101. Most common complication after ileal pouch anal anastomosis for IBD is..
a. Small intst obstruction
b. Pelvic abscess
c. Perineal infection
d.
Pouchitis
102. ALP is increased in
a.Dysgerminoma
b. Malignant teratoma
c.Ca Ovary
d. Ca Stomach
103. Preleukemic conditions all except
a. PNH
b. PCH
c. Aplastic anemia
d.
MDS
104. Which of the following if present is least likely to progress to multiple sclerosis
a. Oligonucleotide bands
b. Complete cord transaction
c. B/L optic neuropathy/ blindness
d.
Not Recalled
105. Not liver capsular plate?
a. Ductal plate
b. Hilar plate
c. Umbilical plate
d.
Cystic plate
106. Not a part of superficial perineal pouch:
a. Posterior scrotal nerves
b. Sphincter urethrae
c. Ducts of bulbourethral glands
d.
Bulbospongiosus muscle
107. Lateral most to the femoral hernial sac:
a. femoral nerve
b.
femoral vein
c. femoral artery
d. lateral cutaneous nerve of thigh
108. Anticoagulant of choice for coagulation test?
a. 3.5% sod citrate
b.
EDTA
c. Heparin
d. Sodium oxalate
109. Most common organ to be affected in Post operative ileus:
a. Stomach
b. Duodenum
c. Ileum
110. Palato print commonly taken from
a.Aanterior part of palate
b. Lateral wall of palate
c. Medial wall of palate
d.
Posterior palate
111. Ossification centre first appears –
a. End of 2nd month
b. Beginning of 2nd month
c. End of 3rd month
d. Beginning of 3rd month
112. Type D personality were recently found to risk for
a. Coronary artery disease
b. Depression
c. Personality disorder
d. Schizophrenia
113. Eosinophilia not seen with?
a. Contrast nephropathy
b.Drug induced nephropathy
c. Atheromatous Plague
d.Polynodosa
114. A 20 year old female presents with Hb-9, MCV- 50, ferritin-200, TIBC-294. What is the
diagnosis?
a. Iron deficiency
b. Anemia of chronic disease
c. Thalasemia major
d. Thalasemia minor
115. WHICH OF THE FOLLOWING DOES NOT AFFECT THE HARDY WINBERG EQUATION?
a. Small population
b.
Random mating
c. Not Recalled
d. Not Recalled
116. The following are components of Brown Sequard syndrome except:
a. Ipsilateral extensor plantar response
b. Ipsilateral pyramidal tract involvement
c. Contralateral spinothalamic tract involvement
d.
Contralateral posterior column involvement
117. Structure passing via esophageal hiatus are all except
a. Left vagus
b.
Right vagus
c. Left phrenic
d. Left gastric artery
118. Vision 2020, who which them does not form part of it
WHO Unicef
Orbis
International Agency For Prevention of Blindness
119. Patient with proptosis and pain after 4 hrs of injury. Also bruise in left eye and frontal area. The diagnosis is
a. Caverneous sinus thrombosis
b. Internal carotid artery aneurysm
c. Carotico cavernous fistula
d. Sphenoid fracture
120. Down’s syndrome all are true except-
a. Deleted 21
b. Trisomy 21
c. 45,XX,der(14;21)(q10;q10)
d. 46,XX/47,XX,+21
121. A child with fever shows CD 10 positive; CD 19 positive; MPO positive; CD 117
positive; CD 3 negative; CD 33 negative; TC= 6000; Hb= 4.5; Platelet count= 20000. The
most
probable diagnosis is
a. ALL
b. AML
c. Biphenotypuic
d. Undifferentiated
122. Efavirenz acts
a. HIVI1 PROTEASE inhibitor
b.
HIV1 nucleosidase inhibitor
c. HIV 1 integrase inhibitor
d.
HIV entry into cell
123. Which retinal layer is most resistant to radiation
(a) RPE
(b) Layers of rods and cones
(c) Bipolar cell layer
(d) Ganglion cell layer
124. Lid retraction caused by?
a. Bimatoprost
b.
