IOM ENTRANCE EXAMINATION-2013

1. hypertriglyceridemia in DM 1 is due to
a.deficency of Apo protein
b.increased synthesis of triglyceride by liver
c.decreased activity of LPL
d.decreased activity of Hormone sensitive lipase

2. Drugs goes to cells by................

a. passive diffusion
b. active diffusion
c facilated diffusion
d..........

3. 3rd molar eruption age?

a.16 b.18 c.18-24 d. 24

4. Adverse effect of drug is shown by

a.white
b.yellow
c.red
d.green

5. in malignant testicular tumor which lymph nodes are affected

a.para aortic
b.superficial inguinal
c.deep inguinal
d...........

6. Artemether-falciparum malaria

7. EBV cause except ..............

a. naso phrangeal ca b. hodgkins lymphoma c. sq. cell carcinoma d. burkits lymphoma

8. division/surgery of frenulum is indicated in

a)macroglossia
b)microglossia
c)ankyloglossia
9. Best way to study road traffic accident is
a.seasonal trend
b.cyclical
c.a and b
d.secular trend

10. early diagnosis and treatment is secondary prevention

11. dark colored urine on standing? Maple syrup urine disease

12. Bronchiectasis not related to

a. a1 anti trypsin def b.Katageners c.Primary ciliary dysmotility d.cystic fibrosis

13. Most common form of co2 in blood.-hco3-

14. running nose .................since one month not responding to histamine since one month next
step of t/t is
a. avoid allergens b. steroin spray c. antibiotic d.............

15. 30 yr male c h/o acute onset headache n loc?.o/e diltated unreactive pupil
CSF hemorrhagic CT- hyperdense over suprasellar cistern, MRI-N,
a
b Pituitary apoplexy
c rupture berry aneurysm

16. corneal reflex involve

a.oculomotor only
b.oculomotor and trigeminal
c.trigeminal and facial
d.trigeminal and abducens

17. professional death sentence means

a.capital punishment
b.warning given to a doctor
c.erasing name of a doctor from register
d......

18. alar plate n basal plate separated by

a sulcus terminalis
b sulcus laminaris
c lamina terminalis
d lamina
19. Dysphasia losuram???? Right gastric artery?

20. Qn related to Age & Sex Distribution. Population pyramid

21. patient with Bells Palsy comes to ENT opd on third day.......management
a.intratympanic steroids
b.steroid plus vit b
c.steroid plus acyclovir
d.iv antibiotic and vit b

22. a child present with regugitation of food from nose and dysphagia for 3 days and had squinting
of his eye,pharynx is congested.Had history of fever and sore throat 10 days back
a.bulbar poliomyelitis
b.GBS
C.diptheria
d.ACUTE RHEUMATIC FEVER

23. which of the following measures GFR correctly

a.inulin
b.urea
c.creatinine
d.....

24. Fetal heart sound heard?

a)before utr cont b)after ut cont c)during ut cont d) during utr relaxation

25. patient in cement factor is predisposed to

a.asbestosis
b.silicosis
c.pneumoconiosis
d.dermatosis

26. lingual nerve is injure in which of the followin procedure .a temporomendibular joint surg.b
parotid gland surg.c 3rd molar tooth extraction.

27. the process of leaving ur place n settling in other place inside country??
a.immigration
b.emigration
c.in migration
d.out migration

28. 30. chief factor osmotic pressure in blood?

albumin,globulin,..
29. 31. High Glucose,high BP with hypokalemia-Cushing's

30. 32. ADH is secreted in relation to

a.decrease in sodium
b.decrease plasma volume
c.decrease in potassium
d....

31. High BP with Bilateral Crepts & Wheeze-?Pul Edema b.Pulmonary embolism

32. change in health behaviour is promoted by

a.incentives
b.internalization
c.enforcement
d.....

33. sequestration cyst bhaneko k ho

a.form of pathogenesis
b.implantion of epithelial cells after needle insertion
c.epthelial cell is present inside developmentally
d.is a sebaceous cyst

34. perjury means

a.using falsehood under oath
b.committing crime within court
c.failure to bring summons
d......

35. Hyoid fracture is commonly found in

a.judicial hanging
b.ligature strangulation
c.manual strangulation
d.suicidal hanging

36. clearing agetnts all except........a chloroform b.......

37. which is more sensitive test for fibrinolysis

a.Ddimer
b.FDP
c...
d...
38. liver abscess is best drained by
A. usg guided B.CT guided...........

39. first done in

a.airway

40. which decrease in moderate exercise

A. pulse pressure B. total peripheral resistance c. difference between arterial and venous oxygen
saturation

41. Bleeding severely-what next? Iv fluid, blood transfusion

42. Lateral projection on xray demonstrate

A. interlobular fissure .................

43. retinitis pigmentosa is diagnosed by

a.visula evoked potential
b.ocular coherence tomography
c.....electroretinogram
d.....

