Download AIIMS PG 2011 May Question paper with Answers (All India Institute of Medical Sciences Postgraduate)
AIIMS PG MAY 2011
(Based on Memory)
1. A dead born foetus does not have:
1. Rigor mortis at birth.
2. Adipocere formation.
3. Maceration.
4. Mummification.
Ans: 2
2. False sense of perception without any external object or stimulus is known as:
1. Illusion.
2. Impulse.
3. Hallucination.
4. Phobia.
Ans: 3
3. Species identification is done by:
1. Neutron activation analysis (N.A.A.).
2. Precipitin test.
3. Benziine test.
4. Spectroscopy.
Ans: 2
4. In a suspected case of death due to poisoning where cadaveric rigidity is lasting longer than
usual, it may be a case of poisoning due to:
1. Lead
2. Arsenic.
3. Mercury.
4. Copper.
Ans: 2
5. `Whip-lash' injuries is caused due to:
1. A fall from a height.
2. A cute hyperextension of the spine.
3. A blow on top to head.
4. A cute hyper flexion of the spine.
Ans:
6. All of the following form radiolucent stones except:
1. Xanthine.
2. Cysteine.
3. Allopurinol.
4. Orotic acid.
Ans: 2
7. A young female presents with history of dyspnoea on exertion. On examination, she has
wide, fixed split of S2 with ejection systolic murmur (III/VI) in left second intercostals space. Her
EKG shows left axis deviation. The most probable diagnosis is:
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1. Total anomalous pulmonary venous drainge.
2. Tricuspid atresia.
3. Ostium primum atrial septal defect.
4. Ventricular septal defect with pulmonary arterial hypertension.
Ans: 3
8. Which test is performed to detect reversible myocardial ischemia?
1. Coronary angiography.
2. MUGA scan.
3. Thallium scan.
4. Resting echocardiography.
Ans: 3
9. A 62 years old man with caracioma of lung presented to emergency department with
respiratory distress. His EKG showed electrical alternans. The most likely diagnosis is:
1. Pneumothorax.
2. Pleural effusion.
3. Cardiac tamponade.
4. Constrictive pericarditis.
Ans: 3
10. Atrial fibrillation may occur in all of the following conditions, except:
1. Mitral stenosis.
2. Hypothyroidism.
3. Dilated cardiomyopathy.
4. Mitral regurgitation.
Ans: 2
11. A patient with recent-onset primary generalized epilepsy develops drug reaction and skin
rash due to phenytoin sodium, The most appropriate to clonazepam.
1. Shift to clonazepam.
2. Restsrt phenytoin sodium after 2 weeks.
3. Shift to sodium valproate.
4. Shift to ethosuximide.
Ans: 3
12. Which of the following is the commonest location of hypertensive hemorrhage?
1. Pons.
2. Thalamus.
3. Putamen/external capsule.
4. Cerebellum.
Ans: 3
13. Which of the following is the most common central nervous sustem parastic infection?
1. Echinococcosis.
2. Sparganosis.
3. Paragonimiasis.
4. Neurocysticercosis.
Ans: 4
14. Which of the following is the most common tumor associated with type I neurofibromatosis?
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1. Optic nerve glioma.
2. Meningioma.
3. Acoustic Schwannoma.
4. Low grade astrocytoma.
Ans: 1
15. A patient undergoing surgery suddenly develops hypotension. The monitor shows that the
end tidal carbon dioxide has decreased abruptly by 15mmHg. What is the probable diagnosis?
1. Hypothermia.
2. Pulmonary embolism
3. Massive fluid deficit
4. Myocardial depression due to anesthetic agents.
Ans: 2
16. The commonest cause of death in a patient with primary amyloidosis is
1. Renal failure
2. Cardiac involvement
3. Bleeding diathesis
4. Respiratory failure
Ans: 1
17. A middle aged old man, with chronic renal failure is diagnosed to have sputum positive
pulmonary tuberculosis. His creatinine clearance is 25ml/min. All of the following drugs need
modification in doses except:
1. Isoniazid
2. Streptomycin
3. Rifampicin
4. Ethambutol.
Ans: 3
18. An HIV-positive patient is on anti retroviral therapy with zidovudine, lamivudine and
indinavir. He is proven to be suffering from genitor-urinary tuberculosis. Which one of the
following drugs not is given to this patient?
1. Isoniazid
2. Rifampicin
3. Pyrazinamide
4. Ethambutol
Ans: 2
19. A high amylase level in pleural fluid suggests a diagnosis of:
1. Tuberculosis
2. Malignancy
3. Rheumatoid arthritis
4. Pulmonary infarction
Ans: 2
20. Which of the following conditions is associated with Coomb's hemolytic anaemia:
1. Thrombotic thrombocytopenic purpura.
2. Progressive systemic sclerosis.
3. Systemic lupus erythematosus.
4. Polvarteritis nodosa.
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Ans: 3
21. Which of the following marker in the blood is the most reliable indicator of recent hepatitis B-
infection?
1. HBsAg
2. lgG anti ? HBs
3. lgM anti ? HBc
4. lgM anti ? Hbe
Ans: 3
22. The severity of mitral stenosis is clinically best decided by:
1. Length of diastolic murmur.
2. Intensity of diastolic murmur.
3. Loudness of first heart sound.
4. Split of second heart sound.
Ans: 1
23. The risk of developing infective endocarditis is the least in a patient with:
1. Small ventricular septal defect
2. Severe aortic regurgitation.
3. Severe mitral regurgitation
4. Large atrial septal defect
Ans: 4
24. The severity of mitral regurgitation is decided by all of the following clinical findings except:
1. Presence of mid-diastolic murmur across mitral valve.
2. Wide split of second heart sound.
3. Presence of left ventricular S3 gallop.
4. Intensity of systolic murmur across mitral valve.
Ans: 1
25. Congenital long QT syndrome can lead to:
1. Complete heart block
2. Polymorphic ventricular tachycardia.
3. Acute myocardial infarction.
4. Recurrent supra ventricular tachycardia.
Ans: 2
26. With reference to bacteroides fragilis all of the following statements are true except:
1. It is the most frequent anaerobe isolated from clinical samples.
2. It is not uniformly sensitive to metronidazole.
3. The lipopolysaccharide formed by B. fragills is structurally and functionally different from the
conventional endotoxin.
