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3/1/2015

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DrNTRUHSPGMET1stMar2015

ParticipantID
826176
ParticipantName SAIPRAVEENREDDYPEERU
TestCenterName RajamahendriInstituteofEngineering&Technology

Q.1

WhichofthefollowingstatementsisfullyTRUE?
1) RaloxifeneisaSERMthatpreventsbreastcancerbutincreasesriskofendometrialcancer
2) BRCA1&2genemutationscausebreastcancerandarepassedfrommothertodaughterbymitochondrialinheritance
3) Paget'sdiseaseofthenippleisatypeofbreastcancerwithprominentPagetcellsandpresenceofS100Agimmunostaining
4) Lobularcarcinomainsituarisesfromepithelialliningoftheminorductsand10%occurinmales
ChosenOption:1

Q.2

Thethoracicvertebraearecharacterizedbythepresenceofwhichoneofthefollowing?
1) Accessoryprocess
2) Mamillaryprocess
3) Bifidspine
4) Costalfacet
ChosenOption:3

Q.3

WhatisFALSEaboutInformedConsent
1) Allinformationmustbegiven,exceptexpectedcomplications,asthepatientmaygetfrightened
2) Allinformationmustbegivenregardingtreatmentoptions
3) Alldisclosuresmustbeinpatient'sownlanguage
4) Informationmustbegiven,regardinganytreatmentoptionsbetterthanthetreatmentoptionbeingprovided
ChosenOption:1

Q.4

WhichoneofthefollowingisNOTcorrectregardingthickascendinglimbofLoopofHenle
1) Ithasimportantroleindevelopmentofmedullaryhyperosmolarity
2) Thiazidediureticsactonthissegment
3) Itisresponsibleforreabsorbtionofnearly30%offilteredsodium
4) IthasNa+K+2Clcotransporters
ChosenOption:2

Q.5

Inrenalbiopsyofa14yearoldboywithnephriticsyndrome,glomeruliareshowingproliferationofmesangialcellswithGBMthickeningandmesangialcell
interposition.Whatisthemostlikelydiagnosisinthiscase?
1) Focalsegmentalglomerulosclerosis
2) Mesangiocapillaryglomerulonepthritis
3) MembranousNephropathy
4) Diffuseproliferativeglomerulonephritis
ChosenOption:2

Q.6

AllthefollowingareTrueregardingFASTEXCEPT
1) Itdetectsfreefluidintheabdomenorpericardium
2) Itisaccurateindetecting<50ml.offreeblood
3) Itcannotreliablyexcludeinjuryinpenetratingtrauma
4) Itisafocusedabdominalsonarfortrauma
ChosenOption:1

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Q.7

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Salivarycalculiarecommonlyseenin___gland
1) Minorsalivaryglands
2) Parotid
3) Sublingual
4) Submandibular
ChosenOption:4

Q.8

Choristomaisa
1) Heterotopic(ectopic)restofcells
2) Benigntumorofcartilaginoustissue
3) Benigntumoroftrophoblasticcell
4) Exampleofhamartoma
ChosenOption:1

Q.9

WhichofthefollowingisTRUEregardingtuberculosis
1) Hilar/paratracheallymphadenopathyischaracteristicallyabsentinprimarytuberculosis
2) Primarytuberculosiscarriesahighleveloftransmissibility
3) Primarytuberculosisusuallyinvolvesthemidandlowerzones
4) 90%ofinhaledbacillifromdropletnucleireachthealveoli
ChosenOption:2

Q.10

PringleManeuvermayberequiredfortreatmentof
1) LiverLaceration
2) InjurytoTailofPancreas
3) MesentericIschemia
4) BleedingEsophagealVarices
ChosenOption:1

Q.11

WhichoneofthefollowingvaluesisnotafeatureofAcuteSevereAsthma.
1) Heartrateofmorethan110/min.
2) PEFof60to70%ofexpected
3) PulsusParadoxus
4) PaO2oflessthan8kPa
ChosenOption:2

Q.12

Whichoneofthefollowingisthelikelydiagnosisbasedonthesmeargivenabove?
1) Acutelymphoblasticleukemia
2) Acutemyelogenousleukemia
3) Hairycellleukemia
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4) Chroniclymphocyticleukemia
ChosenOption:3

Q.13

TheabovepictureshowsthepressurecurvesandvolumecurveandECG.ThefollowingstatementsareTruefromthepictureEXCEPT
1) Arepresentsisovolumiccontraction
2) Brepresentsejection
3) Cisisovolumicrelaxation
4) ThereisnosignificantgradientbetweenLA&LVindiastole
ChosenOption:4

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Q.14

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WhichofthefollowingisNOTTrueregardingAnakinra?
1) NotcombinedwithantiTNFdrugsduetotheriskofseriousinfections
2) UsedinMuckleWellsSyndrome&adultStill'sdisease
3) solubleIL2receptorantagonist
4) UsefulinFamilialColdUrticaria
ChosenOption:1

Q.15

Thirdpersonauditoryhallucinationsanddelusionsofthoughtinterference/broadcastingarecharacteristicof
1) Deliriumtremens
2) ManicphaseofMDP
3) Schizophrenia
4) FragileXsyndrome
ChosenOption:3

Q.16

MidSystolicClickisclassicallyheardin
1) HammanRichsyndrome
2) CongenitalMS
3) Rheumaticaorticregurgitation
4) Mitralvalveprolapse
ChosenOption:2

Q.17

Identifythisorganism.
1) Trichomonasvaginalis
2) Malasseziafurfur
3) Sarcoptesscabei
4) Trichinellaspiralis
ChosenOption:2

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Q.18

Thisyoungpatientcamewithwingbeatingtremorandlivercellfailure.Theaboveispictureofhiseye.Whatisthediagnosis?
1) Primarybiliarycirrhosis
2) Galactosemia
3) Paralysisagitans
4) Hepatolenticulardegeneration
ChosenOption:2
Q.19

Thispatientcamewiththiscomplaintonemonthafteranextramaritalsexualcontact.Hehasnopain.WhichoneofthefollowingstatementsisTRUE?
1) Asingledoseof2.4millionunitsofbenzathinepenicillinIMisthetreatment
2) ExaminationofthegroinwillrevealacharacteristicGrooveSign
3) Heislikelytodeveloparthritisoftheknee
4) ItiscausedbyHemophilusducreyi
ChosenOption:1
Q.20

AngleofHisrefersto
1) Ileocecaljunction

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2) MeetingofAnusandRectum
3) MeetingofFundusandGEjunction
4) Duodenojejunaljunction
ChosenOption:1
Q.21

A25yearoldmanhaspigmentedmaculesoverthepalms,solesandoralmucosa.Healsohasanemiaandabdominalpain.Whichoneofthefollowingisthemost
likelydiagnosis?
1) Albright'sSyndrome
2) PeutzJegher'sSyndrome
3) Cushing'ssyndrome
4) Incontinentiapigmenti
ChosenOption:2

Q.22

Whichoneofthefollowinginheritedconditionscausesdirecthyperbilirubinemia
1) Gilbertsyndrome
2) TypeIICriglerNajjarsyndrome
3) Rotorsyndrome
4) TypeICriglerNajjarsyndrome
ChosenOption:3

