AIIMS PG NOV 2016
(Based on Memory)
1. Postherpetic neuralgia is defined as pain lasting beyond how many weeks
(a) 1 week
--- Content provided by FirstRanker.com ---
(b) 2 weeks(c) 3 weeks
(d) 4 weeks
2. A 24-years-female presents with patchy hair loss in the right temporal and occipital region.
Examination reveals non-scarring alopecia with multiple small broken hairs. Scrapings from
--- Content provided by FirstRanker.com ---
scalp show mild inflammation, perifollicular hemorrhage and surrounding mild lymphocytesinfiltration. What is the likely diagnosis?
(a) Alopecia areata
(b) Androgenic alopecia
(c) Loose anagen hair
--- Content provided by FirstRanker.com ---
(d) Trichotillomania3. What is the ratio of chest compressions and breaths when a lone person is giving
cardiopulmonary resuscitation
(a) 30:1
(b) 30:2
--- Content provided by FirstRanker.com ---
(c) 15:1(d) 10:1
4. Why 100% oxygen is administered after nitrous oxide is discontinued on emergency from
anesthesia?
(a) Second gas effect
--- Content provided by FirstRanker.com ---
(b) Diffusion hypoxia(c) For adequate analgesia
(d) As air is costlier then oxygen
5. Non visualization of gallbladder in hepatic scintigraphy is suggestive of:
(a) Chronic cholecystitis
--- Content provided by FirstRanker.com ---
(b) Carcinoma gallbladder(c) Acute cholecystitis
(d) Gallstones obstructing CBD
6. A surgeon to decide to operate a patient under epidural anesthesia. 3% xylocaine with
adrenaline is used for administering epidural anesthesia. The patient suddenly develops
--- Content provided by FirstRanker.com ---
hypotension after 3 minutes to administration.What is the likely cause for this?
(a) Systemic absorption of the drug
(b) Vasovagal effect
(c) Allergy to the drug preparation
--- Content provided by FirstRanker.com ---
(d) Penetration into the subarachnoid space7. Pigmentation of nail is caused by all of these drugs except:
(a) Cyclophosphamide
(b) Chlorpropamazine
Page 2
--- Content provided by FirstRanker.com ---
(c) Chloroquine(d) Amiodarone
8. A 12-years-old boy presented with gradually progressive annual plaque on his buttocks with
central scarring. What is the most likely diagnosis?
(a) Granuloma annular
--- Content provided by FirstRanker.com ---
(b) Lupus vulgaris(c) Tinea cruris
(d) Annular psoriasis
9. During laryngoscopy and intubation procedure, all of these are true except:
(a) A sight pressure may be applied at the cricoids cartilage
--- Content provided by FirstRanker.com ---
(b) The laryngoscope is held in the right hand introduced from the right side of the patient.(c) The neck is fixed with extension at the atlanto occipital joint
(d) After incisor to pull up the tongue and visualize the vocal cords
10. An elderly female had her house destroyed in an earthquake. Following this, she presented
to your office with complaints of anxiety, sadness, lack of sleep, anger palpitations and despair,
--- Content provided by FirstRanker.com ---
consider the following statements:(a) The lady is suffering from acute stress reaction.
(b) The defense mechanism involved is projection
(c) Drug of choice in this situation is risperidone
(d) She needs referral to a psychiatrist for psychotherapy which of the following statement are
--- Content provided by FirstRanker.com ---
true?(a) a and c
(b) b and d
(c) a, and c
(d) a and d
--- Content provided by FirstRanker.com ---
11. A-22-years-old male comes to your with complains of frequenting checking of doors evenwhen they are locked. He is distressed about this fact. He is subsequently diagnosed to have
obsessive compulsive disorder. Consider the following statements:
(a) Repression and reaction formation are the defense mechanisms involved
(b) SSRIS are the drug of choice
--- Content provided by FirstRanker.com ---
(c) Risperidone may be used in SSRIS resistant cases to augment the response(d) Systemic desensitization is the psychotherapy of choice which of the above are correct
statements:
(a) a and b
(b) b and c
--- Content provided by FirstRanker.com ---
(c) b, c and d(d) a, b, c and d
12. Which of these is the correct sequence of Maslow's hierarchy of needs?
(a) Safety ? physiological needs ? self ? actualization ? Belonging ? self ? esteem
(b) Physiological needs ? Safety ? Belonging ? self ? esteem? self ? actualization
--- Content provided by FirstRanker.com ---
(c) Safety ? self ? actualization ? Belonging ? physiological needs ? self ? esteem(d) Self ? actualization ? physiological needs ? Safety ? Belonging ? self ? esteem
13. A person has been referred to you by the court. You find a discrepancy between history and
examination findings. Which of these conditions you should be aware of in this situation?
(a) Malingering
--- Content provided by FirstRanker.com ---
Page 3
(b) Factitious
(c) Somatization syndrome
(d) Dissociative fugue
14. According to the Who definition of hearing loss, what is the value to classify as profound
--- Content provided by FirstRanker.com ---
hearing loss?(a) 61 ? 71 dB
(b) > 81 dB
(c) > 91 dB
(d) > 101 dB
--- Content provided by FirstRanker.com ---
15. Maximum contribution to the refractive power of the eye is by which part of the eye?(a) Anterior surface of cornea
(b) Anterior surface of lens
(c) Posterior surface of lens
(d) Posterior surface of cornea
--- Content provided by FirstRanker.com ---
16. What is the usual weight of rabbit used in ophthalmologist experiments?(a) 1.5 kg
(b) 5 ? 7 kg
(c) 2.5 kg
(d)10 ? 12 kg
--- Content provided by FirstRanker.com ---
17. Which of these is the correct definition of blindness as per NPCB?.
(a) Diminution of field vision to 20 Or less in better eye
(b) Inability of a person to count fingers from a distance of 3 meters
(c) Vision 6/60 or less with best possible spectacle correction in the better eye
--- Content provided by FirstRanker.com ---
(d) Vision 4/60 or less with best possible spectacle correction in the better eye18. What is the power of the lens that should be used with indirect ophthalmoscope to visualize
the retina?
(a) + 90 D
(b) + 58 D
--- Content provided by FirstRanker.com ---
(c) + 60 D(d) + 20 D
19. A woman present with complete wound dehiscence 4 ? days after a laparotomy.After
prescribing antibiotics for the infection, the surgeon decides to suture the wound. Which of these
suture material should he use?