4. Shock and disseminated intravascular coagulation are common in bacteremia due to B.
Ans: 4
27. All of following statements are true regarding Q fever except:
1. It is a zoonotic infection.
2. Human disease is characterized by an interstitial pneumonia
3. No rash is seen
4. Weil Felix reaction is very useful for diagnosis.
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Ans: A
28. The following ststements are true regarding botulism except:
1. Infant botulism is caused by ingestion of preformed toxin.
2. Clostridium botulinum A,B,C and F cause human disease.
3. The gene for botulinum toxin is encoded by a bacteriophage.
4. Clostridium boriatti may cause botulism.
Ans: 1
29. Streptococcal Toxix shock syndrome is due to the following virulence factor.
1. M protein
2. Pyrogenic exotoxin
3. Streptolysin O.
4. Carbohydrate cell wall.
Ans: 2
30. A 24 year old male presents to a STD clinic with a single painless ulcer on external genitalia.
The choice of laboratory test to look for the etilogical agent would be:
1. Scrappings from ulcer for culture on chocolate agar with antibiotic supplement.
2. Serology for detection of specific lgM antibodies.
3. Scrappings from ulcer for dark field microscopy.
4. Scrappings from ulcer for tissue culture.
Ans: 3
31. There has been an outbreak of food borne salmonella gastroenteritis in the community and
the stool samples have been received in the laboratory. Which is the enrichment medium of
choice:
1. Cary Blair medium
2. V R medium
3. Selenite "F" medium
4. Thioglycollate medium
Ans: 3
32. A 20 year old male had pain abdomen and mild fever followed by gastroenteritis. The stool
examination showed presence of pus cells and RBCs on microscopy. The etiological agent
responsible is most likely to be:
1. Enteroinvasive E. coli.
2. Enterotoxigenic E. coli.
3. Enteropathiogenic E. coli.
4. Enetroaggregative E. coli.
Ans: 1
33. A man presents with fever and chills 2 weeks after a louse bite. There was a maculo-popular
rash on the trunk which spread peripherally. The cause of this infection can be:
1. Scurb typhus.
2. Endemic typhus.
3. Rickettsial pox.
4. Epidemic typhus.
Ans: 2
34. The virulence factor of Nesseria gonorrhoeae includes all of the following except:
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1. Outer membrane proteins
2. IgA Protease
3. M-proteins
4. Pilli
Ans: 3
35. A patient in an ICU is on a CVP line. His blood culture shows growth of grain positive cocci
which are catalase positive and coagulase negative. Themost likely etiological agent is:
1. Staplylococcus aureus
2. Staplylococcus epidermidis
3. Staplylococcus pyogenes
4. Enterococcus faecalis.
Ans: 2
36. According to WHO criteria, the minimum normal sperm cauntis:
1. 10 million/ml
2. 20 million/ml
3. 40 million/ml
4. 60 million/ml
Ans: 2
37. In triple screening test for Down's syndrome during pregnancy all of the following are
included except:
1. Serum beta Hcg
2. Serum oestriol
3. Maternal serum Alfa fetoprotein
4. Acetyl cholinesterase
Ans: 4
38. An optic nerve injury may result in all of the following except:
1. Loss of vision in that eye.
2. Dilatation of pupil.
3. Ptosis
4. Loss of light reflex.
Ans: 3
39. The commonest cause of occipito-posterior position of fetal head during labour is:
1. Maternal obesity
2. Deflexion of fetal head
3. Multiparity
4. Android pelvis.
Ans: 2
40. The commonest cause of breech presentation is
1. Prematurity
2. Hydrocephalus
3. Placenta previa
4. Polyhydramnios
Ans: 1
41. The commonest congenital anomaly seen in pregnancy with diabetes mellitus is
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1. Multicystic kidneys
2. Oesophageal atresia
3. Neural tube defect
4. Enalapril
Ans: 3
42. Use of which of the following drug is contra-indicated in pregnancy.
1. Digoxin
2. Nigedipine
3. Amoxycillin
4. Ealapril
Ans: 4
43. Following renal disorder is associated with worst pregnancy outcome.
1. Systemic lupus erythematosus
2. IgA nephropathy
3. Autosomal dominant polycystic kidney disease
4. Scleroderma
Ans: 1
44. A perimanopausal lady with well differentiated adenocarcinoma of uterus has more than half
myometrial invasion, vaginal metastasis and inguinal lymph node metastasis. She is staged as:
1. Stage III B
2. Stage III C
3. Stage IV a
4. Stage IV b
Ans: 4
45. The following combination of agents are the most preferred for short day care surgerias
1. Propofol, fetanyl, isoflurane
2. Thiopentone sodium, morphine, halothane
3. Ketamine, pethidine, halothane
4. Propofol, morphine, halothane
Ans: 1
46. All of the following drugs have been used for medical abortion, except:
1. Mifepristone.
2. Misoprostol
3. Methotrexate
4. Atosiban
Ans: 4
47. A 21 year old primigravida is admitted at 39 weeks gestation with painless antepartum
haemorrhage. On examination uterus is soft, non tender and head engaged. The management
for her would be:
1. Blood transfusion and sedatives.
2. A speculum examination
3. Pelvic examination in OT
4. Tocolysis and sedatives.
Ans: 3
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48. Which statement is true regarding VENTOUSE (Vacuum Extractor)
1. Minor scalp abrasions and subgaleal heamatomas to new born are moe frequent than
forceps.
2. Can be applied when foetal head is above the level of ischial spine.
2. Maternal trauma is more frequent than forceps.
3. Can not be used when fetal head is not fully rotated.
Ans: 2
49. A drop in fetal heart rate that typically lasts less than 2 minutes and is usually associated
with umbilical cord compresion is called.
1. Early declaration
2. Late declaration
3. Variable declaration
4. Prolonged declaration
Ans: 3
50. All the following are known side effects with the use of tocolytic therapy except.
1. Tachycardia
2. Hypotension
3. Hyperglycemia
4. Fever
Ans: 2
51. All of the following factors decrease the minimum Alveolar Concentration (MAC) of an
inhalation anaesthetic agent except.
1. Hypothermia
2. Hyponatremia
3. Hypocalcaemia
4. Anemia
Ans: 3
52. The narrowest part of larynx in infants is at the cricoid level. In administering anesthesia this
may lead to all except:
1. Choosing a smaller size endotracheal tube.
2. Trauma t the subglottic region.
3. Post operative stridor
4. Laryngeal oedema
Ans: ?