Q.23

Whichofthefollowingismostlikelyinthispatient?
1) Unilateralexophthalmos
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2) Bellspalsyright
3) Hornerssyndromeleft
4) Anisokoria
ChosenOption:3

Q.24

AlcoholdehydrogenaserequiresNAD+forcatalyticactivity.TheNAD+isfunctioningas
1) Coenzymecosubstrate
2) Apoenzyme
3) Cofactor
4) Coenzymeprostheticgroup
ChosenOption:3

Q.25

1) 2mg,1mg,2
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2) 2mg,6mg,3
3) 6mg,5mg,1.2
4) 3mg,2mg,6.66
ChosenOption:1

Q.26

Thispatient,previouslyhealthy,camenowwithdyspneaandlowgradefeversince4months.Hislungsareclear.JVPisnormal.ECGshowedlowvoltage
complexes.Whatisthepossiblediagnosis?
1) Tuberculouspericardialeffusion
2) Hypertrophiccariomyopathy
3) RheumaticMitralstenosis
4) SyphiliticAorticaneurysm
ChosenOption:2

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Q.27

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SelecttheTRUEstatementamongthefollowing
1) Roentgenisameasureofeffectivedose(energydepositedperunitofmassinarefernecedindividual)
2) Becquerelisameasureofactivity(therateofradioactivedecay)
3) Grayisameasureofexposure(amountofionisationsindryairperunitofmass)
4) Sievertisameasureofabsorbeddose(energydepositedpermassoftissue)
ChosenOption:3

Q.28

1) pqr=xzy
2) pqr=zxy
3) pqr=xyz
4) pqr=yzx
ChosenOption:2

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Q.29

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Inultrasonography,fetalabdominalcircumferenceismeasuredatthelevelof
1) Kidneyandrenalartery
2) Stomachandumbilicalvein
3) Liverandcysticduct
4) Spleenandceliacplexus
ChosenOption:2

Q.30

Apatientwasadmittedwithahistoryofseverevomiting.Thefollowingishisarterialbloodgasreport
arterialbloodpH=7.7
plasmabicarbonate=45meq/li.
Urinarychloride=5meq/li.
WhichofthefollowingstatementsisTrueregardingthispatient?
1) PatientshouldbegivenIVnormalsaline
2) Patientneedsurgentammoniumchlorideinfusion
3) Thisissalineunresponsivealkalosis
4) Possiblediagnosisisprimaryhyperaldosteronism
ChosenOption:1

Q.31

Cysticspaceslinedbydoublelayerofneoplasticepithelialcellsrestingondenselymphoidtissueisafeatureof
1) Hashimotosthyroiditis
2) Dermoidcyst
3) Aneurysmalbonecyst
4) Warthintumor
ChosenOption:4

Q.32

Instudyingtheassociationbetweendiseaseandexposurefactor,astudydesignwhichallowsthestudyofmultipleoutcomesforagivenexposureis
1) Casecontrolstudy
2) Ecologicalstudy
3) Crosssectionalstudy
4) Cohortstudy
ChosenOption:4

Q.33

Scatalogiais
1) Fallinginlovewithanobjectmadebyhim

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2) Obscenetelephonecallstocarryoutsexualprovocativeconversation
3) Sexualexcitementobtainedbyusingobscenelanguage
4) Selflovewhichmayormaynotincludegenitalexcitation
ChosenOption:3
Q.34

WolfeGraftis
1) Fullthicknessskingraft
2) Mediumthicknesssplitthicknessskingraft
3) Thinsplitthicknessgraft
4) Thicksplitthicknessskingraft
ChosenOption:1

Q.35

Theequilibriumpotentialforpotassiumioninmammalianspinalmotorneuronis
1) Minus90mV
2) Minus70mV
3) Plus60mVR15
4) Plus70mV
ChosenOption:1

Q.36

Owlseyeappearanceinclusionsareseenin
1) EpsteinBarrvirusinfection
2) Cytomegalovirusinfections
3) Adenovirusinfection
4) Herpessimplexvirusinfections
ChosenOption:2

Q.37

WhichofthefollowingisTRUEregardingFerntreeappearanceofcervicalmucosa
1) ItisduetolowNaCl&highprotein
2) Itisseenbynakedeyeexamination
3) Itisduetohighprogesterone
4) Itisduetohighestrogen
ChosenOption:3

Q.38

A50yearmalepatientcamewithanulceroproliferativegrowthmeasuring3cmsintheleftbuccalmucosawitha5cmrightsubmandibularlymphnodeandclinically
noevidenceofdistantmetastasis.WhatistheTNMstaging?
1) T3N2bM0
2) T2N3M0
3) T2N2bM0
4) T2N2cM0
ChosenOption:2

Q.39

A40yearoldladycamewithmenorrhagiasince1year.Ultrasoundshowedasingleintramuralfibroidof8x6cms.intheanteriorwall.Sheisverycertainshedoes
notwanttoundergohysterectomy.ThefollowingaretreatmentoptionsforherEXCEPT
1) Myometcomy
2) Highintensityfocussedultrasound
3) Nonhormonalintrauterinedevice
4) Uterinearteryembolisation
ChosenOption:3

Q.40

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Theselesionsaresuggestiveof
1) Erythemainduratum
2) Erythemamultiforme
3) Erythemanodosum
4) Erythemainfectiosum
ChosenOption:3
Q.41

AllthefollowingstatementsaretrueregardingtorsionoftestisEXCEPT
1) Anatomicalabnormalityisunilateralandcontalateraltestisshouldnotbefixed
2) Promptexplorationandtwisting&fixationistheonlywaytosavethetortedtestis
3) Mostcommonbetween10&25yearsofage
4) Inversionoftestisisthemostcommonpredisposingcause
ChosenOption:1

Q.42

WhichoneofthefollowingisaGramnegativefusiformglidingbacillus?
1) Eikinella
2) Moraxella
3) Capnocytophaga
4) Kingella
ChosenOption:2

Q.43

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Thisyoungboycamewithhistoryoffeverandsevererightthroatpainandodynophagia.Hisvoiceismuffled(hotpotatovoice).Thisishispicture.Whichoneofthe
followingisthemostlikelycauseofhiscomplaints?
1) Candidialinfection
2) Quinsy
3) Glossitis
4) Chronicfibrotictonsillitis
ChosenOption:1
Q.44

TheearliestradiologicalsigninPott'sdiseaseis
1) Narrowingofintervertebraldiscspace
2) Paraspinalsofttissueshadow
3) Erosionofvertebralbodies
4) Collapse&destructionofvertebra
ChosenOption:1

Q.45

Thesepicturesdepict
1) Psoriasis
2) Toxicepidermalnecrolysis
3) ExtensiveTineacorporis
4) Exfoliativedermatitis
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ChosenOption:1

Q.46

WhipplesTriadisdiagnosticof
1) Insulinoma
2) Somatostatinoma
3) Glucagonoma
4) Gastrinoma
ChosenOption:1

Q.47

Toreachthetunicavaginalisinthescrotum,allthefollowingstructureshavetobepiercedbyaneedleEXCEPT
1) Cremastericfascia
2) Tunicaalbuginea
3) Skin
4) Dartosmuscle
ChosenOption:1

Q.48

Extensionofmetacarpophalangealjointofthehandislostininjuryto
1) Ulnarnerve
2) Posteriorinterosseousnerve
3) Mediannerve
4) Anteriorinterosseousnerve
ChosenOption:2

Q.49

Thishypertensivepatientwasadmittedwithrighthemiplegia.PlainCTscanshows
1) Ischemicinfarctinleftparietallobe
2) Hemorrhageinleftfrontallobe
3) Hemorrhageinleftthalamus&internalcapsule
4) Ischemicinfarctininternalcapsule
ChosenOption:1
Q.50

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Thepictureaboveshows
1) Pterygium
2) Pingecula
3) Herpeszosterophthalmicus
4) Bitot'sspots
ChosenOption:4
Q.51

Ifinearlylabor,persistentearlydecelerationsarepresent,oneshouldsuspect
1) Placentalinsufficiency
2) Cordcompression
3) Fetaldistress
4) Headcompression
ChosenOption:4

Q.52

Identifythecrystalsdepictedinurinemicroscopy.
1) Uricacidcrystals
2) Oxalatecrystals
3) Cystinecrystals
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4) Struvitecrystals
ChosenOption:2
Q.53

Whichofthefollowingisnephrotoxic?