Latanoprost
c. Brimonidine
d. Apraclonidine
125. In a patient with urethral syndrome, urine microscopy shows full of polymorph, but no bacteria. The most appropriate culture medium is?
a. Mc'coy cell
b. Thayer martin s
c. Cooked meat
d. PPLO broth
126. First chemical barrier encountered for microorganism for common exposed sites a.
Lysozyme
b.Acidic ph
c. Skin d.Glycogen
127. Yellow sclera and jaundice not seen from birth
a.PNH
b.G6PD
c.SLE
d. Hereditory spherocytosis
128. Least significant damage would occur in case of injury to :
a. Celiac axis
b. Renal artery
c. Superior mesenteric artery
d. Inferior mesenteric artery
129. In Spondylolisthesis which of this investigation is not useful a.
CT scan
b. MRI
c. Lumbar region x-ray- AP view
d. Lumbar region x-ray - lateral view
130. Proven case of renal papillary necrosis - what investigation on urine you would not do:
a. Urine acidification test b. Sickling test
c. TB-PCR - urine
d. Bacterial culture of urine
131. A 75 yrs with focal seizures with normal renal function, Drug of choice is ?
a. Valporate b.Pregbalin
c.Levitriacetam
d.
Carbazepam
132. A person had infection due to gram positive organism treated with methicillin and then
culture sensitivity shows resistance to it. Hence all can be given in MRSA except?
a. Vancomycin
b. Cotrimoxazole
c. Cefaclor
d. Ciprofloxacin
133. Heterotrophic ossification - most important investigation you would do for management:
a. Alkaline phosphatase
b. K+
c. Acid phosphatase
d. Calcium
134. A surgeon with less experience of laproscopic cholecystectomy while doing lap surgery
founds stone in common bile duct. What should he ideally do?
a. Open cholecystectomy with choledocoduodenostomy
b.
Lap exploration of CBD and removal
c. Lap removal of stone though bile duct
d.
Open exploration of CBD
135. All prevent delivery of after coming head of fetus except
a. Extended head
b. Hydrocephalus
c. Placenta previa
d. Incomplete dilation of cervix
136. A new born baby presented with blisters on skin and a shin on knee. Best investigation
for diagnosis is-
a. VDRL
B.MANOUX on blister fluid
c. TPI
d. TPHA
137. Which of the following is not a limb girdle myopathy
a.Sarcoglycanopathy
b. Dystrophinopathy
c. Calpainopathy
d. Not Recalled
138. Diabetes is best diagnosed by
a. FBS 100 and PPBS 140
b. FBS >125 and PPBS >199
c. HbA1c = 5.5%
d.FBS more than 70
139. CV malformations are all of these except:
a. Rheumatoid arthritis
b. Ankylosing spondylitis
c. Odontogenesis
d. Basilar invagination
140. Not a pre malignant among the given is-
a. PNH
b. PCH
c. Aplastic anemia
d.
Myelodysplastic
141. Mechanism of injury in ant shoulder dislocation –
a. Abduction and external rotation
b.
Adduction and internal rotation
c. Abduction and internal rotation
d. Adduction and external rotation
142. Counter transference is
a. Patient feeling towards doctor
b.
Doctors feeling towards patient
c. Not Recalled
d. Not Recalled
143. For confirmation of DNA from autopsy sample is taken from
a. Liver
b. Spleen
c. Kidney
d.
Brain
144. A 28 year female with infertility had been investigated with HSG reveled bilateral
cornual block. Next best investigation to be done is –
a. Tuboplasty
b.
IVF
c. Hydrotubation
d. Laprocscopy and hyseteroscopy
145. Karyotyping of fetus can be done from all except-
a. Chronioc villous sampling
b. Cordocentesis
c. Amniocentesis
d. Fetal skin biopsy
146. Xenon anesthesia all are true accept-
a .
Slow induction and emergence
b. Non explosive
c. Less cardiovascular side-effect
d.
Not Recalled.