53. The administration of succinylocholine to a paraplegic pateint led to the appearance of
dysarrhythmias, conduction abnormalities and finally cardiac arrest. The most likely cause is:
1. Hypercalcemia
2. Hyperkalemia
3. Anaphylaxis
4. Hyermagnesemia
Ans: 1
54. Following spinal subarachnoid block patient a develop hypotension. This can be managed
by the following means exept:
1. Lowering the head end
2. Administration of 100 ml of Ringers lacate before the block
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3. Vascopressure drug like methoxamine
4. Us of ionotrope like dopamine.
Ans: 4
55. In the immediate post operative period the common cause of respiratory insufficiency could
be because of the following, except:
1. Residual effect of muscle relaxant
2. Overdose of narcotic analgesic
3. Mild Hypovalemia
4. Mycocardial infarction
Ans: 4
56. On mutation, which of the following may give rise to hereditary glaucoma.
1. Optineurin
2. Ephrins
3. RBA8
4. Huntingtin
Ans: 1
57. Brain lipid binding protein is expressed by which of the following:
1. Mature astrocytes.
2. Oligodendrocytes.
3. Purkinje cells
4. Pyramidal neurons
Ans: 2?
58. All of the following ligaments contribute to the stability of ankle (talocrural) joint except.
1. Calcaneonavicular (spring)
2. Deltoid
3. Lateral
4. Posterior tibiofibular
Ans: 1 (associated with arch integrity)
59. In angina pectoris, the pain radiating down the left arm )sensory) fibres contained in the :-
1. Carotid branch of the glossopharyngeal nerve
2. Phrenic nerve
3. Vagus nerve and recurrent laryngeal nerve.
4. Thoracic splanchnic nerve
Ans: 4
60. All the following sings could result from infection within the right cavernous sinus except.
1. Constricted pupil in response to light
2. Engorgement of the retinal veins upon ophthalmoscopic examination.
3. Ptosis of the right eyelid.
4. Right opthalmoplegia.
Ans: 1
61. In dislocation of the jaw, displacement of the articular disc beyond the articular tubercle of
the temporomandibular joint results from spasm or excessive contraction of the following
muscle?
1. Buccinator
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2. Lateral pterygoid
3. Masseter
4. Temporalis
Ans: 2
62. Following surgical removal of a firm nodular cancer swelling in the right breast and
exploration of the right axilla, on examination the patient was found to have a winged right
scapula. Most likely this could have occurred due to injury to the:
1. Subscapular muscle
2. Coracoid process of scapula
3. Long thoracic nerve
4. Circumflex scapular artery
Ans: 3
63. A 50 year old man suffering from carcinoma of prostate showed areas of sclerosis and
collapse of
T10 and T11 vertebrae in X-ray. The spread of this cancer to the above vertebrae was most
probably through:
1. Sacral canel
2. Lymphatic vessels
3. Internal vertebral plexus of venis
4. Superiorectal veins
Ans: 3
64. Father to son inheritance is never seen in case of:
1. Autosomal dominant inheritance
2. Autosomal recessive inheritance
3. X- linked recessive inheritance
4. Multifactorial inheritance
Ans: 3
65. A 3-year old boy is detected to have bilateral renal calculi. Metabolic evaluation confirms the
presence of marked hypercalciuria with normal blood levels of calcium,magnesium,
phosphate,uric acid and creatinine. A diagnosis of idiopathic hypercalciuria is made. The dietary
management includes all, except
1. Increased water intake
2. Low sodium diet
3. Reduced calcium intake
4. Avoid meat proteins.
Ans: 3
66. The hormone associated with cold adaption:
1. Growth hormone.
2. Thyroxine.
3. Insulin.
4. Melanocyle Stimulating Hormone.
Ans: 2
67. All of the following are characteristic features of Kwashiorkor, except:
1. High blood osmolarity.
2. Hypoalbuminemia.
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3. Edema.
4. Fatty liver.
Ans: 1
68. Actyl Co-A acts as a substrate for all the enzymes except:
1. HMG- Co-A synthetase.
2. Malic enzyme.
3. Malonyl Co-A synthetase.
4. Fatty acid synthetase.
Ans: 2
69. The activity of the following enzyme is affected by biotin deficiency:
1. Transketolase,
2. Dehydrogenase.
3. Oxidase.
4. Carboxylase.
Ans: 4
70. A 55-year-old male accident victim in casualty urgently needs blood. The blood bank is
unable to determine his ABO group, as his red cell group and plasma group do not match.
Emergency transfusion of patient should be with:
1. RBC corresponding to his red cell group and colloids/crystalloid.
2. Whole blood corresponding to his plasma group.
3. O positive RBC and colloids/crystalloid.
4. AB negative whole blood.
Ans: 3
71. Although more than 400 blood groups have been identified, the ABO blood group system
remains the most important in clinical medicine because:
1. It was the blood group system to be discovered.
2. It has four different blood groups A, B, AB, O(H).
3. ABO (H) antigens are present in most body tissues and fluids.
4. ABO (H) antibodies are invariably present in plasma when persons RBC lacks the
corresponding antigen.
Ans: 4
72. Km of an enzyme is:
1. Dissociation constant.
2. The normal physiological substrate concentration.
3. The substrate concentration at half maximum velocity.
4. Numerically indentical for all isozymes that catalyze a given reaction.
Ans: 1
73. At the physiological PH the DNA molecules are:
1. Positively charged.
2. Negatively charged.
3. Neutral.
4. Amphipathic.
An: 2
74. Cholesterol present in LDL:
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1. Represents primarily cholesterol that is being removed from peripheral cells.
2. Binds to a receptor and diffuses across the cell membrance.
3. On acuumulation in the cell inhibits replenishment of LDL receptors.
4. When enters a cell, suppresses activity of acyl-CoA: cholesterol acytranferase ACAT.
Ans: 3
nd
75. A newborn infant refuses breast milk since the 2 day of birth, vomits on force-feeding but
th
accepts glucose-water, develops diarrhea on the third day, by 5 day she is jaundiced with liver
enlargement and eyes show signs of cataract. Urinary reducing sugar was positive but blood
glucose estimated by glucose oxidation method was found low. The most likely cause is
deficiency of:
1. Galactose-1-phosphate uridyl transferase.
2. Beta galactosidase.
3. Glucose-6- phosphatase.
4. Galactokinase.
Ans: 4
76. An obese lady aged 45 years, was brought to emergency in a semi comatose condition. The
laboratory investigations showed K+ (5.8mmol/L); Na+ (136mmol/L); blood PH (7.1), HCO3
(12mmol/L); ketone bodies (350 mg/dl). The expected level of blood glucose for this lady is:
1. < 45 mg/dl.
2. < 120 mg/dl.
3. > 180 mg/dl.
4. < 75 mg/dl.
Ans: 2?/3?
