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Exam Review 

Exam Name: 025 - 19 Apr 2011 1. Which of the following is the most common type of anorectal malformation?

a) Anal agenesisb) Membranous atresia c) Anorectal agenesisd) Anal stenosis 

Review:Surgery-GIT-

2. Which of the following is not compatable with a diagnosis of juvenile myelomonocytic leukemia:a) Peripheral blood monocytosis more than 1x109/Lb) Increased hemoglobin F level for agec) Presence of bcr/abl fusion gene d) GM-CSF hypersensitivtyof myeloid progenitors in vitro

Review:Medicine-Hematological Malignancies-Juvenil Myelomonocytic leukemia = Juvenile CML is Philadelphia negative and clinically aggressive with course similar to, that of AML.".

3. Of the following, which is true of choleraa) Caused by endotoxinb) Vibriocidal antibodies correspond to susceptibiltyc) Recent epidemic was due to Classical typed) Causes secretory diarrhoea 

Review:SPM--

4. A 45 year oldmale has multiple grouped vesicular lesions present on the T 10 segment dermatome associated with pain. The most likely diagonesisisa) Herpes Zoster b) Dermatitis herpetiformisc) Herpes simplex d) Scabies

Review:Dermatology--

5. Recurrent abortion in Ist trimester, investigation of choice:a) Karyotyping b) SLE Ab c) HIVd) TORCH infection

Review:OBG-Abortion & MTP-

6. Which of the following is an Amide local anesthetic drug?

a) Bupivacaine b) Benzocainec) Procained) Cocaine

Review:Anaesthesia-Local,Spinal etc-

7. Cause of liver cirrhosis in childhood includea) Alpha-1 antitryspin deficiency b) Coeliac diseasec) Phenylketonuriad) Cow's milk intolerance

Review:Paediatrics-Fluid and electrolyte imbalances,Gastrointestinal System-

8. DNA virus isa) Polio type Ib) Polio type IIc) Echovirusd) Adeno virus 

Review:Microbiology-Virology-

9. Constipation is caused by all excepta) Morphineb) Codeinec) Verapamild) Magnesium Sulphate 

Review:PHAR-GIS-

10. Secretory diarrhoea is found ina) Thyrotoxicosisb) Shingella infection c) Lactase deficiencyd) Glucose intake

Review:Medicine--

11. Pinna develops from:a) 1st pharyngeal archb) 1st and 2 nd pharyngeal archc) 1st and 2nd pharyngeal arch d) 2nd pharyngeal arch

Review:ENT-Ear-

12. Bacteria which does not strictly follow Koch's postulate is -a) Mycobacteria tuberculosis

b) Mycobacterium avium intercellularec) Mycobacterium leprae d) Bacillus anthracis

Review:Gen. Microbiology-Morph & Physiolo of Bacteria-

13. Babloo,a 4 year old boy presents with history of seizures,on examination there is hypopigmented patches on his face.There is mental retardation also.What is most likely diagnosis :a) Neurofibromatosisb) Tuberous sclerosis c) Sturge weber syndromed) Incontinentia Pigmenti

Review:Dermatology--

14. 26 years old lady with H/o recurrent abortion which of the following investigations you will do to confirm the diagnosis?a) PTb) BTc) Anti Russel viper venom antibodies d) Clot solubility test

Review:OBG-Abortion & MTP-

15. Which one of the following types of hyperlipidaemia are eruptive xanthoma most commonly associated with?a) Familial hypertriglyceridaemia b) Familial hypercholesterolemiac) Familial combined hyperlipidaemiad) Remnant hyperlipidaemia

Review:Medicine-CVS-

16. C8 T1 supplies all muscles excepta) Extensor indices b) 3rd and 4th lumbricalsc) Abductor digiti minimid) Palmar interosseous

Review:Anatomy-UP-

17. The commonest congenital anomaly encountered in our country isa) CTEV b) Phocomeliac) Congenital dislocation of hipd) None of the above

Review:Ortho-Congenital Disorder-

18. Property of acquiring antibiotic resistance from a viral colony is bya) Transference b) Conjugationc) Transduction d) Mutation

