1.

NESTROFT is used as a screening test for

a.Beta Thalassemia
b.Heriditary Spherocytosis
c.Auto Immune Hemolytic Anaemia
d.G6PD Deficiency
Ans: Beta Thalassemia
Reference: NCBI . Note that an article on Indian Pediatrics mentions The most
feasible option in our view is to test the mothers antenatally in early pregnancy
preferably in the first trimester. The parents are often receptive and would usually
agree to get any tests done for the well being of their baby. If the mother is found to
be a carrier, her husband can be tested for carrier status and if he is also a carrier,
prenatal diagnosis can be offered after proper genetic counselling. We are at present
offering this facility to the mothers registering at the antenatal clinic of AIIMS
under an ICMR funded project and find it quite feasible and useful.
2. Motor Cycle injury Involving spine
Ans: Steroid dosing Methyl prednisolone to be given 30mg/kg for 15 minutes, wait
for 45 minutes then continue as an infusion dosage of 5.4mg/kg for next 23 hours.
The options were mentioning different time intervals so not sure.
3.Gene that is responsible for Steroid Resisitant Nephrotic Syndrome:
Ans: NPHS2 Official Name: Nephrosis 2, idiopathic, steroid-resistant - Also called
Podocin. Reference: Wiki
4.Vision 2020 founding members are all except:
a.WHO
b.UNICEF
c.ORBIS
d. international council/society for prevention of blindness
Ans: UNICEF.
5. Commonest Complication following ileo anal anstamosis for ulceratice colitis:
Ans: Pouchitis, it manifests as diarrhea.
6.Mass Azithromycin prophylaxis is recommended if incidence of Trachoma is more
than
Ans:10 %
7. which is the only drug effective in EDSS in multiple sclerosis?
a. interferon gamma
b. interferon beta

c. glatiramer acetate
d. natalizumab
Ans:
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8. Kawasaki Disease treatment
Ans:Intra venous immuno globulin (IVIG)
9. Structure just lateral to femoral hernia sac
Ans:Femoral Vein
10.Mother has asthma child with rash skin biopsy IgA
Ans: Atopic Dermatitis
11.Anterior shoulder dislocation occurs mode of violence
Ans:Abduction and External Rotation
12. Child with leaking drug eruption
Ans: Blood Culture
13.Alcoholic with withdrawal, diagnosis of Delirium tremens
Ans: Not a Crime
14.Diabetic with finger deformity 15 degree mentioned.
Ans:observation ? till 30 degree to wait ?
15.Marker of bone formation are all except
1. osteocalcin
2. alkaline phosphatase
3. procollagen residue
4. hydroxyproline
Ans:Hydroxyproline
16.Mizuo phenomenon is seen in
Ans:Oguchi disease
17.Mean Arterial Pressure
Ans:MAP =( SBP + 2DBP )/3

18. Structure not passing through osesophageal hiatus

Ans:Lt.Phrenic nerve
19.Pregnancy related changes all except
Ans:Increase in Peripheral vascular resisitance
20.Patient develops paralysis with bowel bladder involed MRI showed dorsal
myelopathy and intradural enhancing lesion at dorsal level.cause?
a.NF
b.meningioma
c.ependymoma
d.central neuroma
Ans:
21. Juice that prevents UTI
Ans:Cranberry juice
22. Gallows traction is used for
Ans:Femur fracture
23. Indicator for proper functioning of Autoclave is
Ans:Bacillus stearothermophilus
24. Most common site of cholangio carcinoma
Ans:Perihilar region
25. Drug to prevent vertical transmission of HIV.
Ans: nevirapine
26.Rheumatoid Arthritis most specific is
Ans:Anti-CCP antibody
27. Insulin structure amino acids sequnce discovery and nobel prize by
Ans:Sanger
28 Which of the following does not occur in child exposed to cold
1. shivering
2. flexion of body like fetus postion
3. cutaneous vasoconstriction
4. production of noradrenalilne to release energy from brown adipose tissue