--- Content provided by FirstRanker.com ---
(a) Vicryl(b) Mersilic
(c) Catgut
(d) Ethilon
20. Which of the following causes formation?
--- Content provided by FirstRanker.com ---
(a) Movement at fracture site(b) Rigid immobilization
(c) Compression plating
(d) Intraosseous naliling
Page 4
--- Content provided by FirstRanker.com ---
21. Partograph represents various stages of labor with respect to time. True about partograph isall except ?
(a) Each small square represents one hour
(b) Alert and action lines are separated by a difference of 4 hours
(c) Partograph recording should be started at a cervical dilation of 4 cm
--- Content provided by FirstRanker.com ---
(d) Send the patient to first referral unit if the labor progression line crosses the alert line22. The following graph represents the stages of labor. Which of the following statements is true
about the graph C?
(a) Secondary arrest after progression of labor
(b) Prolonged active phase of labor
--- Content provided by FirstRanker.com ---
(c) Prolonged latent phase / primary arrest of labor(d) Normal labor in a primigravida
23. Which of the following statement is not true about cervical cancer screening guidelines
according to who?
(a) Pap smear should repeated yearly in woman of reproductive age group
--- Content provided by FirstRanker.com ---
(b) HPV test should be done five yearly in woman between age of 30 to 49 years(c) VIA/VILI is more reliable at older age as it becomes easier to identify the transformation one
with age
(d) Pap smear can be repeater less frequency if it comes out negative for 3 consecutive years
24. What is done for screening of Down's syndrome in first trimester?
--- Content provided by FirstRanker.com ---
(a) Beta HCG and PAPP ? A(b) Unconjugated estradiol and PAPPA
(c) AFP and Inhibin A
(d) AFP and Beta HCG
25. What does of misoprostol is used orally to control bleeding in partum heamorrhage?
--- Content provided by FirstRanker.com ---
(a) 1000 micrograms(b) 400 micrograms
(c) 800 micrograms
(d) 600 micrograms
26. The following graph represents the stages of labor. What is the maximum capacity of bakri
--- Content provided by FirstRanker.com ---
balloon which used in post partum heamorrhage?(a) 200 ml
(b) 300 ml
(c) 500 ml
(d) 1000 ml
--- Content provided by FirstRanker.com ---
27. A 38 week primigravida presented to the labor room with minimal labor pains andcontraction. On heart rate of the patient is 86 / min and blood pressure is 126 /76 mm Hg. What
should be done next?
(a) Give oxytocin to augment labor
(b) Observe the patient and wait for increase in uterine contractions
--- Content provided by FirstRanker.com ---
(c) Sedate the patient by and give phenergan to decrease labor pains(d) Induce labor by artificial rupture of membranes
28. What is the drug of choice for precocious puberty in girls?
(a) GNRH analogues
Page 5
--- Content provided by FirstRanker.com ---
(b) Danazol(c) Cyproterone acetate
(d) Medroxy progesterone acetate
29. A young female presents to you with primary amenorrhea. Examination reveals normal
breast development and absent axillary hairs. Pelvic examination shows a normally developed
--- Content provided by FirstRanker.com ---
vagina with citomegaly. On ultrasound, gonads are visible in the inguinal region. What is thelikely diagnosis?
(a) Complete androgen insensitivity syndrome
(b) Partial androgen insensitivity syndrome
(c) Grandal dysgenesis
--- Content provided by FirstRanker.com ---
(d) Mayer Rakitansy Kuster Huser syndrome30. Which of the following statements is true regarding medical abortion?
(a) Can only be done up to 72 days
(b) Ultrasound should be done in all cases
(c) Only a person certifield under MTP act can perform medical termination of pregnancy
--- Content provided by FirstRanker.com ---
(d) If the patient has an LUCD in ? situ, it doesn't need to be removed31. What should be the ideal temperature in delivery room?
(a) 20 ? 23 degrees C
(b) 25 ? 28 degrees C
(c) 30 ? 35 degrees C
--- Content provided by FirstRanker.com ---
(d) 37 degrees C32. Ideal route of drug delivery in neonatal resuscitation is
(a) Intraosseous
(b) Through umbilical artery
(c) Through peripheral vein
--- Content provided by FirstRanker.com ---
(d) Through umbilical vein33. An unresponsive patient has been brought to you by the police. What is the first thing you
will do?
(a) Start chest compressions immediately
(b) Check carotid pulse
--- Content provided by FirstRanker.com ---
(c) Check for response and cell help(d) Start resuce breathes
34. In which of the diseases is the following appearance of calve seen in a child?
(a) Spinal muscular atrophy
(b) Muscular dystrophy
--- Content provided by FirstRanker.com ---
(c) Myopathy(d) Peripheral neuropathy
35. Ponderal index is:
(a) Head circumference to abdominal circumference ratio
(b) Mid ? upper arm circumference to head circumference ratio
--- Content provided by FirstRanker.com ---
(c) Weight in kilograms by cube of height in meters(d) Square root of height in feet by weight in grams
36. A neonate presented with jaundice on first day of life. How will you manage?
Page 6
(a) Observe only as it is mostly physiological jaundice
--- Content provided by FirstRanker.com ---
(b) Exchange transfusion(c) Phototherapy
(d) Liver function tests and liver biopsy as it is mostly due to cholestasis
37. Which of the following is a true diverticulum of esophagus?
(a) Zenker's diverticulum
--- Content provided by FirstRanker.com ---
(b) Meckel diverticulum(c) Epiphremic diverticulum
(d) Parabronchial diverticulum
38. What is the recommended does of steroid for altaining fatal lung maturity?
(a) inj. Betamethasona12 mg for 2 does 12 hours apart
--- Content provided by FirstRanker.com ---
(b) inj. Betamethasone12 mg for 2 does 24 hours apart(c) inj. Dexanmethasone6 mg for 4 does 24 hours apart
(d) inj. Dexamethasona12 mg for 2 does 12 hours apart
39. A-45-year-old patient presented to you with ongoing massive hematemesis. The patient is
alert and hemodynamically stable. What will be the first step in management?
