b- Recognise colours
    c- Ride a bicycle
    d- Read a sentence aippg.com
    Ans: b- Recognise colours
    Ref: Ghai 6th/46-47.

    All of the following are true about Kawasaki disease except-
    a- Purulent conjunctivitis
    b- Swelling of limb
    c- Rash
    d- Fever
    Ans: a- Purulent conjunctivitis
    Ref: Ghai 6th/586

    All of the following reflexes are present at birth except-
    a- Rooting reflex
    b- Symetrical tonic neck reflex
    c- Asymmetrical neck reflex
    d- Crossed extensor reflex
    Ans: b- Symetrical tonic neck reflex
    Ref: Ghai 6th/146, Nelson/17th/1979

    A premature baby of 34 weeks was delivered. The baby had a bullous lesion on the baby and x-ray showed periostitis what will be the next diagnostic procedure-
    a- VDRL of mother and baby
    b- ELISA for HIV
    c- PCR for Herpes
    d- HBsAg for mother
    Ans: a- VDRL of mother and baby
    Ref; CMDT- 17th/ch-38

    All of the following is associated with good prognosis in childhood leukemia except -
    a- Common ALL subtype
    b- Precursor B cell ALL
    c- Hyperdiploidy aippg.com
    d- Female gender
    Ans: b- Precursor B cell ALL
    Ref: Ghai 6th/562, Nelson/17th/1696, Basis Pathology 7th/673.
  12. R.dass

    R.dass Guest

    The commonest organism responsible for meningitis in 1 year old child is -
    a- Listeria
    b- E. coli
    c- H. Influenza
    d- Type B pneumococcus aippg.com
    Ans: d- Type B pneumococcus > c- H. Influenza
    Ref: Nelson/17th/2038

    Tuberculoid is seen in -
    a- Lupus vulgaris
    b- Lichen secrofulosorum
    c- Lupus Serofulocium
    d- Lupus
    Ans: b- Lichen secrofulosorum
    Ref: Nelson/17th/2229.

    Seizures and Jitteriness can be differentiated by all except -
    a- Gaze
    b- Autonomic disturbance
    c- Sensitivity to stimulus
    d- Frequency of movements
    Ans: d- Frequency of movements
    Ref: Nelson/17th/2021,
    Paediatric neurology by Fenichel 4th/p-4

    A newborn has congestive heart failure, not improving on treatment. He has bulging anterior fontanelle with a bruit o auscultation on trans fontanelle USG a hypo echoic midline mass in seen with dilated lateral ventricles. Most probable diagnosis is:
    a- Vein of galen malformation
    b- Medulloblastoma
    c- Arachnoid cyst
    d- Encephalocele
    Ans: a- Vein of galen malformation
    Ref: Nelson/17th/2037.

    The most common cause of short stature is -
    a- Constitutional delay
    b- Growth hormone deficiency
    c- Cretinism
    Ans: a- Constitutional delay
    Ref: Nelson/17th/1851.

    A child has started mouthing objects, shows likes and dislikes and not yet developed stanger anxiety. The age of child is -
    a- 3 month
    b- 5 months aippg.com
    c- 7 months
    d- 9 moths
    Ans: b- 5 months
    Ref: Nelson/17th/36, Ghai- 6th/51

    A child with one week history of URTI, presents with stridor, which decreases on lying position. What is your diagnosis?
    a- Acute epiglottitis
    b- Laryngotracheobronchitis
    c- Retropharyngeal abscess
    d- Foreign body in larynx
    Ans: b- Laryngotracheobronchitis
    Ref: Nelson/17th/1406, Ghai- 6th/340.

    All of the following diseases are spread by louse as a vector except:
    a- Relapsing fever
    b- Q fever
    c- Epidemic typhus
    d- Trench fever
    Ans: b- Q fever
    Ref: Perk- 18th/239

    Which one of the following methods is used for the estimation of the chlorine demand of water?
    a- Chlorometer
    b- Horrock’s apparatus
    c- Berkfeld filter
    d- Double pot method
    Ans: b- Horrock’s apparatus
    Ref: Perk- 18th/528, 540

    Chronic carrier state is seen in all except:
    a- Typhoid
    b- Measles
    c- Hepatitis B
    d- Gonorrhoea aippg.com
    Ans: b- Measles
    Ref: Perk- 18th/125
  13. R.dass

    R.dass Guest

    OCP is useful is all except:
    a- Ectopic pregnancy
    b- Ca Endometrium
    c- Ca breast aippg.com
    d- Rheumatoid arthritis
    Ans: c- Ca breast
    Ref: Perk- 18th/369, Shaw - 13th/226-7

    Which ICUD lasts for 10 years?
    a- Cu-T-380-A
    b- Cu-220 c
    c- Nava T
    d- Progestasert
    Ans: a- Cu-T-380-A
    Ref: Perk- 18th/363.

    All of the following indicators are included in physical quality of life index (PQLI) except-
    a- Infant mortality rate
    b- Literacy rate
    c- Per capita income
    d- Life expectancy at age one
    Ans: c- Per capita income
    Ref: Perk- 18th/16.

    Case finding in RNTCP is based on -
    a- Sputum culture
    b- Sputum microscopy
    c- X-ray chest
    d- Mantoux test/PCR
    Ans: b- Sputum microscopy
    Ref: Perk- 18th/160.

    The followings statements are true about intrauterine devices (IUD) except:
    a- Multiload Cu-375 is a 3rd generation IUD
    b- The pregnancy rate of lippes loop and Cu-T 200 are similar
    c- IUD can be used for emergency contraception with in 5 days
    d- Levonorgestrel releasing IUD has an effective life of 5 year
    Ans: a- Multiload Cu-375 is a 3rd generation IUD
    Ref: Perk- 18th/363, Perk- 17th/340.

    Incineration is not done for -
    a- Waste sharps
    b- Human waste
    c- Cytotoxic waste
    d- Solid waste
    Ans: a- Waste sharps aippg.com
    Ref: Perk- 18th/596

    Which of the following is the “Least common” complication of measles?
    a- Diarrhoea
    b- Pneumonia
    c- Otitis media
    d- SSPE
    Ans: d- SSPE
    Ref: Perk- 18th/126, CDMT/2006/1363

    You have diagnosed a patient clinically as having SLE and ordered 6 tests. Out of which 4tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know-
    a- Prior probability of SLE, sensitivity and specificity of each test
    b- Incidence of SLE and predictive value of each test
    c- Incidence and prevalence of SLE
    d- Relative risk of SLE in this patient
    Ans: a- Prior probability of SLE, sensitivity and specificity of each test
    Ref: Harrison - 15th/500.

    Direct standardization is used to compare the mortality rates between two countries. This is done because of the difference in -
    a- Cause of death
    b- Numerators
    c- Age distributions
    d- Denominators
    Ans: c- Age distributions
    Ref: Perk- 18th/53-4

    Leprosy affects all except-
    a- uterus
    b- Ovary aippg.com
    c- Eye
    d- Nerves
    Ans: b- Ovary/a- uterus
    Ref: Harrison - 16th/966.
  14. R.dass

    R.dass Guest

    For prevention of tetanus neonatorum, all of the following are effective, except:
    a- Give 2 doses of TT pregnant woman
    b- Immunize all woman of reproductive age group with 2 doses of TT
    c- Give penicillin to neonate
    d- Practicise 5 cleans aippg.com
    Ans: c- Give penicillin to neonate
    Ref: Perk- 18th/25.

    In comparison to cow milk, which one of the following is more in human milk?
    a- Lactose
    b- Protein
    c- Minerals
    d- Iron
    Ans: a- Lactose
    Ref: Perk- 18th/455

    Which of the following vaccine is not included in EPI, schedule -
    a- Tetanus Toxoid
    b- DPT
    c- MMR
    d- DT
    Ans: c- MMR
    Ref: Perk- 18th/103.

    For obesity BMI should be -
    a- >=20
    b- >=50
    c- >=40
    d- >=30
    Ans: d- >=30
    Ref: Perk- 18th/317, Ghai- 6th/p-481, Harrison 16th/426.

    A diagnosed patient with boarder line tuberculoid leprosy presented with severe neuritis. The treatment prescribed to him should be-
    a- MDT
    b- MDT with corticosteroid
    c- Corticosteroid
    d- Antibiotic
    Ans: b- MDT with corticosteroid aippg.com
    Ref: Perk- 18th/261.

    The major purpose of randomization in a clinical trial is to -
    a- Facilitate double binding
    b- Help ensure the study subjects are representative of general population
    c- Ensure the groups are comparable on base line characteristics
    d- Reduce selection bias in allocation to treatment
    Ans: d- Reduce selection bias in allocation to treatment
    Ref: Perk- 18th/76.

    Several studies have shown that 85% of cases of lung cancer are due to cigarette smoking. It is a measure of-
    a- Incidence rate
    b- Relative risk
    c- Attributable risk
    d- Absolute risk
    Ans: c- Attributable risk
    Ref: Perk- 18th/72.

    During Rubella vaccination, 1st priority is given to -
    a- All child
    b- 15-39 year old female
    c- Adolescent girl
    d- Pregnant woman
    Ans: b- 15-39 year old female
    Ref: Perk- 18th/129.

    The highest percentage of polyunsaturated acids are -
    a- groundnut oil
    b- Soyabean oil
    c- Margarine oil
    d- Palm oil
    Ans: b- Soyabean oil
    Ref: Perk- 18th/440.

    True of BCG vaccination in all except:
    a- Uses Danish 1331 strain
    b- Distilled water is used as diluent
    c- Spirit is used for cleaning the skin aippg.com
    Ans: b- Distilled water is used as diluent
    Ref: Perk- 18th/157.
  15. R.dass

    R.dass Guest

    Not true about lepromine test is -
    a- Helps in classification of leprosy
    b- Negative in most of the child in 1st 6 month of line
    c- It is a diagnostic test aippg.com
    d- BDG vaccination converts lepra reaction from negative to positive
    Ans: c- It is a diagnostic test
    Ref: Perk- 18th/258, 158.

    Which of the following is the best indicator of long term nutritional status in child?
    a- Body weight
    b- Mid arm circumference
    c- Weight for linear height
    Ans: c- Weight for linear height
    Ref: Perk- 18th/402.

    About herd immunity, all are true except:
    a- Depends on clinical and subclinical cases
    b- Influenced by immunization
    c- Depends on the presence of alternative host
    d- Herd immunity is constant
    Ans: d- Herd immunity is constant
    Ref: Perk- 18th/95.

    Results of a test were given as very satisfied, satisfied, dissatisfied it represents
    a- Nominal scale
    b- Ordinal scale
    c- Interval scale
    d- Ratio scale
    Ans: b- Ordinal scale
    Ref: High yield Biostatics by Anthony N. Glaser/1st ed. pg-5.

    Two drugs were given to two subsets of population and the response was noted as cured and not cured. From the data given below:
    Drugs Cured Not cured
    A 510 100
    B 110 50
    Total 620 150
    Which study design is more suitable?
    a- Student T test
    b- Paired T test aippg.com
    c- Chi square test
    d- Bland and Altman test
    Ans: c- Chi square test
    Ref: NMS Biostat - p-59, B K Mahajan - 6th/130.

    True about cluster sampling is all except;
    a- Sample size is same as SRS
    b- Rapid method
    c- It is independent of the result
    d- It is done for evaluating the immunization status
    Ans: a- Sample size is same as SRS
    Ref: B K Mahajan - 6th/100, 101.

    A patient admitted to an ICU is on central venous line for at least one week. He is on ceftazidime and amikacin. After 7 days of antibiotics he developed spikes of fever, and his blood culture is positive for gram positive cocci in chains, which are catalase negative. Following this vancomycin was started but the culture remained positive for the same organism even after 2 weeks of therapy. The most likely organism is-
    a- Stap. Aureus
    b- Viridans streptococci
    c- Enterococcus faecalis
    d- Coagulase negative staph
    Ans: c- Enterococcus faecalis
    Ref: H/16th/815, 830 & Panikar/7th/216

    An infant had high grade fever and respiratory distress at the time of presentation to the emergency room. The sample collected for blood culture was subsequently positive showing growth of beta hemolytic colonies. On gram staining these were gram positive cocci. In the screening test for identification, the suspected pathogen is likely to be susceptible to the following agent:
    a- Bacitracin
    b- Novobiocin
    c- Optochin
    d- Oxacillin
    Ans: a- Bacitracin
    Ref: Panikar/7th/216

    Which one of the following statement is true?
    a- Solid media are enrichment media
    b- Nutrient broth is a basal media
    c- Agar add nutrient to the media
    d- Chocolate agar is a selective media
    Ans: b- Nutrient broth is a basal media
    Ref: Panikar/7th/34 to 38.