Ans:Shivering
29. 75 yr old man with new focal onset seizure and normal renal function what drug
togive1. oxcarbazepine
2.levatrecetam
3.valproate
4.gabapentin
Ans: Oxcarbazepine
30.Muscles weakened in osteoarthritis of knee?
1.Hamstring only
2.Qaudriceps only
3.Both hamstring and osteoarthritis
Ans: Quadriceps
31. Which of the following has the least chance to progress to multiple sclerosis
a.optic nerve involvement
b.absence of oligoclonal antibodies in csf
c.trunkal ataxia
d.pyramidal involvement
Ans: Oligoclonal bands ?
32. Not true for myelopathy
a.Facial sensory loss
b.brisk jaw jerk
c.brisk pectoral jerk
Ans:Facial sensory loss
33. False among the following statements is?
1.Fetus can extract Co2 rapidly from placenta
2.Apgar score at 1 minutes shows need for immediate resuscitation
3.
4..Apgar score if poor at 7 minutes relates to neonatal death
Ans: ?
34. Which of the following is not true?
1.Fetus can extract Co2 rapidly from placenta
2.Apgar score at 1 minutes shows need for immediate resuscitation
3.
4..Apgar score if poor at 7 minutes relates to neonatal death
Ans: ?

35. Dopamine, norepinephrine, serotonin all have the following type of receptors?
a.2 pass
b.4 pass
c.7 pass
d.6 pass
36. Detrimental effects of hypothermia are all except.
a. cardiac arrythmias
b. reversible coagulopathy
c.
d.
37. Which of the following is not true?
a.Fetus can extract Co2 rapidly from placenta
b.Apgar score at 1 minutes shows need for immediate resuscitation
c.
d..Apgar score if poor at 7 minutes relates to neonatal death
38. All of the following are required in PCR except
1. deoxyribonucleotides
2. thermostable enzyme
3.dideoxyribonucleotides
4. ?
Ans: ?
39.If the same amino acid is coded by different codons , it is called?
1.
2.frameshift mutation
3.degeneracy
4.
Ans:degeneracy
40.Subtelomeric mutation which occurs in most heriditary(?) mental (?) diseases is
detected by all except
a.
b.
c.
d.
Ans:
41.Not true about drug resistance mechanism?
a. Most common mechanism is production of neutralizing substances
b. If plasmid mediated always transferred vertically

c. alteration of target in pneumococcal resistance

d.complete removal of target is cause of resistance to vancomycin
Ans: b conjugation can result in transfer of resistance
42.Chromosomal mutations can be identified from all except.
1. single stranded polymorphism
2.dideoxy nucleotide trail sequencing
3.agarosge gel electrophoresis
4.Denaturing Gradient Gel Electrophoresis (DGGE)
Ans: ?
43. Regarding MRI what is false?
a.scar shows late enhancement
b.akinetic objects donot improve with contrast
c.
d.
44.Not a complication of Hypertensive disorder of pregnancy?
a.
b.pre-eclampsia
c.
d.fetal macrosomia
45.Which of the statements about renal function is not true?
a.oncotic pressure of filtrate is equal to glomerular capillaries
b.if afferent arteriole is vasoconstricted, then pressure in glomerular capillaries will
fall
c.
d.
46.Which is not a symptomatic CV junction disorder?
a.Odontoid dysgenesis
b.Basiliar descent
c.Rheumatoid arthritis
d.Ankylosing spondylitis
47.Not a ultrasound feature of Chronic Pyloric Stenosis?
a. 95% sensitivity by ultrasound
b.thickness of pylorus >4mm
c.channel length >16mm
d.High gastric residue
Ans:High gastric residue. Pyloric residue is associated with vomiting and hence low
gastric residue.
48.False about Alzheimers disease
a.Number of NF tangles correlates with severity of disease
b.Number of NF tangles correlates with dementia

