Anatomy------------------------------------------------------------

1]true abt.injury to common peronial nerve causes a/e- a.anesthesia of sole of foot b.# of neck of fibula
c.foot drop
2]S5 root not involved in a.adduction of thigh b.foot dorsiflexion c.extension of knee d.flexion of knee
3]not seen in the floor of 3rd ventricle is------- a.3rd nerve b.mamillary body c.optic
4]posterior cerebral circulation obstruction doest involve----- a.pons b.mid brain c.cerebellum d.
5]in anterior choroidal block not seen is------ a.homonymous hemianopia b.hemiplagia c.hemianesthesia

6]which of the following pases through foramen magnum---- a.vertebral artery b.sympathetic trunk
c.12th nerve d.int carotid artery
7]structure not present below the pancreas head is---
a) duodenum first part b) Aorta c) IVC d.cbd

in
8]utricular creast is present in----- prostatic urethra
9]nerve derived from trunk is--- a.supra scapular b.nerve to subclavius c.long thoracic nerve
10]spinal anesthesia is given at----- l2-l4 segment
11]low radial nerve palsy doest involve--- ecrl,ecrb,intrinsic muscles of hand
12]supracondylar# usually involes- a.anterior interosseus nerve b.median c.ulnar d.radial
13]not supplied by anterior division of mandibular nerve is--- a.lat pterygoid b.maseter c.medial

s.
pterygoib d.temporalis
14]pain of ethmoidal sinusoitis is mediated by---naso cilliary nerve
15]not a pneumatic bone is--- mandible, maxilla, ethmoid, frontal
16]vestibular schwannoma arises fromsuperior vestibular division
17]diaphragm is developed from all of the following structures except- a.septum transversarium
b.cervical myotome c.pleuroperitoneal membrane d.dorsal mesocardium

femoral im
18]aortic musculature derived from-para axial, intermediate, latral
19]epiphysial growth plate is an example of- a.primary fibrocartilagenous joint b.secondary fibro
cartilaginous joint
20]Major arterial supply to femoral neck is--- a.profunda femoris b.lateral circumflex c.medial circumflex

21]not a derivative of hypogastric sheatha.broad ligament

22]palpation of int carotid done atsuperior border of thyroid
[/img]
_________________
ai
1------anesthesia of sole of foot
2........adduction of thigh
3.........3rd nerve
4..........pons
5..........ataxia if it was in option the other three options which i had given happens in ant choroidal
s4

block
6............vertebral artery
7............1st part of duodenum
8............prostatic urethra
9.............supra scapular & nerve to subclavius
10...........l2---l4
11...........ecrl
12...........ant interosseus
13..........medial pterygoid
m

14..........nasocilliary nerve
15..........mandible
16...........sup division
17.........dorsal mesocardium
18.......... para axial
19.........primary cartelagenous
20...........profunda femoris/medial circumflex
Ai

21...........broad ligament
22............superior border of thyroid
_________________
there will be no tomorrow if there is no today

Physiology & biochemistry--------------------------------------------

1]vitamin k is required for carboxylation of----glutamate
2]urea cycle occours in------ liver
3]decreased energy is seen in thiamine deficiency this is because- thiamine is the cofactor for alfa keto
glutarate and pyruvate dehydrogenase
4]increased pcv in mountaineers is due to----- a.polycythemia and dehydration b.pulmonary edema
 c.blood los
5]earliest sign of hypomagnesemia is-------- a.decreased dtr b.cvs depression c.hypertension
d.convulsions
6.hcg levens are monitored by---- a.bio assays b.ria c.elisa d.latex agglutination
7] nitrates in intestine acts by--- inhibiting smooth muscle contraction
8]durig a body plethismography test a man gives an expiratory effort against a closed glottis what
happens to preasure of body and box a.both increased b.body preassure increases box preassure
decreases c.viceversa of b d.both decreases
9]cardio protective--- w3 fatty acid
10]false is--- a.level of ldl not associated with formation of foam cells b.hdl can decrease the oxidation
of ldl into foam cell
11]vescicular sound heard in small airways because--- a.high Reynolds number b.lesser velocity c.lower

in
radii of curvature d.higher total area of crossection
13]enzyme transferring nh3 ion from one molecule to other is- amino transferase
14]waxy translucent lines illuminantphosphorus
15]orthopnia is due to--- a.pooling in pulmonary circulation b.pooling in legs
16]compliance of lung is decreased in a/e- a.reduced surface tension b.chronic bronchitis c.pulmonary
edema

s.
17]oxygenated blood is present inumbilical vein
18]maximum water is reabsorbed from- jejunum
19]ab can be membrane bound or secretory due to- differential splicing
20]increased levels of all of the following is associated with atherogenesis except----- a.homocystine b.
Ldl c. Apoe
21]Increased production of a mutant protein can be favoured bya.increased translation factors
b.inducible promoter

im
22]right isomerism associated with- aspleenia
23]Gs alfa subunit gain in function mutationincreased gtpas activity
24]false is--- a.factor 10 common pathway b.extrensic pathway can be activated by availability of
phospholipid layer c. Calcium is an important clotting factor d.intrnsic factor pathway can be studied
invitro
25]Bmr depends onlean body mass
26]aldosterone receptors are not found inliver
27.two plznts are grown one flourescene and another in luciferase containing media in dark what
ai
happens
1. both plants wil glow 2. both wil not glow 3. first wil glow 4. second wil glow
_________________

1.........glutamate
2..........liver
s4

3...........thiamine is the cofactor for alfa keto glutarate and pyruvate dehydrogenase
4.polycythemia + dehydration
5.decreased dtr
6..............probably ria not sure
7..........inhibiting smooth muscle contraction
8...........body preassure increases box preassure decreases
9........w3 fatty acid
10.........level of ldl not associated with formation of foam cells
11..........probably lower radii of curvature
m

13.........amino transferase
14.........no idea may be phosphorus
15..........again no idea i wrote pooling in pulmonaru circulation thats why we give head up bed position
in these patients, but again i am simply guessing
16.......chronic bronchitis
17......umblical vein
18.........jejunum
Ai