Review:Microbiology-Virology-

19. Not used in H.Pylori gatritis isa) Colloidal bismuthb) Metronidazolec) Clarithromycind) Cisapride 

Review:PHAR-GIS-

20. All of the following are true about the Pilocytic astrocytoma excepta) Seen in elderly older than 89 years b) Involves the midline, basal, and posterior fossa structuresc) It is a benign tumord) It is classified as grade I astrocytoma

Review:Medicine--

21. A 30yrs old multiparous woman is found to have a 5 - 6 cms cyst in one ovary. The most approprite line of management would be;a) Laprotomy as cystectomyb) Laprotomy and unilateral salpingo -oophorectomyc) Laproscopic aspiration of the cystd) Observation to see if it disappears by itself in three months 

Review:OBG--Most follicular cysts disappear spontaneously within a few weeks to months. If any cyst persists for longer than 2 months, the possibility of neoplastic cyst must be kept in mind and patient should be investigated. Patients whose lesions are suggestive of malignancy ( ie. Predominatly solid, relatively fixed or irregularly shaped) should undergo laparotomy, a should postmenopausal patients with complex adnexal masses of any size. In postmenopausal women with unilocular cysts measuring 8 to 10 cms or less and having normal serial CA 125 levels, expectant management is acceptable.

22. The hormone released form the platelet is:a) Serotoninb) Histaminec) Both d) none of the above

Review:Medicine-Hematology-Platelets Alpha granules- express adhesion molecule P-

selection & contain fibrinogen, fibronectin factors 5 & 8 platelet factor 4, platelet derived growth factor & transforming growth factor?? Dense granules one? Granules - ATP: ADP, Histamine, Serotonin epinephrine & ionized calcium.

23. Which of the following statements with regards to amoebic liver abscess is not true?a) Its usual occurrence is in right lobe of liverb) Patient is always toxic c) Surgical drainage is indicatedd) Extension of abscess from liver to pericardium is the most dreaded complication

Review:Surgery-Liver-

24. Which part of Oesophagus is mainly affected in scleroderma?a) Upper third b) Middle thirdc) Lower third d) All the above

Review:Surger-Esophagus & Stomach-

25. A 18 month old child can:a) Stand on one leg b) Build a tower of 3 cubesc) Use pronounsd) Tell his sex 

Review:Paediatrics-Growth & Development-

26. Type of carditis in RHD isa) Myocarditisb) Endocarditisc) Pericarditisd) Pancarditis 

Review:Pathology-Heart-

27. Which test is performed to detect reversible myocardial ischemia?a) Coronary angiographyb) MUGA scanc) Thallium scan d) Resting ECHO

Review:Radiology--

28. Which of the following does not cause hypocalcemia with raised phosphate level?a) Chronic renal failureb) Pseudohypoparathyroidismc) Hypopparathyroidismd) Osteomalacia 

Review:Medicine-Nurti, Meta disorder-

29. A patient presented with pain in left eye associated with visual disturbance also a history of blunt trauma to eye 4month back, first investigation of choice isa) Intraocular tension b) Opthalmoscopyc) Perimetryd) Ultrasound

Review:OPHTHALMOLOGY--Sreelatha

30. Which of the following is not a major criterion in Jones criteria?a) Subcutaneous nodulesb) Increased ESR c) Migratory polyarthritisd) Carditis

Review:Medicine--

31. False statement about Vitamin K isa) Associated wih oxidative phosphorylation in mitochondriab) It can cross placental barrier c) gamma carboxy glutamate residues of osteocalcin need Vit K for activityd) None of the above statement is false 

Review:Biochemistry-Vitamins-

32. Commonest presenting symptom of cervical carcinoma isa) Bleeding PV b) Painc) White discharge P Vd) Dyspareunia

Review:Obs-Dyplasias and Carcinoma of Cervix-- Menstrual abnormalities in the form of Contact bleeding or bleeding on staining, intermenstrual bleeding are seen with carcinoma cervix.