1) Mycophenolatemofetil
2) Cyclophosphamide
3) Tacrolimus
4) Azathioprine
ChosenOption:1
Q.54

FoldableIOLsaremadeof
1) Acrylic
2) Polypropylene
3) Sodiumhyaluronate
4) Polymethylmethacrylate
ChosenOption:1

Q.55

AllthefollowingareTrueregardingFamilialAdenomatousPolyposisEXCEPT
1) >100colorectalpolypsarepresent
2) CongenitalHypertrophyofRetinalPigmentEpitheliumisseeninupto50%patients
3) ItisduetoamutationofAPCgeneinchromosome15
4) ItisanAutosomalDominantdisorder
ChosenOption:3

Q.56

ThefollowingareTrueregardingkidneydevelopmentEXCEPT
1) Humankidneydevelopsmainlyfrommetanephros
2) Collectingpartsofkidneydevelopfromtheuretericbud
3) Mesonephricductdisappears
4) Kidneystartsdevelopinginthesacralregionandascendstothelumbarposition
ChosenOption:4

Q.57

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Whatisthediagnosisofthebariumesophagogram?
1) Hiatushernia
2) Achalasiacardia
3) Diffuseesophagealspasm
4) Refluxesophagitis
ChosenOption:2
Q.58

Whichoneofthefollowingtechniquesoftubectomyisdepictedinthediagrammabove?
1) Pomeroytechnique
2) Kroenertechnique
3) Irvingtechnique
Uchidatechnique
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4)
ChosenOption:1
Q.59

ThefollowingareTrueregardingCarcinomaCervixEXCEPT
1) untreated,morethan50%ofpatientsdieduetoobstructiveuropathy
2) commonesthistologicaltypeisadenocarcinoma
3) HIVinfection&smokingareriskfactors
4) EtiologicallyrelatedtoinfectionwithHPV,primarilytypes16&18
ChosenOption:2

Q.60

Rawmaterialusedinnylonsutureis
1) Polyesterpolymer
2) Polybutyleneterephthalate
3) Polyamidepolymer
4) Polyethyleneterephthalate
ChosenOption:1

Q.61

ThefollowingareTrueregardingtreatmentofHIVAIDSEXCEPT
1) Raltegravirisaninhibitorofviralenzymeintegrase
2) Zidovudine&stavudineareassociatedwithlipodystrophysyndrome
3) EfavirenzisusedinthefirsttrimestertopreventHIVtransmissiontothefetus
4) Commonesttoxicitywithdidanosineisapainfulperipheralsensoryneuropathy
ChosenOption:3

Q.62

image36Thegrosssectionofkidneyabovedepicts
1) RenalCellCarcinoma
2) Hydatidcyst
3) Polycystickidney
4) Medullaryspongekidney
ChosenOption:4

Q.63

AllaretrueaboutExenatideEXCEPT

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1) SyntheticGLP1analog
2) Adminsteredsubcutaneously
3) UsedfortypeIdiabetes
4) Decreasesglucagonrelease
ChosenOption:3
Q.64

PhysicalQualityofLifeIndexisacompositebasedonthefollowingEXCEPT
1) Infantmortalityrate
2) Literacyrate
3) Maternalmortalityratio
4) Lifeexpectancyatageone
ChosenOption:3

Q.65

Whichisthemoststrikingandspecifictesttodiagnoseamyloidintissue?
1) Congored+polarizedmicroscopy
2) Methylvioletstain
3) Congoredstain+lightmicroscopy
4) Toluidinestain
ChosenOption:1

Q.66

Thispatientcamewithchronicproductivecoughandclubbingandcoarserales.WhatisthediagnosisoftheCTscanabove?
1) Miliarytuberculosis
2) Multiplecavitatingsecondaries
3) Interstitialfibrosis
4) Bilateralsacularbronchiectasis
ChosenOption:2

Q.67

WhichofthefollowingisTRUEaboutGyneFix?
1) ItisaTshapeddevice
2) Riskofexpulsionismore
3) Itisespeciallysuitedfornulliparouswomen

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4) Itcontainslevonorgestrel
ChosenOption:4
Q.68

Whattypeofsutureisthis?
1) Mattressinterruptedsuture
2) Paressuture
3) PurseStringsuture
4) Halstedssuture
ChosenOption:3
Q.69

WhichoneofthefollowingstatementsisTrueregardingthediagramsdepictedabove?
1) theleftpicture(red)isacompoundbardiagram
2) afrequencypolygoncanbedrawnfromthepictureontheleft(red)
3) therightpicture(green)isbestusedforcontinuousquantitativedata
4) theleftpicture(red)isbestusedforqualitativedata
ChosenOption:3

Q.70

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Thispatientcamewithanemia.Thisperipheralsmearshows________
1) spherocytesofautoimmunehemolyticanemia
2) microcytichypochromicanemiaduetoirondeficiency
3) targetcellsofthalassemia
4) macrocyticanemia

ChosenOption:4
Q.71

This25yearoldladycamewithanemiajaundiceandjointpains.ThefollowingareTrueEXCEPT
1) Shecanpresentwithpulmonarysyndrome
2) Shemayhaveretinopathy
3) HbFandHbA2willbeundetectable
4) Hydroxyureawouldhelpher
ChosenOption:3

Q.72

Majorlipidcomponentinchylomicronsis

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1) Cholesterol
2) Phospholipid
3) Triacylglycerol
4) Freefattyacids
ChosenOption:2
Q.73

Whatisthisprocedure?
1) Colposcopy
2) Culdocentesis
3) Pudendalblock
4) D&C
ChosenOption:2

Q.74

Afamilyconsistsof2parents(alreadyimmune)and4childrenwhoaresusceptibletomeasles.Thereoccursaprimarycaseofmeaslesinthefamilyand2secondary
casesoccurwithinashortperiodoftime.Thesecondaryattackrateisabout
1) 50%
2) 33%
3) 67%
4) 25%
ChosenOption:3

Q.75

WhichofthefollowingisTRUEregardingRadiotherapyforCancer?
1) ThoracicradiationtherapyisgivenconcurrentlywithchemotherapyinpatientswithLimitedSmallCellLungCarcinoma
2) Radiationtherapyisindicatedinbreastcancerinwomen>70years,tumorsize<2cms.andlymphnodesnegative
3) Radiationtotheaxillarylymphnodespreventstheincidenceofarmedemaafterpartialmastectomy
4) AriseinPSAafterBrachytherapyforprostatecancerindicatesrecurrence
ChosenOption:1

