AIIMS PG MAY 2015
(Based on Memory)
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Recurrent respiratory papillomatosis is treated locally by
- acyclovir
- cidofovir
- zinc
- ranitidine
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Ans: B
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A child has disc battery in the nose. Which is most appropriate concern?
- Keep on instilling nasal drops intermittently till the foreign body dislodges
- Keep the battery as it is and refer to higher expertise for removal
- Battery contents might leak resulting into chemical damage of the surrounding tissue
- Elective removal as the child has high risk of contracting tetanus.
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Ans: B
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HPV do not cause which type of carcinoma
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- Base of tongue carcinoma
- Tonsillar carcinoma
- Oropharyngeal carcinoma
- Laryngeal papillomatosis
Ans: C
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Artery supplying nasopharyngeal angiofibroma?
- Ascending pharyngeal
- Facial
- Internal masseter
- ?
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Kashima operation done for
- Vocal cords
- Cholesteatoma
- Industry surgery
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Ans: A
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Most reliable test for eustachian tube dysfunction:
- Politzer test
- Tympanometry
- VEMP
- Rhinomanometry
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Ans: B
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Pathology
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Oil red 0: is fat stain used on frozen sections (cryostat sections)
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Lymphoma with starry sky appearance: C Myc (seen in burkitt's)
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Multiple factor deficiency: treatment is FFP (not Cryo because cryo has only factor 8, 13, vwf and fibrinogen) (not whole blood also because plasma in stored whole blood is deficient in factor 8 & 5)
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Platelets transfused pre operatively in thrombocytopenia to keep the levels at? 50000 (minimum)
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Cause of caseous necrosis in TB: Delayed type of Hypersensitivity (t cells kill mycobacteria)
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Female with suspected ovarian mass, on laparoscopy was found to have a smooth surface tumors with signet rings and mucin secreting cells: Krukenberg
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Factor responsible for adhesion in platelets? : vwF
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Factor increasing strength of clot: factor 13
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Inheritance of ABO: codominant
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Severity of disease increases with every generation: Anticipation-
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Not autoimmune disease: UC
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Crumpled tissue paper appearance: glucocerebroside accumulation (gaucher's disease)
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Fibroblasts in incised wound: 4-5 days
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Forward scatter in Flow cytometry: indicates size of cell (side scatter indicates granularity of cell)
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Microscopic view of fluorescent green RBCs on a dark background .... Mechanism by which image is viewed?
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- By cathode ray tube
- By dark field/phase condenser
- Dichroic mirror
- Phase plate
Ans: C
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Crumpled tissue paper appearance of a cell on bone marrow examination – glucocerebroside accumulation in a cell.
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Most abundant collagen in basement membrane – type 4
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Carcinoma thyroid spreads mostly by lymphatics – papillary
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Forward scatter in flow cytometry – cell size
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Receptor for IgE is present on – mast cell
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A karyogram with 2X and 1Y chromosome was given. Diagnosis is Klinefelter syndrome – gynecomastia with thin extremities.
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Ovarian mass with smooth surface tumor with signet ring cells and mucin secreting cells – Krukenbergs tumor.
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Diagnosis of Langerhan cell histiocytosis – Birbeck granules
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Reticular fibres of collagen tissues re present in all except
- Thymus
- Bone marrow
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- Spleen
- Lymph node
Ans: B
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Brown fat is not found in
- scapula
- subcutaneous
- adrenal
- around blood vessel
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Two barr bodies are seen in?