--- Content provided by FirstRanker.com ---
(a) Do an urgent upper GI endoscopy(b) Put the patient in recovery position and secure airway
(c) Insert a cannula and start IV
(d) Send for blood transfusion
40. Which one of these is a muscle splitting incision?
--- Content provided by FirstRanker.com ---
(a) Kocher's incision(b) Lanz incision
(c) Rutherford ? Morrison incision
(d) Pfannenstiel incision
41. In a child surgery was done for biliary stricture with hepatojejunal anstomosis. Postoperative
--- Content provided by FirstRanker.com ---
bilirubin level after 2 weeks was 6 mg / dl from a preoperative level of 12 mg / dl. The reason forthis could be
(a) Normal lowering of bilirubin takes time
(b) Delta bilirubin
(c) Anastomotic stricture
--- Content provided by FirstRanker.com ---
(d) Mistake in job technique42. Which of these Scoring system is helpful in assessing serverity of wound infection?
(a) South anapton grading scale
(b) ASA classification
(c) Glasgow score
--- Content provided by FirstRanker.com ---
(d) APGAR43. After midline laparotomy you have been asked to suture the incision. What length of suture
material will you choose?
(a) 2x incision length
(b) 4x incision length
--- Content provided by FirstRanker.com ---
(c) 6x incision length(d) 8x incision length
Page 7
44. In a patient with obstructive jaundice, the bilirubin level is 40 mg/dl. What is the possible
explanation for such a high level?
--- Content provided by FirstRanker.com ---
(a) Liver Failure(b) Renal Failure
(c) Complete obstruction of common bile duet
(d) Malignant obstruction
45. A-44-years-old male underwent & VATS thymectomy for Myasthenia graves. During
--- Content provided by FirstRanker.com ---
surgery, the pleural was accidentally injured. The surgeon decided to put a drain in the pleuralcavity. Which of these statement is correct about the timing of removed of intercostals chest
tube?
(a) After partial expansion of lungs and < 50 ml output from drain for 2 consecutive days
(b) After complete expansion of lungs and < 30 ml output from drain for 2 consecutive days
--- Content provided by FirstRanker.com ---
th(c) On 4 day, irrespective of the output from the drain and lung expansion
(d) After complete expansion of lungs and < 20 ml output from drain for 2 consecutive days
46. Identify the instrument shown below:
(a) DPL catheter
--- Content provided by FirstRanker.com ---
(b) Laparoscopic port trocar(c) Peritoneal dialysis catheter
(d) Endoscopic ultrasound probe
47. A neonate presented with cicatrizing skin lesions all over the body with hypoplasia of all
limbs. An MRI of the brain reveled diffuse cerebral atrophy. An ophthalmologic evaluation
--- Content provided by FirstRanker.com ---
reveals chorioretinitis. Which of these tests is must likely to show a positive result in thispatient?
(a) Anti ? HCMV antibodies
(b) Anti ? toxoplasma antibodies
(c) Anti ? VZV antibodies
--- Content provided by FirstRanker.com ---
(d) Anti ? rubella antibodies48. A neonate on routine examination at birth was found to have hepatomegaly. Rest of the
examination was antibodies were found to be positive. What sequelae in later life is the child at
risk of?
(a) Renal failure
--- Content provided by FirstRanker.com ---
(b) Sensorineural hearing loss(c) Hepatic fibrosis
(d) Mental Retardation
49. A child presented at 2 years of age with delayed motor development mental retardation and
finger biting. He was normal at birth. He subsequent develops cerebral palsy arthritis and dies
--- Content provided by FirstRanker.com ---
due to renal failure at age of 25 years. What is the likely enzyme deficiency implicated?(a) HGPRT deficiency
(b) ADA deficiency
(c) Hexosaminidase deficiency
(d) Ornithine transcarbamyl deficiency
--- Content provided by FirstRanker.com ---
50. Corebellar lesion can produce all of these except?(a) Ataxic Gait
(b) Past Pointing
(c) Resting tremor
Page 8
--- Content provided by FirstRanker.com ---
(d) Nystagmus51. All of these muscles have parallel oriented fibers except:
(a) Sartorius
(b) Rectus abdominis
(c) Tibialis anterior
--- Content provided by FirstRanker.com ---
(d) Sternohyoid52. Calcium absorption from gut is in increased by all except:
(a) Phytates
(b) Vitamin D
(c) Alkaline PH in gut
--- Content provided by FirstRanker.com ---
(d) Protein in diet53. Which of these nerve root is the control center for the Stapedial reflex?
(a) Superior olivary complex
(b) Lateral lemnisus
(c) Inferior callicullis
--- Content provided by FirstRanker.com ---
(d) Medical geniculate body54. Countercurrent mechanism in not seen in
(a) Eyes
(b) Testes
(c) Kidney
--- Content provided by FirstRanker.com ---
(d) Intestine55. Diffusion capacity of carbon monoxide is decreased in all except:
(a) Polyeythemia
(b) Interstital lung disease
(c) Emphysema
--- Content provided by FirstRanker.com ---
(d) Pulmonary vascular diseaserd
rd
56. Anterior 2/3 of the tongue is demarcated from the posterior 1/3 by:
(a) Passavant's ridge
--- Content provided by FirstRanker.com ---
(b) Circumvallate papillae(c) Sulcus terminalis
(d) Epiglottis
57. Parasympathetic nervous system comprises of?
(a) Cranial nerves 3, 5, 7, 10 and sacral nerves 51 ? 55
--- Content provided by FirstRanker.com ---
(b) Cranial nerves 3, 7, 9, 10 and sacral nerves 52 ? 54(c) Cranial nerves 5, 7, 9, 10 and sacral nerves 52 ? 54
(d) Cranial nerves 3, 5, 7, 10 and sacral nerves 52 ? 54
58. Endo ? cochlear potential is ?
(a) + 45 MV
--- Content provided by FirstRanker.com ---
(b) ? 45 MV(c) ? 60 MV
(d) + 85 MV
59. Common intermediate in synthesis of steroid hormones is:
Page 9
--- Content provided by FirstRanker.com ---
(a) 7 Dihydrocholoesterol(b) Cortisone
(c) Pregnenolone
(d) 7 Hydroxyeholssterol
+
--- Content provided by FirstRanker.com ---
60. The PH of a solution containing 5millimole per liter of H ions is closest to what value?(a) 2.3
(b) 1.7
(c) 3.5
(d) 4.2
--- Content provided by FirstRanker.com ---
61. RQ of a person on pure carbohydrate diet will be:(a) 1
(b) 0.7
(c) 1.2
(d) 1.5
--- Content provided by FirstRanker.com ---
62. A farmer ingested some unknown poisonous seeds and had pain and vomiting. Soon hedeveloped paralysis of his lower limbs which ascends till it affected the respiratory muscles and
he died within two days. Identify the likely cause:
(a) Strychnine nux ? vomica
(b) Conium maculatum
--- Content provided by FirstRanker.com ---
(c) Solanum lycopersicum(d) Abrusprecatorium
63. Which vitamin is synthesized in vivo in the body by human?
(a) Folic acid
(b) Niacin
--- Content provided by FirstRanker.com ---
(c) Panthothenic acid(d) Cyanocobalamin
64. Polysomngraphy contains all of the following tests except?
(a) Electroencephalography
(b) Pulse oximetry
--- Content provided by FirstRanker.com ---
(c) Electroculography(d) Arterial pCo2 measurement
65. Potential developed due to movement of freely diffusible ions across a semi permeable
membrane is calculated using:
(a) Nernst equation
--- Content provided by FirstRanker.com ---
(b) Gibbs equation(c) Goldman ? Hodgkin ? Katz equation
(d) Fick principle
66. Migratory motor complexes in the gut reappear after intervals of:
(a) 90 min
--- Content provided by FirstRanker.com ---
(b) 120 min(c) 60 min
(d) 150 min
67. Hyperpolarizing cyclienucleotide (HCN) gated channels have a role in:
(a) Cardiac rhythm generation
--- Content provided by FirstRanker.com ---
Page 10
(b) Generation of mitochondrial ascion potential
(c) Memory formation
(d) Myocardial muscle contraction
69. Correctly math the following:
--- Content provided by FirstRanker.com ---
DeclarationMotive
(1) Declaration of Geneva
(i) Global health
(2) Declaration of Helsinki
--- Content provided by FirstRanker.com ---
(ii) Hippocratic oath(3) Declaration of Tokyo
(iii) Medical Ethics
(4) Declaration of Oslo
(iv) Inhuman practices and torture
--- Content provided by FirstRanker.com ---
(a) 1 ? iii, 2 ? ii, 3 ? iv, 4 ? i(b) 1 ? ii, 2 ? iii, 3 ? iv, 4 ? i
(c) 1 ? iv, 2 ? i, 3 ? ii, 4 ? iii
(d) 1 ? ii, 2 ? iv, 3 ? iii, 4 ? i
70. Hco3/H 2co3 is the best butter because it is?
--- Content provided by FirstRanker.com ---
(a) PKa near physiological PH(b) Its components can be increased or decreased in the body as needed
+
(c) Good acceptor and donor of H ions
(d) Combination of a weak acid and weak base
--- Content provided by FirstRanker.com ---
71. At physicological PH, which of these amino acids has a positive charge?(a) Arginine
(b) Aspartic acid
(c) Valine
(d) Isoleucine
--- Content provided by FirstRanker.com ---
72. All of these processes take place in mitochondria except:(a) Beta ? oxidation of fatty acids
(b) DNA synthesis
(c) Fatty acid synthesis
(d) Protein synthesis
--- Content provided by FirstRanker.com ---
73. Ammonia from brain is removed as:(a) Glutamine
(b) Alanine
(c) Urea
(d) Glutamate
--- Content provided by FirstRanker.com ---
74. CG islands in our DNA are important for:(a) Acetylation
(b) Methylation
(c) T-RNA synthesis
(d) DNA replication
--- Content provided by FirstRanker.com ---
75. A patient has normal blood glucose level as estimated by Glucose ? Oxidase Peroxidasemethod, shows positive Benedicts test in urine. Which of the following is likely cause?
(a) Fruetosemia
(b) Galactosemia
(c) Denaturation of glucose
--- Content provided by FirstRanker.com ---
(d) Faulty testsPage 11
76. Which of these is most effective for gluconeogenesis?
(a) Citrate stimulation of acetyl carboxylase
(b) Acetyl ? COA stimulation of pyruvate carboxylase
--- Content provided by FirstRanker.com ---
(c) Fructose ? 2, 6 ? piphosphate stimulation of phosphofrukinase ? 2(d) Fructose ? 1, 6 ? piphosphate stimulation of phosphofrukinase ? 1
77. Which of the following is maximum in HDL as compare to other lipoproteins?
(a) Cholesterol
(b) Triglycerides
--- Content provided by FirstRanker.com ---
(c) Apoproteins(d) Fatty acids
78. Change in sex hormone binding globulin will most affect levels of which of these hormones?
(a) Testosterone
(b) Estrogen
--- Content provided by FirstRanker.com ---
(c) Progesterone(d) DHEA
79. Rapid source of energy by resynthesizing ATP for excening museles is:
(a) Glycalysis
(b) TCA cycle
--- Content provided by FirstRanker.com ---
(c) Glycogenolysis(d) Phosphocreatine
80. A 59 year old presents with pain, numbnees and impaired sensation over half of the face
along with ataxia, nystagmus, dysphagia and hoarseness of voice. His pain and thermal
sensations over opposite half are impaired, Horner's syndrome is present. Likely cause of the
--- Content provided by FirstRanker.com ---
disease is thrombosis of which vessel?(a) AICA (Anterior inferior cerebellar artery
(b) PICA (Posterior inferior cerebellar artery
(c) Basilar
(d) Pontine vessels
--- Content provided by FirstRanker.com ---
81. All of these structures lie in relation to the left ureter except:(a) Mesentery of sigmoid colon
(b) Bifurcation of common iliac artery
(c) Quadratus lumborum
(d) Gonadal vessels
--- Content provided by FirstRanker.com ---
82. Extraembryonic mesoderm is derived from:(a) Epiblast
(b) Primary yolk sac
(c) Secondary yolk sac
(d) Hypoblast
--- Content provided by FirstRanker.com ---
83. According to the new RNTCP guidelines, the following is not suspect of tuberculosis?(a) Conformed extrapulmonary tuberculosis patient with cough of 2 weeks or more
(b) HIV-Positive patient with cough of any duration
(c) Contacts of sputum Positive tuberculosis patient with cough of any duration
(d) Diabetic person having cough of any duration
--- Content provided by FirstRanker.com ---
Page 12
84. Which of these is an obligate intracellular pathogen?
(a) Listeria monosytogenes
(b) Coxiellaburnetili
(c) Legionella pneumophila
--- Content provided by FirstRanker.com ---
(d) Klebsiella85. What is the most common clinical manifestation who larvae of ascaris, hookworm and
strongyloides migrates through the body?