19........differential
20.........apo e
21.........increased translation factors
22........aspleeneia
23.......increased gtpase activity
24........may be pathway can be activated by availability of phospholipid layer not sure though
25........lean body mass
26.......liver
27........seriously no idea what he is talking about
_________________
 Forensic--------------------------------------------------------------
1.Hyperthermia is seen in a/e- a mao i b.alcohol c.bi nitro cresol d.amphetamine
2.bluish discoloration of mucosa nails and conjunctiva seen in- a.lead b.arsenic c.copper
3.traces of gunpowder detected by- a.uv light b.infra red light
4.rave drug is-ectacy
5.Which of the following can be used in bioterrorism-- a.c botulinum b.small pox
6.signature fracture is- depressed fracture
7.sparrow leg appearance on face seen with- a.burst of dash board screen b.vitrolage c.bullet wound not
penetrating face
8.imprint of tyre on body- patterned bruise
9. not a way of dental analysis- fdi,
10.voilent shaking of child seen- a.#long bones ,b.orbital#, c.epidural haematoma d.spleen injury

in
11.most common cause of death in schizophrenia is
_________________

1.......alcohol
2.........lead
3.........infra red

s.
4.........ectacy
5..........c botulinum acc to harrison i had written small pox and i am cursing bhatia grand test for it
6........... depressed fracture
7.......burst of dash board on face inspired by die another day movie 007
8.......patterned bruise acc to reddy
9........fdi and pammer methods are done dont remember the other two options need ur help here

_________________ im
10........it was sub dural hematoma not epi
11.......suicide coz sizophrenia is always associated with major depression any way if a drug increases
the mortality in a group of patient it wont be ginen to him right. so in all probability its suicide

Pharmacology------------------------------
1.chronic use of inh causes deficiency in- isonhiazide
2.True is- a.sulfonamide binds irreversibly to enzyme b.inhibition of malathion can be reversed by
ai
increasing the concentration of ach c.flouroacetate is a competitive inhibitor of aconitase
3.not used for controlling post menopausal flushes in a woman with harmone +ve tumors is- tamoxifen
4.amphotericin b causes deficiency in- potassium
5.not given to treat diabetic macular edema-tamoxifen
6.which progesterone is given in low dose ocp- a.norethensterone b.lovogestor c.madroxyprogesterone
7.in a patient with reduced renal function, what is done to decrease toxicity due to contrast agent--
a.hypoosmotin solution b.fendopalm c.nacetyl cystine d.manitol
s4

8.pregnant woman with new sputum +vet b what is to be done- start category 1 immidiately
9.drug of choice for central di is-desmopressin
10.patient taking lithium presenting renal toxicity signs what should not be given- diuretics
11.after taking penicillin patient presents with lymphadenopathy and shock hypotension probable cause-
type 3 hypersensitivity reaction
12.pregnant woman with sle not given in treatment- methotrexate
13.resistance to opoid action acquired in a/e- miosis
14.which is most commonly used for detoxification of opoid dependence- methadone
m

15.alcohol detoxification all are used except- a.disulfiram b.acramposate c.flumazenil d.buspirone
16.aflatoxin secreted by-aspergillus flavus
17.fluvistart false is- a.pure estrogen antagonist b.approved for breast cancer c.toxicity/efficacy les than
srem
18.parentral nutrition not given- fibers, fat, cho, micro nutrient
19.anti depressant also used in spasic bladder,- a.immipramine b.fluvoxamine
20.muscarinic antagonists donot mediate- pupilary constricti
Ai

21.serotonin syndrome a/e- a.dantrolin given b.charecterised by increased temperature and

hypertension c.sri can precipitate it d.always predictable and not idiosyncratic
22. true about mrsa a/e- resistance mediated by plasmids
23.tetracycile is used in prophylaxis for- cholera
24.pulmonary fibrosis/toxicity seen with-bleomycin
25.haemorrhage after giving primaquine cause-g6pd def
26.32 yr old hypothyroid patient with heart disease- a.give low dose levothyroxine b.thyroid mass
implantation c.full dose levo
27not used in migrane prophylaxis- a.propranolol b.topiramate c.flunarizine d.phenytoin/ca channel
blocker
28.antiviral which is an integrase inhibitor-raltigralvir
29.contraceptive not given in epileptic patient- ocp
 30.alkalysation of urine done in- a.ifsophosphamide b.methotrexate c.platins d.arac
31.not a side effect of methotrexate- diarrhoea
32.given for treatment of varices- octreatide
33.meglitanide false is a. decreases post parendial hyperglycemia
b. hypoglycemia less common than sulfonylureas c. it decreases insulin resistance
d. it acts by releasing insulin
34.best inotropic drug for rv -a.dopamine b.milerinone c.digoxin d.amrinone
35.digoxin toxicity causes a/e- a.ventricular bigeminy b.bi ventricular tachycardia c.atrial fibrillation
regularisation d.delayed av conduction
36.false about erotinib is- a.tyrosine kinase inhibitor given for epithelial tumor b.given for ncc c.food
delays its absorption d.side effect rashes
37.after craniopharyngioma surgery first drug to be given in case of endocrinal insufficiency-cortiso

in
38.what is given for chemotherapy induced thrombocytopenia-opralutin
39.apripitant false is-a.a.nk1 agonist b.given for chemotherapy induced vomiting c.croses blood brain
barrier d.metabolised by cyp450
40.ranulogin false is-a.anti angina b.glycemic control
41.false is-insulin is never required in typr 2 dm

s.
42.not seen on giving intra thecal opoids- a Dysphonia b.itching c.fall in bp
43.true about buprenorphine at meu receptor is-- a. Partial agonist at MU Receptor c. Partial agonist at
Kappa Receptor
b. Full Agonist at Mu Receptor d. It is antagonist at Kappa receptor
44.which is not antiresorptive
a.Etidronate b.Strontium c.Teriparatide d.alendronate
_________________