Q.76

WhichofthefollowingisnotaMulleriananomaly?
1) Imperforatehymen
2) Arcuateuterus
3) DESrelateduterineanomaly
4) Septateuterus
ChosenOption:1

Q.77

Politzerizationrefersto

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1) Inflationinthenostrilwithanolivarynozzlewhilethepatientsipswater
2) Eustacheancatheterisationwithamicrocatheterforaspirationandinflationofmiddleear
3) Punctureoftympanicmembrane
4) AutoinflationbyValsalva'smaneuvre
ChosenOption:2
Q.78

RegardingprostatectomywhichoneofthestatementsisFALSE
1) Intraurethralstentsarehelpfulinthemanagementofmenwhoaregrosslyunfit(ASAgrade4)
2) WaterintoxicationandhyponatremiacangiverisetoCHF
3) Retrogradeejaculationoccursinabout65%ofmen
4) Perinealprostatectomy(Young)isacommonlydonesurgicalprocedure
ChosenOption:4

Q.79

Identifythesetwosurgicalinstruments.
1) NeedleHolder&OvumForceps
2) ArteryForceps&NeedleHolder
3) Thumbforceps&SpongeHolder
4) SpongeHolder&AllisForceps
ChosenOption:2

Q.80

Currentlymostusedendometrialablationmethodis
1) Laserablation
2) Rollerballcoagulation
3) Transcervicalresection
4) Thermalballonablation

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ChosenOption:4
Q.81

FifthVitalSigncommonlyelicitedbyanesthesiologistsonsurgicalpatientsis
1) Coretemperature
2) Bloodpressure
3) FiO2
4) Pain
ChosenOption:4

Q.82

PregnancyrateincopperbearingIUCDis
1) 12per100womanyears
2) 8per100womanyears
3) 2per100womanyears
4) 5per100womanyears
ChosenOption:2

Q.83

WhichofthefollowingisTRUEregardingoccipitalhemianopia
1) Oftenincongruoushemianopia
2) Riddochphenomenonistypical
3) Allthegivenoptionsaretrue
4) Maculaisinvolved
ChosenOption:2

Q.84

Ottawaanklerulesareusedto
1) Decideonimmediatevs.delayedtreatmentofankledisclocation
2) TodecideontreatmentoptionforCTEV
3) TodiagnoseruptureofAchillestendon
4) Decideonneedofxraysforpossiblefracture
ChosenOption:3

Q.85

ThefollowingareTrueregardingMyastheniagravisEXCEPT
1) Thymomaorthymichyperplasiaiscommon
2) PlasmapharesisisusefulinthetreatmentofMyastheniagravis
3) Antibodiestopresynapticvoltagegatedchannelsimpairacetylcholinerelease
4) BulbarweaknessisespeciallyprominentinMuSKantibodypositivemyasthenia
ChosenOption:4

Q.86

A70yearolddiabeticandhypertensivepatientwasbeinginvestigatedforanginaandacoronaryangiogramwasperformed.Twodayslater,hedevelopedfeverand
abdominaldiscomfortanddyspneaandamottledskinrash.Hisgreattoeappearedblack.HisBPincreasedto180/100.Hiscreatininewasfoundtohaverisenfroma
preangiolevelof1.2to3.6mg/dl.Hehaseosinophilia.WhichoneofthefollowingstatementsisTRUEregardingthiscondition.
1) Nacetylcysteinewouldhavepreventedthiscondition
2) Heparinisthetreatmentofchoice
3) Thisiscontrastinducednephropathy
4) Kidneybiopsywillshowmicrovesselocclusionwithacleftinthevessel
ChosenOption:1

Q.87

ThefollowingareindicatedinthetreatmentofbacterialcornealulcerEXCEPT
1) Topicalantibiotics
2) Analgesic/antiinflammatorydrugs
3) Steroids
4) Cycloplegicslikeatropineointmentordrops
ChosenOption:3

Q.88

WhichoneofthefollowingisconsideredasReferenceProtein
1) Milk

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2) Meat
3) Egg
4) Fish
ChosenOption:3
Q.89

Whichoneofthefollowingisnotusedaschemicalwarfareagent?
1) Taurine
2) Cyclosarin
3) Sarin
4) Tabun
ChosenOption:1

Q.90

ThefollowingareTrueregardingRotatorcufftendinitisEXCEPT
1) Painfularcofmovementcausessecondaryweakness
2) Steroidinjectionsarecontraindicated
3) Injectionoflocalanesthetichelpsindiagnosis
4) Acromialbeakofboneappearswithage
ChosenOption:2

Q.91

Whichmechanisminphototherapyischieflyresponsibleforreductioninserumbilirubin?
1) conjugation
2) Structuralisomerisation
3) Photooxidation
4) GeometricPhotoisomerisation
ChosenOption:2

Q.92

Infraorbitalnerveisinjuredcommonlyin
1) LeFortIIIfracture
2) Mandibularfracture
3) Blowoutfractureoforbit
4) LeFortIfracture
ChosenOption:3

Q.93

Anormalaniongapmetabolicacidosisisseenin
1) Methanolpoisoning
2) Salicylatepoisoning
3) Diabeticketoacidosis
4) Diarrhea
ChosenOption:4

Q.94

Allen'stestisusefulinevaluationof
1) Presenceofcervicalrib
2) Digitalbloodflow
3) Integrityofpalmararch
4) Thoracicoutletcompression
ChosenOption:3

Q.95

Balkannephropathyispossiblycausedby
1) Calcineurininhibitors
2) Fungaltoxin
3) Lead
4) AristolochicAcid
ChosenOption:2

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Q.96

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Commonsiteofinjectionofisletcellsinisletcelltransplantfordiabetesmellitus
1) Pelvis
2) Forearmmuscles
3) Pancreas
4) Portalvein
ChosenOption:3

Q.97

A3weekfemaleinfantisbroughtforambiguousgenitaliaandhyperpigmentationofskin.Shehashyponatremiaandhypokalemia.Whichoneofthefollowingisthe
mostlikelydiagnosis?
1) 21hydroxylasedeficiency
2) 17alphahydroxylasedeficiency
3) 17,20lyasedeficiency
4) 11betahydroxylasedeficiency
ChosenOption:2

Q.98

Whichoneofthefollowingisthecontraceptiveofchoiceforawomanwithsicklecelldisease
1) IUCD
2) Lowdosecombinedcontraceptivepills
3) Highdosecombinedcontraceptivepills
4) DepotmedroxyprogesteroneacetateInjection
ChosenOption:4

Q.99

ThefollowingareTrueregardingPompholyxEXCEPT
1) 50%ofpatientshaveahistoryofatopy
2) Topicalcorticosteroidsareusuallyhelpful
3) Pruritictapiocavesiclesonpalmsandsidesoffingers
4) Theyarepainfulbutnotpruritic
ChosenOption:4