(a) Asymptomatic
(b) Pneumonitis
--- Content provided by FirstRanker.com ---
(c) Acute dermal reaction(d) Anemia
86. Why are schizot and late trophozoite stages of plasmodium falciparum not seen in
peripheral blood smear?
(a) They are sequestered in the spleen
--- Content provided by FirstRanker.com ---
(b) Due to adherence to the capillary endothelium, they are not seen in peripheral blood(c) Due to antigen ? antibody reaction and removed
(d) They are seen in mosquito blood
87. Which of the following is not used in osteoporosis?
(a) Milnacipran
--- Content provided by FirstRanker.com ---
(b) PTH(c) Strontium ranelate
(d) Denosumab
88. Which of the following statements in incorrect about rifabutin as compared to rifampicin?
(a) It has higher bioavailability and stronger activity against all mycobacterium
--- Content provided by FirstRanker.com ---
(b) It has a longer half ? life(c) It has lasser drug interactions
(d) It is preferred in patients with HIV
89. A patient presented to the hospital with serves hydrophobia. You suspect rabies obtain
corneal scraping from the patients. What test should be done on this specimen for a diagnosis
--- Content provided by FirstRanker.com ---
of Rabies?(a) RT ? PCR for rabies virus
(b) Negri bodies
(c) Antibodies to rabies virus
(d) Indirect immunofluorescence
--- Content provided by FirstRanker.com ---
90. In a suspected patient of dengue, all of these are acceptable investigations at day 3 ofpresentation except?
(a) NSI antigen detection
(b) Viral culture and isolation in C6/36 cell line
(c) RT ? PCR
--- Content provided by FirstRanker.com ---
(d) Elisa for antibody against Dengue virus91. All of these are seen in hemolytic anemia except:
(a) Yelowing of eyes and sclera
Page 13
(b) Increased LDH
--- Content provided by FirstRanker.com ---
(d) Low reticulocyte count92. The resolving power of a Microscope upon all except:
(a) Size of the aperature
(b) Focal length of the eyepiece
(d) Wavelength of light source used
--- Content provided by FirstRanker.com ---
93. During autopsy of a patient died due to suspected myocardial infarction, the heart wasstained with triphenyletrazolium tetrachloride dye. What will be the color of the viable
myocardium?
(a) Blue
(b) White
--- Content provided by FirstRanker.com ---
(c) Red(d) Dark Brown
94. MHC antigens are absent on:
(a) Monocyte
(b) Platelet
--- Content provided by FirstRanker.com ---
(c) Erythrocyte(d) Neutrophil
95. A-26 year female presents with pallor with a hemoglobin of 9.5 mg/Dl, PCV 30 mm Hg count
of 2 million per cubic millimeters. What is the likely diagnosis?
(a) Sideroblasticanemia
--- Content provided by FirstRanker.com ---
(b) Iron deficiency anemia(c) Thalassemia
(d) Folic acid deficiency
96. Fine needs aspiration cytology is not enough to diagnose.
(a) Papillary Carcinoma of thyroid
--- Content provided by FirstRanker.com ---
(b) Carcinoma breast(c) Adeno carcinoma lung
(d) Follicular Carcinoma of thyroid
97. How is follicular carcinoma differentiated from bening thyroid disease?
(a) Invasion of basement membrane
--- Content provided by FirstRanker.com ---
(b) Presence of mitotic figures(c) Orphan Annie eye nuclei
(d) Staining with calcitonin
98. All of these are seen in MEN ? 1 syndrome except:
(a) Posterior pituitary tumors
--- Content provided by FirstRanker.com ---
(b) Pancreatic neuroendocrine tumors(c) Foregut carcinoid
(d) Parathyroid hyperplasia
99. Most consistent feature of RPGN is:
(a) Crescent formation
--- Content provided by FirstRanker.com ---
(b) Mesangial cell proliferation(c) IGA deposition
Page 14
(d) Loss of foot processes
100. Stain useful for identifying premalignant lasions of the lip is:
--- Content provided by FirstRanker.com ---
(a) Hematoxylon and eosin(b) Toluidine blue
(c) Giemsa
(d) Alizarin red
101. All of these strains are used in tattooing except:
--- Content provided by FirstRanker.com ---
(a) India ink(b) Vermillion
(c) Prussian
(d) Osmin blue
102. Digoxin is obtained from a plant product and a half of 36 hours. How does this information
--- Content provided by FirstRanker.com ---
help us in formulating treatment?(a) To adjust maintenance does of digoxin required to keep the blood levels within therapeutic
range
(b) Intravenous administration in emergency and urgent dosing
(c) Long half-life permits altrernate day dosing
--- Content provided by FirstRanker.com ---
(d) It requires a high loading does to be administered103. Which of these sites is least commonly preferred for insulin injection?
(a) Anterior thihg
(b) Lateral thihg
(c) Dorsum of arm
--- Content provided by FirstRanker.com ---
(d) Around umbilicus104. All of these are potentially serious side effects of thinamide group of antithyroid drugs
except:
(a) Agranulocytosis
(b) Hepatic dysfunction
--- Content provided by FirstRanker.com ---
(c) Severe rash(d) Anaphylaxis
105. The correct sequence of systemic absorption if a drug is administered through skin is:
(a) Scrotum > foream > scalp > postauricular skin > plantar surface
(b) Scrotum > postauricular skin > foream > scalp > plantar surface
--- Content provided by FirstRanker.com ---
(c) Plantar surface > scalp > foream > postauricular skin > scrotum(d) Postauricular skin > foream > scrotum > scalp > plantar surface
106. An 80 kg male patient presented to the emergency with hypotension and have been
instructed to start him on an inotrope at a dose of 10 mcg / kg / min. Each 5ml amo of th drug
contains 200 mg drug.
--- Content provided by FirstRanker.com ---
You choose 2 ampules of the drug and decide to mix it with saline to make a 250 ml solution.What should be the flow rate of the drug solution to maintain the BP of the patient (assuming 16
drops = 1ML)?