c.
d.
49.EEG slowing during induction of anesthesia is due to?
a.Ketamine
b.Nitrous oxide
c.Early hypoxia
d.Hypothermia
Ans: ?
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50.Panic disorder involves all the following except?
a.Serotonin
b.Glutamate
c.GABA
d.Dopamine
Ans:
51.Criteria for primary hyperaldosteronism includes all except
a.diastolic hypertension without edema
b.metabolic acidosis present
c.low secretion of rennin.
d.low secretion of aldosterone inspite of reduced volume of fluid
52.Drug not used in multiple sclerosis
a.interferonn 1 alpha
b.interferon 1 beta
c.Glatiremer acetate
d.Mycophenolate
53.Drug used in multiple sclerosis
a.interferon alpha
b.interferon beta
c.interferon gamma
54.Bremelanotide used for
a.Erectile dysfunction
b.LUTS
c.Prostate Cancer
d.Metastatic Renal Cancer
55.Post operative ileus most common in:
a.stomach
b.duodenum
c.ileum
d.Colon
Ans:Ileum

56.If 4 nucleotide repeats code for a amino acid. Theoritically what is the maximum
no. of amino acid coded possible from nucleic acid
1.16
2.64
3.4
4.256
57.Cranial drug used in patch form in parkinsons disease
Ans:Rotigotine
58.Flaying seen in what type of lacerated wound ?
a.ear
b.shearing force
c.avulsion
d.pressure
Ans:Avulsion
59.According to organ transplantation act 1994 what is punishment for a doctor if
found guilty ?
a.2 yrs
b.morethan 5 yrs
c.4 yrs
d.2-5 yrs
Ans:2-5 yrs
60.Palatoprint commonly taken from
a.anterior part of palate
b.lateral wall of palate
c.medial wall of palate
d.posterior palate
Ans:anterior part of palate
61.drug used for non infectious uveitis in luminate
a.cyclosporin
b.infliximab
c.methotrexate
d.voclosporin
Ans:Voclosporin
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62.type d personality were recently found to risk for

a.coronary artery disease

b.depression
c.personality disorder
d.schizophrenia
Ans:coronary artery disease
63.maximum punishment to doctor under 304A.2year
19.ldl recptr true A/Ea.clathrin coated recptr on cell membrane,
b.taken by endocytosis,
c.present only at xtra hepatic site,
d.incrsd cellular chloesterol downregulates the receptors
64.which drug for ms improve the EDSS ?
a.Interferon
b.
c. Natalizumab
d.
65.stack formula for age estimation frm dental pattern :
a.infant
b.adults
c.age 25- 50
d.>50 yrs age
Ans:Infants
66.Major determinant factor in gluconeogenesis in liver depends 0n
a.alanine
b.level of essential fatty acid in liver
c.ADP in liver
d.
Ans:
67.Anti coagulant for choice for testing anti coagulation?
a.heparin
b.EDTA
c.OXALATE
d.3.2% Trisodium citrate
68.If u r in PHC, which anticoagulant is used to sent the blood sample ?
a.EDTA
b.heparin
c.A-F + POTASSIUM
d.POTASSIUM +

69.Which of the following inhibit CPT1 on outer membrane of mitochondria?

malonyl coA
lady with hb-9, mcv- 50 , ferritin-200 , tibc-294 fe- 30mg/dl
a.fe def
b.anaemia of chronic ds
c.thalasemia minor
d.thalasssemia major
70.WHICH OF THE FOLLOWING DOES NOT AFFECT THE HARDY WINBERG
EQUATION?
a.small population
b.random mating
71.A/e brown sequard syndrome
a.ipsilateral pyramidal tract features
b.c/l dorsal column
c.c/l spinothalmic
d.ipsilat planter extensor
72.ozurdex 7% dexamethasone
73.patient with proptosis and pain after 4 hrs of injury,,,bruise in eye and frontal
area..
a.cav sinus thrombosis/
b. int carotid artery aneurysm/
c. carotico cavernous fistula/
d.sphenoid fracture/
74.a downs child mentally retarded, a/e
a.deleted 21
b.trisomy 21
c.robertsonian
d.mosaic
Ans: Deleted 21
75.PGE causes worsening in infanta.ps without vsd
b.left hypoplastic hrt syndme
c.obstructive tapvc
d.obstruction in aorta
76.efavirenz acts
a.HIVI1 PROTEASE
b.HIV1nucleosidase
c.hiv1 integrase
d.HIV entry into cell
77.Which retinal layer is most resistant to radiation
a.RPE