    With reference to bacteroides fragilis the following statements are true, except:
    a- B. fragilis is the same frequent anaerobe isolated from clinical samples
    b- B. fragilis is not uniformally sensitive to Metronidazole
    c- The lipopolysaccharide formed by B. fragilis is structurally and functionally different from the conventional endotoxins
    d- Shock and disseminated intravascular coagulation are common in bacteroides bacteremia aippg.com
    Ans: d- Shock and disseminated intravascular coagulation are common in bacteroides bacteremia
    Ref: Harrison 16th/944, 940
  16. R.dass

    R.dass Guest

    A person working in a abattoir presented with pustule on hand, which later turned into ulcer. Which stain will help to demonstrate the organism smear made from the pustule?
    a- Polychrome Methylene blue
    b- Carbol Fuschin
    c- PAS aippg.com
    d- Modified kinyoun stain
    Ans: a- Polychrome Methylene blue
    Ref: Harrison 16th, Panikar/7th/226

    Which of the following is not true regarding Chlamydia?
    a- Has biphasic life
    b- Elementary body is metabolically active
    c- Reticulate body undergo binary fission
    d- Once it invades into the cell it abates phagolysosomal fusion
    Ans: b- Elementary body is metabolically active
    Ref: Jawetz Microbiology

    Negri body is seen in -
    a- CMV
    b- Rabies
    c- Inclusion of herpes simplex
    d- EBV
    Ans: b- Rabies
    Ref: Jawetz 22nd/495

    About vibryo cholera all statements are true except:
    a- Non-halophilic
    b- Can grow in ordinary media
    c- Can survive outside the intestine
    d- Man is the only reservoir of cholera infection
    Ans: b- Can grow in ordinary media
    Ref: Harrison 16th/909

    Not true about vibryo O139 is-
    a- Can cause disease distinguishable from vibryo
    b- Was 1st isolated in Chennai?
    c- Has ‘O’ polysaccharide capsule
    d- Antibody to Vibrio cholera is not protective against O139
    Ans: a- Can cause disease distinguishable from vibryo
    Ref: Harrison 16th /910, Panikar/6th/285

    About Chlamydia Psittaci, all are true except:
    a- Caused by Parrot
    b- Causes Pneumonitis
    c- Causes, NGU (Non Gonococcal urethritis)
    d- Tetracyclin is drug of choice aippg.com
    Ans: c- Causes, NGU (Non Gonococcal urethritis)
    Ref: Harrison 16th /763, Panikar/6th/395

    True about Endemic typhus is -
    a- Man is the only reservoir
    b- Flea is a vector
    c- Rash develops into eschar
    d- Culture is a diagnostic modality
    Ans: b- Flea is a vector
    Ref: Perk- 18th/240, Panikar/6th/383

    An infant had high grade fever and respiratory distress at the time of presentation to the emergency room. The sample collected for blood culture was subsequently positive shows growth of a hemolytic colonies. On gram staining these were gram positive cocci. In the screening test for identification, the suspected pathogen is likely to be susceptible to the following agent:
    a- Bacitracin
    b- Novobiocin
    c- Optochin
    d- Oxacillin
    Ans: c- Optochin
    Ref: Panikar/7th/216

    BCYC is used for separation of -
    a- Streptococcus
    b- Listeria
    c- Legionella
    d- Leptospira
    Ans: c- Legionella
    Ref: Jawetz 22nd/270

    Chronic burrowing ulcer is caused by-
    a- Microaerophilic streptococcus
    b- Streptococcus viridans
    c- Streptococcus pyogenes
    d- Peptostreptococcus aippg.com
    Ans: a- Microaerophilic streptococcus
    Ref: Internet
  17. R.dass

    R.dass Guest

    When urine is heated to 45 centigrade, a precipitate is formed, when further heated to 80 centigrade, the precipitate starts dissolving again. The precipitate reforms on cooling is -
    a- albumin
    b- Bence-Jones protein aippg.com
    c- Presence of phosphate in urine
    Ans: b- Bence-Jones protein
    Ref: Panikar/6th/85

    Which complement is involved in common pathway of complement activation?
    a- C4
    b- C3
    c- C5
    d- Properdin B
    Ans: b- C3
    Ref: Harrison 16th /1915, Panikar/6th/104

    The drug of choice for obsessive compulsive disorder is -
    a- Olanzepin
    b- Fluoxetin
    c- Haloperidol
    d- Thioridazine
    Ans: b- Fluoxetin
    Ref: Ahuja - 5th - 100, Kaplan - 7th p-209

    Delusion is a disorder of -
    a- Thought
    b- Perception
    c- Insight
    d- Cognition
    Ans: a- Thought
    Ref: Ahuja - 5th - p-86

    Most common symptom of alcohol withdrawl is -
    a- Bodyache
    b- Tremor
    c- Diarrhoea
    d- Rhinorrhoea
    Ans: b- Tremor
    Ref: Ahuja - 5th - 40, Kaplan - 7th p-84

    All of the following are included in diagnosis of Bipolar disorder-
    a- Mania alone
    b- Depression alone aippg.com
    c- Mania and depression
    d- Mania and anxiety
    Ans: b- Depression alone
    Ref: Ahuja - 5th - p-74, Harrison /16th/2556

    Most common substance of abuse in India -
    a- cannabis
    b- Tobacco
    c- Alcohol
    Ans: a- cannabis
    Ref: Perk 18th/635

    Naltraxone is used in a case of opoid dependence to
    a- Prevent respiratory depression
    b- To treat withdrawl symptom
    c- To prevent relapse
    d- To treat overdose of opoid
    Ans: c- To prevent relapse
    Ref: Ahuja - 5th - p-46, KDT-4th/448

    All of the following antiepileptic drug act via Na+ channel, except
    a- Vigabatrin
    b- Topiramate
    c- Valporoate
    d- Phenetoin
    Ans: a- Vigabatrin
    Ref: Katjung 9th/387

    All of the following are Alkylating agents used in cancer chemotherapy-
    a- Chlorambucil
    b- Melphalan
    c- 5 FU aippg.com
    d- Cyclophosphamide
    Ans: c- 5 FU
    Ref: Harrison /16th/471
  18. R.dass

    R.dass Guest

    Neseritide is -
    a- Analogue of BNP (Brain natriuretic peptic)
    b- ANP aippg.com
    c- has long half life
    Ans: a- Analogue of BNP (Brain natriuretic peptic)
    Ref: Katjung 9th/209

    A child is on b2 agonist for treatment of asthma. He may have all of the following side effect, except:
    a- Tremor
    b- Tachycardia
    c- Hyperkalemia
    d- Hypokalemia
    Ans: c- Hyperkalemia
    Ref: Katjung 9th/325.

    All of the following insulin preparation are short acting except
    a- Insulin lispro
    b- Insulin aspart
    c- Insulin glargine
    d- Lente insulin
    Ans: c- Insulin glargine
    Ref: Katjung 9th/699

    Which of the following is a side effect of b2 agonist?
    a- Hypoglycemia
    b- Hypomagnesemia
    c- Hypophosphatemia
    d- Hypokalemia
    Ans: d- Hypokalemia
    Ref: Katjung 9th/325, Harrison /16th/476, 561

    High dose Methotrexate is given in -
    a- Osteosarcoma
    b- Chondrosarcoma
    c- Ewing’s sarcoma
    d- Retinoblastoma
    Ans: a- Osteosarcoma
    Ref: Katjung 9th/907, Harrison /16th/476, 561

    Which of the following drug is not used in erectile dysfunction -
    a- PGE 1
    b- Apomorphine
    c- Phenylephrine aippg.com
    d- Valadalafil
    Ans: c- Phenylephrine
    Ref: Katjung 9th/189

    Chemotherapeutic agent causing SIADH is -
    a- Cyclophosphamide
    b- Vincristine
    c- Visblastine
    d- D-carbazine
    Ans: b- Vincristine
    Ref: Harrison /16th/2102

    Which one of the following anticancer drugs causes hypercoagulability syndrome?
    a- Carbomustine
    b- 5FU
    c- L-asparaginase
    d- Melphalan
    Ans: c- L-asparaginase
    Ref: Katjung 9th/905

    Drug causing maximum peripheral neuropathy is -
    a- Zidovudine
    b- Lamivudine
    c- Stavudine aippg.com
    d- Didanosine
    Ans: d- Didanosine
    Ref: Katjung 9th, Harrison /16th/2505, 1128
  19. R.dass

    R.dass Guest

    Which one of the following antiplatelet is a prodrug -
    a- Aspirin
    b- Dipyridamol aippg.com
    c- Ticlopidine
    d- Clopidogrel
    Ans: c- Ticlopidine
    Ref: KDT 4th pg-21, Goodman-Gillman 10th p-1535

    Filgrastim is used in -
    a- Neutropenia
    b- Malaria
    c- Anemia
    d- Filaria
    Ans: a- Neutropenia
    Ref: Katjung 9th /539

    Finasteride acts by -
    a- Alpha blockade
    b- 5 alpha reductase inhibition
    c- Selective alpha blockade
    d- Acts by blocking androgen receptor
    Ans: b- 5 alpha reductase inhibition
    Ref: Katjung Pharmacology 9th/1030, 146

    True about Heparin is all except -
    a- Causes Alopecia
    b- Acts through AT III
    c- Increased Lipoprotein lipase
    d- Causes Hypokalemia
    Ans: d- Causes Hypokalemia
    Ref: Katjung 9th/545-548, Harrison /16th/261

    Which antitubercular drug is responsible for imparting orange colour to urine =
    a- Rifampicin
    b- Pyrazinamide
    c- Ethambutol
    d- Isoniazid
    Ans: a- Rifampicin
    Ref: Perk 18th/152

    All are non-selective b blockers without any additional action except-
    a- Carvedilol aippg.com
    b- Betaxolol
    c- Carteolol
    d- Labetalol
    Ans: b- Betaxolol
    Ref: Katjung 9th/150

    Which one of the following is not an antiepileptic -
    a- Phenobarbitone
    b- Carbamazepine
    c- Phenytoin
    d- Flunarizine
    Ans: d- Flunarizine
    Ref: Katjung 9th/277

    True about octreotide -
    a- Is active orally
    b- Is a growth hormone agonist
    c- Decreases secretory diarrhoea
    Ans: c- Decreases secretory diarrhoea
    Ref: Katjung 9th/1048

    Which of the following acts by hypomethylation -
    a- Gemcitabine
    b- 5 FU
    c- Decitabine
    Ans: c- Decitabine
    Ref: Harrison /16th/641

    Antidote for mushroom poisoning is -
    a- Neostigmine
    b- Physostigmine
    c- Amyl Nitrae aippg.com
    d- Atropine
    Ans: d- Atropine
    Ref: Katjung 9th/117
  20. R.dass

    R.dass Guest

    Prostaglandin that helps in protection of gastrointestinal mucosa is-
    a- PGE2
    b- PGE1 aippg.com
    c- PGD2
    d- PGI2
    Ans: b- PGE1
    Ref: Katjung 9th/299

    A patient presented with pain abdomen, constipation, and blue line on gums. The treatment of choice will be -
    a- Desferroxamine
    b- Penicillamine
    c- BAL
    d- Ca EDTA
    Ans: d- Ca EDTA
    Ref: Katjung 9th/973, Harrison /16th/2578

    Antipseudomonal antibiotic is -
    A- Cipofloxacin
    b- Cefaclor
    c- Vancomycin
    Ans: A- Cipofloxacin
    Ref: Katjung 9th/884, Harrison /16th/838