77. Replication and transcription are similar processes in mechanistic terms because both:
1. Use RNA primers for initiation.
2. Use decoxybonucleotides as precursors.
3. Are semi conserved events
4. phosphodiester bond formation with elongation occurring in the 5' ? 3' direction.
Ans: 2
78. Commonest cause of neonatal mortality in India is:
1. Diarrheal diseases.
2. Birth injuries.
3. Lowbirth weight
4. Congenital anomalies.
Ans: 3
79. All of the following features are suggestive of asbestosis except:
1. Occurs within five years of exposure.
2. The disease progresses even after removal of contact.
3. Can lead to pleural mesothelioma.
4. Sputum contains asbestos bodies.
Ans: 1
80. In calculating Dependency Ratio, the numerator is expressed as:
1. Population under 10 years and 60 and above.
2. Population under 15 years and 60 and above.
3. Population under 10 years and 65 and above.
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4. Population under 15 years and 65 and above.
Ans: 4
81. A adult male patient presented in the OPD with complaints of cough and fever for 3 months
and heamoptysis off and on. His sputum was positive for AFB. On probing it was found that he
had already received treatment with RHZE for 3 weeks from a nearly hospital and discontinued.
How will you categorize and manage the patient?
1. Category III, start 2 (RHZ)3.
2. Category II, start 2 (RHZE)3.
3. Category I, start 2 (RHZE)3.
4. Category II, start 2 (RHZES)3.
Ans: 4
82. A screening test is used in the same way in two similar populations; but the proportion of
false positive results among those who test positive in population A is lower than those who test
positive in population B. What is the likely explanation?
1. The specificity of the test is lower in population A.
2. The prevalence of the disease is lower in population A.
3. The prevalence of the disease is higher in population A.
4. The specificity of the test is higher in population A.
Ans: 3
83. Residence of three village with three different types of water supply were asked to
participate in a study to identify cholera carries. Because several cholera deaths had occurred in
the recent past, virtually everyone present at the time submitted to examination. The proportion
of residents in each village who were carries was computed and compared. This study is a:
1. Cross ? sectional study.
2. Case ? control study.
3. Concurrent cohort study.
4. Non ? concurrent.
Ans: 1
84. A drug company is developing a new pregnancy-test kit for use n an outpatient basis. The
company pregnancy-test on 100 women who are known to be pregnant. Out of 100 women, 99
showed positive test. Upon using the same test on 100 non-pregnant women, 90 showed
negative result. What is the sensitivity of the test?
1. 90%
2. 99%
3. Average of 90 & 99.
4. Cannot be calculated from the given data.
Ans: 2
85. An investigator wants to study the association between maternal intake of iron supplements
(Yes/No) and birth weights (in gms) of newborn babies. He collects relevant data from 100
pregnant woman and their newborns. What statistical test of hypothesis would you adise for the
investigator in this situation?
1. Chi-Square test.
2. Unpaired or independent t-test.
3. Analysis of Variance.
4. Paired t-test.
Ans: 4
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86. Pin index system is a safety feature adopted in anaesthesia. Machines to prevent:
1. Incorrect attachment of anaesthesia machines.
2. Incorrect attachment of anaesthesia face masks.
3. Incorrect inhalation agent delivery.
4. Incorrect gas cylinder attachment.
Ans: 4
87. A 9-years old boy has steroid dependent nephrotic syndrome for the last 5 years. He has
received corticosteroids almost continuosly during this period and has cushingoid features. The
blood preassure is 120/86 mmHg and there are bilaterel subcapsular cataracts. The treatment
of choice is:
1. Levamisole.
2. Cyclophosphamide.
3. Cyclosporin A.
4. Intravenous pulse corticosteroids.
Ans: 2
88. After a minor head injury a young patient was unable to close his left eye and had drooling
of saliva from left angle of mouth. He is suffering from:
1. VIIth nerve injury.
2. Vth nerve injury.
3. IIIrd nerve injury.
4. Combined VIIth and IIIrd nerve injury.
Ans: 1
89. Which one of the following does not produce cyanosis in the first year of life:
1. Atrial septal defect.
2. Hypoplastic left heart syndrome.
3. Truncus arteriosus.
4. Double outlet right ventricle.
Ans: 1
90. All of the following are given global prominence in the VISION 2020 goals, except:
1. Refractive errors.
2. Cataract.
3. Trachoma.
4. Glaucoma.
Ans: 1
91. For the field diagnosis of trachoma, the WHO recommends that follocular and intense
trachomainflammation should be assessed in:
1. Women aged 15 ? 45 years.
2. Population of 10 to 28 year range.
3. Children aged 0 ? 10 years.
4. Population above 25 years of age irrespective of sex.
Ans: ?
92. The eye condition for which the world Bank assistsnce was provided to the National
Programme for Control of Blindness (1994-2001) is:
1. Cataract.
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2. Refractive errors.
3. Trachoma.
4. Vitamin A deficiency.
Ans: 4
93. Under the school eye screening programme in India, the initial vision screening of school
children is done by:
1. School teachers.
2. Primary level health workers.
3. Eye specialists.
4. Medical officers.
Ans: 1
94. The usefulness of a screening test depends upon its:
1. Seensitivity.
2. Specificity.
3. Reliability.
4. Predictive value.
Ans: 1
95. For testing the statistical significance of the difference in heights of school children among
three socio-economic groups, the most appropriate statistical test is:
1. Student's `t' test.
2. Chi-aquared test.
3. Paired `t' test.
4. One way analysis of variance (one way ANOVA).
Ans: 4
96. Reservoir of Indian Kala azar is:
1. Man.
2. Rodent.
3. Canine.
4. Equine.
Ans: 1
97. The following is true about the term `New Families':
1. It is a variant of the 3-generation family.
2. It is applied to all nuclear families of less than 10 years duration.
3. It is a variant of the joint family.
4. It is applied to all nuclear families of less than 2 years duration.
Ans: 2
98. A 24 year old female has flaccid bullae in the skin and oral erosions. Histopathology shows
intraepidermal acantholytic blister. The most likely diagnosis is:
1. Pemphigoid.
2. Erythema multiforme.
3. Pemphigus vulgaris.
4. Dermatitis herpetiformis.
Ans: 3
99. Podophyllum resin is indicated in the treatment of:
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1. Psoriasis.