Pharmacology------------------------------

ans.....................pyridoxin
im
1.chronic use of inh causes deficiency in- isonhiazide

==============================================

2.True is- a.sulfonamide binds irreversibly to enzyme b.inhibition of malathion can be reversed by
increasing the concentration of ach c.flouroacetate is a competitive inhibitor of aconitase
ai
ans.................option c

------------------------------------------------------------------------------------

3.not used for controlling post menopausal flushes in a woman with harmone +ve tumors is- tamoxifen
s4

ans.........tamoxifen actually worsens flushes

-------------------------------------------------------------------------------------

4.amphotericin b causes deficiency in- potassium

ans......its pottasium
m

===============================================

5.not given to treat diabetic macular edema-tamoxifen

again tamoxifen causes macular edema so cant be given

===============================================
Ai

6.which progesterone is given in low dose ocp- a.norethensterone b.lovogestor c.madroxyprogesterone

a and b both are given in low and ultra low dose in us products so which is used more commonly i dont
know

==============================================

7.in a patient with reduced renal function, what is done to decrease toxicity due to contrast agent--
a.hypoosmotin solution b.fendopalm c.nacetyl cystine d.manitol

hypoosmotic agents actually decrease contrast induced side effects and acetyl cystine is reno protective
 for kidney to any contrast injury so if the qn is as i had written my ans is acetylcystine if it were whats
given to decrease side effects my ans is hypo osmotic solution

hey seriously the answer could be any thing need ur help

------------------------------------------------------------------------------------
8.pregnant woman with new sputum +vet b what is to be done- start category 1 immidiately

ans.....its type 1 immideatly

-------------------------------------------------------------------------------------
9.drug of choice for central di is-desmopressin

in
=============================================

10.patient taking lithium presenting renal toxicity signs what should not be given- diuretics

===============================================

s.
11.after taking penicillin patient presents with lymphadenopathy and shock hypotension probable cause-
type 3 hypersensitivity reaction

===============================================

im
12.pregnant woman with sle not given in treatment- methotrexate
==============================================

13.resistance to opoid action acquired in a/e- miosis

==============================================
ai
14.which is most commonly used for detoxification of opoid dependence- methadone

==============================================

15.alcohol detoxification all are used except- a.disulfiram b.acramposate c.flumazenil d.buspirone
s4

thje qn was more like drug given to prevent relapse any ways the ans is flumazenil

==============================================

16.aflatoxin secreted by-aspergillus flavus

===============================================
m

17.fluvistart false is- a.pure estrogen antagonist b.approved for breast cancer c.toxicity/efficacy les than
srem

a and b are excluded probably even c . any body knows whats the option d??????
===============================================
Ai

18.parentral nutrition not given- fibers, fat, cho, micro nutrient

ans......fibers
==============================================

19.anti depressant also used in spasic bladder,- a.immipramine b.fluvoxamine

ans.........the qn also had nocturnal enuresis, spastic bladder, depression so the ans is imipramine
-----------------------------------------------------------------------------------
 20.muscarinic antagonists donot mediate- pupilary constricti
-----------------------------------------------------------------------------------

21.serotonin syndrome a/e- a.dantrolin given b.charecterised by increased temperature and

hypertension c.sri can precipitate it d.always predictable and not idiosyncratic

ans is dantroline yes serotonin syndrome is predictable and not idiosyncratic thats why u dont give drugs
which can precipitate it
===============================================

22. true about mrsa a/e- resistance mediated by plasmids

in
-------------------------------------------------------------------------------------

23.tetracycile is used in prophylaxis for- cholera

-------------------------------------------------------------------------------------

24.pulmonary fibrosis/toxicity seen with-bleomycin

s.
-----------------------------------------------------------------------------------
25.haemorrhage after giving primaquine cause-g6pd def
===============================================

ans......low dose im
26.32 yr old hypothyroid patient with heart disease- a.give low dose levothyroxine b.thyroid mass
implantation c.full dose levo

===============================================

27not used in migrane prophylaxis- a.propranolol b.topiramate c.flunarizine d.phenytoin/ca channel

blocker
ai
ans is ca channel blocker it causes vasodilation further incresing migrane which acc to vasculogenic
theory is due to increased vasodilation
hope the explanation satisfies u

==============================================
s4

28.antiviral which is an integrase inhibitor-raltigralvir

============================================

29.contraceptive not given in epileptic patient- ocp

==============================================
m

30.alkalysation of urine done in- a.ifsophosphamide b.methotrexate c.platins d.arac

ans..... it was specifically asked high dose of which drug the answer is cisplatin
============================================

31.not a side effect of methotrexate- diarrhoea

Ai

ans,,.. the question was about adverse effect of thalidomide a/e and the ans is diarrhoea as it causes
constipation
-----------------------------------------------------------------------------------

32.given for treatment of varices- octreatide

-----------------------------------------------------------------------------------

33.meglitanide false is a. decreases post parendial hyperglycemia

b. hypoglycemia less common than sulfonylureas c. it decreases insulin resistance d. it acts by releasing
insulin
 ans..... it decreases insulin resistance
===============================================

34.best inotropic drug for rv -a.dopamine b.milerinone c.digoxin d.amrinone

i have doubt abt it may be its no releasing amnirone which is preffered on right heart failiure as it may
specifically act on pulmonary vasculature decreasing afterload
again its a wild concept need ur help in finding the right answer

===============================================

in
35.digoxin toxicity causes a/e- a.ventricular bigeminy b.bi ventricular tachycardia c.atrial
fibrillation regularisation d.delayed av conduction

ans...... may be ventricular tachy cardia digoxin slows conduction

s.
regularisation of af is the most imp sign of digoxin toxicity

-------------------------------------------------------------------------------------

36.false about erotinib is- a.tyrosine kinase inhibitor given for epithelial tumor b.given for ncc c.food
delays its absorption d.side effect rashes

im
erotinib is given in non small cell carcinoma what was option b was it scc or nscc if it was
scc then thats the answer
if it was nscc the ans may be food decreases absorbtion