    A patient on aspirin will have -
    a- Increased PT
    b- Increased aPTT
    c- Increased BT
    d- Increased Thrombine time
    Ans: c- Increased BT
    c- Coronary heart disease

    All are true about clonidine, except -
    a- Causes dry mouth
    b- Prazosine antagonizes it action
    c- Stimulates parasympathetic outflows
    d- Alpha adrenergic agonist
    Ans: b- Prazosine antagonizes it action
    Ref: Katjung Pharma 9th/166

    All are true for immunosuppressant except -
    a- Tacrolimus inhibits calcinemin pathway
    b- Mycophenolale acts by inhibiting GMP dehydrogenase
    c- Prednisolone is used inregimen of transplant rejection
    d- Sirolimus acts through T cell modification aippg.com
    Ans: b- Mycophenolale acts by inhibiting GMP dehydrogenase
    Ref: Katjung 9th/941, 942, 589, 590

    A child was given leukotrience receptor antagonist for prophylaxis of asthma. The drug is:
    a- Monteleukast
    b- Zileuton
    c- Nedocromil
    Ans: a- Monteleukast
    Ref: Katjung 9th/330,331

    All of the following antiplatelet drug acts as GP IIb-IIIa antagonist except -
    a- Clopidogrel
    b- Abciximab
    c- Eptifibatide
    d- Trilofiban
    Ans: a- Clopidogrel
    Ref: Katjung 9th/554, 555

    Commonest cause of postmenopausal bleeding is -
    a- Ca cervix
    b- Ca endometrium
    c- Ca fallopian tube
    d- Estrogen use
    Ans: b- Ca endometrium
    Ref: COGDT- page-920

    Most common Serotype of HPV associated with invasive cervical carcinoma is -
    a- HPV 16
    b- HPV 18 aippg.com
    c- HPV 32
    d- HPV 36
    Ans: a- HPV 16
    Ref: Harrison /16th/1056, 1057
  21. Joseph.

    Joseph. Guest

    In pregnancy, with hypothyroidism not seen in
    a- PIH
    b- Preterm
    c- Poly hydramnios aippg.com
    d- Recurrent abortions
    Ans: c- Poly hydramnios
    Ref: DUTTA 6th/290

    Fibroid causes all of the following except-
    a- Menstrual irregularities
    b- Amenorrhoea
    c- Abdominal lump
    d- Infertility
    Ans: b- Amenorrhoea
    Ref: page - 342 Shaw’s Gynae.

    Uterine prolapse is prevented by all except -
    a- Utero Sacal ligament
    b- Broad ligment
    c- Pubocervical ligament
    d- Mackenrodt ligament
    Ans: b- Broad ligment
    Ref: BDC 3rd/320

    Ovarian tumor which most commonly undergoes torsion is -
    a- Benign cystic teratoma
    b- Dysgerminoma
    c- Endomentriod cyst
    Ans: a- Benign cystic teratoma
    Ref: DUTTA 6th/310

    Maximum increase in cardiac output during pregnancy is seen in -
    a- 32 weeks
    b- 36 weeks
    c- During labour
    d- Just after delivery
    Ans: d- Just after delivery
    Ref: DUTTA 6th/53

    In Bishop scoring all are included except -
    a- Effacement of cervix
    b- Dilatation of cervix
    c- Descent of head aippg.com
    d- Interspinous diameter
    Ans: d- Interspinous diameter
    Ref: DUTTA 6th/522

    Perinatal transmission of hepatitis B in maximum, when infection in mother occurs in -
    a- At implantation
    b- 1st trimester
    c- 2nd trimester
    d- 3rd trimester
    Ans: d- 3rd trimester
    Ref: Dutta OBS. p-292

    A child has TGA. The mother should be investigated for-
    a- Maternal PIH
    b- Gestational diabetes
    c- Thyroid disorder
    d- Hypertension
    Ans: b- Gestational diabetes
    Ref: DUTTA 6th/287, CMDT 2005- p-753.

    The shape of Nulliparous cervics is -
    a- Circular
    b- Transverse
    c- Longitudanal
    d- Fimbriated
    Ans: a- Circular
    Ref: Shaw’s Gynae. 13th/8

    Most common site of metastasis of choriocarcinoma is-
    a- Lung
    b- Liver
    c- Vagina aippg.com
    d- Bone
    Ans: a- Lung
    Ref: Novak’s gyn.
  22. Joseph.

    Joseph. Guest

    About sternocleidomastoid tumor all are true except -
    a- Always associated with breech
    b- Spontaenous resolution in most cases
    c- Two-third have palpable neck mass at birth
    d- Uncorrected cases develops plagiocephaly aippg.com
    Ans: a- Always associated with breech
    Ref: DUTTA 6th/486, Nelson/17th/2288.

    An ovarian cyst was identified in immediate postpartum period, the timing of surgery will be -
    a- 2 weeks
    b- 6 weeks
    c- 8 weeks
    d- Immediately
    Ans: d- Immediately
    Ref: DUTTA 6th/310

    In sterilization operation (Tubectomy), the site which is commonly preferred is -
    a- Ampulla
    b- Infundibulum
    c- Isthmus
    d- Cornua
    Ans: c- Isthmus
    Ref: DUTTA 6th/553

    Which of the following the most common cause of persistant trophoblastic disease, after H. Mole is -
    a- Invasive mole
    b- Choriocarcinoma
    c- Placental site trophoblastic tumor
    Ans: a- Invasive mole
    Ref: Novak’s/13th/1361, 1359

    In which of the following conditions external cephalic verson is not done -
    a- Primigravida
    b- PIH aippg.com
    c- Flexed breech
    d- Prematurity
    Ans: b- PIH
    Ref: COGDT-9th page-379

    In a IUGR baby the Doppler finding which will most significantly predict the intra uterine deaths of the foetus -
    a- Reverse diastolic flow
    b- Absence of diastolic flow
    c- Presence of diastolic flow
    d- Decreased diastolic flow
    Ans: a- Reverse diastolic flow
    Ref: DUTTA 6th/464, 110, 32

    Caudal regression syndrome is associated with -
    a- NIDDM
    b- Gestational Diabetes mellitus
    Ans: b- Gestational Diabetes mellitus
    Ref: COGDT

    The shape of cervical canal suggesting preterm delivery is -
    a- T shaped
    b- Y shaped
    c- U shaped
    d- O shaped
    Ans: c- U shaped
    Ref: Williams and internet.

    Technique of aspiration of sperm for invitro fertilization -
    a- MESA
    b- TESA
    c- GIFT
    d- ZIFT
    Ans: a- MESA
    Ref: Internet.

    Increased fetal Nuchal transluscency at 14 weeks is seen in -
    a- Down’s syndrome
    b- Esophageal atresia
    c- Turner’s syndrome aippg.com
    Ans: a- Down’s syndrome
    Ref: DUTTA 6th/645.
  23. Joseph.

    Joseph. Guest

    Which of the following syndrome is not associated with AML -
    a- Tuner’s syndrome
    b- Patau’s syndrome
    c- Klinfelter’s syndrome aippg.com
    d- Down’s syndrome
    Ans: a- Tuner’s syndrome

    Nevirapine is-
    a- NRTI
    b- NNRTI
    c- Protease inhibitor
    d- Fusion inhibitor
    Ans: a- NRTI
    Ref: Harrison 16th

    Which amyloid is found in the kidney of patient who have been on long term dialysis-
    a- A β2 M
    b- AL
    c- β2 microglobulin
    d- Transthyretin
    Ans: c- β2 microglobulin
    Ref: H/16th/2024, 2025.

    All of the following disease have Autosomal dominant mode of inheritance except:
    a- Marfan’s syndrome
    b- ADPKD
    c- Fabry’s disease
    d- Huntington’s disease
    Ans: c- Fabry’s disease
    Ref: H/15th/386

    HRT is helpful in all except:
    a- Vaginal atrophy
    b- Flushing
    c- Coronary heart disease
    d- Carbamazipine
    Ans: c- Coronary heart disease
    Ref: Harrison’s 16th/30

    Which Anti-epileptic is not contraindicated in pregnancy -
    a- Phenobarbitone aippg.com
    b- Phenytoin
    c- Valproate
    d- Carbamazipine
    Ans: a- Phenobarbitone
    Ref: CGODT/9th/431

    Which one of the following is a Leukotrience receptor antagonist-?
    a- Zileuton
    b- Zafirlukast
    c- Fluticasone
    Ans: b- Zafirlukast
    Ref: Katjung 9th/330-331

    Erythropoietin is increased in all except-
    a- Hepatocellular carcinoma
    b- Renal cell carcinoma
    c- Cerebellar hemangioblastoma
    d- Pancreatic carcinoma
    Ans: d- Pancreatic carcinoma
    Ref: Harrison 16th/627, H/15th/635.

    An adult man has an urethral discharge. The gram stain of the discharge does not reveal any organism. Which one of the following culture methods may isolate the organism-?
    a- Mc Coy culture
    b- Blood agar
    c- Chocolate agar
    d- Cetrimide agar
    Ans: a- Mc Coy culture
    Ref: Harrison 16th/764, 1012

    Reflux Nephropathy with nephritic range proteinuria commonly occurs in a patient with
    a- Nodular glomerulosclerosis
    b- Focal segmental glomerulosclerosis
    c- Membranous glomerulosclerosis
    d- Minimum change disease aippg.com
    Ans: b- Focal segmental glomerulosclerosis
    Ref: Harrison 16th/1686.
  24. R.dass

    R.dass Guest

    Which of the following drugs is not useful for MRSA-?
    a- Cefaclor
    b- Ciprofloxacin
    c- Cotrimoxazole aippg.com
    d- Vancomycin
    Ans: a- Cefaclor
    Ref: Harrison 16th/821, KDT/5th/659.

    Which bacteria acts by the mechanism of cyclical AMP Activation-
    a- CI.Difficile
    b- V.Cholerae
    c- B.Cereus
    d- B.Fragilis
    Ans: b- V.Cholerae
    Ref: H/16th/755

    A 45 yrs old male presented with a history of vomiting of 500ml of blood 24 hours back, BP 90/60, Pulse 110bpm, and splenomegaly 5cms below the costal margin. Most probable diagnosis is-
    a- Duodenal ulcer
    b- Portal hypertension
    c- Gastric ulcer
    d- Erosive gastritis
    Ans: b- Portal hypertension
    Ref: Harrison 16th/235 and 1863

    Brucellosis can be transmitted by all of the following modes except
    a- Contact with infected placenta
    b- Ingestion of raw vegetables from infected farms
    c- Person to person transmission
    d- Inhalation of infected dust or aerosol
    Ans: c- Person to person transmission
    Ref: Harrison 16th/914

    All of the following drugs are used to treat H.Pylori infection except
    a- Omeprazole
    b- Amoxycillin
    c- Oxytetracyclin
    d- Bismuth compound
    Ans: c- Oxytetracyclin
    Ref: Harrison 16th/1754

    A patient presented with cough and expectroration. The sputum culture shows gram negative organism which grows only on charcoal extract agar. The organism is-
    a- Listeria Monocytogenes
    b- Legionella
    c- M. Catarrhalis
    d- B. Psudomallei
    Ans: b- Legionella
    Ref: Harrison 16th

    In hereditary spherocytosis, membrane defect occurs due to all except-
    a- Glycophorin C
    b- Ankyin
    c- Band 3 ion exchanged protein
    d- Pallidin aippg.com
    Ans: a- Glycophorin C
    Ref: Harrison 16th/608, 609.