2. Pemphigus.
3. Condyloma acuminata.
4. Condyloma lata.
Ans: 3
100. The following drug is indicated in the treatment of pityriasis versicolar:
1. Ketoconazole.
2. Metronidazole.
3. Griseofulvin.
4. Chloroquine.
Ans: 3
101. Direct impact on the bone will produce a:
1. Transverse fracture.
2. Oblique fracture.
3. Spiral fracture.
4. Comminuted fracture.
Ans: 4
102. All of the following are seen in rickets, except.
1. Bow legs.
2. Gunstock deformity.
3. Pot belly.
4. Cranio tabes.
Ans: 2
103. Post-dural puncture headache is typically:
1. A result of leakage of blood into the epidural space.
2. Worse when lying down than in sitting position.
3. Bifrontal or occipital.
4. Seen within 4 hours of dural puncture.
Ans: 3
104. Kenny Packs were used in the treatment of:
1. Poliomyelitis.
2. Muscular dystrophy.
3. Polyneuropathies.
4. Nerve Injury.
Ans: 1
105. A pateint was administered epidural anaesthesia with 15ml 1.5% lignocaine with
adrenaline for hernia surgery., He developed hypotension and respiratory depression within 3
minutes after administration of block. The commonest cause would be.
1. Allergy to drug administered.
2. Systemic toxicity to drug administered.
3. Patient got vasovagal shock.
4. Drug has entered the sub arachnoid space.
Ans: 3
106. Which one of the following is the shortest acting intravenous analgesic:
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1. Remifantanil.
2. Fentanyl.
3. Alfentanil.
4. Sufentanil.
Ans: 1
107. The etiology of anterior ethmoidal neuralgia is:
1. Inferior turbinate pressing on the nasal septum.
2. Middle turbinate pressing on the nasal septum.
3. Superior turbinate pressing on the nasal septum.
4. Causing obstruction of sphenoid opening.
Ans: 2
108. The treatment of choice for stage 1 cancer larynx is:
1. Radical Surgery.
2. Chemotherapy.
3. Radiotherapy.
4. Surgery followed by radiotherapy.
Ans: 3
109. Stapes footplate covers:
1. Round window.
2. Oval window.
3. Interior sinus tympani.
4. Pyramid.
Ans: 2
110. All the following muscles are innervated by the facial nerve except.
1. Occipito-frontalis.
2. Anterior belly of diagastric.
3. Risorius.
4. Procerus.
Ans: 2
111. The following statements regarding Turner syndrome are except.
1. Occurrence of Turner syndrome is influenced by material age.
2. Most patients have primary amenorrhoea.
3. Most patients have short stature.
4. Edema of hands and feet is an important feature durring infancy.
Ans: 1
112. All of the following methods are used for the diagnosis of HIV infection in a 2 month old
child except:
1. DNA-PCR.
2. Viral culture.
3. HIV ELISA
4. p24 antigen assay.
Ans: 3
113. In neonatal screening programme for detection of congenital hypothyroidism, the ideal
place and time to collect the blood sample for TSH estimation is:
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1. Cord blood at time of birth.
2. Heal pad blood at time of birth.
3. . Heal pad blood on 4 day of birth.
4. Peripheral venous blood on 28 day.
Ans: 1
114. The Pin index code of Nitrous oxide is:
1. 2,5.
2. 1,5.
3. 3,5.
4. 2,6.
Ans: 1
115. A three years old presents with poor urinary stream. Most likely cause is:
1. Stricture urethra.
2. Neurogenic bladder.
3. Urethral calculus.
4. Posterior uretral valves.
Ans: 4
116. Peroconceptional use of the following agent leads to reduced incidence of neural tube
defects:
1. Folic acid.
2. Iron.
3. Calcium.
4. Vitamin A.
Ans: 1
117. A 11-month old boy, weighing 3 kg, has polyuria, polydipsia and delayed motor milestones.
Blood investigations show creatinine of 0.5 mg/dl, potassium 3 mEq/1, sodium 125 mEq/1,
chloride 88 mEq/1, calcium 8.8 mg/dl, PH 7.46 and brcarbonate 26 mEq/1. Ultrasonography
shows medullary nephrocalcinosis. The most likely diagnosis is:
1. Renal tubular acidosis.
2. Diabetes insipidus.
3. Bartters syndrome.
4. Pseudohypoaldosteronism.
Ans: 3
118. The treatment of choice for primary grade V vesico-ureteric reflux involving both kidneys in
a 6 month old boy is:
1. Antibiotic prophylaxis.
2. Ureteric reimplantation.
3. Cystoscopy followed by subureteric injection of teflon.
4. Bilateral ureterostomies.
Ans: 1?
119. The most common leukocytoclastic vasculitis affecting children is:
1.Takayasu disease.
2. Mucocutaneous lymphnode syndrome.
(Kawasaki disease)
3.Henoch Schonlein purpura.
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4. Polyarteritis nodosa.
Ans: 3
120. A-13-year old boy is referred for evaluation of nocturnal enuresis and short stature. His
blood pressure is normal. The hemoglobin level is 8g/dl. Urea 112 mg/dl, creatinine 6 mg/dl,
sodium 119 mEq/dl, potassium 4 mEq/l, calcium 7 mg/dl, phophate 6 mg/dl and alkaline
phophatase 300 U/l. Urinalysis shows trace proteinuria with hyaline casts; nored and white cells
are seen. Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is
normal. The most likely diagnosis is:
1. Alport's syndrome.
2. Medullary sponge kidney.
3. Chronic glomerulonephritis.
4. Nephronophthisis.
Ans: 4
121. The most common infectious agent associated with chronic pyelonephritis is:
1. Proteus vulgaris.
2. Klebsiella pneumonie.
3. Staphylococcus aureus.
4. Escherichia coli.
Ans: 1
122. Which of the following hepatitis viruses is a DNA virus:
1. Hepatitis C virus.
2. Hepatitis B virus.
3. Delta agent.
4. Hepatitis E virus.
Ans: 2
123. The mechanism that protects normal pancreas from autodigestion is:
1. Secretion of biocarbonate.
2. Protease inhibitors present in plasma.
3. Proteolytic enzymes secreted in inactive form.
4. The resistance of pancreatic cells.
Ans: 3
124. All of the following type of lymphoma are commonly seen in the orbit except.
1. Non Hodgkin's lymphoma, mixed lymphocytic & histiocytic.
2. Non Hodgkin's lymphoma, lymphocytic poorly differentiated.
3. Burkitt' lymphoma.
4. Hodgkin's lymphoma.
Ans: 3
125. "Tophus" is the pathognomonic lesion of which of the following condition:
1. Multiple myeloma.
2. Cystinosis.
3. Gout.
4. Eale's disease.
Ans: 3
126. Common ocular manifeststion in Trisomy 13 is:
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1. Capillary hemangioma.