33. Scrub typhus is transmitted bya) Louseb) Tickc) Mite d) Milk

Review:SPM--

34. The most sensitive and reliable indicator of rejection following renal transplant isa) Blood ureab) Creatinine clearance 

c) Urinary hydroxy prolined) T4/T8 ratio 

Review:Medicine-Kidney-Clincial evidence of renal transplant rejection is rarely characterized by fever, swelling & tenderness over the allograft. Rejection may present only with a rise in serum creatinine, with or without a reduction in urine volume. When renal failure has been good initially, a rise in the serum creatinine level is the most sensitive & reliable indicator of possible rejection & may be the only sign.

35. Fetal genetic anomalies can be earliest detected by:a) Chorionic Venous Sampling b) Amniocentesisc) Maternal leukocyte countd) Beta-HCG level estimation

Review:Paediatrics-Metabolic Disorders & Genetics-

36. Which of the following stone types is associated with proteus infection?a) Triple phosphate b) Oxalatec) Uric acidd) Cysteine

Review:Surgery--

37. The most common type of hepatitis associated with blood transfusiona) Hepatitis C b) Hepatitis Bc) Hepatitis Ad) Hepatitis D

Review:Medi-Hepatology-

38. Most common factor in development of Diabetic nephropathy isa) Previous kidney diseaseb) associated hypertensionc) Duration of diabetes d) Control with treatment 

Review:PATHOLOGY-RENAL-

39. Which of the following is TRUE for morphinea) Tolerance to all its actions except sedation and euphoriab) Tolerance to all side effects except constipation and miosis c) It is a peripherally acting analgesicd) It has no abuse potential

Review:PHARMACOLOGY--

40. Mode of transmission of Q fevera) Ticksb) Mitesc) Aerosols d) Mosquito

Review:SPM--

41. All of the following arteries supply the mammary gland excepta) Subscapular b) Thoracoacromialc) Lateral thoracicd) Internal thoracic

Review:Anatomy-Superior Extremity-The subscapular artery supplies the muscles of the posterior axillary wall and takes part in the anastomoses around scapula.

42. Prokaryotes are organism witha) 50 S ribosomesb) Cell wall c) DNA with out nucleusd) DNA & RNAs

Review:Gen. Microbiology-Morph & Physiolo of Bacteria-Prokaryotes (eg. Bacteria) are unicellular -They contain DNA and RNA -They do not have well defined nucleus due to lack of nuclear membrane. -They have 70s ribosome.

43. The rate of cooling down of dead bodies in tropical climate isa) 0.2 degree C / hrb) 0.5 degree C / hr c) 1 degree C / hrd) 1.5 degree C / hr

Review:FM-Death,Post Mor. Changes & Autopsy-Determination of temperature of the body is important only in cold and temperature climates. In tropical zones, the post mortem fall in temperature may be nominal. An accurate formula cannot be devised to define rate of heat loss.

44. Diaphragms prevent all the following excepta) HIV b) STIc) HPVd) HbsAG

Review:OBG-Contraception-

45. Following are features of temporal lobe tumors excepta) Jacksonian epilepsy b) Aphasia c) Hallucinations

d) Superior quadrantic hemianopia

Review:-Head Injury-

46. In which disease the patient excretes red fluoroscent urine?a) Alkaptonuriab) Porphyria c) Fanconi syndromed) Hematuria

Review:Biochemistry-Genetics and Molecular Biology-Bio(M)2

47. Reverse T3 isa) Synthetic derivativeb) Isomerization product of T3 and activec) Isomerization product of T3 and inactive d) Reverse of T3

Review:Physiology-Endocrinology-

48. All are characteristic features of scurvy excepta) Bowing of legsb) Widening of epiphysisc) In adults skeletal features are main presentation as clinical sign and symptoms d) Metaphyseal spurs

Review:Radiology--

49. For a chest X-ray patient is exposed to radiation ofa) 1 rad b) 2 radsc) 3 radsd) 5 rads 

Review:Radiology Diagnosis- Diagnosis-

50. The etiology of anterior ethmoidal neuralgia is:a) Inferior turbinate pressing on the nasal septumb) Middle trubinate pressing on the nasal septum c) Superior turbinate pressing on the nasal septumd) Causing obstruction of sphenoid opening