==============================================
---------------------------------------------------------------------------------------------------------
37.after craniopharyngioma surgery first drug to be given in case of endocrinal insufficiency-cortiso
ai
--------------------------------------------------------------------------------------

38.what is given for chemotherapy induced thrombocytopenia-opralutin

---------------------------------------------------------------------------------------
39.apripitant false is-a.a.nk1 agonist b.given for chemotherapy induced vomiting c.croses blood brain
barrier d.metabolised by cyp450
s4

ans,,,,,,nk1 agonist its actually an antagonist

----------------------------------------------------------------------------------
40.ranulogin false is-a.anti angina b.glycemic control

ans...glycemic control
-----------------------------------------------------------------------------------
41.false is-insulin is never required in typr 2 dm
===============================================
m

42.not seen on giving intra thecal opoids- a Dysphonia b.itching c.fall in bp

ans is dysphionia
-----------------------------------------------------------------------------------
43.true about buprenorphine at meu receptor is-- a. Partial agonist at MU Receptor c. Partial agonist at
Kappa Receptor
b. Full Agonist at Mu Receptor d. It is antagonist at Kappa receptor
Ai

ofcourse its partial agonist

----------------------------------------------------------------------------------
44.which is not antiresorptive
ans.....teriparatide
 a.Etidronate b.Strontium c.Teriparatide d.alendronate[/quote]
_________________

Pathology-------------------------------------
1.necrotising lymphadenitis seen in-kikuchi disease
2.sterile pyurea seen in-1.chronic pyelonephritis
a.wilmss tumour b.tuberculosis c.cystitis d.chronic pyelonephritis
3.in a disease with platelet dysfunction what happens- a.normal number increased bt b.decreased
number increased bt
4.psamoma bodies not found in-follicular ca thyroid
5.d/d between follicular adenoma and carcinoma- vascular invasion

in
6.not an immune mediated disease- sickle cell anemia
7.not due to abnormal protein folding- tb
8.not associated with erythema nodosum pregnancy
9.histopathology of nodule in leg shows fibroblastic foci with neutrophilic infiltration likely diagnosis
sweats syndrome
10.type of antibody seen in apla- gpi,ana
11.most charecteristi finding in acute inflammation- increased vascular permiability

s.
12.increased free radical injury is associated with increased levels of a/e superoxide dismutase ,
gutathion peroxidase
13.alt and classical pathway both activate c3
14.pirions- catalise folding of other protein
15.chimerism is seen in- a. singleton pregnancy b.monoamniotic .monochorionic c.diamniotic
monochorionic

18.slide fixing in pathology done by-

im
16.cell organelle involved in apoptosis -mitochondria
17.hybrids are obtained by using the following technique except- 1)attaching inactive viral particle on
cell membrane
2)adding ethylene glycol 3)applying a small electric current

a.formaldehyde b.alcohol c.picric acid d.glutraldehyde

19.false about xanthogranuloma- caused by tb
20. most potent stimulant of naive t cell- mature dendritic cell
21.malignancy associated with nf syndrome-
ai
A.jml B. Acute lymphoblastic leukemia C. Aml
22.coarctation of aorta mc associated with bicuspid valves
23.aml poor prognostic factor-
24.on fist time exposure to ova cells type of ab produced is- igm
25.hb h disease occours due to -loss of 4 alfa genes
26.phagocytosis all are true except >5 micrometer engulfed <5micrometer engulfed
s4

27.narp is- mitochondrial disorder

28.cavitation pneumonia is seen in- staphylococcus
29.nesidoblastoma false is
a. Occurs in adults more than child b.episodes of hypoglycaemia are seen
c. Histopathology shows Hyperplasia of Islet cells d. Diazoxide is used in treatment
30.not a true neuronal tumor
a.Neuroblastoma b. Gangliocytoma c. Ganglioglioma d.ependymoma
31.true abt gastric carcinoma-
a.occult bleeding in stool not seen b.achlorhydia predispose c.always scc d)radiosenstive
m

32.decreased calcium increased phosphate and increased pth investigation not done is- urine routine
33.killing power in phagolysosome is due to- oxidase
34. c in crp stands for- cho polysaccharide of pneumococcus
Microbiology---------------------------------
1.je false is- a.in epidemics only 2-3 cases seen in a village b.mosquito bite is always associated c.70%
infants
2.a sewer worker presents with flu like symptoms liver studie abnormal trearment done is-
Ai

a.sulfonamide b.quinolone
3.yaws not true is-
a. transmitted non-venerally b.caused by t.pertenue
c. Secondary yaw can involve bones d. Last stages involve heart & nerves
4.coryni bacterium diptheriae a/e- toxin production chromosomally mediated
5.enterococcus
6.prolonged carrier state not seen in measles
7.most common cause of migrating visceral larva migrans is- toxocara, strongyloidosis, visceral
leishmaniasis

8.patient comes with a history of fever cough not responding to treatment x rays shows signs of
pneumonia grams staining shows gram +ve branching filaments partly acid fast probable cause-
 a.actinomycosis b.nocardiosis c.aspergillus
10.uncomplicated uti is diagnosed by a/e a. pus cell per field b.bacilli stained by gram stain c.nitrate test
+ve
11.patient comes with lymphadenopathy and hypotension after being bitten by rat what staining is to be
done- waysons stain
12.bile solubility to differentiate pneumococcus
13.poly saccharide capsule helps in pathogenesis of a/e- a.H.inflluenzae b.Strep pneumoniae
c.N.meningitidis d.bordetella pertusis
14.parvo virus false is
a.has affinity for erythrocyte p antigen b.causes transient aplastic crisis
c.about only 10%of cases it crosses the placent d.spread by respiratory route
15. not transmitted transplacentally- hsv

in
16.true about Chlamydia trachomatis is- culture of pus for isolation of organism
17.leptosporiosis true is- a.rats acts as reservoir b.feco oral route c.50%cases liver and kidney involved
18.clostridium tetani false is- a.incubation period 7-10 days b.person to person contact c.heat resistant
d.3 doses of vaccination
19.c.jejuni false is- a.commonest cause of campylobacteriosis b.polutry source of infection c.humans are
reservoir d.associated with gbs