b.layers of rods $ cones

c.bipolar cell layer
d.ganglion cell layer
Ans:a or b?
78.Calcification around foramen of monro, with periventricular infiltrates with raise
ICT, diagnosis?
a.ependymoma
b.Sub ependydomal-astrocytoma
c.Neuronal-cyst
d.central neurocytoma
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Ans:subependymal astrocytoma ?
79.herpes zoster keratitis all occure except
a.pseudodendritic keratitis
b.anterior endothelial keratitis
c.sclero keratitis
d.endothelitis.
80.Patent with urethral syndrome , microscopy full of polymorph , but no bacteria ,
culture done in
a.mccoy cell
b.thayer martin
c.cooked meat
d.PPLO broth
81.First chemical barrier encountered for microorganism for common exposed sites
a.lysozyme
b.acidic ph
c.skin
d.lactose
82.A surgeon inexperienced in laparoscopic cholecystectomy .He sees a CBD stone
durin the procedure. how does he proceed ?
a.open cholecystectomy wid choledochoduodenostomy
b.convert it to open and then do CBD removal
c.laparoscopic cholecystectomy with lap choledocholithotomy
d.lap cholecystectomy with choledocholithotomy through cystic duct
Ans: Convert it to do open cholecystectomy and CBD stone removal ?
83.A child with tlc-60000 , hb-9.1 ,CD10+, CD33-, MPO+, CD117+, CD19- ????
a.ALL
b.AML
c.MULTILINEAGE LEUKEMIA
d.UNDIFFERENTIATTED LEUKEMIA
Ans:Multilineage Leukaemia

84.all prevent delivery of aftercoming head of fetus except

a.extended haed
b.hydrocephalus
c.placenta previa
d.incomplete dilatation of cervix
85.baby born wid blisters.best investigation..
a.VDRL
b.MANOUX on blister fluid
86.Intraepidermal IgG
Ans:pemphigus
87.Treatment of choice in idiopathic CAH in infants:
a.Hydrocortisone
b.Dexamethasone
c.Betamethasone
88.Dilator pupillae supplied by
a.post ganglionic parasympathetic
b.post ganglionic sympathetic
c.3rd nerve
d.
89.Spondylolisthesis least helpful in diagnosisa.ap x ray
b.lateral x ray
c.mri
d.ct
Ans:AP X ray ?
90.For confirmation of identity DNA from autopsy sample is taken from
a.liver
b.spleen
c.kidney
d.brain
91.Women with infertility with bilateral cornual block on hysterosalphigography best
way to manage is
a.Tuboplasty
b.ivf
c.hydrotubation
d.hyseteroscopy
92.poly (A) tail on translation will give rise to
Ans:polylysine