- XXX
- 47 XXY
- XO
- 46 XX
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Ans: A. Barr body is equal to no of x chromosome minus one
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OBG
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Dexa dose for lung maturity
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- 6 mg 4 time 12 hrs apart
- 6 mg 2 time 24 hrs apart
- 12 mg 2 time 24 hrs apart
- 12 mg 4 time 12 hrs apart
Ans: A
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Dose of carbetocin 100 mcg over 1 min I/v
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Dose of FA 4mg
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Fistula question is ureterovaginal
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Amenorrhea galactorrhoea syndrome hcg
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Amenorrhea breast development AIS
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Proteinuria severe preeclampsia is 2gm
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6wk preg safe and accurate is Usg
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Supports all except are recto ago all septum
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Sperm count: 1.5 ml 15 million 4% and 32%
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Unprotected intercourse: copper T
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Signet ring cells: Krukenberg
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40 year old infertility and pcos: ocp
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Oocyte prophase
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Recurrent abortion Vdrl
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Drug of choice in hypertension in pregnancy
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- Enalapril
- Methyldopa
- Diuretics
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- Captopril
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Ans: B
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Drug contraindicated in hypertension in pregnancy
- Methyldopa
- Labetalol
- Nifedipine
- Enalapril
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Ans: D
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Drug contraindicated in pregnancy? Methotrexate, azathioprine, acclosporine, retinoids
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PSM
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Diastolic BP of 200 persons, values of 1st and 3rd quartile is 90 and 102 respectively. How many persons have diastolic BP above 102.
- 25
- 50
- 90
- 102
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Nikshay software of Govt. of India is for
- TB
- High risk neonate
- High risk pregnancy
- Malaria / accident or HIV
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Sensitivity is
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- True positive
- True negative
- False positive
- False negative
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Mean GFR of 100 pt is 85 ml/min. SD is 25 ml/min. 90% confidence interval values lies between
- 80 and 90
- 81 and 89
- 75 and 95
- 83 and 87
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In one study, highest value of 58 was mistakenly taken as 85.. This mistake will lead to
- High mean, high median
- High mean, same median
- Low mean, same median
- Same mean, high median
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HDI includes
- Life expectancy at birth, knowledge, descent life style
- Life expectancy at one year, knowledge, descent life style
- Life expectancy at one year,...
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Anatomy
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Which of the following is not a branch of Ext carotid - transverse cervical
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Which of the following does not have microvilli – CD
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Fusion of xiphi and sternal body occurs at what age? – 8/12/16 years?
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Which nucleus deep to facial colliculus – Abducens
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Which of the following is not derived from mesonephric duct – Glomerulus
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Which of the following is not a support of uters – urogen diap/pelvic diap/perineal body/?
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Nerve not having GVE – Olfactory
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Physiology
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Graph on cardiac cycle – point E
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Extracellular fluid calculation - 18L
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If resistance is double what's the flow in vessel
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Voluntary output fibres – Alpha/Gamma/both
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Brown fat in all except – Subcut/Scapula/Adrenal cortex/along vessel
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Beta cell also produces – Amylin
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EMG + EOG + EEG - NREM/REM/?
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Biochemistry
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Common enz btwn Glycogenesis and Glycogenolysis
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si RNA - Knock out/in/down
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Q on glycogen storage diseases - history given
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Cerebroside/galactosidase?
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on total cholesterol HDL, LDL and something to calculate
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A 6 month old child started vomiting and ceased to gain weight. At 8 months, he had to be admitted to the hospital. After one week, he started getting drowsy. He couldn't tolerate feeding even by gastrostomy and had to be given intravenous glucose, following which he improved dramatically and came out of coma in 24 hours. Physical examination was normal, but his urine had high levels of glutamine and uracil, and increased levels of ammonia in blood. What is the enzyme defect he has?
- Ornithine transcarbamoylase
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- Carbamoyl phosphate synthase 1
- Argininosuccinate synthase
- Arginase
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Pharmacology
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Methacholine – M2 agonist
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Which of the following is protease inhibitor
- enfuvirtide
- saquinavir
- adefovir
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Haloperidol – starts with tremor - doc – carbamazepine
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Some muscle twitching over eyes – drug to be used?
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Drug not acting by insulin release? Pioglitazone
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Lipolysis by which adrenoceptor
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- Alfa 1
- Beta 2
- Alfa 2
- Beta 3
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Methacholine agonist at
- M2
- M1
- M4
- M3
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Answer: A. Agonist of muscarinic receptors: M1 – Oxotremorine, M2 – Methacholine, M3 – Bethanechol
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Which of the following topical agents causes heterochromia iridis?
- Latanoprost
- Prednisolone
- Timolol
- Olopatadine
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Ans: A. Latanoprost
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Which of the following diuretic is most appropriate for mild or moderate HTN?
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- loop diuretic
- thiazide
- potassium sparing
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- osmotic diuretics
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Carbetocin for postpartum hemorrhage?