Review:E.N.T-NOSE-Vinod

51. Which is not characteristic of interstitial lung disesea) Decreased vital capacityb) Decreased total lung capacityc) Increased diffusion capacity of carbon monoxide d) All

Review:Pathology-Lung-

52. Not an antidepressanta) Amitryptillineb) Fluoxetinc) Trazodoned) Pimozide 

Review:Pharma-CNS-Pimozide is a heterocyclic antipsychotic agent. Amitriptyline is a Tricyclic anti depressant, Fluoxetine is a SSRI, which is used as an antidepressant. Trazodone is an atypical antidepressant.

53. Most common testicular tumor of childhood isa) Teratoma b) Seminomac) Choriocarcinomad) Embryonal Carcinoma 

Review:Pathology-Lower urinary tract & M genital sys--Pure form of teratoma are fairly common in infants and children second only in frequency to yolk sac tumors. -In the post pubertal male, all teratomas are regarded as malignant and capable of metastatic behaviour, regardless of whether the elements are mature or immature

54. The main problem of record linkages for health information isa) Scarcity of datab) Non-compliancec) Duplicationd) Huge volume of the data 

Review:SPM-Biostatistics-

55. The surgery of choice in T.B. spine isa) Hongkong procedure b) Posterior fusionc) Anterior fusiond) None of the above

Review:Ortho-Infections-

56. Which of the following salivary gland has tendency for perineural spread?a) Pleomorphic adenomab) Acinic cell carcinomac) Adenoid cystic carcinoma d) Mucoepidermoid carcinoma

Review:Sugery-Head & Neck-Malignant salivary tumors Adenoid cystic adenocarcinomas and squamous cell tumors are rare All are usually high grade tumours Prognosis is often poor regardless of treatment Adenoid cystic tumors have tendency for perineural spread into the

brain Also develop distant metastases to the lung Cannon-ball metastases may be present for years without symptoms Overall 5-year survival is approximately 50%

57. Which vaccine is contra indicated in pregnancya) Cholera vaccineb) Typhoid vaccinec) Meningococcal vaccine d) Polio vaccine

Review:SPM-Demo, FP, MCH-

58. Foetomaternal transfusion is demonstrated in the mother bya) Coombs testb) Kleihauser count c) Electrophoretic Methodd) Reticulocyte Count

Review:OBG-Special Cases-

59. Not true regarding choledochal cysta) Epigastric massb) Jaundicec) Pain in abdomend) Cystojejumostomy is t/t of choice 

Review:P.Surgery-Gall Bladder and Bile duct-

60. Which of the following is true regarding Bacterial vaginosis?a) Strawberry vaginab) Curdy vaginal dischargec) Clue cells d) Acidic pH

Review:OBG--

61. In a screening programme 1%, 0.2% and 0.4 are false negative, false positive and true negative respectively, find out the sensitivity of the screening testa) 28.60% b) 26.80%c) 24.60%d) 26.60%

Review:SPM-Epidemiology-

62. Panophthalmitis occurs followinga) Perforated corneal ulcer b) Blunt injuryc) Oribital cellulitisd) Cavernous sinus thrombosis

Review:Opthal-Cornea--Panophthalmitis is an intense purulent inflammation of the whole eye ball including the tenons capsule. -Panophthalmitis is characterised by purulent inflammation of unveal tissue which spreads to the whole eye rapidly. Causes -Penetrating ocular injury -Hypopyon corneal ulcer -Post-op septic infection -Vitreous being a good culture medium for exogenous panophthalmitis Pneumococcus, Staphylococcus, Pseudomonas, Strptococcus, E. Coil -Endogenous panophthalmitis, is metastatic in orgin and develops form an infective embolus in retinal or choroidal vessel.