44. seehans syndrome is associated with

a.severe PPH
b.aquired anomaly
c.can be managed with steroids
d....

45. GCS-8,what next a.CT Scan b.Intubation

46. 100ml of human milk giv how much of calorie.a. 67

47. closure of aortic valve occurs during

a.isovolumetric contraction'
b.isovolumetric relaxation
c.rapid filling
d............

48. what is the minimum fluid required for radiological diagnosis of pleural effusion
50
100
200
300 ml
49. Asthma in 1yr child-B agonist

50. cytochrome oxidase is inhibited by

a.cimetidine'
b.phenylbutazone
c...
d...

51. Most common site for Venous thrombosis-Lower limb

52. K+ secretion is maximum in

a. Jejunal b. Colonic c. Salivary d. ....

53. visual aquity maintained by........sensitivity of light in retina, contraction of ciliary muscle

54. during exercise what increses.................stroke volume

55. umbilical hernia, abdominal distension and craniofacial anomalies in which disease?
a) trisomy 21
b) Muchopolysaccaridosis
C)..................

56. Hyperventilate non ketotic coma?

a. Insulin bolus b. Insulin bolus and continue infusion c. Continuous insulin infusion d. No insulin
at all

57. In child,Mydriatic &Cyclopegic. a.Atropine b.Homatropine c.Cyclopentolate

58. pleateau in cardiac muscle contraction means

a.sustained ventricular relaxation
b.sustained ventricular contraction
c.inactivation of sodium channel
d.inactivation of potassium channel

59. true about Left coronary artery is

a.40 % to SA node 90% to AV node
b.60% to SA node 90 % to aAV node
c.90% to SA node and 10 % to AV node
d....

60. ductus arteriosus.......a pulmonary trunk to aorta b..........

61. Open angle Glaucoma-increase IOP ,Visual field defect,Increase cup disc ratio

62. asthmatic crisis include a. salbutamol inhalation

63. randomization is done for

A. to reduce selection bias
B. for representation of general population

64. phc include all except .HIV patient...................

65. most sensitive means of typhoid isolation

a)Bone marrow culture
b)blood culture
c)stool culture
d)urine culture

66. Acynotic CHD-VSDwithout PS

67. craniofacial and conotruncal abnormalities anomaly occur together because

a.develop at the same time
b.bot develop from neural crest cell'
c.both are affected by same teratogenic risk
d..........

68. In anaphylactic shock, adrenaline is admistered via

A. inhalation B. intravenous C. intraarterial D.intramuscular

69. pesticide in pond water.? a.microorganisms b.smallfish c. big fish d. bird

70. PV should not be done in a) placenta praevia

b) abruptipo placentae

71. In abruptio placenta coagulopathy is due to a) consumption coagulopathy???

72. lipoma rarely changes into

A. liposarcoma B. lipocarcioma C.lipothelioma

73. 60 years man type of hernia repair....I think it's herniorraphy

74. A farmer had fever joint pain , rigor in terai ........a malaria b kalaazar c chickengunya d ....
75. dead bone....sequestrum

76. bp 170/100... tachy....////???

a. pheochrmo c. cushing

77. best method to sterilize disposable syringes

A. gamma rays B. hot air oven C.boiling water

78. Bone # transportation which splint??

a) Thomas splint
b)Bohler's Braun splint

79. growth hormone increased secretion during

a) hyperglycemia
b)deep sleep
c)acromegaly

80. ovulation is diagnosed with

a.serrum estrogen
b.FSH:LH ratio
c.Serum Progesterone
d.Beta hCG

81. klebsiella ozaenae cause........... a. atrophic rhinitis b............

82. null hypothesis is rejected in-type 1 error,type 2 error............

83. diaphragm ko bare ma which is true

a.in short people its higher and in tall its lower
b.on supine it reaches 4th cartilage
c.on supine its lower
d.on left lateral position the diaphragm on that side is lower

84. meconium syndrome................................a.always fetal distess???

85. acute appendicitis ko complication best assessed by Alvarado score

86. Most common primary indication of CS

a) Malpresentation
b)Dystocia
 C)...

87. PTHrP is increased in

a.hyperparathyroidism
b.malignancy
c.renal failure
d.cirrhosis

88. there was question on metastatic calcification ?

T4 PTH

89. CAUSE OF DEATH IN ITP? ICH

90.
hypersplenism include all except. improvement after splenectomy PANCYTOPENIA bone marrow
hyperplasia

91. In ARDS THERE IS

A. low pao2 and normal paco2 B.low pao2 and low paco2
C. high pao2 and high paco2

92. abdominal compression injury ma kun common

a.avulsion of splenic pedicle
b.mesenteric vessel occlusion
c.renal injur...
d...