    CANCA is directed against -
    a- Myeloperoxidase
    b- Proteinase 3
    c- Lactoferrin
    d- Elastase
    Ans: b- Proteinase 3
    Ref: Harrison 16th/1959
  25. R.dass

    R.dass Guest

    Which of the following disease causes decrease in both VC and TLC?
    a- Sarcoidosis
    b- Cystic fibrosis
    c- Bronchial asthma aippg.com
    d- Bronchiactasis
    Ans: a- Sarcoidosis
    Ref: Internal medicine pg-2023

    All of the following investigations are done for diagnosis of multiple myeloma. Except-
    a- ESR
    b- X-ray
    c- Bone marrow biopsy
    d- Bone scan
    Ans: d- Bone scan
    Ref: H/16th/

    Pancytopenia with hypercellular bone marrow is seen in -
    a- Thalassemia
    b- PNH
    c- G-6 PD deficiency
    d- Myelodysplasia
    Ans: b- PNH
    Ref: Harrison 16th/617

    Which lab. Test is used for Dubin Johnson Syndrome-
    a- Bromoslphalein/sulphobromophthalein
    b- Transaminase
    c- Gamma glutamyl transferase test
    d- Alkaline phosphatase
    Ans: a- Bromoslphalein/sulphobromophthalein
    Ref: Internal medicine II pg-1820.

    Not seen in raised ICT -
    a- Headache
    b- Visual blurring
    c- Abducent nerve palsy
    d- Paraparesis
    Ans: d- Paraparesis
    Ref: Internal medicine pg-1632/1633

    Most common cause of Nephrotic syndrome in adult is -
    a- SLE
    b- Wegner’s granulomatosis
    c- Amyloidosis
    d- Diabetes mellitus
    Ans: d- Diabetes mellitus
    Ref: Internal medicine pg-1684.

    The following electrolyte abnormality will be found in a patient of chronic renal failure except -
    a- Hypocalcemia
    b- Hypophosphatemia
    c- Increased BUN
    d- Hyperkalemia
    Ans: b- Hypophosphatemia
    Ref: Harrison 16th/1655/1656.

    Drug used in obesity are all except:
    a- Sibutramine
    b- Oralistat
    c- Neuropeptide Y analog aippg.com
    d- Olestra
    Ans: c- Neuropeptide Y analog
    Ref: H/16th /249, Katjung /238.
  26. R.dass

    R.dass Guest

    All are true about Raynaund’s disease except:
    a- Good Prognosis
    b- More in female
    c- Antinuclear antibody test is positive aippg.com
    d- Raynound’s phenomenon test is positive
    Ans: c- Antinuclear antibody test is positive
    Ref: Harrison 16th/1489.

    Non specific esterase is seen in all except:
    a- AML M3
    b- AML M4
    b- AML M5
    d- AML M6
    Ans: d- AML M6
    Ref: Internal references, www.Pubmed.com , Wintrobes hematology/2064.

    Anaphylactic reaction or immediated hypersensitivity is mediated by-
    a- IgG
    b- IgE
    c- IgM
    d- IgA
    Ans: b- IgE

    About Arthus reaction true is -
    a- A delayed type hypersensitivity
    b- A systemic immune complex
    c- A localized immune complex deposition disease
    d- Mediated by antibody
    Ans: c- A localized immune complex deposition disease

    Not involved in entrapment neuropathy as -
    a- Ulnar
    b- Median
    c- Femoral
    d- Lateral cutaneous nerve of thigh
    Ans: c- Femoral
    Ref: Harrison 16th/2499, Maheswari/2nd/257.

    About S4 (4th heart sound), true statement is -
    a- Can be heard by unaided ear
    b- More than 20 Hz
    c- Heard during ventricular filling phase
    d- Heard during ventricular ejection phase
    Ans: c- Heard during ventricular filling phase
    Ref: Joules constant /5th/198, H/16th/1308.

    A young man with chronic small bowel diarrhoea, duodenal biopsy shows IgA antihuman tissue transglutaminase, and IgA antiendomysial antibody. What should be the next step?
    a- Rectal biopsy
    b- A trial of guiten free diet
    c- Colonoscopy
    d- Trial of proton pump inhibitors
    Ans: b- A trial of guiten free diet
    Ref: Harrison 16th/1770/1771.

    Treatment of choice for Zollinger Ellison syndrome is -
    a- Octreotide
    b- Gastrectomy
    c- H2 blocker aippg.com
    d- Protein pump inhibitor
    Ans: d- Protein pump inhibitor
    Ref: Harrisons
  27. R.dass

    R.dass Guest

    Cardiomyopathy is seen in all except
    a- Fredrich’s ataxia
    b- Duchene muscular dystrophy
    c- Lowe syndrome aippg.com
    d- Type II glycogen storage disease
    Ans: c- Lowe syndrome
    Ref: Harrison 16th/1408.

    All of the following are features of pontine hemorrhage except
    a- Quadriparesis
    b- Pinpoint pupil
    c- Hyperpyrexia
    d- Involvement of vagus nerve
    Ans: d- Involvement of vagus nerve
    Ref: Harrison 16th/1630.

    Which of the following statements is true about high altitude pulmonary edema (HAPE)?
    a- Not exacerbated by exercise
    b- Related to pulmonary vasoconstriction
    c- Occurs only in unacclimatized person
    d- Leads to low cardiac output
    Ans: b- Related to pulmonary vasoconstriction
    Ref: Harrison 16th

    In acute hemorrhage not seen is -
    a- Increased reticulocyte count
    b- Increased PCV
    c- Increased MCV
    d- Thrombocytosis
    Ans: c- Increased MCV
    Ref: Basis/7th/624.

    Changes seen in CCF is all except:
    a- Increased right atrial pressure
    b- Edema
    c- Increased serum sodium level
    Ans: c- Increased serum sodium level
    Ref: Internal medicine pg-256.

    Finding in DIC, includes all except -
    a- Increased fibrinogen, increased antithrombine III, increased Thrombine-antithrombine complex
    b- Increased FDP, Increased PT, Increased Thrombine-Antithrombine complex
    c- Increased FDP, Normal PT, Increased Antithrombine III
    d- Increased FDP, Increased PT, Decreased platelet
    Ans: c- Increased FDP, Normal PT, Increased Antithrombine III
    Ref: Internal medicine pg-684.

    About Benedict’s syndrome, all are true except:
    a- Causes 3rd CN palsy
    b- Involve penetrating branches of basilar artery
    c- Involve pons
    d- Contralateral athetosis and chorea
    Ans: c- Involve pons
    Ref: Internal medicine pg-174.

    A patient with antibodies to DNA is suffering from manifestations of Kidney, liver, skin problems. The probable diagnosis is:
    a- Systemic sclerosis
    b- Wegner’s granulomatosis
    c- SLE aippg.com
    d- Rheumatoid arthritis
    Ans: c- SLE
    Ref: Harrison 16th/1962, 1963.
  28. R.dass

    R.dass Guest

    Regarding Brawn-Sequard syndrome, which is not true -
    a- Contralateral spinothalamic tract involvement
    b- Ipsilateral loss of motor power aippg.com
    c- Contralateral posterior column with all except
    Ans: c- Contralateral posterior column with all except
    Ref: Harrison 16th/144/2440.

    Bernard solulier syndrome is associated with all except -
    a- Increased platelet size
    b- Decreased platelet count
    c- Normal Ristocetin test
    d- Normal ADP, test
    Ans: c- Normal Ristocetin test
    Ref: Harrison 16th/677-678.

    Which of the following are a minor Jone’s criteria for diagnosis of Rheumatic fever-?
    a- fever
    b- Increased ASO titre
    c- Throat culture
    d- Rheumatic fever
    Ans: a- fever
    Ref: Harrison 16th/1978.

    ECG changes in hypokalemia is reflected by -
    a- Prolongation of PR interval and ST depression
    b- QT prolongation with T wave inversion
    c- ST elevation with T wave inversion
    d- QT prolongation with ST depression
    Ans: a- Prolongation of PR interval and ST depression

    About Millard-Gubler syndrome, all are true except:
    a- Vth CN palsy
    b- VIth CN palsy
    c- VIIth CN palsy
    d- Contralateral hemiplegia
    Ans: a- Vth CN palsy
    Ref: Harrison 16th/175.

    Iron deficiency anemia is associated with:
    a- Increased TIBC, decreased Ferritin
    b- Decreased TIBC, decreased ferritin
    c- Normal TIBC, decreased ferritin
    d- Normal TIBC, Increased Ferritin
    Ans: a- Increased TIBC, decreased Ferritin
    Ref: Harrison 16th/588, 590.

    Drug induced lupus is associated with:
    a- Anti RO antibody
    b- Anti centromere antibody
    c- Anti Mitochondrial antibody
    d- Antihistone antibody
    Ans: d- Antihistone antibody
    Ref: Harrison 16th/1961.

    The most common type of pancreatic tumor in MEN I patient-
    a- Insulinoma
    b- Gastrinoma aippg.com
    c- Glucagonoma
    Ans: b- Gastrinoma
    Ref: Harrison 16th/2231/2232, CMDT - 2005/1154.
  29. Joseph.

    Joseph. Guest

    The test used to confirm H.Pylori eradication after treatment is-
    a- Rapid urase test
    b- Urea breath test
    c- Endoscopic biopsy aippg.com
    d- Stool antigen test/serological test
    Ans: b- Urea breath test
    Ref: Harrison 16th/1755

    Which of the following indicates CSF leak?
    a- β2 transferrin
    b- β protein
    c- Dyte test
    d- A β transferrine
    Ans: a- β2 transferrin
    Ref: Dhingra/3rd/202.

    Which one of the following investigations is done for hyperostosing of bone and joints-?
    a- Alkaline phosphatase
    b- Calcium
    c- Acid phosphatase
    d- Phosphorus
    Ans: a- Alkaline phosphatase
    Ref: Harrison 16th/2283.

    A 55 yrs old man presents with TLC-1 lakh, lymphocyte - 80%, Prolymphocyte - 20%. Diagnosis is -
    a- CLL
    b- HIV
    c- Tuberculosis
    d- Prolymphocytic leukemia
    Ans: a- CLL
    Ref: CMDT - 44th/492, 1286.

    In a patient with cardiogenic shock and Anterior wall infarct. The best treatment of choice will be -
    a- Angiography with angioplasty
    b- Intraaortic Ballon Pumb
    c- Dopamine drip
    d- Streptokinase
    Ans: a- Angiography with angioplasty
    Ref: Harrison 16th/1615.

    A 30yrs old man presents with generalized edema, hematuria, hypertension, and subnephrotic proteinuria (<2gm). Urine examination shows microscopic hematuria, serum complement is decreased, positive for hepatitis C antibodies. Diagnosis is-
    a- Focal segmental glomerulosclerosis
    b- Mixed cryoglobulinemia
    c- Lupus Nephritis
    d- MPGN
    Ans: b- Mixed cryoglobulinemia
    Ref: Harrison 16th/2011.

    All are associated with hypophosphatemia except:
    a- Diabetic ketoacidosis
    b- Acute renal failure
    c- Hyperalimentation aippg.com
    d- Respiratory alkalosis
    Ans: b- Acute renal failure
    Ref: Harrison 16th/2242, 1652.

    How will you calculate INR, when the patients PT, controls PT and ISI (1.4) is given?
    a- (Patients PT/Controls PT) 1.4
    b- (Patients PT/Controls PT) 1/1.4
    c- Patients PT/Calculated means normal PT
    Ans: a- (Patients PT/Controls PT) 1.4
    Ref: Goodman And Gillman 10th/1530.
  30. Joseph.

    Joseph. Guest

    A 30 yrs old man having MR and AF comes with history of syncope and regular pulse of 55 bpm. Most probable cause is-
    a- Digoxin toxicity
    b- Cerebral infarct
    Ans: a- Digoxin toxicity aippg.com
    Ref: Harrison 16th/1394.