147. A patient with history of trauma attended emergency with right renal hematoma. IVP
shows descerblity on right kidney and left kidney normal uptake. Next line of management-
a. Exploration of kidney
b. Nephrectomy
c. On table RUG
d. Not Recalled
148. Brinzolamide is-
a. competitive and reversible carbonic anhydrase inhibitor.
b. non-competitive and reversible carbonic anhydrase inhibitor. c.
competitive and irreversible carbonic anhydrase inhibitor.
d. competitive and irreversible carbonic anhydrase inhibitor.
149. A patient had enlarged pituitary gland on MRI scan. His thyroid profile revieled increased TSH and
T4 decreased. What may be the probabale cause?
a. Primary hypothyroidism
b. Pitutary tumor
c. Pitutory throtrophic adenoma d. Not Recalled
150. Conversion of T4 to T3 is inhibited by all except-
a.Propanolol
b.Propyl thiouracil
c.Amiodarone
d. Methiimazole
151. A 16 yrs olf female has a solid content in USG finding with normal alpha fetoprotein, normal hCG, increased alkaline phosphatase . Most probable cause may be
a.Dysgerminoma
b.Teratoma.
c.Endodermal sinus tumor
d.Mucinous cystadenoma
152. A 18 year old female presented in infertility clinic with bilateral inguinal hernia; history
reverel- Primary amenorrhea, but had normal secondary sexual characteristic with absent pubic hair. Most probable diagnosis is
a. AIS
b. Turner’s
c.
MRKH
d. Mullerian duct agenesis
153. While checking prothombin time-
a. Freeze to preserve clotting factor
b. Rush to hospital in 2 hour
c. Platelet rich plasma
d. Activated by kaolin
154. Which of the following drug is used as Transcranial patch for Parkinsons disease
a. Levodopa
b. Rotigotine
c. Selegiline
d.
Carbidopa
155. MRI appearance of cavernous angioma-
a. Popcorn appearance
b. Sun ray appearance
c. Not Recalled
d. Not Recalled
156. Bremelanotide used for
a. Erectile dysfunction
b. Ca prostate
c. LUTs
d. Metastatic RCC
157. A 30 yrs old executive complains of excessive sleepiness in daytime and lack of sleep at night. Once at a party his friends noticed of his sudden fall due to sleep. He may have
a. Seizures
b. Night mares
c. Apnoea during sleep
d. Not Recalled
158. A child presented with leaking menigiomyelocoele. Which of the following would be
most
appropriate for diagnosis?
a. Wound swab and culture
b. Blood culture
c. Urine culture
d.
CBC
159. 40 mm gap between & tropocollagen is for which molecule so as to allow deposition in
bone
a.Calcium
b. Iron
c. Manganese
d.
Phosphorus
160. All changes occurs in pregnancy except –
a. Increase in peripheral vascular resistance.
b.
Increase in stroke volume
c. Increase in cardiac output
d. Increase in blood volume
161. Hormone replacement therapy decreases all of the following except-
a) Vaginal dryness
b)Hot flushes
C) Prevention of cardiovascular risk
d)Prevention of osteoporosis
162. Somatic passivity is seen in-
a. Schizophrenia
b. Hypochondriac disorder
c. Body dysmorphic disorder
d.
Depression
163. Bipolar type 2 disorder is-
a. Mania and depression
b. Hypomania and sub acute depression
c. Hypomania and depression
d. Mania and sub acute depression
164. Rheumatoid arthritis is best diagnosed by
a. Anticitrulline antibody
b. Ig G antibody
c.
Ig A antibody
d.
Ig M antibody
165. Acute pancreatitis severity associated with all except:
a. Glucose
b.
Ca+2
c. Amylase
d. Transminases
166. Suppose you are working in a remote PHC and you have to send a blood sample for
estimation of blood glucose level, following agent is used –
a. E. D. T. A
b. Potassium – oxalate
c. K – oxalate + NaF
d. K – oxalate + NaI
167. A child presented with jaundice and history of passing clay colored stool. The following
enzymes will be elevated except:
a. 5’ nucleotidase
b. ALP
c. GGT
d. ALAδd.