(a) 16 drops / min
(b) 8 drops / min
--- Content provided by FirstRanker.com ---
(c) 4 drops / min(d) 10 drops / min
Page 15
107. About anti ? epileptic drugs, which of the following is an incorrect match?
1. Focal
--- Content provided by FirstRanker.com ---
Lamotrigine,Valproate
Seizures
Carbamazepine,
Phenytoin
--- Content provided by FirstRanker.com ---
2. AbsenceCarbamazepin
Ethosuximide,
Seizure
Valproate
--- Content provided by FirstRanker.com ---
3. MyoclonicVaiproate
Clonazepam
Seizures
Lamotrigine
--- Content provided by FirstRanker.com ---
4. GeneralizedVaiproate
Phenytoin,
Tonic clonic
Lamotrigine
--- Content provided by FirstRanker.com ---
CarbamzaepineTopiramate
(a) 1
(b) 2
(c) 3
--- Content provided by FirstRanker.com ---
(d) 4108. An 86-years-old lady presented with severe constipation, she is a known hypertensive on
medications for 10 years. In clinic, her BP is 157/98 mm Hg with a heart rate of 58/min. On
taking here BP in the supine position it was found to be 90/60 mm Hg. She also has a recent
history of depression. She is taking atenolol, Thaizide, impramine, haloperidol and Docusate.
--- Content provided by FirstRanker.com ---
What will be the next best step in management?(a) Change atenolol and Thaizide to calcium channel blocker and ACF inhibitor and add
bisacodyl for constipations
(b) Change impramine and haloperidol to fluoxetine and respeirdone and add bisacodyl for
constipations
--- Content provided by FirstRanker.com ---
(c) Only add bisacodyl for constipations add continue rest of the medications(d) Discontinue all her madications and start her on steroids
109. A-25-years-old unidentified male from roadside is brought by police to emergency room
with disorientation, altered sensorium and vomiting. He has a BP of 90/70 mm Hg. Heart rate of
0
--- Content provided by FirstRanker.com ---
110/min, temperature ? 36.4 c and respiratory rate of 11/min. On examination, he had bilateralpin- point pupils. What is the suspected diagnosis?
(a) Pontine hemorrhage
(b) Opioid poisoning
(c) Dhatura poisoning
--- Content provided by FirstRanker.com ---
(d) Hypothermia110. Continuous murmur can be heard in all except:
(a) Patent ductus arteriosus
(b) VCD with aortic regurgitation
(c) Pulmonary AV Fistula
--- Content provided by FirstRanker.com ---
(d) Coronary AV Fistula111. A patient presents to the emergency with altered sensorium. All of these tests should be
done except?
(a) Non ? contrast CT head
(b) Lumbar puncture
--- Content provided by FirstRanker.com ---
(c) Random blood sugarPage 16
(d) Complete blood counts
112. A patient diagnosed with carcinoma of lung presented with a serum calcium level of 16.4
mm 01/l. What will be the first step in management?
--- Content provided by FirstRanker.com ---
(a) IV fluids and frusemide(b) Immediate hemodialysis
(c) Disphosphonates
(d) Chemotherapy with gemcitabine and carboplatin
113. About Transfusion related acute lung injury (TRLI), all are true except
--- Content provided by FirstRanker.com ---
(a) Mortality is less than 10%.(b) Signs and symptoms usually subsides within 2-3 weeks of onset
(c) Supportive care is the mainstay of treatment
(d) Steroids have adoubtful role in management
114. A-40-years female is diagnosed to have epilepsy and is started of phenytoin and valproate.
--- Content provided by FirstRanker.com ---
4 weeks later, she develops a diffuse rash all, over her body, which gradually disappears onstopping both the drugs. In how many weeks, will the rash reapkear when she is rechalenged
with phenytoin and valproate?
(a) 1 week
(b) 2 weeks
--- Content provided by FirstRanker.com ---
(c) 3 weeks(d) 4 weeks
115. Which of these infections cause a non-distributed rash?
(a) Epidemic typhus
(b) Typhoid
--- Content provided by FirstRanker.com ---
(c) Meals(d) Secondary syphilis
116. Which of these is not true regarding iron supplementation in iron deficiency anemia?
(a) Administer a small diluted does first prior to infusion to look for any allergy to iron preparation
(b) Oral iron therapy should be stoped once the patient achives a hemoglobin of > 12 mg / dl
--- Content provided by FirstRanker.com ---
(c) If gastric intolerance to oral iron therapy occurs, all patients should be administeredparenteral forms.
(d) Parenteral iron supplementation is required in a patient with HB of less then7 mg / Dl
117. Which of the following drugs can be given in renal failure safety?
(a) Saxagliptin
--- Content provided by FirstRanker.com ---
(b) Sitaglipitin(c) Vidaglipitin
(d) Linaglipitin
118. Thrombocytopenia causing drugs are all except
(a) Cephalsporin
--- Content provided by FirstRanker.com ---
(b) Multivitamins Containing Vitamin K(c) NSAIDS
(d) Anti ? depressants
119. Which of the following drugs can be used in benazodiazepine toxicity?
(a) Protamine sulphate
--- Content provided by FirstRanker.com ---
Page 17
(b) Flumazenil
(c) Barbiturate
(d) Ethyl alcohol
120. Metformin causes a servers, sometimes life ? threatening side effect of lactic acidosis. All
--- Content provided by FirstRanker.com ---
of the following factors increase the risk of lactic acidosis except(a) Liver dysfunction
(b) Advanced age
(c) Smoking
(d) Renal failure
--- Content provided by FirstRanker.com ---
121. Drug advertisement letter is a necessary component of each drug formulation and containsvarious information about the drug like drug dosing, frequency and half life which of the
following information need not be given in the drug advertisement latter
(a) Research papers and other articles preparing efficiency of the drug
(b) Date of expiry of the drug
--- Content provided by FirstRanker.com ---
(c) Race, but serious life threatening adverse effects(b) Common, not so serious adverse effects
122. A patient presented with history of vomiting for last three days. On examination, signs of
dehydration were present. On further investigation, the patient was found to have raised
creatinine, a ph = 7.22, pco2 = 30mm Hg, Hco3 = 9 meq, Na+ = 138 meq and k+ = 3.4meq/l
--- Content provided by FirstRanker.com ---
identify the acid base abnormality observed in this patient?(a) Metabolic acidosis