2. Bilateral microphthalmos.
3. Neurofibroma.
4. Dermoid Cyst.
Ans: 1
127. Heamorrhagic pericacarditis occurs in all of the following condition except:
1. Transmural myocardial infarction.
2. Dissecting aneurysm of aorta.
3. Metastatic disease of pericardium.
4. Constrictive pericarditis.
Ans: 2
128. A 60-years man presented with fatigue weight loss and heaviness in left hypochodrium for
6 months. The hemogram showed Hb 10 gm/dl, TLC 5 laks/mm3, platelet count 4 laks/mm3,
DLC; neutrophil 55%, lymphocytes 4% montocytes 2% basophiles 6% metamyelocytes 10%
myeloytes 18%, promyelocytes 2% and blast 3%. The most likely cytogenetic abnormality in this
case is:
1. t (8; 21).
2. t (9; 22).
3. t (15; 17).
4. trisomy 21.
Ans: 2
129. Onsectioning of an organ at the time of autopsy, a focal, wedge-shaped firm area is seen
accompanied by extensive hemorrhage, with a red appearance. The lesion has a base on the
surface of the organ. This finding is typically of:
1. Lung with pulmonary thromboembolism.
2. Heart with coronary thrombosis.
3. Liver with hypovolemic shock.
4. Kidney with septic embolus.
Ans: 1
130. Upper GI endoscopy and biopsy from lower esophagus in a 48 year old lady with chronic
heart burn shows presence of columner epithelium with goblet. The feature is most likely
consistent with:
1. Dysplasia.
2. Hyperplasia.
3. Carcinoma in-situ.
4. Metaplasia.
Ans: 4
131. The light brown perinuclear pigment seen on F & F staining of the cardiac muscle fibers in
the grossly normal appearing heart of an 83-year oldman at autopsy is due to deposition of:
1. Hemosiderin.
2. Lipochrome.
3. Cholesterol matabolic.
4. Anthracotic pigment.
Ans: 2
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132. A renal biopsy from a 56 years old women with progressive renal failure for the past 3
years shows glomerular and vascular deposition of pink amorphous material. It shows apple-
green birefringence under polarized light after Congo red staining. These deposits are positive
for lambda light chains. The person is most likely to suffer from.
1. Rheumatoid arthritis.
2. Tuberculosis.
3. Systemic lupus erythematosus.
4. Multiple myeloma.
Ans: 4
133. A-40-year-old man has a chronic cough with fever for several months. The chest
radiograph reveals a diffuse reticulonodular pattern. Microscopically on transbronchial biopsy
there are focal areas of inflammation containing epithelioid cell granuloma, Langhans giant
cells, and lymphocytes. These findings are typical for which of the following type of
hypersentivity immunologic responses:
1. Type-I
2. Type-II
3. Type-III
4. Type-IV
Ans: 4
134. An adult old man gets a burn injury to his hands. Over few weeks, the burned skin heals
without the need for skin grafting. The most critical factor responsible for the rapid healing in this
case is:
1. Remnant skin appendages.
2. Underlying connective tissue.
3. Minimal edema and earthema.
4. Granulation tissue.
Ans: 4
135. A 12 year old girl complains of pain presisting in his left leg. For several weeks with a low
grade fever. A radiograph reveals a mass in the diaphyseal region of the left femur with
overlying cortical erosion and soft tissue extension. A biopsy of the lesion shows numerous
small round cells, rich in PAS positive diastase sensitive granules. The most likely histological
diagnosis is:
1. Osteogenic sarcoma.
2. Osteoblastoma.
3. Ewing's sarcoma.
4. Chondroblastoma.
Ans: 3
136. In a 2 months old infant undergoing surgery for biliary atresia, you would avoid one of the
following anaesthetic:
1. Thiopentone.
2. Halothane.
3. Propofol.
4. Sevoflurance.
Ans: ?
137. The ideal muscle relaxant used for a neonate undergoing porto-enterostomy for biliary
atresia is:
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1. Altracurium.
2. Vecuronium.
3. Pancuronium.
4. Rocuronium.
Ans: ?
138. Visual analogue scale (VAS) is most widely used to measure:
1. Sleep.
2. Sedation.
3. Pain intensity.
4. Depth of Anaesthesia.
Ans: 3
139. Sodium 2-mercapto ethance sulfonate (mesna) is used as a protective agent in:
1. Radiotherapy.
2. Cancer chemotherapy.
3. Lithotrypsy.
4. Hepatic encephalopathy.
Ans: 2
140. Durring laryngoscopy and endo-tracheal intubation which of the maneuver is not
performed:
1. Flexion of the neck.
2. Extension of Head at the atlanto-occipital joint.
3. The laryngoscope is lifted upwards levering over the upper incisors.
4. In a straight blade laryngoscope, the epiglottis is lifted the tip.
Ans: 1
141. In a young patient who had extensive soft tissue and muscle injury, which of these muscle
relaxants used for endotracheal intubation might lead to cardiac arrest:
1. Atracurium.
2. Suxamethonium.
3. Vecuronium.
4. Pancuronium.
Ans: 2
142. The diuretic group that does not require access to the tubular lumen to induce diuresis is:
1. Carbonic anhydrase inhibitor.
2. Na-Cl symport inhibitor.
3. Mineralocorticoid antagonist.
4. Na-K symport inhibitor.
Ans: 3
143. A vasopressin analogue does not produce therapeutic effect through vasopression V-2
receptor in which of the following:
1. Central diabetes insipidus.
2. Bleeding esophageal varices.
3. Type I van Willebrand's disease.
4. Primary nocturnal enuresis.
Ans: 2
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144. Regarding neonatal circumcision, which one of the following is true:
1. It should be done without anaesthesia, as it is hazardous to give anaesthesia.
2. It should be done without anaesthesia, as neonates do not perceive pain as adult.
3. It should be done under local anaesthesia only.
4. General anaesthesia should be given to neonates for circumcision as they also feel pain as
adult.
Ans: 3
145. The following statement is not true about the use of clonidine in the treatment of
hypertension..
