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SECTION.A
'
l.
,a.
Herpes virus
d.
Hanta
One of the following drugs is a weak, reversible monoamine oxidase inhibitor. There are case reports'of serotonin syndrome occurring'when this drug is co-administered with selective serotonin reuptake inhibitors. Name the antibiotic
a. c.
b. clindamycin
linezolid
d. capreomyctn
a
b. d.
Phenylalahin
Leucine Tyrosine
as
c. Proline
Whichbf the following is also known
Micky Finn?
i'
c. Pig d. Sandfly
6.
a. b.
Mosquito
Man
c. 8q d. llq
7_
a. 2q b. 5q
c. labyrinthine lesion
d.
cerebellarstroke
Version-D teehniques of tubectomy The lowest failure rate is seen with which of the following
i
8.
c. Madlener'stechnique d. Aldridgemethod
g.
.t\
c. PhiladblPhiachromosome
seen in
)
H
cutis
E E
c. scrofuloderma
d.
LuPus vulgaris
J.
f,{ t,t
a.
3 months
following
,
"
a.
personalities of which only one is being manifest Patient being dominated by two or more distinct
at a time
b. Loss of memory following a traumatic event c. Episodes of u#xpected ylt organized wandering away from home d. Aisence of voluntary movements or speech
Hering-Breuer inflation reflex 13. The receptors giuirrg rise to signals'that bring about
'
: j::l:i
-ii:;
are
'
a. b.
PropriocePtors
J recePtors
"..'',:
X/ (
I I
,
Version{)
'
a. Cyst is the infective form b. Possesses 3-4 anteriot and 1 posterior flagella c. Trophozoite is pear shlped d. Vagin'a is the usual site of infection
t7. A night blood survey is done in
a. Malaria b. Filariasis
c. Plague
d.
Dei'gue
18.
a. b.
Minimumanaestheticconcentration
a-1
ii
Version-D
a. Fluorosis b. Achondroplasia
c.
d.
a. AspergillusJlavus b. Peniciltiummamffi
c. AllescheriaboYdii
d.
Phiatophora ieanselmi by
(
'.
i:'
:r
J ta
!
{l
a.
l
Diabetes
I I
j,
- c. Neurofibromatosis tYPe 2
d. Galactosemia
26. Whaf pereentage of the health-care
waste generated is infegtious?
b. lAtopicdermatitis
ll
1
a. d.
ll-l1Vo
b. 50Vo c. 75Vo
I00Vo
'dorti'C
27
afctr
'"t'
Version-D
d. Von-Willebranddisease
30. Which among the'ftugs,given'below,
a.
b. c. d.
.Ritonavir Saquinavir
Nelfinavir
Zanarivir
.
wompn.
b. Live vaccines should rrot be administered within three months of giving human'Imrnunoglobulin. a. Inactivated vaccines should not be given if there has been significant riaction to previous dose. d. Hay fever , sickle cell anaemia and tuberculosis are contraindications for vaccination
32. The following condit'ioas,are
associated with endometriosis EXCF,PT
]t
'
c. Hyperprolactenomeia d. Hypothyroidism
t-
c. Central zone
d.
34. The Government of India launched National Mental Health Programme in the year ':
of
a single
DNA chain.
Version-D
a. shows some response to his own name b. searches for quiet sounds made out of sight c. Turns the head when spoken to from side d. Pauses and listens to prolonged sound
is best 38. A rwo day old child with bilateral idiopathic clubfeet managed by
a. b.
t t" ii
il
{.
ManiPulation bY the mother Manipulation andDenis Brown c. ManiPulation and casts d. Surgicalrelease.
splint
'!
i
including the the norms and limits of the distribution of variables' study, is referred to as characieristics of the events and population under
a.
ii
Explanatory
Cross
b. c. d.
Sectional
Descriptive
Analytical
tinnitus and dysequlibrium is seen in 40. Progressive unilateral sensorineural deafness with
a. Secretory otitis media b, Benign Paroxysmal Positional Vertigo c. Vestibularneuronitis d. Acoustic neuroma
4r. The karyotYPe of comPlete mole is
a.
46
b,
c. d.
XX 46)(Y 45 XX or 46 XY
Triploid
reduce the risk of suicide is 42. Theonly atypical antipsychotic drug that is indicated to
a. clozaPine b. ziprasidone
c. risperidone d. asenaPine
Version.fl
43.