168. You have diagnosed a patient clinically as having SLE and
ordered 6 tests. Out of which
4 tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know:
a. Prior probability of SLE; sensitivity and specificity of each test
b.
Incidence of SLE and predictive value of each test
c. Incidence and prevalence of SLE
d. Relative risk of SLE in this patient
169. A patient admitted to an ICU is on central venous line for the last one week. He is on
ceftazidime and amikacin. After 7 days of antibiotics he develops a spike of fever an his blood culture is positive for gram positive cocci in chains, which are catalase negative.
Following this, vancomycin was started but the culture remained positive for the same organism even after 2 weeks of therapy. The most likely organism causing infection is:
a. Staphylococcus aureus
b. Viridans streptococci
c. Enterococcus faecalis
d. Coagulase negative staphylococcus
170. With reference to bacterioides fragilis the following statements are true, except:
a. B. fragilis is the same frequent anaerobe isolated from clinical samples
b.
B. fragilis is not uniformaly sensitive to metronidazole
c. The lipopolysaccharide formed by B. fragilis is structurally and functionally
different from the conventional endotoxin
d. Shock and disseminated intravascular coagulation are common in bacteroides
bacteremia
171. The Role of Cap in lac operon is -
a. Positive regulator
b .Negative regulator
c. Attenuation
d. Constituted expression
172. All of the following regarding drug metabolism are correct EXCEPT-
a. Calcium channel blockers-CYP3
b. Celiprolol- CYP2D6
c. Digitoxcin – p-gp
d. Not Recalled
173. A new method of measuring Hb concentration was developed.
The ten result of one sample are as follows-9.4, 10.4, 9.6, 10.8, 9.1, 12.1, 10.1, 9.8, 9.2 and 9.5. But the Hb level measured by standard colorimetry was 10.2. Thus this method has-
a. low validity low reliability
b. low validity and high reliability
c. high validity and low reliability
d. high validity and high reliability
174. Direct standardization is used to compare the mortality rates between two countries because of differences in:
a. Cause of death
b. Numerators
c. Age distributions
d. Denominators
175. Mother’s breast milk is essential for newborn .It also contain which of the following-
a. Docosahexaenoic with
b. Linoleic acid
c. Arachidonic acid
d.
Linolenic acid
176. The complete amino acid sequence of the two polypeptide chains of insulin was studied
and
a Noble prize was awarded to-
a. Frederick Sanger
b.
Banting and Best
c. Not Recalled
d. Not Recalled
177. Drug of choice of Congenital Adrenal Hyperplasia is
a. Dexamethasone
b. Betamethasone
c. Hydrocortisone
d.
Predinsolone
178. A patient presents with LDL = 600 and TG= 140; which of the following may be
present?
a. Tender xanthomas
b. Plantar xanthomas
c. Tuberoeruptive xanthomas
d. Lipemia retinalis
179. Gold standard study for clinical research is
a. Randomised double blinded clinical trial
b. Systemic meta-analysis
c. Ecological
study
d. Retrepospective cohot study
180. Depression of EEG is found with-
a. Ketamine
b. Hypothermia
c. Early hypoxia
d. N2O
181. Doc in multiple sclerosis
a. α. IFN
b. β IFN
c. γ IFN
d. Intiliximab
182. A child presents with erythramatous and itching with redness of both the cheeks. There was history of sudden onset macule and papule. Mother has history of bronchial astham.
Most probable diagnosis is
a. Atopic dermatites
b. Infections eczematoid dermatitis
c. Drug eruption
d.Psoriasis
183. All are inaccurate regarding forceps delivery except?
a. The anteroposterior diameter of head should not be more than 15 degree to the axis b. The presentation should be vertex or mentoanterior
c. The presenting part should be at at zero station
d.
Caput succedaneum is not a contraindication
184. Which among the following is not a ultrasound feature of Congenital Hypertrophic
Pyloric Stenosis?
a. 95% sensitivity by ultrasound
b.