s.
20.mc fungal infection in a non aids patient is-
A.aspergillus B. Candida C. Cryptococcus D. Muco
21.mc cause of meningo encephalitis in children is- entero virus
22.8 yr old with sign of meningitis and ear infections with ring enhancement in the fronto temporal lobe
all can cause it except a.hinfuenzeae b.staphylococcus c.pneumococcus d.pseudomonas
23.whooping cough specimen is collected from nasopharyngial swab

im
24.false abt pneumococcus- a.capsule helps in virulence b.mc cause of otitis media
_________________Pathology-------------------------------------
1.necrotising lymphadenitis seen in-kikuchi disease
==============================================
2.sterile pyurea seen in-1.chronic pyelonephritis
a.wilmss tumour b.tuberculosis c.cystitis d.chronic pyelonephritis

ans............tb
===============================================
ai
3.in a disease with platelet dysfunction what happens- a.normal number increased bt b.decreased
number increased bt

ans.......number normal bt increased

==============================================
4.psamoma bodies not found in-follicular ca thyroid
s4

=============================================
5.d/d between follicular adenoma and carcinoma- vascular invasion
=============================================
6.not an immune mediated disease- sickle cell anemia
==============================================
7.not due to abnormal protein folding- tb
==============================================
8.not associated with erythema nodosum pregnancy
m

=============================================
9.histopathology of nodule in leg shows fibroblastic foci with neutrophilic infiltration likely diagnosis
sweats syndrome
==============================================
10.type of antibody seen in apla- gpi,ana

ans..... i have written ana some say gpi since apla was asked not sle
Ai

===============================================
11.most charecteristi finding in acute inflammation- increased vascular permiability
===============================================
12.increased free radical injury is associated with increased levels of a/e superoxide dismutase ,
gutathion peroxidase
both options are right some say glutathion peroxidase is more apropriate
===============================================
13.alt and classical pathway both activate c3
===============================================
14.pirions- catalise folding of other protein
============================================
15.chimerism is seen in- a. singleton pregnancy b.monoamniotic .monochorionic c.diamniotic
 monochorionic

ans........mono amniotic dizygotic though also seen in vanishing twin syndrome which was also in the
option
==============================================
16.cell organelle involved in apoptosis -mitochondria
==============================================
17.hybrids are obtained by using the following technique except- 1)attaching inactive viral particle on
cell membrane
2)adding ethylene glycol 3)applying a small electric current
ans.......1)attaching inactive viral particle on cell membrane
===============================================

in
18.slide fixing in pathology done by-
a.formaldehyde b.alcohol c.picric acid d.glutraldehyde
===============================================
19.false about xanthogranuloma- caused by tb
===============================================
20. most potent stimulant of naive t cell- mature dendritic cell

s.
==========================================
21.malignancy associated with nf syndrome-
A.jml B. Acute lymphoblastic leukemia C. Aml

ans.....jcl
==============================================

im
22.coarctation of aorta mc associated with bicuspid valves
==============================================
23.aml poor prognostic factor-
its abt translocation
==============================================
24.on fist time exposure to ova cells type of ab produced is- igm
==============================================
25.hb h disease occours due to -loss of 4 alfa genes
==============================================
ai
26.phagocytosis all are true except
>5 micrometer engulfed <5micrometer engulfed
ans...........<5 micrometer its called pinocytosis not phagocytosis
==============================================
27.narp is- mitochondrial disorder
=============================================
28.cavitation pneumonia is seen in- staphylococcus
s4

==============================================
29.nesidoblastoma false is
a. Occurs in adults more than child b.episodes of hypoglycaemia are seen
c. Histopathology shows Hyperplasia of Islet cells d. Diazoxide is used in treatment
option a is correct====================================
30.not a true neuronal tumor
a.Neuroblastoma b. Gangliocytoma c. Ganglioglioma
d.ependymoma
m

ependymoma
===============================================
31.true abt gastric carcinoma-
a.occult bleeding in stool not seen b.achlorhydia predispose c.always scc d)radiosenstive
option b
==============================================
32.decreased calcium increased phosphate and increased pth investigation not done is- urine routine
Ai

===============================================
33.killing power in phagolysosome is due to- oxidase
===============================================
34. c in crp stands for- cho polysaccharide of pneumococcus
===============================================
Microbiology---------------------------------
1.je false is- a.in epidemics only 2-3 cases seen in a village b.mosquito bite is always associated c.70%
infants
ans.............. dont know
==============================================
2.a sewer worker presents with flu like symptoms liver studie abnormal trearment done is-
a.sulfonamide b.quinolone
 ans..............benzyl penicillin
==============================================
3.yaws not true is-
a. transmitted non-venerally b.caused by t.pertenue
c. Secondary yaw can involve bones d. Last stages involve heart & nerves
ans.................option d
===============================================
4.coryni bacterium diptheriae a/e- toxin production chromosomally mediated
===============================================
5.enterococcus

in
my friends dont think there was any qn abt enterococcus
==============================================
6.prolonged carrier state not seen in measles
==============================================
7.most common cause of migrating visceral larva migrans is- toxocara, strongyloidosis, visceral
leishmaniasis

s.
ans............toxocara cannis
=============================================

8.patient comes with a history of fever cough not responding to treatment x rays shows signs of
pneumonia grams staining shows gram +ve branching filaments partly acid fast probable cause-
a.actinomycosis b.nocardiosis c.aspergillus

ans...........actinomycosis

+ve im
===============================================
10.uncomplicated uti is diagnosed by a/e a. pus cell per field b.bacilli stained by gram stain c.nitrate test

ans............organisms <1000 in urine 100000 organisms favour the diagnosis of uti