    All of the following statements are true regarding thyroid lymphoma except-
    a- Most common in females
    b- Slow growing
    c- It is difficult to differentiate it from anaplastic carcinoma
    d- If it involves the isthamus it may present with respiratory insufficiency
    Ans: b- Slow growing
    Ref: Bally and Love 24th/802

    A 50yrs old man with family history of prostate carcinoma wants to undergo screening. The most sensitive test -
    a- Digital rectal examination
    b- PSA
    c- Both a and b
    d- Endorectal coil MRI with T1 and T2 weiged image
    Ans: c- Both a and b
    Ref: internal Medicine vol. 1 p-544

    Prognosis in head injury is best given by -
    a- Glasgow coma scale
    b- CT head
    c- Age of patient
    d- Mode of injury
    Ans: a- Glasgow coma scale

    Morgagnian hernia is seen at which site?
    a- Left anterior portion of the diaphragm
    b- Right anterior portion of the diaphragm
    c- Left posterior portion of the diaphragm
    d- Right posterior surface of the diaphragm
    Ans: b- Right anterior portion of the diaphragm
    Ref: CMDT 12th/20

    Which one of the following statements related to gastric injury is untrue-
    a- mostly related to penetratic trauma
    b- Treatment is simple debridment and suturing
    c- Blood in stomach is always related to gastric injury
    d- Heals well and fast
    Ans: c- Blood in stomach is always related to gastric injury
    Ref: Bally and Love 24th/287

    In order to expose the celiac axis, left renal vein, superior mensenteric artery, and abdominal aorta in a case of trauma, which side of visceral rotation is preferred?
    a- Left medial visceral rotation
    b- Right medial visceral rotation
    c- Cranial visceral rotation
    d- Caudal visceral rotation
    Ans: a- Left medial visceral rotation
    Ref: ACS surgery Principle and practice 2006

    Which of the following is a benign polyp -
    a- Juvenile polyp
    b- FAP aippg.com
    c- Juvenile Polyposis
    d- Peutz Jegher’s syndrome
    Ans: a- Juvenile polyp
    Ref: Harrison/16th/528
  31. Joseph.

    Joseph. Guest

    Which one of the following is not a type of thyroid carcinoma -
    a- Follicular
    b- Anaplastic
    c- Insular
    d- Merkel aippg.com
    Ans: d- Merkel
    Ref: Harrison/16th/2122

    A 60 year old smoker came with the history of one episode of painless and gross hematuria. The investigation of choice will be-
    a- Urine routine and microscopy
    b- Plain x-ray KUB
    c- USG KUB
    d- Urine microscopy for malignant cell
    Ans: d- Urine microscopy for malignant cell
    Ref: Hollarofrei Cancer medicine 6th/110

    True statements about pilonidal sinus is -
    a- Common in female
    b- Congenital
    c- Treatment of choice is excison
    d- Conservative treatment is done
    Ans: c- Treatment of choice is excison
    Ref: CSDT 11th/774

    Regarding gynecomastia false statement is -
    a- May regress spontaneously
    b- May regress after stopping the offending drug
    c- Subcutaneous mastectomy is always indicated
    d- Associated with liver failure
    Ans: c- Subcutaneous mastectomy is always indicated
    Ref: Harrison/16th/2192, CMDT 44th/1070

    In urethral rupture below peroneal membrane urine collects in-
    a- Perivesical space
    b- Deep peroneal pouch
    c- Superficial peroneal pouch
    d- Space of Ritzus
    Ans: c- Superficial peroneal pouch
    Ref: student’s edition, Gray’s anatomy/BDC/243

    A patient presented after RTA with Fracture pelvic, few drops of blood passed per urethral, not passed urine, palpable bladder, and likely cause is-
    a- Ureteral injury
    b- Bladder rupture
    c- Urethral injury
    d- Urine extravasation to peritoneum
    Ans: c- Urethral injury
    Ref: Bally and Love 23rd/1258

    An old man with type 2 diabetes mellitus presented with a history of dribbling of urine, urge incontinence, hesitancy, incomplete voiding. The most probable diagnosis is:
    a- BPH
    Ref: Bally and Love 23rd/1258
    Ans: Ref: Bally and Love 23rd/1258
    Ref: Harrison/16th/2165, 2166.

    In a abdominal trauma, the type of abdominal incison used to exclude the major organ damage is-
    a- Paramedian incison
    b- Median incison
    c- Transverse abdominal incision according to suspected organ damage
    Ans: b- Median incison
    Ref: Bally and Love 24th/288.

    In acute tissue injury, there is transient:
    a- Neutropenia
    b- Neutrophilia
    c- Lymphopenia
    d- Lymphocytosis
    Ans: a- Neutropenia
    Ref: Internet

    Which one of the following is true about external haemorrhoids-?
    a- Painful, below the dentate line
    b- Skin tag is not seen in these cases
    c- Ligation is done as a management for these cases
    d- None of the above aippg.com
    Ans: a- Painful, below the dentate line
    Ref: CSDT 12th/31
  32. R.dass

    R.dass Guest

    Posterior cruciate ligament – true statement
    a- Attached to the lateral femoral condyle
    b- Intra Synovial
    c- Prevents posterior dislocation of tibia
    d- Relaxed in full flexion Aippg.com
    Answer: c- Prevents posterior dislocation of tibia
    [Ref: BD Chaurasia 3rd edition Vol 2 page no. 127]

    Sternomastoid tumour is associated with all except:
    a- Always associated with breech extraction
    b- Spontaneous resolution in most cases
    c- 2/3rd have palpable neck mass at birth
    d- Uncorrected cases develop phagiocephaly
    Answer: a- Always associated with breech extraction
    [Ref. Schwartz volume 2 page 1719]

    Difference between typical cervical and thoracic vertebra
    a- Has a triangular body
    b- Has a foramen tranversarium
    c- Superior articular facet directed backwards & upwards
    d- Has a large vertebral body
    Answer: b- Has a foramen tranversarium
    [Ref: BD Chaurasia 3rd edition page no. 3]

    Branchial cyst what is true
    a- Cysts are more common than sinuses
    b- Sinus should always be operated
    c- Mostly arise from 2nd branchial system
    d- Cause dysphagia and hoarseness
    Answer: c- Mostly arise from 2nd branchial system
    [Ref. Oxford text book of surgery 2nd edition pg-2747 & Schwartz 7th edition pg-1718]

    Most common site of Morgagni Hernia
    a- Left Anterior
    b- Right Posterior
    c- Right Anterior
    d- Left Posterior
    Answer: c- Right Anterior
    [Ref BD Chaurasia’s 3rd edition Vol-2 pg-270]

    Meralgia parasthetica is due to the involvement of:
    a- Medial cutaneous nerve of thigh
    b- Lateral cutaneous nerve of thigh
    c- Sural nerve
    d- Femoral nerve
    Answer: b- Lateral cutaneous nerve of thigh
    [Ref. Last’s Anatomy 10th edition pg-158]

    Common peroneal nerve is related to:
    a- Shaft of tibia
    b- Neck of fibula
    c- Lower tibio-fibular joint
    d- Shaft of fibula
    Answer: b- Neck of fibula
    [Ref. Last’s Anatomy 10th edition pg-158]

    Movement of pronation & supination occurs in all the following joints except:
    a- Superior radio-ulnar joint
    b- Middle radio-ulnar joint
    c- Inferior radio-ulnar joint
    d- Radio-carpal joint
    Answer: d- Radio-carpal joint

    Structures that pass from thorax to abdomen behind the diaphragm are all except
    a- Azygos vein
    b- Aorta
    c- Thoracic duct Aippg.com
    d- Greater splancnic nerve
    Answer: a- Azygos vein
    [Ref BD Chaurasia’s 3rd edition Vol-2 pg-274]
  33. R.dass

    R.dass Guest

    Supports of the uterus are all except
    a- Uterosacral ligament
    b- Broad ligament aippg.com
    c- Mackenrodts’ ligament
    d- Levator ani
    Answer: b- Broad ligament
    [Ref BD Chaurasia’s 3rd edition Vol-2 pg-317,318]

    All are true about the trigone of the urinary bladder except
    a- Mucosa is loosely associated to the underlying musculature
    b- Mucosa is smooth
    c- It is lined by transitional epithelium
    d- It is derived from the absorbed part of the mesonephric duct
    Answer: a- Mucosa is loosely associated to the underlying musculature
    [Ref BD Chaurasia’s 3rd edition Vol-2 pg-317,318]

    All the following are associated with CV junction anomalies except
    a- Rheumatoid Arthritis
    b- Ankylosing Spondylosis
    c- Odontoid Dysgenesis
    d- Basal degeneration
    Answer: b- Ankylosing Spondylosis
    [Ref Mercer’s Orthopedic Surgery Ninth edition Vol-2 pg-773]

    Which bone tumour occurs in epiphysis?
    a- Osteoclastoma
    b- Ewing’s sarcoma
    c- Chondromyxoid fibroma
    d- Osteosarcoma
    Answer: a- Osteoclastoma
    [Ref: Maheswary 3rd edition page-216]

    Bankart’s lesion involves the ………………… of the glenoid labrum
    a- Anterior lip
    b- Superior lip
    c- Antero-superior lip
    d- Antero-inferior lip
    Answer: a- Anterior lip
    [Ref: Campbell’s Operative Orthopedic 10th edition pg-2399-2400]

    Red degeneration most commonly occurs in
    a- 1st trimester
    b- 2nd trimester
    c- 3rd trimester
    d- Puerperium
    Answer: b- 2nd trimester
    [Ref: DC Dutta Pg-252, 2nd edition]

    After coming head of breech will have difficulty in delivery in all of the following conditions except
    a- Hydrocephalus
    b- Placenta previa
    c- Incomplete dilation of cervix aippg.com
    d- Extension of head
    Answer: b- Placenta previa
    [Ref: Williams 525 21st edition]

    Lady with infertility with bilateral tubal block at cornua. Best method of management is
    a- Laproscopy & Hysteroscopy
    b- Hydrotubation
    c- IVF
    d- Tuboplasty
    Answer: a- Laproscopy & Hysteroscopy
    [Ref: KETE CHANG pg-367]
  34. R.dass

    R.dass Guest

    During pregnancy HIV transmission occurs mostly during
    a- 1st trimester
    b- 2nd trimester aippg.com
    c- 3rd trimester
    d- During labour
    Answer: d- During labour
    [Ref: Williams pg-1500, 21st edition]

    Which drugs is given to prevent HIV transmission from mother to child?
    a- Nevirapine
    b- Lamivudine
    c- Stavidine
    d- Abacavir
    Answer: a- Nevirapine
    [Ref: Therapy taken- Williams pg-1502, 21st edition]

    Most common heart disease which is associated with maximum mortality during pregnancy?
    a- Eisenmenger syndrome
    b- MS
    c- AS
    d- VSD
    Answer: a- Eisenmenger syndrome
    [Ref: Williams page- 1242 21st edition]

    Which of the following antituberculosis drug is not given in pregnancy?
    a- Streptomycin
    b- INH
    c- Ethambutol
    d- Rifampicin
    Answer: a- Streptomycin

    Lactational amenorrhoea is due to
    a- Prolactin induced inhibition of GNRH
    b- Prolactin induced inhibition of FSH
    c- Oxytocin induced inhibition of GNRH
    d- Oxytocin induced inhibition of FSH
    Answer: a- Prolactin induced inhibition of GNRH

    Papsmear shows Ca in situ- what is the next logical procedure?
    a- Conisation
    b- Colposcopy & Biopsy
    c- Hysterectomy
    d- HPV viral DNA testing
    Answer: b- Colposcopy & Biopsy
    [Ref: Shaw, 384 page 13th edition]

    HRT is helpful in all of the following except
    a- Vaginal atrophy
    b- Flushing
    c- Osteoporosis
    d- Coronary heart disease
    Answer: d- Coronary heart disease
    [Ref: Tripathi 5th edition, pg-276]

    Amniotic fluid contains acetyl cholinesterase enzyme. What I the diagnosis?
    a- Open spina bifida
    b- Gastrochisis aippg.com
    c- Omphalocele
    d- Ostergenesis imperfecta
    Answer: a- Open spina bifida
    [Ref: Williams pg-983 edition 21st]
  35. R.dass

    R.dass Guest

    Premature baby of 34wks was delivered baby had bullous lesion on the body X-ray shows periostitis. What is next investigation?
    a- VDRL for mother & baby
    b- ELISA for HIV
    c- PCR for TB aippg.com
    d- Hepatitis surface antigen for mother
    Answer: a- VDRL for mother & baby
    [Ref: Medical disorder in Obst Practice, Cyril G Barners pg-448]

    Hypothyroidism in pregnancy is least likely associated with,
    a- Recurrent abortions
    b- Polyhydramnios
    c- PIH
    d- Preterm labour
    Answer: b- Polyhydramnios
    [Ref: Williams page no. 1195, 22nd edition]