93. commonest thyroid cancer...........a papilary b. medullary

94. retracted nipple

a) always unilateral
b) duct ectasia
c) Paget's disease
d) if recent can be due to cancer

95. physiological antagonism is caused by

A. adrenaline+propanolol B.salbutamol+isoprenaline
C. adrenaline+histamine

96. Cord prolapse common in a) footling breech

b) extended breech
c)...
 d).....

97. abducens nerve palsy causes

a.convergent squint
b.loss of lateral gaze
c.ptosis
d..........

98. According to WHO Anaemia...<11???

99. marfam syndrome eye complication? a. ectopia lentis.b.hypema

100. a case of Hb 6, TC 9600 Nu- 40% Ly- 60% Platelets 3000 with lymphadenopathy but no
hepato spllenomegaly a. ITP b. Aplastic Anemia c. Leukemia

101. nerve conduction can be enhanced by a. myelination b. narrowing of nerve

102. hernia in meckel diverticulum:A.littre B.Richter hernia

103. dresslers syndrome ...cause.....a.virus.b bacteria..c.autoimmune

104. . toothextraction c/I in ? a. cardiac dz b. acute pericoronitis c. central hemangioma

105. 1st stage of labor ends with FULL DILATION OF CERVIX

106. Fracture in healthy person due to violent injury-a.Intertrochanteric #b.Colle's

c.Vertebral d.#neck of femur

107. a child 7yrs with multiple unilateral joint pain..... cause...a.sle...b.jra.c.hsp..

108. contraindication of corticosteroids!!except a- htn, b- DM, c- eczema, d- PUD

109. Child ma measles like lesion ,ans?? RUBELLA-also lymphadenopathy the time of
apperance of rash is concurrent with RI

110. The standard deviation of sampling distribution is known as

a. sample error B. sampling error C. standard error
111. ethnocentrism
a. government ruled by ethenic group
b. feeling of superiority

112. ototicity caused by

a.vinblastin
b.cisplatin

113. coagulative necrosis seen in a. microbes b. necrosis c. ischemia

114. which is sweetest

a.sucrose
b.glucose
c.fructose

115. comorbid condition which mimics asthma and worsen the disease
A. CHF B. bronchiolitis

116. kluver bucy syndrome lesion in

a.temporal lobe
b.corpus callosum
c.parietal lobe

117. Fatty acid is

a.arachidonic acid
b.carbolic acid

118. S/E of corticosteroids except

a. osteomalacia
b. hypokalemia
c. myopathy
d.cataract

119. Duchnee Muscular Dystrophy a.AD b.AR c.X-linked D d.X-linked R

120. primary mood disorderz..a..organic brain syndrome b.bipolar disorder.

121. value of Hb per RBC

a.MCH
B.MCHC
C.MCV
122. philadelphia chromosome is seen in a. CML b.ALL c.AML d.ALL

123. Grey turner sign is seen in a. loin b. umbilicus

124. turban sign seen in? TB , Epiglottitis

125. calculate x... some numbers and the mean was given .. My answer was 15

126. football player with recurrent knee swelling and locking of knee...
a.meniscial injury
b. patellar injury
c.ACL injury
d. PCL injury

127. most sedative of all

A. fluoxetine B. paroxetine C. sertraline D. chlorpromaxine

128. true about viridians a. bile soluble b. causes rheumatic heart disease c. alpha hemolytic

129. Hereditary association-Otosclerosis

130. which ascending tracts contain contralateral fibres

A. gracilis B. cuneatus C. anterior spinocerebellar D. posterior spinocerebellar

131. Aphasia in stroke related to-Left MCA

132. forced alkaline diuresis is done in poisoning of

A. phenobarbitone B. atropine C. digoxin

133. Direct ingunal hernia in relation to inferior epigastric artery-medial

134. discoloration of skin is seen in

A. dapsone B. clofazimine

135. heat stroke(hyperthermia )treated by

a.aspirin
b.paracetamol
c.morphine
136. hypokalemia, alkalosis, gi symptoms.. hyponatremia..
a. pyloric stenosis b. ac pancreatitis

137. CEPHALOSPORINS MOA

138. Uroporphyrinogen synthase 1 deficiency in

a.acute intermittent porphyria
b.cutanea tarda

139. acute headache,, neck stiff....

a. SAH b. infection.....

140. most common immidiate complication of spinal anesthesia

a. headache
b. hypotension

141. Chance of getting nosocomial infection from.

A) normal delivery
B) pt with hiv in opd
C) colooscopy
D) surgery

142. Drugs used in paucibacillary leprosy-Dapsone &Rifampicin

143. health education to 4th standard children about diarrhoeal diseases is best given by
A. role play B. group discussion
C. demonstration D.lecture

144. NMDA receptor action of which drug?

a. Ketamine
b. halothane

145. cohort study ie to know risk factor of a disease : longitudinal study?