Caffeine
b. Cocaine c. Cannabis
d.
Opium
c.
d.
transversemyelitis.
pellagra
of
c.
d.
a. b.
Frontonasal and internasal suture Frontonasal and interparietal suture Frontonasal and frontozygomatic suture Frontozygomati'c and internasal suture
FALSE
a. It is characterized by tyrosinase positive oculocutaneous albinism b. Bleeding tendencies are secondar5r to decreased platelets
c. Restrictive.lung disease is a rarity in the syndrome d. Cardiomyopathy is expected to occur in the 3rd or 4th decade of
life
48. A 40 year
old woman presented to the surgical OPD with features suggestive of colitis. She was on prolonged treatment with clindamycin. Faecal samFle was positive for toxin produced by this agent. Her condition improved on treatment with metronidazole .The clinical condition is associated with
.
c.
Clostridiumdfficile
ganglion
c, Submandibularganglion
ganglion
1. "SensitivitY" of a test is
a.
(False positive +True negative)] [True negative / (True positive + True negative)l inatse positive /
b.[Truepositiu"lti,o"positive+Falsenegative)]
". ;.
inurr" n"gu'i*
lirtue
when cD 4 count indicated in HIV positive patients Prophylaxis for Pneumocystis cariniiis 52.
is
:
::
53. Following
a' ' d
Smoking has
b. c.
Protective effect Smoking does not have a protective effect There is no relation to smoking
c. Pneumonia
d.
Rhinosinusitis
55'lnvestigationofchoicetodiagnoseHypertrophicPyloricStenosisininfantsis
d'
i'fection
Version-D
51. ln electroretinogram, the
A wave is generated by
a. Rods
and cones
b.
c. d.
chain is a 58. A mutation that results in premature termination of incorporation of amino acid into a peptidb
c. Silent mutation.
d.
Frameshiftmutation
59. The
pathway
a. b.
LxA4 LxB4
PGH2
c. 5 FIETE
d.
from
ii3;13'T--d.
500
a. l0-30mg
-
:::
i
l
700 mg
is
c. SomatoslatinReceptor Scintigraphy
d.
Selective arteriography
63. 50 yr old male presents with severe refractory hypertension. weakness, muscle cramps and hypokalemia, the most likely diagnosis is
a. b.
c.
d.
Phaeochromocytoma
'
Vercion{)
headache is due
to*
a. b.
c.
d.
Injury to sPinal cord CSF leak from dura Meningitis Raised intracranial Pressure
Elevation of the right main bronchus shadow b. Double densityon the left side of the heart the left cardiac margin below the pulmonary bay c. Discrete bulge of d. Displacement of the trachea to the right
a.
Mental retardation is
NoT
a feature
*
:l
c. SanfilliPoMPS -III
d.
Morquio MPS
-IV
67.
3
Fi
neck complains of pain and "drooping" A 37 yearold male with a history of a penetrative trauma to the weakness of abduction. The nerve mosf of the right shoulder with inability to hunch the shoulders and likely tJhave been affected is the
a. Axillarynerve b. SuprascaPularnerve
c. Spinal accessory
d.
68. A
TB presehts with massive hemoptysis' 60 year old patient with a past history of treatqd pulmonary What is the most likely cause for hemoptysis?
a.
Pulmonary amYloidosis
b. Aspergilloma
c.
Broncholith
d. Relapse of
pH <7.30
Bilurubin >300PmoVl
Version-D
70. Which
NOT
seen inpheochromocytoma?
c.
a. hypertension b. episodicpalpitations
weight Ioss
d. diarrhea
of
c.
d.
74.
a. b.
Optic tract
Optic chiasm
EXCEPT
a.
b.P.reyalenceofnaturalinfectioninigegroup0-14yearsisinorderofIo%.,',.).'
c. Annual infection
?6j' A 25
<5Vo
;',
year oldmale iS:brouglet to the emergency room with accidental ingestion of moth balls. F{d is found to have $evere haemolysis; The ntost likely mechanism for haemolysis is :, '. r
.
;;,
i.Jir:
a. G6PD deficiency. b. Pyrimidine 5' nucleotidase deficiency. c- RBC glutathione deficiency. d. Pyruvate kinase deficiency
Version-D
spaces is a problem
with
c. Isoflurane
d. Ether
85.