    16 yrs old female with primary amenorrhoea comes to OPD with bilateral inguinal hernia. She has normal sexual development with no pubic hair. USG shows absent uterus blind vagina diagnosis is:
    a- Androgen insensitivity syndrome
    b- Turners syndrome
    c- Star syndrome
    d- Mullerian agensis
    Answer: a- Androgen insensitivity syndrome
    [Ref: Dutta text book of gynaecology]

    26 yrs old lady with h/o recurrent abortion which of the following
    investigations you will do to confirm the diagnosis?
    a- PT
    b- BT
    c- Anti russel viper venom antibodies
    d- Clot solubility test
    Answer: c- Anti russel viper venom antibodies
    [Ref: Williams page 1392 21st edition]

    Abortion stick is used in criminal abortion. What is the mechanism of action?
    a- Necrosis of endometrium causing infection
    b- Uterine conctraction
    c- Stimulation of uterine nerves
    d- Abortion stick causes abortion by including uterine relaxation
    Answer: b- Uterine conctraction

    In aneuploidy which is the most sensitive test in 1sty trimester?
    a- Nuchal translucency
    b- Gestational sac volume
    c- Serum beta HCG evel
    d- CRL
    Answer: a- Nuchal translucency
    [Ref: Williams page 985 21st edition]

    Late hyperglycemia in pregnancy is associated with:
    a- Macrosomia
    b- IUGR
    c- Postmaturity
    d- Congenital malformation
    Answer: a- Macrosomia
    [Ref: Clinical Obstetrics & Gynaecology Vol 43/ June 2000 pg- 282]

    Which of the following is the least likely physiological change in pregnancy?
    a- Increase in intravascular volume
    b- Increase in cardiac output
    c- Increase in stroke volume aippg.com
    d- Increase in peripheral vascular resistance
    Answer: d- Increase in peripheral vascular resistance
    [Ref: Williams page no 134. 22nd edition]
  36. Joseph.

    Joseph. Guest

    Which of the following is not true about xenon anesthesia?
    a- Non explosive
    b- Minimal cardiovascular side effects
    c- Slow induction and slow recovery Aippg.com
    d- Low blood gas solubility
    Answer: c- Slow induction and slow recovery
    A to Z Text of Anaesthesia]

    Which of the following drugs produces dissociative anesthesia?
    a- Ketamine
    b- Propofol
    c- Thiopentone
    d- Enflurane
    Answer: a- Ketamine
    [Ref: KDT 5th edition page 344]

    Which of the following in anesthesia will produce decreased EEG activities?
    a- Hypothermia
    b- Early hypoxia
    c- Ketamine
    d- N20
    Answer: a- Hypothermia
    [Ref: Harrison 16th edition pg-123, (table 19-2)]

    A 3 yrs old child eczematous dermatitis on extensor surfaces. His mother has a history of bronchial asthma. Diagnosis could be:
    a- Atopic dermatitis
    b- Contact dermatitis
    c- Seborrhic dermatitis
    d- Infantine eczematous dermatitis
    Answer: a- Atopic dermatitis
    [Ref: Harrison 16th edition pg-288]

    Pityriasis rosea true is
    a- Self limiting
    b- Chronic relapsing
    c- Life threatening infection
    d- Caused by dermatophytes
    Answer: a- Self limiting
    [Ref: Harrison 16th edition pg-292]

    Delusion is a disorder of
    a- Thought
    b- Perception
    c- Insight
    d- Cognition
    Answer: a- Thought
    [Ref: HIGH YEILD PSYCHIATRY 2ND EDITION pg-56]

    The drug which is used for long term maintenance in opiod addiction
    a- Naloxone
    b- Nalorphine
    c- Butarphanol
    d- Methadone
    Answer: d- Methadone
    [Ref: KDT 425, Harrison’s 16th edition pg-2569]

    The following is not an atypical antipsychotic
    a- Thioridazine
    b- Clozapine aippg.com
    c- Olanzapine
    d- Risperidone
    Answer: a- Thioridazine
    [Ref: KDT 5th edition pg-391]
  37. Joseph.

    Joseph. Guest

    The drug of choice for obsessive compulsive disorder
    a- Imipramine
    b- Fluoxetine
    c- Chlopromazine aippg.com
    d- Benzodiazepine
    Answer: b- Fluoxetine
    [Ref: Harrison 16th edition pg-2552]

    Naltrexone is used in opiod addiction because
    a- To treat withdrawl symptoms
    b- To treat overdose of opiods
    c- Prevent relapse
    d- Has addiction potential
    Answer: c- Prevent relapse
    [Ref: Clinical pharmacology Laurence 8th edition pg-309]

    A 3 yrs old child developmental milestones normal wit delayed speech, and difficulty in communication, concentration, not making friends
    a- Autism
    b- ADHD
    c- Specific learning disability
    d- Mental retardation
    Answer: a- Autism
    [Ref: High Yeild Psychiatry 2nd edition pg- 22]

    Bone scan of a patient with multiple myeloma shows
    a- Hot spots
    b- Cold spots
    c- Diffusely increased uptake
    d- Diffusely decreased uptake
    Answer: b- Cold spots
    [Ref: Chapman’s Aids to Radiological DD 4th edition pg-65-68]

    Which ATT will cause transient memory loss
    a- Ethionamide
    b- INH
    c- Ethambutol
    d- Psyrazinamide
    Answer: b- INH
    [Ref: Good man and Gilman 10th edition pg-1277]

    Which of the following is a benzodiazepine antagonist?
    a- Flumazenil
    b- Butorphanol
    c- Naltrexone
    d- Pralidoxime
    Answer: a- Flumazenil
    [Ref: KDT pg-364]

    All of the following drugs are metabolized by acetylation except,
    a- INH
    b- Dapsone
    c- Procainamide aippg.com
    d- Metoclopramide
    Answer: d- Metoclopramide
    [Ref: KDT 5th edition pg-22]
  38. Joseph.

    Joseph. Guest

    Which NSAID undergoes enterohepatic circulation?
    a- Phenylbutazone
    b- Aspirin
    c- Ibuprofen aippg.com
    d- Piroxicam
    Answer: d- Piroxicam
    [Ref: Tripathi 5th edition pg-178]

    Which antiarrhythmic in not class IC agent00
    a- Propafenone
    b- Tocainide
    c- Flecanaide
    d- Encanaide
    Answer: b- Tocainide
    [Ref: Good man and Gilman, 10th edition page 962]

    Loading dose depends on
    a- Volume distribution
    b- T1/2
    c- Plasma clearance
    d- Route of administration
    Answer: a- Volume distribution
    [Ref: KDT 30]

    Long acting beta 2 agonist
    a- Orciprenaline
    b- Salmeterol
    c- Albuterol
    d- Pibuterol
    Answer: b- Salmeterol
    [Ref: KDT 5th edition page 200.]

    Which of the following drugs dosage interval should be maximum in a patient with creatinine clearance less than 10?
    a- Amikacin
    b- Rifampicin
    c- Vancomycin
    d- Amphotericin B
    Answer: c- Vancomycin
    [Ref: Laurence clinical pharmacology 8th edition page 496,236]

    Which is not a second generation antihistaminic?
    a- Cyclizine
    b- Fexofenadine
    c- Loratidine
    d- Atrvalastine
    Answer: a- Cyclizine
    [Ref. KDT 5th edition 139,140]

    The following drug is not useful for MRSA,
    a- Cafeclor
    b- Cotrimoxazole
    c- Ciprofloxacin
    d- Vancomycin
    Ans: a- Cafeclor
    [Ref: CMDT 2006 1552]

    Which antibiotic acts by inhibiting cell wall synthesis?
    a- Cefipime aippg.com
    b- Lomefloxacin
    c- Erythromycin
    d- Tetracycline
    Ans: a- Cefipime
    [Ref: Lippincott 2nd edition page 298]
  39. R.dass

    R.dass Guest

    One of the following is a prodrug
    a- Enalapril
    b- Neostigmine
    c- Esmolo
    d- Captopril aippg.com
    Ans: a- Enalapril
    [Ref: KDT 5th edition page 20]

    Denosumab – a monoclonal antibody against Rankl receptor is used in treatment of,
    a- Rheumatoid arthritis
    b- Osteoporosis
    c- Osteoarthritis
    d- SLE
    Ans: b- Osteoporosis
    [Ref: www.medicalnewstoday.com/medicalnews.php?newsid=33743]

    All drugs can be used in treatment of H.Pylori infection except,
    a- Omeprazole
    b- Amoxicillin
    c- Metronidazole
    d- Mosapride
    Ans: d- Mosapride
    [Ref: CMDT 2006 page 590]

    Brain is preserved in all the following except,
    a- OPC poisoning
    b- Alkaloid poisoning
    c- Heavy metal poisoning
    d- Volatile organic poisoning
    Ans: c- Heavy metal poisoning
    [Ref: Reddy 19th edition page-104]

    Sexual asphyxia, is associated with one of the following,
    a- Masochism
    b- Sadism
    c- Fetishism
    d- Voyeurism
    Ans: a- Masochism
    [Ref: Reddy 19th edition page-346]

    Which of the following is true of judicial hanging
    a- Knot is present behind the neck
    b- Knot at the side of the neck
    c- Ligature always present below the chin
    d- Choice of hangman
    Ans: c- Ligature always present below the chin
    [Ref: Reddy 19th edition page-289]

    A person presents with acute poisoning, with clinical picture of chills and rigors similar to malaria. Which is the most likely poisoning?
    a- Mercury
    b- Zinc
    c- Red phosphorus
    d- Arsenic
    Ans: b- Zinc
    [Ref: Reddy 19th edition page-445]

    Treatment of choice for GLU EAR is
    a- Myringotomy with ventilation tube insertion
    b- Myringotomy with cold knife aippg.com
    c- Myringotomy with diode laser
    d- Conservative treatment
    Ans: a- Myringotomy with ventilation tube insertion
    [Ref: Logan Turner 10th edition page 283 and 437]
  40. R.dass

    R.dass Guest

    A lady with bilateral hearing loss since 6 years. It was worsened during pregnancy. What type of graph will her impedence audiometry show?
    a- As
    b- Ad
    c- A aippg.com
    d- B
    Ans; a- As
    [Ref: Dhingra 3rd edition page 33]

    6 year old child with recurrent URTI with mouth breathing and impaired hearing. Treatment is
    a- Tonsillectomy
    b- Adenoidectomy with grommet insertion
    c- Grommet insertion
    d- Myringoplasty with grommet insertion
    Ans: b- Adenoidectomy with grommet insertion
    [Ref: Dhingra 3rd edition page 296 & 297]

    Which is autosomal dominant?
    a- Gyrate Atrophy
    b- Best disease
    c- Lawrance moon biedl syndrome
    d- Bassen kornzweig’s disease
    Ans: b- Best disease
    [Ref: Kanski 5th edition pg-494]

    For revised NPCB cataract surgeries all approaches are followed except
    a- Uniform distribution
    b- Regular follow up
    c- Fixed place surgery treatment
    d- Mobile surgery camps
    Ans: d- Mobile surgery camps
    [Ref: park 18th edition pg-340]

    20year old man with progressive proptosis which increases on bending forward. It is compressible and has no bruit or thrill. MRI showed “hyperintense” mass with shadowing of mass. The diagnosis is:
    a- Orbital varix
    b- AV malformation
    c- Neurofibromatosis
    d- “Orbital” encephalocele
    Ans: a- Orbital varix
    [Ref: pg-573 Kanski clinical Opthamology Yannos Text of Ophthalmology 2nd edition]

    Most common cause of blindness in children in India except
    a- Malnutrition
    b- Ophthalmia neonatorum
    c- Glaucoma
    d- Congenital dacryocystitis
    Ans: d- Congenital dacryocystitis

    Oculomotor nerve palsy causes all except,
    a- Miosis
    b- Ptosis
    c- Outward eye deviation
    d- Causes diplopia
    Ans: a- Miosis
    [Ref: BDC 3rd edition Vol-3 pg-89-90]

    All are characteristics of 3rd nerve except
    a- carries parasympathetic nerve
    b- Supplies inferior oblique
    c- Enters orbit through the inferior orbital fissure
    d- Causes miosis aippg.com
    Ans: c- Enters orbit through the inferior orbital fissure
    [Ref: last anatomy 10th edition pg- 489]
  41. R.dass