63. An ABG analysis shows: pH 7.2 raised pCO2, decreased HCO3; diagnosis is:a) Respiratory acidosisb) Compensated metabolic acidosisc) Respiratory and matabolic acidosis d) Respiratory alkalosis

Review:Respiratory-Pulmonology-The acid base disorder is both respiratory and metabolic acidosis. -There is acidosis (pH<7.35) - Raised PCO2 (acidosis) indicates that change in CO2 is in keeping with change in pH. The respiratory component is therefore primary. Decreased HCO3 (acidosis) indicates tht change in HCO3 is also primary. The acid base disorder is therefore both respiratory and metabolic acidosis.

64. Treatment of choice of Bushke-Lowenstein syndrome isa) Crysurgery b) Keratolyticsc) C-V raysd) Dapsone 

Review:Dermatology--

65. True about Tangentiality?a) Is same as circumstantialityb) Is a disorder or thought c) Is characteristic of maniad) Is pathognomonic of schizophrenia

Review:Psychiatry-Organic Disorders-

66. Mixed tumors of saliary glands are:a) Most common in Submandibular glandb) Usually malignantc) Most common in parotid gland d) Associated with calculi

Review:Sugery-Head & Neck-

67. The inferior surface of the heart is formed bya) Right and left ventricle b) Right atrium and ventriclec) Interventricular septum

d) I.V.C. and right ventricle 

Review:Anatomy-Thorax-

68. Which of the following is the intermediate host in hydatid disease?a) Dogb) Menc) Pigd) Sheep 

Review:MICROBIOLOGY--

69. EBV causes all excepta) Carcinoma of nasopharynxb) Inverted papilloma c) Infectious mononucleosisd) Burkitt's lumphoma

Review:Microbiology-Virology-

70. Total fertility rate is a reflection ofa) Population turnoverb) Completed family size c) Number of live birthsd) Average number of children born to married females 

Review:SPM-Demo, FP, MCH-

71. No Scalpel Vasectomy was introduced ina) Indiab) China c) United Kingdomed) USA

Review:OBG-Contraception-

72. Lymphocytic infiltration is diagnostic in;a) Brenner's tumourb) Dysgerminoma c) Dermoid cystd) Struma ovarii

Review:OBG--

73. Which species of Klebsiella infection is associated extremely foul smell?a) Klebsiella rhinoscleromatisb) Klebsiella seeberic) Klebsiella sygomaticusd) Klebsiella Ozaenae 

Review:ENT-Nose,PNS,Nasopharynx & Tonsils-

74. A 78-year-old patient with multiple myeloma is admitted to the ICU for treatment of hypercalcemia. The primary risk associated with anesthetizing patients with hypercalcemia isa) Coagulopathyb) Cardiac dysrhythmias c) Hypotensiond) Laryngospasm 

Review:Anesthesia-General-

75. Hallucination is aa) Thinking disorderb) Disorder of perception c) Disorder of motor behavior d) Disorder of conciousness

Review:Psychiatry-Organic Disorders-

76. The process underlying the difference in expression of genes according to which partents have transmitted isa) Genomic imprinting b) Anticipationc) Mosaicismd) Non penetrance

Review:Biochemistry--

77. Which of the following muscles does not arise from calcaneuma) Flexor digitorum brevisb) Extensor digitorum brevisc) Flexor hallucis brevis d) Abductor hallucis 

Review:Anatomy-LL-

78. Anti D Ig must be given to a mother of O negative group with a baby of O+ve withina) At birthb) 4 hoursc) 24 hours d) 72 hours 

Review:OBG-Special Cases-

79. Pellagra is caused by a deficiency in:a) Vitamin B12b) Thiamine

c) Nicotinic acid d) Vitamin B2

Review:Medicine-Nurti, Meta disorder-

80. Anterior uveitis in hypertensive pt, Drug of choice is to decrease the IOPa) Lanatoprost b) Pilocarpinec) Epinerphined) Timolol 

Review:OPHTHALMOLOGY--Sreelatha

81. Hyperkalemia is characteristic of which type of RTA?a) Type Ib) Type IIc) Type IIId) Type IV 

Review:MEDICINE--

82. Allergic bronchopulmonary aspergillosis is related to sarcoidosis involving the lung by which cell typea) Macrophage b) Plasma cellc) Eosinophil d) Type II pneumocyte

