Download JIPMER 2019 May Question Paper

This post was last modified on 31 July 2021

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DNB 2020 Dec Previous Question Papers-(Diplomate of National Board) Under NBE

ANATOMY

A 20 years male presented to casuality with multiple cuts on wrist. There is injury to a nerve around FDS tendon. Which of the following action is not possible by the patient -
1. Opposition of thumb
2. Adduction of finger
3. Abduction of fingers
4. Flexion of MTP joint of 5th finger
Which of the following structures does not pass in the gap between superior constrictor and inferior constrictor of pharynx -
1. Glossopharyngeal nerve
2. Stylopharyngeus muscle
3. Internal laryngeal nerve
4. Styloglossus muscle
Hypoglossal nerve palsy results in -
1. Fall back of tongue
2. Deviation of tongue of one side
3. Loss of sensations of posterior most tongue
4. Loss of sensations of anterior 2/3 of tongue
Kugel's artery is associated with -
1. Aorta
2. Left anterior descending artery
3. Coronary sinus
4. Left circumflex coronary artery
Dorsal artery of penis is immediately deep to which of the following anatomical layer -
1. Tunica albugenia
2. Tunica vaginalis
3. Buck's fascia
4. Cremasteric fascia
Posterior external arcuate fibres of inferior cerebellar peduncle arise from -
1. Accessory cuneate nucleus
2. Dentate nucleus
3. Emboliform nucleus
4. Globose nucleus
Epithelium consists of all except -
1. Squamous cells
2. Cuboidal cells
3. Columnar cells
4. Parenchymal cells
While resecting lymph nodes of neck region. Drooping of shoulder is due to injury to which nerve -
1. Spinal accessory nerve
2. Suprascapular nerve
3. Supraclavicular nerve
4. Nerve to serratus anterior
Pogonion is which of the following anatomical point -
1. Median point on anterior surface of chin
2. Lowest point on the symphysis of mandible
3. Anterior margin of the foramen magnum
4. Point midway between lower lip to submental of neck
Somites are derived from -
1. Paraxial mesoderm
2. Lateral plate mesoderm
3. Ectoderm
4. Endoderm

JIPMER MAY 2019 [Questions]

Derivatives of neural crest are all except -
1. Iris epithelium
2. Dentine of teeth
3. Pineal gland
4. Tunica media of outflow tract of heart
What is McGregor - campbell line -
1. Trace from one zygomatico-frontal suture to other, across superior edge of orbit
2. Trace from occipito-temporal suture to orbit
3. Traces the line between lower border of mandible
4. Any of the above
Epithalamus consists of all of the following except-
1. Pineal gland
2. Stria medullaris
3. Habenular nuclei
4. Geniculate body
Actions of superior oblique muscle -
1. Intorsion and abduction
2. Intorsion and adduction
3. Extorsion and adduction
4. Elevation and abduction
On restriction of which of the following movement, you will investigate both compartments of temporomandibular joint -
1. Elevation and depression
2. Protrusion and retraction
3. Opening and closing
4. Rotation
Which of the following is a component of deltoid ligament of ankle -
1. Tibiotalar
2. Talofibular
3. Talonavicular
4. Calcaneonavicular

PHYSIOLOGY

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Most important factor affecting FEV is -
1. Diaphragm
2. Expiratory muscle
3. Airway compression
4. Elasticity

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Characteristic response of Trigeminal cardiac reflex is -
1. Hypotension + Tachycardia
2. Hypotension + Bradycardia
3. Hypertension + Tachycardia
4. Hypertension + Bradycardia

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The oxygen content of arterial blood is 20 ml/dl and venous blood is 16 ml/dl. If the oxygen consumption is 300 ml/min, what is the cardiac output?
1. 500 ml
2. 750 ml
3. 5 L
4. 7.5 L

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Which of the following is correct representation regarding characteristic in lungs -
1. Alveolar pressure > Venous pressure > Arterial pressure
2. Alveolar pressure> Arterial pressure > Venous pressure
3. Alveolar pressure < Venous pressure < Arterial pressure
4. Alveolar pressure < Arterial pressure < Venous pressure