A a. b.
Lutembachersyndrome Eisenmengersyndrome
All
a. b. d.
c. Coronary sinus
87. Fever, headache and nasal obstruction with bilateral bulging of nasal septum is due to
c. Septal abscess
d.
EXCEpT
a. b.
by \
II
c. Human T cell'lymphoma
d.
qL
Donovaniagranulomatis
a- Dense b6ne spicule in the retinal periphery b- A significantly reduced electroretinogram c- Tubular visual fields
d.
''
91. Selenocysteine residues are present in
I
Vdrslon-D
a. b.
c.
d.
'i
l.
il
a. Pancreas b. Ouary
c. Colon
d.
Duodenum
status
E
!
c.
d. Weightforheight
95. The primary site of infection'il Pott's spine is
'l
'
'.: .
iii,:.:i:: .
...
b.
a. vertebral
body'
inter-vertebralilisc
a. b.
Ashermahs syndrome
Hypothalamicsuppression
c. Nutritional d. Infection
Prominent or enlarged corneal nerves are seen in all of tbe following conditioasffiSPf,
,,
--.,
:
,..
Version-D
c. Autograft d. Xenograft
100.
a. Isograft b. Allograft
d.
a. b. d.
l(D' cells present in the medulla of the ovary, which are homologous to interstitial cells of the Testes
c. Reduce intracranial pressure and cause laxity ofbrain d. Reduce serum osmolality and cause brain oedem
!(X-The commonest cause of chronic renal failure is
a- diabetes
c. d.
b.
mellitus.
hypertension.
Version-D
l05"All the following diseases are associated with triplet and other repeat sequences EXCEPT
neuropathy
a. Abortion b. Torture
c. HumanexPerimentation d. Consumerism
t I
i_
f:
&
of Gennari is
histological feature of
a. Motor speech area b. Auditory area c. Visual area d. Pre frontal area
I
09.
11.
18#
L -
Version-D t
t'
i,'J:ffiJffi:T:'J11,1?,-"T$ "rTffi:T:fri.0'* a. b.
Threatenedabortion
Missed abortion Ectopic pregnancy
and breeding.
c. d. Inevitable abortion
113.
10 yr female presents with pain in the right hypochondrium, fever jaundice and , right hypochondrium rhe probable diagnosis is
a palpable mass
in the
c.
d.
a. b.
Hepatitis
Hepatoma Choledochal cyst Mueocoele gall bladder
in
c. d.
I 15'A 50 yr old male presents with pain upper abdomen, prurit,,s, jaundice and weight loss; elevatcd the likely diagnosis is
A|lA,
c.
a. b.
d.
ll6.PlasmapheresisisindicatedineachofthefollowingEXCEPT
l
a. b.
Hemolytic-uremic syndrome.
Good Pasteur's syndrome.
c.
d.
Polycythemia vera.
.'::
c.
r. ilJ:1'i":ffiHTlinoma
Infiltrating ductal carcinoma
Version-D I
19.
c. Prese.nce of a stress
d.
121
has started warking. Examination reveals a shc A two year old male child has been limping ever since he sign is positive however telescopy right lower limb with limited abduction atihe hip. The Trendlenburg
is
i,
c. Congenital
d.
{ r.l
&
122. Study
as
' a. Poroscopy
b. RugoscoPY c. CheiloscoPY d. Oroscopy
123.
infant is by adminisffation of
a. b.
Aspirin
Estrogen
c.
lbuprofen
d, Prednisolone
I25.Peripheral nerves can withstand ischemia up
to
a. b.
30 minutes
c. Three hours
ri.
Version-D
l26.The rabies virus recovered from naturally occurring case of rabies is called.
c.
a. Chlamydialinfection b. Genitaltuberculosis
Syphilis
Candida infection
a
d.
c.
a. Carbon b. Iron
Silver
d. Copper
t29'The main infectious agent associated with recurrent pulmonary infections in patients with cystic fibrosis is
c. Pneumocystis d. Aspergillus
130-Human chorionic Gonadotropin levels are increased if the fetus is having
a. b.
Mycoplasma
Pseudomonas
GABA
. a- Escherichiacoli
bPsetrdomonas aeruginosa
tr-{
as an
infection of the limbic regions of the brain is seen in children with the
a. b.