93.least harm caused by damage toa.sma

b.ima
c.coeliac
d.renal artery
94.Karyotyping of fetus can be done frm a/e
a.Chorionic villlus sampling
b.cordocentesis
c.amniocentesis
d.fetal skin
Ans: fetal skin ?
95.T4 to T3 converted by all except
a.propanolol
b.propylthiouracil
c.methimazole
d.amiodarone
96.least harm caused by damage toa.sma
b.ima
c.coeliac
d.renal artery
Ans:Inferior mesenteric Artery
97.Newborn hypoehoic midline mass bruit on ausculation
Ans:Vein of galen malformation
98. Patient has papillary necrosis, investigation that need not be done
a.Sickling test
b.bacterial UTI culture urine culture
c.urine PCR for TB
d.
Ans:
99.IgA deposits in dermal papilla. Diagnosis?
a.Dermatitits herpetiformis
b.pemphigus
c.Bullous pemphigoid
d.IgA dermatosis of childhood
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100.17yr girl with ovarian tumor. Usg shows predominant solid components Ca 125
negative, AFP negative, ALP raised, most likely diagnosis?
1.Dysgerminoma
2.Endodermal sinus tumor

3.malignant teratoma
4.mucinous cystadenocarcinoma
Ans:
101.cap operon
Ans:Positive regulator
102.% of endothelium destroyed in automated keratoplasty?
a.5%
b.10-20%
c.30-40%
d.50-60%
103.Bipolar 2 disorder is =
a.Hypomania + depression
b.Hypomania + syndromic depression
c.
d.
104.Hematuria with hypercalciuria what will be the associated finding
a.isomorphic rbc
b. rbc cast
c. nephrotic range proteinuria
105.situs invertus, sinusitis, infertility: diagnosis
Ans:kartgeners syndrome
106.TB meningitis features, blood picture will show which of the followinga.lymphocytosis ,low glucose ,high protein
b. lymphocytosis ,normal glucose ,high protein
c.
d.
lymphocytosis ,low glucose ,high protein
107.Group a streptococcus, best to diagnose by?
a.optochin sensitivity
b.bacitracin sensitivity
c.catalase negative
d.bile solubility
108.Reflux nephropathy pt has
a.mpgn
b.fsgn
c.
d.
Ans:FSGN

109.indications of GTT in preg a/e:

a.Previous malformation.
b.Polyhydramnios.
c.Eclampsia.
d.PREVIOUS UNEXPLAINED DEATH
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110.Countertransference
Ans:Therapists feelings towards a client(emotional entanglement)
111.A 50 year old man with aortic stenosis is doing exercise for 11 minutes according
to bruce protocol. Exercise stopped due to fatigue, Regional pressure gradient is
60mmHg between the two sides of the aortic valve. What is the best management?
a.Angiogram
b.Aortic valve replacement
c.Aortic ballooning to prevent further derangement
d.
112.Maintenance of tidal volume
a.bronchial stretch receptors
b.j receptors
c.carotid/aortic body
d.Hering breuer reflex
113.prothrombin time measurement
a.within 2 hr should be measured
b.immediately refrigerate to preserve coagulant factor function
c. platelet rich plasma is required
d. activate with kaolin
114.Most common Cause of Addisons disease in india
a.TB
b.post partum
c.autoimmune
d.hiv
115.Suppose you are in a phc, then you will send blood collected for blood glucose
investigation mixed with?
a.Heparin
b.Potassium citrate with _
c.Potassium citrate with NaF
d.EDTA
Ans:Naf+citrate
116.17 yr female with b/l inguinal hernias,sec sex charecters seen,no pubic hair,with
primary amennorhoe?
a.androgen insensitivity

b.star
c.mullerian agenesis
d.turners
117.normal function of ovary is seen in?
a.mrkh
b.turners
c.
d.
118.short child with low t4 nd raised tsh nd swelling of pitutary , what is the
diagnosis?
a.pitutary tumour
b.primary hypothyroidism
c.TSH secreting pituitary adenoma
d.TSH resisitance
119.direct thrombin inhibitor newest drug?
a.xomlatregan
b.danaparenaux
c.
d.
120.a 25 yr old female with mcv55,rbc count 4.5,with normal wbc count
a.thal minor
b.thal major
c.anemia of chronic diseases
d.iron def anemia
121.Question on primary hyperaldosteronism all are present exceptAns:metabolic acidosis present
122.indications of systemic steroids in psoriasis
a.pustular
b.impetigo herpetiformis
c.psoriatic arthropathy
d.
Ans:Impetigo herpetiformis
123.question was which is true for octreotide
a.stimulates growth hormone
b.used in secretory diarrhoea
c.used orally
d.contraindicated in acromegaly
Ans:Used in secretory diarrhoea