1. Reduction in central sympathetic outflow.
2. Increase in LDL-cholesterol in prolonged use.
3. Sedation ad xerostomia are common side effects.
4. It can be combined with vasodilators.
Ans: 2
146. The following is not true about the use of beta-blockers in heart failure:
1. It should be initiated at a nery low dose.
2. It most effective in new-onset decompensated heart failure.
3. Slow upward titration of dose is required.
4. Carvedilol is most widely used in this condition.
Ans: 2
147. The following statement is not true about sotalol:
1. It is a non-selective beta-blocker.
2. It prolongs action potential duration troughout the heart.
3. It is excreted through bile following hepatic metabolism.
4. Polymorphic ventricular tachycardia is a common side effect.
Ans: 4
148. For drugs with first-order kinetics, the time required to achieve steady state levels can be
predicted from:
1. Volume of distribution.
2. Half life.
3. Clearance.
4. Loading dose.
Ans: 2
149. All of the following drugs are metabolised by acetylation except:
1. INH.
2. Sulfonamides.
3. Ketoconazole.
4. Hydralazine.
Ans: 3
150. All the following cephalosporins having good activity against Pseudomonas aerugenosa
except:
1. Cephadroxil.
2. Cefepime.
3. Cefoperazone.
4. Ceftazidime,
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Ans: 1
151. Low dose progestational contraceptives primarly act on:
1. Oviductal motility.
2. Uterine endometrium.
3. Cervix.
4. Pituitary.
Ans: 3
152. There is a mid-cycle shift in the basal body temterature (BBT) after ovulation in women.
This is coused by:
1. FSH-peak.
2. LH- peak.
3. Oestrsdiol.
4. Progesterone.
Ans: 4
153. Various cells respond differentially to a second messenger (such as increased CAMP)
because they have different.
1. Receptors.
2. Enzymatic composition.
3. Nuclei.
4. Membrane lipids.
154. A 60 year old hypertensive patient on Angiotensin II receptor antagonists (losartan) is
posted for hernia repair surgery. The anti- hypertensive drug should be:
1. Continued till the day of operation.
2. Discontinued 24 hrs. preoperatively.
3. Discontinued one week preoperatively.
4. Administered in an increased dosage on the day of operation.
Ans: 2
155. Infertility is a common feature in `Sertoli cell only' syndrome, because:
1. Too many Sertoli cells inhibit spermatogenesis via inhibin.
2. Proper blood-testis barrier is not established.
3. There is no germ cells in this condition.,
4. Sufficient numbers of spermatoza are not produced.
Ans: 3
156. Most accurate measurment of extracellular fluid volume (ECF) can be done by using:
1. Sucrose.
2. Mannitol.
3. Inulin.
4. Aminopyrine
Ans: 3
157. A shift of posture from supine to upright posture is associated with cardiovasucular
adjustments. Which of the following is NOT true in this context:
1. Rise in central venous pressure.
2. Rise in heart rate.
3. Decrease in cardiac output.
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4. Decrease in stroke volume.
Ans: 3
158. Dystrophic gene mutation leads to:
1. Myasthenia gravis.
2. Motor neuron disease.
3. Poliomyelitis.
4. Duchenne Muscular Dystrophy.
Ans: 4
159. Osteoclast has specific receptor for:
1. Prathyroid hormone.
2. Calcitionin.
3. Thyroxin.
4. Vit D3.Ans: 2
160 Which of the following is not a ysual feature of right middle cerebral artery territory infarct?
1. Aphasia.
2. Hemiparese.
3. Facial weakness.
4. Dysarthria.
Ans: 1
161. The treatment of choice in Attention Deficit Hyperactivity Disorder is:
1. Haloperidol.
2. Imipramine.
3. Methylphenidate.
4. Alprazolam.
Ans: 3
162. The following is a Schneider's first rank symptom:
1. Persecutory delusion.
2. Voices commenting on actions.
3. Delusion of guilt.
4. Incoherence.
Ans: 2
163. A middle aged man presented with pain in back, lack of interest I recreational activities, low
mood, lethargy, decreased sleep and appetite for two months. There was no history suggestive
of delusions of hallucinations. He did not suffer from any chronic medical illness. There was no
family history of psytchiatric illness. Routine investigations including haemogram, renal function
tests, liver function testsm electrocadiogram did not reveal any abnormality. This patient should
be treated with:
1. Haloparidol.
2. Sertraline.
3. Alprazolam.
4. Olanzapine.
Ans: 3
164. An elderly house wife lost her husband who died suddenly of Myocardial infarction couple
of years ago. They had been staying alone for almost a decade with infrequent visits from her
Page 26
son and grandchildren. About a week after the death she heard his voice clearly talking to her
as he would in a routine manner from the next room. She went to check but saw nothing.
Subsequently she often heard his voice conversing with her and she would also discuss her
daily matters with him. This however, provoked anxiety and sadness of mood where she was
preoccupied with his thought. She should be treated with:
1. Clomipramine.
2. Alprazolam.
3. Electroconvulsive therapy.
4. Haloperidol.
Ans: 4
165. Yawning is a common feature of
1. Alcohol withdrawal
2. Cocaine withdrawal
3. Cannabis withdrawal
4. Opioid withdrawal
Ans: 2
166. The differential diagnosis of retinoblastoma would include all except:
1. Persistent hyperplastic primary vitreous
2. Coat's disease.
3. Retinal astro cytoma
4. Retinal detachment
Ans: 4
167. Which of the following imaging modality is most sensitive to detect early renal tuberculosis.
1. Intravenous urography
2. Ultrasound
3. Computed tomography
4. Magnetic resonance imaging
Ans: 1
168. A young man with tuberculosis presents with massive recurrent hemoptysis. For
angiographic treatment which vascular structure should be avaluated first.
1. Pulmonary
2. Bronchial artery
3. Pulomary vein
4. Superior vena cava
Ans: 2
169. Which one of the following imaging modalities is most sensitive for evaluation of extra-
adrenal phaeochromocytoma.
1. Ultrasound
2. CT
3. MRI
4. MIBG scan
Ans: 4
170. On 3 phase 99mTc-MDP bone scan, which of the following bone lesions will show least
osteoblastic activity.
1. Paget's disease
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2. Osteoid Osteoma
3. Fibruous Displasia
4. Fibruous cortical defect
Ans: 4
171. Use of tomoxifen in carcinoma of breast patients does not lead to the following side effects:
1. Thromboembolic events
2. Endometrial carcinoma
3. Cataract
4. Cancer in opposite breast
Ans: 4
172. For the treatment of deep seated tumors, the following rays are used.
1. X-rays and Gamma-rays
2. Alpha rays and Beta-rays
3. Electrons and positrons
4. High power laser beams
Ans: 1 (4??)
173. Stereotactic Radio-surgery is a form of:
1. Radiotherapy
2. Radioiodine therapy
3. Robotic surgery
4.Cyro Surgery
Ans: 1 This is focused high dose radiation to destroy tumors less than 3 cm.