Q.100 Allare160kDafamilyofcoactivatorsEXCEPT
1) Activatorofthethyroid&retinoicacidreceptor
2) GlucocorticoidreceptorinteractingproteinI
3) CREBbindingprotein
4) SteroidreceptorcoactivatorI
ChosenOption:1
Q.101 Amiddleagedmalepatientcamewithhistoryofprogressivenightblindnessfollowedbydecreasedvisionsincechildhood.Nowhehastubularvision.Retinal
examinationrevealedjetblack,spideryspotslikebonecorpuscles.WhichofthefollowingstatementsisTrue?
1) Thediagnosisisretinitispigmentosa
2) Mostcommonlyinheritedasxlinkedrecessive
3) Theretinalchangestypicallystartattheposteriorpoleandspreadanteriorly
4) Papilledemaoccursinlaterstages
ChosenOption:1
Q.102

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1) pqrs=yzwx
2) pqrs=zxyw
3) pqrs=wyxz
4) pqrs=xzwy
ChosenOption:2

Q.103 Whichtypeofpelvisfavorsfacetopubisdelivery?
1) Gynaecoid
2) Anthropoid
3) Android
4) Platypelloid
ChosenOption:2
Q.104 ThefollowingaremaindiagnosticcriteriaforAllergicBronchopulmonaryAspergillosisEXCEPT
1) Pulmonaryinfiltrates
2) Distalbronchiectasis
3) Peripheraleosinophilia
4) Bronchialasthma
ChosenOption:3
Q.105 Inhanging,thetensionwhichisrequiredontheligaturetoblockthetracheais
1) 20Kgs
2) 2Kgs
3) 15Kgs
4) 5Kgs
ChosenOption:4
Q.106

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ThefollowingstatementsareTrueregardingthepicturedepictedaboveEXCEPT
1) Thisisacaseofrightpsoasabscess
2) Babyhasanumbilicalhernia
3) Babyhasalargerightinguinalhernia
4) Surgeryisindicatedforthegroinswelling
ChosenOption:3
Q.107 MostcommonmalignancythatmetastasizestotheSpineis
1) Lung
2) Thyroid
3) Breast
4) Prostate
ChosenOption:4
Q.108 Thetermcellularpathologywascoinedby
1) RobertKoch
2) GregorMendel
3) LouisPasteur
4) RudolfVirchow
ChosenOption:4
Q.109 Followingregimensareusedinendometriosistosuppressovulation&relievepain,EXCEPT
1) Anastrozole/letrozoleisrecomendedforroutineuse
2) Cyclicallowdoseoralcontraceptivepills
3) SubcutaneousDMPA(depotmedroxyprogesteroneacetate)
4) Nafarelinnasalspray
ChosenOption:1
Q.110 A6monthinfantpresentedwithrecurrentepisodesofpolyuriaanddehydration.Lab.testsrevealedserumNaof130meq/li.,Kof3meq/liClof92meq/li.,
bicarbonateof30meq/li.pHwas7.48.Sercreatwas0.4mg/dl.Thepatienthadhypercalciuriaandultrasoundshowedmedullarynephrocalcinosis.Whichoneofthe
followingisthemostlikelydiagnosis?
1) Liddlesyndrome
2) Gitelmansyndrome
3) Barttersyndrome
4) Distalrenaltubularacidosis
ChosenOption:3
Q.111 NICEguidelinesforcomputedtomographyinheadinjuryincludethefollowingEXCEPT
1) Focalneurologicaldeficit
2) Mildheadinjuryinapatientlessthan40years
3) GCS<13atanyPoint
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4) Morethanoneepisodeofvomiting
ChosenOption:2
Q.112 Treatmentofchoiceformolarpregnancyis
1) Sublingualmisoprostol
2) Intramuscularcarboprost
3) Oxytocininfusion
4) Suctionevacuation
ChosenOption:4
Q.113

WhatisTrueregardingthepicturedepcitedabove?
1) Rodentulcerappearance
2) Alltheseoptionsaretrue
3) ExposuretoSolarUVradiationisariskfactor
4) Thisisbasalcellcarcinomawhicharisesfromthebasallayerofnonkeratinocytes
ChosenOption:2
Q.114 MaximumdoseofSpiranolactoneis
1) 400mg/day
2) 100mg/day
3) 160mg/day
4) 50mg/day
ChosenOption:4
Q.115 MACforinhalationaldrugsinanesthesiastandsfor
1) MinimumArterialConcentration
2) MaximumAlveolarConcentration
3) MeanAlveolarConcentration
4) MinimumAlveolarConcentration
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ChosenOption:4
Q.116 Parotitisandorchitisarecommonmanifestationsof
1) Diphtheria
2) Measles
3) Rubella
4) Mumps
ChosenOption:4

Q.117 A40yearoldmultiparousladypresentedwithmenorrhagiaof6monthsduration.Onexamination,sheisfoundtohaveabulkyuterusandan8x8cm.adnexalmasson
therightside.Sheunderwenttotalabdominalhysterectomywithbilateralsalpingooopherectomy.HistopathologicalexaminationoftheadnexalmassshowedCall
Exnerbodies.Whatisthetypeofovariantumor?
1) Clearcelltumor
2) Granulosacelltumor
3) Endodermalsinustumor
4) Dysgerminoma
ChosenOption:2
Q.118 Rossprocedureinvolves
1) Replacementofaorticvalvewithpulmonichomograft
2) Replacementofaorticvalvewithautologouspulmonicvalveandimplantationofpulmonicvalvehomograft
3) Replacementofmitralvalvewithtissueprosthesisandrepairoftricuspidvalve
4) Replacementofaorticvalvewithporcinevalveandrepairofpulmonaryvalve
ChosenOption:1
Q.119 Schwartzmanreactionisanexampleof
1) TypeIIhypersensitivityreaction
2) Noneoftheoptions
3) TypeIhypersensitivityreaction
4) TypeIIIhypersensitivityreaction
ChosenOption:4
Q.120 Optionaltimingofadministrationofprophylacticantibioticforsurgicalpatientsis
1) Attheinductionofanesthesia
2) Onehourafterinduction
3) Onehourpriortoinductionofanesthesia
4) Anytimeduringthesurgicalprocedure
ChosenOption:1
Q.121 AllthefollowingarehelpfulintheinitialtreatmentofseverehypercalcemiaassociatedwithHyperparathyroidismEXCEPT
1) Pamidronate
2) Hydrationwithsaline
3) Forceddiuresiswithloopdiuretics
4) Glucocorticoids
ChosenOption:1
Q.122

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Thisisthefunduspictureofaladypatient,whowasonestrogencontainingpills,andcamenowwithacutedeteriorationofvision.Whatisthelikelydiagnosis?
1) centralretinalveinocclusion
2) diabeticbackgroundretinopathy
3) centralretinalarteryocclusion
4) hypertensiveretinopathy
ChosenOption:2

Q.123

Whatisthemostlikelydiagnosisofthepictureabove?
1) Down'ssyndrome
2) PierreRobinsyndrome
3) Noonan'ssyndrome
4) Williamssyndrome
ChosenOption:4

Q.124
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Whatdoesthispictureshow?
1) BurnsMarshallmethod
2) MauriceauSmellieVeittechnique
3) Pinod'smaneuvre
4) Lovset'smaneuvre
ChosenOption:1