==============================================
11.patient comes with lymphadenopathy and hypotension after being bitten by rat what staining is to be
ai
done- waysons stain
===============================================
12.bile solubility to differentiate pneumococcus
=============================================
13.poly saccharide capsule helps in pathogenesis of a/e- a.H.inflluenzae b.Strep pneumoniae
c.N.meningitidis d.bordetella pertusis
ans...............bordetella pertusis
s4

===============================================
14.parvo virus false is
a.has affinity for erythrocyte p antigen b.causes transient aplastic crisis
c.about only 10%of cases it crosses the placent d.spread by respiratory route

ans...........option c
===============================================
15. not transmitted transplacentally- hsv
m

hsv is not acquired transplacentally its acquired while the baby passes through the genietal tract
===============================================
16.true about Chlamydia trachomatis is- culture of pus for isolation of organism
===============================================
17.leptosporiosis true is- a.rats acts as reservoir b.feco oral route c.50%cases liver and kidney involved
i have written rats acts as reservior
Ai

===============================================
18.clostridium tetani false is- a.incubation period 7-10 days b.person to person contact c.heat resistant
d.3 doses of vaccination

ans.................heat resistant the organisms are not heat resistant their spores may be, does c tetani
produce spores?????
=============================================
19.c.jejuni false is- a.commonest cause of campylobacteriosis b.polutry source of infection c.humans are
reservoir d.associated with gbs

ans is c
===============================================
 20.mc fungal infection in a non aids patient is-
A.aspergillus B. Candida C. Cryptococcus D. Muco

ans........aspergillus
=============================================
21.mc cause of meningo encephalitis in children is- entero virus
=============================================
22.8 yr old with sign of meningitis and ear infections with ring enhancement in the fronto temporal lobe
all can cause it except a.hinfuenzeae b.staphylococcus c.pneumococcus d.pseudomonas

all 4 options are given in harrison

strangely abt organisms causing fronto temporal abcess as a complication of ottitis media,

in
staphylococcus has not been named in harrison, its name though figures in abcesses due to other
complications
==============================================
23.whooping cough specimen is collected from nasopharyngial swab
=============================================
24.false abt pneumococcus- a.capsule helps in virulence b.mc cause of otitis media

s.
preventive medicine--------------------------------------
1.skew is calculated as a.mean-mode/standard deviation b.mode-mean/std deviation c.std deviation
d.std deviation/mean-mode
2.punnet square is for-- a.genotype of offspring b.statistical analysis
3.orthotoludin test done for chlorine

im
4.not true abt hospital waste management is
a.red bag contents can be source of contamination b.human anatomical waste disposed in yellow bag
c.black bag for incineration ash
d.blue bag contents always disposed in secure landfill
5.abt mmr true is denominator has total live births
6. incidence of fetal spread of aids is decreased by a/e vaginal delivary
7.test for pasteurisation phosphatise test
8.not endemic in india is yellow fever
9. not a cause of resurgence of malaria is use of bed nets
ai
10.resistant to ddt a/e phlebotomas
11.indoor pollutant a/e
a]co b)nitrogen dioxide c)radon d)mercury vapours
12.false negetives demonstrated by graph
13.5 factors determine a disease occourance, which test is suitable in this case multivariate, anova
14.National screening programme doest include for- a.dm b.ca cervix c.breast ca d.dental carries
s4

15.mckeons model for medical awareness for tb shows decreased incidence of tb due to-
a.increased awareness and knowledge b.medical advancement c.social & env factor d)behav modfn
16.who stratergies for public health doest include leadership
17.not a deliberate mosquito control measure alkaline soap water
18.sampling method applied when groups are divided into subgroups and samples are taken a.stratified
sampling b.cluster sampling c.simple random sampling
19.hdi includes a/e education,gdp, life expectancy at birth, life expectancy at 1 yr of age
20.dietary recommendation are a/e
a. To avoid alcohol consumption b. Salt intake should be less than 5gm/day
m

c. Saturated fat is about 10% of whole diet d.Cholesterol intake should be 100 gm/1000 kcal/day
_________________

Orthopaedics--------------------------------
1.blounts disease is- a.genu valgum b.genu varum c.genu rectavatum d.meninscal tear
2.reimplantation first thing to be done is bone
Ai

3.teenage girl complains ofpain while walking upstairs or after prolonged standing cause is 1.
A.Chondromalacia of patella b. Patellar Fracture
c. Torn Meniscus d. Bipartite Patella
4.child presents with limp pain in femoral triangle diagnostically most appropriate test done is mri
5.best investigation for bone metastasis bone scan
6.osteoarthritis grade 3 management conservative

7. a50 yr lady referred by orthoped with history of sprained ankle 2 mths back.. f/b recovery.. however
she now complains of severe pain in that ankle with inability to flex that foot.. physician notes edema n
shiny skin in local examination...prob dx:
a fibromyalgia b chr. regional pain synd1 c chr. regional pain synd 2 d.peripheral neuropathy
_________________
 Obsteretics and gynaecology----
1.clue cells seen in-bacterial vaginosis
2.fallopian tube cilliary motility impaired in- katageners
3.which surgery for stress incontinence has highest suces rate- a.kelly b.brusch colpo suspension c.sling
d.vaginal tape
4.cholestasis in pregnancy is diagnosed by measuring bile acids
5.not a cause of primary amennorhoea sneehans syndrome
6.timing of ovulation determined by a/e estrous cycle
7.post menopausal bleeding usg shows 8mm thickening of endometrium next investigation endometrial
biopsy
8.33 wk 1500 gm baby born after cs management is oral intubation and oral feeding
9.xo genotype commonly associated with gonidal dysgenesis

in
10.open ntd shows elevated levels of acetylcholie esterase
11.Earliest abnormality to be diagnosed by tv usg- anencephaly
12.mefipristone is used in abortion
13.give sedatives and bed rest
14.clue cells seen in bacterial vaginosis
15.pcod false is increased prolactin

s.
16.shoulder dystocia not done is fundal preasure
17.contraindicated in a pregnant rheumatic fever patient is ergots
18.pregnancy can be successfully continued with minimal maternal risk in wpw syndrome
20.maternal weight is not influenced by smoking
21.placenta previa management a/e cervical encircalage
22.virilisation of a female infant is due to a/e placental sulfatase deficiency