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Which of the following is the action of incretin -
1. Decrease blood glucose
2. Increased glucagon release
3. Decreased insulin release
4. Increased sugar level

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Which of the following physiological change is seen in high altitude acclimatization -
1. Pulmonary hyperventilation
2. Increased pulmonary artery pressure
3. Pulmonary vasoconstriction
4. Cheynestokes breathing

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Phase "O" of cardiac action potential is due to -
1. Opening of K+ channels
2. Opening of Ca++ channels
3. Opening of Na" channels
4. Closure of Nat channels

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In heavy exercise which of the following is increase maximally in a normal person -
1. Tidal volume
2. Cardiac output
3. PCO2
4. Alveolar ventilation

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Normal levels of brain natriuretic peptides [BNP]-
1. 100 pg/ml
2. 200 pg/ml
3. 300 pg/ml
4. 400 pg/ml

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Cerebral blood flow is maintained at what rate per minute?
1. 10 ml/100 gm
2. 20 ml/100 gm
3. 30 ml/100 gm
4. 50 ml/100 gm

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Stimulation of peripheral chemoreceptors in hypoxia involve -
1. Na
2. K
3. Cl
4. Ca²+

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Which of the following factor has no effect on local circuit current in heart -
1. Ro
2. Ri
3. Rk
4. Rm

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BIOCHEMISTRY

Which of the following is incorrect regarding gangliosides -
1. Found in nervous tissue
2. Consists sialic acid
3. Recepter for bacterial toxin
4. Composed of galactosyl ceramide
Enzymes with cooperative binding of substrate exhibit-
1. Hyperbola curve
2. Monomeric enzyme
3. Follow routine kinetics
4. Binding of one subunit increase affinity for next subunit
Which of the following is true regarding covalent catalysis -
1. Decrease free energy of activation
2. Used by fructose 2, 6 bisphosphatase
3. Permanently bind to substrate
4. Shows ping pong mechanism
Ketogenic diet should not be used in which of the following conditions -
1. Diabetes mellitus
2. Rett's syndrome
3. Obesity
4. Pancreatitis
Which of the following is master regulator gene regulating other genes -
1. Homeotic gene
2. DNA repair gene
3. Tumor suppressor gene
4. Oncogenes
Fatty acids with odd number of Carbon atoms produce glucose by which mechanism
1. Production of acetyl CoA
2. Production of Propinyl CoA
3. Production of Malonyl CoA
4. Any of the above
Which of the following activates lipoprotein lipase?
1. apocII
2. apo e
3. apo b
4. apo a
All of the following vitamins are used in citric acid cycle except -
1. Thiamine
2. Riboflavin
3. Niacin
4. Pyridoxin
Which of the following is not true about glutamate dehydrogenase -
1. Uses both NAD' and NADP+
2. Inhibited by ADP
3. Catalyses reversible reaction
4. Releases nitrogen as ammonia
In electron transport chain [ETC], Dimercaprol inhibits -
1. Complex I
2. Complex II
3. Complex III
4. Complex IV
All of the following are true about Rapoport Luebering cycle except -
1. Supplies 2, 3 BPG as by product
2. Enzyme involved is 2, 3 bisphosphoglycerate phosphatase
3. Metabolic pathway of mature erythrocytes
4. Two ATPs are produced

MICROBIOLOGY

Which of the following is a coccobacillus -
1. Pseudomonas
2. Burkholderia
3. Acinetobacter
4. Corynebacterium
Tungiasis is caused by -
1. Virus
2. Ectoparasite
3. Mycobacterium
4. Endoparasite
Gold standard investigation for Zika virus infection is
1. RT-PCR
2. Antigen detection
3. IgM-antibody detection
4. IgG antibody detection
Elek's gel precipitation test is used for -
1. Corynebacterium
2. CMV
3. EBV
4. Toxoplasma
Medical Treatment of choice for gas gangrene -
1. Metronidazole + Gentamycin
2. Ceftriaxone + Gentamycin
3. Penicillin + Clindamycin
4. Amikacin + Ciprofloxacin