124.MRSA cannot be given

a.cefaclor
b.cotrimoxazole
c.ciprofloxacin
d.vancomycin
125.to produce insulin by bacteria ,initial material is
a.rna of beta pancreatic cell of human
b.DNA of beta pancreatic cell of human
c.m rna of beta pancreatic cell of bacteria
d.DNA of beta pancreatic cell of bacteria
126.lower limb weakness, subdural mass
a.lipoma
b.meningioma
c.
d.neuronal cyst
Ans:
127.Material not required in protein synthesisa.rna polymerase,
b.aminoacyl transferases,
c.ribosomes
d.peptidyl transferase
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128.which of the following is not involved in translation in eukaryotes?
a.ribosome
b.peptidyl transferase
c.aminoacyl tRNA
d.RNA polymerase
129.liver capsule compartments formed by all except
a.ductal
b.cystic
c.gall bladder
d.umbillicus
130.Direct standardisation question
Ans:Age distribution
131.SLE QUESTION6 TESTS ORDERED, 4 POSITIVE, 2 NEGATIVE, TO DIAGNOSE SLE WE MUST
KNOW
Ans:Prior probability of sle,sensitivity,specificity.repeat question

132.Thiazide drug usage, what changes will occur within 24 hours of use of the
thiazides in excretion of
Ans:
134.old pt male develops respi infection, with fever, dry cough, organism grown on
charcoal yeast extract only then the organism grows
a.burkholderia
b.legionella
c.hemophilus
d.
Ans:
135.pustular lesion on shin,recurrent oral mucosal ulcers?
a.Behcets syndrome
b.Pemphigus
c.
d.
136.Preleukemic conditions all except
a.pnh
b.paraoxysmal cold hemoglobinuria
c.myelodysplasia
d.aplastic leukemia
137.Herpes zoster keratitis all occure except
a.pseudodendritic keratitis
b.anterior endothelial keratitis
c.sclero keratitis
d.endothelitis
138.LDL levels 500, triglyceride 150, which will be present in the patient?
a.tendon xanthoma
b.planar xanthoma
c.
d.
139.not an indicator of acute pancreatitis
a.amylase
b.cck pentagastrin
c.
d.
140.man with accident and forehead abrasion ,trauma proptosis appeared after 4 days
of injury
diagnosis?
The question given at top, repeat

141.brinzolamide- reversible noncompetitor

142.azithromycin prophylaxis in trachoma given when prevalence above?
a.8%
b.6%
c.4%
d.10%
143.phagocytosis causes complement activation by
Ans:c3b and fc
144.steroid resistant gene in NS:
Ans:NPHS 2
145.Not used as prognostic marker in pancreatitis;
Ans:amylase
146.MRI finding characteristic of cavernous angiomaa.popcorn like appearance
b.phlebectasia
c.
d.
147.alzheimers disease all are seen except
a.aphasia
b.acalculia
c.apraxia
d.agnosia
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148.epidermoid and arachnoid cyst differentiation
a.smooth margin
b.contrast enhancement
c.CSF in FLAIR
d.
149.After RTA a young male presented with non pulsatile retroperitoneal
hematoma.on table IVU was done.rt kidney not visualised left kidney showed
immediate excretion of dye.what is next step in m/t
a.nephrectomy
b.explore proximal renal vessels, open Gerotas fascia n explore kidney
c.perform on table angiography
d.retrograde pyelography
150.Characteristic thing secreated in breast milk
a.linoleic acid
b.palmitic acid
c.arachidonic acid
d.docosahexaenoic acid