174. Which of the following ia not an oncological emergency
1. Spinal cord compression.
2. Superior venacaval syndrome
3. Tumorlysis syndrome
4. Carcinoma cervix stage-III"B" with Pyometra.
Ans: 4
175. The level of alpha fetoprotein is raised in all of the following except.
1. Cirrohosis of liver.
2. Hepatocellur carcinoma
3. Yolksac tumor
4. Dysgerminoma
Ans: 3
176. Aniseikonia means:
1. Difference in the axial length of the eyeballs.
2. Difference in the size of corneas
3. Difference in the size of pupils
4. Difference in the size of images formed by the two eyes.
Ans: 4
177. Ophthalmoplegic migraine means:
1. When headache is followed by complete paralysis of the IIIrd and VI nerve on the same side
as the hemicrania.
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2. When the headache is followed by partial paralysis of the IIIrd nerve on the same side as the
hemicrania with out any scotoma.
3. Headache associated with IIIrd, IVth and VIth nerve paralysis.
4. Headache associated with optic neuritis
Ans: 3
178. Surface ectoderm gives rise to all of the following structures except.
1. Lens
2. Corneal epithelium
3. Conjunctival epithelium
4. Anterior layers of iris.
Ans: 4
179. Enucleation of the eyeball is contraindicated in
1. Endophthalmitis
2. Panophthalmitis
3. Intraocular tumour
4. Painful blind eye.
Ans: 2
180. The tratment of congenital glaucoma is
1. Essentially topical medications
2. Trabeculoplasty
3. Trabeculotomy with trabeculectomy
4. Cyclocrytherapy.
Ans: 3
181. Hypochloremia hypokalemia and alkalosis are seen in:
1. Congenital hypertrophic pyloric stenosis
2. Hirschsprung's disease.
3. Esophageal atresia
4. Jejunal atresia
Ans: 1
182. There is a high risk of renal dysplasia in
1. Posterior urethral valves.
2. Bladder extrophy
3. Anorectal maloformation
4. Neonatal sepsis
Ans: 1
183. Cells from the neural crest are involved in all except.
1. Hirscsprung's disease
2. Neuroblastoma
3. Primitive neuroectodermal tumour
4. Wilm's tumour
Ans: 4
184. A `Malignant pustule' is a term used for
1. An infected malignant melanoma
2. A carbuncle
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3. A rapidly spreading redent ulcer.
4. Anthrax of skin
Ans: 4
185. A warthin's tumour is:
1. An adenolymphoma of parotid gland
2. A pleomorphic adenoma of the parotid
3. A carcinoma of the parotid .
4. A carcinoma of submandibular salivary gland
Ans: 1 warthin's
186. A newborn baby had normal APGAR score at birth and developed excessive frothing
andchoking on attempted feeds. The investigation of choice is:
1. Esophagoscopy
2. Bronchoscopy
3. MRI chest
4. X-ray chest and abdomen with the red rubber catheter passed per orally into esophagus
Ans: 4
187. A new born baby has been referred to the casualty as a case of congenital diaphragmatic
hernia. The first clinical intervention is to:
1. Insert a central venous pressure line.
2. Bag and mask ventilation
3. Insert a nasogastric tube.
4. Ventilate with high frequency ventilator
Ans: 3
188. One year old male child is presented with poor urinary stream since birth. The investigation
of choice for evaluation is:
1. Voiding cystourethrography (VCUG)
2. USG bladder
3. Intravenous urography
4. Uroflowmetry
Ans: 1
189. Which of the following statements about peptic ulcer disease is true.
1. Helicobacter pylori eradication increases the likelihood of occurrence of complications.
2. The incidence of complications has remained unchanged.
3. The incidence of Helicobacter pylori re-infection in India is very low.
4. Helicobacter pylori eradication does not alter the recurrence ratio.
Ans: ?
190. Which of the following is not a contraindication for extra corporeal Shockwave Lithotripsy
(ESWL) for renal calculi?
1. Uncorrected bleeding diathesis
2. Pregnancy
3. Ureteric stricture
4. Stone in a calyceal diverticulum.
Ans: 4
191. Which of the following is not an appropriate investigation for anterior urethral stricture?
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1. Magnetic Resonance Imaging
2. Retrograde urethrogram
3. Micturating cystourethrogram
4. High frequency ultrasound
Ans: 1
192. The recommended treatment for preputial adhesions producing ballooning of prepuce
during micturition in a 2-year-old boy is:-
1. Wait and watch policy
2. Circumcision
3. Dorsal slit
4. Preputial adhesions release and dilatation
Ans: 3
193. All are correct about potassium balance except:
1. Most of potassium is intracellular
2. Three quarter of the total body potassium is found in skeletal muscle.
3. Intracellular potassium is released into extra-cellular space in response to severe injury or
surgical stress.
4. Acidosis leads to movement of potassium from extracellular to intracellular fluid compartment.
Ans: 4
194. Hypocalcaemia characterized by all except.
1. Numbness and tingling of circumoral region.
2. Hyperactive tendon reflexes and positive Chvostek's sign.
3. Shortening of Q-T interval in ECG.
4. Carpopedal spasm
Ans: 3
195. Which of the following not true of gas gangrene.
1. It is caused by clostridium perfringens
2. Clostridium Perfringens is a gram-negative spore-bearing bacillus.
3. Gas gangrene is characterized by severe local pain crepitys and signs of toxemia.
4. High does penicillin and aggressive debridement of affected tissue is the treatment of
established infection.
Ans: 2 they are gram + ve
196. "Sleep apnea", is defined as a temporary pause in breathing during sleep lasting at least.
1. 40 seconds
2. 30 seconds
3. 20 seconds
4. 10 seconds
Ans: 4
197. In a blast injury, which of the following organ is least vulnerable to the blast wave.
1. G.I. tract
2. Lungs
3. Liver
4. Ear drum
Ans: 3
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198. Regarding testicular tumour, the following are false except.
1. They are commonest malignancy in older man
3. Seminomas are radiosensitive
3. Only 25% of stage 1 teratomas are cured by surgery alone.
4. Chemotherapy rerely produces a cure in those with Metastatic disease.
Ans: 3
199. A young patient presents with history of dysphagia more to liquid than solids. The first
investigation you will do is:
1. Barium Swallow
2. Esophagoscopy
3. Ultrasound of the chest
4. C.T. Scan of the chest
Ans: 1
200. A 45 years old hypertensive male presented with sudden onset severe headache, vomiting
and neck stiffness. On examination he didn't have any focal neurological deficit. His CT scan
showed blood in the Sylvain fissure. The probable diagnosis is:
1. Meningitis
2. Ruptured aneurysm
3. Hypertensive bleed.
4. Stroke
Ans: 2? 3?
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This post was last modified on 30 July 2021