Enterovirus
Rabies
134.
a. Didanosine b. Zidovudine d.
c. Zalcitabine
Lamivudine
about t 135.According to the concept of iceberg phenomenon of diseases, all of the following statements submerged portion of the iceberg are true EXCEPT
/
&
:j
4 tr
-:;
a. [t includes sub-clinicalcases b. It includes carriers c. It constitutes undiagnosed reservoir of infectjon d. Diagnosis can be made with available techniques
136.
a. They are the least prevalent psychiatric disorders in the general population b. They are presenr in l5-2ovo of patients attendin$ medical clinics
by pervasive sadness
l3T.Amongst the following fats and oils, highest proporlion of poly unsaturated fatty acids (PLTFA) is found in
a. b. d.
c. Safflower oil
Butter
138.9-year old boy complains of "something crawling inside my head". He u'as conscious with no eye . blinking. The most likely diagnosis is
Version:D 139'A 160 mg dose of a drug was administered.i.v, and 80 mg was eliminated during the first l2Q minutes.If the drug follows first order elimination kinetics, how iruch of the drug will remain 6 hours after its administration?
c.
a. None b. 20 mg
10 mg
d. 40 mg
l4O. Structure passing through foramen Rotundum is
syndrorme is due to
d.
?. b.
I+3-A40yr old female presents with fever, fatigue, diffuse nainful.l.wglling in the midline of the neck FNAC of rhe same reveals epitheloid."rrr"unJgiu;;;iffi; likely diagnosis is
c.
d"
c- l0
d15
Ll b-5
The perrnissible dose of radiation from man-made sources in terms of rads per year should NOT exceed
a-
Dubin
Johnson Syndrome
Version-D
139'A 160 mg dose of a drug was administered j.v, and 80 mg was eliminated during the first l2Q minutes.If the drug follows first order elimination kinetics, how iruch of the drug will remain 6 hours after its administration?
c.
d.
a. b.
None 20 mg l0 mg 40 mg
c. Maxillary
d.
Abducent nerve
is due to
l-tl.McArdle's syndrorne
a
d.
a. within minutes to hours of transplantation. b. within 48 hours of transplantation. c. between 5 to 30 days of transplantation. d. beyond 30 days after transplantation.
[{-3'a 40yr old female presents with fever, fatigue, diffuse painful swelling in the midline of the neck, FIIAC of the same reveals epitheloid cells --and giunt ."itr, th; hkely diagnosis is
i lliil;llJJiilo.Ilt:"'.
The permissible dose of radiation from man-made sources in terms of rads per year should
a_
Nor
e.rceed
I
5
b.
L-
10
15
d.
Version'D injected intra-thecally? agents may be safely following groups of contrast 146.which of the
a.
f' ;. ;
Water soluble ionic monomers wur"t soiuble non-ionic monomers Water soluble ionic dimers
oiiuu"aiodinatedconffasts
incre ases
' a, Anthracosis
b.
Berylliosis
c, Sarcoidosis d. Silicosis
t :
::
{.
'
a.
b.
ufo
7 years aot" of vaccination upto years of vaccination upto 10 upto 7 year aot" of vaccination
vaccinati:nlPto
L0 years
$0'TheactivitiesofallthefollowingerrzymesareincreasedinstarvationEXCEPT
PYruvate kinase
Version-D
SECTION.B
No.151to 154)
A 35 female presented to the outpatient with a swelling in the neck for the past 2 months, she had ketuentfol Hodgkin's lymphoma when she was 22yrs with irradiation. On examination, her vitals weFe normal, there was a single, firm, irregular nodule, moving with deglutition in the left side of midline. Clinical examination also revealed a single node.in'the left side of the neck,
15f - The most likely clinical diagnosis of this condition is
d. Toxic nodular
goiter
c. Medullary
d-
a- Anaplasticcarcinoma b- Follicularcarcinoma
carcinoma
Papillarycarcinoma
a- 'Orphan-Annie eye' nucleus cells b. Amyloid deposits c. Epitheloid cells and giant cells d. Follicularcells
The ideal treatment of the above condition rvould be
a.-
No. 155 to 157) A S5-year-old man presented with a two-day history of headache, fever, and generalized weakness. He had received a cadaveric kidney transplant five years earlier. Hismedicatjons inclurled S..mig of tacrolimus twice a day and L0 mg of prednisone daily. On aenrologic examination, he was confused end incoherent. Cranial nerves were normal, but he had a nazy teft retina. Magnetic resonance imaging of the brain with contrast showed multiple enhanqing lesions in both cereiral hemispheres
The most probable diagnosis is
a
b.