Q.125 WhichoneofthefollowingstatementsisFALSEregardingCarcinomarectum?
1) Hartmann'soperationisdoneinolddebilitatedpatients
2) Earlymorningspuriousdiarrheaandtenesmuscanoccur
3) GrowthconfinedtorectalwallisstageAofModifiedDukestaging
4) Perrectalexaminationcandiagnoseonly10%ofcases
ChosenOption:1
Q.126 CharacteristicantibodiesofautoimmunehepatitisincludeallofthefollowingEXCEPT
1) AntiCCPantibodies
2) ANAs
3) Smoothmuscleantibodies
4) AntiLKMantibodies
ChosenOption:1
Q.127

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Whichoneofthefollowingisthemostlikelydiagnosisofthepicturedepictedabove?
1) Herpeszosteroticus
CSOMwithtubotympanicperforation
2)
3) CSOMwithatticperforation&cholesteatoma
4) ASOMwithbulgingeardrum
ChosenOption:4
Q.128

This60yearoldmalediabeticandsmokercamewith3hoursofsubsternalpain.WhichofthefollowingstatementsisTrueregardinghisECG
1) Heartrateis45/min
2) ECGissuggestiveofhyperkalemia
3) PatientshouldbegivenIVlidocaine
4) ECGshowsacuteanteriormyocardialinfarction
ChosenOption:2

Q.129

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IdentifytheanatomicalstructuresX,Y,Zoftheneckdepictedaboveinthatorder.
1) anteriorbellyofdigastric,digastrictriangle,stylohyoid
2) omohyoid,musculartriangle,submentalis
3) posteriorbellyofdigastric,digastrictriangle,platysma
4) posteriorbellyofdigastric,carotidtriangle,omohyoid
ChosenOption:1

Q.130

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Whichoneofthefollowingisthemostlikelydiagnosisfromthisxray?
1) Rightpleuraleffusion
2) Hydatidcystrightlung
3) Righthydropneumothorax
4) Perforatedabdominalviscus
ChosenOption:4
Q.131 Scleromaiscausedby
1) Aspergillusfumigatus
2) Rhinosporidiumseeberi
3) Klebsiellarhinoscleromatis
4) Candidaguilliermondii
ChosenOption:3
Q.132 WhichoneofthefollowingCerebralBloodFlowpatternsislikelyinapatientwithHuntingtonsdisease
1) Bilateralreductioninbloodflowtocaudatenucleus
2) Hyperemiatobasalgangliawithreducedflowtootherareasinbrain
3) Decreasedbloodflowtotemporallobes
4) Bilateralreductioninbloodflowstartingfromoccipitalcortexandspreadinganteriorly
ChosenOption:3
Q.133 Apersonishavingatidalvolumeof500ml,avitalcapacityof4700mlandaninspiratorycapacityof3500ml.Hisexpiratoryreservevolumewillbe
1) 1200ml
2) 3000ml
3) 700ml
4) 4200ml
ChosenOption:3
Q.134

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Thisyoungpatientcamewithacuterightlowerabdominalpain.Whatisthepossiblediagnosis?
1) IntestinalobstructionduetoMeckelsdiverticulum
2) Acuteappendicitis
3) Rupturedectopicpregnancy
4) Acutesalpingoophoritis
ChosenOption:2

Q.135 WhichofthefollowingisTRUEregardinghumanhair?
1) BarrbodiespresentinthecortexlayerofhairshafthelptodetermineXXgenotype
2) Hairchangesareidenticalinscaldsandburns
3) ABOgroupcanbedeterminedfromasinglehairbulbfromanypartofthebody
4) Rootsofhairfromadults,incontrasttochildren,willdissolveveryrapidlyinasolutionofcausticpotash
ChosenOption:1
Q.136 HillSachslesionisrelatedto
1) Glenoidlabrum
2) Subscapularismuscle
3) Headofhumerus
4) Anteriorcapsuleofshoulder
ChosenOption:1
Q.137 Scheuermann'sDiseaseoccursin
1) Adolescents
2) Elderly
3) Infants
4) Adults

ChosenOption:3
Q.138

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Thispicturedepictsphotosof4patientsbeingaskedtoopenthemouthasmuchaspossibleandstickthetongueoutwithoutphonating.Whichofthefollowing
statementsisTRUEregardingthesepictures?
1) Theydepictvaryingdegreesofhypoglossalnerveparalysis
2) TheyareusedinForensicMedicineforidentificationpurpose
3) TheydepictMallampatiClassification
4) Theydepictdifferentstagesoftonsillitisandquinsy
ChosenOption:2
Q.139 WhichofthefollowingstatementsisTrueregardingTibaloneusedinHormonereplacementtherapy
1) Recommendeddoseis25mg/day
2) Doesnotpreventhotflushes
3) Itcausesendometrialatrophy
4) Itisanonsteroidaldrug
ChosenOption:2
Q.140 PrerequisitesforforcepsapplicationincludethefollowingEXCEPT
1) Informedconsentfrompatient
2) Membranesshouldberuptured
3) Bladdershouldbeempty
4) Cervixshouldbeatleast8cmsdilated
ChosenOption:2
Q.141 WhichofthefollowingisNOTTRUEaboutEthambutol
1) Notrecommendedinyoungerchildren
2) Peripheralsensoryneuropathyisararecomplication
3) Opticneuritisisthemostseriousadverseeffect
4) Firstlinebacteriocidalantituberculosisdrug
ChosenOption:4
Q.142 WhichofthefollowingisTrueregardingHypospadias?
1) Itisattributedtofailureofcompleteurethraltubularisationinthefetus
2) Itisseenin1in1500boys
3) Urethraopensproximallyanddorsally
4) Urethralopeningismostcommonlyintheperineum
ChosenOption:3
Q.143 Lowerfungiwhichhavenonseptatehyphaeandwhichformsporangiosporesarecalled
1) Deuteromycetes
2) Phycomycetes
3) Ascomycetes
4) Basidiomycetes
ChosenOption:2
Q.144 Whichoneofthefollowingvaccinesiscontraindicatedinchildrenwitheggallergy?
1) MMR
2) YellowFever
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3) DPT
4) BCG
ChosenOption:3
Q.145

Basedonthepicturedepcitedabove,thefollowingareTruestatementsEXCEPT
1) Commonestandmosttroublesomecomplicationisneuralgia
2) RamsayHuntsyndromeincludessimilarlesionsontheophthalmicdivisionofVnerve&cornea
3) Earlytreatmentwithvalaciclovir1gramtidishelpful
4) Thepatientwouldhaveapasthistoryofvaricella
ChosenOption:2

Q.146

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Whatisthemostlikelydiagnosisofthexraydepictedabove?
1) osteoclastoma
2) osteoidosteoma
3) chondrosarcoma
4) osteogenicsarcoma
ChosenOption:4

Q.147

Whichoneofthefollowingisthemostlikelydiagnosisfromthepicturedepictedabove?
1) Aphthousulcer
2) Dentigenousulcer
3) Syphiliticgumma
4) Leukoplakia
ChosenOption:3
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Q.148 Whatisthecategoryandcolorofthedrugboxforsputumsmearpositivecaseswhoare'treatedafterdefault'undertheRNTCP?
1) Category1,Green
2) Category2,Blue
3) Category1,Red
4) Category2,Yellow
ChosenOption:2
Q.149 AllarecommoncausesofstridorEXCEPT
1) foreignbodyinlarynxandtrachea
2) laryngomalacia
3) atrophiclaryngitis
4) multiplepapillomasoflarynx
ChosenOption:3
Q.150