PREVENTIVE & SOCIAL MEDICINE

Recommended residual chlorine in drinking water should be -
1. 0-5 PPM
2. 1 PPM
3. 2 PPM
4. 4 PPM
Which of the following is not used as vaccine -
1. Surface antigen
2. Inactivated exotoxin
3. Polysaccharide capsule
4. DNA antigen
A 40 years male had taken full course of rabies vaccine 6 months back. Now he has fresh dog bite. What would be management-
1. 2 doses of anti-rabies vaccine [ARV] on day 3 & 6
2. Only anti-rabies immunoglobulin
3. 2 doses of ARV on day 0 & 3
4. Complete vaccination course
Incorrectly rejecting null hypothesis when it is true is-
1. Confounding
2. Bias
3. Type I error
4. Type II error
Amplifier for Japanese encephalitis -
1. Horse
2. Pigs
3. Heron
4. Egret
In calculating the mean of a population, doubling the range of acceptable error will reduce the sample size to-
1. ½
2. ¼
3. No change
4. Cannot be determined
True about Receiver operator characteristic [ROC] curve -
1. Between specificity and [1-sensitivity]
2. Equivalent to likelihood ratio for a negative result
3. Used to determine a cut-off point
4. Straight line at 45° represent Good results
Antibiotics of choice for carriers of diphtheria
1. Penicillin
2. Erythromycin
3. Vancomycin
4. Cotrimoxazole
Failure rate per 100 women years of exposure is denoted by?
1. Pearl index
2. Quetlet index
3. Brocas index
4. Soiling index
Following is the effect of two screening tests applied in series mode to the population -
1. Increase specificity and decreased sensitivity
2. Increased sensitivity and specificity
3. No effect on sensitivity and specificity
4. Increase sensitivity
Global reference list of 100 indicators includes all except-
1. Adolescent fertility rate
2. Tuberculosis
3. ART coverage
4. Still-birth rate
Back pain patients were examined for disc protrusion on CT scan. The results are tabulated as follow. What is the likelihood ratio-

Confirmed Disc prolapse on MRI No disc prolapse on MRI

Positive on CT scan 80 56

Negative on CT scan 40 50

	Confirmed Disc prolapse on MRI	No disc prolapse on MRI
Positive on CT scan	80	56
Negative on CT scan	40	50

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Line listing of poliomyelitis is for-
1. Preparation of polio vaccine
2. Preparation of prophylactic drug
3. Prevention of duplication
4. Prevention of infection

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The major stretgy in lymphatic filariasis programme-
1. Vaccination in endemic area
2. Mass drug administration
3. Chemoprophylaxis to the contacts
4. All of the above

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Confounding factors can be eliminated by all except
1. Matching
2. Randomization
3. Blinding
4. Stratification

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True about National health policy 2017 is-
1. Reduce neonatal mortality to 20 by 2025
2. Reduce underfive mortality to 23 by 2025
3. Reduce to stillbirth rate to 15 by 2025
4. Reduction of total birth rate to 2-5 by 2025

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PHARMACOLOGY

Bile acid sequestrants decreases LDL & increases HI by-
1. 15-30% & 3-5%
2. 20-40% & 13-15%
3. 3-5% & 4-8%
4. 15-30% & 15-30%
PPI not used for -
1. GERD
2. Stress ulcer
3. Barretts esophagus
4. NSAIDS induced ulcers
Half life of Basiliximab -
1. 6hrs
2. 7 days
3. 24 hrs
4. 14 days
According to CPE ranking for ART drug best penetration to CNS is by which rank -
1. 4
2. 6
3. 5
4. 7
Decreased expression of NF-KB is seen with -
1. Steroid intake
2. Calcineurin inhibitor
3. Rifampicin
4. Antimetabolites
Which of the following is immunomodulator & anti-inflammatory -
1. Tetracycline
2. Macrolides
3. Beta-lactam
4. Fluroquinolones
Staph resistance to penicillin with the help of which gene-
1. Mec A
2. MecB
3. MecC
4. MecD

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This download link is referred from the post: DNB 2020 Dec Previous Question Papers-(Diplomate of National Board) Under NBE

This post was last modified on 31 July 2021

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