Thickness of pylorus > 4mm
c. Canal length > 16mm
d. High gastric residue
185. All are limb girdle dystrophies except?
a. Sarcoglycanopathies
b. Dystrophinopathies
c. Dysferlinopathy
d. Calpainopathy
186. If a doctor indulges in giving a false medical certificate to a patient, he is
liable to be
prosectuted under?
a. 137 IPC
b. 157 IPC
c. 197 IPC
d.
167 IPC
187. Universal definition of myocardial infarction includes all except?
a. Sudden death can be due to MI
b. New abnormal wall motion with raised cardiac biomarkers
c. 3 times rise in troponin levels
d. Reperfusion leads to elevation of troponin levels in 5-7%
188. Which is the only drug effective in EDSS in multiple sclerosis?
a. Interferon gamma
b.
Interferon beta
c. Glatiramer acetate
d. Natalizumab
189. A 4 month pregant lady on treatment with valproate regularly asked for your advice regarding taking the drug during pregnancy. What is
the best course of action?
a. Immediately taper off valproate and start lamotrigine
b.
Change to carbamazapine
c. Continue valproate with dose monitoring
d. Give both valproate and lamotrigine
190. All are inaccurate regarding forceps delivery except?
a. The anteroposterior diameter of head should not be more than 15 degree to the axis
b. The presentation should be vertex or mentoanterior
c. The presenting part should be at at zero station
d. Caput succedaneum is not a contraindication
191. All are true about oxygenase except?
a. Incorporates one atom of oxygen
b. Incorporates both atoms of oxygen
c. Hydroxylation
d. Help in carboxylation reaction of steroids
192. A young male who had a road traffic accident, presented with a non pulsatile retroperitoneal hematoma. On table intravenous urogram was done. Right kidney was not visualised. Left kidney showed immediate excretion of dye. What is next step in
management?
a. Nephrectomy
b. Explore proximal renal vessels, open Gerota’s fascia and explore kidney
c. Perform on table angiography
d. Retrograde pyelography
193. All are true regarding vitamin D except-
a. Hydroxylation occurs in liver
b. 25 hydroxylation occur in kidney
c. Vit d 400-600 is required in absence of sunlight
d.
Wilsons syndrome
194. Preleukemic conditions are all accept?
a. Paroxysmal nocturnal hemoglobinuria
b.
Paroxysmal cold hemoglobinuria
c. Myelodysplasia
d. Aplastic leukemia
195. A 25 year old lady on treatment for rheumatoid arthritis has the following lab findings. Haemoglobin – 6g, MCV – 60fl,RBC= 2.5 lakhs, Ferritin – 200ng/ml. Transferrin – 298
mg/dl. Iron -=30 What is the probable diagnosis?
a. Thalassemia
b. Autoimmune hemolytic anemia
c.
Anemia of chronic disease
d. Iron deficiency anemia
196. 17 year old female presented with a history of primary amenorrhoea. She had bilateral
inguinal hernias. Secondary sexual characters were present. Pubic hair was absent. Which
among the following is the most probable diagnosis?
a. Androgen insensitivity
b. Star syndrome
c. Mullerian agenesis
d. Turner syndrome
197. Indications of glucose tolerance test in a pregnant woman are all except?
a. Previous malformation
b. Polyhydramnios
c. Eclampsia
d. Previous unexplained death
198. A 25 year old lady presented with fever of 1 month duration, ataxia and
head ache. Brain imaging showed dilated ventricles with basal exudates. Which among the following is the
most likely CSF finding?
a. Lymphocytic pleocytosis, low sugar, high protein
b. Lymphocytic pleocytosis, low sugar, low protein
c. Lymphocytic pleocytosis, high sugar, low protein
d.
Neutrophilic pleocytosis, low sugar, high protein
199. Drug not used in multiple sclerosis?
a. Interferon 1 alpha
b. Interferon 1 beta
c.
Glatiramer acetate
d. Mycophenolate mofetil
200. Most Common site of cholangiosarcoma
a.Intrahepatic bile duct
b.Origin of cystic duct
c.Common bile duct d.Extrahepatic bile duct