146. Which is not synthetic function of Liver?

a.albumin synthesis
b.urea synthesis
c.bilirubin production
d.prothrombin time
147. Gene transfer via virus transduction

148. DIGOXIN MOA

149. most common cause of anal cancer

a. HPV
B. diet with low fruit, and vegetable
c. alcohol

150. cause of premature labor

A. bacterial vaginosis B. trichomonal vaginitis
c. monilial vaginosis D. HPV

151. Extensors of hip is supplied by

A. L2-L3 B. L4-L5 C. S1-S2 D. L3-L4

152. CT is best inv for all except

a. gallstone
b.renal stone
c acute pancreatitis

153. Prepubertal girl with menorrhagia?? Anovulation

154. in long term maintinace of opoid addiction drug most commonly used is
a. methadone
b. nalaoxane
c. acmprosate

155. pyruvate + Glutamate!!

aspartate and oxaloacetate
alanine + alpha ketoglutarate

156. ACE inhibitors C/I in ..B/L renal artery stenosis

157. uncinectomy is done in

A. caldwell luc operation B. endoscopic sinus surgery
C. submucous resection of septum D. maxillectomy

158. a case of undulating fever with lymphadenopathy and hepatospleenomegaly

a.brucellosis
b. Bagassosis
c. Asbestosis
d. byssinosis

159. korsakoff psycosis seen in

a. chronic alcoholism

160. most common childhood tumor

a. nephroblastoma b. RCC
161. degree of freedom 4*3 in chi-square a 8 b 6 c 9 d 12

162. most common cause of death in eclampsia

a. pulmonary edema
b.renal failure

163. SCF with wrist drop !! intury to ULNAR, RADIAL MEDIAN AXILLARY nerve!! ?

164. volume of ecf of total body mass- 10% 20 % 40% 60 % !!

165. drug induced SLE ? anti histone is positive

166. Acculturation
a.adaptation of culture from outside
b.adaptation of culture from inside

167. groove sign seen in

a.lgv syphillis
b.chancroid
c.granuloma inguinale

168. cytocentrifuse is done in

A. pericardial fluid B. Ascitic fluid. C. pleural fluid D. urine

169. ligamentum teres is a remnanat of

a.lt umbilical vein
b.lt umbilical artery
c.lt umbilical artery
d.rt umbilical vein

170. receptors with no ligand......????a..orphan..b??? b tyrsoine kinase C G protien recptor, D.

interlukin...

171. mondor's disease 1 thrombhophlebitis 2 pectus excavatum 3 Lymphadema

172. Diverticulum is common in intestine

A. duodenum B. jejunun C. distal illeum D. proximal ileum

173. dysphagia lusoria caused by

a.aberrant lt subclavian artery
b.aberrant rt subclavian artery
174. pink eye disease is caused by a. hemophilus hemolyticus b. hemophilus aegypticus c.
serratia

175. relative risk 1 means

A. negative association B. no association C. strong association

176. acid rain ...cause..a.carbon dioxide..b.sulfuric acid..

177. SJS caused by a. cephalosporin b. carbamazipine c

178. pt in coma..salivation..pin point pupil???

179. exocrine secritory immunoglobulin

a. IgG
b. IgA
c.IgM
d. IgE

180. locomotion is by
a. cilia b. flagella c. pili d....

181. First aa that carry gene methionine

182. Full blown immuno deiciency ho ki k ho bla bla ma

high viral titre ani low cd4
Low viral titre high cd4
High viral titre high cd4
low viral titre low cd4

183. Which of the following cross scar line keloid

184. Migration of leukocytes toward site of inflammation? A. Chemotaxis

b phagocytosis ans chai A

185. Which of the following is a dimorphic fungus b.cryptococcus

c.blastomycosis d..........

186. hyperphosphatemia,hypocalcemia and hypercalciuria:

metastatic calcification

187. cafe au lait spots are seen in....NF

188. Intra operative control of Bp done using esmolol

189. Lewy bodies seen in parkinsonism

190. Binds with receptor but has no intrinsic activity: antagonist

191. Chrutch palsy ma: radial nerve

192. Most malignant endometrial ca: adeno,adeno squamous,clear cell

193. In myopia: contact lens,glass and lasik

194. Nitric oxide increases cgmp

195. Kuffer cells macrophage in liver

196. Organ tgraft from one species to another: xenograft

197. Lovastatin is HMG COA reductase

198. Erythropoietin increased in renal disease

199. objective of giving health education is.................was easy question

sabai ko milyo hola