Review:Pathology-Lung-

83. Phenylephrine is useful for all of the following excepta) Anaphylactic shock b) Mydriasisc) Nasal decongestantd) Artial tachycardia 

Review:Pharma-CNS-Phenylephrine is a selective alpha 1 agonist, it has negligible beta action. It raises blood pressure by causing alpha 1 mediated vasconstriction. Phenylephrine lacks beta agonistic action and hence cannot produce Bronchodilation. In Anaphylactic shock, Adrenaline is the drug of choice as it can reverse Hypotension and bronchoconstriction produced by Histamine.

84. Types of malaria not seen in Indiaa) Ovale b) Falciparumc) Vivaxd) Malariae 

Review:Medicine--

85. One of the following diseases is subject to International surveillancea) Relapsing fever b) Kyasanur Forest Diseasec) Tuberculosisd) Filariasis

Review:SPM-Biostatistics-

86. Child can tell COMPLETE NAME AND SEX by the age of:a) 24 monthsb) 30 monthsc) 36 months d) 42 months

Review:Paediatrics-Growth & Development-

87. The characteristic renal lesion in Good-Pasteur's syndrome isa) Membranous proliferative flomerulonephritisb) Lipoid nephrosisc) R.P.G.N d) IgA nephropathy

Review:Pathology--

88. Which of the following is the best test for screening for acute pancreatitis?a) Serum amylase levelsb) Serum lipase levelsc) Measurement of both serum amylase and serum lipase levels d) MRI

Review:Medi-Hepatology-

89. Those fungi, which do not have a sexual stage, are classified asa) Phycomycetesb) Ascomycetesc) Basidiomycetesd) Fungi imperfecti 

Review:Microbiology-Mycology-

90. Best nonsurgical treatment of stress incontinence isa) Pelvic floor muscle training b) Bladder trainingc) Electrical stimulationd) Vaginal weights

Review:OBG--

91. Fat embolism is seen ina) Prolonged labourb) Fracture clavicle c) Sickle cell anemiad) CVC Liver

Review:Medicine--

92. Histological scoring of chronic hepatitis does not includea) Periportal inflammtionb) Portal fibrosisc) Briding necrosisd) Cholestasis 

Review:Pathology--

93. If the greater tuberosity of the humerus is lost, which of the following movements will be affecteda) Abduction and flexionb) Abduction and lateral rotation c) Medical rotation and adductiond) Flexion and medial rotation

Review:Orthopaedics-Fractures and Dislocations-

94. Which fracture neck of femur has a poor prognosisa) Intra capsular b) Extracapsularc) Bothd) None

Review:Ortho--

95. Scientific-proof of an etiological factor is given bya) Case control studyb) Cohort Studyc) Randomized clinical trial d) Non randomized trial

Review:SPM-Epidemiology, screening for disease-

96. Exudative retinal detachment is seen ina) Proliferative Retinopathy (DM) b) Toxemia of pregnancyc) Tumour of choroidd) Hypertension

Review:Opthal-Retina-

97. Investigation of choice for diagnosis of diffuse axonal injury:a) ICP monitoringb) CT scanc) MRI d) PET scan

Review:Sugery-Neurology-

98. The level of branching of the common carotid artery isa) Upper border of thyroid cartilage b) Lower border of cricoidc) Upper border of cricoidd) Hyoid

Review:--

99. Frequency of breech presentation in pregnancy at term isa) 0.1%b) 1%c) 3% d) 10%

Review:OBG-Malpresentations-

100. A 38 year old gentleman reports of decreased hearing in the right ear for the last two years. On testing with a 512 Hz tuning fork the Rinne's test (without masking) is negative on the right ear and positive on the left ear. With the Weber's test the tonea) Right conductive hearing loss b) Right sensorineural hearing lossc) Left sensorineural hearing lossd) Left conductive hearing loss

Review:ENT-EAR-Vinod

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