151.a pt present with sudden b/l loss of vision with loss of light perception. More on rt
side. Pupillary reflex, optokinetic nystagmus are normal. Pt can touch to his finger on
closing his rt eye but not on closing lt. What is diagnosis?
a.optic neuritis
b.anterior ischaemic optic neuropathy
c.cmv retinitis
d.Funtional vision loss
152.all r true abt socialized medicine except
a.decreases competition among practitioners for patients
b.state incorporation for free medicine
c.itself states utilization of health facilities
d.
153. Socialisation of Medicine
154.All r seen in 3rd nerve palsy except
a.ptosis
b.diplopia
c.miosis
d.eye moves laterally
155.all r true abt oxygenase except
a.incorporate one atom of O2
b.incorporate both atoms of O2
c.hydroxylation
d.help in carboxylation reaction of steroids
156.Lid retraction is caused by
a.apraclonidine
b.brimonidine
c.latanoprost
d.travaprost
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157.Granulosa cell tumor marker
a.inhibin
b.CA-19-9
c.CA 5
d.
158.Child presents with lesions on extensor surface of elbow, mother giving h/o
bronchial asthma
a.airborne contact dermatitis
b.atopic dermatitis
c.
d.
159.Cytoskeletal endothelial retraction adjustment occurs in inflammationa.early increase in permeability
b.late increase in permeability

c.
d.
160.about forcep delivery all except this is is inaccurate?
a.the AP diameter of head is 15 degree to the axis
b.it the presentation is vertex n face with mentoantr
c.the presenting part is at zero station
d.caput succedum
161.INVESTIGATION OF CHOICE FOR meningial carcinamatosis?
a.Non contrast CT
b.Contrast MRI
c.SPECT
d.PET
162.Episodic anemia +jaundice..all except
a.G-6 PD
b.Sickle cell
c.PNH
d.Hereditary spherocytosis
163.Leaking meningomyelocele..what investigation
a.wound culture
b.blood culture
c.urine culture
d.Rectal swab
164.investigation of choice for zenkers diverticulum?
a.endoscopy
b.barium swallow
c.MRI
d.oesophageal manomatry
165.Test were done 4m one sample hb ranging from 9.1 to 12.2
Ans:Low Validity n low reliability??
166.HAM test
Ans:GPI anchor
167.Only neurons affected
Ans:spinocerebellar ataxia
168.Non blanching purpura lower limb-IgA
Ans:Henoch Schonlein Purpura
169.A patiemt has normal PT,Plat count and inc aPTT,factor 8 levels given as 60
iu/ml, no bleeding history, diagnosis?

a.Factor IX def.probably
b.Thalassemia
c.Factor VIII inhibitors
d.Lupus anticoagulant
170.1% pilocarpine given,large non responding pupil,cause is
a.adies pupil
b.pharmacological blockage
c.uncal herniation
d.
171.patient with recurrent joint pains n pettiechial hemorrhagesdiagnosisa.megakariocytic thrombocytopenia
b.amegakarocytic thrombocytopenia
c.platelet function defect
d.factor viii inhibitors
172.4 month pregant lady on rx valproate.regularly seeking advice for valproate
therapy,wts nxt management??
a.immediately taper off valproate and start lamotrigine
b.carbamazapine
c.continue valproate with monitoring of dose
d.both valproate and lamotrigine
173. which of the following does not present with eosiniphilia and ARF..
a.drug induced interstitial nephritis
b.atheroembolic phenomena
c.contrast nephropathy
d.PAN
174.Which is the only drug effective in EDSS in multiple sclerosis?
a.interferon gamma
b.interferon beta
c.glatiramer acetate
d.natalizumab
175.Experimental Bacteroides fragilis bacteremia in a primate model: evidence that
Bacteroides fragilis does not promote the septic shock syndrome.
176. c/c aicoholic wid painless 15degee deviation of little finger-rx
a.observation
b.percutaneous fasciotomy
c.subtotal fasciotomy
d.total fasciotomy
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177.Lady with pain in great toe, but sensation intact on the toe, level of disc
prolapsed?
a.L3-L4
b.L4-L5