Whichoneofthefollowingismostlikelydiagnosisofthepictureofcervixdepictedaboveinthiswomanwithleukorrhea?
1) Candidalinfection
2) Trichomonasvaginalisinfection
3) Gardnerellainfection
4) Carcinomacervix
ChosenOption:1

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Q.151 AllaremalignanttumorsofnasalcavityEXCEPT
1) Stewart'sgranuloma
2) Olfactoryneuroblastoma
3) Ringertztumor
4) Malignantmelanoma
ChosenOption:3
Q.152 A60yearoldmalepatientwhoisaknowndiabetic,hascomewithchoreoathetosis.Healsohasskinhyperpigmentationandrestrictivecardiomyopathy.Allofthe
followinginvestigationswillhelpinestablishingthediagnosisEXCEPT
1) Transferrinsaturation
2) GenetictestingforC282Ymutation
3) Ultrasounography(abdominal&cardiac)
4) Liverbiopsyandhepaticironindex
ChosenOption:2
Q.153 WhichoneofthefollowingisimplicatedintheetiologyofFitzHughCurtissyndrome?
1) Chlamydialinfection
2) Perforationofdermoidcyst
3) Gastricperforation
4) Livermetastasesinovariancancer
ChosenOption:4
Q.154 WhichofthefollowingwomenwouldbeanabsolutecontraindicationforCombinedOralContraceptivePillsasperWHOcategory4
1) Cancercervix
2) Historyofstroke
3) Epilepsy
4) Smoker<35years
ChosenOption:3
Q.155

1) pqr=wxy
2) pqr=yxw
3) pqr=xwy
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4) pqr=wyx
ChosenOption:3
Q.156 MalignantOtitisExternaisa
1) Malignantcondition
2) Infectivecondition
3) Autoimmunecondition
4) Premalignantcondition
ChosenOption:2
Q.157 KleihauerBetkeTestisusedfor
1) Detectingthekaryotypeinstructurallynormalfetus
2) Diagnosingfetalinfections
3) Testingcephalopelvicdisproportion
4) Evaluatingthevolumeoffetomaternalhemorrhage
ChosenOption:4
Q.158 WhichofthefollowingisTrueregardingabsenceseizures
1) Attacklastsfor60to90seconds
2) Hyperventilationoftenprecipitatesanattack
3) Onsetofdiseaseinthefirstyearoflife
4) Attackfollowedbypostictalconfusion
ChosenOption:2
Q.159 Amongtheclinicalsignsofpregnancyinthefirsttrimester,Goodellssignrefersto
1) Duskyhueofthevaginalwallsat8thwkofgestation
2) Increasedpulsationsfeltthroughthelateralfornicesat8thweekofgestation
3) Regular&rhythmicuterinecontractionsduringbimanualpalpationasearlys48wks
4) Softeningofcervixasearlyas6wks
ChosenOption:1
Q.160 Amongthefollowing,theleastcommoncauseofacuteupperGIbleedingis
1) Varices
2) Vascularectasia
3) Ulcer
4) MalloryWeisstear
ChosenOption:2
Q.161

Whatdoestheintraoperativephotographabovedepict?
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1) Intussusception
2) Fallopiantube
3) Transversecolon
4) Meckelsdiverticulum
ChosenOption:4

Q.162 WhichofthefollowingisNOTafeatureofSeverePreeclampsia?
1) Urineoutput<400ml/24hours
2) HELLPsyndrome
3) Urinaryproteinexcretion>2G/day
4) Plateletcount<1lakh/cu.mm.
ChosenOption:3
Q.163 ThefollowingorganismsareindicativeoffecalpollutionofwaterEXCEPT
1) Clostridiumperfringens
2) FecalStreptococi
3) Halophilicvibrio
4) E.coli
ChosenOption:3
Q.164 Buprenorphinebelongsto
Fullagonistat'k'receptors
1)
2) Partialagonistat'mu'receptors
3) Partialagonistat'k'receptors
4) Fullagonistat'mu'receptors
ChosenOption:2
Q.165 WhichoneofthefollowingisFALSEregardingChronicmaxillarysinusitis?
1) Patientcomplainsofpostnasaldischarge
2) Normalxrayeffectivelyexcludeshypertrophicvariant
3) FESSisindicatedforfailureofmedicaltreatmentorpresenceofsinonasalpolys
4) Headacheisabsentexceptduringexacerbationofacutesinusitis
ChosenOption:2
Q.166 WhichofthefollowingisTRUEregardingthepracticeofRapidSequenceInductionforanesthesia?
1) Cricoidpressureiscontraindicated
2) Propofolisavoidedasitcancausehypotension
3) Doneinpatientslikelytohaveadifficultintubation
4) Canbeusedinapatientwithfullstomach
ChosenOption:3
Q.167

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SelecttheFALSEstatementregardingthediseasedepictedinthepictureabove?
1) Thereismuscleatrophyandresultanthypotonia
2) Lossoffatfromsuckingpadsofthecheeksistheearliestsign
3) Besanpanjiriisanenergydensefoodusedintreatment
4) Thisisnonedematousseverechildhoodundernutrition
ChosenOption:4

Q.168

Theaboveabnormalityinxrayskullcanbeseeninthefollowingconditions
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EXCEPT
1) Pagetsdisease
2) HistiocytosisX
3) MultipleMyeloma
4) Hyperparathyroidism
ChosenOption:2
Q.169

Whatisthediagnosisofthisfracture?
1) MonteggiafracturetypeII
2) Sideswipefracture
3) Galeazzifracture
4) MonteggiafracturetypeI
ChosenOption:1

Q.170 ThefollowingstatementsareTrueaboutnormalpregnancyEXCEPT
1) RBCmassincreasesby2030%
2) Bloodvolumeincreasesby4050%
3) Meanarterialpressureincreasesby1520%
4) Cardiacoutputincreasesby4050%towardsterm
ChosenOption:3
Q.171 ThefollowingstatementsareTrueregardingEpilepsyEXCEPT
1) SerumlevelofProlactinincreasesdramaticallyaftertonicclonicconvulsions
2) Changesinmemory/perceptionand"blackouts"arenotfeaturesofcompexpartialseizures
3) Jacksonianepilepsyisaspreadingseizureactivity
4) AbsenceSeizuresarebrieferandmorefrequentwithoutpostictalconfusion
ChosenOption:2
Q.172 WhichofthefollowingstatementsisFALSEregardingvocalcords
1) Twomusclesadduct(close)theVocalcords
2) OnemuscleadjuststhelengthoftheVocalcords
3) Onemuscleabducts(opens)thevocalcords
4) OnemuscleadjuststhetensionoftheVocalcords
ChosenOption:4
Q.173 Lossoftastesensationfromtheanteriorpartofthetongueisassociatedwithlesionofwhichoneofthefollowingnerves?
1) IX
2) VII
3) XII
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4) V
ChosenOption:1
Q.174 WhichoneofthefollowingisNOTassociatedwithmicrocytichypochromicanemia?
1) Chronicleadpoisoning
2) Thalassemia
3) Irondeficiency
4) HereditarySpherocytosis
ChosenOption:4
Q.175