(b) Metabolic alkalosis
(c) Mixed metabolic acidosis and metabolic alkalosis
(d) Mixed metabolic acidosis and respiratory acidosis
--- Content provided by FirstRanker.com ---
123. Calculate the base deficit in a patient of weight 75 kg with aph = 6.96, pco2 = 30mm Hgand Hco3 = CmEq/l?
(a) 300mEq
(b) 400mEq
(c) 500mEq
--- Content provided by FirstRanker.com ---
(d) 800mEq124. Metered dose inhalers are used in management of asthma. To use a MDL, it is
recommended to shake will before use breath out, bring the inhaler to your mouth, start to
breath in slowly, press the tap of you inhaler over and keep breathing in slowly until you have
taken a fall breath and then hold your breath for 10 seconds. Some patients might need a
--- Content provided by FirstRanker.com ---
second puff of MDI for some patient might need a second puff of MDI symptomatic relief. Whichof these instructions for reusing the MDI is not correct?
(a) Wait for iminute between two puffs
(b) Shake the inhaler again before use
(c) Carefully rinse your mouth and throat
--- Content provided by FirstRanker.com ---
(d) Clean the inhaler before use125. Palivizumab is a humanized monoclonal antibody. For which of the following conditions
has it been approved for?
(a) Coxsackie virus
(b) Avain influenza
--- Content provided by FirstRanker.com ---
(c) ParainfluenzaPage 18
(d) Respiratery syncytial virus
126. A-2-month-old child was brought to the sub center by his mother with complaints of fever
for two days. Weight of the child is 2 kg. On examination, the child is restless and irritable, skin
--- Content provided by FirstRanker.com ---
pinch went back in 2 second, oral mucosa is dry and eyes were sunken. There were tenpustules on his forehead? What should be done at the sub center?
(a) Refer to higher centre with mother giving frequent sips of ORS
(b) Immediately admit the child, give IV fluids and then refer to higher center
(c) Give first does of antibiotic and refer to higher center
--- Content provided by FirstRanker.com ---
(d) Send child home with few packets of ORS and call after 3 days.127. Which of the following is the most common symptom of aortoiliac occlusive disease?
(a) Calf claudication
(b) Gluteal claudication
(c) Impotence
--- Content provided by FirstRanker.com ---
(d) Symptomless128. What is the frequency of laser used in cataract surgery.
-9
(a) 10 seconds
-15
--- Content provided by FirstRanker.com ---
(b) 10 seconds-12
(c) 10 seconds
-6
(d) 10 seconds
--- Content provided by FirstRanker.com ---
129. A sexually active male presented with warts on his penis which of these strains of HIV ismost commonly the cause of these lesions?
(a) HPV 6 and 11
(b) HPV 16 and 18
(c) HPV 1, 2 and 3
--- Content provided by FirstRanker.com ---
(d) HPV 3, 5130. An abandoned dead male fetus was found and bought by police for autopsy. The following
was the report "Eyes are open, papillary membrane is absent, crown Rump length is 23 cm,
tests are at the superficial inguinal ring and weight of the fetus is 1000 g" What is the estimated
age of the fetus?
--- Content provided by FirstRanker.com ---
(a) 5 months(b) 6 months
(c) 7 months
(d) 8 months
131. A-38-years-old female presented to the emergency with extensive burns. The patient had
--- Content provided by FirstRanker.com ---
grade 3 burns on the face back, upper arms and forearms along with singeing of hair. Which ofthese is not a proof of inhalation burs?
(a) Yellow colored sputum
(b) Singeing of eyebrow and facial hair
(c) Blackish soot deposit on posterior part of tongue
--- Content provided by FirstRanker.com ---
(d) Hoarseness & stridor of voice132. A-20-years-old patient presented to the emergency with altered sensorium. NCCT revealed
hydrocephalus, requiring urgent neurosurgical intervention. The patient had nobody
accompanying or any identity proof. Under which of these sections of Indian penal code, the
Page 19
--- Content provided by FirstRanker.com ---
neurosurgeon can perform the procedure without obtaining an informed consent from aguardian?
(a) Section 92
(b) Section 90
(c) Section 89
--- Content provided by FirstRanker.com ---
(d) Section 87133. A doctor used the same needle used in a patient with HIV inject in another patient. The
latter patient on testing found to be infected with HIV. The doctor s punishable for this
negligence according to which section of India penal code
(a) Section 269
--- Content provided by FirstRanker.com ---
(b) Section 203(c) Section 202
(d) Section 166B
134. The following patient was brought for an autopsy. What is the cause of the discoloration of
the region?
--- Content provided by FirstRanker.com ---
(a) Hematoma formation(b) Loss of blood
(c) Methemoglobin
(d) Sulphmethemoglobin
135. A lady is brought from village, unconscious, about 12 hours after ingesting some kind of
--- Content provided by FirstRanker.com ---
unknown poison her heart rate is 103/min, blood pressure in 90/50 mm Hg and respiratory rateis 19/min. Her breath smells like kerosene. Which of the following should not be done in
emergency room?
(a) Vasopressors should be administered intravenously
(b) Atropine should be administered till singers of recovery
--- Content provided by FirstRanker.com ---
(c) Gastric lavage should be done(d) Immediate airway management
136. St. Anthony's fire refers to poisoning by:
(a) Aflatoxin
(b) Ergot alkaloids
--- Content provided by FirstRanker.com ---
(c) Crotalaria juncea(d) Spainsh Fly
137. All of these are suggestive of domestic violence in a child except:
(a) Bucket Handle fractures of metaphyses
(b) Corner fractures
--- Content provided by FirstRanker.com ---
(c) Micro fractures in the metaphyscal region(d) Wormian bones
138. A study was done in 3 states to see the mean blood pressure in each community. Health
workers were assigned and they visited each house in the three communities. Mean blood
pressure in each community was found and compared. What type of study design is
--- Content provided by FirstRanker.com ---
represented were?(a) Cohort study
(b) Cross ? sectional study
(c) Case control study
(d) Field trial
--- Content provided by FirstRanker.com ---
Page 20
139. A-42-year-old woman from a dry state who ingested rye for long time presented with
complaints of weakness in both the lower limbs, nausea and fatigue. Overdue couse of time,
she is completely unable to walk. What is the likely cause ?