_________________

im
23.niot a evidence based treatment of menorrhagia ethamsylate

Paediatrics-----------------------------------
1.baby 33 wks delivered after cs weighing 1500 gm should be started on 1. nil oral and iv fluids 2.oral
nasogastric tube / aternate oralroute 3..TPN
2.18 yr old boy presents with malina , haematemasis and spleenomegaly probable cause a.malaria dic
b.extra hepatic portal vein obstruction c.bile duct occlusion d.cirrhosis
3. pathological laryngophagial reflux presenting symptom respiratory symptoms
ai
4.5yr old chid presents with abdominal pain followed by diarrhoea probable cause is polyp
5.major prognostic factor for cdh ispulmonary hypertension
6.child borm to dm mother presents with convulsions after 16 hrs probable cause is hypoglycemia
7.bronchiolitis obliterans
8.malignant childhood tumor causing b/l proptosis a.t cell tumors b.rhabdomyo sarcoma c.all d.aml
s4

9.asd can be differentiated from vsd by

a. Pulmonary congestion b. Aortic shadow c.enlarged la
10.b/l adrenal haemorrhage
11.pentalogy of fallot-asd
_________________

Medicine-----------------------------------------
1.minerelocorticoid receptors are seen in a/e liver
m

2.ecg can diagnose a block in a/e a.lcd, b. left, c. Right ,d. lad
3.a patient comes to opd with epigastric pain radiating to back on usg gall stones and a swollen
pancreas seen. Serum amylase was not elevated probable cause a. acute pancreatits b.acute
cholicystitis c.io
4.first sign of pulmonary pleuthora is
a. diameter of the decending Rt pulmonay artery >16mm b.diameter of the main pulmonay artery
>16mm c. diameter of the lt pulmonay artery >16mm
Ai

5.basilar migrane
6.girl presents with rapid weight gain growth failiure and dry shiny skin probable cause a.thyroid
dysfunction b.dysharmongenesis
7.normal fsh and lh seen in vas obstruction
8.a patient presents with a goitre, high tsh and low t4 probable diagnosis a.central hypothyroidism
b.thyroid hormone receptor defect c.dysgenesis d.dyshormogenesis
9,best test for myasthenia gravis edrophonium test
10. incomplete compensation with pco2 30, p02 105, ph 7.45 probable cause is a.resp alkalosis
b.metabolic acidisis
11.in uncompentated dka not true is .pco2 levels are normal or increased
12.fasting hypoglycaemia is not due to a)glucagon excess
a]increased glucagon levels b) glucose 6 phospatase deficiency
 c) glycogen synthase deficiency d)ureamia
13.for diagnosing insulinoma useful tests are a/e d xylulose test
14.cjd
15.normal parathyroid levels with increased phosphate and decreased ca is seen in
pseudohypoparathyroidism
17.best method for monitoring cardiac function in intraoperative mi is
A.ecg B. Invasive arterial pressure C. Central venous pressure
D. Trans esophageal echocardiogram
18.not given for prophylaxis in migrane is- a.topiramate b.phenytoin c.levatriacitam d.flunarizine
19.raise in end tidal co2 in thyroid surgery with tachypnea and hypertension is seen in a/e a.thyroid
storm b.anaphylaxis

in
20.pheochromocytoma true a/e
B. 95% occur in the abdomen C. They secrete catecholamines
D. They arise from sympathetic ganglion A. 90% are malignant
21.for diagnosis of diabetes insipidus
_________________

s.
Surgery-----------------------------------------
1.a person comes with 5 yr history of painless haematuria on 4 occasions the urine is filled with clotted
blood which investigation would be diagnostically most revealing a.x ray kub b.urine routine and
microscopy c.rcug d.dpta
2.in a person with single kidney a fungating mass was seen in the lower pore of kidney next step in
management a.partial nephrectomy b.radical nephrectomy with dialysis c.radical nephrectomy with
immediate renal transplant d.observation
3.gcs-10

im
4.hepatic lobe left to falciparum ligament 2 and 3
5.patient with stab wount with omentum coming out of wound, vitals are stable next step in
management is a.immidiate laprotomy b.fast c.wound debridment and closure
6.bladder ca stage 2 true is
7.gastro esophagial reflux gold standard for diagnosis 24 hr dual ph monitoring
8.while doing turp most common site for stricture formation in urethra
a.navicular fossa B. Bulb C. Prostatic membranous urethra D. Bladder neck
ai
9.turp in done upper to verumontanum so as to avoid injury to
10.commonest sign of pulmonary pleuthora is right side > 16
11.which organ is not used for transplantation from a cadaver a.liver b.lung c.bladder d.blood vessels
12.best repair for stress incontinence is kellys
13.patient presents with epigastric pain radiating to back with normal serum values. Diagnosis was
made after ct and usg after which operation was don what was the surgical procedure performed
s4

pancreatojejunostomy

14.patient who had surgery for duodenal ulce presents with epigastric pain more during night which gets
realieved on taking food probable diagnosis is
15.amoebic liver abcess 1cm below capsule with size 3*4 cm true statement is
16.hollow viscous perforation next step in management
17.circumferential phimosis management is
18.ranula is
19.secondary haemorrhage occours after 6 days
m

20.tripple phosphate stone seen in proteus infection

21.c/i in medical management of gall stones radioluscent stone
22.aspiration of food management
A.cricothyroidectomy B. Emergency tracheostomy
C. Humidified oxygen D. Heimlich maneuver
23.cryptorchidic testes to be repaired by 12 months
24.sebaceous ulcerated cysts are found in association A. Gardner s syndrome B. Turcot syndrome C.
Ai

Torre Maura syndrome

25.superior vena cava syndrome is caused by- A. Lymphoma
A.malignant lymphoma B. Small cell lung ca C. Nscc D. Secondary tumours
26.Blaschisko line is
a.lymphatic lines b.blood vessel c. nerve d.line of development
_________________