c. Nocardia
d- Miliarytuberculosis
'
A 60 year old man pr.."rrt"d with weight loss over a four month period and the recent onset of fever in the evenings with night sweats. He hadenlarged cervical lymph nodes. FNAC of the nodes showed epithelioid cells and giant cells. Chest x-ray revealed an irregular opacity of the right upper lung with pl,eural effusion. Thoracocentesis was performed, and examination of the pleural fluid was
done.
fluid?
)
a. b.
Increased proteins, decreased glucose and plenty of mesothelial cells Decreased proteins, increased glucose atta ptet iy of neutrophils
c, Increasedproteins,decreasedglucoseandplentyoflymphocytes
d.Decreasedproteins,incre4sedg1ucoseandplentyoflymphocytes:i
'
i i"
a. hiterlobarfissure b. IIiIum
c. Aplcal
d.
a. Rifampicin and Isoniazid b. Rifampicin, Isoniazid and Ethambutol c. Rifampicin, Isoniazid, Ethambutol and Pyrazinamide d. Any of the two first line antitubercular drugs
l
patient?
There is a7 -ljVo annual risk of reactivation of tuberculosis Dis seminated tuberculosis is common U. The clinical presentation of tuberculosis is independent of tde CD4 count d. Lower lobe pirlmonary tuberculosis is conunon wiih low CD4 counts
b.
168)
A 55-year-old man presented with a l-month history of yellow discoloration of his palms and soles . Diabetes mellitus had been diagnosed 1 month before adrnission, His conjunctiva was not icteric. The fasting glucose level was 293 mgper clecilite r (16.2 mmol per liter), and the glycated hemoglobin value was 12.8Vo,
66.Thecausefortheyellowdiscolorationof.the.palmsintlrispatientwas.duqto,,,.,;-;
,'
..,-,,,-;
a. Vitamin B12 deficiency b. Amiodarone exposure c. Diabetes mellitus d. Hyperlipidemia type III
Version'D
\
16?.
a feature
of
HypothYroidislrr
b, Liver
disease.
III
I
4
yth
i"rui; iro nausea, vomiting, hematoche"iu, J"up p"tpation "y'1"ili" in the right lower oo revealed only foq mild tenderner.
due for this pain abdomen could be
quadrant
' ,1
to
'':'
c.
d.
a. Albendazole b. MetrogYl
c. Mebendazole
d.
BenzodiazeP\ne
28
Version-D
A 2 year old boy has a one week history of facial puffiness. His blood pressure is 100/60 mmHg. and there is generalised oedema and asciies. Serum concentrations are: creatinine 0.4mgldL, albumin 1.4 gdL,and cholesterol 569 mg/dl. Urine analysis shows 4+ protein and no blood. The 24 hour .urinary protein excretion is 3865 mg/day.
172..Themost likely diagnosis is
a. Acute poststreptococcal glomerulonephritis b. Nephrotic syndrome due to minimal change disease c. Nephrotic syndrome due to focal segmental glomerulosclerosis d. Henoch-Schonlein purpura with nephritis
I
173.The above presentation in an adult patient with the presence of granular immunofluorescdnt deposits of immunoglobulins and complement along the glomerular basement membrane would suggest the diagnosis of Membranous glomerulonephritis b. Wegener granulomatosis c. Good pasture syndrome d. Post-infectious glomerulonephriti
a.
,.,i
il
s
I
t,..r
.il ;"*
i,!
{fr Fl
a. b. ,
Lupus nephritis
I SHllLHXl,?t"i"l?,'i,,.,
A 40 yr old male presents to the Accident and Emergency ward of the hospital with suddenonset of severe central abdeminal pain of few hours duration, increasing in intensity with time, with severe abdominal distension, a skiagram of the abdomen revealed a "coffee bean" appearance
l75.The diagnosis of the above condition would be
c. Sigmoidvolvulus
d. Ureteric
a. b.
calculus
176.
c.
d. Oesaphago-Gastroscopy
29