Identifythismosquito?
1) Anopheles
2) Aedes
3) Mansonoides
4) Culex
ChosenOption:1

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Q.176 Pneumatocelesinchestxrayarecharacteristicallyseeninpneumoniadueto
1) Streptococcuspyogenes
2) Hemophilusinfluenza
3) Streptococcuspneumoniae
4) Staphylococcusaureus
ChosenOption:4
Q.177 WhichofthefollowingisTRUEregardingEpistaxis
1) CommonlyfromKiesselbachvenousplexusintheanteriorseptum
2) Pneumaticnasaltamponadeisatreatmentoption
3) Patientiskeptinsittingandslightleaningforwardpositionwhilecompressingthenares
4) Topicalphenylephrineiscontraindicatedasitincreasesbloodpressure
ChosenOption:2
Q.178 PlasterofParisishemihydrated
1) Calciumphosphate
2) Calciumsulfate
3) Calciumcitrate
4) Calciumcarbonate
ChosenOption:1
Q.179 AllthefollowingareECGfeaturesofHyperkalemiaEXCEPT
1) ProlongedPRinterval
2) TallpeakedTwaves
3) Sinewavepattern
4) ProlongedQTinterval
ChosenOption:4
Q.180 Thevesselwhichneedstobeligatedinapatientwithableedingpepticulceris
1) Gastroduodenalartery
2) Superiorpancreaticoduodenalartery
3) Leftgastricartery
4) Leftgastroepiploicartery
ChosenOption:1
Q.181 ChoosetheFALSEstatementfromthefollowing
1) DiazepamismorepotentaswellasmoreefficaciousCNSdepressantthanpentobarbitone
2) Aspirinislesspotentaswellaslessefficaciousanalgesicthanmorphine
3) Frusemideisalesspotentbutmoreefficaciousdiureticthanmetalozone
4) Pethidineisalesspotentbutequallyefficaciousanalgesicasmorphine
ChosenOption:4
Q.182 InMitochondria,ureacycleisintegratedto
1) Oxidationoffattyacids
2) TCAcycle
3) ElectronTransportchain
4) Oxidativephosphorylation
ChosenOption:1
Q.183

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MatchtheaboveHLAassociationsandchoosethebestmatch.
1) pqrs=xwyz
2) pqrs=wxzy
3) pqrs=ywzx
4) pqrs=zxwy
ChosenOption:2

Q.184 WhichofthefollowingisTrueregardingCarcinomaEndometrium?
1) transvaginalsonographyshowingendometrialthickeningof68mm.excludesCaendometrium
2) Papanicolaousmearisaverysensitivetestfordiagnosis
3) 90%presentasabnormalbleeding
4) mostcommoninthe3rd&4thdecadeoflife
ChosenOption:3
Q.185 TheriskofruptureoflowersegmentCesareansectionscarduringlaboris
1) lessthan0.4%
2) 1%
3) 2%
4) 4%
ChosenOption:2
Q.186 CommonestcongenitalanomalyseeninPregestationalDiabetesis
1) Renalatresia
2) Duodenalatresia
3) Caudalregressionsyndrome
4) Meningimyelocoele

ChosenOption:2
Q.187 HenochSchonleinpurpuraischaracterizedbythefollowingEXCEPT
1) Glomerulonephritis
2) Hematocchezia
3) Thrombocytopenia
4) Palpablepurpura
ChosenOption:3
Q.188 Hypoxicdeathofbraintissueresultsin
1) Liquefactivenecrosis
2) Fibrinoidnecrosis
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3) Gangrenousnecrosis
4) Coagulativenecrosis
ChosenOption:4
Q.189

Thiselderlymalecamewithahistoryofrecurrentattacksofpainandswellinginthegreattoeinthepast.Thisisthepresentxrayofthehands.Thediagnosiscanbe
confirmedby
1) HLAB27
2) Polarisedmicroscopyoftissuefluidaspirate
3) Xrayoflumbosacralspine
4) AntiCCPantibodies
ChosenOption:2

Q.190 Whichamongthefollowingistheearliestsignofcompartmentsyndromeis
1) Paresthesias
2) Pulselessness
3) Stretchpain
4) Lossofmovement
ChosenOption:3

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Q.191 Abradedcollaringunshotinjuriesindicates
1) Typeofprojectile
2) Directionoffiring
3) Velocityoffiring
4) Distanceoffiring
ChosenOption:4
Q.192 Amotherinavillagehasbroughther1monthbabywithacomplaintoffevertothePHC.Youfindthatthebaby'srespiratoryrateis69/minute.Thebabyisirritable
butabletofeedthebabydoesnothavechestindrawingorstridor.Thereisnohistoryofconvulsions.AccordingtotheRCHprogram,thebaby'sillnessisclassified
as
1) SeverePneumonia
2) Veryseveredisease
3) Nopneumonia:Coughorcold
4) Pneumonia
ChosenOption:4
Q.193 ThefollowingaretrueregardingantipsychoticdrugsEXCEPT
1) Lurasidoneiseffectiveinacutedecompensationofschizophrenia&hasalowincidenceofweightgain/hyperlipidemia
2) Olanzapine&clozapinehavebeenlinkedtoriskofnewonsettype2diabetesmellitus
3) Clozapineshouldnotbegiveninpatientswithapasthistoryofneuroleptic/antipsychoticmalignantsyndrome
4) Quetiapineusecanleadtocataractformation
ChosenOption:3
Q.194 Theperformanceandanalysisofroutinemeasurementsaimedatdetectingchangesintheenvironmentorinthehealthstatusofthepopulationiscalled
1) Situationalanalysis
2) Monitoring
3) Surveillance
4) Evaluation
ChosenOption:2
Q.195 CausesofDiffuesHyperpigmentationincludethefollowingEXCEPT
1) Busulfanadminstration
2) Nelson'ssyndrome
3) HermanskyPudlaksyndrome
4) Addison'sdisease
ChosenOption:2
Q.196 Bladeofgrasslesionisfoundin
1) Osteoporosis
2) Thalassemia
3) Paget'sdisease
4) CarcinomaProstate
ChosenOption:4
Q.197 IgGimmunoflorescencedepositsatdermoepidermaljunctionasbandlikefloresenceisseeninbothinvolvedanduninvolvedskinofpatientswithoneofthe
followingdiseases
1) Discoidlupuserythematosis
2) Mixedconnectivetissuedisease
3) Scleroderma
4) SLE
ChosenOption:4
Q.198 ScorpionStingmaypresentwiththefollowingEXCEPT
1) Arrhythmias
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2) Hypertensionandpulmonaryedema
3) Hypothermia
4) SalivationandLacrymation
ChosenOption:2
Q.199 ThefollowingstatementsareTrueregardingkeratoconjunctivitissicca(dryeyes)EXCEPT
1) Topical3%sodiumchloridesolutionisaneffectivetreatment
2) SeeninSjogrenssyndrome
3) CanoccurinvitaminAdeficiency
4) Itcanbeahereditarydisorder
ChosenOption:3
Q.200 ThefollowingareTrueregardingHyalineMembraneDiseaseEXCEPT
1) Basicabnormalityisdeficiencyofsurfactant
2) Occursinbabiesbornpastdates
3) Intratrachealsurfactanthelps
4) PrenataldiagnosisbylowamnioticfluidL/Sratio
ChosenOption:2

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