- 10 ml in 2 mins
- 100 ml in 2 minutes
- 20 ml in 1 minute
- 200 ml in 2 minutes
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Microbiology
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Vibrio toxin acts by - desmosomes
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Q on respiratory papillomatosis (one was HPV causes all cancer except - Ca tongue, Cw nasophar, Ca tonsil, Ca Respiratory mucosa?)
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Hepatitis virus having retrovirus property?
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Rheumatic fever suspected due to chorea but pharyngeal swab neg – best test now should b - ASO?/?
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Person HBs pos but anti HBc neg – should tell pt that he is normal/do PCR DNA/repeat HBs after 6 months/?
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Reverse transcriptase virus
- Hep.A
- Hep.B
- Hep.C
- Hep.E
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Glyceryl Trinitrate is given sublingual as it is a
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- Nonionic compound with high lipid solubility
- lionic compound with high lipid solubility
- lionic compound with low lipid solubility
- Nonionic compound with lipid solubility
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FMT
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Car falling down – diff between driver and bajuwala, seat belt
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Wound on shin of tiba – patient was asked to do dressing, patient did not do the dressing, Doctor was in a busy schedule negligence?
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Site of knot in classical hanging?
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Mr.X shot mr.Y with shotgun, but mr.Y got a small injury on thigh, and mild bleeding which stopped spontaneously. Bt still Mr.Y filed case against mr.X. What will be the IPC for penalty to Mr.X
- 302
- 304
- 324
- 326
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Judicial hanging knot at
- Angle of jaw
- At mandible
- Behind occiput
- Depend on hangman
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Criminal act 2013. Conset age limit of Sexual Offences
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- 16yr
- 18yr
- 14yr
- 15yr
Ans: B
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Delaying of death sentence by high court in case of pregnant female is delayed till delivery is under IPC
- 316
- 317
- 318
- 319
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Ophthalmology
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Stain for Granular stromal dystrophy - masson's trichrome
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Trochanteric nerve palsy-?
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Which of the following drugs won't cause whorls like opacities in cornea?
- Chloroquine
- Amiodarone
- Chlorpromazine
- Indomethacin
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Characteristic marker of limbal epithelial cell
- keratin
- ABCG2
- enolase
- collagen
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Ans: B
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The retina receives its blood supply from all except:
- posterior ciliary artery
- central retinal artery
- retinal arteries
- plexus of zinn and haller artery
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Ans: D
Medicine
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RTA with hypoglycemia – i. v. Dextrose
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Hypertensive bleed – Basal gangila
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Some lead poisoning case?
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First sign of alcohol withdrawal – tremors
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DLCO increased in all except - Asthma
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1-2 syndromes(hurler?)?
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Anomic aphasia – cannot name things but comprehension and all normal
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Regarding TRALI, which is not true?
- Present in 24 hrs
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Hypoxemia and noncardiogenic pul edema are cardinal feat
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Assoc wid all blood products, characteristically with plasma
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Mc in pt with sepsis and cardiac transplants
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Ans: TRALI is mostly associated with fresh frozen plasma and platelets, so the best answer look like occurs within 24 hrs.
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Which of the following complications is likely to result after several units of blood transferred?
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- Metabolic alkalosis.
- Metabolic acidosis.
- respiratory alkalosis.
- respiratory acidosis.
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Most commonly involved part in hypertension
- Basal gangila
- Thalamus
- Hemisphere
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Bosentan – used in pulmonary artery hypertension.
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Surgery
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Oesophageal ca prognosis depends on?
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- T stage
- Length of segment involved
- Age of presentation
- O
Ans: A
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A child with billiary atresia – prep bili 12, hepatojejunostomy done, postop 2 weeks bili6, cause?
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Incision for diaphragm surg – circumlinear
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Screening not useful in which cancer?
- colon
- prostate
- testicular
- breast
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Ans: C
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Absent microvilli?
- Pct
- Duodenum
- CT
- Gall bladder
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Ans: C
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Prophylactic splenectomy was done. Resistant case of ITP to steroids, patient develops fever, chills and rigor. Isnt it? Penumococcal pneumonia.. Lower lobe consolidation on cxr.? Lung atelectasis
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Preptic ulcer is asso with all except one?