c.L5-S1
d. S1-S2
178.Which of the following is not the function of gut flora?
a.degradation of mucin
b.production of vitamin k
c.decreased proliferation of epithelial cells
d.
179.RA is best diagnosed by?
a.IgA RF
b.IgG RF
c.IgM RF
d.anti CCP antibody
180.Patient with pain in thumb, index finger, middle finger, what test will you not do
come to a diagnosis?
a.finkanstein test
b.phalen test
c.tinels sign
d.tourniquette
181.Universal definition of MI all except?
a.Sudden death can be MI
b.New abnormal wall motion with raised cardiac biomarkers
c.3 times troponin levels
d.Reperfusion in 5-7% leads to elevation of troponin levels
182.Correct match of drug and its metabolic enzyme are all except?
a.digoxin-p glycoprotein
b.simvastatin- glucuronisation
c.verapamil-cyp 3A4
4.2D6 for a drug
183.patient has injury in the base of right thumb, which muscle should be tested?
a.abductor pollicis
b.extensor pollicis
c.
d.
184.Which is not true
a.Ankle brachial index b.Smoking is more specific for peripheral vascular disease
than for cardiovascular disease
c.ABI changes during exercise than at rest
d.
185.Not true of isoenzymes?
a.same classification
b.same rate of work
c.same quarternary structure

d.
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186.Which is not due to defect in normal movement of brain tissue?
a.lissinocephaly
b.schizzenencephaly
c.polymicrogyria
d.focal cortical brain maldevelopment
187.Syndromic management in INDIA includes which of them?
a.primary chancre and herpes
b.chancroid and herpes
c.chancroid, herpes and primary chancre
d.chancroid and primary chancre
188.Diabetes mellitius diagnosed when
a.fasting blood glucose is 100 and post prandial 140
b. fasting blood sugar 125 and 2 hr posprandial blood sugar is 199
c.
d.
Ans:fasting blood sugar more than 125 and 2 hr pp blood sugar more than 199.
189.Not a direct somatoform disorder?
a.Somatization
b.Fibromyalgia
c.Chronic fatigue syndrome
d.Irritable bowel syndrome
190.Somatic passivity is a feature of?
a.
b.
c.Depression
d.Paranoid schizophrenia
191.A hibernating heart can be diagnosed by?
a.echo
b.dobutamine
c.thallium scan
d.
192. All of the foll are present in superficial perineal pouch except?
a.sphincter muscles
b.posterior scrotal nerves
c.bulbospongiosus
d.
193. A 40 nm gap junction between tropocollagen arms contains which ion?
a.Ca
b.Fe

c. Carbohydrate
d.
194. Adrenaline,dopamine, GABA, serotonin receptors are?
a.7 times
b.4 times
c.ligand gated
d.
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195.If a doctor indulges in giving false medical certificate to a patient then he is liable
to be prosectuted under?
a.137 IPC
b.157 IPC
c.197 IPC
d.
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196.Incorrect IPC match?
a.Murder 300 IPC
b.Attempt to murder 307?
c.Attempt to suicide
d.
197.Lady on long term hemodialysis developed carpel tunnel, on biopsy, it was Found
to be due to amyloidosis. What type is the amyloid will be present?
a. Beta2 microglobulin
b.Amyloid light chain
c.ATTR
d.
198. An ICU pt on central line given Amikacin + ceftazidime. Culture grew gram
positive bacteria in chain, he is Started on vancomycin for 2 weeks but bacteria still
persisted. Which is it?
a.Staphylococcus aureus
b.Coagulase negative Staphylococcus
c. Enterococcus fecalis
d.GrpA streptococcus
199.Patient with jaundice and white stools. Which of the foll enzymes is not raised?
a.5nucleotidase
b. alkaline phosphatase
c.aminotransferase
d.gamma glutamyl transferase