    R.dass Guest

    Hyaluronic acid is found in:
    a- Vitreous humor
    b- Synovial fluid aippg.com
    c- Cartilage
    d- Cornea
    Ans: a- Vitreous humor
    [Ref: Khurana 3rd edition pg-343]

    True about ACCREDITED SOCIAL HEALTH ACTIVIST is:
    a- Mental health worker
    b- Deployed per thousand people
    c- To replace Anganwadi worker in ICDS program
    d- Minimum need program worker
    Ans: b- Deployed per thousand people
    [Ref: WEBSITE & Indian journal of public heath]

    SAFE in Trachoma program refers to all except:
    a- Screening
    b- Anti biotics
    c- Facial cleaning
    d- Environmental control
    Ans: a- Screening
    [Ref: Principles & practice of community ophthalmology pg-238]

    True about point source epidemic are all except
    a- The curve has rapid rise and slow decline
    b- All cases occur in one incubation period
    c- One single peak only
    d- No secondary curves
    Ans: a- The curve has rapid rise and slow decline
    [Ref: 18th edition park page 59]

    Endemic ascites is caused by
    a- Aflo toxin B
    b- Ergot
    c- Sangaunarine
    d- Pyrrolizidine aippg.com
    Ans: d- Pyrrolizidine
    [Ref: 18th edition park page 480]

    Specificity of a test refers to its ability to detect
    a- True positives
    b- True negatives
    c- False negatives
    d- False positives
    Ans: b- True negatives
    [Ref: 18th edition park page 117]

    Socialisation of medicine leads to all except
    a- Reduce competition among physicians for clients
    b- Supported by the state and provides free medical service
    c- Ensures the complete utilization of services by all people
    d- Universal coverage of health services
    Ans: c- Ensures the complete utilization of services by all people
    [Ref: 18th edition park page 9]

    Chlorine demand is measured by
    a- Horrock’s apparatus
    b- Chlorimeter
    c- Double pot
    d- Berkfeld filter aippg.com
    Ans: a- Horrock’s apparatus
    [Ref: 18th edition park page 540]
  42. R.dass

    R.dass Guest

    In a study in UK they found an association between sale of asthmatic drugs and an increase in deaths due to asthma from 1979 to 1990. This is an example of
    a- Ecological study
    b- Cohort study aippg.com
    c- Case reference study
    d- Experimental study
    Ans: a- Ecological study
    [Ref: WHO basic epidemiology by R. Beaglehole & R. Bonita pg-33]

    Active method to detect undiagnosed cases in apparently healthy people
    a- Screening
    b- Surveillance
    c- Case finding
    d- Notification
    Ans: a- Screening
    [Ref: 18th edition park page 119]

    Problem village in all except:
    a- Distance of safe water is greater than 1.6km.
    b- Depth is more than 16metres
    c- Water is polluted with inorganic substance
    d- Water infested with guniea worm
    Ans: d- Water infested with guniea worm
    [Ref: 18th edition park page 347]

    A newly found technique for estimating Hb found the values as 9.4, 9.0, 9.3, 12.4, 9.2, ……. 10.3 and 12.2 By calorimetry the Hb was estimated to be 10.2gms percent. So the new test has
    a- Low validity and high reliability
    b- High validity and high reliability
    c- Low validity and Low reliability
    d- High validity and low reliability
    Ans: c- Low validity and Low reliability
    [Ref: 18th edition park page 115, 116]

    Best method used to find the difference between a newly found test and the gold standard test
    a- Correlation study
    b- Regression study
    c- Bland and altman analysis
    Ans: c- Bland and altman analysis
    [Ref: www.anaesthesia-analgesia.org/cgi/content/full/90/3/593]

    In RNTCP the method used to confirm cases is
    a- Sputum Rapid culture
    b- Sputum microscopy
    c- Chest radiograph
    d- PCR antibody detection
    Ans: b- Sputum microscopy
    [Ref: 18th edition park page 335]

    Assessment of impact of iodine supplement therapy in a community is best done by
    a- Goitre in pregnant woman
    b- Goitre in children f age 12-18
    c- Neonatal thyroxine levels
    d- Urinary iodine levels in pregnant woman
    Ans: c- Neonatal thyroxine levels
    [Ref: 18th edition park page 467]

    Any loss or abnormality of psychological, physiological or anatomical structure or function
    a- Impairment
    b- Disability
    c- Handicap aippg.com
    d- Disease
    Ans: a- Impairment
    [Ref: 18th edition park page 39]
  43. Joseph.

    Joseph. Guest

    The experimental study for which most accurate result is obtained
    a- Randomized CT with double blinding
    b- Retrospective cohort study
    c- Cross sectional study aippg.com
    d- Meta analysis]
    Ans: a- Randomized CT with double blinding
    [Ref: Workshop on basic epidemiology pg-104]

    You have diagnosed a patient clinically as having SLE and ordered 6 tests. Out of which 4 tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know:
    a- Prior probability of SLE: sensitivity and specificity of each test
    b- Incidence of SLE and predictive value of each test
    c- Incidence and prevalence of SLE
    d- Relative risk of SLE in this patient
    Ans: a- Prior probability of SLE: sensitivity and specificity of each test

    All of the following indicators are included in Physical Quality Of Life Index (PQLI) except
    a- Infant mortality rate
    b- Life expectancy at age one
    c- Literacy rate
    d- Per capita income
    Ans: d- Per capita income
    [Ref: 18th edition park page 16]

    Direct standardization is used to compare the mortality rates between two countries. This is done because f the difference in:
    a- Causes of death
    b- Numerators
    c- Age distributions
    d- Denominators
    Ans: c- Age distributions
    [Ref: 18th edition park page 53]

    With reference to bacteroides fragilis, the following statements are true except
    a- Bacteroides fragilis is the same frequent anaerobe isolated from clinical samples
    b- Bacteroides fragilis is not uniformly sensitive to Metronidazole
    c- The LPS formed by bacteroides fragilis is structurally and functionally different from the conventional endotoxins
    d- Shock and DIC are common in bacteroides bacteremia
    Ans: d- Shock and DIC are common in bacteroides bacteremia
    [Ref: Ananthanarayana 7th edition pg-267,268]

    A child presents with infective skin lesions of the leg. Culture was done which showed gram positive cocci in chains which were hemolytic colonies. Which of the following tests will best identify the organism?
    a- Bile solubility
    b- Optochin sensitivity
    c- Bacitracin sensitivity
    d- Catalase positive
    Ans: c- Bacitracin sensitivity
    [Ref: Ananthanarayana 6th edition pg-189]

    Which of the following bacteria act by increasing c-AMP,
    a- Vibrio cholera
    b- Staphyloccus aereus
    c- E. coli, heat stable toxin
    d- Salmonella
    Ans: a- Vibrio cholera
    [Ref: Ananthanarayana 6th edition pg-286]

    A patient in ICU is on venous line for the past one week. He is on ceftazidime and amikacin. After 7 days of antibiotics he develops a spike of fever and his blood culture is positive for gram positive cocci in chains, which are catalase negative. Following this vancomycin was started, but the culture remained positive, for the same organism even after 10 days of therapy. The most likely organism causing infection is,
    a- Staphylococcus aureus
    b- Viridans streptococci
    c- Enterococcus faecalis aippg.com
    d- Coagulase negative staphylococcus
    Ans: c- Enterococcus faecalis
    [Ref: Ananthanarayana 6th edition pg-189, Harrison’s 16th edition pg-815, 830]
  44. Joseph.

    Joseph. Guest

    Brucella is transmitted by all except
    a- Through the placenta of animals
    b- Aerosol transmission aippg.com
    c- Person to person
    d- Eating uncooked food
    Ans: c- Person to person
    [Ref: Park 18th edition page 231]

    CYBR-GREEN dye is used in
    a- ELISA
    b- Immunofluorescence
    c- Real time PCR
    d- High performance liquid chromatography
    Ans: c- Real time PCR
    [Ref: www.mebs.educ.state.ak.vs/genetics/donpaper.htm]
    [Ref: KONEMAN’s text of diagnostic microbiology 6th edition, chapter 4, page-151]

    A young male patient presented with UTI, on urine examination pus cells were found but no organisms. Which method would be best used for culture?
    a- Mc Coy cell time
    b- Thayer martin medium
    c- L.J. medium
    d- Levinthal medium
    Ans: a- Mc Coy cell time
    [Ref: Ananthanarayana 6th edition pg-394]

    Which one of the following is true?
    a- Agar has nutrient properties
    b- Chocolate medium is selective medium
    c- Addiction of substances in a solid medium is called enrichment media
    d- Nutrient broth is basal medium
    Ans: d- Nutrient broth is basal medium
    [Ref: Ananthanarayana 6th edition pg-33]

    Which of the following is not transmitted by lice?
    a- Q fever
    b- Trench fever
    c- Relapsing fever
    d- Epidemic typhus
    Ans: a- Q fever
    [Ref: SPM Park 18th edition pg-574 table-3]

    Chlamydia trachomatis false is
    a- Elementary body is metabolically active
    b- It is biphasic
    c- Reticulate body divides by binary fission
    d- Inside the cell it evades phagolysosome
    Ans: a- Elementary body is metabolically active
    [Ref: Ananthanarayana 6th edition pg-389]

    An elderly male patient presents with fever, chest pain and dry cough, sputum cultured on charcoal yeast medium, the organism is:
    a- H. influenza
    B- Moraxella cartarrhalis
    c- Legionella
    d- Burkholderia cepacia
    Ans: c- Legionella
    [Ref: Ananthanarayana 6th edition pg-378]

    A person working in an abattoir presented with pustule on hand, which turned into ulcer, which will best help in diagnosis
    a- Trichrome Methylene Blue
    b- Carbol Fuschin
    c- Acid fast Stain aippg.com
    d- Calcoflour White
    Ans: a- Trichrome Methylene Blue
    [Ref: Ananthanarayana 6th edition pg-224]
  45. Joseph.

    Joseph. Guest

    Which dye is most suitable for fungus demonstration in biopsy?
    a- Alizharian red
    b- Veirhoff dye
    c- Mason’s trichome aippg.com
    d- PAS
    Ans: d- PAS
    [Ref: Ananthanarayana 6th edition pg-565]

    Malarial parasite – which statement is false regarding communicability
    a- the gametocytes appear in blood 4-6 days after asexual phase in p. vivax
    b- The gametocytes appear in blood 10-12 days after asexual phase in p. falciparum
    c- The number of gametocytes increases in blood with time
    d- The number of gametocytes increases by 1000 times
    Ans: c- The number of gametocytes increases in blood with time
    [Ref: SPM park 18th edition page-204-205]

    Single gene defect causing multiple unrelated problems
    a- Pleotropism
    b- Pseudo dominance
    c- Penetrance
    d- Anticipation
    Ans: a- Pleotropism

    A boy suffering from acute pyelonephritis, most specific urinary finding will be:
    a- Leucocyte esterase test
    b- WBC casts
    c- Nitrite test
    d- Bacteria in gram stain
    Ans: d- Bacteria in gram stain
    [Ref: www.paediatrics.app-pulications.org/cgi/reprint/104/5/e54.pdf]

    Persistent bleeding from umbilical stump, the most probable diagnosis is:
    a- Factor X def
    b- Glanzman’s thrombasthenia
    c- VWD
    d- Bernard soulier syndrome
    Ans: a- Factor X def
    [Ref: ‘Hematologic problems of the neonate, Robert D. Christensen MD, 1st edition‘pg-253,254,277]

    Two different cell lines from 2 different zygotes, from a single person
    a- Chimerism
    b- Mosaicism aippg.com
    c- Penetrance
    d- Pseudo dominance
    Ans: a- Chimerism
  46. Joseph.