- cirrhosis
- zollinger ellison syndrome
- primary hyperparathyroidism
- pennicious anemia
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3 yr old child with hydrocoele hernia sac.. Management?
- Herniotomy
- Herniorrhaphy
- Observation
- 9
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Ans: A
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Mallory weiss tear mc artery involved?
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- Short gastric
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- Left gastric
- Coronary
- Phrenic
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Ans: B
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Oncocyte dx test is done for?
- Chemotherapy in HR – ve
- Hormone therapy in HR + ve
- Herceptin in HER2 + ve
- Hormone therapy in HR – ve
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Ans:
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2 month neonatal hepatitis with conjugated bilirubin.. liver biopsy showed granular cytoplasm which is pas positive..diagnosis A. cong hepatic fibrosis B. extrahepatic biliary atresia C. malformation of duct
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patient after splenectomy developed chill and rigor on 3 rd day..what correlates with the patient. A - consolidation in lung B – uti C – renal failure..D – port site infection
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MESORECTUM CONTAINS ALL EXCEPT .sup rectal vein, inf rectal vein pararectal nodes, some plexus inferior rectal artery
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the q 60 yr old female with blood stained nipple discharge with + ve family h/o breast ca NEXT investigation after clinical assessment?
- MRI
- Ductography
- Cytology of discharge
- Sono mammogram
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a young girl with a mass in lower abdomen involvibg hypogastrium, unable to insinuate fingers from pelvic bone?
- duplication of intestine
- mesenteric cyst
- omental cyst
- ovarian cyst
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m/c bariatric surgery
- laparo band
- sleeve gastrectomy
- roux en y
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during inguinal hernia operation a track was left in the lateral part of iliopubic tract...pt complaints of paraesthesia & pain in rt. Thigh, nerve involved?
- illioinguinal nv.
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b. genitofemoral nv.
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C lat. Cutaneous nv. Of thigh...
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D obturator nv
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Was site of paresthesia mentioned-
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Anterior thigh - Genitofemoral nerve
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Lateral thigh - Lat cutaneous nerve of thigh
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I guess here answer should be lat cutaneous of thigh
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Best imaging modality to diagnose acute appendicitis in children. Answer is CT scan.
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Ortho
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Young adult with irreparable rotator cuff injury, which of the following procedures can be done?
- Acromioplasty
- Tendon transfer
- Toatal shoulder replcement
- Reverse shoulder replacement
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Ans: B
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Card test for?
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- Dorsal interossei
- Palmar interossei
- Lumbricals
- Thenar muscles
Ans: B
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Which traction nt used in lower limb?
- perkins
- bryants
- dunlop
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Ans: C
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Jersey finger is due to ruture of?
- extensor digiti minimi
- extensor pollicis
- FDP
- FDS
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Ans: A Jersey finger (also called Rugby finger or Sweater finger) describes a type of injury where there is avuulsion of the flexor digitorum profundus (FDP) at the base of the distal interphalangeal joint (DIP)
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What is not done while removing intervertebral disc?
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- Laminectomy
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- Laminotomy
- Laminoplasty
- Hemilaminectomy
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Most active part of bone
- Cortical bone
- Cancellous bone
- Periosteun
- Endosteum
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osteoporosis
- low calcium high alk phosphate
- normalalcium high alk phosphate
- low calcium low alk phosphate
- ?
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A person falls from building and lands on foot. What's corresponding to this injury
- Cervical #
- Pond #
- Lumbar #
- base of skull #.
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Judet view is for
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- Pelvis
- Calcaneum
- Scaphoid
- ?
Ans: B
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muscle not attached at greater tubercle?
- suspraspinatus
- subscapularis
- infraspinatus
- teres minor
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Ans: B
Dermatology
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A 65 year old male itchy bullae over erythematous areas and normal skin
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- bullous perphigoid
- dermatitis herpetiformis
- Iga pemphigus
- pemphigus vulgaris
Ans: A
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A 23 yr old pregnant diabetic female comes with lake of pus lesions on skin. Treatment is
- methotrexate
- azathioprine
- retinoids
- cyclosporine
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Ans: D
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Young female with blue macules on forehead and ocular mac
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