(a) Lathyrussativus
--- Content provided by FirstRanker.com ---
(b) Argemonemexicana(c) Amanita
(d) Ergot alkaloids
140. CA-125 is a marker for screeing of ovarian cancer. To characterize this test,
histopathological confirmation of overian cancer was done in a cohort of patients. 60/100
--- Content provided by FirstRanker.com ---
woman who tested positive for this test actually had ovarian cancer. What is the negativepredictive value of this test
(a) 20 / 100
(b) 40 / 100
(c) 60 / 100
--- Content provided by FirstRanker.com ---
(d) 80 / 100141. Which of these is the best determining the threshold for diagnosis of a positive test?
(a) Pre ? test probability
(b) Receptor ? operator curve
(c) Pearson coefficient
--- Content provided by FirstRanker.com ---
(d) Analysis of variance142. In a cohort study to study association between facture and disease, the risk ratio was
calculated to be equal to 1. What does this signifies?
(a) There is no association present between the facture and the disease
(b) There is positive association between the facture and the disease
--- Content provided by FirstRanker.com ---
(c) There is negative association between the facture and the disease(d) Data insufficient to comment
143. A study was conducted to find average intra ? ocular pressure. IOP was measured in 400
people and the mean was found to be 25mm Hg with a standard deviation of 10mm Hg. What is
the range in which 10p of 95% of the population would be lying?
--- Content provided by FirstRanker.com ---
(a) 22 ? 28 mm Hg(b) 20 ? 30 mm Hg
(c) 24 ? 26 mm Hg
(d) 23 ? 27 mm Hg
144. Hypereosinophilic syndrome is a disease characterized by elevated eosinophil count in the
--- Content provided by FirstRanker.com ---
blood for arrest 6 months, without any recogrizable cause, with involvement of either heart,nervous system or bone marrow. What should be the eosinophil count for diagnosis?
3
(a) > 500 / mm 3
(b) > 1000 / mm 3
--- Content provided by FirstRanker.com ---
(c) > 1500 / mm3
(d) > 2000 /mm
Page 21
ANSWER KEY
--- Content provided by FirstRanker.com ---
1d
26
c
51
--- Content provided by FirstRanker.com ---
c76
b
101
b
--- Content provided by FirstRanker.com ---
126c
2
a
27
--- Content provided by FirstRanker.com ---
b52
a
77
c
--- Content provided by FirstRanker.com ---
102a
127
b
3
--- Content provided by FirstRanker.com ---
b28
a
53
a
--- Content provided by FirstRanker.com ---
78a
103
b
128
--- Content provided by FirstRanker.com ---
b4
b
29
b
--- Content provided by FirstRanker.com ---
54a
79
d
104
--- Content provided by FirstRanker.com ---
d129
a
5
c
--- Content provided by FirstRanker.com ---
30c
55
a
80
--- Content provided by FirstRanker.com ---
b105
b
130
c
--- Content provided by FirstRanker.com ---
6d
31
b
56
--- Content provided by FirstRanker.com ---
c81
c
106
b
--- Content provided by FirstRanker.com ---
131a
7
d
32
--- Content provided by FirstRanker.com ---
d57
b
82
b
--- Content provided by FirstRanker.com ---
107b
132
a
8
--- Content provided by FirstRanker.com ---
b33
b
58
d
--- Content provided by FirstRanker.com ---
83d
108
b
133
--- Content provided by FirstRanker.com ---
a9
d
34
b
--- Content provided by FirstRanker.com ---
59c
84
b
109
--- Content provided by FirstRanker.com ---
b134
d
10
d
--- Content provided by FirstRanker.com ---
35c
60
a
85
--- Content provided by FirstRanker.com ---
a110
c
135
c
--- Content provided by FirstRanker.com ---
11b
36
c
61
--- Content provided by FirstRanker.com ---
a86
b
111
b
--- Content provided by FirstRanker.com ---
136b
12
b
37
--- Content provided by FirstRanker.com ---
d62
b
87
a
--- Content provided by FirstRanker.com ---
112a
137
d
13
--- Content provided by FirstRanker.com ---
a38
b
63
b
--- Content provided by FirstRanker.com ---
88a
113
b
138
--- Content provided by FirstRanker.com ---
b14
b
39
b
--- Content provided by FirstRanker.com ---
64d
89
a
114
--- Content provided by FirstRanker.com ---
a139
a
15
a
--- Content provided by FirstRanker.com ---
40b
65
a
90
--- Content provided by FirstRanker.com ---
d115
d
140
c
--- Content provided by FirstRanker.com ---
16b
41
c
66
--- Content provided by FirstRanker.com ---
c91
d
116
b
--- Content provided by FirstRanker.com ---
141a
17
b
42
--- Content provided by FirstRanker.com ---
a67
a
92
c
--- Content provided by FirstRanker.com ---
117d
142
a
18
--- Content provided by FirstRanker.com ---
d43
b
68
d
--- Content provided by FirstRanker.com ---
93c
118
b
143
--- Content provided by FirstRanker.com ---
c19
d
44
b
--- Content provided by FirstRanker.com ---
69b
94
c
119
--- Content provided by FirstRanker.com ---
b144
c
20
a
--- Content provided by FirstRanker.com ---
45d
70
b
95
--- Content provided by FirstRanker.com ---
d120
c
145
21
--- Content provided by FirstRanker.com ---
c46
b
71
a
--- Content provided by FirstRanker.com ---
96d
121
a
146
--- Content provided by FirstRanker.com ---
22a
47
c
72
--- Content provided by FirstRanker.com ---
c97
a
122
c
--- Content provided by FirstRanker.com ---
14723
a
48
b
--- Content provided by FirstRanker.com ---
73a
98
a
123
--- Content provided by FirstRanker.com ---
c148
24
a
49
--- Content provided by FirstRanker.com ---
a74
b
99
a
--- Content provided by FirstRanker.com ---
124d
149
25
d
--- Content provided by FirstRanker.com ---
50c
75
b
100
--- Content provided by FirstRanker.com ---
b125
d
150
Document Outline
- Page 1
- Page 2
- Page 3
- Page 4
- Page 5
- Page 6
- Page 7
- Page 8
- Page 9
- Page 10
- Page 11
- Page 12
- Page 13
- Page 14
- Page 15
- Page 16
- Page 17
- Page 18
- Page 19
- Page 20
- Page 21
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---