    Joseph. Guest

    A baby presenting with multiple deformities cleft lip, cleft palate, microcephaly, small eyes and scalp defect, polydactyly seen in which syndrome:
    a- Trisomy 13
    b- Trisomy 18
    c- Trisomy 21 aippg.com
    d- Monosomy 2
    Ans: a- Trisomy 13
    [Ref: OP Ghai 6th edition pg-593]

    The most common gene defect in Idiopathic steroid resistant nephrotic syndrome
    a- ACE
    b- NPHS 2
    c- HOX 11
    d- PAX
    Ans: b- NPHS 2
    [Ref: Robbin’s 7th edition pg-983-984]

    Most important marker for both acute and chronic malnutrition,
    a- Weight for height
    b- BMI
    c- Weight for age
    d- Height for age
    Ans: a- Weight for height
    [Ref: http://www.casi.org.uk/info/garfield/dr-garfield.html
    http://www.ecdvu.org/menu/downloads/yemenreport2socialindicatorssummary.asp
    The reference can be seen in the above web sites]

    The important fatty acid present in breast milk, which is important for growth is:
    a- Docosa Hexaenoic acid
    b- Palmitic acid
    c- Linoleic acid
    d- Linolenic acid
    Ans: a- Docosa Hexaenoic acid
    [Ref: OP Ghai 6th edition]

    A newborn has congenital heart failure, not improving on treatment. He has bulging anterior fontanelles with a bruit on auscultation. On trans fontanelle USG a hypo echoeic midline mass is seen with dilated lateral ventricles. Most probable diagnosis is:
    a- Vein of Galen Malformation
    b- Arachnoid cyst
    c- Medulloblastoma
    d- Encephalocele
    Ans: a- Vein of Galen Malformation
    [Ref: cloherty, manual of neonatal care 5th edition pg-411]

    Best indicator for nutritional status for a child is:
    a- Mid arm circumference
    b- Head circumference
    c- Rate of increase of height and weight
    d- Chest circumference
    Ans: c- Rate of increase of height and weight
    [Ref: OP Ghai 6th edition pg-6]

    In SCHWARTZ formula for calculation of creatinine clearance in a child, the constant depends on the following except,
    a- Age
    b- Method of estimation of creatinine
    c- Mass
    d- Severity of renal failure
    Ans: d- Severity of renal failure

    Most common biochemical abnormality in congenital hypertropic pyloric stenosis
    a- Hypokalemic metabolic alkalosis
    b- Hyperkalemic metabolic acidosis
    c- Hypokalemic metabolic acidosis aippg.com
    d- Hyperkalemic metabolic alkalosis
    Ans: a- Hypokalemic metabolic alkalosis
    [Ref: Nelson 17th edition pg-1229]
  47. Joseph.

    Joseph. Guest

    All of the following can occur in a neonate for heat production except,
    a- Shivering
    b- Breakdown of brown fat with adrenaline secretion
    c- Universal flexion like a fetus aippg.com
    d- Cutaneous vasoconstriction
    Ans: a- Shivering
    [Ref: OP Ghai 151,152]

    A 6 year old child with IQ of 50. Which of the following can the child to?
    a- Identify colours
    b- Read a sentence
    c- Ride a bicycle
    d- Copy a triangle
    Ans: a- Identify colours

    Nile blue sulphate test is done to detect
    a- Maturity of kidney
    b- Maturity of liver
    c- Maturity of lungs
    d- Maturity of skin
    Ans: d- Maturity of skin
    [Ref: Meharban Singh care of NewBorn pg-43, 6th edition]

    The most common congenital anomaly in baby born to IDDM mother is,
    a- NTD
    b- Cardiovascular anomalies
    c- GIT anomalies
    d- Pulmonary anomalies
    Ans: b- Cardiovascular anomalies
    [Ref: Paediatrics vol. 85 no. 1, Jan 1990 pg-1-9
    (http://paediatrics.appublications.org/cgi/content/abstract/85/1/1)]

    A 23 year old female presenting with anemia, jaundice, for than 2 years peripheral smear showing Spherocytes, the best investigation to be done,
    a- reticulocytes count
    b- Osmotic fragility test
    c- Coombs test
    d- Bone marrow aspiration
    Ans: b- Osmotic fragility test
    [Ref: Harrison 16th edition, pg-608,609,610]

    HAM test is done for
    a- GPI anchor protein
    b- Complement defect
    c- Spectrin defect
    d- Mannose blinding protein
    Ans: a- GPI anchor protein
    [Ref: Harrison 16th edition, pg-616]

    Which deleterious effect is east likely to occur in hypothermia?
    a- Cardiac arrhythmia
    b- Decreased peripheral resistance
    c- Reversible coagulation
    d- Renal failure
    Ans: b- Decreased peripheral resistance
    [Ref: Harrison 16th edition, pg-123, table 19-2]

    Hypotension in acute spinal injury is due to
    a- Loss of sympathetic tone
    b- Loss of parasympathetic tone
    c- Vasovagal attack
    d- Orthostatic hypotension aippg.com
    Ans: a- Loss of sympathetic tone
    [Ref: Harrison 16th edition, pg-1605]
  48. Joseph.

    Joseph. Guest

    Carey coombs murmur which is false
    a- Delayed diastolic murmur
    b- Seen in rheumatic fever
    c- Can be associated with AR
    d- Low pitched murmur aippg.com
    Ans: c- Can be associated with AR
    [Ref: Harrison 16th edition, pg-1310]

    A patient presents with increased serum ferritin, decreased TIBC, increased serum iron, percentage saturation increased. Most probable diagnosis is:
    a- Anemia of chronic disease
    b- Sideroblastic anemia
    c- Iron deficiency anemia
    d- Thalassemia minor
    Ans: b- Sideroblastic anemia
    [Ref: H 590, table 90-4]

    Pancytopenia with cellular marrow is seen in all except:
    a- Megaloblastic anemia
    b- Myelodysplasia
    c- PNH
    d- G6PD deficiency
    Ans: d- G6PD deficiency
    [Ref: Harrison 16th edition, pg-617, table 94-1]

    A man takes peanut and develops, tongue swelling, neck swelling, stridor, hoarseness of voice. What is the probable diagnosis?
    a- Angioneurotic edema
    b- FB bronchus
    c- Parapharyngeal abscess
    d- FB in larynx
    Ans: a- Angioneurotic edema
    [Ref: Harrison 16th edition, pg-1951, 52]

    AML with worst prognosis,
    a- 8/21 translocation
    b- Inversion 16
    c- Normal cytogenetics
    d- Monosomy 7
    Ans: d- Monosomy 7
    [Ref: Harrison 16th edition, pg-634]

    A young male patient presents with DL 600 mg/dl triglyceride 160 mg/dl. What would be the most likely finding on physical examination?
    a- Tendon xanthomas
    b- Lipemia retinalis
    c- Eruptive tuberous xanthomas
    d- Xanthelesma
    Ans: a- Tendon xanthomas
    [Ref: Harrison 16th edition, pg-2289, 2290, 2292 (tables 335-4, 335-3)]

    Which test is not useful in a patient with history of syncopal attack?
    a- Electrophysiological test
    b- Table tilt test
    c- PET scan
    d- Holter monitoring
    Ans: c- PET scan
    [Ref: Harrison 16th edition, pg-129]

    Treatment with n3 poly unsaturated fatty acids, what will be lipid profile
    a- Increased LDL and increased total cholesterol
    b- Decreased LDL and decreased total cholesterol
    c- Increased LDL and decreased total cholesterol
    d- Decreased LDL and increased total cholesterol aippg.com
    Ans: b- Decreased LDL and decreased total cholesterol
    [Ref: Harrison 16th edition, pg-2297, Park 18th edition pg-441]
  49. Joseph.

    Joseph. Guest

    Best prognostic factor for head injury
    a- Glasgow coma scale
    b- Age aippg.com
    c- Mode of injury
    d- CT
    Ans: a- Glasgow coma scale
    [Ref: Harrison 16th edition, pg-2450, 2451]

    Which of the following is not prognostic factor for acute pancreatitis?
    a- S. amylase
    b- Calcium
    c- Glucose
    d- AST
    Ans: a- S. amylase
    [Ref: Harrison 16th edition, pg-1897]

    Which of the following is not limb girdle dystrophy?
    a- Sarcoglycan dystrophy
    b- Dystrophin dystrophy
    c- Dysferlin dystrophy
    d- Calpain dystrophy
    Ans: b- Dystrophin dystrophy
    [Ref: Harrison 16th edition, pg-2531, table 368-3]

    Charcot’s joints all of the following except
    a- Syringomyelia
    b- Leprosy
    c- Diabetes
    d- Arthrogryposis multiplex congenital
    Ans: d- Arthrogryposis multiplex congenital
    [Ref: Harrison 16th edition, pg-2060 table 315-3]

    Which of the following is least likely to cause constrictive pericarditis?
    a- Tuberculous pericardial effusion
    b- Staphylococcus effusion
    c- Post cardiac surgery
    d- Acute rheumatic fever
    Ans: d- Acute rheumatic fever
    [Ref: Harrison 16th edition, pg-1418 and 197]

    Which of the following is the most specific test for rheumatoid arthritis?
    a- Anti – ccp antibody
    b- Anti IgM antibody
    c- Anti IgA antibody
    d- Anti IgG antibody
    Ans: a- Anti – ccp antibody
    [Ref: CMDT 2006 pg-828]

    Which of the following exclusively involves neurons?
    a- Spino cerebellar Ataxia
    b- Supranuclear palsy
    c- Corticobasilar degeneration
    d- Multiple system atrophy
    Ans: a- Spino cerebellar Ataxia
    [Ref: Harrison 16th edition pg-2413, 2413 and 2419. Robbins 7th edition pg-1391, 1392, 1393]

    Which is a feature of high altitude pulmonary edema?
    a- Associated with low cardiac output
    b- Associated with pulmonary hypertension
    c- Occurs only in unacclimatized persons aippg.com
    d- Exercise has no effect
    Ans: b- Associated with pulmonary hypertension
    [Ref: Harrison pg-205, 1617, CMDT 2006 pg-1604]
  50. Joseph.

    Joseph. Guest

    Mycosis fungoides which is not true
    a- It is the most common form of cutaneous lymphoma
    b- Pautriers microabscess aippg.com
    c- Indolent course and easily amenable to treatment
    d- Erythroderma seen and spreads to peripheral circulation
    Ans: c- Indolent course and easily amenable to treatment
    [Ref: Harrison 16th edition, pg-653]

    Mutation in alpha 5 chain of collagen 4, the diagnosis is
    a- Alport’s syndrome
    b- Thin membrane disease
    c- Nodular glomerulosclerosis
    d- Good pasture syndrome
    Ans: a- Alport’s syndrome
    [Ref: Robbins 7th edition pg-988]

    Treatment for multiple sclerosis
    a- Interferon alpha
    b- Interferon beta
    c- Infliximab
    d- Interferon gamma
    Ans: b- Interferon beta
    [CMDT 1015, Harrison pg-2467]

    The drug of choice for absence seizers,
    a- Valproate
    b- Gabapentin
    c- Carbamazepine
    d- Phenytoin
    Ans: a- Valproate
    [Ref: Harrison 16th edition, pg-2367 table 348-8]

    Persistent Low C3 complement levels is not found in
    a- PSGN
    b- Mesangiocapillary
    c- Cryoglobulinemia
    d- SLE
    Ans: a- PSGN
    [Harrison 16th edition, pg-1681]

    Reflux disease which causes proteinuria of nephrotic range
    a- MGN
    b- FSGS
    c- Nodular glomerulosclerosis
    d- Crescenteric glomeronephritis
    Ans: b- FSGS
    [Ref: Harrison 16th edition, pg-1686 table 264-4]

    Which fruit juice helps in preventing UTI?
    a- grape
    b- Raspberry
    c- Cranberry
    d- Orange
    Ans: c- Cranberry
    [Ref: Harrison 16th edition, pg-2469]

    In case IVC obstructions the collateral which open up are all except
    a- Superior epigastric & Inferior epigastric vein
    b- Azygous & Ascending lumbar vein
    c- Superficial Epigastric & ileo lumbar vein aippg.com
    d- Lat thoracic veins & prevertebral vein
    Ans: c- Superficial Epigastric & ileo lumbar vein
    [Ref: Last anatomy pg-270/271 10th edition BD Chaurasia pg-274]

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