Skin------------------------------------------------
1.Cicatrising alopecia with perifolicular whiteness is most commonly associated with
a. Nail dystrophy b. Whitish lesion in the buccal mucosa c. Arthritis
d. Discoid Plaques in the face
 2.2months after having a painless penile ulcer a patient presents with mucocutaneous lesion and oral
ulcers causative organism is treponema pallidium
3.pseudoisomorphism phenomenon not seen in a/e A.psoriasis B. Lichen planus C. Vitiligo D. Plane warts

radiology------------------------------------
1.aortic knob is masked by
a.upper lingual b.lower lingual c.apex of lower lobe d. post part ofupper lobe
2.ct scan is least useful in diagnosing
a. 1 cm of aneurysm in artery b.1 cm of lymph node in thyroid ca
c.1 cm of pancreas mass in tail d. 1 cm of ....
3.dose of radiation associated with haematological crisis a. 2.5-5 CGY b. 10 cgy c. 100 cgy d. 200 cgy

in
4.about contrast radiography true is a.3 parts of iodine with 2 parts of solvent b.injection into artery is
associated with 1/3 times more complication than injection into a vein
Ophthalmology-----------------------------
1.late endopthalmitis after iol implantation pseudomonas
2.superior oblique paralysis will result in defective vision if he looks of vertical on looking down
3.leukokoria in one eye and two small nodules at periphery of disc in other eye treatment

s.
4.floaters with sudden los of vision cause retinal tear
5.argyl robertsonian pupil false is consensual reflex normal
6.slowly expanding central macular vision los with no genetic history probable cause is staggerds
syndrome

Ent-------------------------------------------------

2.cavernous sinus thrombosis

im
1.not true abt use of naf in otosclerosis is naf decreases osteoblastic activity

3.while performing laser surgery for larynx it catches fire what should not be done by a.100%oxygen
after discontinuing the anesthesia b.flushing with sterile water c.remove pvc tube d.steroids and
antibiotics
4.endolymphatic hydrops seen n miners disease
5.onodi and hellar cells are found in

Anesthesia------------------------------------1.la + vasoconstrictive drug is not given in digital anesthesia

ai
2.sickle cell anemia not given is regional iv block
3.not a definite airway is laryngial mask airway
4.convulsions is seen due to the use of which anesthetic a.ether b.halothane c.sevoflurane d.desflurane
5.while giving epidural anesthesia a person suddenly develops dysphonia and collapses possible cause
a.total spinal block b.anaphylaxis c.vasovagal syncope
6.anesthetic not given in hypertensive patient ketamine
7.patient remembers the events occurring during operation this can be prevented by bisspectral
s4

8.true abt epidural opoids are all except a.act on dorsal horn cells b.can cause itching c.nausea and
vomiting d.resp and cvs depression

Psychiatry------------------------------------
1.a 5yr history of schizophrenia patient started on haloperidol 2 days back comes with neck rigidity
orofaciolingual movements protruded tongue probable cause a.acute dystonia b.akathesia
c.neuroleptic malignant syndrome
2.not seen in alcoholic trmens opthalmoplegia
m

3.woman after loosig job diagnosed as depression true is ssri are the most effective
4.imbecile false is iq level 50-70

Orthopaedics--------------------------------
1.blounts disease is- a.genu valgum b.genu varum c.genu rectavatum d.meninscal tear
2.reimplantation first thing to be done is bone
3.teenage girl complains ofpain while walking upstairs or after prolonged standing cause is 1.
Ai

A.Chondromalacia of patella b. Patellar Fracture

c. Torn Meniscus d. Bipartite Patella
4.child presents with limp pain in femoral triangle diagnostically most appropriate test done is mri
5.best investigation for bone metastasis bone scan
6.osteoarthritis grade 3 management conservati
_________________
Anatomy------------------------------------------------------------
1]true abt.injury to common peronial nerve causes a/e- a.anesthesia of sole of foot b.# of neck of fibula
c.foot drop
2]L5 root not involved in a.adduction of thigh b.foot dorsiflexion c.extension of knee d.flexion of knee
3]not seen in the floor of 3rd ventricle is------- a.3rd nerve b.mamillary body c.optic
4]posterior cerebral circulation obstruction doest involve----- a.pons b.mid brain c.cerebellum d.
 5]in anterior choroidal block not seen is------ a.homonymous hemianopia b.hemiplagia c.hemianesthesia

6]which of the following pases through foramen magnum---- a.vertebral artery b.sympathetic trunk
c.12th nerve d.int carotid artery
7]structure not present below the pancreas head is---
a) duodenum first part b) Aorta c) IVC d.cbd
8]utricular creast is present in----- prostatic urethra
9]nerve derived from trunk is--- a.supra scapular b.nerve to subclavius c.long thoracic nerve
10]spinal anesthesia is given at----- l2-l4 segment
11]low radial nerve palsy doest involve--- ecrl,ecrb,intrinsic muscles of hand
12]supracondylar# usually involes- a.anterior interosseus nerve b.median c.ulnar d.radial
13]not supplied by anterior division of mandibular nerve is--- a.lat pterygoid b.maseter c.medial

in
pterygoib d.temporalis
14]pain of ethmoidal sinusoitis is mediated by---naso cilliary nerve
15]not a pneumatic bone is--- mandible, maxilla, ethmoid, frontal
16]vestibular schwannoma arises fromsuperior vestibular division
17]diaphragm is developed from all of the following structures except- a.septum transversarium
b.cervical myotome c.pleuroperitoneal membrane d.dorsal mesocardium

s.
18]aortic musculature derived from-para axial, intermediate, latral
19]epiphysial growth plate is an example of- a.primary fibrocartilagenous joint b.secondary fibro
cartilaginous joint
20]Major arterial supply to femoral neck is--- a.profunda femoris b.lateral circumflex c.medial circumflex
femoral
21]not a derivative of hypogastric sheatha.broad ligament

im
22]palpation of int carotid done atsuperior border of thyroid
[/img]
ai
s4
m
Ai